Central Dispensary & Emergency Hospital, Inc. v. Harbaugh

PRETTYMAN, Circuit Judge. This is a civil action for malpractice of medicine, professional negligence, and false arrest. Trial was had before a jury and a verdict rendered for the-plaintiff-appellee. Appellants argue that the court erred in submitting the case to- the jury, on the ground that there was no evidence from which the jury could determine that the defendants were negligent. We have no manner of doubt that there was sufficient evidence on this score. But we are of opinion, as appellants also argue, that the trial court erred in a substantial respect in its instruction to the jury. For this latter reason, the judgment must be reversed. The appellee was found in an unconscious condition and removed by the police, upon the direction of a physician, to the appellant hospital. The appellant doctor was on duty in the emergency room. He gave the patient an extensive physical and neurological examination, but without either blood or urine tests. He- discovered no abnormalities to account for the coma. He revived her with an ammonia fluff. He then inquired whether she had been drinking. She said that she had, “too much and too long.” There was no odor of alcohol on her breath. She lapsed into unconsciousness and was revived a second time. The doctor concluded that she was suffering from acute alcoholism and released her to the custody of the police. The officers •assisted her in walking from the hospital and took her to the Women’s Bureau, where she remained for several hours. She was then taken to another hospital, and five days later an operation was performed, in which a blood clot was removed from her brain. As of the time of the trial, she was a complete invalid, bedridden, a patient in a nursing home. The -testimony upon the trial was that approved practice by physicians in this jurisdiction, exercising ordinary care and skill, requires blood or urine analysis as a pre [508] requisite to a diagnosis of acute alcoholism in the case of an unconscious patient. The testimony also was that appellee was a lifelong teetotaler. It seems clear from the evidence that appellants had no part in causing the cerebral injury of the appellee, and, therefore, they were not responsible for injury or damage from that cause. They were responsible only for such injury and damage, if any, as resulted from their negligence. The case, as it went to the jury, with the evidence of negligence on the part of appellants and with evidence of the distressing then-present condition of the appellee, required from the court a careful instruction to the jury defining the limit of appellants’ responsibility and the proper measure of damages. This instruction was necessary under the rules of law relating to proximate cause. We do not find such an instruction in the charge of the court. There was a reference to the fact that the plaintiff was suffering from a cerebral hemorrhage, to testimony of a physician that the exercise which she was required to take probably aggravated her condition, and a direction that the measure of damages was something for the jury to consider. The trial court refused to instruct the jury that “before the plaintiff can recover, the burden of proof is upon her to prove by a fair preponderance of the evidence * * * that the alleged negligence was the proximate cause of the injuries concerning which she complains.” This error was prejudicial, for no equivalent instruction was given. There was no instruction to the effect that the only injury for which appellants were liable in damages, was such injury, including the aggravation of any existing condition,. as flowed from their negligence, and could not include damages for any other condition from which appellee might be suffering.1 The judgment of the District Court must be reversed, and the case is remanded with instructions to grant a new trial. Reversed and remanded. Footnotes [1] Gases on the point are collected in annotations at 59 A.L.R. 884 et seq. and 65 A.L.R. 1031, and in notes to the text at 41 Am.Jur., Physicians and Surgeons § 133, and 15 Am.Jur., Damages § 80; see also Winstead v. Hildenbrand, 1946, 81 U.S.App.D.C. 368, 159 F.2d 25. We need not discuss the cases here.