Solis v. BASF Corp. ( 2012 )


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  •                             ILLINOIS OFFICIAL REPORTS
    Appellate Court
    Solis v. BASF Corp., 
    2012 IL App (1st) 110875
    Appellate Court             GERARDO SOLIS, Plaintiff-Appellee, v. BASF CORPORATION,
    Caption                     Defendant-Appellant.
    District & No.              First District, Fourth Division
    Docket No. 1-11-0875
    Filed                       October 4, 2012
    Held                        In a negligence and strict liability action alleging that plaintiff’s lungs
    (Note: This syllabus        were injured by a synthetic chemical he used in his work in the flavoring
    constitutes no part of      industry, the trial court’s error in directing a verdict for plaintiff on
    the opinion of the court    defendant distributor’s claim that the action was barred by the statute of
    but has been prepared       limitations required that the cause be remanded for a new trial, since
    by the Reporter of          defendant presented evidence plaintiff knew of the possible wrongful
    Decisions for the           cause of his lung condition more than two years prior to the time his
    convenience of the          complaint was filed.
    reader.)
    Decision Under              Appeal from the Circuit Court of Cook County, No. 2006-L-012105; the
    Review                      Hon. Clare E. McWilliams, Judge, presiding.
    Judgment                    Reversed and remanded.
    Counsel on                  John N. Scholnick, Neil Lloyd, Heidi K. Oertle, and Shelley L. Merkin,
    Appeal                      all of Schiff Hardin LLP, of Chicago, for appellant.
    Kenneth B. McClain, of Humphrey, Farrington & McClain, of
    Independence, Missouri, and Susan Ford Robertson, of Robertson Law
    Group, of Kansas City, Missouri, for appellee.
    Panel                       JUSTICE EPSTEIN delivered the judgment of the court, with opinion.
    Justices McBride and Howse concurred in the judgment and opinion.
    OPINION
    ¶1          In this personal injury case, plaintiff Gerardo Solis claims that his lungs were injured
    while he worked with diacetyl, a synthetic chemical used in artificial butter flavoring. Solis
    brought negligence and strict liability claims for failure to warn and defective design against
    BASF Corporation (BASF), one of the distributors that supplied diacetyl to Solis’s employer,
    Flavorchem. The jury returned a verdict for Solis, and BASF now appeals. BASF raises a
    host of legal and evidentiary errors, which it claims are the basis for a judgment as a matter
    of law or at least a new trial. Most central to our resolution of this appeal, BASF claims that
    the trial court erred by directing a verdict in favor of Solis on BASF’s statute of limitations
    defense, where BASF presented evidence that Solis was aware of his lung injury and its
    wrongful cause more than two years before he filed suit. Because we find error in the trial
    court’s decision to direct a verdict in favor of Solis on the statute of limitations question, we
    reverse and remand for a new trial.
    ¶2                                         BACKGROUND
    ¶3          We provide an overview of the relevant facts, and we explore the trial testimony in
    greater detail, as necessary, as part of our analysis. BASF primarily argues that the evidence
    was insufficient as a matter of law to support Solis’s claims, and we therefore focus on the
    evidence presented by Solis, as the parties have on appeal.
    ¶4                                 Solis’s Employment History
    ¶5           Gerardo Solis worked in the flavoring industry for nearly 20 years for three different
    Illinois employers. From 1987 to 1989, Solis worked as a quality control technician and
    assistant supervisor at Olmarc Packaging (Olmarc), which packaged cake mixes, cereals,
    microwave popcorn, and similar foods for companies like Pillsbury. Solis sometimes worked
    in a production area at the Olmarc plant where butter flavorings were mixed with other
    ingredients.
    -2-
    ¶6         From 1989 to 1998, Solis worked at Flavors of North America (FONA), which made
    flavorings (including cherry, blueberry, vanilla, and butter) for food ingredients. Solis started
    as a compounder, a job where he mixed different ingredients into a finished form, before
    becoming a supervisor in 1991. Solis worked in two parts of the production area: the spray
    dry area, where he would heat a flavored liquid until it became a powder; and the liquids and
    powders area, where various pieces of equipment were used to make flavoring, including
    butter flavoring. As a compounder and supervisor in the production area, Solis worked with
    diacetyl and other chemicals, including acetoin, butyric acids, and benzaldehyde.
    ¶7         From 1998 to 2006, Solis worked at Flavorchem, another manufacturer of flavorings.
    Solis again worked as a compounder for approximately two years and then was promoted to
    a supervisor. In both positions, Solis spent about 90% of his time in the powder area making
    powdered flavorings, and he worked in the liquids area for about 10% of his time. In 2000,
    Solis noticed an uptick in the use of diacetyl in butter and other flavoring. Solis testified that
    his “main exposure” to diacetyl in butter flavors was from 2000 to 2004, and from 2004 to
    2006, he was around diacetyl less often when there was an increase in hiring at Flavorchem.
    Solis worked with a variety of chemicals, including acetoin, benzaldehyde, and butyric acid.
    While he was mixing products, Solis would sometimes wear a dust mask or a cartridge
    respirator, but he would take this off while walking around the production area.
    ¶8                            BASF’s Supply of Diacetyl to Flavorchem
    ¶9         BASF distributed diacetyl during parts of the 1990s and 2000s. BASF purchased diacetyl
    from BASF’s indirect German parent company, BASF Aktiengesellschaft (AG),1 which had
    it manufactured by a third-party contractor. BASF sold no diacetyl to Olmarc or FONA while
    Solis worked there. BASF sold diacetyl to Flavorchem to make both liquid and powdered
    flavors, but Flavorchem purchase records (showing the total amount of diacetyl Flavorchem
    purchased from BASF, by date) do not specify how much diacetyl was used to make each
    type of flavoring.
    ¶ 10       The batch records at Flavorchem (identifying the supplier of the diacetyl used in each
    batch) show that from 2003 until June 2006 (when Solis left), Flavorchem used 4,133.57
    pounds of diacetyl in the powder room, of which BASF supplied 8.4% (347.55 pounds).
    These were the only batch records available: the president of Flavorchem, Ken Malinowski,
    testified that before January 1, 2003, there was no record of which company’s diacetyl was
    used in particular batches of flavorings. During Solis’s tenure at Flavorchem, from 1998 to
    2006, 9,934.5 pounds of diacetyl were used in the powder room, meaning that BASF
    supplied at least 3.5% of the diacetyl used in the powder room. Dr. David Egilman, an expert
    for Solis, testified that if he assumed that the BASF diacetyl in the plant was 2.5% to 3% of
    the diacetyl supplied to Flavorchem during the time Solis worked there, that amount would
    1
    BASF is a wholly owned subsidiary of BASF Americas Corporation; BASF Americas
    Corporation is a wholly owned subsidiary of BASFIN Corporation; BASFIN Corporation is a
    majority-owned subsidiary of BASF Nederland BV, a Dutch limited liability company; and BASF
    Nederland BV is in turn a wholly owned subsidiary of BASF SE (formerly known as BASF AG).
    -3-
    have been enough to cause Solis’s disease (bronchiolitis obliterans), even “if it was his only
    exposure.”
    ¶ 11       Solis testified that from 2000 to 2004, he used diacetyl on a daily basis in the powder mix
    area. According to a health and hygiene study conducted by National Jewish Hospital (NJH)
    at Flavorchem, the highest levels of diacetyl in the Flavorchem plant were in the dry mix or
    powder area, where Solis spent the majority of his time. Solis recalled using diacetyl supplied
    by Polarome, Citrus & Allied (C&A), O’Laughlin, and Elan. He estimated that 50% of the
    diacetyl used in the plant between 2000 and 2004 was BASF diacetyl. Solis testified on
    cross-examination that his estimate was based on his memory that BASF’s label appeared
    on barrels of diacetyl and that many of the formulas he mixed contained diacetyl. On redirect
    examination, Solis testified his estimate was confirmed by review of Flavorchem purchase
    records that purportedly showed the entire amount of diacetyl (used to make powder and
    liquid flavorings) that BASF supplied to Flavorchem.
    ¶ 12                             BASF MSDS and the LC50 Study
    ¶ 13       Solis’s failure-to-warn claims center on material safety data sheets (MSDSs) for diacetyl
    that BASF provided to Flavorchem. Federal Occupational Safety and Health Administration
    (OSHA) regulations require sellers and distributors of chemicals to provide MSDSs to
    purchasers, and these purchasers must make MSDSs available to their employees. OSHA’s
    regulations also require employers to train employees to read and understand MSDSs. As Dr.
    Sandler, an expert witness for BASF, explained, employers “must take these MSDSs, teach
    the employees how to read them and what they mean” and “must train them as to the labels
    that are provided.”
    ¶ 14       Solis claims that BASF’s MSDS for diacetyl failed to adequately disclose information
    from a 1993 study, performed by AG, entitled “Study on the acute inhalation toxicity LC50
    of Diacetyl FCC as a vapor in rats 4-hour exposure.” The “Lethal Concentration 50” (LC50)2
    study showed that “[d]uring necropsy all animals that died showed general congestion,” that
    “[e]xposure to high concentration led to atelactasis and bloody edema of the lungs, bronchial
    edema and intensified hydrothorax,” and that “the mid and high concentration groups
    revealed extensive hyperemia of the lung, *** [and] moderate emphysema and focal
    hyperemia of the lungs.” The study concluded that the level at which 50% of the rats died
    (between 2.25 and 5.2 mg/l exposure for 4 hours) fell within a concentration range classified
    as “moderately toxic.”
    ¶ 15       BASF received its MSDSs for diacetyl from AG. From 1995 to 2006, BASF’s MSDS
    reported the study data as “Rat, Inhalation LC50–2.25-5.2 MG/L” with the designation
    “Moderately Toxic.” BASF’s MSDS stated that “[i]nhalation causes irritation to the
    respiratory tract” and also reported that “[t]here are no known chronic effects associated with
    this material.” The MSDS advised using an “[a]pproved organic vapor mist respirator as
    necessary” and “local exhaust to control vapors/mists.” In May 2006, the California
    2
    For inhalation experiments, the concentration of the chemical in air that kills 50% of the
    test animals in a given time (usually four hours) is the LC50 value.
    -4-
    Department of Health Services contacted BASF about revisions to the MSDS for diacetyl.
    BASF subsequently changed its MSDS in June 2006 to add the phrase “Overexposure to
    high concentrations may cause pulmonary irritation that could be associated with lung
    disease (bronchiolitis obliterans).”
    ¶ 16       At Flavorchem, Solis was responsible for giving employees instruction on where to
    access MSDSs, and he would sometimes read various MSDSs with employees so that they
    had “some understanding” of what the warnings said. When asked if he read any MSDSs on
    diacetyl at Flavorchem, Solis explained that “[t]here was no need” because he had read “a
    lot of MSDSs” at FONA, including MSDSs for the diacetyl. As to the MSDS, Dianne
    Hamernick, a Flavorchem employee, testified that if Flavorchem had the study in hand as of
    2001, it would have “updated” and “changed” the MSDS and “seen if additional personal
    protective equipment was needed.”
    ¶ 17       While the parties agree that BASF received a copy of the LC50 study from AG no earlier
    than 2001, Solis introduced evidence regarding the inability of industry groups to obtain the
    study (or similar information) in the 1990s. Solis presented testimony from John Hallagan,
    general counsel for the Flavor and Extract Manufacturers Association (FEMA), an industry
    trade organization. He testified that FEMA maintains a database that contains safety
    information for diacetyl, available to members of FEMA and the Research Institute for
    Fragrance Materials (RIFM), the scientific arm of the flavoring industry. Hallagan testified
    that had FEMA been provided the LC50 study in the late 1990s, it would have disseminated
    the information to diacetyl users. Solis’s counsel solicited testimony from Solis’s expert
    witnesses that if BASF had “come forward” with the study in the 1990s, the medical and
    scientific community could have discovered the causal association between diacetyl and lung
    injury before 2002.
    ¶ 18           Solis’s Lung Condition and Diagnosis With Bronchiolitis Obliterans
    ¶ 19        In 1990, a year after starting work at FONA, Solis was diagnosed with asthma. Solis
    testified that his asthma was under control at the time and he was still active, though he saw
    a doctor at least once a year between 1990 and 1999 for treatment. Solis testified that as of
    1998, he had shortness of breath, coughing, and wheezing. In 1999, Solis took a pulmonary
    function test as part of an initial health clearance at Flavorchem. According to Solis’s expert,
    Dr. Allen Parmet, the test showed “obstructive lung disease,” though he described Solis’s
    symptoms as “manageable” prior to 2000.
    ¶ 20        In 2004, Flavorchem management invited doctors from NJH, who provide “expert
    advice” to flavoring plants, to do an assessment of the Flavorchem facility and workers’
    health at the plant. As part of the visit, Solis received another pulmonary function test. The
    test showed decreased lung function, and Dr. Cecile Rose, a pulmonologist at NJH,
    recommended that Solis be taken out of the dry mix area. Solis testified that at this time, he
    did not associate his lung problems with his work. Sometime in late 2004 or mid-2005, Solis
    filled out a medical questionnaire in connection with one of NJH’s visits. As part of the
    questionnaire, Solis was asked if he felt that particular tasks or processes in his job were
    likely to cause breathing problems, and he checked “yes.” He also responded “yes” to the
    -5-
    question “Are your symptoms worse at work?” Solis testified that at the time he filled out
    this questionnaire, he felt that working around certain chemicals, including diacetyl, “caused
    [his] breathing problems.” In June 2006, Solis was told by Dr. Rose of NJH that he had the
    lung disease bronchiolitis obliterans, a rare lung disease in which the bronchioles, the
    branches near the end of the bronchial tree, are scarred, obstructing the airflow. Dr. Rose told
    Solis that his condition was caused by exposure to diacetyl at work, and Solis testified that
    this was the first time he understood that his lung condition was caused by chemical
    exposure.
    ¶ 21       Before his diagnosis, Solis’s lung condition had been growing progressively worse since
    2000, just as the diacetyl usage increased at Flavorchem. He visited the emergency room
    more often, his symptoms became more severe, and he was hospitalized for a few days.
    Drawing from results of Solis’s lung function tests, Dr. Egilman explained that Solis had lost
    ten percent loss of lung function between 2000 and 2009. He noted that Solis was at a “risk
    of death” if he contracted a cold, small virus, or infection. According to Dr. Parmet, Solis
    was “permanently and totally disabled” and was in need of a lung transplant.
    ¶ 22                                      Proceedings Below
    ¶ 23       Solis initially filed suit on November 17, 2006, against 20 defendants, arguing that each
    was responsible for Solis contracting bronchiolitis obliterans from exposure to diacetyl. Solis
    filed an amended complaint on August 30, 2007, adding BASF as a party. BASF was the
    only remaining defendant at trial. After the jury returned a verdict of $32 million, finding
    Solis 5% at fault and BASF 95% at fault, the trial court denied BASF’s posttrial motions for
    judgment notwithstanding the verdict or a new trial. This appeal followed.
    ¶ 24                                          ANALYSIS
    ¶ 25        BASF contends that it is entitled to a judgment as a matter of law, or at least a new trial,
    for three principal reasons. First, BASF argues that the trial court erred in directing a verdict
    in favor of Solis on BASF’s statute of limitations defense, where there was evidence showing
    that Solis knew of his injury and its wrongful cause more than two years before he filed suit
    against BASF. Second, BASF argues that there was insufficient evidence of causation
    because Solis failed to show that diacetyl supplied by BASF was a substantial factor in
    causing his injury, and because Solis admitted that he did not read BASF’s MSDSs at
    Flavorchem. Third, BASF argues that the jury was improperly instructed that BASF had a
    duty to warn the flavoring industry–and not just the users of its diacetyl–about the hazards
    of diacetyl. Apart from these issues, BASF argues that Solis failed to make the necessary
    showing that diacetyl was unreasonably dangerous in order to support his strict liability
    claims. BASF also raises several claims of evidentiary and instructional error, arguing that
    it is entitled to a new trial.
    ¶ 26        At the outset, we mark the bounds of our review on BASF’s argument that it was entitled
    to judgment notwithstanding the verdict (judgment n.o.v.) and that it was improper for the
    trial court to enter a directed verdict in favor of Solis on the statute of limitations issue. “[I]t
    is the province of the jury to resolve conflicts in the evidence, to pass upon the credibility of
    -6-
    the witnesses, and to decide what weight should be given to the witnesses’ testimony.”
    Maple v. Gustafson, 
    151 Ill. 2d 445
    , 452 (1992). A judgment n.o.v. or directed verdict is
    properly entered in those limited cases where “all of the evidence, when viewed in its aspect
    most favorable to the opponent, so overwhelmingly favors movant that no contrary verdict
    based on that evidence could ever stand.” (Internal quotation marks omitted.) Jablonski v.
    Ford Motor Co., 
    2011 IL 110096
    , ¶ 88; Maple, 
    151 Ill. 2d at 453
    . In ruling on a motion for
    judgment n.o.v. or directed verdict, “a court does not weigh the evidence, nor is it concerned
    with the credibility of the witnesses; rather it may only consider the evidence, and any
    inferences therefrom, in the light most favorable to the party resisting the motion.” Maple,
    
    151 Ill. 2d at
    453 & n.1. If there is any evidence, together with reasonable inferences to be
    drawn therefrom, demonstrating a substantial factual dispute, or where the assessment of
    credibility of the witnesses or the determination regarding conflicting evidence is decisive
    to the outcome, the court should not enter a judgment as a matter of law. 
    Id. at 454
    . We
    review de novo the decision denying BASF’s motion for judgment n.o.v. and the decision to
    direct a verdict for Solis. Id.; Lazenby v. Mark’s Construction, Inc., 
    236 Ill. 2d 83
    , 100
    (2010).
    ¶ 27                                    Statute of Limitations
    ¶ 28       BASF contends that Solis’s claims are barred by the two-year personal injury statute of
    limitations. See 735 ILCS 5/13-202 (West 2008). In personal injury actions, the statute of
    limitations generally begins to run on the date of the injury. Golla v. General Motors Corp.,
    
    167 Ill. 2d 353
    , 360 (1995). In cases of exposure to harmful substances, however, plaintiffs
    generally do not “discover that they suffered any injury until long after the tortious conduct
    occurred,” and courts apply the discovery rule “to prevent the unfairness of charging the
    plaintiff with knowledge of facts which were ‘unknown and inherently unknowable.’ ”
    (Emphasis in original.) 
    Id. at 367
     (quoting Urie v. Thompson, 
    337 U.S. 163
    , 169 (1949)); see
    Prosser and Keeton on Torts § 30, at 165-67 (W. Page Keeton et al. eds., 5th ed. 1984); see
    also Clay v. Kuhl, 
    189 Ill. 2d 603
    , 611 (2000). The discovery rule “postpone[s] the
    commencement of the relevant statute of limitations until the injured plaintiff knows or
    reasonably should have known that he has been injured and that his injury was wrongfully
    caused.” Golla, 
    167 Ill. 2d at 361
    . When a plaintiff asserts the discovery rule to delay
    commencement of the statute of limitations, he has the burden of proving the date of
    discovery. Gredell v. Wyeth Laboratories, Inc., 
    346 Ill. App. 3d 51
    , 58 (2004). According
    to BASF, Solis’s claims were untimely because he knew or reasonably should have known
    of his “lung condition and its possible wrongful cause” more than two years before
    September 17, 2007, the date Solis filed his complaint against BASF.3 The trial court
    disagreed and directed a verdict on the statute of limitations question in favor of Solis.
    3
    BASF contends, and Solis does not dispute, that the filing date of the amended complaint,
    adding BASF as a party, is the operative date in this case because BASF did not receive notice of
    the suit until the amended complaint was served. See 735 ILCS 5/2-616(d) (West 2008) (amended
    complaint relates back to date of the original complaint only where added party had notice of the
    original complaint).
    -7-
    ¶ 29        In this case, the trial court’s directed verdict for Solis can stand if all the evidence, when
    viewed in its aspect most favorable to BASF, so overwhelmingly favors Solis that no
    contrary verdict based on that evidence could ever stand. Lazenby, 
    236 Ill. 2d at 100
    . “The
    issue of when a party knew or should have known both of the injury and that it was
    wrongfully caused is generally one of fact. [Citations.] Thus, in most cases, the time at which
    a party knows or reasonably should have known both of her injury and that it was wrongfully
    caused will be a disputed question for the trier of fact.” Young v. McKiegue, 
    303 Ill. App. 3d 380
    , 387 (1999).
    ¶ 30        Solis contends that we can quickly dispense with the statute of limitations question
    because the evidence was undisputed that Solis was not diagnosed with bronchiolitis
    obliterans before 2006. It was this argument that convinced the trial court to direct a verdict
    for Solis. The court noted that because “the first time [Solis] became aware of [his diagnosis]
    was with Dr. Rose’s note in 2006,” the statute of limitations question was a “nonissue.” In
    a posttrial order, the court reiterated that it entered a verdict in favor of Solis because he “was
    not officially diagnosed with [bronchiolitis obliterans] until 2006, and he filed this lawsuit
    in 2007.”
    ¶ 31        We disagree that an official diagnosis was required to trigger the running of the statute
    of limitations. Our supreme court has explained that a plaintiff need not “know the full extent
    of [her] injuries before the statute of limitations is triggered.” Golla, 
    167 Ill. 2d at 364
    .
    “[T]he limitations period commences when the plaintiff is injured, rather than when the
    plaintiff realizes the consequences of the injury or the full extent of her injuries.” 
    Id.
     The
    prior cases of this court and our supreme court make clear that an official diagnosis is not
    required to trigger the statute of limitations. In Nolan v. Johns-Manville Asbestos, 
    85 Ill. 2d 161
     (1981), for example, the plaintiff sought treatment for breathing difficulties in 1957 and
    was told at that time that he had “ ‘lung problems.’ ” Nolan, 
    85 Ill. 2d at 163
    . There was
    some question whether plaintiff understood that his lung problems were occupationally
    caused based, in part, on information he might have received from his doctor. 
    Id. at 165-66
    .
    In 1973, less than two years before he eventually filed suit, the plaintiff was diagnosed with
    asbestosis and was told that his condition was caused by exposure to asbestos materials at
    work. 
    Id. at 166
    .
    ¶ 32        In applying the discovery rule, the court recognized that the statute of limitations can be
    triggered before an official diagnosis. The court noted that the plaintiff “could not possibly
    have been aware of his injury until, at the earliest, 1957, when the first symptoms began to
    appear.” (Emphasis added.) 
    Id. at 169
    . While the appellate court had held that the cause of
    action accrued when the plaintiff “ ‘knew or, in the exercise of reasonable diligence, should
    have discovered that he had contracted the disease asbestosis due to defendants’ acts or
    omissions,’ ” the supreme court stated that the “preferred rule is that the cause of action
    accrues when the plaintiff knows or reasonably should know of an injury and also knows or
    reasonably should know that the injury was caused by the wrongful acts of another.”
    (Emphasis added.) 
    Id.
     The court acknowledged that “[i]t was not until May 15, 1973, that
    he was told by a doctor that he had asbestosis and that his condition was caused by exposure
    to asbestos materials at work,” but explained that “[t]he evidence is conflicting as to whether
    or when [the plaintiff] would have had sufficient information to reach such a conclusion
    -8-
    earlier.” (Emphasis added.) 
    Id. at 171-72
    .
    ¶ 33        Nolan suggests that a definitive diagnosis coupled with an explanation of the cause of the
    illness will generally mark the endpoint of when the statute of limitations begins to run. But
    it does not follow that the statute of limitations cannot begin to run before an affirmative
    diagnosis. As this court has recognized, “Nolan and later precedent firmly establish that an
    affirmative diagnosis of an injury is not the bellwether that gives rise to a plaintiff’s claim.”
    Healy v. Owens-Illinois, Inc., 
    359 Ill. App. 3d 186
    , 194 (2005). For example, in Wilson v.
    Devonshire Realty of Danville, 
    307 Ill. App. 3d 801
     (1999), the plaintiff argued that “she was
    immediately aware of symptoms of an illness but not the latent pulmonary disease, which
    was not diagnosed until April 1997.” Wilson, 307 Ill. App. 3d at 805-06. The court rejected
    this claim, noting that plaintiff admitted that she had occupational asthma and multiple
    chemical sensitivity in 1995. Id. at 806. The court reasoned that “the present case does not
    involve a plaintiff who failed to discover any injury but, rather, a plaintiff who failed to
    discover the full extent of her injuries before the expiration of the statute of limitations.”
    (Emphasis in original.) Id.; see also Hutson v. Hartke, 
    292 Ill. App. 3d 411
    , 415 (1997)
    (concluding that the plaintiff knew or should have known of her injuries in a case involving
    exposure to ammonia fumes and explaining that it was “sufficient that she experienced an
    identifiable episode which irritated her nose and throat and started a pattern of coughing that
    subsequently worsened and continued for weeks,” even if she did not know the “full extent
    of the injury that the ammonia fumes would cause”).
    ¶ 34        As the foregoing discussion illustrates, to say that the statute of limitations question does
    not turn on an official diagnosis does not end our inquiry. We must decide if the facts
    establish one way or the other that Solis knew or reasonably should have known that he was
    injured and that the injury was wrongfully caused–or if there is a factual question that should
    have gone to the jury. In this case, it is undisputed that plaintiff had some knowledge of an
    injury (a severe condition in his lungs) at least by 2004. Pulmonary function tests in 1999 and
    2004 showed that Solis had decreased lung function. Between 2000 and 2004, Solis’s
    symptoms were severe: he had several emergency room visits, coughing fits, and a period
    of hospitalization. After 2000, Solis recognized his symptoms as being “outside the ordinary,
    outside of asthma.”
    ¶ 35        The central question here, as in many cases related to exposure to harmful substances,
    is whether Solis knew or should have known that those symptoms had a wrongful cause. On
    appeal, Solis contends that he simply thought he had asthma, even if severe, and never
    connected his condition to any wrongful cause. The term “wrongful cause” refers to the point
    in time when “the injured party becomes possessed of sufficient information concerning his
    injury and its cause to put a reasonable person on inquiry to determine whether actionable
    conduct is involved.” Knox College v. Celotex Corp., 
    88 Ill. 2d 407
    , 416 (1981). This
    standard “does not require knowledge on the part of plaintiff that the defendant’s conduct fits
    the technical legal definition of negligence or that all the legal elements of a particular cause
    of action are otherwise satisfied.” Mitsias v. I-Flow Corp., 
    2011 IL App (1st) 101126
    , ¶ 24.
    Instead, it is the reasonable knowledge of injury and its wrongful cause that imposes a
    “burden *** to investigate whether she has a viable cause of action.” Id. ¶ 23; accord Martin
    v. A&M Insulation Co., 
    207 Ill. App. 3d 706
    , 710 (1990). Additionally, this court has
    -9-
    recognized “that unless a clear definitive diagnosis is given by a doctor, in many instances
    it is a compilation or a series of statements, events or circumstances and thoughts that
    changes mere suspicion to reasonably knowing that a *** condition was wrongfully caused.”
    LaManna v. G.D. Searle & Co., 
    204 Ill. App. 3d 211
    , 219 (1990).
    ¶ 36        The evidence presented at trial reveals several indicators that before September 17, 2005,
    Solis had sufficient information about his injury and its cause to spark inquiry as to whether
    his injury might be legally actionable. In 2004, Flavorchem management invited doctors from
    NJH to do an assessment of the Flavorchem facility and workers’ health at the plant. Solis
    testified that his understanding of the visit was that NJH was “doing some sampling” so that
    Flavorchem could get better ventilation and employees could get the correct respirators. As
    part of the visit, Solis received a pulmonary function test from NJH that showed decreased
    lung function, and Dr. Cecile Rose of NJH recommended that Solis be taken out of the dry
    mix area. Still, Solis testified that at this time, he did not have any idea than something at
    work could be causing his lung problems.
    ¶ 37        In December 2004, Solis went to meet with his pulmonologist, Dr. Sherman. Solis
    confirmed that he had “some discussion with [Dr. Sherman] about the fact that [he was]
    having some problems while [he] was at work with breathing.” While Solis initially testified
    that he could not recall if Dr. Sherman asked any questions about “what kinds of exposures
    to various chemicals or fumes” Solis had at work, he then equivocated as to what he had told
    Dr. Sherman:
    “Q. Did you tell Dr. Sherman that you were feeling worse at work, and that you
    thought it related to the kinds of things you were inhaling while you were working there?
    A. I might, but I don’t think so. I mean, by walking, I feel sick, you know, it trigger
    asthma [sic]. I mean, so I probably did. I’m not sure.”
    Sometime in late 2004 or mid-2005, Solis filled out a medical questionnaire in connection
    with the NJH visit. (A follow-up questionnaire has the marking “previous” followed by
    October 28, 2004 and May 2005, and Solis testified that the first questionnaire he filled out
    was probably from October 2004 or May 2005.) As part of the questionnaire, Solis was asked
    if there were particular tasks or processes in his job that he felt were likely to cause breathing
    problems, and he checked “yes.” He also responded “yes” to the question “Are your
    symptoms worse at work?” Solis admitted that at the time he filled out this questionnaire,
    he felt that working around certain chemicals, including diacetyl, “caused [his] breathing
    problems.”
    ¶ 38        When viewed in a light most favorable to BASF, the evidence4 does not so
    4
    While BASF cites to other records in its brief in support of its statute of limitations
    argument, these documents were simply attached to a previous summary judgment motion, and there
    is no indication that these documents were part of the evidentiary record. For example, BASF cites
    to a letter from Dr. Rose, dated June 2, 2005, explaining that NJH performed another medical
    screening in May 2005 as part of a “testing program *** to screen people for work-related lung
    disease.” That letter apparently was not in evidence. BASF also cites to a November 5, 2004 letter
    from Dr. Sherman, which discusses “significant occupational history” and includes a handwritten
    -10-
    overwhelmingly favor Solis that no jury could have concluded that Solis did not know or
    should not have known of his lung condition’s wrongful cause. More than one conclusion
    can be drawn from the evidence presented to the jury. We acknowledge that Solis testified
    that the first time he connected his lung condition to chemicals at work was in June 2006,
    when Dr. Rose told him that she was worried that he may have bronchiolitis obliterans from
    flavoring chemicals. But Solis’s testimony must be placed in context of the evidence
    presented at trial. Before 2005, Solis’s condition was growing significantly worse, a hospital
    group came to do a health assessment at Flavorchem, the hospital group tested the lung
    function of Solis and other employees, and Solis was told he could not work in the dry mix
    area. At trial, Solis confirmed that in late 2004 or mid-2005, he felt that certain chemicals
    caused his breathing problems, and his health questionnaire listed diacetyl as a chemical that
    was “likely to cause breathing problems.” Solis’s testimony–which itself is sometimes
    contradictory–either creates a factual dispute or raises questions about his credibility.
    “[W]here the resolution of factual disputes or the assessment of witness credibility is critical
    to the outcome of an action, a circuit court may not direct a verdict or grant a judgment
    notwithstanding the verdict.” Poulos v. Lutheran Social Services of Illinois, Inc., 
    312 Ill. App. 3d 731
    , 739 (2000) (citing Maple, 
    151 Ill. 2d at 454
    ).
    ¶ 39        We acknowledge that “reasonable knowledge of wrongful cause requires more than a
    mere suspicion that wrongdoing might have occurred, if that suspicion is not yet supported
    by facts known to plaintiff.” Mitsias, 
    2011 IL App (1st) 101126
    , ¶ 24. As this court has
    explained, however, the question is not simply what Solis knew, but what he should have
    known:
    “[W]hether a party possessed the requisite constructive knowledge contemplates an
    objective analysis of the factual circumstances involved in the case. Thus, the relevant
    determination rests on what a reasonable person should have known under the
    circumstances, and not on what the particular party specifically suspected. The trier of
    fact must examine the factual circumstances upon which the suspicions are predicated
    and determine if they would lead a reasonable person to believe that wrongful conduct
    was involved.” Young v. McKiegue, 
    303 Ill. App. 3d 380
    , 390 (1999).
    It is for the jury to determine whether Solis reasonably concluded that he simply had severe
    asthma from some non-occupational cause, or whether, based on the information he
    possessed, Solis should have inquired as to some possible fault on the part of the defendant.
    Where BASF presented some evidence that Solis knew or should have known of some
    possible fault on the part of BASF, it was error to direct a verdict in favor of Solis on the
    note, “Diacetyl exposure @ work.” Although the letter is included within Dr. Sherman’s records
    admitted into evidence at a postverdict conference, BASF cites no testimony regarding the
    November 5, 2004 letter. In reviewing the trial court’s directed verdict for Solis, entered just before
    closing arguments, we consider only the evidence adduced at trial. See People ex rel. Reynolds v.
    Aldridge, 
    107 Ill. App. 3d 679
    , 684 (1982) (“We find no merit in the State’s argument that the trier
    of fact can be reversed by the trial judge on the basis of facts which were available at the time of trial
    but never proffered. The trial court is to base a judgment n.o.v. solely on the basis of evidence
    introduced at trial.”).
    -11-
    statute of limitations question. See Sekerez v. Rush University Medical Center, 
    2011 IL App (1st) 090889
    , ¶ 59 (finding that trial court erred by directing a verdict on medical negligence
    claim where evidence was in conflict). When drawing all reasonable inferences in BASF’s
    favor, the evidence did not “so overwhelmingly favor[] [Solis] that no contrary verdict based
    on that evidence could ever stand.” (Internal quotation marks omitted.) Lazenby, 
    236 Ill. 2d at 100
    . Accordingly, we reverse and remand for a new trial so that the jury can consider the
    statute of limitations question.
    ¶ 40                                Causation: Proof of Exposure
    ¶ 41       BASF next contends that Solis’s strict liability and negligence claims must fail because
    Solis did not prove that BASF was a “cause in fact” of his injuries. BASF argues that it is
    entitled to judgment n.o.v. on all claims. Alternatively, BASF argues that the verdict was
    against the manifest weight of the evidence, and we should therefore order a new trial. “ ‘A
    verdict is against the manifest weight of the evidence where the opposite conclusion is
    clearly evident or where the findings of the jury are unreasonable, arbitrary and not based
    upon any of the evidence.’ [Citations.]” Maple, 
    151 Ill. 2d at 454
    .
    ¶ 42       At issue here is whether Solis has presented sufficient evidence that BASF’s diacetyl was
    a “cause in fact” of his injuries. Cause in fact can only be established when there is a
    reasonable certainty that a defendant’s acts caused the plaintiff’s injury. Lee v. Chicago
    Transit Authority, 
    152 Ill. 2d 432
    , 455 (1992). “It is axiomatic that liability cannot be
    premised merely upon surmise or conjecture as to the cause of the injury.” 
    Id.
     Causation in
    fact “is usually a question for the trier of fact.” Thacker v. UNR Industries, Inc., 
    151 Ill. 2d 343
    , 355 (1992).
    ¶ 43       There are generally two tests used by courts to determine “cause in fact”: the traditional
    “but for” test and the “substantial factor” test. 
    Id. at 354
    . On appeal, the parties focus their
    arguments on the “substantial factor” test, by which the “defendant’s conduct is said to be
    a cause of an event if it was a material element and a substantial factor in bringing the event
    about.” 
    Id. at 354-55
    . In Thacker, our supreme court adopted the “frequency, regularity and
    proximity” test as a means by which an asbestos plaintiff can establish that a specific
    defendant’s product was a substantial factor in being a cause in fact of a plaintiff’s injury.
    Under that test, the plaintiff must prove that he was “exposed to the defendant’s asbestos
    through proof that (1) he regularly worked in an area where the defendant’s asbestos was
    frequently used and (2) the injured worker did, in fact, work sufficiently close to this area so
    as to come into contact with the defendant’s product.” 
    Id. at 359
    . Our supreme court recently
    reaffirmed the use of this test in asbestos cases, but clarified that “the ultimate burden of
    proof on the element of causation remains exclusively on the plaintiff,” and “Thacker creates
    no presumption on the issue of causation.” (Emphasis in original.) Nolan v. Weil-McLain,
    
    233 Ill. 2d 416
    , 435 (2009).
    ¶ 44       To begin, we must address an issue that the parties brush aside rather quickly: whether
    Thacker’s “frequency, regularity and proximity” test applies in a case with allegations of
    occupational exposure to diacetyl, or whether that test is limited to asbestos exposure cases.
    For his part, Solis simply asserts, without discussion, that Thacker has no application beyond
    -12-
    asbestos cases. In reply, BASF contends that no Illinois authority limits Thacker to asbestos
    cases. The court in Thacker noted the “unique problems posed by asbestos injury” and
    identified several factors that led it to apply the “frequency, regularity and proximity” test
    in an asbestos case, many related to “how a plaintiff in an asbestos case can fairly meet the
    burden of production with regard to causation.” Thacker, 151 Ill. 2d at 356-57 (noting, for
    example, that “a plaintiff injured by asbestos fibers often does not know exactly when or
    where he was injured and therefore is unable to describe the details of how such injury
    occurred”).
    ¶ 45       The parties cite no authority to support their contentions regarding the applicability of
    the Thacker test to exposure cases like this one, nor do they discuss why it would be
    appropriate to apply that test in this case. Where the parties have failed to adequately address
    the issue, we will assume, but do not decide, that the test announced in Thacker applies to
    this case of occupational exposure to diacetyl. Compare Donaldson v. Central Illinois Public
    Service Co., 
    199 Ill. 2d 63
    , 92 (2002) (declining to adopt the frequency, regularity and
    proximity rule and “depart from traditional concepts of causation” in a case involving
    environmental exposure, as opposed to asbestos exposure, because “[e]nvironmental
    exposure cases *** do not afford litigants the opportunity to specify with such certainty the
    exact level and dose of exposure” or “when or where exposure occurred”), abrogated on
    other grounds by In re Commitment of Simons, 
    213 Ill. 2d 523
     (2004), with James v.
    Bessemer Processing Co., 
    714 A.2d 898
    , 911 (N.J. 1998) (discussing use of frequency,
    regularity, and proximity test in nonasbestos cases and ultimately “hold[ing] that a plaintiff
    in an occupational-exposure, toxic-tort case may demonstrate medical causation by
    establishing: (1) factual proof of the plaintiff’s frequent, regular and proximate exposure to
    a defendant’s products; and (2) medical and/or scientific proof of a nexus between the
    exposure and the plaintiff’s condition”). Here it is enough to say that in Nolan, our supreme
    court explained that the frequency, regularity and proximity test, ultimately grounded in
    fundamental principles of tort law causation, does not alter the plaintiff’s burden to prove
    causation:
    “Although we noted [in Thacker] that asbestos plaintiffs face unique challenges in
    showing causation, we did not carve out an exception for asbestos cases which relieve
    those plaintiffs from meeting the same burden as all other tort plaintiffs. Rather, we
    adopted Lohrmann’s frequency, regularity and proximity test–tailored to application in
    asbestos actions–as a means by which a plaintiff choosing to prove cause in fact through
    use of the substantial factor test may meet that burden.” Nolan, 
    233 Ill. 2d at 434
    .
    ¶ 46       Assuming that the frequency, regularity and proximity test applies here, we turn to
    BASF’s argument that because it supplied such a small amount of diacetyl to Flavorchem,
    Solis could not prove that BASF’s diacetyl was a substantial factor in causing Solis’s injury.
    BASF argues that Solis’s exposure to diacetyl supplied by BASF was “relatively
    insignificant” because BASF supplied as little as 3.5% of the diacetyl used in Flavorchem’s
    powder room during the time Solis worked there. BASF points out that Solis was exposed
    to diacetyl from other suppliers, as well as other potentially harmful chemicals, during his
    employment at Flavorchem, Olmarc, and FONA.
    ¶ 47       Our supreme court encountered a similar argument in Thacker. There, the defendant
    -13-
    argued that it was entitled to a judgment n.o.v. on causation because the defendant supplied
    only a small amount of asbestos to the plant where decedent worked compared to the
    quantity of asbestos supplied to the plant from other sources. Thacker, 151 Ill. 2d at 355. The
    decedent had worked at the plant for eight years, and defendant had supplied asbestos for
    three of those years. Id. at 350. The plaintiff’s expert testified that the decedent’s disease may
    have been caused by any one, or any group, of the asbestos fibers inhaled by the decedent.
    Id. at 351. After adopting the “frequency, regularity and proximity” test for causation in fact,
    the court turned to the evidence before it as to the frequency of use:
    “[T]he evidence showed that [the decendent] worked in the UNARCO plant for more
    than eight years and that at least 75 tons of defendant’s raw asbestos was processed at
    the plant during this time. The defendant notes in its brief that even under the most
    generous calculation, a maximum of just 3% of the total dust in the plant could have been
    generated from Manville asbestos and that the actual dust at the decedent’s work site
    was, in all likelihood, significantly less. In light of plaintiff’s medical evidence which
    indicated that even slight exposure would adversely affect the decedent’s health,
    however, and in light of the total volume of asbestos at the UNARCO facility, we cannot
    say that 3% is insignificant as a matter of law.” (Emphasis in original.) Id. at 360.
    The court went on to explain that while the decedent testified that he could not remember
    ever working with defendant’s asbestos, the plaintiff had presented sufficient evidence on
    “proximity” based on the ability of asbestos fibers to drift through the air. Id. at 364-65. The
    court concluded that the trial court properly denied defendant’s judgment n.o.v., and the
    verdict was not against the manifest weight of the evidence. Id. at 366.
    ¶ 48        As in Thacker, we cannot conclude that Solis’s exposure to BASF diacetyl was
    insignificant as a matter of law. As to the frequency of use of BASF diacetyl, the batch
    records at Flavorchem show that BASF supplied at least 3.5% of the diacetyl used in the
    Flavorchem powder room during Solis’s tenure. The 3.5% figure takes into account no BASF
    diacetyl supplied before 2003, even though BASF sold diacetyl to Flavorchem beginning in
    2001. While BASF challenges the validity of Solis’s testimony, Solis estimated that 50% of
    the diacetyl used in the plant was BASF diacetyl between 2000 and 2004. He testified that
    he arrived at this number because “most” of the drums he transferred were from BASF, and
    for “a whole bunch of formulas *** [he] was using the diacetyl.”
    ¶ 49        Apart from Solis’s testimony, Dr. Egilman testified that if he assumed that the BASF
    diacetyl in the plant was 2.5% to 3% of the diacetyl supplied to Flavorchem during the time
    Solis worked there, that amount would have been enough to cause the disease by itself, even
    “if it was his only exposure.” In his opinion, this amount was “not trivial” and “by itself
    [was] enough to cause the disease” regardless of other exposures. Building on this
    conclusion, Dr. Egilman opined that exposure to BASF diacetyl was a substantial factor in
    causing Solis’s disease. Under the principles announced in Thacker–left unaltered by
    Nolan–we conclude that plaintiff has presented competent evidence that BASF diacetyl was
    “frequently used” in the powder mix area.
    ¶ 50        Beyond the frequency requirement, there is no question that Solis regularly worked in the
    powder mix area in proximity to BASF diacetyl. Solis testified that from 2000 to 2004, he
    -14-
    used diacetyl on a daily basis in the powder mix area, and he remembered using BASF
    diacetyl after 2000. NJH found that the highest levels of diacetyl in the Flavorchem plant
    were in the dry mix or powder area, which is where Solis spent the majority of his time.
    Starting in 2003, when Flavorchem began to keep records of which diacetyl was used in
    which batch, Solis’s initials appear on Flavorchem records next to particular batches with
    BASF-supplied diacetyl, meaning that Solis was either the compounder of those batches or
    he completed the computer work associated with those batches. The evidence presented at
    trial allowed for “a reasonable inference of substantial causation in fact.” Nolan, 
    233 Ill. 2d at 434
    .
    ¶ 51        BASF points out that Solis had a respiratory injury before his first exposure to BASF’s
    diacetyl, and Solis worked with diacetyl before starting at Flavorchem. As Dr. Parmet
    explained, Solis’s gradual injury could be described as the result of “a continuing and
    ongoing exposure over the course of his employment.” But again, Dr. Egilman testified that
    Solis’s exposure to BASF diacetyl–without more–was enough to cause the disease. And Dr.
    Parmet, whose opinion linked Solis’s condition more generally to flavoring chemicals rather
    than diacetyl alone, testified that he believed that “[d]iacetyl is the predominant chemical,”
    even though it was “not the only one.” Most importantly, Solis testified (and his experts and
    treating physicians confirmed) that as the diacetyl usage increased at Flavorchem after
    2000–during the time when BASF was supplying diacetyl to Flavorchem–Solis’s condition
    deteriorated rapidly. A lung function comparison from 1999 to 2010 showed that Solis lost
    about 600 to 700 cubic centimeters of lung capacity, which was 2 to 3 times more loss than
    normal. Dr. Egilman noted that the 10% loss of lung function between 2000 and 2009 was
    significant because Solis was at a “risk of death” if he contracted a cold, cough, small virus,
    or an infection. Dr. Parmet testified that Solis’s symptoms were “manageable” prior to 2000,
    but became worse after 2000: Solis had more emergency room visits, more coughing fits,
    coughing episodes that led to loss of consciousness, a decrease in pulmonary function, and
    a period of hospitalization. It is not as if the “damage was done” by the time Solis began to
    work with BASF diacetyl; there was evidence that additional exposure to diacetyl caused
    further deterioration of the lungs.
    ¶ 52        We note that BASF was not prevented from challenging Solis’s experts’ opinions or
    inquiring about Solis’s other exposures. Following Nolan, the trial court allowed BASF to
    “explore other exposures” at FONA and Olmarc so that the jury could “determine what, if
    any, of those exposures were the sole proximate cause” or that “those exposures were just
    an additional cause for [Solis’s] illness.” While we acknowledge that the evidence suggested
    that there were other contributing factors to Solis’s injury, BASF is “ ‘liable for [its]
    negligent conduct whether it contributed wholly or partly to the plaintiff’s injury as long as
    it was one of the proximate causes of the injury.’ ” (Emphasis omitted.) Nolan, 
    233 Ill. 2d at 440
     (quoting Leonardi v. Loyola University of Chicago, 
    168 Ill. 2d 83
    , 93 (1995)). We
    conclude that Solis presented enough evidence of frequent, regular, and proximate exposure
    to BASF diacetyl to present the question of causation to the jury. Moreover, because the
    findings of the jury were supported by the evidence and not unreasonable or arbitrary (Maple,
    
    151 Ill. 2d at 452
    ), we conclude that the jury’s verdict was not against the manifest weight
    of the evidence.
    -15-
    ¶ 53       We must address one final argument from BASF as to “insufficient exposure.” BASF
    argues that the trial court erred in allowing Solis’s experts to testify as to their conclusions
    regarding the cause of Solis’s injury. BASF acknowledges that an expert may offer opinion
    testimony regarding the ultimate issue in a case. Richardson v. Chapman, 
    175 Ill. 2d 98
    , 107
    (1997). This testimony does not usurp the province of the jury because the jury is not
    required to accept the expert’s opinion. Id.; see also Pyskaty v. Oyama, 
    266 Ill. App. 3d 801
    ,
    820 (1994) (finding no error in allowing expert to testify regarding causation). BASF claims,
    however, that Dr. Egilman’s testimony was contrary to the standard for causation set forth
    in Thacker because he asserted that any and every exposure, no matter how small, was a
    substantial factor in bringing about his injury. We take a different view of Dr. Egilman’s
    testimony. As noted above, Dr. Egilman testified that if he assumed that BASF supplied
    2.5% to 3% of the diacetyl to Flavorchem at the time Solis worked there, that amount, alone,
    was enough to cause his disease. On cross-examination, Dr. Egilman made clear that it was
    not his conclusion that every exposure, no matter how small, was a “substantial factor” in
    causing Solis’s injury. He explained that there was a “de minimus” exposure level, which he
    marked at “less than one part of a billion total exposure,” though “exposure that’s 2 to 1
    percent, 5 percent to 10 percent [would be] a significant contributing factor if the total
    exposure is 100.”
    ¶ 54       Without mentioning any of the above statements, BASF points to a single statement from
    Dr. Egilman–among his hundreds of pages of testimony–to support the argument that Dr.
    Egilman professed an “any exposure is a substantial factor” theory. On redirect examination,
    Dr. Egilman testified regarding his opinion that BASF failed to release the LC50 study. His
    counsel then asked about his views of the significance of not releasing that study:
    “Q. Your view regarding the publication of this study has not changed since you
    became aware that they did not release this to the public?
    A. That’s correct.
    Q. And do you believe it’s a substantial contributing factor to Mr. Solis’s disease
    regardless of how much BASF diacetyl he was exposed to?
    A. Yes.”
    We view this testimony as expressing Dr. Egilman’s opinion that BASF’s failure to release
    the LC50 study to Flavorchem contributed to Solis’s injury. We note that labeling BASF’s
    alleged failure to warn as a “contributing factor,” regardless of how much BASF diacetyl
    Solis was exposed to, is particularly confusing. That testimony is also contrary to the
    requirement that Solis must prove that he was exposed to more than a de minimus amount
    of BASF diacetyl in order to prevail on all of his negligence and strict liability claims. This
    particular testimony from Dr. Egilman should not be repeated on remand. Based on our
    review of Dr. Egilman’s entire testimony, however, we conclude that his opinion on
    causation was not contrary to the requirement set forth in Thacker or Nolan.
    ¶ 55                          Causation: Failure-to-Warn Claims
    ¶ 56      BASF next argues that it is entitled to a judgment n.o.v. because Solis failed to prove
    proximate causation on his failure-to-warn claims sounding in negligence and strict liability.
    -16-
    To prove these claims, Solis had to show (1) that BASF failed to disclose or instruct about
    a danger of diacetyl, and (2) that this failure to disclose proximately caused his injuries. See
    Salerno v. Innovative Surveillance Technology, Inc., 
    402 Ill. App. 3d 490
    , 498 (2010) (strict
    liability failure to warn); Kane v. R.D. Werner Co., 
    275 Ill. App. 3d 1035
    , 1037 (1995)
    (negligent failure to warn). BASF contends that Solis’s claims fail on the second element,
    because Solis admitted that he never read any BASF warnings for diacetyl while at
    Flavorchem.
    ¶ 57        In failure-to-warn cases, “it has been held that there must be sufficient evidence
    supporting a reasonable inference, rather than a guess, that the presence of adequate warnings
    would have prevented the plaintiff’s injuries.” Broussard v. Houdaille Industries, Inc., 
    183 Ill. App. 3d 739
    , 744 (1989); see also Brobbey v. Enterprise Leasing Co. of Chicago, 
    404 Ill. App. 3d 420
    , 433 (2010) (question of proximate cause is ordinarily one for the jury). In Kane
    v. R.D. Werner Co., 
    275 Ill. App. 3d 1035
     (1995), this court held that a plaintiff who does
    not read an allegedly inadequate warning cannot maintain a product liability action premised
    on a failure-to-warn theory, unless the nature of the alleged inadequacy is such that it
    prevents him from reading it. Kane, 275 Ill. App. 3d at 1037. The Kane plaintiff, injured in
    a fall from a ladder, alleged that the defendant manufacturer had failed to warn of the
    ladder’s various “dangerous propensities” on the warning label attached to the ladder. Id. at
    1035-36. Because the plaintiff admitted that he had never read the warning labels, the
    appellate court agreed with the trial court that the plaintiff had failed to show that the
    warning labels on the ladder were the proximate cause of his injury. Id. Drawing from a
    decision of the Alabama Supreme Court, the appellate court reasoned that the plaintiff
    “ ‘could have read this allegedly inadequate, unspecific warning as easily as he could have
    read an adequate, specific warning. And, no amount of specificity would have protected this
    plaintiff, because he would not have read a warning.’ ” Id. at 1037 (quoting E.R. Squibb &
    Sons, Inc. v. Cox, 
    477 So. 2d 963
    , 971 (Ala. 1985)). In other words, even if the warning were
    adequate, the plaintiff would have been in no better position, and thus the failure to warn did
    not cause any injury to him.
    ¶ 58        While we do not quarrel with the statement of law underlying BASF’s argument, we
    cannot agree that any improvement in the warnings BASF provided to Flavorchem would
    have been overlooked by Solis. BASF essentially asks the court to draw only one factual
    inference from the evidence: if BASF had disclosed the study to Flavorchem, that
    information would have been communicated solely through a revision in the MSDS, without
    any accompanying announcement, and that revision would have gone unnoticed by Solis.
    The evidence, when viewed in a light most favorable to Solis, does not lead to that single
    factual conclusion.
    ¶ 59        At Flavorchem, Solis was responsible for giving employees instruction on where to
    access MSDSs, and he would sometimes read various MSDSs with employees so that they
    had “some understanding” of what the warnings said. When Solis was asked if he read any
    MSDSs on diacetyl at Flavorchem, Solis explained that “[t]here was no need” because he had
    read “a lot of MSDSs” at FONA, including MSDSs for the diacetyl. Solis explained that
    based on this knowledge, he did not have any questions about the MSDSs for diacetyl and
    did not review them. Other testimony from Flavorchem employees establishes that BASF’s
    -17-
    disclosure of the LC50 study to Flavorchem would have caused Solis to review the MSDS
    for diacetyl or would have otherwise triggered his awareness of the study. The president of
    Flavorchem, Malinowski, testified that during Solis’s tenure, the company was “proactive
    at the time in dealing with diacetyl” and had meetings with employees, including Solis, about
    how to handle diacetyl. Malinowski suggested that Flavorchem would have investigated
    whether Solis and other employees should wear additional protective gear when using
    diacetyl. As to the MSDS, Dianne Hamernick, a Flavorchem employee, specifically testified
    that if Flavorchem had obtained the study as of 2001, it would have taken action to change
    the MSDS:
    “Q. If you had that study with all of those words that listed bloody edema, atelectasis,
    hyperemia, all of those things that we just looked at, would that have changed what you
    put on the Flavorchem MSDS in any way?
    A. We would have brought that up to Orr Safety and seen if additional personal
    protective equipment was needed and then, in turn, updated the MSDS–
    ***
    Q. In terms of what you would have put on the MSDS you would have relied on Orr
    Safety and those things would not have changed what you yourself put on there; is that
    right?
    A. Well, we would have updated it or changed it.”
    What the evidence reveals is that Flavorchem communicated with employees about how to
    handle diacetyl, and if given the study, Flavorchem would have updated and changed the
    MSDS and possibly changed the protective equipment required to handle diacetyl. While
    Solis did not repeatedly review the MSDSs for diacetyl because he felt familiar with the
    information provided in them, we conclude that, in view of the evidence, the jury could have
    rationally concluded that Solis would have become aware of the additional information from
    the LC50 study if BASF had supplied that information to Flavorchem. The jury’s finding on
    proximate cause as to the failure-to-warn claims was not “so palpably erroneous as to warrant
    a different result.” Lee, 
    152 Ill. 2d at 456
    .
    ¶ 60        BASF also argues that the jury should have been specifically instructed that if Solis did
    not read the available warning, the alleged failure to warn did not proximately cause his
    injury. 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. People v. Simms, 
    192 Ill. 2d 348
    , 412 (2000). The standard for deciding whether a trial court abused its discretion
    is whether, taken as a whole, the instructions fairly, fully, and comprehensively apprised the
    jury of the relevant legal principles. Schultz v. Northeast Illinois Regional Commuter R.R.
    Corp., 
    201 Ill. 2d 260
    , 273 (2002).
    ¶ 61        Here, where the jury was properly instructed that Solis was required to prove proximate
    causation, the jury was apprised of the relevant legal principles, and BASF’s additional
    instruction would have been redundant. Moreover, as the foregoing discussion illustrates, the
    proposed instruction may have been confusing to the jury in light of the evidence before it.
    This was not a simple case where Solis’s admission that he did not read MSDSs for diacetyl
    while at Flavorchem foreclosed his ability to prove causation. There was evidence suggesting
    -18-
    that a change in the BASF MSDS would have triggered action by Flavorchem and caused
    Solis to review the MSDS. BASF certainly could (and did) challenge the inferences to be
    drawn from the evidence, arguing to the jury that Solis would never have seen any change
    in BASF’s MSDS for diacetyl. Where the jury was otherwise properly instructed on Solis’s
    burden to show proximate cause on the failure-to-warn theory, however, the trial court did
    not abuse its discretion in denying BASF’s proposed instruction.
    ¶ 62                        Negligence: Scope of BASF’s Duty to Warn
    ¶ 63       BASF next argues that the jury received an improper instruction on the failure-to-warn
    claim sounding in negligence. The court instructed the jury that “Gerardo Solis claims that
    he was injured and sustained damage and that BASF Corporation was negligent in one or
    more of the following respects: *** in failing to disclose the results of scientific research
    available to it indicating that the use of diacetyl causes lung disease or risk of harm to
    others.” BASF argues that the instruction imposed an expansive duty on BASF to warn the
    flavoring industry (or the world) about diacetyl’s risks, rather than those to whom BASF
    distributes its product. The parties agree that Solis’s first potential exposure to BASF diacetyl
    was in 2001, when BASF first distributed diacetyl to Solis’s employer, Flavorchem.
    According to BASF, the instruction allowed the jury to fault BASF for failing to disclose the
    study to the industry before 2001 because the instruction referenced “a duty to disclose”
    without specifying that BASF only had a duty to disclose to those who receive BASF
    distributed products.
    ¶ 64       The imposition of a duty to warn depends on whether BASF and Solis stood in such a
    relationship to each other that the law imposed upon BASF an obligation of reasonable
    conduct for the benefit of Solis. Kirk v. Michael Reese Hospital & Medical Center, 
    117 Ill. 2d 507
    , 525 (1987). The parties agree that BASF had a duty to warn the users of its products
    of the dangers of diacetyl. See Venus v. O’Hara, 
    127 Ill. App. 3d 19
    , 23 (1984) (“[F]ailure
    to warn of a product’s dangerous propensities may be a basis for strict liability in tort
    [citation] and that strict liability therefore may be imposed upon all parties within the chain
    of distribution, including suppliers, distributors, wholesalers, and retailers [citation].”);
    Riordan v. International Armament Corp., 
    132 Ill. App. 3d 642
    , 647-48 (1985) (noting that
    distributor may be liable for failure-to-warn claim sounding in negligence (quoting
    Restatement (Second) of Torts § 388 (1965))); Smith v. Eli Lilly & Co., 
    137 Ill. 2d 222
    , 265
    (1990) (noting that “[e]ach manufacturer owes a duty to plaintiffs who will use its drug or
    be injured by it” but “the duty is not so broad as to extend to anyone who uses the type of
    drug manufactured by a defendant”). The parties also agree that because BASF Corporation
    distributed diacetyl to Flavorchem starting in 2001, it had a duty to warn Flavorchem–and
    by extension Solis–of the LC50 study as of that date.
    ¶ 65       The question is whether the relationship between BASF and Solis’s pre-2000 employers
    was such that BASF had a duty to disclose its LC50 study to those employers. There is no
    suggestion on appeal that BASF supplied diacetyl to either of Solis’s previous employers,
    Olmarc or FONA, so there must be some other basis for imposing a duty that runs to the
    benefit of Solis. On appeal, Solis offers none. Solis (somewhat puzzlingly) argues that the
    -19-
    instruction given properly reflected BASF’s duty to disclose the study to Flavorchem,
    “among others.” Unfortunately, Solis presents no argument–much less any applicable
    authority–to support a finding that BASF had a duty to disclose the scientific study to those
    companies working with diacetyl not distributed by BASF. See Brewster v. Rush-
    Presbyterian-St. Luke’s Medical Center, 
    361 Ill. App. 3d 32
    , 35-36 (2005) (reciting four-
    factor test for deciding whether a duty of care exists (citing City of Chicago v. Beretta U.S.A.
    Corp., 
    213 Ill. 2d 351
    , 391 (2004))); cf. Kirk v. Michael Reese Hospital & Medical Center,
    
    117 Ill. 2d 507
    , 525 (1987) (no duty to warn running from doctors to general public who
    might come in contact with doctor’s patient). The only case that Solis cites as support that
    the instruction was “proper” is Elam v. Lincoln Electric Co., 
    362 Ill. App. 3d 884
     (2005), but
    in that case the court recognized a manufacturer’s duty to warn the users of its welding rods,
    where the plaintiff had used welding rods made by the defendant for 30 years. See Elam, 
    362 Ill. App. 3d 884
    . We note that the jury was properly instructed, on the strictly liability failure-
    to-warn claim, that “BASF Corporation had a duty to adequately warn and instruct the user
    about the dangers of its product ***.” (Emphasis added.) Where Solis presents no authority
    for some expanded duty, we can only presume that Solis means that BASF had a duty to
    disclose the study to those to whom it distributes its products, including Flavorchem.
    ¶ 66        We are left to consider whether the instruction given properly informed the jury that
    BASF’s duty to disclose the study to Flavorchem as of 2000, when it first began distributing
    its product to Flavorchem. Given the unique facts of this case, that instruction did not fairly,
    fully, and comprehensively apprise the jury of the relevant legal principles. Schultz, 
    201 Ill. 2d at 273-74
    .
    ¶ 67        BASF contends that the instruction, without mentioning to whom the duty ran, expanded
    the concept of duty to the entire flavoring industry, if not the general public. Under the facts
    of this case, the court should state, specifically, that BASF’s duty to disclose ran to those
    who use the products that BASF distributes. The jury heard testimony that two industry
    groups, FEMA and RIFM, did not have the LC50 study until after 2000, but if they had been
    provided the LC50 study in the late 1990s, they would have disseminated the information to
    diacetyl users. Solis’s counsel solicited testimony from Solis’s expert witnesses that if BASF
    had “come forward with this information they had in their animal study, *** the medical and
    scientific community could have discovered the causal association in 1995 rather than 2002.”
    With that evidence before the jury, and with the instruction given, there was a unique risk
    that the jury would conclude that BASF had a duty to warn the entire flavoring industry.
    ¶ 68        BASF next argues that the instruction allowed the jury to fault BASF for failing to
    disclose the LC50 before BASF could have possibly became aware of the contents of that
    LC50 study before 2001. According to BASF, the instruction allowed Solis to “impute”
    AG’s knowledge to BASF. To prove a product defect claim based on a defendant’s failure
    to warn, a plaintiff must show “that the defendant knew or should have known, in the
    exercise of ordinary care, that the product was unreasonably dangerous and defendant failed
    to warn of its dangerous propensity.” Blue v. Environmental Engineering, Inc., 
    215 Ill. 2d 78
    , 96 (2005); accord Baltus v. Weaver Division of Kidde & Co., 
    199 Ill. App. 3d 821
    , 830
    (1990). The trial court instructed the jury that BASF had a duty to warn with information
    “available to it.” While this language comes close to the appropriate standard, we think the
    -20-
    language too inexact in light of the facts of this case. Again, we note that the trial court
    properly instructed the jury on the strict liability failure-to-warn claim, explaining that
    “BASF Corporation has a duty to adequately warn and instruct the user about the dangers of
    its products of which it knew, or in the exercise of ordinary care, should have known, at the
    time the product left its control.” On remand, the court should provide a similar instruction
    with regard to the negligent failure-to-warn claim, explaining that BASF only had a duty to
    disclose scientific information that it knew or should have known.
    ¶ 69                    Strict Liability: Diacetyl as Unreasonably Dangerous
    ¶ 70        BASF argues that Solis failed to prove that “BASF Corporation-supplied diacetyl” was
    unreasonably dangerous. In a strict product liability action, “[a] product may be found
    unreasonably dangerous by virtue of a physical flaw, a design defect, or a failure of the
    manufacturer to warn of the danger or instruct on the proper use of the product as to which
    the average consumer would not be aware.” Sollami v. Eaton, 
    201 Ill. 2d 1
    , 7 (2002) (citing
    Renfro v. Allied Industrial Equipment Corp., 
    155 Ill. App. 3d 140
    , 155 (1987)). At BASF’s
    request, the trial court instructed the jury that “[a] product bearing an adequate warning is not
    defective, nor is it unreasonably dangerous.” To find in favor of Solis on the strict liability
    claims, then, the jury had to conclude that BASF’s warning was inadequate.
    ¶ 71        A manufacturer has a duty to warn where the product possesses dangerous propensities
    and there is unequal knowledge with respect to the risk of harm, and the manufacturer or
    distributor, possessed of such knowledge, knows or should know that harm may occur absent
    a warning. Sollami, 201 Ill. 2d at 7. The Restatement (Second) of Torts explains that “a seller
    is not required to warn with respect to products, or ingredients in them, which are only
    dangerous, or potentially so, when consumed in excessive quantity, or over a long period of
    time, when the danger, or potentiality of danger, is generally known and recognized.”
    Restatement (Second) of Torts § 402A cmt. j, at 353 (1965) (explaining that “dangers of
    alcoholic beverages” are “generally known or recognized”). Where the product is defectively
    designed or manufactured or where the possibility of injury results from a common
    propensity of the product that is not obvious to the user, however, the manufacturer or
    distributor must provide an adequate warning. Sollami, 201 Ill. 2d at 20 (citing Genaust v.
    Illinois Power Co., 
    62 Ill. 2d 456
    , 467 (1976)). A product bearing such a warning “is not in
    defective condition, nor is it unreasonably dangerous.” Restatement (Second) of Torts
    § 402A cmt. j, at 353 (1965).
    ¶ 72        In this case, the question for the jury was whether diacetyl itself was “unreasonably
    dangerous” because it failed to contain a warning apprising Flavorchem and Solis of the
    dangers of diacetyl. The nature of Solis’s claim was that BASF’s MSDS was inadequate
    because it labeled diacetyl as “moderately toxic” and failed to disclose that exposure to high
    concentrations of diacetyl could cause bronchiolitis obliterans. On appeal, BASF does not
    claim that the potential for injury with high exposures was generally known and recognized
    by those using diacetyl. Instead, BASF again argues that Solis failed to prove that he was
    exposed to BASF-supplied diacetyl that exceeded a threshold “safe level.” In other words,
    BASF simply repeats the argument that Solis failed to prove that he was exposed to more
    -21-
    than a de minimus level of BASF’s diacetyl. We have already addressed, and rejected, that
    argument. Where BASF presents no other challenge with regard to the strict liability claims,
    we find no error in submitting those claims to the jury.
    ¶ 73                                    Evidentiary Errors
    ¶ 74        Although we have determined that this case must be remanded for a new trial, BASF
    raises a number of claims of evidentiary error that are likely to arise again on remand. In the
    interest of judicial economy, we address the specific evidentiary issues likely to recur on
    remand. See Petre v. Kucich, 
    331 Ill. App. 3d 935
    , 944 (2002). A trial court’s decision
    regarding whether to admit evidence is reviewed for abuse of discretion. Gill v. Foster, 
    157 Ill. 2d 304
    , 312-13 (1993).
    ¶ 75                Subsequent Remedial Measures: Changes to BASF’s MSDS
    ¶ 76        BASF first argues that it was improper for the trial court to admit evidence that after
    Solis left Flavorchem, BASF revised its MSDS to include a specific mention that
    overexposure to high levels of diacetyl may be associated with bronchiolitis obliterans.
    Evidence of postaccident remedial measures is inadmissible to prove prior negligence.
    Herzog v. Lexington Township, 
    167 Ill. 2d 288
    , 300 (1995). Evidence of subsequent remedial
    measures may be used for impeachment purposes, however, so long as the value of the
    impeachment does not rest on an “impermissible inference *** of prior negligence.” 
    Id. at 301
    .
    ¶ 77        We agree with Solis that the 2006 MSDS was properly used to impeach Dr. Weill, an
    expert witness for BASF who testified that “it was not scientifically proven that diacetyl
    could cause bronchiolitis obliterans” and “[t]he association between butter flavoring and
    bronchiolitis obliterans is unproven.” When asked on cross-examination if he was aware that
    BASF’s 2006 MSDS states that “[o]verexposure to high concentration may cause pulmonary
    irritation that could be associated with lung disease (bronchiolitis obliterans),” Dr. Weill
    admitted that he was not aware of this statement. BASF did not object to this testimony at
    trial and fails to address it on appeal.5
    ¶ 78        Despite Solis’s claim that the MSDS was used to impeach other BASF witnesses, the
    record shows that the 2006 MSDS was not used for impeachment with at least three
    witnesses: Julie Klees, the associate medical director at BASF; Ralph Parod, a toxicologist
    at BASF; and Louise Noell, product regulatory manager at BASF. None was asked whether
    exposure to diacetyl caused bronchiolitis obliterans before being questioned about the
    revisions to the MSDS; instead, each witness was presented the 2006 MSDS and simply
    5
    We are particularly troubled that in discussing whether the 2006 MSDS was used for
    impeachment, BASF represented that Solis’s counsel never even attempted to impeach BASF’s
    experts with the 2006 MSDS. This is not true. In its brief, BASF provides record citation to the
    testimony of two of three expert witnesses, but provides no mention of BASF’s third expert witness,
    Dr. Weill. It is difficult to place an innocent construction on this crucial omission.
    -22-
    asked to confirm that BASF had changed it.6 While we agree that the 2006 MSDS could be
    used for impeachment for any witness who denied that diacetyl could cause bronchiolitis
    obliterans, the MSDS was not properly used to impeach these witnesses.
    ¶ 79       We turn to Solis’s alternative argument, raised for the first time on appeal, that the
    change in the MSDS was admissible because BASF did not act voluntarily, but was required
    to act by an outside governmental authority. See, e.g., Bulger v. Chicago Transit Authority,
    
    345 Ill. App. 3d 103
    , 110 (2003); LoCoco v. XL Disposal Corp., 
    307 Ill. App. 3d 684
    , 693
    (1999); Gaunt & Haynes, Inc. v. Moritz Corp., 
    138 Ill. App. 3d 356
    , 365 (1985) (finding that
    postlawsuit change to entrance was “not a voluntary act” because it was required by
    Department of Transportation order). Solis claims that the OSHA Hazard Communications
    Standard (
    29 C.F.R. § 1910.1200
    (a) et seq.) requires chemical manufacturers to post new
    information regarding hazards posed by a chemical within three months of the receipt of the
    information, and BASF’s changes to its MSDS therefore was not a voluntary act, but was
    required by government authority. We disagree. First, we question whether BASF, as a
    distributor, was under an obligation to act under the specific provisions that Solis identifies,
    which Solis asserts apply to manufacturers. Second, there is no testimony from BASF
    personnel that BASF revised its MSDS pursuant to mandatory OSHA requirements or any
    other outside government authority. The impetus for the changes appears to be
    correspondence from the California Department of Health Services in May 2006
    recommending revisions to the MSDS for diacetyl, and Solis points to no testimony showing
    that the California department did (or could) mandate a change to BASF’s MSDS. Where
    no testimony establishes that BASF’s action was not a voluntary, discretionary act, any use
    of the 2006 MSDS for purposes other than impeachment was improper.
    ¶ 80                                   Hearsay Documents
    ¶ 81       BASF argues that several documents were improperly admitted into evidence. BASF
    contends that these documents are hearsay and not admissible under any exception to the
    hearsay rule.
    ¶ 82       BASF first challenges the admission of a case report authored by Dr. Yadava, Solis’s
    treating pulmonologist, and a number of other physicians, which was published in a medical
    journal between the time of the filing of the lawsuit and trial. We agree with BASF that was
    6
    By contrast, other BASF witnesses agreed that diacetyl was harmful to the lungs and could
    cause bronchiolitis obliterans without reference to the 2006 MSDS. For example, Patrick Conner,
    a medical director for BASF, testified that he understood that diacetyl has “toxicity to the lungs,”
    based on his review of a study by Dr. Price at NIOSH that found that “bronchiolitis obliterans was
    being caused in workers overexposed to diacetyl.” Similarly, Pherne Lewis agreed that diacetyl can
    cause “serious lung disease.” Even Julie Klees, who was questioned about the 2006 MSDS, agreed
    that “overexposure to high concentrations of diacetyl may cause pulmonary irritation that could be
    associated with lung disease such as bronchiolitis obliterans.”
    -23-
    error to admit the case report as substantive evidence at the postverdict exhibit conference.7
    The trial court’s stated grounds for admitting it–that it was a “document authored by this
    particular witness”–is not a recognized hearsay exception.
    ¶ 83        Solis argues that it was nonetheless proper for Dr. Yadava to refer to the report during
    his testimony because Yadava reasonably relied on the report to explain the basis for his
    opinion. “[T]he underlying facts or data upon which an expert in a particular field is found
    to have reasonably relied are not admitted for their truth. The underlying facts or data are
    admitted ‘for the limited purpose of explaining the basis for the expert witness’ opinion.’ ”
    City of Chicago v. Anthony, 
    136 Ill. 2d 169
    , 185 (1990) (quoting People v. Anderson, 
    113 Ill. 2d 1
    , 12 (1986)). The record shows that the case report was not used to explain the basis
    for Yadava’s opinion; the published article simply rehashed and confirmed Yadava’s
    testimony. The case report’s only purpose was to bolster Yadava’s opinion testimony by
    showing that he (and other doctors) had previously reached the same conclusion in a case
    report that was accepted and published in a medical journal. Use of the case report for this
    purpose was improper. See People v. Prince, 
    362 Ill. App. 3d 762
    , 776 (2005) (concluding
    that expert’s testimony that her work was “peer reviewed and verified by another researcher”
    was improper, where there was no testimony that expert relied on opinions of others in
    forming an opinion, and noting that “the peer review or verification necessarily takes place
    after the expert has already done his or her work”); Michael H. Graham, Graham’s Handbook
    of Illinois Evidence § 703.1, at 685 (10th ed. 2010) (“[T]he content of the published material
    to be read to the jury must be reasonably relied upon as a basis for the expert’s opinion, not
    merely to corroborate that opinion.”). It was error to question Dr. Yadava about his published
    article, where the only function was to bolster his opinion testimony.
    ¶ 84        BASF also challenges the admission of two letters sent to Dr. Yadava by two physicians
    who also examined Solis: Dr. Gottschall of National Jewish Hospital in Denver, Colorado,
    and Dr. Orris. Both letters recounted the doctors’ views of Solis’s condition and his work
    history, and in the letters, both physicians concluded that Solis’s bronchiolitis obliterans was
    induced by his work with diacetyl. The trial court admitted both as substantive evidence, over
    objection. In a postverdict conference, the court ruled that the letter from Dr. Gottschall to
    Dr. Yadava was a medical record, and the trial court admitted the Orris letter during trial
    7
    The trial court held a conference to admit several exhibits into evidence several weeks after
    the jury returned its verdict. While the parties apparently agreed that no exhibits would go back to
    the jury unless it requested a specific exhibit (which the jury did not), we find it troublesome that
    the court ruled on the admissibility of the documentary exhibits after the verdict. The exhibits
    considered at the conference were either read into the record or displayed to the jury during witness
    testimony. We question how the trial court could rule, over objection, that a particular document
    could be shown or read to the jury, but the court could later conclude, based on argument after the
    verdict, that the document was “inadmissible.” For example, at the postverdict conference there were
    several objections based on hearsay and foundation; if any of these documents lacked foundation or
    were hearsay, they should not have been presented to the jury during trial. A document’s
    admissibility, the basis for its admission, and any appropriate limiting instruction should be ruled
    upon during trial, not after the verdict.
    -24-
    after a conversation took place off the record.
    ¶ 85        “Medical records are *** admissible in Illinois courts as long as a sufficient foundation
    is laid to establish that they are business records.” Troyan v. Reyes, 
    367 Ill. App. 3d 729
    , 733
    (2006); see also Ill. R. Evid. 803(6) (eff. Jan. 1, 2011). “Satisfying foundational requirements
    to admit business records requires that the party tendering the record establish that the record
    was made in the regular course of business at or near the time of the event or occurrence.”
    Werner v. Nebal, 
    377 Ill. App. 3d 447
    , 457 (2007); Kimble v. Earle M. Jorgenson Co., 
    358 Ill. App. 3d 400
    , 414 (2005). Any person familiar with the business and its mode of operation
    may provide testimony establishing the foundational requirements of a business record. In
    re Marriage of Fields, 
    283 Ill. App. 3d 894
    , 905 (1996).
    ¶ 86        Dr. Yadava explained that he referred Solis to two specialists, Dr. Gottschall and Dr.
    Orris, and those doctors reported back to him in writing. Dr. Yadava certainly received the
    doctors’ reports in the regular course of his practice, as necessary to fashion a proper course
    of treatment for Solis, and he was, of course, familiar with his practice and its mode of
    operation. Although we recognize that Dr. Gottschall and Dr. Orris did not make their
    records in the regular course of Dr. Yadava’s medical practice, the incorporation of those
    letters into Dr. Yadava’s course of treatment is enough to satisfy the business records
    exception. “Where a third party is authorized by a business to generate the record at issue,
    the record is of no use to the business unless it is accurate and, therefore, the record bears
    sufficient indicia of reliability to qualify as a business record under the hearsay rule.”
    Argueta v. Baltimore & Ohio Chicago Terminal R.R. Co., 
    224 Ill. App. 3d 11
    , 20-21 (1991).
    While we acknowledge that “a person receiving a document from a business could not solely
    by virtue thereof lay a sufficient foundation for admitting the document,” there is an
    exception where “the business receiving the information, acting in the regular course of
    business, integrates the information received *** and relies on it in its day-to-day
    operations.” Michael H. Graham, Graham’s Handbook of Illinois Evidence § 803.6 (10th ed.
    2010) (collecting cases). The trial court did not abuse its discretion in admitting the reports
    sent to Dr. Yadava.
    ¶ 87        The next document at issue is a handwritten note that Solis received from Dr. Rose at
    NJH, which stated “I am worried that you may have bronchiolitis obliterans (BO) from flavor
    chemicals.” Solis testified about the note, explaining that he asked Dr. Rose to write down
    the diagnosis so that he could remember the name “bronchiolitis obliterans.” BASF forfeited
    this objection for review because it did not object to Solis testifying about the note. See
    Stapleton v. Moore, 
    403 Ill. App. 3d 147
    , 156 (2010). Moreover, at trial BASF did not
    dispute that the document was not offered for the truth of the matter asserted, but was used
    to show that Solis was on notice of his diagnosis. See Brawner v. City of Chicago, 
    337 Ill. App. 3d 875
    , 888 (2003) (When “out-of-court statements are offered to prove their effect on
    a listener’s mind or to show why the listener subsequently acted as he did, they are not
    hearsay and are admissible.”). The Department of Labor questionnaire, in which Dr. Yadava
    provides a summary of Solis’s medical condition, was not admitted into evidence until the
    postverdict conference. At the conference, Solis’s counsel informed the trial court that Dr.
    Yadava had testified regarding the document. In fact, Dr. Yadava did not provide any
    testimony about the document, and Solis references no other testimony that would establish
    -25-
    a foundation for admitting the document as a medical record. The questionnaire should not
    have been admitted as substantive evidence.
    ¶ 88                                   AG’s German MSDS
    ¶ 89       BASF next challenges the trial court’s decision to admit an MSDS apparently created by
    BASF’s German parent company, AG, in 1996 (German MSDS). AG’s German MSDS used
    the words “harmful by inhalation,” but BASF’s MSDS did not. Solis argues that it was
    improper for Solis to question Julie Klees and Ralph Parod about the German MSDS, display
    the German MSDS to the jury, and then admit the German MSDS into evidence, where Solis
    called no witness to lay a foundation for the German MSDS and simply asked BASF
    witnesses to compare the language in the German MSDS to BASF’s MSDS. (BASF explains
    that BASF produced a copy of the German MSDS to Solis’s counsel during discovery in
    another lawsuit.) Solis acknowledges that a proponent of documentary evidence must lay a
    foundation for its introduction by showing that record was made in the regular course of
    business and that the record is what it is claimed to be. See, e.g., Anderson v. Human Rights
    Comm’n, 
    314 Ill. App. 3d 35
    , 42 (2000) (citing Michael H. Graham, Cleary & Graham’s
    Handbook of Illinois Evidence § 901.1 (7th ed. 1999)); Kimble v. Earle M. Jorgenson Co.,
    
    358 Ill. App. 3d 400
    , 415 (2005). But on appeal, Solis references no testimony that explains
    how the German MSDS was created or otherwise provides any foundation for using it to
    cross-examine fact witnesses. As noted above, in the absence of evidence regarding the
    circumstances of a document’s creation, “the business records exception is not justified
    merely by evidence regarding the practice of the document’s retention.” Apa v. National
    Bank of Commerce, 
    374 Ill. App. 3d 1082
    , 1088 (2007). Questioning Klees and Parod about
    the German MSDS, without laying a sufficient foundation, was improper.
    ¶ 90                                    Solis’s Calculations
    ¶ 91       BASF next challenges the trial court’s decision to allow Solis to testify regarding
    calculations he made about BASF’s sales of diacetyl to Flavorchem. On redirect
    examination, Solis pulled a piece of paper out of his pocket and explained that he had
    calculated how much diacetyl BASF supplied to Flavorchem. He based his calculations, done
    over lunch apparently without the knowledge of his attorneys, on Flavorchem purchase
    records he saw on counsel’s table. (It is unclear if the purchase records had previously been
    admitted into evidence.) These records extended from 1998 to 2006 and included all sales
    of diacetyl, without distinguishing whether the diacetyl was used in the powder room and
    liquid room.
    ¶ 92       On appeal, Solis contends that the records were properly used as a “demonstrative aid”
    for his testimony. Solis’s calculations were not used to explain or illustrate this testimony,
    however; he testified that he had no knowledge of the information contained in the records
    before he found them on counsel’s table. Solis had previously testified that he believed that
    BASF supplied 50% of the diacetyl Flavorchem used between 2000 and 2004, but that
    estimate was based on his encounters with BASF diacetyl at the Flavorchem facility. Solis
    used the record he found in an attempt to reinforce his testimony, not illustrate it. Solis could
    -26-
    offer no definitive testimony about what information was contained in the records, and he
    could not lay a proper foundation to establish that the records were what he claimed them to
    be. See Anderson, 314 Ill. App. 3d at 42. The manner in which Solis attempted to inject the
    sales information at trial was improper.
    ¶ 93                                Improper Expert Testimony
    ¶ 94       We have already addressed some of BASF’s complaints regarding the testimony of
    Solis’s experts regarding causation. BASF also argues that Dr. Egilman improperly testified
    that BASF may have indirectly supplied diacetyl to FONA. Over objection, Dr. Egilman
    testified BASF may have supplied diacetyl to C&A, and C&A supplied diacetyl to FONA.
    Dr. Egilman then went on to opine that even though he could not trace how much, if any,
    BASF diacetyl Solis was exposed to at FONA, BASF could have prevented Solis’s injuries
    if it had adequately warned FONA about the harmful effects of diacetyl. On cross-
    examination, Dr. Egilman admitted he did not know whether C&A sold any BASF diacetyl
    to FONA. It is well established that “expert opinions based upon *** guess, speculation, or
    conjecture as to what *** might have happened are inadmissible.” Modelski v. Navistar
    International Transportation Corp., 
    302 Ill. App. 3d 879
    , 886 (1999). It was improper to
    allow Dr. Egilman to testify about a wholly speculative link between BASF diacetyl and
    FONA and to further testify that based on that supposed link, BASF’s failure to warn FONA
    contributed to Solis’s injury.
    ¶ 95                        Exclusion of Statute of Limitations Evidence
    ¶ 96       BASF next argues that the trial court improperly barred BASF from questioning Solis
    about his statements in medical records kept by his physician, Dr. Sherman. On cross-
    examination, counsel for BASF questioned Solis about a meeting he had with Dr. Sherman.
    When Solis testified that he could not remember the meeting, counsel then attempted to
    refresh Solis’s recollection with Dr. Sherman’s records:
    “Q. Did you tell Dr. Sherman, on December 15, 2004, that you had exposures to
    chemicals and fumes while you were at work. Does that help you with that?
    A. I don’t think so, no.
    Q. Okay. You don’t remember?
    A. I don’t remember.
    Q. All right. You don’t dispute what he says in the record?
    [Solis’s Counsel]: Your Honor, the record–I don’t think it can be used that way.
    THE COURT: Sustained.”
    BASF did not pursue the line questioning. BASF apparently relied on an entry from Dr.
    Sherman’s records that Solis “did relate significant occupational exposures at that time.”
    ¶ 97       We find no error in the trial court’s ruling. Where counsel’s attempt to refresh
    recollection failed, counsel could not simply press on and ask if Solis disputed the contents
    of a letter Dr. Sherman sent to another physician. Counsel could have attempted to impeach
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    Solis’s trial testimony through the introduction of admissible evidence sufficient to establish
    that Solis made the statement to Dr. Sherman. See, e.g., People v. Shatner, 
    174 Ill. 2d 133
    ,
    153 (1996) (where witness testified that she did not remember giving a statement to
    detective, counsel could only impeach her through the testimony of the detective, not by
    using the detective’s written statement on cross-examination). Moreover, because BASF now
    argues that this evidence was relevant to its statute of limitations defense, BASF must
    establish that the evidence was admissible not just for impeachment purposes, but as
    substantive evidence (i.e., to prove that Solis did in fact relate “significant occupational
    exposures” to Dr. Sherman). Even though Solis’s statement may be admissible as a party
    opponent admission, BASF must also establish that Dr. Sherman’s letter meets some
    exception to the hearsay rule in order to rely on Solis’s admission. See, e.g., Horace Mann
    Insurance Co. v. Brown, 
    236 Ill. App. 3d 456
    , 461 (1992) (Where one out-of-court statement
    is found within another out-of-court statement, “both levels must fall within an exception to
    the hearsay rule in order to be used as substantive evidence.”). Where BASF did not properly
    pursue any questioning to impeach Solis or to introduce his statement as an admission of a
    party opponent, the trial court did not err in its ruling.
    ¶ 98                                      Instructional Errors
    ¶ 99      BASF presents two arguments as to the jury instructions. The trial court’s decision on
    which instructions to give the jury will not be disturbed absent an abuse of that discretion.
    Simms, 
    192 Ill. 2d at 412
    . The standard for deciding whether a trial court abused its
    discretion is whether the instructions fairly and fully apprised the jury of the relevant law.
    Schultz, 
    201 Ill. 2d at 273-74
    .
    ¶ 100     BASF argues that the trial court abused its discretion in giving IPI 400.10, which states
    in part, “it is not a defense that the condition of the product could not have been discovered
    by BASF Corporation or that care was used in the manufacture of the product.” The trial
    court noted that it gave the instruction to address BASF’s contention that BASF did not
    breach its duty to warn because it did not know of the harmful effects of diacetyl and did not
    know of the LC50 study before Solis’s exposure. We agree with BASF that the instruction
    should not have been given. While BASF argued that it could not have known about the
    harmful effects of diacetyl, it did not advance a “due care” defense by claiming that BASF
    exercised care in the manufacturing process or could not discover the condition of the
    product. See Baier v. Bostitch, 
    243 Ill. App. 3d 195
    , 208 (1993) (Illinois Pattern Jury
    Instructions, Civil, No. 400.10 (2d ed. 1971) was appropriate where defendant’s engineer
    “testified as to the defendant’s extensive testing processes and as to the developments and
    new materials in manufacturing processes”). BASF was a distributor, not a manufacturer.
    Moreover, Illinois Pattern Jury Instructions, Civil, No. 400.10 (Supp. 2009) (hereinafter, IPI
    Civil (Supp. 2009)) “should not be given if plaintiff’s claim of liability is failure to warn.”
    IPI Civil (Supp. 2009) No. 400.10, Notes on Use, at 120. In this case, IPI Civil (Supp. 2009)
    No. 400.07D addressed the appropriate standard for the failure-to-warn claim by instructing
    the jury that “BASF Corporation has a duty to adequately warn and instruct the user about
    the dangers of its product[s] of which it knew, or, in the exercise of ordinary care, should
    have known, at the time the product left its control.” IPI Civil (Supp. 2009) No. 400.07D.
    -28-
    That instruction fully addressed any claim that BASF did not know or should not have
    known about the harmful effects of diacetyl. See Woodill v. Parke Davis & Co., 
    79 Ill. 2d 26
    ,
    35 (1980) (finding that the “knew or should have known” standard is appropriate for strict
    liability failure-to-warn cases).
    ¶ 101     BASF argues that the trial court abused its direction in giving IPI Civil (Supp. 2009) No.
    400.07C, stating that “BASF Corporation has the duty to manufacture and sell a product that
    is not in an unreasonably dangerous condition. That duty cannot be delegated to another.”
    While it was unnecessary to include a reference to a “duty to manufacture” with respect to
    BASF, the trial court did not abuse its discretion in giving IPI Civil (Supp. 2009) No.
    400.07C, stating that BASF has a nondelegable duty to “sell a product that is not in an
    unreasonably dangerous condition.” An instruction is justified when it is supported by some
    evidence, even slight, in the record. Leonardi v. Loyola University of Chicago, 
    168 Ill. 2d 83
    , 100 (1995). Here, a BASF employee testified that employers like Flavorchem are
    required by OSHA to understand the chemicals that are brought into the workplace and the
    engineering controls needed to handle those chemicals. We find no abuse of discretion in
    giving this instruction based on the evidence before the trial court.
    ¶ 102                                         CONCLUSION
    ¶ 103       We conclude that it was error to direct a verdict in favor of Solis on the statute of
    limitations issue, and we must therefore reverse and remand for a new trial. We also find
    errors in the admission of evidence and the jury instructions. Solis nonetheless argues that
    any proceedings on remand should be limited to the question of Solis’s liability, leaving the
    damages award to stand. We disagree. The evidentiary and instructional errors are
    intertwined with the extent of BASF’s liability, especially with regard to the scope of
    BASF’s duty to warn, and those issues affect the jury’s determination on damages. A
    liability-only retrial is therefore inappropriate. See Banovz v. Rantanen, 
    271 Ill. App. 3d 910
    ,
    920 (1995) (exercising discretion to order partial liability-only retrial where amount of
    damages awarded to plaintiffs was completely unaffected by error in failing to dismiss
    defendants’ counterclaims against one another); Tyco Electronics Corp. v. Illinois Tool
    Works, Inc., 
    384 Ill. App. 3d 830
    , 835 (2008) (finding damages-only retrial inappropriate
    where “the precise acts for which a defendant is held liable determine the extent of liability”).
    For the foregoing reasons, we reverse and remand for a new trial.
    ¶ 104       Reversed and remanded.
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