*1 (1973); McCown, State v. 203 N. W. (1973). 2d 445
The judgment of the District Court is correct is affirmed.
Affirmed. Branch, Dolores J. administratrix estate v. John S. Branch, deceased, appellant, Hubert L. appellee.
Wilkinson, 256 N. 2d 307 W.
Filed June 1977. No. 40893. *2 Jensen, & for appellant. J. Beal of Beal Gregory Brower, Mullin & Hol- Chaloupka, Steenberg, Van for appellee. yoke, J.,
Heard before White, Spencer, Boslaugh, C. JJ. and White, McCown, Clinton, Brodkey, White, C. J. action wrongful brought
This is a death Branch, Dolores J. Administratrix plaintiff, Branch, plain- L. deceased. The of Hubert Estate result of an was killed as a automo- tiff’s decedent Nebraska, on March County, in Morrill bile accident passenger was a plaintiff’s The decedent 1974. owned and oper- The defendant the motor vehicle. the plaintiff alleged vehicle. In her petition, ated intoxication, and speeding including negligence, dam- damages, including general sought special her dece- suffering pain for conscious ages dent. denial and general with a answered
The defendant from evidence derived suppress a motion filed the defendant after from taken samples sustained the defend- Court The District accident. aleo- evidence the blood suppress ant’s motion theory hol test of the defendant the test privilege. was within the The de- denying filed fendant then an amended answer the time he was intoxicated at accident and al- plaintiff’s leging risk, that the decedent assumed the specifications along negligence with other on the part, essence, which, decedent’s were failure to approaching danger warn of and failure to have seat place belt in and fastened. jury.
The case was tried to At the close plaintiff’s case, the defendant moved for a directed verdict. The Court District sustained this motion. trial, filed a motion new which appeals. overruled, and now affirm We judgment of the District Court. plaintiff’s primary appeal contention on con- admissibility
cerns of the results of a blood alco- hol test conducted on blood from taken shortly brought defendant after he had been *3 hospital. The results this of test showed an alcohol percent content of the 0.10 defendant’s blood at sample approximately withdrawn, the time the was 2y2 hours after the accident. The District Court held that missible the results the blood alcohol test were inad- privilege. the
due to plaintiff argues that the blood alcohol test results privileged they that, are, are not if by was waived the defendant. following
The record reveals the facts relevant to taking sample of a blood from the defendant. place approximately The accident on March took at 3:12 a.m. 1974. At 4:11 a.m. Officer Harris Patrol State arrived at the At accident scene. 4:50 a.m. ambulances at arrived the accident scene. Of- accompanied ficer Harris Bridgeport the ambulances to the hospital, they approxi- where arrived at mately 5:30 a.m. Branch was taken to emer- by gency room and attended Dr. to Blackstone. x-ray was taken to the room Wilkinson and attended to Dr. Post. Wilkinson unconscious by was when At trial Dr. Post testified: brought hospital. “I an for made order the usual or profile battery tests to evaluate blood general condition.” Hadden, time, Techologist on call at the stated in a that she was Dr. deposition directed Post to draw Branch, sample a blood from both Wilkinson and that after she sample drew from Wil- kinson, she placed it in the refrigerator. The blood Wilkinson, sample which was tested for alcohol labeled, Wilkinson, Oshkosh, content was “John 5:35 3-9-74, B. a.m. Hadden.” After Dr. Post had been minutes, with Wilkinson for 15 or 20 he was inter- rupted by Nurse Bateman concerning Branch. He Branch, proceeded who died shortly thereafter at 6:07 a.m.
In her deposition, Mrs. Hadden stated that blood alcohol sample from Wilkinson was given to the State Patrol. She stated: “This was the order it, from Dr. Post if they requested it was to be them. given They did it the request following morn- ing.” She stated that she believed Officer Hansen of Patrol, the State who hospital arrived at the shortly arrived, after the ambulances requested the sample. She stated that she did not whether know Officer spoke Hansen to Dr. Post previously concerning not; her he asked the blood sample; and that she it to him. gave Lott,
Roger county attorney County of Morrill at time, that he arrived the hospital testified shortly after Branch had died. He stated that discussed with possibility drinking Officers Harris and Hansen before the three left at 7:39 a.m. scene. Lott testified that inspect the accident he ascertained that a blood alcohol had been *4 taken from and that he had a conversation Wilkinson with one of the State Patrol officers concerning sample of the blood alcohol from Wilkinson. taking that he did not specifically request He stated sample sample doctor to take the but knew that a had been taken. He testified that he had a discus- concerning sion with Officers Harris and Hansen policy respect with to the blood alcohol policy was told that it was the of the State Patrol any patrolman on take blood test state who was in- personal injury fatality volved in either a or acci- personal knowledge dent. Lott stated that he had no that the blood had been obtained the State provided Patrol, but later the State Patrol him with the results of the test. He stated that he was told that Officer Hansen took the test to Scottsbluff and understanding it that was his the test would be ob- hospital morning tained from the and taken to Scottsbluff. deposition, following exchange
In Dr. Post’s place: took your
“Q. patient, In the course of the treatment of you, yourself, any would or have reason need de- patient? sire for a blood alcohol test of the my patients “A. Yes. It is custom that suffer any injury, reason, kind of head for whatever I ask any blood alcohol if there is evidence whatso- * * * Also, ever that it’s needed. we test for diabetes. question Well, you
“Q. was whether or not patient needed the blood alcohol test to treat particular time? entry shortly “A. On thereafter?
“Q. Or thereafter. knowledge “A. I believe the of blood alcohol pertinent important place would have treatment in the patient. this developed, though, “Q. it As whether or not Mr. did Wilkinson have some alcohol content in his blood was not a critical factor? * * “A. This is true support
In an filed affidavit defendant suppress, Dr. Post his motion stated that performed blood alcohol test Wilkinson as a *5 pa- unconscious for an procedure normal diagnostic tient; requested official that no law enforcement Wilkinson; test be taken from that a blood alcohol he had a dis- after the test was taken that sometime Lott, con- county attorney, Roger cussion with taken; he a test had been that cerning whether such taken; that that such a test had been informed Lott Patrol; to him or the State and that it was available him he wanted the test. Lott told The presented: is thus following picture from sample blood was withdrawn Wilkinson at 5:35 a.m., arrived within minutes after the ambulances at Dr. Post that he ordered hospital. testified from Wilkinson. Of- sample the blood be taken hospital ficer Hansen did not arrive at the until 5:42 a.m., after Branch county attorney and the arrived Thus, had died. the time the blood was sample taken, Officer Harris was the law enforcement only person present, having arrived with ambulances. absolutely There is no evidence in the record that Harris Dr. to withdraw the requested Officer Post from Dr. Post sample blood Wilkinson. testified as to the medical reasons a blood obtaining sample Later, Hansen, from Officers Harris and Wilkinson. attorney possibility Lott discussed the of county in the accident. It as- drinking being involved certained that a blood had been taken from sample Wilkinson and was available for a blood alcohol test. Dr. Post made the available to either Lott or sample Patrol, the State and later the State Patrol obtained from and conducted Mrs. Hadden a blood alcohol test on it in Scottsbluff.
The question initially which we must decide on ap- peal whether the District Court was correct suppressing to admit into evidence refusing results of the blood alcohol conducted test taken from the defendant on the ground said contemplation results were within the. the physician-patient privilege. present stating physician-patient statute
privilege
27-504,
1943,
is section
R.
S.
R.
the Ne-
adoption
braska
Rules
Evidence.
Prior to the
privilege
27-504,
R. R.
section
S.
was found
25-1206,
law,
in section
R. R. S. 1943. At common
privilege.
there was no
Simonsen
(1920).
Swenson,
The essential elements which must exist before privilege apply generally the can are to said be as (1) (2) physician-patient relationship: follows: A in- (3) acquired during relationship; formation this and necessity propriety the and of this information to en- physician patient skillfully able the to treat in his professional capacity. privilege apply,
In order to there must physician-patient relationship. exist a This relation- ship by be can formed the fact of treatment an in- jured person by physician. Staat, In State v. Minn. 192 N. W. 2d 192
(1971), hospital physicians it held was that where required give diagnosis to were and treatment to brought defendant hospital was who in unconscious to the emergency room, a relation- confidential ship developed hospi- between defendant and physician. state unconscious The defendant’s
tal relationship. against In Carlton militate did not Angeles County, Superior 261 Cal. Court of Los (1968), Rptr. App. it was held that 2d 67 Cal. patient relationship physician existed be- and motorist, who was taken to the the defendant tween hospital injuries in an sustained ac- for treatment hospital physicians cident, who under- diagnose, examine, and furnish curative took to treatment hospital time of his arrival at the from the relationship discharge. A his until brought clearly Wilkinson, who was existed between hospital unconscious, Dr. Post who was upon him. to examine and treat called The blood from Wilkinson withdrawn Hadden at the direction of Dr. Post. The Mrs. only physi- physician-patient privilege extends not agents cians but to their as well. Co., in Culver R.R.
As stated v. Union Pacific professional assisting physician “A nurse supra: such to whom been made confidential communications have patient agent physician. is an of the stands in the same She relation confidence to the may testify patient permitted not be to such unless has communications been *7 by patient.” waived the
The next to be factor determined is whether the sample blood extraction of a comes within the con- templation privilege. physician-patient of the The privilege protects patient only by not statements made the physician, but also facts obtained physician by Bry- the observation or examination. America, 372, v. ant Modern Woodmen of 86 Neb. 125 (1910). Stapleton Chicago, N. W. 621 In v. B. Q. & Co., it R.R. was held thát when one submits supra, acquired knowledge examination, to an physician so privileged. Freeburg State, is In v. 92 (1912), 346, 138 143 Neb. N. W. it was held that a doc- defendant, tor dressed the who wound of the who
657 incompetent drunkenness, was accused was under reciting physician-patient privi- the statute then testify lege to as to his observations of the defend- during ant’s drunken condition treatment. taking sample patient
The
a blood
from a
clearly
contemplation
physi-
comes within the
of the
cian-patient privilege.
plaintiff
The
cites
Su-
preme
California,
case of
Court
Schmerber v.
384 U.
(1966),
757,
1826,
S.
86 Ct.
S.
of blood is within the con- templation privilege. of the argues physician-patient
privilege apply not does to the results of the blood al- provisions implied cohol test because of the of the statute, 39-669.08, consent section R. R. S. 1943. It pursuant has been that a held secured implied to an consent statute not within information purposes of a statute only because the is taken for blood alcohol diagnosis pa- tests for and not or treatment of e.g., See, Erickson, tient. State W. 2d 854 N. (N.D., 1976). Howard, In State v. 2d 391 N. W. (1975), provisions implied we held: con- “The of the applicable only prosecutions sent are statutes arising alleged offenses been out of acts to have person driving committed was while *8 658 physical
the actual
control of a motor vehicle while
liquor.”
under the influence of alcoholic
We have
implied
also held that for an
consent
to be effective
person
from whom the blood
taken
is
custody
must have been arrested or else taken into
given.
Baker,
before the test
State v.
184 Neb.
(1969); Prigge
724,
Johns,
171 N.
2d 798
W.
(1969).
103,
In Hanlon v. 113 Colo. 160 P. 2d (1945), holding court, in a civil action that was not violated testimony analysis the doctor’s of a blood while he was unconscious showed sufficient blood al- to the effect that an taken from the defendant driver drunkenness, cohol to cause a state of stated that *9 necessary to en- not test was alcohol the blood since properly physician af- the defendant to treat able in obedience accident, made was rather but ter the police officer, request not encom- it was from a to a passed privilege. physician-patient Super. 597, Amaniera, 334 A. 132 J.N. In State v. (1974), police fact the that the court held 2d 398 acting prevented standing by to from and were were ongoing only by request reason of the test a blood being given after to the defendant medical attention emergency hospital treat- for was taken to he pre- following did not accident ment an automobile privi- application of the clude performed lege of for alcohol to the results tests physician’s pursuant blood, the defendant’s reasons. motivated medical order which was Ragsdale State, 296, 432 S. 2d 11 In v. 245 Ark. W. (1968), held that the result of a blood alco- the court purpose pro- on the defendant for the hol test run treating injury, scribing which was sus- his per- in one police in automobile accident which tained an request killed, not at the of a offi- son was attorney, privileged. prosecuting or the was cer (1958), State, E. 239 Ind. 154 N. 2d Alder v. involuntary manslaughter. prosecution for involved a While lying appellant was uncon- in that case hospital, physician on call who was in the a scious appellant sample in order to from the took a blood giving type preparatory him to his blood determine officer, who was A Police State a blood transfusion. physician requested present time, to take at the pur- appellant’s sample him for the blood for of the physi- making pose test. After an alcoholic blood, 15 cubic centimeters had drawn about cian assisting present nurse, who was he instructed him, officer, give Police to the State to one-half it Police the State then forwarded the who appel- analysis. laboratory Indianapolis physi- to allow it error lant contended that was testify cian to that he took the from the appellant privileged. because the transaction was Supreme agreed ap- Court of Indiana with the pellant’s support holding, contention. In of its previous Chicago, decisions, cited one of court its S. Ry. Walas, L. B. & S. Co. v. 192 Ind. 135 N. E. (1922), physician in which it had held that a was precluded testifying opinion from as to his of the de- upon fendant’s intoxicated status based his observa- emergency tions the defendant in the room. We holding note that the Walas case is similar its Freeburg supra. case, State, our The Indiana physician may testify court stated: “If a not from opinion patient observation whether or not in his on whom he was about to perform operation an *10 logically intoxicated, it would seem to follow that a physician may patient’s not, consent, without give sample of his blood which he had drawn ‘in professional police- the course of his business’ to a pur- content, man to ascertain the alcoholic for the pose determining patient of whether or not such intoxicating liq- at the time under the influence of 75, uor.” 239 Ind. at 154N. E. 2d at 720.
The court further stated: “In the case at bar the in patient completely was unconscious and was physician. If, trust and care of the under such cir- physician prohibited by cumstances, statute testifying from as to the intoxicated condition of the patient, prohibit opinion it is our that the statute would also
testimony
physician
concerning
of a
sample
patient
of blood which he took from the
caused to be delivered to the State Police officer to
determining
be
used
the alcoholic content of the
clearly
blood. This
was information obtained
physician ‘in the sick room’ and it was error to over-
testimony concerning
appellant’s objection
rule
the same”
rently stated in section 27-504 R. R. S. privilege the effect that there is no regarding physical, communications relevant patient any mental, or emotional condition of the proceeding patient places in which the his condition issue, claim, into either as an element of his or de- petition plaintiff alleged fense. In her answer, defendant was intoxicated. In his amended the defendant denied that he was under the influence liquor perceptible degree. of alcoholic to a argues denying allegations thus her put physical intoxication, the defendant his condi- privilege regarding tion into issue thus no exists disagree matters relevant to that issue. We with the plaintiff’s contention. Superior Angeles County,
In Carlton v. Court Los here, the court stated: far as “So relevant supraj 996 of the section Evidence Code reads: ‘There is no this under as to a article communication concerning relevant to an issue the condition of the *11 (a) patient by: if issue such has been tendered the * * patient by *.’ Plaintiff contends that his denial allegation complaint the the that defendant was accident, the intoxicated at time of the defendant concerning ‘tendered’ the issue his condition which by be must decided the court at the trial of the ac- * * * agree tion. We cannot with this contention. “We hold that the case before us does not fall exception by plaintiff, within relied and that 662 privilege entitled the benefit of the defendant to
* * App. Rptr. 289, 290, 2d at 67 Cal. Cal. 573. purpose patient-litigant exception behind the
The privilege prevent is to making patient from his condition an element of the dispute, privilege prevent and then invoke the opposing party ascertaining from the true condition patient. exception of the We do not believe that this patient merely be should invoked where the denies allegations by opposing party concerning his adopt plaintiff’s argument, condition. Were we to placed position the defendant would be in the of either admitting plaintiff’s allegations intoxication, foregoing privilege. else We do not believe that physician-litigant exception was intended to such a work result. argued physician-patient priv-
It is that even if the ilege attached blood and the blood al- by results, cohol test it was waived the defendant. plaintiff finds a waiver in instances. two deposition, during defendant, In his examina- plaintiff’s objections, tion counsel and over stated that he was aware that a blood alcohol test had been conducted on him and that his mother and per- father told him that alcohol was 0.10 privi- cent. We do not find this to be a waiver of the lege. State, In Larson v. Neb. N. W. 894 (1912), defendant, it was held that where the without objection, torney upon questions prosecuting answered of the at- relating
cross-examination to treatment physician physician’s opinion his and the of his physician-pa- condition there was no waiver of the privilege by tient the defendant. also contends the defendant presence when,
waived the in his and the presence Roger county counsel, Lott, of his Morrill attorney, during read into the record the coroner’s inquest into L. Branch the death of Hubert the re- *12 suits of the hlood alcohol test conducted on the blood plaintiff obtained from the defendant. The argues object that defendant’s failure to constituted waiver. After the blood alcohol test results were county attorney, read into the record county attorney gave opportunity counsel objections. opportunity, make however, This re- reading lated not to the of the blood alcohol test re- record, sults into the but rather to the back half of report put an accident into the record at the same time. This was not a waiver. according waiver, generally accepted
‘‘A voluntary definition, relinquish- is the and intentional right, privilege.” claim, ment of a known 28 Am. Estoppel 2d, p. Waiver, ap- Jur. § 836. It is parent from the record that the blood alcohol test people. results of Wilkinson were known to numerous any record, however, is devoid of indication that any the defendant had control over the dissemina- opportunity information, pre- tion this to halt or approved it, or vent that he it. There is no evidence in the record that the defendant ever made the re- persons. sults of test known to third Finding the taken from the de- fendant the results of the blood alcohol test are privilege, failing within any privilege by find waiver of defendant, it grant- follows that the District Court was correct ing suppress the defendant’s motion to and in refus- ing to allow the test results to come into evidence. or not the
Next to be determined is whether defend- was entitled to the directed verdict he obtained ant plaintiff’s for the close of the case. rules after of this matter were stated in Collins v. our review Supply Co., 2d Herman Nut & 195Neb. 240 N. W. “ (1976): testing sufficiency ‘In of the evidence determining propriety verdict, of a directed facts is entitled to have all controverted favor, to have the resolved her and she is entitled every reasonably benefits of inference that can be ** * drawn from the evidence. Where the facts ad- duced to sustain an are issue such that but one con- applicable can be clusion drawn when related to the duty question law, it is the of the court to decide the ” *13 jury.’ as a matter of law and not submit it to a recover, In order for the to she had to show that the defendant was either intoxicated or guilty gross negligence. p.m. plaintiff’s 8, 1974,
Around 11 on March the de- together cedent and the defendant were observed at lounge Club, by Cynthia Kay Gering, the Stable Nebraska, a restaurant Baum and several of her girl friends, Earle, friends. One of these Joan testi- drinking fied that the defendant was a beer when she first observed him and that he ordered another beer evening. drinking “Olympia” later that He was Branch, recalled, beer. she had a mixed drink and Branch, did not order son, a beer. John decedent’s pre- testified beer, that his father never drank but Cynthia Kay expressed ferred mixed drinks. Baum opinion her that neither Branch nor the defendant appeared they to be intoxicated when all left the approximately Stable Club at 1:15 a.m. She did not anything see pack- out, the defendant take such as aged liquor. upon that, Joan Earle testified based her defendant, observations of the “I didn’t feel he was at all intoxicated.” She did not see the defend- buy any they ant beer to take out when left. happened There is no evidence as to what between a.m., 1:15 a.m. and 3:12 the time of the accident. It approximately Bridge- 45 miles from Scottsbluff to port, approximately Bridgeport 25 miles from to the Harris, scene of the accident. Officer who first accompanied arrived at the accident scene and hospital, ambulances smelled to the testified that he had not any any odor of alcohol or seen evidence of Kling alcohol in the car. Officer who arrived at the help Harris, scene to Officer and who remained be- left, hind after the ambulances observed two full “Olympia” beer in car. Two three cans empty “Olympia” also
cans were observed proximity Post, of the Dr. vehicle sometime later. upon defendant, was called who treat stated detecting he did not remember that odor alco- upon hol while defendant’s breath he was treat- ing him.
The evidence adduced on the issue of intoxication
totally
insufficient
to warrant submission of that
jury.
jury finding,
upon
issue to the
A
based
evidence,
above
the defendant was intoxicated
only
at
time of the accident could
be the result of
speculation
conjecture.
evidence,
There was no
concerning
all,
effect
the defendant of the
Raskey
alcohol he consumed. As was stated in
(1970):
Hulewicz,
The mere of a one-car ac- bridge not, cident with a or culvert abutment does as justify gross negli- law, a matter of an inference of gence under our decisions.
Resolving
plaintiff,
all
inferences
favor of the
as
required
gross negli-
do,
arewe
we cannot
infer
gence
foregoing
from the
facts. There is no evi-
as to
dence
what caused this accident. The inference
strong
negligence,
any,
that defendant’s
if
momentary
Pawling,
supra;
in nature. Luther v.
Brugh
Peterson,
183 Neb.
The District Court was correct the de- *15 fendant’s motion for a directed verdict.
We have examined the other issues raised plaintiff and find them either to be without merit light holdings, unnecessary or, of our above discuss. judgment
The of the District Court is correct and is affirmed. Affirmed. dissenting. J., C.
White, Thomas, momentary The doctrine of inattention is now ex- justify tended to the direction of a verdict the fol- lowing facts:
(1) open highway slight On a curve, clear with a operates host driver car his 468 feet on the shoulder highway, upon of a comes back and then across the right-hand lane, impacts lane, into the left-hand bridge with a abutment on the left-hand side.
(2) through collision, After the the car travels ground, feet, air 69 strikes the travels another 36 feet through air, and lands and either rolls travels through the air another 31 feet.
(3) engine totally of the car is torn from the lying car, 3 to 4 feet from the car. The car demol- ished.
juryA could find from the circumstances easily (1) following negligence: acts recited Unrea- (2) speed circumstances; sonable under the failure (3) proper lookout; to exercise a failure to have proper the vehicle under control. defendant, as called a hostile witness
plaintiff, interroga- admitted that in his answers to expert testify tories he his stated witness would speed of defendant’s automobile could not have ex- per hour, which, 64.1 ceeded miles another act if the support finding submitted, cause had been would negligence. negligence alleged, The several acts of when con- together, support fairly finding sidered would gross negligence had the cause submitted. been See Mattson, Demont v. 196 N. 2d 190. W. majority opinion, In view of the decision *16 relating discussion unnecessary and dicta. adequate proof in the no offer of trial
There was merely prove offered to the not court. weight percent and did of alcohol the blood expert testimony prove by the effect suitable offer thereof. Raskey Hulewicz, 608, 177 N. v. W. 744. 2d conjunction
“If be relevant with evidence would yet record, not in the the offer should be other facts prove accompanied facts an offer to those at the proper p. S., See, Trial, time.” § 88 C. J. 185. (2d p. also, Evidence, Ed., § McCormick on 1972). admissibility of alcohol
The issue of the blood test properly us not is not before and should have results been considered. join JJ., in this dissent. Clinton,
McCown America, AFL-CIO, Communication Workers City municipal appellee, Hastings, Nebraska, appellants. al., corporation, et 254 N. W. 2d 15, 1977. 41041.
Filed June No.
