Bay v. Monroe County

Ladd, J. The propriety of the allowance for vaccination and the expenses incident thereto is not questioned. The answer first filed concedes that plaintiff rendered services for the time claimed, but pleads an allowance of $10 per day, and the tender of a warrant for that amount, alleging this the full value of the services rendered. In [304] an amendment to the answer, it is further alleged that the price agreed upon was excessive, and that the reasonable value of plaintiff’s services was no more than $10 per day; that he failed to enter the houses in visiting the patients and give them proper treatment, but, on the contrary, remained “on the outside, at the window, where he might look through the glass darkly, and view his patient at a distance, and would send inside a more stout hearted messenger to interview the patient, who would then communicate the results;” that the county is liable for no more tban the reasonablé value of the services rendered, and this it had tendered. Issues were also raised as to whether the trustees were in session as a board when they employed plaintiff, and also as to whether another physician had been employed; but these were settled conclusively against the defendant. After all the evidence had been introduced, the defendant filed another amendment, first denying the .aver-ments of the reply, and, secondly, averring that the certificates of the trustees to the accounts had been made, by them separately at Albia, outside of Pleasant township, and not as a board of health, and that in giving them they acted in bad faith, and with knowledge that. the services contracted for had not been rendered. This amendment was stricken, because raising new issue's, and coming too late. In this there was no abuse of discretion. The evidence had shown conclusively the contract by the board of trustees, and the rendition of services for the precise time claimed.- This being true, justice could not have been promoted by going into the inquiry as to whether the board of health had properly certified the. account. The record is also barren of any evidence of bad faith on the part of the trustees. It is said that the fact that they certified that the services contemplated were rendéred furnished such proof. About sixty cases were treated, arid all recovered. Ordinarily, the object in ’em [305] ploying a physician is to effect a cure. This seems to have been the peculiar notion of the plaintiff, and, even though he did ascertain the condition of his patients by looking at their tongues through windows or the opeir door, and by inquiry of them and the attending nurses, he must have prescribed suitable remedies; at least there is nothing in the record to the contrary. Conceding that the treatment should be symptomatic, it does not appear that plaintiff’s was not. Some evidence was introduced to the effect that by the usages of the medical profession a physician should always enter the house, feel the patient’s pulse, take his temperature, look at the tongue and into his throat, and ascertain whether he suffers pain in the chest or back. This may be, and the evidence shows that plaintiff gave a personal examination whenever he deemed it essential. If he failed, through the methods employed by him, to properly diagnose any case, the record does not show it. Every patient recovered in the usual time, and, so far as appears the spread of the disease was stayed as soon as could be anticipated. What more ought the county demand of the trustees or their physician? Certainly the certification of the trustees under these circumstances furnished no proof of bad faith on their part. There was no occasion, then, for permitting the amendment, as in any event there was no evidence of bad faith on the part of the trustees. See Tweedy v. Freemont County, 99 Iowa, 721; Taylor v. Woodbury County, 106 Iowa, 502. Alleged defects in the instructions and errors in rulings on the admissibility of evidence demand no attention, as in any event plaintiff was entitled to recover the amount claimed. — AfeirMED.