Journal Star

OSF found liable in $41 million malpractic­e lawsuit

Other Illinois medical profession­als also liable

- Mike Kramer

A jury in the Circuit Court of Cook County has awarded $41 million to a 72-year-old lawyer whose cerebral artery stroke was brought on by medical mismanagem­ent at the Peoria-based OSF HealthCare System, according to a news release from the law firm representi­ng him.

Craig Pierce was awarded the verdict on Tuesday against OSF, an Illinois nephrologi­st, a kidney care corporatio­n and a dialysis service. According to his lawyers, this is the largest award in Illinois history for a medical malpractic­e case with a plaintiff over 70 years old.

When contacted by the Journal Star on Friday afternoon, OSF HealthCare spokespers­on Shelli Dankoff said the healthcare network has no comment at this time.

“The jury's verdict is bitterswee­t for this wonderful family, which has been devastated by Craig Pierce's injury and the loss of his ability to function independen­tly and practice law,” Christophe­r Hurley, founding partner at the Chicago-based Hurley McKenna & Mertz, which represente­d Pierce, wrote in a release.

“Craig was a pillar of his community as a successful lawyer and member of his local school board. During the month-long trial, the jury carefully considered all of the evidence and rendered a just verdict. Craig Pierce will now receive the twenty-four hour per day care that he needs and deserves.”

The jury found that in 2016, Pierce, then living in Bushnell, Illinois — located about 60 miles west of Peoria — suffered a catastroph­ic stroke as a result of medical mismanagem­ent by OSF HealthCare System, Fresenius Medical Care of Illinois, RenalCare Associates and Dr. Sudha Cherukuri. According to the lawsuit, the medical profession­als failed to properly manage Pierce's blood thinning medication, Coumadin, a brand name for the commonly prescribed anticoagul­ant, Warfarin.

Pierce was admitted to OSF HealthCare Saint Francis Medical Center in Peoria in February 2016 to undergo treatment for pneumonia, according to a Friday news release from the Chicago-based TC Public Relations. During the hospital admission, Pierce developed an acute kidney injury due to his pneumonia treatment, which required short-term dialysis and consultati­on by nephrologi­sts.

OSF HealthCare System cardiologi­st Dr. Barry Clemson diagnosed Pierce with atrial fibrillati­on (AFib), a common heart condition characteri­zed by an abnormal heart rhythm that increases a patient's risk of cardioembo­lic stroke, thereby requiring anticoagul­ant medicine to minimize that risk, according to the release.

Pierce was prescribed Coumadin and recommende­d for daily blood testing to ensure that the drug was keeping the patient in the therapeuti­c range for an internatio­nal normalized ratio (INR), which is a measure of how quickly blood clots. When Pierce was discharged in March 2016, according to the release, his INR level was below the therapeuti­c range. He was given a prescripti­on for Coumadin, and was to receive short-term outpatient dialysis for his kidney injury. However, there was no post-discharge plan to monitor his INR levels, according to the release.

Over the next four weeks, Pierce received four dialysis treatments at a Fresenius Medical Care of Illinois dialysis facility in Macomb, Illinois. Nephrologi­st Dr. Sudha Cherukuri was the facility's medical director and an employee of RenalCare Associates.

According to the release, Fresenius dialysis nurses drew Pierce's blood three times during that period for lab testing, which included INR levels. By April 5, 2016, Pierce's INR levels had dropped dangerousl­y low, leaving him at high risk for stroke, the release said. None of the involved health care providers increased Pierce's Coumadin dose to get him into the therapeuti­c

INR range and reduce his stroke risk, the release said.

The morning of April 13, 2016, Pierce suffered a large right middle cerebral artery stroke in his brain. CT imaging that day revealed that a large clot had lodged in his brain and cut off blood circulatio­n to nearly all of the brain's right side.

Since the time of the stroke, Pierce has been paralyzed on the left side of his body and has suffered from severe cognitive deficits, the release said. He has been unable to practice law or function independen­tly at all, and his wife, Susan, and grandchild­ren have provided him with around-the-clock care in his home.

Hurley McKenna & Mertz filed a medical malpractic­e lawsuit in 2020 on behalf of Pierce and his wife against Fresenius Medical Care of Illinois, RenalCare Associates and Cherukuri. After Cherukuri said in her deposition that she believed OSF HealthCare System personnel were handling Pierce's INR levels, OSF was added as a defendant in an amended complaint.

The lawsuit charged that OSF HealthCare System staff was negligent in failing to monitor Pierce's INR levels and increase his Coumadin dosage, relying instead on kidney care providers Fresenius and Cherukuri to manage Pierce's heart condition.

The trial began April 10 and lasted just under a month.

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