*1 31, 1993, Appeals affirmed on Court of August decision of the Argued and submitted reversed, remanded to judgment and case grounds; of the circuit court different January proceedings reconsideration denied court for further circuit February GASTON, M. Timothy Respondent Review, M.D., PARSONS, William R. Coit, M.D.,
William E. Review, Petitioners on HOSPITAL GOOD SAMARITAN CENTER, AND MEDICAL an Oregon corporation,
Defendant.
S40098)
(CC
CA A71991; SC
A9011-07199;
David Lawyers Oregon Trial curiae on behalf of amicus brief Association. Keating Abbott, Hallmark, & Hallmark, L.
William Oregon Portland, of amicus curiae P.C., filed brief on behalf Association. Medical Hoomissen, Gillette, Van Carson, Justice, Chief
Before Fadeley, Unis, Graber, Justices, Peterson, Senior tempore. Judge, pro Justice J.
UNIS, *3 pro tempore, Judge, Peterson, dissented Senior Justice joined. opinion Graber, J., in which filed an and 250
UNIS, J.
The issue in this case is when the statute of limita- tions to run in a medical negligence action. Plaintiff filed this action in November seeking for damages harm as suffered result defendants’ alleged negligence in with connection a surgical procedure in performed March (1) 1987. Plaintiffs action was based both on defendants’ failure to obtain plaintiffs informed consent and defen- dants’ negligent performance of surgery.1 Defendants2 moved for summary on the judgment ground had failed to file the action within the two-year statute of 12.110(4).3 limitations, ORS The trial granted court motion and entered judgment for defendants. The Court reversed, Appeals holding that the informed consent claim barred, was but claim negligent was not surgery barred because the statute of limitations did not start to run on that claim until plaintiff knew or should have known of Parsons, Gaston v. defendants’ negligence. 117 Or App (1993). 941 P2d We allowed petition defendants’ for complaint Plaintiffs one for negligence alleges contains claim medical negligent particulars. defendants were one or of four more The first three specifications alleged negligent performing surgery. are that defendants were particular plaintiffs fourth is that defendants failed to obtain informed consent to the clarity, opinion alleged For this refer will claim based on failure negligent to warn as the of risks “informed consent” claim and to the based on claim performance surgery “negligent surgery” as claim. purposes appeal, For the of this defendants are Drs. Parsons and Coit. dismissed, against Hospital Good Plaintiffs claim defendant Samaritan hospital appeal. party is not this 12.110(4) provides: damages injuries person arising “An action recover from
medical, surgical treatment, operation or dental omission shall be commenced within from date when is first discovered or in the However, exercise of reasonable care should have been discovered. notwith- 12.160, provisions every standing the of ORS such action shall commenced treatment, operation upon within five date of omission or, if which the action is based there has been no action commenced within five *4 years fraud, misleading representation, because of deceit or then within two fraud, years misleading representation from the date such deceit or is discovered in have been or the exercise of reasonable care should discovered.” fraud, Thus, deceit, misleadingrepresentation, in the absence of or the statute years of repose negligence requires an action to be filed within five for medical claims surgery. may negligence no event action for the treatment In medical forming years the the brought than the event basis for more ten after or occurrence claim. 12.115. ORS
251 Appeals on We decision the Court review.4 different affirm grounds. summary judgment, a we determine
On review genuine issue material fact exists and whether whether a judgment moving party law. is entitled to as matter of Murphy, C; 610, 613, P2d 47 v. 296 Or 678 ORCP Christensen (1984). ruling reviewing trial on a motion court’s summary judgment, we view the evidence all reason- for light non-moving to the inferences in the most favorable able case). (plaintiff Stephens party Bohlman, in this (1992). 346-47, P2d 344, partial quadriplegic was a whose func- Plaintiff sought tioning left limb was his arm. Plaintiff medical treat- body. spasms muscle in his lower ment from defendants for (Parsons) suggested procedure Defendant Parsons injection spinal of a chemical solution to deaden involved causing spasms. nerves that were the muscle Before the surgery, plaintiff certain Parsons informed risks possible procedure, risk of loss of function but not performed procedure plaintiffs Defendants arm. plaintiff surgery, 12, After noticed that his March 1987. not function. Parsons assured left arm was numb plaintiff did tempor- left arm was that the loss function his ary return in to two and that use of his arm would six months years. his left arm within
Plaintiff did not recover use of surgery. years this action on Novem- Plaintiff filed two negligent allegingthat were both defendants ber failing gery before the sur- informed consent obtain performing negligently Defendants
and in plaintiff’s summary asserting judgment, for moved limitations, ORS statute of claims were barred they two after filed more than were because numb and did not left arm was aware that his became function. arising requires claims actions for within be “commenced medical treatment to
from is first discovered when date regard petitioned informed with his has not review Because claim, court. is not before this that claim consent
exercise of reasonable care should have been discovered.”5 We need only to determine if a genuine issue of material fact exists as to when plaintiff discovered or in the exercise of reasonable care should have discovered his “injury,” as that 12.110(4). word is in used ORS We find that a genuine issue of fact does exist.
In
statute,
interpreting
we seek to
effect
give
to the
intent of the
ORS
legislature.
174.020. The first
of that
step
process is to examine the text and the context of the provision
itself and other related statutes. PGE v. Bureau
Labor and
Industries,
(1993).
In
the text
examining
and the context of ORS
12.110(4), we note that
is not
“injury”
defined by statute or
case
law. We also note that “injury”
in other
appears
statutes of limitations. See ORS
(general
tort);
30.275(8) (tort
bodies).
ORS
claims against public
This court
has recognized that the
rule
to each
applies
of those
statutes. See Dowers Farms v. Lake County,
669, 681,
288 Or
(1980) (ORS
The context of ORS “injury.” that bears rule of construction Another tion of directly the maxim the statute is read the text of on how to general provides words ejusdem generis, where things, particular classes of follow the enumeration things applicable general construed as words are to be Brantley, general Or class. See State v. nature or the same 12.110(1) (1954) (statingmaxim). ORS P2d 668 637, 645, 271 battery, false provides part: assault, “An action rights any injury imprisonment, or for ** * arising be commenced shall on contract another, not generis ejusdem years.” Applying the rule of within “injury” of words within the class falls term 12.110, ORS — reading Thus, our precede instance, torts. in this it 12.110(4) word’s with that “injury” consistent in ORS 12.110(1) cogni legally (i.e., “injury” means meaningin ORS harm). zable 12.110(4) are ORS and context
However, the text history. legislative unambiguous. consider We therefore at industries, Or Labor Bureau PGE v. See proper (when ambiguous, it is are and context text 611-12 12.110(4) enacted history). first legislative ORS consider § legislature’s 1967, 1967. Or Laws ch 406, 1. The under- standing “injury” of the word at the time that statute was adopted dispositive, subsequent unless amendments have meaning. original altered that version of the statute provided:
“An action to recover damages for injuries to the person where the course any medical, dental, surgical or other professional treatment or operation, any foreign substance flesh, other than blood, bone, is introduced negli- and is gently permitted to remain within the body living of a human person, harm, causing shall be commenced within two from the date when the is first discovered or in the exercise of reasonable care should have been discovered provided that such action shall be commenced within seven years from the date of the treatment or operation upon which 12.110(4) the action is based.” Former ORS added). (emphasis 12.110(4) original Thus, the version of ORS made clear that “injury” legally was what formed the action, basis for an i.e., cognizable by harm, and “harm” was what was caused “injury,” i.e., untoward effects. codify was intended to by Berry
rule announced
this court in
Branner,
v.
245 Or
(1966). Josephs
We that this is an test. emphasize what a should have cases, will concern inquiry cases, In such known in the exercise of reasonable care. ordinary a reasonable person relevant is how inquiry similar situation. would have acted same or prudence Wells, 548, 557, P2d 144 See Woolston v. (reasonable ordinary care means what a reasonable person circumstances). do in the same or similar would prudence a failure to make will be a analysis Relevant to this so. would have done person if a reasonable further inquiry their those on sleep rule does not who protect who, exercising diligence but those rights, that have they are unaware of a reasonable person, expected harm. legally cognizable suffered issue of material genuine consider whether a We now the “tortious in this case as to plaintiffs fact exists Whether a reason harm. cognizable element of legally conduct” a substan would be aware of ordinary prudence able person of fact is a question of tortious conduct tial possibility suffered, the nature of of the harm the nature depends upon relevant circumstances. and other medical procedure, determining is important harm suffered nature of the aware of have been would person a reasonable whether in many Although, conduct. of tortious possibility substantial may put after surgery result an untoward instances, suffering certain conduct, tortious notice of reasonable person A reasonable conduct. tortious can “mask” effects untoward are incidental symptoms experiences medical particular may not be aware that he procedure or she has been a victim of tortious conduct:
“Normally, knowledge of
as a
result of defendants’
injured
put
party
actions would
the
on sufficient notice of
defendants’ tortious
to
running
conduct
commence the
However, immediate,
the statute.
adverse side effects com-
monly result from
given
gain long-
medical treatment
range and more important
Knowledge
benefits.
of momen-
tary, adverse
immediately
effects which are
controlled would
not put plaintiff on notice as a matter of law of tortious
Greene,
by
conduct
defendants.” Frohs v.
supra,
possibility
tortious cond
clearly
symptoms
unrelated to
were not so
Plaintiffs
uct.10
performed
procedure
matter of law a reasonable
that as a
the
person
conduct. In
that the cause was tortious
would believe
plaintiff that the numbness and
addition, Parsons assured
experienced
plaintiff
left arm was
his
loss of use that
temporary.
genuine
of fact as to
raises a
issue
The assurance
person.
upon
assur
The fact that the
a reasonable
its effect
put
surgery,
than
did not
before,
rather
ance came after
conduct. Nor
a matter of law of tortious
on notice as
unjustified
say
was,
law,
a matter of
can we
as
relying
As this court stated
Parsons’s assurances.
“[w]e
Corporation,
at
v. Hobart
Schiele
* * *
anyone
say
who is
matter of law that
as a
cannot
taking
optimistic
the better is
a turn for
his condition’s
about
*10
”11
unreasonable.
negligent
argue
plaintiffs
that
further
Defendants
plaintiff
surgery
s
of law because
claim barred as matter
by
of limita-
the statute
claim was barred
informed consent
plaintiffs
Appeals
informed
held that
The Court of
tions.
limitations
the statute of
was barred
consent claim
“[tjhat
plaintiff
that
when
discovered
claim accrued
because
that
at that time
He knew
the function of his arm.
he had lost
he had not
Parsons,
Gaston v.
that risk.”
been warned of
App
claims stem from
both
at 558. Because
117 Or
alleged negligent
to the sur-
in relation
conduct
defendants’
only
plaintiff
gery,
as a result
one harm
suffered
because
single
argue
are a
claims
thereof, defendants
representations
utility
case,
only
physician’s
speak
of the
of the
In this
we
statement.
in the
limitations
“injury”
purposes of the statute of
for the
analyzing
in
12.110(4).
first sentence ORS
plaintiff had actual
whether
as to
question of fact also exists
material
A
Viewing
bringing
action.
this
legal injury
before
more than
say
matter of
that as a
plaintiff, we cannot
light most favorable
the record
knowledge.
such
law he had
Dist.,
Valley Irrigation
304 Or
Duyck
argue
v. Tualatin
Defendants
disagree.
case
That
(1987),
case. We
result
this
a different
dictates
Not can the distinct, claims be but factually they legally are also distinct. Each claim arises from the violation aby defendant of different legal interests of a plaintiff. Informed consent concerns a plaintiffs to control what right is done to his or her body,12 while negligent surgery reflects *11 12 aptly by This interest was stated Justice Cardozo for the New York Court of Appeals: “Every being right human of adult and sound mind has a determine body; surgeon performs operation
what shall be done with his own
and a
who
an
assault,
patient’s
without his
consent
commits an
for which he is liable
damages.”
125, 129,
For the purpose
surgery
as a negligent
claim is not the same
consent
informed
a com
negligence
one specification
claim. Just because
limitations,
it does
the statute
by
is barred
plaint
having
of negligence
that a specification
follow
necessarily
Wimmer,
barred. See Little
basis is
legal
different factual
neg
three
(although
580, 585,
“It negligently unrealistic and unfair to bar a injured party’s cause of action before he had an oppor- has * * * tunity to that it discover exists. We do not believe that danger spurious great is so claims as to necessitate the injustice persons having infliction of legitimate claims which by ordinary were undiscoverable exercise care prior lapse from the time of act Greene, injury.” inflicting Frohs 253 Or at supra, v. 4. aWhen has major he or she is at a surgery, tremendous informational disadvantage impedes to discover a opportunity claim:
“A patient who an undergoes operation is taken into the surgery of hospital given and is anesthesia which renders him He nothing unconscious. knows of what in place takes intimates, All of relatives, friends, his such as — — and neighbors are excluded from the properly so operating room. all Accordingly, knowledge of what takes * * * place in the course of the operation exclusively possession surgeon.” v. Vaughn Langmack, 542, 582, P2d 142 (Rossman, J., dissenting). rule takes that into account and strikes an appropriate balance between protecting defendants. objective statutory
“The
of a
limitation on the time
within
an
is,
which
action
bemay
brought
malpractice
cases, the protection
practitioners
of medical
asser-
tion of
legislature
stale claims. We do not believe the
patients asserting
claims,
intended to limit
malpractice
who
by the
nature
very
way
of the treatment had
of imme-
no
diately ascertaining
injury,
their
to the same
period
overall
time that is allowed for
other
bringing
tort actions that are
normally immediately ascertainable upon commission of the
wrong.
protection
medical profession
from stale
claims does not require such a harsh rule. The mischief the
remedy
delay
statute was intended to
in the assertion of
a legal right
statutory
one who
slumbered
had
for the
period during
process
Berry
was within
his reach.”
Branner,
Our this case does not expose threat of We note that in absence unending litigation. misleading representation, deceit, or fraud, negligence provides repose medical cases of a statute of Nothing holding five from the date of treatment. our five-year period. extends that genuine of material fact
We conclude that issue case when or in exists in this as to discovered “injury.” *13 have discovered exercise of reasonable care should Plaintiffs surgery negligent is not as a matter of claim barred law the statute of limitations. The trial court erred granting
summary judgment for defendants. Appeals on The decision of the Court of is affirmed grounds. judgment of circuit court is different this to the circuit court for reversed, and case remanded proceedings. further pro tempore, dissenting.
PETERSON, J. majority Although part agree I with the latter consent), agree opinion (concerning implied I do not with 12.110(4). part, I therefore dissent. first which concerns ORS 12.110(4) malpractice that, in medical ORS states begins “the when cases, to run date the statute injury of reasonable is first discovered or exercise added.) (Emphasis care should have been discovered.” negligence majority actions, that, holds in medical to run “the of limitations when statute care should have or in exercise of reasonable knows person aware of known facts which would make a reasonable * * * * * * tortious conduct possibility substantial Or at 256. exists.” 318 — 12.110(4) injuiy “when I believe that words ORS — added) knowledge (emphasis of a mean
is first discovered” resulting relationship harm between the event and causal fault. event, of the defendant’s from the 12.110(1) (4) are relevant statutes. ORS They provide: “(1) assault, battery, imprisonment, false An action for another, not rights or injury any or for in this contract, and not enumerated
arising especially provided, years; within two chapter, shall be commenced deceit, the upon fraud or action at law based in an limitation shall be deemed to commence from the dis- covery of the fraud deceit.
“(4) injuries An damages action to recover to the medical, treat- person arising surgical from dental ment, operation omission or be commenced within two shall years injury from the date when the is first discovered or in the exercise of However, should been reasonable care have discovered. 12.160,
notwithstanding provisions of ORS every years such action shall be five commenced within from treatment, the date omission or operation upon or, the action is based if there has been no action commenced fraud, five years within because or misleading deceit representation, then within two the date such fraud, misleading deceit or representation is discovered or in ’’ the exercise of reasonable care should have been discovered. (4) virtually contain identical (1) “injury person.” clauses. Subsection refers to the “injuries person.” refers to Subsection Subsection (4) also states that the “shall action within commenced from the date when the discovered or first in the exercise reasonable care should have been discov- added.) (Emphasis ered.” *14 considering
In
the
and
12.110,
text
of
context ORS
it
legislature,
is fair to assume that the
in 1967, 1969,
1971,
and
(4)phrase “injuries
person”
intended the subsection
to the
to
meaning
phrase “injury
person”
have the same
as the
to the
(1).
considering
contained
subsection
context,
In
the
the
“[cjontext
majority
interpreting
interprets
states that
includes case law
“
‘[w]hen
those statutes” because,
this court
a
interpretation
part
statute, becomes
of the statute as if
”
written into it at the time of its
at
enactment.’ 318 Or
252
(citing
Sullens,
v.
436, 443,
State
314
839
Or
P2d 708
(quoting Walther
SAIF,
149,
v.
312 Or
P2d
147,
817
292
(1991))).
precedents
I therefore
the
examine
this court
of
before 1967 to
court,
1967,
determine whether this
before
phrase
interpreted
“injury
person.”
had
the
12.110(1)
apart
Oregon
Current ORS
has been
§
Oregon,
p
Code since 1862.
(
criminal
another,
contract,
of
not hereinafter
rights
arising
to
added),
similar
(emphasis
language very
enumerated”
12.110(1).
6,
1,
p
§
ch
current
Oregon,
ORS
General Laws of
1845-1864).
limitation
section 6
(Deady
six-year
141
of
See General Laws
two-year period.
was amended in 1870
1843-1872).
8,
Lane
1,
p
(Deady
§
ch
107
&
Oregon,
current
ORS
1965,
statutes
Before
the predecessor
when
times to determine
were construed several
’
‘
occurred,
the
running
thus
the statute
‘injury’
starting
12.110(1).
Those
consis-
in ORS
cases
contained
12.110(1),
held
the
as
in ORS
used
tently
“injury,”
act
when the
occurred.
wrongful
occurred
Seachrest,
P
Hood v.
457, 174
(1918),
Or
Gresham,
v. First State Bk.
33,Or
Respecting v. 542, 547-48, 390 Vaughn Langmack, (1964), P2d 142 stated: make unavoidable conclusion
“Logic and common sense
evidently
decision
legislature,
prompted
that when the
Seachrest,
in Hood
1919 so as
amended
statute
time
based
bringing
that the
limited
action
provide
deceit
commence to run
upon fraud or
should
deceit,
that,
it
to all
the fraud
intended
as
discovery of
*15
actions,
that the
commences to run
provision
other
time
remain
from
accrual of the cause of action should
unchanged.”
Haworth,
(1950), the court was required predecessor statute to current ORS 12.110(1),1 whether stem- injuries from ming radiation treatment performed in 1937 occurred on the date of the treatment or the date that plaintiff discov- ered that she had been harmed by the treatment, the date of in 1946. being The court held that the date of the injury meant two years from the date of treatment: subjected plaintiff “Defendant X-ray therapy day on one * * * **
—only
January 11, 1937
*.
The statute
limita-
tions commenced to run
day,
on that
and the period of
limitation expired January 12, 1939.”
Vaughn v. Langmack, supra, also considered when the statute of 12.110(1). limitations begins to run under ORS The claim was that a surgeon left negligently a surgical needle in plaintiffs abdomen during hernia surgery. The surgery on July 1958. The needle was discovered over four years later, in October 1962. The plaintiff contended that “his cause of action did not accrue until he knew or should have known of the injury.” Or at 544. Vaughn opinion contains a thorough discussion
of the law case and legislative antecedents of some of which is summarized above. The court held that statute of limitations run began to day the surgery, when the needle was left in the abdomen: told, however,
“We are damage gist is the of the action of malpractice and that it cannot determined from the allegations of the complaint when damage was suffered by plaintiff as the result of the defendant’s negligence surgical closing the wound without first removing the ‘lodged needle complaint says] [as the in plaintiffs theory abdomen.’ This of ing appears to be introduced as a means seeming judicial to avoid the legislation, fault of concern- later; us, will though, more be said itas seems to it way saying another that the cause of action does not injury. accrue until it For we doubt that' if would be contended that became aware of the day wrongful of the needle in his after the presence act he body against not then have had a cause of action would skill, to that though up defendant for his want of care or even no or discomfort from pain time the had experienced 12.110(1). was, substance, § to current ORS 1-206 identical OCLA *16 266 he, least,
that It seem at cause. would that would have had immediately the right to sue to recover for the of an cost operation for removal of the and the and pain needle suffer- Id. at ing incident to such an operation.” 552-53. Branner, v. 307, 312-13,
Berry Or 421 P2d 316, 245 v. Vaughn Langmack (1966), overruled expressly Haworth, overruled Wilder v. and held that an impliedly action who left a damages against surgeon negligently needle in the abdomen accrued at the time of the did say “injury” of harm. But court not that Berry simply then occurred. held that the statute did not had begin to run until the actual or constructive the injury.2 of knowledge been
Even some of those have precedents though their their dis- holdings discovery, overruled concerning cussion of when occurs remains relevant. “injury” “Injury,” the 12.110, ORS occurs when negligent within the of meaning viz., incision, the left in the the occurs, act when needle is into when nerve is tainted blood introduced the the patient, 1966, Before of knowledge injury damaged run. irrelevant when statute of limitations to the the statute, and case law amendment Presently, by run, though does even begin statute of limitations the occurred, until has actual construc- has tive knowledge injury. mean- at history,
Without looking legislative 12.110(4) remains the is clear. The word “injury” ORS ing — the first harm. The additional words of same occurrence of — within two from “shall be commenced sentence is first discovered or exercise date when the injury — essentially have discovered” care should been reasonable actual or constructive mean two is fault or tortious conduct a defendant’s Knowledge harm. not required. however, ORS concludes, majority 253, therefore looks and ambiguous, 318 Or at used as concluding “injury,” history, legislative Assembly below, Legislative 12.110 in 1967 amended ORS As discussed leaving brought against doctors for within which actions must
limit the time surgical objects patient. foreign ain requires knowledge of “tortious conduct.” Or at 255. The majority’s reading legislative history flatly wrong. ORS 12.110 amending 1965, legislature did not change meaning word “injury.” The legislature made an simply exception — — it had as earlier in 1919 for fraud for cases in which the patient does not discover the injury until sometime after injury occurs.
In 1966, Branner, v. above, Berry as stated supra, Vaughn Langmack, overruled held statute limitations on a patient’s cladm against a surgeon *17 leaving for a needle in her abdomen during surgery did not to run until begin the knew or should have of known needle the left in her abdomen the earlier during That rule came to known be as the “discovery rule.”
The medical profession and the medical insurance industry were concerned that of the adoption rule discovery created open-ended with liability, applicable no of statute Therefore, 1967, limitations. in Oregon the Medical Associa- tion sought legislation would, in foreign cases involving objects: limit period time, the after discovery injury to the within person, which an action must be brought; (2) limit the total of time period following a “treatment or within which an action be operation” must The brought. result of the legislation was to create two-year period limitation after discovery object the and a total foreign seven limitation of after the treatment or period years The 1967 amendment limited to to operation. “injuries medical, person dental, surgi- the where in the course of any any foreign cal or other treatment professional or operation, * * * substance is introduced and is negligently permitted within remain the 406, Or ch body.” 1967, § Laws (emphasis added). amendment, read:
After the 1967 damages injuries “An action to recover dental, medical, or any surgical other where the course of foreign substance or operation, treatment professional bone, negli- and is flesh, or is introduced other than blood body living of a human within the to remain gently permitted within two harm, shall be commenced causing person, inor the the discovered first from the date when discovered; care have been exercise of reasonable should provided that action shall commenced within seven such be operation upon from the date the treatment or the action is based.” the
The intent of the 1967 amendment was legislative run from of the knowledge of limitation period — scissors, substance” “foreign sponge, presence —like tortious conduct.3 needle, medical again, us to 1969. Once brings That limit was back with to further legislation profession proposed The shows legislative history rule. scope discovery (1969), Greene, 1, 253 Or P2d 564 that, Frohs rule include discovery negli- Court extended Supreme and treatment. Frohs stated opinion gent diagnosis as follows: issue object foreign rule cases adopted court “This (1966). Branner,
in
question
extended to cases of
245 Or
The court Haworth, case of Wilder v. “This court in the in a (1950), refused to rule apply P2d 797 ** * and treatment. negligent diagnosis case of impossible justify theoretical basis *18 “On a it discovery malpractice to one kind of applicability of the rule reason the objects] and not to another. The for [foreign in each discovery of the is the same former instance. application rule * * * in v. Wilder We therefore overrule our decision Haworth, any Id. at 3-4.4 supra, and similar decisions.” about 1969, medical was concerned the profession and treatment diagnosis discovery applicability the rule’s in the 1967 sought change it earlier for reason very — of time the absence objects cases involving foreign 12.110(4) discovery codify majority was intended to “ORS states that Berry at 254. That is incorrect. in v. Branner.” Or rule announced this court codify Berry v. Branner was to Although 1967 amendment one effect (insofar concerned), object foreign the manifest holding as filing claims. place for such legislative limits on the time allowed was to intention footnote, Frohs v. to ORS 12.110. noted 1967 amendment In a court Greene, supra, at 4 n 2. limit on “discovered” medical malpractice claims based on negligent or diagnosis treatment. It therefore sought legisla- tion similar to the legislation two passed years earlier, legisla- tion that would apply the same time limits to claims based on or diagnosis treatment. The legislative history House Committee on the 23, Judiciary, April 1969, contains this entry Bill concerning House 1797: Misko, “John attorney and lobbyist, testified on above
bill, pointing particularly ato recent Supreme Court decision which he felt would lawyers affect as well physicians. as He stated that since the opinion says a suit does not need to commence until the plaintiff knows he has a cause of action lawyers both and doctors are caught with a statute of limitations which Minutes, will never run." House Commit- 1969) added). tee on Judiciary 23, 1 (April (emphasis
After the measure passed the House of Representa- tives, there was a in hearing the Senate Judiciary Committee 12, on May 1969:
“Mr. John Misko explained that House Bill 1797 was introduced as the result a Supreme decision, Court Frohs Greene, [supra], which it was held that the discovery rule in medical malpractice cases extended to negli- cases of gent diagnosis or treatment. In that case the filed 10, her complaint May 1967, alleging that in 1951 the defendants negligently gave injections her when penicillin they knew or should have known that she allergic to that Minutes, drug.” Judiciary 12, Senate Committee 2 (May 1969). As enacted in was amended to read: “An damages injuries action to recover arising any medical, from surgical treatment, or dental omis- sion operation shall be commenced within two years from the date when is first discovered or the exercise discovered; reasonable care should have been provided that such action shall be commenced within seven treatment, the date operation upon omission 642, § the action is based.” Or Laws ch 1.
That confirms that legislative history the purpose the 1969 amendment was to limit for medical recoverability tort claims under rule malpractice “discovery” limit ways: by imposing two-year following *19 seven-year person, by imposing hint, on all claims. There is no no discovery outer limit of intent any legislative record suggestion, to run an injured statute of limitations not until begin term) (I use the conduct.” majority’s discovers “tortious The medical remained concerned about profession 1971, rule. It returned discovery seeking further on the rule. it discovery Initially, sought legisla- restrictions tion outer limit on claims reducing seven-year lobbyist, had a new Tom five medical years. profession who testified: Cooney, gave of the of Cooney history
“Mr. statute malpractice cases and advised the committee that medical reduce of medical purpose bill is to the cost by making the doctors liable for a malpractice insurance very lengthy passed, If a has it period period shorter time. is difficult to the case. Defense becoming increasingly defend filed, very expensive if a lawsuit malpractice cases is held to be liable.” ultimately whether or not Minutes, doctor is II, Judiciary, on House Committee Subcommittee 1971). 15, p 1 (April entry: The minutes also contain this Policy Commit- Roy Payne, “Dr. chairman Public Association, OMAdoes tee, Medical advised Oregon type legislation this combat exclusively depend insurance, have an they as rising malpractice costs of procedure review program for doctors and a educational experts and settlement is claims are examined whereby However, they are if the claim seems meritorious. attempted faced threatening becoming fact a rather with the that this reserves that situation, passed, If the bill were expense-wise. years, cut to 5 for 7 could be now be maintained must with a graph copies He resulting savings in cost. distributed showing malpractice premiums cost insurance Ibid. physicians.” groups various side, con- On the House The bill the Senate. passed misrepresentation cases involving cern was about expressed 1971, had been 14, amendments By May aby physician. from claims limit on the outer offered to reduce misrepresentation. in the absence of to five years, seven years May Judiciary, Committee on of the House minutes entry: contain this “Dr. Seacat advised the committee that the bill would reduce the statute limitations medical malpractice *20 years. 7 bill Oregon to 5 The is supported Medical year Association. The 7 in present statute results unneces- sarily hospital stays, extended x-rays excessive use of Many other increased medical costs. cases now filed in the sixth or year seventh would be simply up moved and filed years within 5 if the time limitation is reduced. The doctors malpractice now have a new program exercising and will be a good deal disciplinary against more action members who malpractice have claims them. against The language relating in to fraud 1 paragraph of the bill could be restated in section
4(b) objections meet physician that the could a conceal possible malpractice claim until the statute has run.” Min- utes, 1971). House Judiciary (May 14, Committee on 1 12.110(4) The measure ORS passed. then read: “An action damages to recover for injuries to the person medical, from operation arising surgical treatment, or dental omis- sion or years shall be commenced within two from the date when injury is or first discovered in the exercise of reasonable care should discovered; have been provided that such action shall commenced five years within from treatment, the date of the or operation omission upon or, the action is if based there has been no action commenced years fraud, within five representation, because misleading of deceit or years
then within two from date such fraud, deceit or misleading is or in representation discovered ’’ the exercise ofreasonable care should have been discovered. 473, § Or Laws ch l.5 5 history legislative legislature makes clear that the aimed to create five-
year “fraud, discovery involving misleading outer limit on claims deceit representation” seven-year “fraud, involving and a outer limit on claims misleading representation.” history legislative deceit or court so This described (1979). 723, 728-29, Augter, in Duncan v. 286 P2d Or 555 statute, amendment, fact, wording may, literal after in have 10-year created a outer limit some claims. The last clause of the second 12.110(4) sentence ORS states: “or, fraud, years if there has been no action within five commenced because misleading representation, years within date such deceit or fraud, then two from the misleading representation or in deceit or is discovered the exercise reasonable care should have been discovered.” clause, year day eight, Under if until one not discovered case, bring might ORS That within which to action. 12.115. have however, not before the court. deceit, fraud, that, say involving legislature What the aimed to cases representation, injured up total misleading had to a of seven legislative Concerning 1967, 1969, and history, majority concludes: 12.110(4)
“In
and the
light of
text and context of ORS
legisla-
legislative history
provision,
of that
we hold that the
12.110(4),
‘injury,’ as
ture intended the word
ORS
used
cognizable
mean
harm.
the tort context of ORS
legally
12.110(4),
cognizable
harm is
if it is the result of
legally
Therefore,
as
‘injury’
conduct.
used
ORS
tortious
(1)
(2) causation;
harm;
consists of three elements:
(footnote omitted).
tortious conduct.”
Schiele
(1978),
occupational
claim a meat
disease
involved
choking, coughing,
wrapper
dizziness,
nausea,
who suffered
sought
doctor,
who
treatment from
and loss of breath. She
likely
problems
were due to fumes
that her
told her
wrap
wrapping
polyvinyl
meat. There
film used to
chloride
*22
seeing
plaintiff,
doctor,
before
that
was evidence
believed that the machine
brought
might
be the cause. She
against
The issue
the machine.
the manufacturer of
action
began
when the
to run
limitations
whether the statute of
was
by
physician
link
the causal
informed
her
symptoms
wrapping
or when
and her
machine
between the
symptoms
their cause.”
of her
“first became aware
she
The court held:
“Plaintiff that its and identified her disease diagnosed run until her physician information of such acquisition that the agree We source. a physician would undoubtedly start period running. However, reject we plaintiffs contention nothing short of a positive diagnosis by physician will have this A effect. plaintiff whose condition yet has not been diagnosed by a
physician or, can have care, exercise of reasonable could have access to information which requires or would require a reasonable person to conclude she being seriously or permanently injured. hand,
“On the other reject we defendants’ claim that knowledge of symptoms and their causal relationship to defendants’ actions and of itself initiates the running of the statute. We do not believe the legislature intended that the statute be applied a manner which would require one to file an action for temporary sickness or discomfort or risk right loss of a of action for permanent injury. “The statute of begins to run when a reason- ably prudent person associates his symptoms with a serious permanent condition and at the same time perceives the role which the defendant played has in inducing that condi- course, tion. Of one’s condition may deteriorate to the point delay where a in seeking medical longer attention is no reasonable and to further delay such charge would be to individual with knowledge which a medical examination would otherwise have disclosed.” Id. at 489-90.
Schiele does not stand for the proposition that the statute of limitations does not begin to run until the plaintiff knows or should know that the defendant’s conduct was It tortious. stands the proposition that the statute to run when the plaintiff is aware of the causal relationship between the defendant’s conduct and the harm sustained. v. Tualatin
Duyck Dist., Valley Irrigation 151, 742 P2d (1987), was a claim for negligent misrepre- sentation involving property damage. plaintiff was farmer who asserted that the defendant him negligently told that he would receive water a certain by date. on that Relying representation, the plaintiff planted crops, crops eventu- ally were damaged because water was not available irrigation the date Dowers Farms v. Lake As did County, represented. the case turned on ORS required the action be within “after such brought the date of accident or occurrence.”
275 Duyck of limitations court held that the statute The to his began aware of due when the to run plain- representations, when the defendant’s reliance on representations regarding defendant’s “knew that the tiff ” ‘misrepresentations.’ availability Or at water were court stated: 162-63. The await awareness claim does not negligence “Accrual giving knowledge with of the facts Accrual occurs
negligence. added). (emphasis at 164 rise to the claim.” Id. either the were decided under All of the above cases * * * (“injury general of limitations tort statute 12.110(1), years”), ORS within two shall be commenced (“shall be commenced the tort claims statute of injury”), years alleged loss or ORS after the within two require- perceive difference between the I no real 30.275. us, and statute before ORS of those statutes ments 12.110(4). two after An action must be filed within knowledge harm, of the whether of harm and the cause plants, respira- abdomen, deformed harm be a needle tory by meat-wrapping film, unantici- difficulties caused by surgery. patient pated paralysis that the knows was caused knowledge injured person have does not two of tortious conduct.6 12.110(1) predecessors, construing and its ORS begins statute of limitations
this court has never held
majority)
only
(quoting to run
when
of reasonable care
knows or in the exercise
“the
make a reasonable
facts which would
should have known
** *
tortious
possibility
aware of a substantial
persons
* **
exists.”
Nothing context of ORS suggests ORS legislature, enacting intended the far-reaching change posited by majority, require knowledge before the statute of limitations fault contrary to run. The conclusion likely: seems more as used in ORS “Injury,” 12.110(4), means the same as 12.110(1). “injury” as used in ORS 30.275 *24 The same should to an analysis to the apply person To read the limitation arising period (which relates to the only diligence plaintiff) — element of the defendant’s as distinct from the fault — defendant’s act makes ultimate the arbiter of liability timeliness. It also changes fundamentally Oregon statute of law, which heretofore has focused on knowledge (harm causation), and not on belief possible/probable facts based on those recoverability facts.
I would as follows. Under ORS apply 12.110(4), a inor the exercise of reason- person “discovers] * * * able care should “the injury” to his or her discover[]” knows, know, when the that he person person or should she has suffered harm caused unanticipated by surgery. Those are what the injury factors make on which the action is based discovered or discover- reasonably able in the first Those factors are also consistent with place. Corporation, Schiele Hobart the statement 284 Or at that does not 490, sickness discomfort” “temporary actuate the statute limitations. light
On we view the facts summary judgment, v. Bohl- most favorable to the nonmoving party. Stephens (1992). man, P2d Before 344, plaintiffs he a who had the use of was operation, partial quadriplegic an arm. Plaintiffs “arm was limb, everything one himself, teeth, his and to him.” He used his arm to feed brush joy the use of a stick. through an electric wheelchair control where he used his arm to answer job Plaintiff also held phone type. 26, January on was admitted to the hospital
Plaintiff Doctors recom- in his lower extremities. 1987, for spasms chemical rhizotomy pro- mended that undergo plaintiff This procedure, cedure to alleviate his discomfort. phenol, injection glycerin, amipaque involved spine, plaintiffs the nerves of the into would deaden solution spasms. surgery, spastic his and end Before muscles any possibility might plaintiff he warned of lose not performed period of Doctors the use of arm for time. his surgery on March on 1987. plaintiffs to his Within 10 to minutes of return surgery, plaintiff he could move room after the realized not immediately complained he could not his arm. Plaintiff plaintiffs his At that Dr. told one of time, move parents arm. Parsons have the of his arm back would use morning. plaintiffs did return next arm not Use morning. discharged hospital
Plaintiff was from the March appointment that time with Dr. 20, 1987, and at scheduled April discharge, use of Parsons for 1987. At the time of plaintiffs arm had returned. plaintiffs parents April 16,
On one of “several” pointed to Dr. Parsons that the use of times out plaintiff could that, this, arm had not returned and because of *25 dependent totally not run his wheelchair and was family on plaintiff time, needs. At Dr. Parsons told his that [he] “it be six to two before would that would months again” “phenol [his] function in arm because of have injection.” did within that Use of arm not return period date. Plaintiff contacted has returned to lawyer August on 23, 1989, and commenced this suit on November 1990. dispute Plain- real the facts here.
There is no
about
surgery
arising
harm
from the
tiff was aware of substantial
day
surgery. Beyond
doubt,
knew,
he
soon
by
“injury”
surgery,
the sur-
that
was caused
after the
his
gery.
I concede
One of the defendants told him so.
negligence
plaintiff
was a
that defendants’
was unaware
plaintiff
harm
did
his
But
know
cause of
harm.
meaning
surgery.
of ORS
Within the
from the
resulted
injury
to
was “discovered.”
his
brought
plaintiff
so,
could have
to do
he
Had
chosen
shortly
In more than technical
after
his action
necessary
claim,
all of
to
assert
sense, all of the events
support recovery,
Duyck
facts that would
had occurred.
Valley Irrigation
Dist.,
Tualatin
states that the stat
begins
party owning
ute oflimitations
to run when the
a claim
right
“has a
to sue on it.”
ances to that the use of the arm would return in years. six months to two Reliance on such assurances to begins determine when the statute of limitations run to is irrelevant.7 already necessary sup-
First, stated, as all events to port already assertion of a claim Second, had occurred. majority’s analysis suggests result of the that the determina- begins tion of when a statute of limitations to run turns, not on whether a claim exists nor on whether harm occurred, has injury permanent. but on whether the If were defendants negligent alleged, injury permanency as occurred, has deciding not relevant when the statute of limitations begins plaintiff run, because was entitled to recover dam- ages injury temporary for the whether the permanent, great gave or small. The fact that defendants plaintiff determining assurances is irrelevant in when the (in begins fraud, statute of limitations to run the absence of misleading representation, alleged deceit, or which is not here). point if is made clearer one assumes that defen- plaintiff, day following surgery, dants had advised “such a side effect occurs now and on the
then; it was caused surgery permanent.” and it is The statute of limitations begin run, if would then even remained unaware “injury” of defendants’ the matter. The reason: The fault “injury.” occurred, and was aware of the proposition stand for the that one has Our cases “injury” and the statute of limitations knowledge, constructive, harm, run when one has actual or *26 conceivably if claimed on such assurances would be relevant Reliance misleading representa delayed bringing relying on Parsons’ that he this case Dr. expressly of ORS disclaims reliance on the second sentence tions. Plaintiff years “if has been no action the statute of limitations to five there extends fraud, misleading representation, deceit or commenced within five because of fraud, misleading representation deceit or then within two from the date such should have been discovered.” or in the exercise of reasonable care is discovered constructive, of a not when one has actual or knowledge, harm legally cognizable defendant’s Plaintiffs was fault. (the that he knew of the between his day relationship arm) an loss of use of the and the action could surgery, defen- have been filed then. Plaintiffs lack of irrelevant when the stat- dants’ culpability determining ute to run. Schiele
I gives sup- concede some language But if th e Schiele considered, are port majority. facts Schiele there is no for the inconsistency. really propo- stands dis- in an occupational sition that statute of limitations ease claim does not run until the has begin injured person constructive, actual or knowledge, of the relationship — between the event the use machine, of the meat-wrapping — in Ms. Schiele’s case and the harm. Here had such The event was the The harm was the knowledge. surgery. lost use of his arm. Branner, v. Hobart Cor
Berry Schiele poration, supra, are consistent Indeed, with this result. all of are. our Berry statute of limitations precedents began run when Ms. became aware of the fact that her Berry prior the needle. discomfort was caused cause- by required ’ effect harm by caused event. The “event’ relationship was the Ms. even after she knew that Berry, discomfort, did presence probably of the needle caused her not know whether her were caused a doctor’s problems run or a nurse’s But the statute neglect neglect. began when she knew that the needle was present. to run on
Similarly, began statute of limitations claim, Corpora- not when she knew that Hobart Ms. Schiele’s that its meat- fault, tion somehow was at but when she knew Here, film was the cause of her discomfort. likely wrapping run, though even began the statute of limitations again, part fault on the may any Ms. Schiele have been unaware of connected with entity other Hobart Corporation meat-wrapping sale of the manufacture, distribution, film. packaging machine or undoubt- 12.110(4), the legislature enacting run until limitations not the statute of intended that
edly and that harmed knew that were they injured persons *27 — — surgery equally caused the harm. It is event clear that the such as
legislature did not aim to create a statute of to run with of fault. began present case, In the the statute of limitations relationship run on claim when he knew of the injured meaning surgery arm. Within between the of and his “injury” he had discovered the to his damage, person. did know the exact extent of the He not may injury due he neglect not have known whether the hospital, defendants, the anesthe-
of one of siologist, hospital employee. He had nurse, or other Contrary majority, however, within which to act. during suspended the time that a the statute is investigates and to to determine the exact extent of possible defendants is the determine which of two or more legally responsible I would for his or her condition. court. affirm trial joins
Graber, J., in this dissent.
