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Asaro v. Cardinal Glennon Memorial Hospital
799 S.W.2d 595
Mo.
1990
Check Treatment

*1 I majority goes beyond cept “penal beyond believe the its traditional laws” plain ordinary meaning fraught danger. limits is with constitu- language in construing tional the words I would affirm. “penal to include proceedings laws” civil 513.607, seq., under et RSMo § 195.145.4, “pe- RSMo 1986. The words

§ laws,” IX,

nal found article 7 of the § Constitution,

Missouri have never been con- meaning applied

strued to have the broad general,

here. In the words refer to stat- spec- utes that define criminal offenses and ASARO, Appellant, Rachel ify corresponding punishment. fines and (6th Dictionary Black’s Law ed. 1979). declaring Statutes of a civil nature CARDINAL GLENNON MEMORIAL moneys property

that certain or associated HOSPITAL, al., Respondents. et activity criminal subject are to forfei- No. 72548. establishing procedure ture and a civil imposing the forfeiture are not statutes Missouri, Supreme Court of imprisonment. fines charge No criminal En Banc. filed, person’s guilt

need be no determined Nov. 1990. punishment and no imposed assessment of Rehearing As on Denial of Modified against an individual defendant to obtain Dec. laws,” “penal the forfeiture. The term IX, used in the context of article § nature, punitive

means laws are Mussallam,

remedial. See Mussallam v. N.C. S.E.2d

(construing language similar to that used Constitution). If,

in Missouri’s as the ma-

jority suggests, provisions the forfeiture purpose

were enacted for the remedial

taking profit prevent- out of crime and

ing property the use of to further criminal

activities, necessarily it follows that these penal

statutes are not laws. majority seems convinced cases

involving forfeitures under federal statutes

that our construction of the state forfeiture “penal give

statutes as laws” will not rise problems jeopardy. I am not double

nearly proper- If a so certain. law, penal may

ty is forfeited under one jail

the defendant be tried and sentenced to penal precisely

under another law based Ultimately,

the same set of facts? by state

question will not be answered courts. If those

courts but federal that the

courts use our state determination provisions “penal” and not

forfeiture are nature,

merely they may con- remedial jeopardy prohibits

clude that double prosecution. Stretching the con-

criminal *2 Stemmier, Louis, for appel-

James A. St. lant. Jr.,

Kemper Coffelt, Clayton, R. Ely, Ben Callis, Willman, Cherly Philip Robyn A. L. Fox, Rush, Louis, G. Christiana M. St. respondents. Holste, Levine,

Lori J. Carla G. Gerald Sill, City, M. Jefferson amicus curiae Hosp. Missouri Assn. Jr., Hiñe, Oliver, Cape P. L.

Jeffrey John Girardeau, Organization Missouri Lawyers. Defendant Holliger, City, R. for ami- Ronald Kansas cus MATA.

ROBERTSON, Judge. Co.,

In S.W.2d 765 Nooney Bass v. 1983), abrogated this Court permitted plaintiff without first for emotional distress traumatic showing a This case physical injury. addresses May of Bass. open issue left footnote 3 recover for emotional distress solely observing to a resulting from negli- by a party third caused may recov- gence? hold that We resulting from er for distress emotional person a third observing physical if is within zone trial judgment of the court danger. The petition for failure to dismissing plaintiff’s action affirmed. state cause I. alleges that the defen-

Rachel Asaro dants, health physicians and institutional son, providers negligently treated care alleged As a of that medi- Leonard. result son, Asaro claims malpractice cal distress and that suffered emotional she these damages from defendants seeks emotional negligent infliction their dismissed distress. The trial court failing to state approved a cause of action. ratified and of each other’s ac- District, Appeals, The Court of Appellant Eastern tions. avers defendants granted reversed and remanded. We negligently provide proper failed de- jurisdiction. transfer and have Mo.Const. gree of health care to her son. As a result *3 V, art. severe, appellant § of such failure underwent medically diagnosable significant emo- review, accept On “we as true facts depression. tional distress and pleaded, properly giving the averments a construction, making liberal those rea fairly sonable inferences from deductible II. Abrams, the facts stated.” Stiffelman 522, (Mo. 1983). 655 S.W.2d 525 banc A. Plaintiffs states a cause of action recognized This a cause of action Court if principles its averments invoke of sub negligent infliction of emotional dis- may plaintiff stantive law which entitle the contemporaneous physical tress without Shapiro v. Columbia Union Na to relief. Co., Nooney trauma in Bass v. 646 S.W.2d Co., tional Bank and Trust 576 S.W.2d (Mo. 1983). Bass permits plain- a banc denied, 310, 1978), cert. tiff to recover for her own emotional dis- U.S. 100 S.Ct. 62 L.Ed.2d 40 upon showing tress a that: facts, alleged appellant The as in Asaro’s (1) the defendant realized should have petition, July are as follows: On that his conduct involved an unreason- appellant five-year-old son under- distress; able risk of surgery went heart to remove a subaortic the emotional distress or mental ring respondent fibrous at Cardinal Glen- medically diagnosable must and must be Hospital. non Memorial Pennington A Dr. severity be of sufficient so as to be medi-

performed operation. Following sur- cally significant. gery, Pennington appellant Dr. informed portion that a ring of the had not been Id. at 772-73. Pennington’s removed. report oper- of the argues initially Asaro that she a states ation, however, incorrectly stated that Bass. argu- cause of action under This ring completely fibrous removed. Bass in plaintiff ment is incorrect. The pain The child continued to suffer resulting claimed emotional distress from fainting spells pre- which marked his entrapment her own inside a stalled eleva- operative presence condition. The of the expressly tor. This Court did not decide

partial ring damage continued to Leonard’s question whether a cause action opera- heart. As a result of the incorrect “a suffers exists Missouri when report, however, appellant’s tion efforts to upon mental or emotional distress observ- help necessary obtain the further medical party ing death or to a third caused 17, 1985, January were frustrated. On Id. at negligence.” a defendant’s performed, apparently involving test was in Bass opinion n. 3. Indeed the Court’s Nouri, respondent Dr. which failed to indi- (Second) parallels the Torts Restatement presence ring. Coupled cate the of the allowing a claim for emotional distress report upon with the inaccurate which oth- “should have realized where the defendant relied, er defendants these test results led that his conduct involved an unreasonable pursue defendants’ decision not to to the causing the Restatement risk of distress.” procedures would have dis- further (Second) 313(l)(a). of Torts But this rule § presence ring. of the closed the Ultimate- bodily illness or application has “no ly, surgeon the remainder another removed is caused emo- harm of another which ring hospital February at another or arising solely distress from harm tional 25, 1985. negli- peril person, unless the to a third gence has created an Appellant’s petition further states that of the actor otherwise bodily harm to the agents named defendants acted as unreasonable risk of all the Thus, Id. Bass 313(2). is not another and that all defendants other.” for one § authority injury.”) action will cause harm or for the cause of Asaro omissions impression. suggested, a case first Yet Dean foresee- avers. This is as Prosser

ability goes eternity, and back “forward Prosser, B. beginning to the of the world.” Revisited, 52 Mich.L.Rev. Palsgraf rule, Bass, impact abrogated re- reason, this no de- For court has showing quired duty being with fore- fined coextensive physical per- trauma to the before seeability. initially And courts have mitting to recover attend- broadly foreseeability spoken stan- about ant emotional distress. The abandonment duty retreated. dard of have appro- from the resulted *4 priate recognition by of two related courts experience is instructive. The California concepts: a can negligent First that actor right to held that the Dillon induce trauma in another without mental should be determined emotional distress second, and that physical impacts, advances principles the “neutral of application of diagnosis permit in the of medical science foreseeability, proximate cause and conse- accuracy akin mental trauma with quential generally govern tort injury that diagnosis physical the of trau- available for 72, Id., P.2d at Cal.Rptr. 69 at 441 law.” 609, Grossman, ma. 24 N.Y.2d Tobin v. Doubting ability “predetermine its 554, 419, 555-56, 301 249 N.E.2d N.Y.S.2d obligations every defendant’s situation” (1969). potential 420-21 The extension of foreseeability, relying reasonable impact liability beyond announced in Bass “court, case-by- left it to the on a Dillon a national trend which saw thus followed ordinary ... decide what the case basis [to] preroga- their law courts exercise common rea- man such circumstances should under liability light tive reevaluate rules of sonably have foreseen.” Id. changing advances in science and socie- of standard, not murky it is Faced with this tal norms. appellate surprising that the California rule, impact abrogation the With the of consistently. apply Dillon courts did liability potential for and new the extended permitted recovery Some decisions alternative causes of action arose. Two distress, though fore where the emotional liability of arose to fill the vacuum rules seeable, the of product was “a sudden the rule. left the abandonment of event,” Hospi brief Jansen v. Children’s adopted a Appeals York Court of New 22, Center, Cal.App.3d 106 31 tal Medical danger in Tobin. zone of standard Califor- 883, (1973), Cal.Rptr. 884 and the recovery reasonably permitted nia had observance a v. 68 Legg, in Dillon foreseeable Atchison, 564, v. 19 Cal.3d event. Justus 72, 728, Cal.Rptr. 441 P.2d 912 69 Cal.2d 97, 122, (1977). Cal.Rptr. 139 P.2d 135 565 zone dan- (1968), rejecting the of expressly permitted recovery where Other cases artificiality.” Id., “hopeless 69 ger rule as mo plaintiff came on the scene “within 75, Cal.Rptr. 441 P.2d at 915. at v. Brav of an accident. Archibald ments” 253, Cal.Rptr. erman, 79 Cal.App.2d 275 a determination liability begins

Tort 1977, Su (1969). In the California 723 duty a of care to that a tortfeasor owes damages where preme “Duty,” according Pro- Court allowed person injured. to the “percipient a witness of James, scope fessor “is measured injury. party’s impact” a third negligent risk conduct foresee- which 59, Graham, 137 Cal. James, 19 Cal.3d Krouse v. Scope Duty in ably entails.” of 1022, (1977). 863, 872, 778, 1031 Cases, Rptr. 562 P.2d 47 N.W.U.L.Rev. Negligence Hos Horvath, in Molien v. Kaiser Foundation Lowrey v. And also 781 See 831, 916, 616 Cal.Rptr. 1985). (“As 167 625, pitals, 27 Cal.3d S.W.2d 627 689 (1980), a hus permitted the court duty care P.2d 813 a of general proposition, diagnosis false recover for a band to negligence law arises imposed by the wife, eliminating the his thus syphilis in there is a in which out circumstances occur- sudden contemporaneous, particular acts need for likelihood that foreseeable 599 requirement recovery rence as a emotional distress results from reason emotional distress. personal, physical injury. able fear of danger permits recovery Zone thus ac 159, Court, Superior 39 Cal.3d Ochoa cording already existing to the defendant’s 661, (1985), Cal.Rptr. 216 P.2d 1 703 not, duty plaintiff. of care to the It does beginning the retreat. marked the Dillon, require as does the defendant to There the court direct vic- limited Molien’s duty potential bear new foreseeable tim to circumstances which the plaintiff. Sanperi, 61 N.Y.2d Bousun v. negligence was directed at the 843, 461 N.E.2d 847 N.Y.S.2d plaintiff. Chusa, Thing And in v. La Cal.Rptr. Cal.3d P.2d 814 (1989), prog- the court noted that “Dillon’s has levelled Criticism been eny widening ever have created circles of against being the zone of rule as Id., Cal.Rptr. liability,” at 771 P.2d said, arbitrary, hopelessly or as Dillon arti foreseeability at “is not a ficial. It is the nature of the common law potential liability realistic indicator of however, process, for courts to establish afford a does not rational limitation on being rules. Criticism of a rule as arbi *5 recovery,” Id. at 771 P.2d at and trary is often no more than a rhetorical judicial days that “there are clear on which employed by justify rejec device courts to a court can foresee forever.” Id. at tion of that rule. As Professor Pearson 771 P.2d at 830. noted, however, correctly any has rule Dillon; Thing reject does not Thing liability pure which limits short of foresee merely required asserts that standards are is, nature, ability by arbitrary. its Pear perimeter liability to define the around and son, Liability Bystanders Negli to for determines those Thing standards. Thus gently Emotional Harm —a Inflicted permits plaintiff to emotional Arbitrary Comment on the Nature of damages by observing negli- “caused the Rules, (1982). 34 U.Fla.L.Rev. 477 Such if, gently injury person inflicted third necessary limitations are nonetheless to al if, plaintiff: (1) but closely said is purpose low tort law to achieve its of com victim; (2) injury related to the present is pensating persons injured by negli the injury at the scene of the producing event gence fostering of others without rules of at the time it occurs and is then aware that liability unreasonably inhibit normal victim; (3) causing injury it is to the and Dobbs, Keeton, activity. human W. D. See a result suffers serious emotional distress Keeton, Owen, Keeton, R. D. Prosser beyond anticipated ... that which would be The Law of Torts 173 in a disinterested witness and which is not reflection, agree On we with the response an abnormal to the circum- Appeals. New York Court of The zone of 880-881, stances.” Id. at 771 P.2d at 829- danger preferable- standard is because “eyewitness provides limitation no rational saga yet complete. The California is not boundary liability. practical The dis year Less than a after the California Su- tance from the scene and time of notice of preme Thing, Court decided the California quite inconsequential are the accident Appeals Court of criticized the State of likely the shock more results from the rela “analytically California’s law as confused.” tionship injured party is to the than what Superior v. San Francisco Golstein Tobin, seen at the accident.” 301 N.Y.S.2d Court, Cal.App.3d Cal.Rptr. at N.E.2d at 424. It also leads to by limiting recovery liability efficient rules directly by to those harmed the defendant’s C. negligence. permits

The zone of hold, therefore, plain if that in for emotional distress We Missouri negli tiff can show that he or she is states a cause of action threatened upon bodily negligence gent harm infliction of emotional distress person only upon to a five-year-old third a show- Rachel Asaro’s son under- (1) ing: surgery that the defendant have went heart to a subaortic should remove ring. operating physician realized that conduct involved fibrous re- his an unrea- ported plaintiff, ring sonable risk that all of was removed plain- present when in fact some of it remained. The son tiff was at the scene of an pain event, (3) experienced fainting, and other seri- producing, plain- sudden year ous for over a as a result danger, i.e., difficulties placed tiff was zone of the presence ring portion. De- physical injury in a reasonable fear physicians spite problems, these insisted his or her person. own pleadings that all In her Rachel was well. alleges damaged Asaro she was because D. her proper denied son treat- defendants intendment, Given its broadest Asa report ment in reliance on the incorrect petition ro’s not aver that does she was tests, negligently interpreted causing endangered by negligence herself frustration and emotional distress. respondents. appellant While inti petition Rachel Asaro’s was dismissed mately involved with her son’s treatment ground the trial court on the of failure at understandably distressed the condi upon state claim which relief could be health, patient. tion of his was not the she for fail granted. On a motion dismiss peril. faced no personal She Her under action, cause of the sole ure state a solely standable distress follows from see plaintiff’s petition question whether ing suffering the harm endured applica states of action under the a cause facts, young son. Her states no Shapiro Na Columbia Union ble law. *6 permits bring might nor inferences as such Co., tional and Trust Bank 576 S.W.2d danger her the zone averments within of denied, 444 310, 1978), (Mo. cert. 312 banc adopt today.1 Having standard we invoked 60, 62 40 U.S. 100 S.Ct. L.Ed.2d no which would her substantive law entitle accepts the facts reviewing A court as true relief, in to the trial court did err not gives the a properly pleaded, averments dismissing to failure construction, rea and makes those liberal a claim. state fairly inferences from sonable deductible Abrams, the facts stated. Stiffelman III. (Mo. 1983); Con 522 banc 655 S.W.2d judgment The of the trial court is af- School cerned Parents v. Caruthersville firmed. (Mo. 1977). District, 548 S.W.2d 554 banc majority opinion The its denial introduces BLACKMAR, C.J., and COVINGTON day by in the as of Rachel Asaro’s court HOLSTEIN, JJ., concur. impres is a case of first sertion that this HIGGINS, J., dissenting withdraws this is not a true case of sion. I submit opinion previously filed and files recognized by As the ma impression. first dissenting opinion. modified Nooney, jority: “In Bass v. 765 646 S.W.2d 1983), abrogated the this Court BILLINGS, JJ., RENDLEN and permitted rule dissenting opinion dissent and concur in first distress without for emotional HIGGINS, of J. traumatic showing a HIGGINS, dissenting. Judge, re physical injury.” The Court’s footnoted digressing “to discuss the ex myself I straint from respect, due find in dissent With which differing tensive rules” follow. debate for the reasons that Indeed, held that the erwise cancer. The court to state a cause of action curable Asaro fails sensory capable injury causing of Dillon/Thing event was standard. The Cal- even under the recovery perception by parents no par- and that Appeals denied ifornia Court of permitted. Gol distress could be after their emotional ents who emotional distress claimed Court, Superior negligent 223 Cal. stein Francisco adminis- v. San child died as a result of Cal.Rptr. App.3d during treatment an oth- tration of of radiation cases, “bystander” against flow from so-called is in has been leveled the zone of cism way a being arbitrary hope- no denial of the Bass rule deter- or ... as mining lessly whether this stated a case Yet the artificial”—and indeed it is. pleading. pronouncing in her In its rule majority duty concludes that no is owed respect this Court made no distinction with the doctor to the distressed mother because plaintiffs “permitted to recover for emo- by the physically she was not threatened tional distress.” Bass at 772-73. The ma- placed physical injury in “fear of doctor or jority, however, proceeds from footnote 3 person.” way con- By to ... her own adopt premise that Bass is not authori- Long trast see Martinez v. Island Jewish ty for Asaro’s cause of action. I submit Center, Medical 512 N.E.2d Hillside premise unjustified. this 70 N.Y.2d N.Y.S.2d (1978), providers where the medical care majority quotation takes the from gave plaintiff-mother negligently incorrect Restatement Bass be wholesale child, concerning information her unborn (Second) adoption of Restatement of Torts a result of she decided on an abor- which Section 313. This is not so. Notwithstand- distress, her tion. This caused emotional Restatement, ing majority’s view religious against as it was beliefs. Bass, “painstaking after a review of this subject,” whole held that a will be As stated the court at 512 N.E.2d permitted to recover for emotional distress 538-9, at 956-7: 518 N.Y.S.2d “(1) provided: the defendant should have Plaintiff does not seek to recover realized that his conduct unrea- involved an consequential harm caused emotional distress; sonable risk of observing learning or death the emotional distress or mental contrary, person.... to a third On the medically diagnosable must be and must be anguish depression her mental are severity medically sufficient so as to be the direct result of defendants’ breach significant.” Id. at 772-73. further Bass duty directly giving to her in owed noted that “the evolution of the law on this erroneous advice on which she affirma- subject stop adoption did not tively deciding to have the abor- acted the rules set forth in the Restatement.” tion. The emotional distress *7 Accordingly, Id. at 771. it should not be she seeks does not derive from pronouncement said that the is Bass not fetus; happened to the it derives what available to Rachel Asaro’s case. psychological injury directly from the which, agreeing by caused her to an act petition, alleged In her Rachel Asaro she found, contrary jury as the underwent “severe emotional stress and firmly depression, medically diagnosable sig- held beliefs. and nificant”, and that defendants should “[a]ll limiting concept, re- majority’s The now have realized that their conduct in- ... Missouri, injected the law in not into volved an unreasonable risk of in the Asa- produces an indefensible result emotional distress or mental case, immediately suggests the kind ro but Accordingly, sur- Plaintiff.” “hope- that can flow from this of results a motion to dismiss under the tests of vives example, it lessly For artificial” standard. Par- Shapiro, Concerned Stiffelman present in a claim a husband would bar requirements it satisfies the ents because gives his wife birth delivery room when of Bass. attending physician commits and the all, apparent compounded majority against this blunder

The introduces that dire conse- requirement remarks to his nurse pleader a further limitation or and mother will result. authority quences to the child danger”; of “zone of it seeks father, physically threat- although not conflicting from New York and The discussions ened, suffers emotional made faints and requirement No such California. majority pos- denies physical damage. The Bass; engrafted it should now be “artificially” application sible of Bass rule to defeat the Bass this any “duty” of the doctor to majority “criti- denies petition. concedes that father, inju- denying any thus relief for his articulated in Bass.

ry law under the Goostree,

Prior to Bass in Todd v. 411 (Mo.App.1973), S.W.2d followed

implemented, (Mo.App. 528 S.W.2d 470

1975), the court that a com held workers’

pensation claimant who suffered emotional

shock he when discovered beneath the body of his

wheels truck crushed injured

friend and coworker was within the provided com

definition the workers’

pensation scheme. The driver of the truck being

was in no nor run over related;

were the driver never and victim

theless, emo the court found driver's compensable injury.

tional distress be a

I re submit this ease is instructive with

spect “bystander” to the treatment of also See Jeannelle

third-party claims. Inc.,

Thompson Company, Medical (E.D.Mo.1985) (Bass applied

F.Supp. 346 distress). “bystander” claim for emotional judgment

I dismis- would reverse the

sal remand this ease reinstatement plaintiff’s petition. COMPANIES, INC.,

The WILLIAMS

etc., al., Appellants, et *8 REVENUE,

DIRECTOR OF

Respondent.

No. 72352. Missouri,

Supreme Court

En Banc. 20, 1990.

Nov. Dec.

Rehearing Denied

Case Details

Case Name: Asaro v. Cardinal Glennon Memorial Hospital
Court Name: Supreme Court of Missouri
Date Published: Dec 18, 1990
Citation: 799 S.W.2d 595
Docket Number: 72548
Court Abbreviation: Mo.
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