HAROLD FRISNEGGER, PLAINTIFF AND APPELLANT, v. HARRY C. GIBSON, DEFENDANT AND RESPONDENT.
No. 14189.
Supreme Court of Montana
Submitted Feb. 5, 1979. Decided Aug. 1, 1979.
598 P.2d 574
Hash, Jellison, O‘Brien & Bаrtlett, Kalispell, Kenneth E. O‘Brien, argued, Kalispell, for plaintiff and appellant.
Hoyt & Lewis, Great Falls, John Hoyt, argued, Great Falls, for defendant and respondent.
This is an appeal by Dr. Harry C. Gibson, an ophthalmologist of Kalispell, Montana, from a judgment of $175,000 against him in favor of the plaintiff, Harold M. Frisnegger on a malpractice claim.
Dr. Gibson admitted liability during the course of the trial. In his appeal from the judgment in the District Court, Eleventh Judicial District, Flathead County, he contends that the damage award was excessive, and is not supported by the evidence; and that the jury was improperly instructed by the trial court.
On October 16, 1975, Frisnegger had a chalazion, a small growth, in the middle of his left upper eyelid. He went to the office of Dr. Gibson for the removal of the growth. Dr. Gibson said he was in a hurry, but agreed to perform the removal.
Dr. Gibson applied an anesthetic to his left eye area but the first administration of the anesthetic seemed ineffective. On his second attempt to administer an anesthetic with a needle and syringe, the doctor inserted the needle directly into Frisnegger‘s eye and lens. The chalazion was removed. Frisnegger did not know that the needle had been inserted directly into his eye. He was given some salve to take several times a day to keep down infection and was told to return to the doctor on October 23, 1975.
In the interim, Frisnegger triеd to go hunting, but his left eye vision was blurry and became cloudy, so that he had to return home.
On October 23, 1975, Frisnegger saw the doctor for three hours and was sent by the doctor to a hospital for x-rays and then to another ophthalmologist, Dr. John Stephan, who told Frisnegger that his eye had been pierced.
On the following afternoon Dr. Gibson told Frisnegger that he had slipped with the needle and that the eye would probably get worse. He told Frisnegger he was entitled to compensation. When Frisnegger was told this, he became very agitated and walked out. The doctor‘s notes indicate “he became quite agitated (justifiably).”
Frisnegger was 51 years old at the time of the incident. He had worked formerly as an assistant service manager in an automobile shop in Great Falls and at the time of the incident was working as the service manager at an automobile shop in Kalispell. His job involved about 60% paperwork. He felt that he had reached the top of his career at the auto service shop. Before the accident, he involved himself in such things as tying flies, doing carpentry work and kept himself busy doing things, and working and playing with his family. He was particularly fond of hunting and snowmobiling.
After the incident, the cataract formed immediately. He has become nervous and tense, gets angry quickly, is irritable, and does not spend much time with his family because he now brings home work so that he can do it in the evening. He finds that in connection with his work at the auto service shop, he is unable to work a full shift because his eyes get tired and he must stop to rest his eyes. He gets headaches in the afternoon, so that his work takes him a couple of extra hours each day.
He does not seem to be able to relax; he does not enjoy fishing and hunting. On weekends, he rests up and relaxes so that at the beginning of the week he is again refreshed but tires out and becomes tense and irritable by the end of the week. He is worried about being able to maintain his job; he worries about his good eye; he is unsteady on his feet and stumbles.
Five medical persons testified during the trial. Dr. Gordon Larson and Dr. Herman Albert Walters testified on behalf of the planintiff; Dr. Charles L. Gates, Dr. Allen S. Quint, and the defendant Dr. Gibson testified on behalf of the defendant.
Dr. Gordon Larson is a Spokane ophthalmologist. He qualified as an expert on the removal of eye cataracts. He stated a cataract operation involves the removal of thе eye lens. The operation itself
Dr. Herman Albert Walters is a clinical psychologist who teaches at the University of Montana. He qualified as a teacher on the diagnosis of emotional disorders, psychological assessments, depression and psychotherapy. Two of his specialties as a psychologist are depression and suicide. He examined Frisnegger about two weeks before the trial at the request of Frisnegger‘s attorney. He determined that Frisnegger is suffering from severe anxiety and that he shows all the major symptoms of reactive depression. He feels that this depression is moderate, bordering on severe. Dangers arising from this condition include possible loss of ability to work, loss of ability to function emotionally with his family and others, and in the most severe degree a serious danger of suicide. Frisnegger is afraid of another operation on his eye because of “what happened last time.” Walters expected within a year Frisnеgger would have a very severe depression which would be totally disabling. Such a depression will usually run from six to eleven months, remit somewhat and then recur. The recurrences would go on indefinitely. For an indefinite number of years he would estimate it would cost Frisnegger a minimum of $2,500 to $3,000 a year for direct counseling.
On cross-examination, Dr. Gates stated that he had not recommended that Harold Frisnegger have a cataract operation, and he had never so recommended.
Dr. Allen Quint, a Kalispell psychiatrist, also testified on behalf of the defendant. He had examined Frisnegger and found him to be healthy, psychologically well, but experiencing a mild reactive depression. He found nothing to indicate that a severe reactive depression might develop. He did not believe that Frisnegger should have counseling for the rest of his life.
Dr. Gibson testified on his own behalf. He stated, over objection, that he would pay for the cost of the cataract operation which he estimated to be aрproximately $700 for the surgeon and up to $750 for the hospital. He would place the chances of successful surgery in the range of 95 to 98%. He would also pay for Frisnegger‘s lost time to a value of approximately $800.
The foregoing, of course, is only a brief resume of the evidence. It is intended to illustrate the factual issues before the jury on which it has made its decision.
Essentially, the doctor contends that the damages were excessive
- That Frisnegger‘s vision could be restored to normal with a cataract operation.
- That Dr. Larson found no medical reason why the operation could not be performed.
- That a maximum loss of work if the operаtion were performed would range from ten days to two weeks.
- That a cataract operation is low risk surgery, that it is not painful; success between 95 to 99% is possible for a cataract operation.
- Frisnegger‘s visual acuity would be better than normal after the operation.
- Cost was not an issue since Dr. Gibson would pay for the operation and hospital costs.
- The prognosis for no depression after a successful operation was good.
Dr. Gibson further contends that the psychologist Dr. Walters is not a credible witness because Frisnegger had not sought his professional help; that Walters examined Frisnegger within two weeks of the trial at the attorney‘s request; that Frisnegger missed no work whatsoever because of the eye incident; that no discussion had been had by Walters with Dr. Larson to see if Frisnegger‘s vision could be restored; that Walters was not treating Frisnegger with follow-up therapy.
Finally, Dr. Gibson contends that the court erred in giving its instructions to the jury.
We deal first with the contention that Dr. Walters was not a credible witness. This contention is really a part of the larger issue raised by Dr. Gibson, that the evidence does not support the verdict. See Casey v. Northern Pac. Ry. Co. (1921), 60 Mont. 56, 68, 198 P. 141, 145.
Under former section 93-2001-1, R.C.M.1947 (not carried over into Montana Code Annotated) the jury is the judge of the value or effect of the evidence addressed to it, except when it is declared to
We find nothing inherently improbable in the testimony of Dr. Walters. In fact, there was other testimony seemingly corroborative of the Walters tеstimony which doubtless weighed in the estimation of the trial jury. Dr. Walters found a moderate to severe reactive depression. On the other hand, Dr. Quint noted a mild reactive depression. Dr. Walters found a strong chance of recurrence of reactor depressions in later years, even after surgery. Dr. Quint felt that if the surgery had a good result, there was little chance of reactive depression recurring. Dr. Walters felt that Frisnegger would need psychiatric counseling for the remainder of his life. Dr. Quint stated he would not form such an opinion because he could not say for sure but in a mild case he would feel that such extended counseling would not be necessary. Moreover, on cross-examination of Dr. Walters, it was developed that Frisnegger had not sought the professional help of Dr. Walters and that Dr. Walters had not been treating Frisnegger with follow-up therapy.
Thus, the jury had before it all of the elements of conflict in the Walters testimony which are now being argued to this Court. The difference of the opinions related not to the existence of the psychological problems arising out of the injury to the eye, but rather to the degree of severity of those psychological problems. In that situation, on the facts that appear from the transcript, the jury
The foregoing description of the conflict in the testimony of the psychiatrists illustrates the type of problem presented to us by the other contentions of the doctor that the damages are excessive and not supported by the evidence. On each factor of evidence relied on by the doctor for the contention, there is countervailing evidence which was apparently accepted by the jury. The doctor contends that Frisnegger‘s vision can be restored to normal with a cataract operation; but there was other evidence that a contact lens with a set focal distance would be required, and the vision of the left eye would be normal only for that distance. The doctor contended that Dr. Larsen found no medical reason why a cataract operation could not be performed; yet Dr. Gates testified that he was not recommending nor never recommended such an operation; and that he would not perform such an operation without first obtaining a medical workup on Frisnegger. Dr. Gibson contends that the maximum loss of work if the operation were performed would range from ten days to two weeks; Dr. Walters testified there was substantial chance of recurring reactive depressions. Dr. Gibson contends that a cataract operation is low risk surgery, not painful, and success between 95 to 99 percent is possible; but it is also admitted that cataract operations are not recommended for persons with medical problems or psychological problems, including reactive depressions. Dr. Gibson also contends that Frisnegger‘s visual acuity would be better than normal after the operation; on the other hand, such normal vision could be achieved only with contact lenses, and Frisnegger had normal vision to begin with. Dr. Gibson contended that cost was not an issue since he would pay for the operation and the hospital costs; all this was before the jury.
Dr. Gibson contends that the prognosis for no depression after a successful operation was good; Dr. Walters had a contrary opinion.
The appellate rule is that if there is substantial evidence to support the jury verdict based on conflicting evidence, the decision of
We come now to the question of whether the verdict was excessive. This is the real crux of the doctor‘s contention that the evidence does not support the verdict, since he admitted liability in the first instance. On that point, we examine the verdict to determine whether it is so large so as to shock our conscience, or to induce a belief that it was the product of passion or prejudice. Kelleher v. State (1972), 160 Mont. 365, 503 P.2d 29.
Giving every benefit of the evidence to the prevailing party, as we are required to do in questions of this sort, we find a 51 year old male plaintiff, who before the incident was employed as an assistant service manager, earning $1,500 per month with fringes. He had reached the top of his career; he had a well-adjusted family life. He was an active, interested person with indoor and outdoor hobbies and enjoyed 20/20 vision in each eye.
After the incident, we find that he has lost the useful vision in his left eye, has become nervous and tense, irritable and does not spend much time now with his family because to keep his job, he must bring paperwork home with him. He finds his work exhausting, and is now subject to headaches every day. He cannot tie flies, do carpentry work, and has become unsteady on his feet. He is greatly concerned that something may happen to his other eye as well. The impact upon his emotional status has been most serious. He is suffering from moderate to severe reactive depression which, if it becomes severe, may lead him to suicidal tendencies. His depressions will recur, and counseling will сost him $2,500 to $3,000 per year. Simple tasks have become difficult. He suffers from emotional strain, temper flashes and despondency. Assuming he had a successful cataract operation, was fitted with contact lenses, and wore spectacles over them to restore his vision to near normal, his
In Salvail v. Great Northern Railway Company (1970), 156 Mont. 12, 31, 473 P.2d 549, 560, we said:
“The amount to be awarded as damages is properly left to the jury and this Court will not substitute its judgment for that of the jury particularly where, as here, the trial court has approved the verdict by denying a new trial. Strong v. Williams, 154 Mont. 65, 460 P.2d 90. It is only where the amount awarded is so grossly out of proportion to the injury as to shock the conscience that this Court will intervene . . . . There is nothing whatsoever in the record to indicate passion or prejudice; on the contrary, there is substantial evidentiary basis justifying the amount of the award.”
The award of the jury in this case is sufficiently based upon the record and does not shock our conscience under the circumstances shown here. We note that the trial court denied motions for remittitur and for a new trial, in effect approving the verdict.
The final contentions of the doctor relates to the giving of three instruments by the District Court and the refusal of two instructions offered by the defense.
The doctor asserts error in giving of plaintiff‘s instruction no. 29 and the refusal of defendant‘s offered instruction no. 5.
Defendant‘s offered instruction no. 5 stated as follows:
“You are hereby instructed that the plaintiff cannot recover for any injury or damages that could be alleviated or avoided by surgical operation.”
It is obvious that the proposed instruction was mandatory in its nature. When it was refused by the trial court, the doctor submitted his instruction no. 6 (courts no. 13) which was given, and which told the jury:
“It is the duty of any person who has been injured to use reasonable diligence in caring for his injuries and reasonable means to pre-
vent their aggravation and to effect a recovery. One cannot claim damages for that which could otherwise have been avoided by submitting to treatment by a physician, including possible surgery, if an ordinary reasonable person would do so under the same or similar circumstances.”
The doctor makes the argument that instruction no. 6, as given left the determination of whether plaintiff should have submitted to surgery to the jury, when as a matter of law, under the circumstances of the case, Frisnegger should have submitted to a cataract operation. The doctor bases his argument in part upon his contention that the testimony of Dr. Walters is incredible and thus not supportive of a verdict Graham v. Rolandson (1967), 150 Mont. 270, 283, 435 P.2d 263, 270, and partly upon his contention that the evidence here is clear and conclusive that a reasonable person would have submitted to surgery in this situation, thus making the mitigation of damages a question of law for the court. He cites Zimmerman v. Ausland (1973), 266 Or. 427, 513 P.2d 1167.
We have already shown that the credibility of Dr. Walters was properly one for the jury. We do not find the Oregon case to be supportive of the doctor‘s position. In Zimmerman, the defendant contended that a woman with a knee injury should as a matter of law have been required to submit to surgery for her knee or else be precluded from claiming damages for permanent injuries. The Oregon court held that there was no record that she had ever been advised by any doctor that she should subject herself to knee surgery. It found the burden of proof of unreasonable refusal to mitigate damages to be on the defendant and stated that the question whether she should have submitted to a knee operation depended on whether a reasonably prudent person would have done so.
Here the trial court, by giving defendant‘s instruction no. 6, allowed the jury to consider whether Frisnegger should have submitted to treatment, including possible surgery, on the reasonable person test. Where mitigation of damages is concerned, we have supported the reasonable person test or the ordinary prudent person test in prоperty damage cases. See Harrington v. Holiday Rambler Corp. (1978), 176 Mont. 37, 575 P.2d 578; Spackman v. Ralph M. Parsons Company (1966), 147 Mont. 500, 414 P.2d 918.
We hold that the District Court properly submitted the mitigation issues to the jury on that basis here and that the mandatory instruction requested by the doctor would have been improper where the evidence is conflicting or uncertain as to the duty of Frisnegger to submit to the cataract operation.
The doctor also asserts error in the giving of the trial court of plaintiff‘s instruction no. 29 (courts no. 15) which relates to the same subject and which told the jury:
“If from the evidence you believe that it is contrary to good medical practice for the plaintiff to submit to a cataract operation, then the defendant may not mitigate or reduce the damages to which plaintiff would otherwise be entitled.”
Objection to this instruction was made on the ground that the test to be employed is that of a reasonable and prudent person, and that there was no credible evidence to support a conclusion that a cataract operation would be against good medical practice.
This contention is part and parcel of the duty-to-mitigate issue. As we have indicated, the court had instructed the jury that one who is injured is expected to use reasonable diligence in caring for his injuries, and to effect a recovery. Instruction no. 29 informed the jury that the plaintiff had no duty to submit to a cataract operation if it would be contrary to good medical practice. It is uncontroverted in the evidence that there are a number of factors which argue against a cataract operation when the prospective patient is one who has other health problems that make surgery more risky. One of those factors, under the evidence, is reactive depression. Since the instruction was based upon evidence in the cause, it was not an abstract statement of the law. In considering the propriety of giving instructions, we consider the instructions in their entirety, and we read them in connection with other instructions given on thе subject, and consider them in the light of the evidence introduced. Brown v. North Am. Mfg. Co. (1978), 176 Mont. 98, 576 P.2d 711. Offered instruction no. 29, when consid-
On another point, the doctor contends that the jury was improperly instructed on its duty in fixing and awarding future damages. The doctor had offered his proposed instruction no. 8 which read as follows:
“You are not permitted to award a party speculative damages, which means compensation for future loss or harm, which, although possible, is conjectural or not reasonably certain. However, you should compensate the plaintiff for loss or harm which is reasonably certain to be suffered by him in the future as a proximate result of the injuring question.”
The court refused this instruction and gave instead the instruction offered by the plaintiff, his instruction no. 33, (courts no. 15) which told the jury:
“You may not award plaintiff damages based solely on speculation or conjecture, however, you should compensate the plaintiff for loss or harm which is reasonably certain to be suffered by him in the future as a proximate result of the injury in question.
“You are further instructed that no definite standard of method of calculation is prеscribed by law by which to fix reasonable compensation for pain and suffering past or future, or for the failure of the destruction of his capacity to pursue an established course of life, and no evidence need be introduced to establish the pecuniary value of such damages.
“You are further instructed that your deliberation in this regard should be made calmly and with no prejudice, passion or sympathy toward or against either party to this action.”
The objection raised by the doctor is that the use of the word “solely” in the instruction given by the court implies that damages may be awarded based “partially” on speculation and conjecture.
Placing the refused instruction and the given instruction side by side, it is difficult to see that the insertion of the word “solely” in
Another instruction objected to by the doctor relates to instructions for determining damages for loss of wages, costs of examination or treatment and loss of future earning power. The instructions given by the court were substantially in accordance with the Montana Jury Instruction Guide (MJIG).
The instruction is a long one but the first paragraph is substan-
In approving the instruction based on MJIG no. 30.02, with the words “if any” inserted after each element of loss, we do not thereby imply that such instruction may safely be given where there is no evidence in the record to support each of those elements. The better practice would be to eliminate from the instruction any reference to elements not found on the evidence, rather than to rely on the words “if any” to remove prejudice or error.
In sum, this case is one where the defendant is arguing that the amount of damages awarded by the jury was excessive. The objections which the defendant has raised to the weight of the evidence, the credibility of witnesses, and the instructions of the jury are not in themselves sufficient to cause a reversal of the judgment. We are left with a consideration of whether in view of the evidence, the amount of the damages awarded is so great as to shock the conscience of the court, or lead us to believe that the verdict is the
Accordingly, the judgment of the District Court is affirmed.
MR. CHIEF JUSTICE HASWELL and JUSTICES DALY and SHEA concur.
MR. JUSTICE HARRISON dissenting:
I must respectfully dissent, first, on the admission of the testimony of Herman A. Walters, clinical psychologist, and second on the failure of respondent to have corrective surgery.
Taking first the testimony of Walters, after careful review, I find it so speculative and so incredible that it should not, in my opinion,
Error, in my opinion, was also committed in not properly instructing the jury on respondent‘s duty to mitigate damages. The testimony of Drs. Larson and Gates showed respondent had a normal eye, except for the cataract, and that the risk of the operation was low and not painful. Both witnesses indicated that with surgery there was a 95 to 100 percent chance of a return to normal vision:
Montana case law recognizes the general rule that an injured party must use ordinary diligence to effect a cure and thus to mitigate damages. The standard is described variously as “that of the reasonable person” and that of the “reasonably prudent person.” The two are not the same, even though this Court has said that the former is “in other words.” Tiggerman v. City of Butte (1911), 44 Mont. 138, 119 P. 477; Freeman v. Chicago, M. & St. P. Ry. Co. (1916), 52 Mont. 1, 154 P. 912; Stokes v. Long (1916), 52 Mont. 470, 159 P. 28. See also, White v. Chicago & N. W. Ry. Co., (1910), 145 Iowa 408, 124 N.W. 309; Donovan v. New Orleans Ry. & Light Co. (1913), 132 La. 239, 61 So. 216; Cero v. Oynesando (1927), 48 R.I. 316, 138 A. 45. Cero is an early cataract case before the present day surgical skills where the surgeon testified that the operation would probably be a success. In contrast, the 1978 operation success is from 95 to 99 percent of the time. See also, 62 A.L.R.3d 9 (1975), entitled “Duty of Injured Person to Submit to Surgery to Minimize Tort Damages.”
I would reverse the decision and send the case back for a new trial.
