199 Mo. App. 251 | Mo. Ct. App. | 1918
This suit was instituted April 17, 1906, in the circuit court of Adair county. Plaintiff seeks to recover from the defendants for malpractice in treating her by the method or system commonly known as Osteopathy. Plaintiff took a change of venue to Putnam county where a trial was had and a* judgment resulted in favor of plaintiff and against the defendants in the sum of $10,000, from which an appeal was taken
A comprehensive, detailed statement of the facts in this case is found in connection with the Supreme Court’s opinion when this case was there, to which reference may be had in that with a few minor changes, which will be noted in this opinion, the facts are identical with the case as we have it before us.
The amended petition on which the case was tried alleges that the American School of Osteopathy is a Missouri corporation owning a large amount of real estate and conducts a school whereby it teaches the science of Osteopathy, and has a regular organized faculty composed of teachers of such science conducting said school, and at the same time the members of the said faculty practice the science of curing and healing the sick and afflicted, and that it was the duty of the said faculty to treat and operate on students in attendance of said school without charge; that defendant, Charles E. Still, was a member of said faculty duly authorized to practice his profession and axythorized to treat students of said school for any disease that they may have or contract during their attendance at said school. The petition then alleges that plaintiff became a student in the defendant school about October 1, 1901, and paid her tuition and attended the school until June, 1903, when she graduated and became a doctor of Osteopathy; that at the time she entered the school she had a slight affection of the nasal passages that slightly affected her breathing; that the defendant, Charles E. Still, examined her and undertook to treat her and continued to do so until some time in April,
The defendants filed separate answers, Charles E. Still averring that he was and is an Osteopathic physician and that the plaintiff, when she entered the school as a student and before that time, was affected with asthma; that during the time she was a student he treated her several times, always with his best skill and ability and denied each and every other allegation, and for further answer alleged the pendency of another suit on the same cause of action by plaintiff against said defendant. The answer of the American School of Osteopathy is a general denial. Plaintiff’s reply alleges that a suit had been filed by the plaintiff against the defendant, Charles E. Still, hut that it was not a suit between the same parties nor on the same cause of action, and that said suit had been dismissed and was npt then pending.
The hill of exceptions which we have before us covers more than five hundred pages. For the purposes of this case we set out such of the evidence adduced as we think necessary for a proper understanding thereof.
Plaintiff herself testified that she had gone to Kirlcsville to study Osteopathy in September, 1901, when she was about twenty-nine years old. At that time she was a little run down from nursing but was in • good health and had never suffered with any physical
Dr. Polmeteer, a doctor of Osteopathy, testified that he examined the plaintiff in the latter part of 1902 and found the middle part of the sternum lying down upon the lung, and stated that in his opinion it was caused by dislocation of some of the ribs; that
Dr. Ash testified for the plaintiff that he was a practicing physician with 22 years’ experience; that he had examined plaintiff and found evidences of injury to the thorax on the right side between the second and fifth ribs, and there was also a bulge of three ribs which was evidence of an injury to or the fracture thereof. In his opinion the injury was caused by external violence and that such injury could not have resulted from asthma.
Dr. F. 0. Blattner testified for plaintiff that he was a practicing physician and had examined plaintiff and found an enlargement of the right side beginning at the sternum to the end of the intercostal cartilage, where it is connected with the ribs from the second to fourth. He stated that he found a slight depression on the sternum, and that external violence in his opinion. was the cause of that condition, and that no disease would cause that character of deformity.
On cross-examination he, stated that he had seen six cases of broken breastbone and that one case in particular was that of a man who was up and about though his breastbone had been broken three days before; that it is possible to break the breastbone without causing immediate great pain.
Dr. F. Mitchell testified for plaintiff that he was • a physician and surgeon of 40 years’ experience and had experience with asthma. In answer to the hypothetical question based upon testimony adduced with reference to plaintiff’s alleged injury, stated that in his opinion an injury so inflicted could be the cause of asthma.
Dr. Jost was a witness for plaintiff and testified that she was a roommate of plaintiff for a time when they were both attending the defendant school; that she was attending the class in manipulation, which class was being instructed by the defendant, Charles E. Still, and heard . said defendant while talking about rib lesions and vetebra lesions, about the chest and ribs
Mrs. Wenig testified she was a practicing Osteopath and graduated in the same class with plaintiff from the defendant school, and that she had been a roommate of the plaintiff; that she learned of plaintiff’s injury the same day it occured as she had examined plaintiff’s chest and found at that time a depression at the union of the first and second bones of the breastbone, and second, third and fourth ribs on the .right side prominent and bulging at the breastbone and that they were bent at a sharp angle; that she made this examination on the day of the alleged injury and in the evening thereof and in the room occupied by plaintiff and the witness; that the plaintiff had extreme pain the following day; that she heard the defendant, Charles E. Still, say to plaintiff when he was treating her after the injury: "What makes me feel so badly Miss Atkinson, is that T am the cause of all this suffering,” and also heard him say, "just before giving this treatment I had treated a woman of about two hundred pounds and I did not realize that I was using so much force and strength in treating this little woman. ’ ’
Another witness for plaintiff was Dr. Anderson, who testified that he was a physician and connected
There were other witnesses who testified for plaintiff that she was in apparent good health about the time of the fall of 1901 when she went .to attend the defendant school of Osteopathy.
On behalf of the defendants there was abundant testimony which tended to prove that no violence or any injury was done the plaintiff by the defendant, Charles E. Still, and also evidence which tended to prove that the plaintiff was afflicted with asthma when she came to Kirksville in 1901, and that this asthmatic condition progressed until plaintiff became a confirmed asthmatic and that the physical deformities and disease ascribed to the alleged injury in plaintiff’s petition were the natural affects of asthma.
Defendants also adduced expert testimony to show that there were no present signs of the plaintiff’s sternum or ribs having been fractured and that immediate collapse and very severe pain would be the immediate result of an injury such as plaintiff alleges she received at the hands of the defendant, Charles E. Still.
It will be noted that no question is made either in the pleadings or evidence as to the skill or learning of the defendant, Dr. Charles E. Still, in his profession of Osteopathy.
The defendants allege it was error to permit plaintiff to testify that Dr. George Laughlin told her at the time he was making his diagnosis preparatory to giving her a treatment that her ribs were broken like, “a green stick fracture,” on the ground that such testimony was hearsay and prejudicial. But we do not concur in that view. Dr. Laughlin, as well as Dr. A. T. Still, visited the plaintiff at the request of the defendant, Dr. Charles E. Still, a day or two after
It is almost trite to restate the rule that he who employs or permits another to do an act in his place as agent is chargeable by such acts as are done under that authority, and so too, bound by admissions made
The defendants complain that it was error to admit the alleged statements that defendant, Still, while treating plaintiff a day or two after she received her alleged injury, had said: “What makes me feel so badly, Miss Atkinson, is. that I am the cause of all this 'suffering,” and: “Just before giving this treatment I had treated a woman of about 200 pounds and I did not realize that I was using so much force and strength in treating this little woman.” The record shows that objection thereto was made solely on behalf of the defendant school and. on the ground that it was “hearsay and not part of th4 res gestae,” whereupon the court ruled: “Being competent as to the other defendant, objection overruled.” The defendant, by counsel, then objected to the admission of such testimony on the ground it was “hearsay and plaintiff
Clearly, we think, the admissions were admissible as against the defendant Still, and under the state of the record in this ease it is not necessary that we decide whether the statements would have been admissible against the defendant school. The learned trial judge in overruling the objection of the defendant school stated specifically that he held the statement admissible only as against defendant Still. The court did not commit prejudicial error in not instructing the jury, of its own motion, that such statements could be considered by them as effecting the defendant, Still, alone, counsel for defendant school having made no request for such an instruction.
Defendants next assign as error that the plaintiff was permitted against their objection to testify as to a purported conversation between herself and defendant Still, on the ground that such testimony was a self-serving declaration and evidently designed to prejudice the jury, and that such alleged conversation was inadmissible for any purpose. The gist of the alleged conversation which was thus admitted was that plaintiff had therein charged the defendant, Still, with being responsible for her alleged injuries and resultant condition and such charge or accusation was not at the time denied by said Still. It is evident that the conversation was admitted under the rule qui tacet consentiré videtum, and though this ancient maxim is subject to certain qualifications and conditions, and while we have in mind “that nothing can be more dangerous than this kind of evidence” (Phillips v. Towler’s Adm’rs, 23 Mo. l. c. 403), we are constrained in the instant case to hold that under'the circumstances as shown by the record before us the learned trial judge properly permitted plaintiff to state the conversation complained of. Plaintiff and defendant, Still, were alone and said defendant was under neither fear nor restraint nor. does it appear that he was physically disabled from answering. If plaintiff’s
Plaintiff charging said defendant with having injured her by his treatment was certainly a fact concerning which he was immediately concerned and a charge which he presumably understood and comprehended and whether the facts embraced in the charge were true or not no one probably, knew better than he. Said defendant at the time of the conversation, being face to face with plaintiff, such a charge would properly and naturally call for some action in reply from men similarly situated and he was in such a position that he was at liberty to make a reply, if he did not intend to admit it. [Greenleaf on Evidence (16 Ed.), see. 198; Banks v. Nichols, 43 Mo. 385; See, State ex rel. Tiffany v. Ellison (Mo.), 182 S. W. 996 and cases there cited.] The conversation was properly admissible as against- defendant Still and whatever inference his silence under these circumstances may have warranted, was subject to denial by defendant or any explanation in rebuttal by circumstances showing that the silence was due to other motives. [2 Wigmore, Evidence, p. 1261.]
Defendants next assign as error that Dr. Mitchell, a witness for plaintiff, was asked a hypothetical question predicated upon assumed facts upon which the witness was asked whether or not, “in your opinion
We have carefully examined the question and find that it properly covers all the essential facts as appear from the evidence given in support of plaintiff’s case and contains' no assumed fact not warranted by the evidence. In fact the question presupposes a state of facts more favorable to defendants than necessary to meet full compliance with the rule. Every party has the right to put before the jury the scientific inferences projjerly deducible from such facts as the evidence tends to prove and subject to the contingency that the jury shall find such facts, to be as claimed. The rule is that the court will permit counsel to-put to the expert, after his competency has been established, a question in which the things, which the evidence adduced tends to prove, and which counsel claims to have proved, are stated as a hypothesis, and the witness is asked to state and explain the conclusions which, in his opinion, result. Then if the jury should find that the facts assumed in the question have been proven by the evidence, they may use the technical information- and instruction obtained from the expert in determining the ultimate facts; but if - they should find that the facts assumed in the question are not true, then of course the opinions based on them should be wholly disregarded. [11 R. C. L. 578; Russ v. Railroad Co., 112 Mo. 45, 20 S. W. 472; Hicks v. Railroad Co., 124 Mo. 115, 27 S. W. 542; Root v. Railroad Co., 195 Mo. 348, 92 S. W. 621; Lyons v. Street Ry. Co., 153 Mo. 143, 161 S. W. 726.] As for the objection that Dr. Mitchell’s
We come now to the assignment that the court erred in permitting counsel for plaintiff to ask the witness, Dr. Laughlin, the question as to whether or not Hulett (whom the witness had already testified was a. recognized authority among Osteopaths) in his book did not make the statement that, “direct violence may cause depression, in which case there is likely to be a fractured cartilage — occasionally, the row of cartilages on one side will be more prominent than those on the opposite?” The objection made by learned counsel for defendants is that it is “hearsay.” Hulett’s book from which the statement was read, was a book recognized and used as a text- book by the defendant school for years, and the witness in question had so stated and previously thereto had testified that according to the teachings of the defendant school there could be no-fracture of the cartilage of the ribs. There was therefore no error in submitting the question. It is permissible on cross-examination to read to the witness statements contradictory to' his opinions, found in books which he admits to be authoritative, and to ask him to explain the contradiction. This practice is allowed on the theory that the books are referred to merely to test and discredit the knowledge of. the witness. [11 R. C. L. 590; Greenleaf on Evidence, (15 Ed.), p. 579; McDonald v. Ry. Co., 219 Mo. 468,l. c. 492, 118 S. W. 78, and cases there cited.]
Esther Campbell, a witness for plaintiff, was permitted to testify that she had never discovered any indications or symptoms of asthma in plaintiff from 1898 to September, 1901, the month in which plaintiff entered the defendant school as a student. This is assigned as error. Witness was sixty-two years old and had been an asthmatic for years and for the greater
While it is undoubtedly the .rule that a lay witness will not be permitted to attempt a diagnosis, yet in the instant case and under the particular circumstances herein, and in view of the fact that the witness herself for years was a sufferer with asthma, we hold that the admission of the statement that the witness saw no indications or symptoms of asthma in plaintiff during the period preceding plaintiff’s going to Kirksville, was not prejudicial error. [See Norris v. Ry. Co., 239 Mo. 697, l. c. 711, 144 S. W. 783; Kropp v. Ins. Co., 143 Mich. 369, 106 N. W. 1107.]
As to the instructions, it is alleged as error that No. 1, as well as Nos. 2 and 4, given on the part of plaintiff, advised the jury that plaintiff claimed in her petition that the defendant, Still, “crushed, depressed or fractured said gladiolus and fractured the cartilages of the second, third and fourth ribs;” whereas the petition charges that defendant, “broke and crushed plaintiff’s sternum and forced the same in and upon her lungs and bulged and forced out the cartilages of her ribs on the right side of her body into an unnatural position.” Learned counsel for appellants cite us State ex rel. Central Coal & Coke Co. v. Ellison, et al. (Mo.), 195 S. W. 722, and State ex rel. Nat’l Newspaper Ass’n v. Ellison, et al. (Mo.), 176 S. W. 13, and Eads v. Galt Telephone Co. (Mo. App.), 199 S. W. 710, as authorities that what appellants here complain of in said instructions is reversible error. We do not
An instruction which purports to state what a petition claims are the injuries alleged to have been sustained by reason of any negligent act or acts, should correctly set out such alleged injuries. However, when through oversight or mistake the exact language of the petition is not used in describing such alleged injuries, an appellate court will view an error of this kind in light of section 2082, Revised Statutes of Mlissouri, 1909, and determine whether in the given case the matter complained of is error which materially affects the merits of the action; and that would be the case even without any legislative enactment. [See Trainer v. Sphalerite Min. Co., 243 Mo. 359, l. c. 371, 148 S. W. 70.] It is not every error that is prejudicial and “reversible error excludes the consideration of any error or defect not affecting the substantial right of the complaining parties.” [Shinn v. United Railways Co., 248 Mo. 173, 154 S. W. 103; Revised Statutes of Missouri, 1909, sec. 1850.] Just how or wherein the defendants were or could have been prejudiced by the matter complained of is not set out either in the point as made in the brief or in the argument for said defendants who are appellants here. The difference in the wording is more apparent than real. It is true the word “gladiolus” is used in the instruction instead of the word “sternum,” which is used in the petition, but the record is replete with expert medical testimony in which the statement repeatedly appears thaf the
There are several other points of error brought, here. We have carefully examined into each of them and find them without substantial merit cand it is not necessary to burden this opinion with a discussion of them.
Finding no prejudicial error and the judgment being for the right party is to accordingly affirmed.