delivered the opinion of the court:
This is a negligence action arising from an incident on September 25, 1998, in which the plaintiff, Virginia Luye, was injured while exiting a taxicab driven by codefendant Michael Schopper and owned by codefendant Garden City Cab (Garden). In April 2001, Luye filed a three-count complaint alleging: (1) Schopper was negligent in failing to either hold the cab door open while she was exiting or to take steps to ensure the cab door would not close; (2) Schopper was an employee of Garden and was acting as an agent of Garden when the alleged negligence occ 1 .-red; and (3) res ipsa loquitur. Following trial in October 2001, the jury returned an itemized verdict awarding Luye $247,580.45, $112,000 of which was for aggravation of a preexisting condition. The defendants filed a motion for posttrial relief in November 2001, which was denied in January 2002. Subsequently, this appeal was filed in February 2002, pursuant to Supreme Court Rule 303 (155 Ill. 2d R. 303).
On appeal, the defendants raise three issues: (1) whether aggravation of a preexisting condition is a separate and compensable element of damages in addition to pain and suffering and loss of a normal life; (2) whether the evidence supported the jury instruction and verdict form allowing recovery for aggravation of a preexisting condition; and (3) whether the verdict on aggravation of a preexisting condition was against the manifest weight of the evidence or, alternatively, whether an award of $112,000 for aggravation of a preexisting condition was excessive. Luye responds claiming the verdict was not against the manifest weight of the evidence, the award was not excessive, and the trial court properly tendered Illinois Pattern Jury Instructions, Civil, Nos. 30.03 and 30.21 (1995) (hereinafter IPI Civil (1995)) on the issue of aggravation of a preexisting condition. Luye further contends that the trial court properly tendered an itemized verdict form listing aggravаtion of a preexisting condition. Luye also argues that the defendants’ brief does not comply with supreme court rules and, further, that there are no actual issues to be considered by this court as grounds for appeal.
BACKGROUND
On September 25, 1998, Schopper picked up Luye and her sister, Agnes Margalus, from the grocery store and drove them to Luye’s home. Luye was seated in the backseat of the cab on the passenger side. When the cab arrived at Luye’s home, Schopper reached across with his right hand, opened the rear passenger door and held it open for a moment before he went to open the other door for Margalus. While Schopper was holding the door open for Luye, she was putting her left foot outside the car, but after Schopper let go of the door, it closed on Luye’s leg, shin, and ankle. Luye cried out when the door closed and her leg was pinned for a few seconds until Schopper came around and held the door open. Luye told Schopper her leg hurt and remained in the cab for a few moments before Schopper helped her up the stairs to her apartment. At the time of the accident, Luye’s leg had no cuts and she did not call a doctor.
Approximately one week after the accident, Luye noticed her leg was hurting and that it was beginning to discolor. There was also a lump and liquid under the skin. Luye went to Christ Hospital in Oak Lawn, where they took X rays for fractures and tested for blood clots. The results of both were negative. Luye was released with instructions to take Tylenol and to follow up with her doctor, Dr. Lee Waidzunas. Luye saw Dr. Waidzunas, but her leg did not improve. Luye returned to Christ Hospital and was hospitalized for two days. At the hospital, her ankle was bandaged, she was given intravenous antibiotics, pus was drained from her leg, and her leg wаs elevated.
Over the next couple years, Dr. Waidzunas continued to treat Luye for her injury. The healing was slow and riddled with recurring low-grade infections. Dr. Waidzunas prescribed antibiotics, skin cream, and anti-inflammatory medication. Luye testified she had never injured her leg prior to the incident on September 25, 1998. However, Dr. Waidzunas testified that prior to the September 25, 1998, incident, Luye had a history of peripheral vascular disease (a circulatory condition), which primarily affected her right side; however, Luye had vascular problems in both legs. Dr. Waidzunas testified the accident made a “bad situation worse” regarding her left leg.
At the time of trial, Luye had three scars on her left leg and was experiencing neuropathic pain of 5 to 6 on a scale of 10. Dr. Waidzunas defined neuropathic pain as pain from nerve trauma, usually from a crushing injury. Luye’s leg continued to be painful and discolored and sensitive to touch and water. Additionally, Luye walked with a cane.
At the close of evidence, over the defendant’s objection, the jury was instructed in accordance with IPI Civil (1995) Nos. 30.01, 30.03, 30.04.01, 30.05, and 30.06:
“If you find for the Plaintiff, Virginia Luye, on the question of liability, then you must then fix the amount of money which will reasonably and fairly compensate her for any of the following elements of damage proved by the evidence to have resulted from negligence of the Defendants.
The reasonable expense of necessary medical care, treatment and services received.
The pain and suffering experienced and reasonably certain to be experienced in the future as a result of the injuries.
The aggravation of any pre-existing ailment or condition.
Loss of a normal life experienced and reasonably certain to be experienced in the future.
Whether any of these elements of damage has been proved by the evidence is for you to determine.”
Additionally, without objection, the jury was instructed in accordance with IPI Civil (1995) No. 30.21: “If you decide for the plaintiff on the question of liability, you may not deny or limit the plaintiffs right to damages resulting from this occurrence because any injury resulted from an aggravation of a pre-existing condition or a pre-existing condition which rendered the plaintiff more susceptible to injury.”
The jury was then given a verdict form as set out below:
“We, the jury find for Virginia Luye and against Michael Schopper and Garden Cab Company. We assess the damages in the sum of $_, itemized as follows:
The reasonable expense of necessary medical care, treatment and services received.
The pain and suffering experienced as a result of the injuries.
$T__
The pain and suffering reasonably certain to be experienced in the future as a result of the injuries.
_$_
The aggravation of any pre-existing ailment or condition.
The loss of a normal life experienced.
The loss of a normal life reasonably certain to be experienced in the future.
The defendants objected to the inclusion of the aggravation of any preexisting ailment or condition as a separate itemized element of damages in both the jury instructions and the jury verdict form. The jury returned an itemized verdict awarding Luye a total of $247,580.45, with $112,000 designated for the aggravation of a preexisting ailment or condition.
The defendants filed a motion for posttrial relief based on Smith v. City of Evanston,
“THE COURT: [W]ith regard to the giving of a jury instruction having, as an element of damages, aggravation of a preexisting condition and also being a damage instruction in the 30.01-plus series, the — And the Court is aware of Smith v. City of Evanston, and my own personal feeling about it is I personally do not like aggravation of a preexisting conditiоn as an element of damages.
However, cases subsequent to Smith in the First District have said that it is an appropriate element of damages. And there have been other cases that have said Smith should not be followed with regard to the issue of loss of a normal life, and it should be disability. There is a divergence of opinion in the First District.
The author of the Smith opinion is no longer sitting on the Appellate Court. The judges that have written those subsequent opinions are presently sitting on the Appellate Court. There may be a sway in the Appellate Court, at least in the First District, maybe that Smith would not be followed. Smith is not follоwed in other districts — Appellate Districts in the State of Illinois.
The Supreme Court, to my knowledge, has not ruled on those specific issues; however, even subsequent to the Smith v. City of Evanston decision, the Illinois Supreme Court committee on pattern jury instructions in civil cases has seen fit to keep aggravation of a preexisting condition as a compensable element of damages..
And for those reasons — even though personally I do not like that as an element of damages, and I can understand Counsel’s concern that there may be overlap — I think it is an element of damages that a jury can cоnsider if there is a factual basis for it.
ifc # sfc
Can there be overlap? You know, if you’re considering overlap between pain and suffering, disability and loss of a normal life and aggravation of a preexisting condition, yeah, perhaps there is overlap between all of those. I mean, maybe that’s why you look in FELA [Federal Employers’ Liability Act] cases. Those are not all elements that might be compensable; some may be included in others. But right now, that’s not the law in Illin- is, that they should be included in one.”
ANALYSIS
On appeal, the defendants raise three issues: (1) whether aggravation of a preexisting condition is a sepаrate and compensable element of damages in addition to pain and suffering and loss of a normal life; (2) whether the jury instruction and verdict form for aggravation of a preexisting ailment were supported by the evidence; and (3) whether the verdict on aggravation of a preexisting condition was against the manifest weight of the evidence or, alternatively, whether an award of $112,000 for aggravation of a preexisting condition was excessive. The defendants have not challenged the finding that Luye sustained new injuries resulting from the accident or the finding that the defendants were responsible for those injuries. Additionally, the defendants do not challenge the amount of the jury award unrelated to the aggravation of a preexisting condition.
I. Compliance With Supreme Court Rules
As a preliminary note, this court addresses Luye’s claim that the defendants’ brief does not comply with supreme court rules and presents no actual issues to be considered by this court as grounds for appeal. Luye claims the defendants fail to set out the necessary standards of review and, accordingly, the defendants’ brief does not comply with supreme court rules. We do not agree. The applicable standards of review are set out in the defendants’ main brief, which we find to be cogent and persuasive.
II. Jury Instructions and Verdict Form
1. Elements of Damages
On appeal, the defendants first question whether aggravation of a prior existing condition is a separate compensable element of damages and whether the trial court erred in treating it as such. “The trial court has discretion to determine which instructions to give the jury and that determination will not be disturbed absent an abuse of that discretion.” Schultz v. Northeast Illinois Regional Commuter R.R. Corp.,
Once a trial court determines an instruction is to be given, then Suрreme Court Rule 239(a) (177 Ill. 2d R. 239(a)) creates a presumption that the Illinois Pattern Instructions (IPI) are to be used. Kravcik v. Golub & Co.,
We first address whether IPI Civil (1995) No. 30.03, allowing aggravation of a preexisting condition as a separate compensable element of damages, is an accurate statement of the law in Illinois. Because this is a pure question оf law, we review this issue de novo. Hendricks v. Riverway Harbor Service St. Louis, Inc.,
When IPI Civil (1995) No. 30.03 is given, the phrase “[t]he aggravation of any pre-existing ailment or condition” is inserted between the two paragraphs of IPI Civil (1995) No. 30.01 so that the combined instruction reads:
“If you decide for the plaintiff on the question of liability, you must then fix the amount of money which will reasonably and fairly compensate him for any of the following elements of damages proved by the evidence to have resulted from the [negligence] [wrongful conduct] [of the dеfendant] ***.
The aggravation of any pre-existing ailment or condition. Whether any of these elements of damages has been proved by the evidence is for you to determine.” IPI Civil (1995) Nos. 30.01, 30.03.
IPI Civil (1995) No. 30.21, which should be given whenever IPI Civil (1995) No. 30.03 is given, states:
“If you decide for the plaintiff on the question of liability, you may not deny or limit the plaintiffs right to damages resulting from this occurrence because any injury resulted from [an aggravation of a pre-existing condition] [or] [a pre-existing condition which rendered the plaintiff more susceptible to injury].” IPI Civil (1995) No. 30.21.
Here, the trial court gave both IPI Civil (1995) No. 30.03, which was objected to, and IPI Civil (1995) No. 30.21, which was not objected to.
The defendants first argue the trial court erred in giving IPI Civil (1995) No. 30.03 and a verdict form that allowed Luye to recover for aggravation of a preexisting ailment or condition, in an itemized amount, separate and apart from the amounts awarded for pain and suffering and for loss of normal life. More specifically, the defendants appeal the use of IPI Civil (1995) No. 30.03 based on Smith.
We carefully examine the language of IPI Civil (1995) No. 30.03 and the cases cited by the instruction to determine whether IPI Civil (1995) No. 30.03 is an accurate statement of Illinois law. Most pattern jury instructions are based on case law that predatеs the use of itemized verdicts. Smith,
The instruction given in Behles reads:
“ ‘If you find that the defendant was guilty of one or more of the acts of negligence as charged in plaintiffs Amended Complaint and that prior to and at the happening of the occurrence alleged in said Amended Complaint, plaintiff was in the exercise of ordinary care for her own safety, and if you further find that plaintiff was injured as a direct and proximate result of the said occurrence as alleged in said Amended Complaint, then you are instructed that the plaintiff is entitled to recover for the aggravation of a pre-existing ailment or condition to the extent that you may find such aggravation, if any, to be the natural and proximate result of the accident alleged in said Amended Complaint.’ ” Behles,346 Ill. App. at 231 .
The Behles court read this instruction as charging “the jury that even though they agreed with defendant’s medical theory of ruptured aneurysm, plaintiff nevertheless was not remediless if the jury found that the blow on the head was the proximate causе of the ultimate brain damage.” Behles,
In Wheeler, the plaintiff was injured by two separate tortfeasors. Wheeler,
“ ‘More than one person may be to blame for causing an injury. If you decide that the defendants were negligent and that their negligence was a proximate cause of injury to the plaintiff, it is not a defense that some third person who is not a party to the suit may also have been to blame.’ ” Wheeler,188 Ill. App. 3d at 202 .
The defendant argued that this was an error because there were two injuries from two parties. Wheeler,
In these two cases it is clear that the jury was to consider the aggravation of a preexisting condition when determining damages in accordance with the instruction. However, allowing the jury to consider the aggravation of a preexisting condition is not the same as allowing the jury to separately award for aggravation of a preexisting condition. See, e.g., Powers v. Illinois Central Gulf R.R. Co.,
The Illinois Supreme Court has held that pattern instructions are not exempt from challenge. Powers,
We find that the Behles and Wheeler decisions do not support the IPI’s assertion that aggravation of a preexisting ailment or condition is a separate element of compensable damages under Illinois law. In fact, rather than providing direct support for the use of IPI Civil (1995) No. 30.03, we read the Behles decision as holding that the plaintiff may not be denied damages or be awarded limited damages because she had a preexisting ailment or condition, as set out in IPI Civil (1995) No. 30.21, which the defendants did not challenge.
In Smith, the appellate court determined aggravation of a preexisting condition did not constitute a separate element of damages because it would overcompensate plaintiffs due to the overlap of aggravаtion of a preexisting injury with awards for other elements of damages. Smith,
“Just as the court in Powers could find no measure for the nature of the injury as a separate element of damages, we find no measure for the value of aggravation of a preexisting condition that is separate from the other elements of damages. A jury appraising the monetary value of aggravation of the condition needs to look to the increase in medical costs, the earnings lost which would not have been lost by reason of the preexisting condition alone, the increase in pain and suffering, and thе worsening of disabilities and disfigurement. As Graham stated, ‘Any change in the plaintiffs ailment or condition, being an injury in itself, is measured by its consequences to the plaintiff in the form of the appropriate elements of damage.’ [Citation]. An award for aggravation of a preexisting condition overlaps with awards for all of the other elements of damages, so inclusion of aggravation of conditions as a separate element leads to the same possibility of overcompensation that led the court in Powers to rule against the use of nature of the injury as a separate element of damаges, despite the approval of that as a separate category of damages in the IPI instructions then in effect. *** We hold that under the reasoning of Powers, aggravation of a preexisting condition is not a separate element of damages. It is, like the nature, extent and duration of the injury, a matter to take into account when assessing the proper, separable elements of damages.” Smith,260 Ill. App. 3d at 935-36 .
Since the Smith decision, there has been some disagreement about whether aggravation of a preexisting condition is a separate element of compensable damаges. In denying the defendants’ posttrial motion, the trial court recognized this disagreement in stating “[t]here may be a sway in the Appellate Court, at least in the First District, maybe that Smith would not be followed. Smith is not followed in other districts — Appellate Districts in the State of Illinois.”
The trial court was incorrect in its statement that Smith has not been followed. First, both the First District and the Fourth District have followed Smith. Subsequent to Smith, this court, in Tedeschi v. Burlington Northern R.R. Co.,
Second, most of the disagreement has been with the Smith holding that “loss of normal life” should be used in jury instructions rather than “disability.” See, e.g., Turner v. Williams,
Only a handful of cases have disagreed with the Smith holding that aggravation of a preexisting condition is not a separate element of compensable damages. See, e.g., Kravcik,
Citing to Behles, the Kravcik court found that IPI Civil (1995) No. 30.03 provides that aggravation of a preexisting condition is a separate element of compensable damages in Illinois. Kravcik,
Our review of the cases cited in the comments to IPI Civil (1995) No. 30.03 demonstrates that they do not support the proрosition that aggravation of a preexisting condition is a separate element of compensable damages in Illinois. We find Smith, in relying on the analysis in Powers, to be well-reasoned and an accurate statement of Illinois law. Applying the Smith court’s reasoning in this case, we find there was an overlap between aggravation of a preexisting condition and the other elements of damages. The award for aggravation of a preexisting condition is not separate and distinct from pain and suffering and loss of a normal life.
Based on our discussion of the misapplication of law in IPI Civil (1995) No. 30.03 and the reasoning of the courts in Smith and Powers, we hold IPI Civil (1995) No. 30.03 should not have been given to the jury. Even if the review of the validity of IPI Civil (1995) No. 30.03 is not a question of law, we find providing IPI Civil (1995) No. 30.03 was an abuse of discretion under the facts presented in this case because it allowed for duplicative damages.
The defendants have not challenged the jury’s liability finding, but have requested a new trial on damages or, in the alternative, remittitur. “The practice of ordering a remittitur of excessive damages has long been recognized and accepted as part of Illinois law.” Best v. Taylor Machine Works,
However, a court does not have the authority to reduce the damages by entry of a remittitur if the plaintiff objects or does not consent. Haid,
“[W]e resolve the issue pursuant to the authority granted us under Supreme Court Rule 366(a)(5) [citation]. We will affirm the judgment of the trial court awarding plaintiff damages in the reduced sum of $25,572.70 on the condition that within 30 days from the date of filing of this opinion, plaintiff files a consent to the remittitur with the clerk of this court. Upon the filing of such remittitur, the judgment is affirmed. In the event such consent is not filed within 30 days, the judgment is reversed and the case is remanded for a new trial on the issue of damages.” Haid,219 Ill. App. 3d at 417 .
As discussed above, IPI Civil (1995) No. 30.03 allowed Luye to recover duplicative damages. Therefore, the duplicative portion of the jury award is excessive and subject to remittitur. See Richardson v. Chapman, lib Ill. 2d 98, 113-15,
2. Weight of the Evidence and Excessive Award
The defendants also argue that (1) the jury instruction and verdict form for aggravation of a preexisting ailment were not supported by the evidence, and (2) the verdict on aggravation of a preexisting condition was against the manifest weight of the evidence or, alternatively, (3) an award of $112,000 for aggravation of a preexisting condition was excessive due to the duplicаtive nature of the award.
Because we have found the jury award for aggravation of a preexisting condition duplicative and have ordered a remittitur, these arguments are now moot.
CONCLUSION
For the reasons stated, the judgment of the trial court is affirmed in part, reversed in part, and vacated in part. Pursuant to the authority of Supreme Court Rule 366(a)(5) (155 Ill. 2d R. 366(a)(5)), we affirm the judgment entered in favor of Luye in the reduced amount of $135,580.45. Should Luye decline to consent, within a reasonable time period as set by the trial court, to the entry of a remittitur upon remand, the trial court is instructed to grant a new trial on the question of damages.
Affirmed in part, reversed in part, and vacated in part; cause remanded.
CAHILL and BURKE, JJ., concur.
