62 Mass. App. Ct. 475 | Mass. App. Ct. | 2004
The plaintiff Heng Or, administrator of the estate of his young daughter Anmorian Or, seeks damages for her wrongful death, G. L. c. 229, § 2, and for her related conscious pain and suffering, G. L. c. 229, § 6, claiming these harms were brought about through the defendant landlords’ negligence in hiring or retaining an unfit person for a custodial entrustment. After trial, the jury found for the plaintiff for the wrongful death in the amount of $1.6 million and $2.75 million for conscious pain and suffering. Upon the defendants’ motions for judgment n.o.v. or a new trial, a judge of the Superior Court denied the motions as applied to the verdict for the wrongful death (remittitur being also denied), but allowed the motion for judgment as to conscious pain and suffering. The defendants appeal from the judgment entered upon the jury’s verdict for the plaintiff for wrongful death. The plaintiff appeals from the judgment for the defendants as to conscious pain and suffering.
WRONGFUL DEATH
The theme of the action is that the defendant landlords, charged with exercising reasonable care for the protection of occupants of the premises, acted negligently in selecting an unfit person (Vao Sok) for custodial duty and. entrusting him indiscriminately with the keys to apartments, thereby initiating a foreseeable likelihood of harm to others. In the event, this negligent conduct on the defendants’ part resulted in harm (murder of the child Anmorian) corresponding in a general sense with one or more of the foreseeable harms. For such injury, the defendants were fairly found by the jury to be accountable.
Narrative. 1. Eng Ros lived with her husband, Heng Or, and their three children, Anthony, aged six, Anmorian, five, and Jimmy, three, in apartment no. 2 on the first floor of the twelve-
While at work, about 4:00-5:00 p.m., Eng Ros received a telephone call from her friend Soy May — Anmorian was still missing. Alarmed, Eng Ros left work and drove to Heng Or’s workplace in Lynn (he was on a day shift). They returned in their separate cars to 146 Shirley Avenue and began a search inside and outside the building. Heng Or found a police officer on the avenue, and, after producing at the officer’s request a picture of Anmorian, he entered the officer’s car and they cruised the nearby streets without result.
Sometime between 6:00 and 8:00 p.m. Heng Or made a canvass of most of the apartments in the building, knocking on the doors and inquiring of any who answered, and trying the handles of doors where there was no response. The account we have of this search is not complete, but it is reported that Heng Or found apartments no. 3 and 3A on the first floor — no. 3A being opposite no. 2 — unresponsive to knocks and unyielding at the door handles. Toward evening, Heng Or called Lawrence Edwards at his business office on Hichbom Street
After little or no sleep, Heng Or on Saturday morning resumed search and worry without any specific plan.
2. It is likely, though we are not told, that Vao Sok, twenty-three years old, used by Lawrence Edwards to do handyman’s work about the building, came first under suspicion for homicide because he possessed a key to apartment no. 3A. On May 21, he told the police what he had done, recorded in a statement in the Khmer language signed by him, of which we have a translation, and again in questions and answers in English, a translation from the Khmer. According to his confession, Vao Sok on the morning of May 15 went to Syria Market where he was given a cup of wine and bought two forty-ounce bottles of beer. Then he bought one hundred dollars’ worth of cocaine and smoked it to the end with his friend Mey in the vacant apartment no. 9 upstairs on the third floor. He bought $200 more, and resumed smoking with Mey. All that morning, Vao Sok said, he drank wine and a great deal of beer and smoked cocaine and marijuana. He met the little girl in the hallway of the entrance to 146 Shirley. He was mad because (like others he solicited) she wouldn’t give him money for cocaine. Asked by police why he first hit the girl, Vao Sok said, “Because I said I need money to buy cocaine to smoke. Even though the adult people I would hit too.” Complaining of drink-blurred memory, he said he hit her unconscious, he squeezed her mouth and throat, he dragged her into no. 3A, which he opened with his key to a lock in the door handle. He dropped her near the wall. He was so drunk he didn’t remember whether he raped her (the
3. Lawrence Edwards, owner and landlord (with his wife Florence Edwards) of 146 Shirley Avenue, took care himself of repair and maintenance tasks there. A tenant, Map Sem, occupying no. 7 on the second floor, introduced Vao Sok to Edwards as “my friend Van” and suggested Vao Sok could help him in his work. According to the best guess of Edwards and Map Sem, this was in July, 1991, some ten months before the fatal incident. Edwards learned after meeting Vao Sok that he was staying as a nonpaying boarder on the kitchen floor of Map Sem’s apartment.
In the early months of 1992, 146 Shirley was being “deleaded” as required by law. To allow the deleaders to come in and do their work, tenants moved from their regular apartments to vacant (untenanted) apartments; Edwards would clean and perhaps redecorate as the deleaders completed their work and before the tenants moved back to their own apartments. Edwards thought six out of twelve apartments were vacant on May 15; these would be in various conditions and contain supplies of sundry sorts.
Edwards was anxious that no vacant apartment should be left unlocked and open. Especially as entry into the building was not guarded, to leave a vacant apartment open invited theft of
Edwards testified he worked at 146 Shirley until about noon on May 15, left for lunch and returned at 1:00 or 1:30, and left for good around 4:00 p.m. In the morning he worked in apartments nos. 3 and 9; he does not recall any unusual smell in no. 9, but he says he has no acquaintance with the odor of smoked cocaine. Edwards worked in no. 3 (adjacent to no. 3A) in the afternoon but heard nothing exceptional. Leaving the building, he passed Vao Sok and some two to five other men outside drinking beer. Edwards told Vao Sok not to drink beer in public. Vao Sok answered (paraphrased), “I’m drinking.”
Heng Or’s telephone call in the evening of May 15 would have sounded at the Edwards home as well as the office, but was recorded only at the office. The Edwards couple were at their son’s house for dinner (it was Lawrence Edwards’ sixty-second birthday); in any event the telephone call was not heard. Edwards was uncertain whether he learned of the assault on the child on Saturday or Sunday. The telephone record was played and erased on Monday, May 18.
4. Edwards knew Vao Sok as “Van.” Because Vao Sok was not a paying tenant, Edwards never checked his credit record or
Sergeant Detective Steven Pisano, interviewing Vao Sok on Sunday, May 17, drew from him that he drank regularly and heavily; indeed he was drunk the day before the interview. Map
Elements of the tort. 1. Negligence. Could a jury find with the required probability it was a negligent act on Edwards’ part to entrust the mission of a custodian and possession of the keys to Vao Sok, thereby allowing him access at all hours to apartments vacant or occupied?
There was no occasion for particular worry about Vao Sok’s fitness as long as Edwards used him for handyman jobs that involved little if any contact with other people. Concern should have arisen when Edwards was at the point of handing the keys to Vao Sok, and Edwards’ indifference and inaction at that stage has the look of a bad mistake. The change of function and the entrustment of keys prepared the stage for trouble; see the similar situation in Williams v. Feather Sound, Inc., 386 So. 2d 1238, 1239, 1240 (Fla. Dist. Ct. App. 1980). See also Tallahassee Furniture Co. v. Harrison, 583 So. 2d 744, 748-749 (Fla. Dist. Ct. App. 1991).
At that moment before entrustment, Edwards through his acquaintance with Vao Sok (and others) over time can be taken to have recognized Vao Sok as a jobless, homeless drifter with an alcohol addiction probably compounded by a drug habit, raising a question by what tactics not excepting force he could manage to support such indulgence. Edwards understood from what Vao Sok had himself vouchsafed that he was charged with a criminal offense described rather indefinitely and dismissively as a car theft, but somehow involving a requirement that he appear repeatedly in court, submit to examination in a hospital for mental competency, and attend to “probation” (undetailed).
Surely Edwards was at least put on notice, and might have taken the prudential step of inquiring further about Vao Sok. Recalling what Map Sem and Hem Beng told the officers, one might have expected Edwards to draw from these rather overtaxed friends the facts not only of Vao Sok’s heavy drinking and smoking, but of his penchant for uncontrollable temper when drunk. So also these friends might have attested to their fear for their children when Vao Sok was present. Finally, would not caution have called for a follow-up on the self-reported hints of Vao Sok’s entanglements with crime? The record goes far enough to establish that from June 27, 1990, and onward through the time Edwards entrusted him with the keys, Vao Sok stood accused by indictment of kidnapping and raping a young girl. A jury might reasonably infer Edwards could have learned that fact upon simple inquiry among those who knew Vao Sok, quite apart from any permissible resort to official documents. In the normal reaction of one seeking a fit person for an entrustment, the fact of the indictment would go far to clinch the matter against choosing the accused. It can hardly count as a factor in considering Edwards’ negligence that Vao Sok was acquitted of the Essex charges upon trial two years after the happening of the crime against Anmorian at bar here (any more than it could count that he was convicted of the crimes against Anmorian six years later).
Negligence in hiring or retaining a person to perform given tasks who is unfit for the job was long ago recognized as a ground of liability for the harmful effects of the choice upon related persons. In Carson v. Canning, 180 Mass. 461, 462 (1902), Holmes, C.J., said, “The plaintiff [who had pledged goods with the defendant pawnbroker] was allowed to recover on the ground that the absconding manager was an unfit man for his trust, and that the defendant could and would have found
Edwards’ fault of negligence in the sense of the Carson case is exacerbated by the fact that, as landlord of residential property in this neighborhood, he was under a duty — higher than that of a commercial landlord, see Whittaker v. Saraceno, 418 Mass. 196, 197 (1994) — to protect tenants from reasonably foreseeable risks of harm,
2. Factual cause. Assuming negligence, next is the question whether a jury could find that the entrustment of the keys in relation to the custodial task was as a matter of fact a substantial causative factor in bringing about the wrongful death. The question can be recast in “but-for” terms without change in meaning or likely result. See Restatement (Second) of Torts §§ 431, 432 & comment a.
3. Limitation on liability, (a) Customary formulation. Negligent actors in innumerable contexts are not to be held to account for all the consequences of their delicts however remote;
Thus the jury tries to reproduce the picture of what a reasonable person, as of the moment before the negligent act, would have foreseen as the likely harmful consequences of that act; alongside this picture the jury is to set the picture of the actual happening, and then to observe, in a general sense,
(b) Possible reformulation. The projected Restatement (Third)
“[S]peaking in general terms, the effort of the courts has been, in the development of this doctrine of proximate causation, to confine the liability of a negligent actor to those harmful consequences which result from the operation of the risk, or of a risk, the foreseeability of which rendered the defendant’s conduct negligent.”
The judge added a caveat regarding flexibility of definition:
“Of course, putting the inquiry in these terms does not furnish a formula which automatically decides each of an infinite variety of cases. Flexibility is still preserved by the further need of defining the risk, or risks, either narrowly, or more broadly, as seems appropriate and just in the special type of case.” (Emphases supplied.)19
Just so, Tentative Draft No. 2 (2002) of the Restatement (Third) of Torts adopts a formulation in negative style:
“§ 29. Limitations on Liability for Tortious Conduct. An actor is not liable for a harm different from the harms whose risks made the actor’s conduct tortious.”
The use of “risk,” rather than “reasonable foreseeability,” to define the limitation on liability seems to assist analysis as it sheds confusing terminology often found in discussions of “proximate cause” and neatly exhibits the relationship between negligence as defined in § 3 of the Restatement (Third) of Torts (Tentative Draft No. 1, 2001), see note 13, supra, with scope of liability under § 29. The new dispensation is not aimed intrinsically at different practical results from the old, for reasonable foreseeability dominates § 29 by its reference to the “tortious” (i.e. negligent) character of the initial act. See comment j to § 29.
(c) Case law. Consistently with the trial judge’s conventional
The present case resembles Ponticas v. K.M.S. Investments, 331 N.W. 2d 907 (Minn. 1983), an often-cited leading case in the application of the tort of negligent hiring or retention. The defendant landlord in Ponticas hired one Graffice as apartment manager of a residential complex. Reasonable inquiry would have disclosed Graffice’s shady background with criminal history, but only a limited, hurried investigation was undertaken. With the use of a passkey, incident to the job, Graffice entered a tenant’s (the plaintiffs) apartment and raped the tenant there. The court speaks of the nature of the tort. As to inquiries about candidates for given jobs, “[t]he scope of the [prudent] investigation is directly related to the severity of risk third parties are subjected to by an incompetent employee”; entrustment of passkey figures in considering the “scope.” Id. at 913. How far criminal history or other past misbehavior should serve to disqualify a person may turn on the character of a particular intended employment. The court examines the causal relation between the negligent omission to inquire and the ultimate harm, as well as “proximate cause” in the usual formulation. It has no difficulty in affirming the jury’s findings for the plaintiff.
Cited in the margin are illustrative cases like Ponticas and the present case portending liability for negligence in hiring an unfit person and allowing a loose passkey, all resulting in harm reasonably foreseeable from the start.
A dissenting opinion of Daughtrey, J. (voting to reverse a summary judgment for the defendants) in Doe v. Linder Constr. Co., 845 S.W. 2d 173, 184 (Tenn. 1992), has a useful review of negligent handling of passkeys, negligent hiring, and other matters. See also discussion in Doe v. Dominion Bank of Washington, N.A., 963 F.2d 1552 (D.C. Cir. 1992).
The defendants’ cited cases do not come near the circumstances of the present case which raise propositions of landlord’s negligence in hiring and breach of a duty of care for tenants. In Coughlin v. Titus & Bean Graphics, Inc., 54 Mass. App. Ct.
Issues for the jury. Each element of the tort presents itself normally as an issue of fact; there is proper reluctance to withdraw the issue from the jury or to nullify the jury’s finding and, as the court noted in Foley v. Boston Hous. Authy., 407 Mass. 640, 646 (1990), such invasion of the jury’s function is justifiably “rare.” Juries have a special place and value when it comes to handling the issue of limitation on liability, for here community standards — conceptions about what is right —should and inevitably do play their part. This is what Magruder was alluding to when he wrote of defining the risks “either narrowly, or more broadly.” And so the court in the Whittaker case, 418 Mass. at 198
To conclude: As to wrongful death, the defendant’s motion for judgment n.o.v. was correctly denied.
CONSCIOUS PAIN AND SUFFERING
As noted above in the Narrative, Anmorian, when found on Saturday afternoon, May 16, was limp, unresponding, unseeing with eyes open, only emitting a “tiny” sound of breathing. She was brought to the emergency room at Massachusetts General Hospital, and triage examination occurred at 3:30 p.m. Sometime later the same day Dr. Alessandra Peccei, a resident in gynecology, with a nurse’s help undressed the girl and prepared the rape kit. Dr. Peccei testified to abrasions of the girl’s face and body and to the bodily evidence of penetration or attempted penetration. Dr. Peccei said they could not make her follow with her eyes or engage her in any sense; she was semiconscious, sleeping, or somnolent. When they moved a limb, she appeared in reaction to rouse herself and moan or cry. When still, there was no indication of pain. On the following day, she exhibited what evidently were signs of “decorticate posturing,” defined as persistent flexion of the arm and extension of the leg on the other side, in other words, spasmodic movement of the arms and legs. This posturing reflects damage to the outer layer of
After CT scanning, Anmorian entered Ellison 3, the pediatric intensive care unit. Dr. Elizabeth Ann Catlin, then in charge of the unit, testified there was progressive neurologie impairment. On Sunday, the girl suffered a seizure. She required anticonvulsive medication and a breathing tube to the throat; finally, on Sunday night, she was put on a ventilator. She suffered brain death at 11:00 a.m. Monday, and life support was removed the following day. What brought her to her death, according to Dr. Catlin, was the lessening flow of oxygen or blood to the brain — all stemming from strangulation in the criminal episode. Dr. Catlin spoke of consciousness as an imprecise term and of neurologic awareness as a rough approximation of consciousness.
In an effort to show awareness on the girl’s part, counsel for the plaintiff asked the jury to look at places in the medical record (received in evidence in its entirety) that refer to particulars of the girl’s condition. In our view, these items go no further than to bear out the doctors’ testimony about the spasmodic moaning and crying and posturing.
Counsel suggests there may have been conscious suffering in the period before the child was found in apartment 3A. Suffice to say the suggestion fails as unsupported surmise.
We hold judgment n.o.v. was properly allowed as to conscious pain and suffering under § 6.
Amended judgment affirmed.
Order denying motion for new trial affirmed.
Edwards shared the office with his son Peter, a master locksmith.
Heng Or went to see his supervisor about 6:00 a.m. Saturday to explain the situation and seek advice. Returning to 146 Shirley around 6:15 a.m., Heng Or
The death certificate cites the cause of death as “obstruction of airway by another person” (anoxic encephalopathy and asphyxia, each with an interval of four days, May 15-May 19, between onset and death).
Vao Sok was tried and on October 1, 1998, convicted of the kidnapping, rape, and murder of Anmorian. On appeal the kidnapping conviction was vacated as duplicative of the felony murder conviction; the other convictions were affirmed. Commonwealth v. Vao Sok, 435 Mass. 743, 758-759 (2002).
The present action was filed on July 21, 1992. On motion of the district attorney, trial was put off until completion of the murder trial, and occurred on November 28, 2000.
This was in violation of the landlords’ standard lease with Map Sem, but Edwards took no action.
One Joseph T. James, with his wife, was near the Shirley Avenue address on May 15 between noon and 1:30 p.m. He saw a small girl, identified as Anmorian, skipping in front of the building. An “Asian” man was also there. Vao Sok was one of the three men James selected from photographs as closely resembling the Asian man Jones saw. This man had a can in his hand. He was “acting a little obnoxious. ... He was going out speaking to people on the street whether he knew them or not, I don’t know. And they kind of shrugged [him] off and went their way.”
We infer bail was terminated after the May 15, 1992, incident.
Notice of Vao Sok’s arrest in the Essex prosecution appeared in May 1990 in two local papers to which Edwards subscribed the police blotter of the Revere Journal and an article in the Lynn Item on the unusual occurrence of two child molestation cases in a single weekend. According to the latter article, Vao Sok (then of Malden) was accused of luring three girls from an elementary school into his car giving two of them money to get out and buy ice cream, driving off with the third, and raping her in his home.
Edwards denied knowledge or recollection of these newspaper stories.
Arrest and indictment do not bear on guilt but do bear on one’s judgment in selecting a custodian where doubt should be resolved against a candidate. See Easley v. Apollo Detective Agency, Inc., 69 Ill. App. 3d 920, 934-936 (1979); Tallahassee Furniture Co. v. Harrison, 583 So. 2d at 760.
The theory of negligent hiring or retention acknowledged in the Carson case is distinct and different from the theory of respondeat superior. See Ponticas v. K.M.S. Investments, 331 N.W. 2d 907, 910-911 & n.5 (Minn. 1983). Cf. Costos v. Coconut Island Corp., 137 F.3d 46, 50 (1st Cir. 1998). The former theory has been applied extensively in recent years, and appears in many passkey and other cases cited under “Limitation on liability,” infra.
The reference to reasonable foreseeability as quoted from the Poskus case prompts us to note, as well brought out in the projected Restatement (Third) of Torts, that foreseeability enters into a consideration of whether an actor has been negligent: a “[pjrimary factor[] to consider in ascertaining whether the person’s conduct lacks reasonable care [is] the foreseeable likelihood that it will result in harm . . . .” Restatement (Third) of Torts: Liability for Physical Harm (Basic Principles) § 3 (defining “negligence”) (Tentative Draft No. 1, 2001), and see comment g thereon. Foreseeability also appears as a factor in the “Limitation on liability” for the consequences of the negligent act (customarily referred to as “proximate cause”), considered infra. See the recognition of the double relevance in Whittaker v. Saraceno, 418 Mass. 196, 198-199 (1994).
The court in Whittaker cites as comparable relationships those between a college and its students, Mullins v. Pine Manor College, 389 Mass. 47, 54-55 (1983), a common carrier and its passengers, Sharpe v. Peter Pan Bus Lines, Inc., 401 Mass. 788, 791-792 (1988), and a hotel and its guests, Fund v. Hotel Lenox of Boston, Inc., 418 Mass. 191, 192 (1994). See Restatement (Second) of Torts § 314A (1965).
Here we have spelled out Edwards’ tort as negligent hiring, aggravated by breach of the landlord’s duty of care toward occupants, especially in a residential locus. The tort may be formulated alternatively as breach of the landlord’s duty of care by reason of the negligent hiring. Cf. Tenney v. Atlantic Assocs., 594 N.W. 2d 11, 14-17 (Iowa 1999); Shepard v. Drucker & Falk, 63 N.C. App. 667, 669-670 (1983). The trial judge touched on both formulations in her instructions and memorandum of decision.
The projected Restatement (Third) of Torts prefers the but-for formulation and also urges the use of “factual cause” as a clean category disentangled from such expressions as “legal cause.” See Restatement (Third) of Torts § 26 & comments a & b (Tentative Draft No. 2, 2002).
Restatement (Second) of Torts § 435(2) indicates that the “extraordinariness” might be judged retrospectively: “where after the event and looking back from the harm to the actor’s negligent conduct, it appears . . . highly extraordinary that it should have brought about the harm.” But in practice the reference is to fore sight. Compare § 435 comment b. Judge Posner remarks: “A person is not liable for such improbable consequences of negligent activity as could hardly figure in his deciding how careful he should be. Liability in such circumstances would serve no deterrent, no regulatory purpose; it would not alter behavior or increase safety.” Jutzi-Johnson v. United States, 263 F. 3d 753, 756 (7th Cir. 2001).
The decisions.repeat endlessly that to be actionable the harm experienced need not resemble the harm foreseen with any exactness of extent or manner of occurrence. See Flood v. Southland Corp., 416 Mass. 62, 71-73 (1993). Compare Hebert v. Enos, 60 Mass. App. Ct. 817, 821-822 (2004).
Judge Keeton’s monograph, Legal Cause in the Law of Torts (1963), developed a similar thesis with much force.
The passkey or equivalent tends both to increase the likelihood that harm-will occur and to facilitate the happening.
See Kendall v. Gore Properties, Inc., 236 F.2d 673, 675, 678-682 (D.C. Cir. 1956); Knerr vs. Gilpin, Van Trump & Montgomery, Inc., C.A. No. 85C-
See Tallahassee Furniture Co. v. Harrison, 583 So. 2d at 748-751; Yunker v. Honeywell, Inc., 496 N.W. 2d 419, 420-424 (Minn. Ct. App 1993). See also Malorney v. B & L Motor Freight, Inc., 146 Ill. App. 3d 265, 266-267 (1986). Cf. Island City Flying Serv. v. General Elec. Credit Corp., 585 So. 2d 274, 274-275, 277 (Fla. 1991).
See Smith v. General Apt. Co., 133 Ga. App. 927 (1975); Rowe v. State Bank of Lombard, 125 Ill. 2d 203, 221-224, 228 (1988) (reversing summary judgment entered for defendants), same case after remand and trial, 247 Ill. App. 3d 686, 688-689 (1993); Danile v. Oak Park Arms Hotel, Inc., 55 Ill. App. 2d 2, 6 (1964); Center Mgmt. Corp. v. Bowman, 526 N.E. 2d 228 (Ind. Ct. App. 1988); Presley v. Smith, 527 So. 2d 1095, 1098-1099 (La. Ct. App. 1988); Doe v. Stegall, 757 So. 2d 201, 206 (Miss. 2000); Dollison v. Mercy Servs. Corp., 1 Neb. App. 555, 560-561 (1998); Kerlin vs. Standard Invs. Co., 1983 Okla. Civ. App. Lexis 138, at*2, 5-6 (May 10, 1983). Cf. McDermott vs. Midland Mgmt., Inc., 997 F.2d 768, 769, 771 (10th Cir. 1993) (manager let in person who assaulted tenant). But cf. Knapp v. Wilson, 535 S.W. 2d 369, 370-371 (Tex. Civ. App. 1976) (landlords had duty to maintain proper control of apartment keys and master keys, but cause of burglary not sufficiently shown).
See McLean v. Kirby Co., 490 N.W. 2d 229, 232-235 (N.D. 1992). Cf. Kendall v. Gore Properties, Inc., 236 F.2d 673, 675-681 (D.C. Cir. 1956); Tallahassee Furniture Co. v. Harrison, 583 So. 2d at 747-749.
Adopting the statement at 4 Harper, James, & Gray, Torts § 20.5, at 136-137 (2d ed. 1986).
In ruling on the motion, “we examine the case anew,” MacCormack v. Boston Edison Co., 423 Mass. 652, 659 (1996), and “consider whether ‘anywhere in the evidence, from whatever source derived, any combination of circumstances could be found from which a reasonable inference could be drawn’ in favor of the non-moving party.” Kattar v. Demoulas, 433 Mass. 1, 8 n.5 (2000).
See Stedman’s Medical Dictionary 446 (26th ed. 1995), defining “cerebral decortication”; Am. Jur. Proof of Facts 3d, Attorney’s Illustrated Medical Dictionary P64 (2002), “decorticate posture.”
The statutory term “conscious” is not to be taken with the refinements one expects to find in a study of the elusive subject of consciousness.
Where the record mentions movement of the arms or legs this is plainly referable not to free exercise but to the posturing. Moans, groans, and other sounds have generally been found insufficient to figure as evidence of consciousness. See Ghiz v. Wantman, 337 Mass. 415, 419 (1958); Fialkow v. DeVoe Motors, Inc., 359 Mass. 569, 573-574 (1971).
The court in Carr v. Arthur D. Little, Inc., 348 Mass. at 477, recognizes, besides the categories of cases where consciousness is proved or fails of proof, a third category, enigmatic for nonexpert observers, where expert opinion may be helpful or decisive. The trial judge herein in her memorandum of decision mentioned “the lack of interpretive medical testimony.”