On April 29, 2004, 36-year-old Tamara Greico sprained her ankle during a bowling match. She was diagnosed in the emergency room of a hospital with a severe ankle sprain. She had wrapped it and was given crutches and told to keep her ankle elevated before being referred to an Alton, Ill., clinic.
The physician’s assistant and medical assistant at the clinic testified at the jury trial that they saw Tamara the next day and made a similar diagnosis while also giving her a walking boot, medication and instruction for exercising the ankle. Tamara returned to the clinic on May 5, 2004 complaining of more pain and numbness in her toes. A physician and one of the defendants, Dr. Bruce Vest, testified that he examined her and considered the possibility that she had a deep vein thrombosis, a blood clot, but ruled it out and did not order anticoagulant therapy.
Two days later, Tamara’s employer found her lying on the ground near her car in the office parking lot, lapsing in and out of consciousness. She was taken to the hospital where she complained of breathing problems before going into cardiac arrest.