184 Iowa 1219 | Iowa | 1918
Lead Opinion
The deceased, previously to May 30, 1916, had enjoyed good health, and had worked in a livery barn, and generally at manual labor about town. On that day, he was engaged, with one Steil, in moving ashes, as stated. The ashes were carried in a two-bushel washtub. After a few tubs of ashes had been removed, it was thought that the wagon was not close enough to the sidewalk, and the two took hold of the wheels, — Budde, the wheel nearest the sidewalk, — and slid it over. This was easily done, as the lawn was newly made and slippery. Two planks were then so placed as to extend from the sidewalk to the reach, so .that Budde could walk up them to empty the ashes in the wagon, and he carried the tub, having two handles, resting against his stomach. Sometime during the forenoon, he complained that the tubs were being loaded too heavily, and thereafter, Steil placed about 100 pounds of ashes in each, instead of 150 pounds, as he had been doing. The work was completed at twelve o’clock, and together they walked away to dinner. A brother of deceased’s saw him lying on a lounge, about 20 minutes later, with his hands over the pit of his stomach, “very pale, and as though in great pain,” and saying that he did not care for dinner. Steil met him at about one o’clock P. M., when he appeared pale, “like he was sick,” and holding his hand over the pit of his stomach. He suffered pain in his right .side for some weeks, gradually growing worse.
On the same day, at about eight o’clock in the evening, he consulted Dr. Hanske, when, according to the doctor, he complained of pain in his abdomen, showed some prostration; and, on examination, it was found that he had “a-little discoloration over the central portion of the abdomen.” There was continuous rigidity of the muscles, muscular spasms, and the pulse, was accelerated, and there was a
“Q. Basing your answer on your previous knowledge of Mr. Budde’s physical condition, and the fact that he had septicemia, what would you say was the cause of that septicemia, — what produced that? A. There was some external force that produced that condition, in my estimation.”
On post-mortem examination, evidence of peritonitis fibrin and flakes was found in the lower pelvis, indicating that deceased had peritonitis. About two feet from the ileocaecal valve, there was a kink in the bowel, that showed fibrous adhesions, indicating inflammation there. The spleen was considerably enlarged, and hard. The pancreas also was enlarged, and at the- opening into the small intestine was an abscess, the size of a goose egg.
“Q. What, Doctor, could produce, or rather, what would naturally produce, the kink in the bowel which you discovered there in the post mortem? A. An injury could produce it, an ulcer could produce it, or any portion of the bowel that the mucous surface had been injured, or any condition that would produce an inflammatory change in the intestines might produce it through inflammation caused by contractions. Q. Now, Doctor, what would be the outward
Dr. Dennison had observed deceased from May 30th on, and was of opinion^that he was suffering from peritoneal abscess or typhoid fever; that he gave evidence of pain and prostration and peritonitis; that, at the post mortem, “there were fibrin and flocculus deposited in the fluid of the abdomen and generally, as had been testified by Dr. Hanske.” This physician was of the opinion that the septicemia was caused by a microbic invasion from where the kink in the bowel occurred, “where there was evidence of inflammation, deposits of fibrin and adhesions;” and testified that:
“There are numerous causes for kinks in the bowel, one of which is injury, traumatism, and strain, unnatural peristalsis (meaning ‘worm-like action of the bowels’). Excessive laxatives will sometimes cause the same thing. Q. Doctor, you may state whether or not, under this statement of facts, the kink in the bowel, such as you found and discovered there on post mortem, could have been produced,— that is, where a man 32 years of age, weighing 140 or 145 pounds, 5 feet 8 inches high, engaged in carrying baskets of ashes weighing from 100 and 150 pounds, by holding the basket against his abdomen and carrying it 40 feet to a wagon, and dropping it into the wagon, — whether that could have produced a kink of the bowel such as you describe. A. Such a condition could have been produced in that way.”
On cross-examination, he testified that the loop in the bowel could have been caused by carrying heavy weight, although he could not tell it, and that:
“There are instances on record of the same conditions*1225 producing the same results. Q. That is, an unusual strain upon the muscles? A. I judge it is more of a twist, that one gets into, — would be required to do that than ordinary lifting. Q. That is, the twisting of the muscles in an unusual position ? A. A pressure on the abdominal contents.”
He thought a kink might be caused by “increased vermicular action of the bowels,” or by the “natural spasmodic movement of the bowels,” or “from a weakness in the wall of the gut,” or “from gas formation,” as from “fermentation of food or other things,” or “external violence,”' or from “injuries.”
“Q. If there were peritonitis or septicemia in the bowel, it might cause the loop in the bowel, might it not? A. Well, a loop might occur with those conditions. I don’t say that' it would be the cause of it, but it might occur With it.”
He testified, also, that the inflammation would be produced by the loop, and that, “if peritonitis with the resulting fluids thrown out, it would be possible for that to glue itself on or to become adhered and so kink.”
Dr. Smith also testified as an expert, and thought that the mere carrying of the ashes would not “ordinarily cause decedent any trouble.”
A hypothetical question reciting the facts was then propounded to the witness, and he was asked:
“What do you say, in your judgment, as to whether, in the carrying of the ashes, he in some way injured the intestines? A. My opinion would be, there must be some external cause that produced the conditions described.” -
The doctor was then asked to base his opinion on the assumption that deceased was in good health, a man of 32 years, engaged in moving ashes, as he was, carrying them in a tub, resting against his abdomen, from the window to the sidewalk and up to the boards which stretched to the reach of the wagon, and that the post mortem revealed a kink in the bowel, — what he would say produced
The physician agreed that the loop of the bowel was the primary cause, resulting in septicemia, which produced other conditions mentioned. From this evidence, then, the jury might have found that, when Budde began the removal of the ashes, he was sound in body; that, within a few minutes after he ceased work at noon, he was afflicted with great pain in the abdomen, over the central portion of which there was “a little discoloration;” that his bowel had, in some manner, become looped; and that this was the cause of his death. While" such looping may have been caused otherwise, the physicians were of the opinion that, in this case, it was due to external violence. Such opinions were held admissible in State v. Hessenius, 165 Iowa 415. Of course, an expert may not express an opinion as to what produced the kink in the bowel, as was, in substance, asked of Dr. Smith; for that was precisely what- the jury was to determine, and was not the subject of expert "evidence. Such was the holding in Sever v. Minneapolis & St. L. R. Co., 156 Iowa 664, and other like decisions. The jury, then, might have concluded that the loop of the bowel wasTconsequent upon some external violence, and that, as deceased was in apparent good health in the morning, he suffered from such violence in the forenoon of May 30th, and while he was engaged in moving the wagon, or carrying the ashes. But such work ordinarily would not produce such a result.
“It must be presumed not only that the deceased intended to alight safely, but thought that he would. The jury were, on all the evidence, at liberty to say that it was an accident that he did not. The court properly instructed them that the jumping off the platform was the means*1228 by which the injury, if any, was sustained, — -was caused; that the question was, whether there was anything accidental, unforeseen, involuntary, unexpected, in the act of jumping, from the time the deceased left the platform until he alighted on the ground; that the term 'accidental’ was used in the policy in its ordinary, popular sense, as meaning ‘happening by chance; unexpectedly taking place; not according to the usual course of things; or not as expected;’ that, if a result is such as follows from ordinary means, voluntarily employed, in a not unusual or unexpected way, it cannot be called a result effected by accidental means; but that if, in the act which precedes the injury, something unforeseen, unexpected, unusual,' occurs, which produces the injury, then the injury has resulted through accidental means. The jury were further told, no exception being taken, that, in considering the case, they ought not to adopt theories without proof, or substitute bare possibility for positive evidence of facts testified to by credible witnesses; that, where the weight of credible testimony proved the existence of a fact, it should be accepted as a fact in the cape; but that where, if at all, proof was wanting, and the deficiency remained throughout the case, the allegation of fact should not be deemed established.”
In Martin v. Travelers’ Ins. Co., 1 Fost. & F. 505, the insured, in the course of his business, lifted a heavy weight, and injured his spine. Recovery was permitted, over objections that he had not sustained the injury by reason of an accident. This was a case at nisi prius, but is cited with approval in the opinion in the Barry case. See, also, North American Life and Acc. Ins. Co. v. Burroughs, 69 Pa. St. 43 (8 Am. Rep. 212); Lickleider v. Iowa St. Trav. Men’s Assn., 184 Iowa 423.
In Standard Life and Acc. Ins. Co. v. Schmaltz, 66 Ark. 588 (74 Am. St. 112), it appeared that the assured, Schmaltz, was a strong, healthy man, weighing about 170
In Horsfall v. Pacific Mut. Life Ins. Co., 32 Wash. 132 (98 Am. St. 846), the insured was a strong and apparently healthy man of 58, accustomed to lift from 200 to 250 pounds without difficulty; and, immediately after he had lifted one end of a bar weighing from 350 to 400 pounds, he became sick and “deathly pale.” His extremities became cold; perspiration stood on his face. The exertion had caused violent dilation of the heart. The court held that:
“The result certainly was unexpected. It did not take place according to the usual course of things. If, instead of a sprain of the muscles of the heart, the deceased had sprained the muscles of his back, or arm, or ankle, it certainly could not have been reasonably claimed that the result was not due to accident. The fact that the heart was dilated or ruptured was none the less an accident, according to the usual acceptation of the term, and according to*1230 the definition above given. We think the evidence shows an accident, within the meaning of the policy.”
In Atlantic Acc. Assn. v. Alexander, 104 Ga. 709 (42 L. R. A. 188), the insured was a hale, hearty man, whose occupation was that of a blacksmith. He had occasion to use a heavy sledge-hammer, and had done so many times, in the course of business. On the occasion in question, in striking a slanting blow, he suddenly felt a severe pain in the lower part of his abdomen. The injury proved to be a rupture, producing hernia, which injury resulted in death, after a few days. In holding that a case was made out for the jury, the court said:
“Taking all the facts together, the fact of his previous good health, the fact that he had many times before used the hammer, the sudden pain after the blow of the hammer, and other facts which appeared, the jury could properly infer that the act which preceded the injury was something unforeseen, unexpected, and unusual, and that the injury resulted directly and immediately from such act, and was, therefore, produced by external, violent, and accidental means.”
In Ludwig v. Preferred Acc. Ins. Co., 113 Minn. 510 (130 N. W. 5), the insured appears to have been without physical infirmities; and, during the fifth or sixth inning in a game of baseball, attempted to “steal. second,” and slid, head foremost, on his stomach, the last nine or ten feet of the distance, stopping with his stomach over and upon the second base, which consisted of a piece of cement sidewalk paving block or slab, about 2 inches thick and 12 inches square, rough on one edge and smooth oh the others. He was declared “out,” and, according to some testimony, “stopped with his arms across his stomach.” In walking back, he indicated that he was hurt, and where, but continued to play until the end of the game, though manifesting pain. A day or two later, a physician was called. He
These authorities amply sustain our conclusion that a jury might have found the death of Budde to have been caused by external, violent, and accidental means. The holding in Feder v. Iowa St. Trav. Men’s Assn., 107 Iowa 538, save on careful reading, would seem adverse to this conclusion; but there, the assured was suffering from tuberculosis, and, though his health had been improved by treatment, he was still in a debilitated condition. Preparatory to leaving the room in which he was, he went to the window to close the shutters, and, in attempting to do so, stood on his toes, and reached over the chair toward the shutter, and, as he did so, blood began to flow from his mouth. He died within a few minutes. Manifestly, he was incapable of making much effort physically, without subjecting himself to injury. The effort to 'close the shutters, which could not have required much exertion, ruptured the artery. So far as it appears, he may not ever have made such an undertaking before. These facts distinguish the case from that at bar. Here, the deceased was in good health, and strong, and engaged in
Defendant moved to strike j out this answer as a merely voluntary statement, hearsay, and for that reason incompetent, as a self-serving declaration. This motion was sustained. A like ruling was made in the course of the examination of a brother of deceased’s. Both rulings are to be approved, on the grounds that the answers disclose that the assured was merely expressing an opinion as to how he was injured, and in any event, relating a past happening. The authorities are agreed that, in these circumstances, what may be said is not to be regarded as part of the res gestae. —Reversed.
Dissenting Opinion
(dissenting). I. The defendant issued a policy to decedent, agreeing to indemnify “against loss of life resulting, from bodily injuries effected, directly and in
To the same effect, and, in effect, overruled by the majority without mention, is Doyle v. Willcockson, 184 Iowa 757; Gibson v. Iowa, Legion of Honor, 178 Iowa 1156; Ball v. Davenport, 170 Iowa 33; Seymour v. Chicago & N. W. R. Co., 181 Iowa 218; Koontz v. Iowa City St. Bank, 183 Iowa 1353; and Thomas v. Long, 182 Iowa 859. Indeed, the majority overrules ten thousand decisions, and every text on the subject of plea and proof. I could well be accused of pedantry for indulging in elaborate argument or citation on the proposition that the recovery is limited by the petition, and cannot be had without proof of the petition, were I not justified in so doing by the astonishing fact that the majority has challenged and destroyed this rule. In the last analysis, the opinion recurs in type to that apocryphal Irish jury that found the defendant guilty of murder, though the alleged corpse walked into the court room before the jury retired, and who explained the verdict with a statement that the jury knew the defendant had stolen a widow’s cow.
1-a
It follows no opinion testimony to the effect that conditions found on the autopsy were due to “some” external cause is of weight; and that it is of no importance that the spleen was hard and considerably enlarged; neither spleen or any injury to it is mentioned in the petition. So of a kink found in the bowel. Moreover, if this lack of plea as to
II. The next difference is because, in my opinion, the majority holds that plaintiff had a jury case on an allegation that an abscess of the pancreas was the sole cause of death, although there is no evidence that either such abscess or anything else was the sole or any cause of the death. I do not understand it to be matter of common knowledge that any abscess of the pancreas is necessarily lethal, or that any presumption exists that it was any cause of the death. If the objection that other things found on the autopsy are not pleaded be passed, there is no evidence that these were the sole cause or any cause of the death. In fact, the plaintiff expended all his force on proving the cause of what the autopsy disclosed, and made no effort to prove the relation of these to the death. In my opinion, the plaintiff must be defeated because he has no evidence of what did cause the death of his assured.
III. On the theory of the opinion, it is idle to consider what relevant testimony there is. But I think the inquiry is a controlling one. I am content to demur to the facts set out in the opinion of the majority, and think the
IV. There could not well be a more effective confession of error than is furnished by an avoidance argument made by the majority. That is, since counsel for appellee has made no argument in this court, except to claim that defendant is under no liability, appellee has conceded that a directed verdict is erroneous which holds that there is no liability under the petition. If one assume the ruling below was that there was no liability, that includes holding there is no liability on the petition. Were that so, the relief due on appeal would be to limit the decision below to one that there is no liability on the petition. If counsel for appellee made no argument, a correct judgment would not be annulled because such judgment was accompanied by an erroneous judgment. And so of a claim in argument by appellee that defendant was under no liability. The most that could effect is that we should not sustain the claim in so far as it is too broad. That appellee claims more than he is entitled to, is no warrant for holding he has conceded away what he is entitled to. The majority has made it the safer course for the appellee to offer no aid to the court. The sole justification for resorting to such a startling rule of appellate practice is, “any port in a storm.”