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Bolles v. Kinton
263 P. 26
Colo.
1928
Check Treatment
Mb. Justice Denison

delivered the opinion of the court.

Mbs. Kinton had a verdict and judgment against Doctors Bolles and Starks, osteopathic physicians, jointly, for $6,250 for negligently treating her broken hip.

' The defendants appear separately, but since their arguments on the merits are substantially the same we may treat them together,

*149 Doctor Bolles claims that there was no joint tort. It seems to us clear that there wаs a joint tort if any. Doctor Bolles was employed, she immediately called in Doctor Starks, who was her son-in-law and lived and offieed with her; plaintiff accepted the serviсes of both and they together made diagnosis and they treated her; several times they treated her together. Doctor Bolles says she ceased her connection with the case after a few visits, but she did not so notify plaintiff. She continued to consult and advise with Doctor Starks about the case and a bill for all the services was sent in her name on hеr bill head. There is in this evidence more than room for the conclusion that the employment was joint and that the services were jointly performed. A physician cannot discharge a case and relieve himself of responsibility for it by simply staying away without notice to the patient. Ballou v. Prescott, 64 Me. 305; Williams v. Gilman, 71 Me. 21; Gerken v. Plimpton, 70 N. Y. Supp. 793; Gillette v. Tucker, 67 O. St. 106, 123, 65 N. E. 865, 93 Am. St. Rep. 639, citing the Maine cases; Mucci v. Houghton, 89 Ia. 608, 611, 57 N. W. 305.

When two person owe the same duty and their acts tend to the same brеach of ‍​​‌‌​‌​‌‌‌‌‌‌​‌‌‌‌​‌​​​‌‌​‌​‌‌​​‌‌​‌‌​​​‌‌​​​‌​‌‍duty, the wrong may be regarded as joint, and both may be held liable. Hawkesworth v. Thompson, 98 Mass. 77, 93 Am. Dec. 137; Economy L. & P. Co. v. Hiller, 203 Ill. 518, 520, 68 N. E. 72. Here the defendants owed the same duty, i. e., ordinary skill and care in diagnosis and treatment. Their primary errоr, if any, was in diagnosis, and wrong treatment resulted. This treatment was made by them' partly together, a little by Doctor Bolles and mostly by Doctor Starks, but since, as shown above, they were emрloyed by the patient together, made diagnosis together and treated together, without withdrawal by or discharge of either, they must both be regarded as responsible for negligenсe if there was any.

*150 It is insisted that there was no negligence, but it seems clear that there was enough evidence to go to the jury on that point.

The essential facts, either undisputеd or so shown as to justify the jury in finding them, are that plaintiff fell, severely bruised her left hip and broke the neck of the femur. Doctor Bolles was called, sent for Doctor Starks, and said the bоne might be broken, and they considered the X-ray. They came the next day, made a diagnosis of mere contusion, decided the X-ray unnecessary and thenceforward treated the injury accordingly, although the leg was perceptibly shortened and the foot everted. They deny shortening and eversion, but there is both direct and circumstantial evidence thаt both existed and that they both (Doctor Starks frequently as the case progressed) saw both these symptoms, that Doctor Starks frequently pulled the leg to avoid shortening, which could.nоt occur without fracture or dislocation, yet they continued treatment as if there were no fracture. Shortening of the leg and eversion of the foot are strong if not deсisive indications of fracture and so regarded by osteopathic doctors as both the defendants testified.

Notwithstanding these conditions the defendants continued the treatmеnt as for mere contusion for about seven weeks, when other practitioners were employed, the defendants discharged, X-ray photographs taken, the break discovered and an operation performed of bone grafting to unite the broken ends, which ‍​​‌‌​‌​‌‌‌‌‌‌​‌‌‌‌​‌​​​‌‌​‌​‌‌​​‌‌​‌‌​​​‌‌​​​‌​‌‍from the long delay in setting had been absorbed and become too far apart fоr ordinary setting. If the jury believed this they had to give a verdict for plaintiff. Of all this the only material point in question is whether there was shortening and eversion, upon which we must take the jury’s answer.

It is claimed, however, that a physician is required to make diagnosis and give treatment according to the practice of the school of medicine to which he belongs, and that to hold him responsible in these respects it must be *151 shown that he did not use- the ordinary skill and care of his school. This is true. It is also claimed that there is no such showing here. This is a mistake, because the defendants themselves testify that the osteopathic diagnosis regards shortening and eversion as strong evidence of fracture and that their practice сalls for X-ray in case of doubt. This, with the evidence of these symptoms, stated above, makes complete the evidence that defendants did not use the ordinary methods of thеir own school in diagnosis or did not heed the manifest indications regarded by that school as of weighty import, which should at least have suggested making the matter certain by X-ray or other final test.

It is insisted that no osteopathist has testified that what the defendants did or failed to do as osteopathic physicians was wrong from an osteopathic standpoint. This is аnswered by what we have just said.

It is claimed that the damages were excessive; but-the evidence is of excruciating pain for a long time, great expense and further pain in the bone grafting and a probability ‍​​‌‌​‌​‌‌‌‌‌‌​‌‌‌‌​‌​​​‌‌​‌​‌‌​​‌‌​‌‌​​​‌‌​​​‌​‌‍of partial crippling for life, most of which prompt setting of the bone would have avoided. We cannot say that the sum-of $6,250 exceeds a rеasonable compensation for this.

The defendants on cross-examination introduced a bill, sent to the attorneys for plaintiff,' by the witness Doctor YanPatten, who performеd the bone-grafting- operation. It ■ stated $1,000, unitemized, ■ as the amount due for services in the operation to him and to two -assistants, Doctors Winemiller and'Collins. It stated nothing about services by any one else. Doctor YanPatten testified, however, that he expected, out of the $1,000, to pay Doctor Spears something for some- assistance which he gave and to pay for the X-ray work, and a Doctor Wunsch testified that he was to be paid by Doctor YanPatten something for t¿Hng X-ray photographs. The bill is unpaid. C. L.' § 4566 provides that “if any рerson hold1 ing a license to practice medicine * * * issued by the *152 state board of medical examiners * * * shall make a joint or lump or gross charge or present a bill or rеquest a payment for a joint or lump or gross account for services rendered by him as * * * surgeon * * * without itemizing the amount charged or requested for the services rendered by each physician * * * whose services are included in such joint or lump or gross charge or bill * * * such physician * # * shall be deemed guilty of a misdemeanor and upon ‍​​‌‌​‌​‌‌‌‌‌‌​‌‌‌‌​‌​​​‌‌​‌​‌‌​​‌‌​‌‌​​​‌‌​​​‌​‌‍conviction thereоf shall be punished by” fine or imprisonment.

The plaintiffs in error say that Doctor VanPatten’s bill violates this statute because it does not specify Doctor Spears and Doctor Wunsсh’s charges; and claim that since the bill presented violates the statute no part of it could be made the basis of any damages to be recovered by plaintiff. The only way, however, by which that conclusion can be reached is to say that by reason of the unlawful form of the bill the plaintiff is no longer liable for the services of her doctors. We seriously doubt whether such proposition is true, but we are relieved from deciding the question because the defendants introduced the bill in evidence and cannot therefore assign error for its admission, and the requested instruction on this point contained advice to the jury as to other violations of the same section concerning which there was no еvidence: e. g., the statute forbids a physician to give any one anything for bringing him the case, and there is no evidence that Doctor VanPatten did this. It would have been error, therefоre, ■ to give the whole instruction, and one who tenders an instruction partly faulty cannot complain if the court does not correct, but refuses it.'

It is claimed that the jury should have been instructed that the plaintiff could not recover damages for loss of her ability to. act as housewife because her services as such belong to her husband. This court has held or approved thé proposition that a married woman has *153 the right to recover for her inability to labor independently of her husband’s right to recover for the loss of her time. She does not recover for her lost time which belongs to her husband but for the inconvenience to herself. This seems to have been fairly left to the jury with no exception takеn and no further instruction on that point requested. C. S. & I. Ry. Co. v. Nichols, 41 Colo. 272, 276, 92 Pac. 691, 20 L. R. A. (N. S.) 215.

The plaintiff’s counsel was permitted to ask the jurymen on voir dire whether any of them were interested in a certain insurance company. This was proper. The plaintiff had a right to ascertain the fact as to their interest. True, counsel may have had a desire ‍​​‌‌​‌​‌‌‌‌‌‌​‌‌‌‌​‌​​​‌‌​‌​‌‌​​‌‌​‌‌​​​‌‌​​​‌​‌‍to let the jury know that defendants carried liаbility insurance, but we do not see how he or the court could have treated the matter more fairly. All argument was in chambers and the court restricted the examination on this point to the one simple question. Vindicator C. G. M. Co. v. Firstbrook, 36 Colo. 498, 86 Pac. 313, 10 Ann. Cas. 1108; Cripple Creek Mining Co. v. Brabant, 37 Colo. 423, 426, 87 Pac. 794; Independence C. & S. Co. v. Kalkman, 61 Colo. 98, 156 Pac. 135; Tatarsky v. Smith, 78 Colo. 491, 494, 495, 242 Pac. 971.

Judgment affirmed.

Mr. Justice Campbell and Mr. Justice An a ms dissent.

Case Details

Case Name: Bolles v. Kinton
Court Name: Supreme Court of Colorado
Date Published: Jan 3, 1928
Citation: 263 P. 26
Docket Number: No. 11,745.
Court Abbreviation: Colo.
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