delivered the opinion of the court:
Plaintiffs Carlos and Patricia Cancio brought an action to recover damages allegedly caused by the negligence of defendant Thomas J. White while driving an automobile. On August 24, 1994, after a jury trial, the jury returned a verdict in favor of plaintiffs and judgment was entered on the verdict on August 29, 1994. On January 31, 1995, the trial court granted plaintiffs’ motion for a new trial on the issue of damages only. On December 12, 1995, the case was tried a second time before a jury. The jury returned a verdict in favor of defendant and judgment was entered on the verdict on December 14, 1995. Plaintiffs again filed a motion for a new trial, which was denied on September 3, 1996. Plaintiffs filed a timely notice of appeal and raise the following issues: (1) whether the trial court properly denied plaintiffs’ proposed modified jury instruction; (2) whether the trial court properly allowed introduction of evidence that Carlos Cancio had arthritis; (3) whether defense counsel’s questioning of Carlos Cancio regarding a conversation with his attorney was proper; (4) whether the trial court properly admitted photos of plaintiffs’ vehicle; (5) whether defense counsel violated the trial court’s order in limine-, and (6) whether defense counsel’s closing argument was proper.
On December 14, 1988, while Carlos Cancio was stopped at a stop sign, defendant’s automobile struck Carlos Cancio’s minivan in the left front. On November 20, 1990, Carlos Cancio filed a complaint which alleged that he suffered bodily injury as a result of the accident and that Patricia Cancio suffered loss of consortium.
A jury trial was held on August 24, 1994. At the trial, the only witnesses were Carlos and Patricia Cancio and Dr. John Shea, a neurosurgeon. Dr. Shea testified that Carlos Cancio suffered a herniated disk as a result of the accident. Plaintiffs submitted medical bills and testified to the effect of the injury on their lives. The jury found for plaintiffs on the issue of liability. It awarded Carlos Cancio $3,500 for his medical expenses; $2,100 for past and future pain and suffering; and $2,800 for past and future disability. It awarded Patricia Cancio $0 for both the value of her husband’s services and the loss of his society.
Plaintiffs filed a posttrial motion seeking a new trial on the issue of damages. The trial court granted the motion and on December 12, 1995, the retrial on the issue of damages commenced. Once again, both Carlos and Patricia Cancio testified as to Carlos’ neck injury. They also testified that Carlos had no prior neck problems. The testimony of Dr. Shea was presented by way of the same evidence deposition used in the first trial. Defendant testified as both an adverse witness and in defendant’s case in chief. After closing arguments but before the verdict was rendered, plaintiffs moved for a mistrial. The motion was denied. The jury returned a verdict for defendant on December 14, 1995. Plaintiffs filed a motion for a new trial and it was denied. This appeal followed.
A. PROOF OF INJURY AND PROXIMATE CAUSE
Plaintiffs’ first contention is that the trial court erred in refusing to allow plaintiffs’ proposed jury instruction and in requiring plaintiffs to prove both injury and proximate cause at the second trial.
1. Jury Instruction
During the December 1995 retrial, plaintiffs submitted the following jury instruction:
“It has been determined that the Defendant is liable for any injury which may have proximately resulted from the occurrence. You need only decide what injuries to Plaintiff resulted from this occurrence and what amount of money will reasonably and fairly compensate the Plaintiff for those injuries.”
This is a modified version of Illinois Pattern Jury Instructions, Civil, No. 23.01 (3d ed. 1995) (hereinafter IPI Civil 3d No. 23.01). The first sentence of the unmodified instruction reads as follows: “The defendant has admitted liability for any [injury] [damages] which may have proximately resulted from the occurrence.” IPI Civil 3d No. 23.01.
Plaintiffs did not cite any cases that hold that the refusal of the trial court to allow IPI Civil 3d No. 23.01 constitutes reversible error. Nevertheless, we conclude that in cases such as the one at bar, where the liability of the defendant has previously been determined and the plaintiff proposes the above modified version of IPI Civil 3d No. 23.01, it is error for the trial court to refuse the instruction.
2. Proof of Injury and Proximate Cause
Plaintiffs also argue that they should not have been required to relitigate the issues of injury and proximate cause and, in support of this argument, cite Fisher v. Patel,
The only other case cited by plaintiffs, Exchange National Bank v. Air Illinois, Inc.,
Defendant relies on Nicholl v. Scaletta,
However, Edwards was reexamined in Jeffrey v. Chicago Transit Authority,
“[B]y his admission of liability defendant admitted that the accident resulted from his negligent operation of his vehicle, and that plaintiff was free from contributory negligence. The mere fact that the accident occurred as a result of defendant’s negligence does not, in any way, establish that plaintiff sustained physical injuries. While plaintiff was relieved, under defendant’s admission of liability, from proving defendant’s negligence and her freedom from contributory negligence, she was required to establish damages occasioned by physical injury. The jury found that she had failed to do so, and having so found, the award of no damages was appropriate.”
Accordingly, we find that while plaintiffs were not required to prove liability on the part of defendant, under Jeffrey, plaintiffs were nevertheless still required to prove actual damages before they could recover. As defendant notes, a jury cannot determine the nature, extent and duration of an alleged injury, without first assessing what, if any, injury the plaintiffs suffered as a result of the accident and the extent and duration of any alleged injury.
Therefore, we find that it was not error for the court to require plaintiffs to prove injury and proximate cause at the second trial.
B. EVIDENCE OF ARTHRITIS
Plaintiffs’ next contention is that the introduction of evidence that Carlos Cancio had arthritis was improper because there was no showing that it caused any of his problems.
Prior to trial, plaintiffs moved in limine to exclude evidence that Carlos Cancio had arthritis. That motion was denied. Plaintiffs’ counsel took the evidence deposition of Dr. Shea, who has treated Carlos Cancio since 1990. During that testimony, Dr. Shea read from Carlos Cancio’s MRI record and stated that the MRI record indicated “that the patient had a C6-C7 disk herniation on the left side and also had some degenerative changes of the C4 and C5 vertebrae.” Dr. Shea also testified that Carlos Cancio “had pre-existing disk degeneration at C4-5 and *** also at C5-6. And this would be so-called cervical spondylosis, which is sort of an arthritis or natural aging of the spine at those two levels.” Dr. Shea also testified that “some of the pressure on the disk was due to some preexisting arthritis.”
Plaintiff relies on Marut v. Costello,
It is defendant’s contention that since the preexisting arthritis is in the same area of the body that Carlos Cancio claimed was injured as a result of the accident, the evidence is admissible. Defendant points this court to its decision in Elberts v. Nussbaum Trucking, Inc.,
However, plaintiffs contend that even if there is an injury to the same part of the body, evidence of that injury is impermissible, unless there is a showing that there is a connection between the past and present injuries. Plaintiffs rely on the fifth district case of Brown v. Baker,
“This rule leaves room for curious results. For instance, a childhood knee injury (falling and bruising a knee) could arguably be admissible in the case of a later alleged knee injury, without any further showing of relevance or causation, even if the prior injury had completely healed and been symptom free for decades. *** Such a rule defies common sense. Obviously, evidence of the old injury is presented to imply to the jury that the old injury, and not the occurrence presently at issue, is responsible for the plaintiffs current complaints. Without the benefit of testimony regarding causation in these instances, jury members are invited to speculate on a nexus between the past accident and the present injury.” Brown,284 Ill. App. 3d at 404-05 .
The court then concluded by saying that “[i]f a prior injury has long since healed and has shown no recurring symptoms, a defendant should not be permitted to introduce evidence of the prior injury without establishing causation.” Brown v. Baker,
In the instant case, Dr. Shea testified that Carlos Cancio suffered a herniated disc as a direct result of the accident. Dr. Shea testified that the MRI indicated some “encroachment due to degenerative change.” In explaining what this means, Dr. Shea stated: “There is some pressure due to the fact that there was some arthritis of the disc at that level so that some of the encroachment or some of the pressure on the disc was due to some pre-existing arthritis.” We do not feel this testimony constitutes competent evidence sufficient to show “more than a mere possibility that the preexisting condition is the cause of the injury.” See Karsten,
Accordingly, we find that because defendant failed to establish the requisite direct causal connection between Carlos Cancio’s preexisting arthritis and the herniated disc, evidence of the arthritis was inadmissible.
C. QUESTIONING OF PLAINTIFF CARLOS REGARDING DISCUSSION WITH ATTORNEY
Plaintiffs’ third contention is that defense counsel’s cross-examination of Carlos Cancio regarding a conversation with his attorney was improper.
Prior to trial, the court specifically warned both attorneys about creating inferences during cross-examination that are not supported by evidence. During trial, Carlos Cancio testified that he was referred to Dr. Shea through a physician referral service. Doctor Shea’s records and testimony corroborated that testimony. Defendant offered no testimony of any connection between plaintiffs’ counsel and Dr. Shea. Nevertheless, the following exchange occurred during cross-examination of Carlos Cancio:
“Q. You said at some point after Dr. Lewis or treating with Dr. Lewis, you decided that you wanted to see another doctor?
A. Right.
Q. And you called to make an appointment with another Doctor, Dr. Shea; is that correct?
A. Yes.
Q. Before you made that phone call for the referral, did you not call your attorney and ask about finding another doctor?
A. We talked about it. I asked him that this guy is not doing anything for me, and he says well maybe do whatever you want.
Q. Now Dr. Shea, as far as you know, is not an orthopedic surgeon; is that correct?
A. No.
MR. KLIMCZAK: I object to this judge.”
Prior to closing argument, plaintiffs’ counsel moved to exclude any argument or innuendo that there was some unethical connection between plaintiffs’ counsel and Dr. Shea. The court agreed that there was no such evidence. Defense counsel assured both the court and counsel that he would only argue what was in evidence. Nevertheless, in closing argument, defense counsel furthered the inappropriate insinuation as follows:
“What happens next? More time goes by. Then he goes to Dr. Shea in October of 1990. That’s almost two years after the accident. What happens before he goes to see Dr. Shea? He talks to his attorney. He makes a phone call.”
Defense counsel went on to imply that Dr. Shea was plaintiffs’ “hired gun”:
“We all know what money will do as a motivating factor in swaying testimony one way or the other. What other interests exist in this case? Dr. Shea, he was being paid $500 for the first hour and then $250 thereafter.”
Generally, improper argument or misconduct of counsel can he a sufficient basis to require a new trial. Mykytiuk v. Stamm,
Accordingly, we find that defense counsel’s cross-examination and closing argument, which insinuated a connection between Carlos Can-do’s attorney and Dr. Shea, was improper, unsupported by the evidence, highly prejudicial and deprived plaintiffs of a fair trial.
D. INTRODUCTION OF PHOTOGRAPHS
Plaintiffs’ fourth contention is that the introduction of the photos of plaintiffs’ minivan was improper. Plaintiffs specifically argue that the evidence was irrelevant since liability was not in issue.
Photocopies of the original Polaroids of the plaintiffs’ vehicle were admitted by the court in the second trial because the original Polaroids introduced at the first trial were missing from the court file at the commencement of the second trial.
The only case plaintiffs cite in support of their argument that the photos are inadmissible is Bullard v. Barnes,
Also at issue in Bullard was the admissibility of morgue photos of the decedent. The Illinois Supreme Court disagreed with defendants’ arguments and the appellate court’s decision that the morgue photographs of the decedent were inadmissible. Bullard,
In the instant case, the photos of plaintiffs’ vehicle were relevant to the nature and extent of plaintiffs’ damages. They were relevant because they showed little or no damage, which is something the jury could consider in determining what, if any, injuries Carlos Cancio sustained as a result of the accident. Accordingly, we find that admission of the photos was proper.
E. VIOLATION OF MOTION IN LIMINE
Plaintiffs’ fifth contention is that defense counsel violated a motion in limine and that this is grounds for a new trial.
We begin by noting that violation of an order in limine may be grounds for a new trial. Rutledge v. St. Anne’s Hospital,
“refrain from making any direct or indirect mention, whatsoever at the Trial, before the Jury of the following matters ***
7. That Plaintiff has had similar accidents as the one in issue to show a likelihood of Plaintiff to have accidents;
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12. That Defendant’s attorney not be allowed to argue in closing argument ‘that the Plaintiff has asked for a greater amount of money than he actually expects to be awarded.’ ”
During closing, defense counsel argued:
“According to Dr. Shea’s testimony, he did a history that an accident occurred in December of 1989.
MR. KLIMCZAK: Objection to that.
THE COURT: Again, Counsel, you will have an opportunity to respond in a moment. Go ahead, Mr. Mulligan.
MR. MULLIGAN: This is all in evidence ***.”
Despite the order in limine barring defense counsel from arguing that plaintiffs’ counsel asked for a greater amount than he expected to be awarded, defense counsel also argued:
“Please don’t go back there and say, well, he’s asking for $60,000.00. Let’s split it down the middle. You can’t do that. You have to base your decision on the evidence presented. If you gave the plaintiff 10 percent of that $60,000—
MR. KLIMCZAK: Objection to that.
MR. MULLIGAN: I haven’t said anything.
THE COURT: Well, be careful what you say.
MR. MULLIGAN: If you gave the Plaintiff 10 percent of $60,000, that would be—
MR. KLIMCZAK: I object to that, Judge.
MR. MULLIGAN: What?
THE COURT: Why don’t you respond to that in your rebuttal.”
We find that the reference to the December 1989 accident did not constitute a violation of the order in limine. With regard to the December 1989 accident, defense counsel was only barred from arguing that the fact that Carlos Cancio had a similar accident shows his likelihood of being in accidents. Defense counsel did not make that argument. Defense counsel’s argument went to the credibility of Dr. Shea. Dr. Shea’s report noted an accident in December 1989 and this evidence was not barred.
We do find, however, that defense counsel did violate the order in limine when he implied that plaintiffs were asking for more than they expected to be awarded. Although defense counsel never expressly stated as such and asserts that counsel was only arguing that the amount sought by the plaintiffs was not supported by the evidence, it is clear from the transcript that the improper insinuation was put before the jury.
Accordingly, we find that the violation of the order in limine is also grounds for a new trial.
F. CLOSING ARGUMENT
Plaintiffs’ final contention is that defense counsel’s closing argument itself warrants reversal.
Plaintiffs point this court to the following argument made by defense counsel:
“Then he goes to see a Dr. Lewis. We don’t have Dr. Lewis’ testimony. What does Dr. Lewis do? All we know is what plaintiff tells you Dr. Lewis did or didn’t do. Wouldn’t you like to hear Dr. Lewis’ testimony?
MR. KLIMCZAK: Objection to that.
THE COURT: Sustained, Counsel. Move on.
MR. MULLIGAN: There is no evidence whatsoever as to — from a medical care provider what—
MR. KLIMCZAK: Objection. That’s a mischaracterization of the evidence.”
As we stated earlier, defense counsel’s implication that, by failing to call Dr. Lewis, plaintiffs are hiding exculpatory evidence is improper. See Rutledge,
For the aforementioned reasons, the judgment of the circuit court of Cook County is reversed and the cause is remanded for a new trial on the issue of damages.
Reversed and remanded.
GALLAGHER and O’MARA FROSSARD, JJ., concur.
