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Pearce v. Ollie
826 P.2d 888
Idaho
1992
Check Treatment

*1 826 P.2d 888

John Ethel Franklin PEARCE and

Pearce, wife, Plaintiffs- husband

Appellants-Cross Respondents, OLLIE, M.D.;

Steven and John and Jane V, Through

Does I True Names Whose Unknown, Defendants-Respon

are

dents. Cascade, Idaho,

Valley County Hospital,

Defendant-Respondent, Cross

Appellant, Schlender, Hailey, plaintiffs- E. Lee Moser, M.D., John Defendant. appellants-cross respondents. No. 17744. Quane, Smith, Hull, Boise, & Howard Supreme Court of Idaho. defendant-respondent Ollie. Elizabeth G. term, January Boise 1991. argued. Roper Feb. 1992. Troxell, Boise, Hawley, Hawley, Ennis & defendant-respondent, appellant cross Valley County Hosp. Joseph Langfield P. argued.

BAKES, Chief Justice. John Pearce suffered a subarachnoid ce- Cascade, (stroke) hemorrhage Ida- rebral ho, January his of 1984. Treatment for Valley condition was administered County Hospital and Dr. John Moser and Ollie, Cascade, Idaho, physi- Dr. Steven malpractice cians. This medical action arises from that treatment. consultation, care and treat- After initial passage hospital, ment at the and the hours, approximately Pearce was trans- in Boise at Alphonsus Hospital ferred to St. There he was the direction Dr. Ollie. Cindrich, treated Dr. Patrick a neuro- Wilson, a neurol- surgeon, and Dr. Richard ogist. severe and Mr. Pearce sustained impair- permanent physical and mental hem- ments from the subarachnoid cerebral orrhage. John Pearce and October of against Dr.

wife Ethel initiated this action Moser, Ollie, Valley County Hospi- alleged Valley complaint tal. The Hospital properly failed to treat County Pearce, treating physicians, Mr. *2 540 hospital granted the motion and Ollie, provide ade- court did not

Drs. Moser and consultation, Valley and that from the action. neurological dismissed quate was too late to St. the di- Hospital cross-appeals transferred from County Mr. Pearce was contend that plaintiffs favor, asserting The Alphonsus. in as rected verdict its and treatment diagnosis with earlier other defenses which position its fall-back no suffered little or Pearce would have ruling in on the rejected court the district impairment. conclude for directed verdict. We motion appeal in this case should that the Pearces’ trial, Before the case went Thus, neеd not reach the dismissed. we depositions that taking tiffs learned while parties. by other issues raised both engaged counsel had and Dr. Wil- Dr. Cindrich interviews with jury's apparent from the readily As is knowledge or consent of son without A, Appendix verdict, attached as which is conceded to hav- Both doctors Mr. Pearce. total dam- determined Pearce’s jury testify counsel to ing agreed with defense by proximately caused ages, “which were the defen- expert on behalf of as witnesses defendant(s),” to be failure of the seek- filed a motion The dants. $150,000. judgment entered The trial court the defendants precluding order Dr. Moser against because on that verdict calling and Dr. Wilson from Dr. Cindrich jury whom the was the defendant he witnesses, trial court denied. which the total amount of negligent. The found to be Boise, jury tried to a The case was by plaintiff, as found damages suffered jury returned March Moser and paid by Dr. jury, only Dr. Moser was finding that verdict Accordingly, plaintiff. accepted Mr. Pearce. negligence treating guilty of proceedings no for further there is basis negligence. was absolved Dr. Ollie appeal. for an and no basis judgment upon the court entered The trial Budzianowski, Idaho Walker Dr. Moser was case and the verdict (Where (1982) defendant 646 P.2d $150,000, the payment of concluded to tender full offered personal injury action jury found damages which the amount of costs, plus inter- damages and amount had sustained. that Mr. Pearce by plain- est, questions raised plaintiff, Ford, moot); Bob Rice appeal were dis- tiff on appealed from the Pearces have P.2d 37 Idaho Donnelly, 98 Inc. v. exclude the testimo- refusal to trict court’s Crouse, Ida- Wilson, (1977); Corp. v. Radioear Drs. ny of Cindrich (1976). 547 P.2d 546 granted to ho of dismissal judgment final denying their Ollie, from the order and also attorney No costs or dismissed. Appeal new trial motion for a post-judgment fees awarded. During hospital and Dr. Ollie. against the their trial, had rested after the Pearces McDEVITT, JJ., concur. JOHNSON chief, County Hospital Valley BOYLE, J., specially. concurs district a directed vеrdict. moved for *3 BOYLE, specially concurring. dispute Justice no doctors There is two testify did at trial on behalf of the defense. I majority dismissing concur with the legally Most trained would concede minds However, appeal. register genu- I my ex- in-person testimony that such would be ine concern over an issue addressed tremely persuasive jury. with a Other opinion. lead this case defense unprecedented than for defense counsel’s made contact retaining Wilson conduct and Cindrich patient’s treating I physician. opposed am witnesses, expert normal primary practice such a because I.C. 9-§ they course would have been of events 203(4)(C)clearly provides “physician that a plaintiffs’ As conse- witnesses. a natural surgeon cannot, without the consent accepted quence physician’s having patient, be examined in a civil action” *4 counsel, employment by plaintiffs’ defense regarding the patient’s medical condition attempt to doctor counsel did not call either except may provide that the physician “tes- of Pearce. testify on behalf Frank timony” brings if an action puts his her condition or at issue. known, the first So far as is this was subpoena any plain- Defense counsel can of in occurred instance Idaho where there has physicians testify pretrial dep- tiff’s in a outright usurpation patient’s an of a treat- view, my parte or at In osition trial. flagrant doctors defense counsel in patient’s treating physician by contact of a relationship violation be- of the confidential defense counsel in clear violation of I.C. patient, doing of tween doctor and 9-203(4)(C). the extent that the dis- To § 9-203(4), prohibited by oth- which is I.C. § Bistline, J., of is critical of ex sent er than where the consents there- treating physicians of defense contact predecessors and/or to. That statute its counsel, expressly other than that allowed unknown, dating neither nor back new statute, agree. by the I history days. to territorial op- Having previоusly had the benefit BISTLINE, Justice, concurring part, briefs, the oral posing away we came from dissenting part. singularly argument aware that well resolved this Court decisive issue to be PART I. BACKGROUND Judge order validity was McKee’s oral heard Mon- argument When was plaintiffs’ motion which denied in limine 7, 1991, January clearly we under- day, seeking and preclude both Dr. Wilson present- issue stood that determinative experts on testifying Dr. from as Cindrich validity, impropriety, as ed was Dr. Ollie physicians defendant behalf of the might be, of defense counsel’s response this motion and In Dr. Moser. and non-consensual contact with interview order, gave McKee for in limine Wilson, of Dr. Cindrich and deci- ruling his in a written memorandum ex- retaining treating those sion: testify on behalf of the pert witnesses to evaluating In the course disputing is no trial. There Cascade, hospitalized in tiff he was while retained, although so the details they were via tele- Ollie consulted defendant readily agreement are not found Wilson, Richard a neurol- phone course, payment mat- record.1 Of is a con- ogist Subsequently, and in Boise. agreement defense counsel ter of between Wilson, opinion Dr. first, sistent with witness, than that their other Al- transferred to St. must consent to defense plaintiff/patient Boise, he was phonsus where R.M.C. contacting physicians. his Nei- counsel’s Cindrich, a operated upon by Dr. Patrick asked Frank Pearce nor wife were ther consent, neurosurgeon. they gave no consent. $500 than charge appearance would be no less testify a court to a standard 1. Dr. Wilson did testimony, per deposition per hour $500 hour. hourly presumed be that his fee which it can 105], Plaintiff has now filed the instant mal- Dec. (Ill.App.1987), 513 N.E.2d 519 practice action the two unpersuasive. to be The conclusion of Cascade, Ollie, cians Drs. Moser and party the Illinois court that a Valley and the County Hospital. Appar- through obtain informal means what ently, during preparation, trial attorneys through would be available formal dis- for the defendants discussed the case covery, remedy and that thе for trans- with both Dr. Wilson and Dr. Cindrich. gression is the exclusion such evidence early discovery, the defendants listed tainted, supportable. so is not experts both of these doctors as defense Instead, persuaded by I am the views pertaining on issues to the substantive expressed in jurisdictions other plaintiff by treatment afforded the de- parties effect all have free access to upon fendants and local relevant privileged, all evidence not however such date, plain- standard of care. At a later Brown, acquired. Lazorick v. deposed tiffs counsel both Dr. Wilson N.J.Super. 444], 223, (N.J., 480 A.2d [195 Following and Dr. depo- Cindrich. these 1984); TransWorld Investments v. sitions, apparently upon learning (Alaska, Drobny, 1976); 554 P.2d 1148 thereby that prepared these doctors were Applequist [Appelquist], Stufflebam testify adversely plaintiffs position, 1985). (Mo.App., 694 S.W.2d 882 plaintiff filed the instant motion to bar *5 opinions by plain- The ethical cited the testimony. their point. tiff are not in This is not a case upon bases his motion Plaintiff where defense counsel have invaded grounds that Drs. Wilson and Cindrich privileged infringed upon area or an ex- are subject fiduciary duty to a pert previously by retained the plaintiff, they ought and that not be litigation purposes. permitted testify adversely to him. I my ruling. therefore decline to revisit contends that Plaintiff further Plaintiff's motion to exclude the testimo- improperly counsel acted in discussing ny of Drs. Wilson Cindrich will re- the case with these parte, doctors ex main denied. This memorandum shall and then in retaining them as defense constitute the order of the court. experts. argument Plaintiffs per- is not R., added). (emphasis suasive. Vol. 292-294 The information opinions pos- PART II. by sessed Drs. Wilson and Cindrich are privileged. 503(d) excepts I.R.E. Other than is illustrated in the dissent any physician-patient privilege mat- follows, disagreement which I have no placed by ters patient. issue the Ab- Court, opinion the for the and to that limit- privilege, persuaded sent a I am that the extent, ed I concur therein. Co., rationale of Lilly Doe v. Eli & 1983) ([D.D.C.] F.R.D. 126 is the better III. PART DISSENTING reasoned view: opinion has an now which party litigatiоn “... no any- has issuance, presently has sufficient votes for thing resembling proprietary right agree. with which I am unable to Its ratio priv- witness’s evidence. Absent a decidendi, brevity at least a model of at ilege party no is entitled to restrict and sentences, three is: witness, opponent’s access to a how- him, partial important by ever readily apparent jury’s As is from the insisting upon verdict, some notion of alle- A, Appendix which is attached as giance.” jury the determined Pearce’s total dam- ages, proximately by I ‘which were caused authority by find the Illinois cited the defendants),’ plaintiff, the McCray, Karten failure of the to be [Karsten] $150,000. Ill.App.3d 364], judg- 109 Ill.Dec. The trial court entered [157 (Ill.App.1987) N.E.2d 1376 and Yates v. ment on that verdict Dr. Moser Ill.App.3d El-Deiry, only 112 Ill. he defendant whom because was [160 setting damages Pearce’s total at jury negligent. found to be The total Frank $150,000, damages by damages suffered Pearce’s amount of and Ethel total plaintiff, by jury, paid was as found zero. accepted by by Dr. Moser and reading by majori- of the verdict Accordingly, tiff. there is no basis for i.e., ty, that the verdict was a determination case, proceedings further in this and no damages of the total to Frank and Ethel appeal. for an basis soundly premised, especially Pearce is not at 889. It is not Opinion at 826 P.2d ignoring that Ethel Pearce received reading of the disputed that a tunnel-vision equally disregards It that nothing. yield interpretation. jury verdict could damages question, question no. 3 total however, opinion, read To so the Court’s reads, damages “[wjhat are the total ignoring set of resort must made to proxi- by which were suffered “(s)” in the parentheses which encase defendant(s)?,” mately caused refers “defendant(s).” But even that does word questions 1 and both of which back justify majority’s conclu- not serve to negligent, asked whether each doctor was no reason for further sion that “there is jury responded only and no more. The no proceedings basis for damages, Dr. Moser at fault. Total A more realistic appеal.” fair and then, were not inclusive of both doctors’ reading jury verdict form is that essentially in- Judge McKee negligence. only jurors concluded because jurors jury that if the found structed $150,000damage negligent, the Moser was negligent, then the defendant doctors both jury is the total assessed award applicable. Ob- plural defendants would be damages caused the Pearces amount of found viously, where one doctor was jury did not negligence. The

Dr. Moser’s liable, surplusage, mere *6 the “s” was any damages Dr. as to find Ollie liable special did not directive of the verdict the whatsoever, it follows that the from which doubting jurors.2 the There is no so advise $150,000 only apply to damage award could words, “[wjhat encountering the are that in Therefore, liability the of Dr. Dr. Moser. by the damages suffered the total susceptible being to tried a second Ollie is by caused proximately tiffs were which prevail do not on plaintiffs time. If the defendant(s)?” has elected to majority trial, is home liability in a second Dr. Ollie encasing the parenthesis symbols strike the free. letter “s.” majority’s willingness to assume damages rendered The total were $150,000 “the total award was for that the monetary is no only Dr. Moser. There by plaintiffs ... damages suffered Ollie, paid he has no against Dr. award defendant(s),” is trouble- by caused the ... trial. Accord- damages a result of the as only to whom defendants some. preventing ingly, there is no obstacle and Dr. Dr. Moser question referred were alleged trying Dr. Ollie’s plaintiffs from ánd Ethel plaintiffs, Frank Both Ollie. to will be as negligence in a new trial which Pearce, damages. insuffi- With claimed attorneys Dr. only, him and where Ollie’s court, trial it can- guidance from the cient utilizing precluded properly be not will jury did or did not be said whether from as witnesses treating physicians form as Pearce’s in the verdict question read that intervention, exonerat- was district court absent require Brandéis acumen not 2. It does await other than to out of the case special ed and verdict was drafted that the understand verdict, incidentally that, judgment on thought at the time the in mind with the his de- any incurred in feеs jury, collect costs and were two to the there was submitted jurors reached defendants, that when negligent. fense. It follows alleged to have been both damages defendants, total question “What are the no. only deci- being the first two There proximate- plaintiffs by which were suffered jury to answer “no” was sion made defendant(s)?” the ly the failure absolving of caused question Dr. Ollie inquiry no. of any $150,000 application to time, no although had award of negligence. At that causative Ollie, Dr. Moser. realize, liability than that attributed other probably not so jurors did plaintiffs’ treating physi- majority goes “hands-off” of Where the the defense.3 clearly plaintiffs’ inimical to the mind the fact cians was astray putting is in out of erroneous, there Because it was the defendant doctors were sued lawsuit. defendants, jury trial. Had the ver- and not as a two- must be a second individual team, partnership, nor Drs. Moser and Ollie man nor as dict absolved both joined incorporated capacity. liability, Plaintiffs this Court would have been trial, purposes proposition It could put grant them for a new trial. hard not or other defen- prejudicial, highly preju- which either of the doctors other than challenged, did not. dants could have improper, for the dicial and wrote, ‘‘Here, Judge himself McKee testimony deprived have been defendants, asserting plaintiff sued three treating physicians—accomplished their separate and liabil- negligence theories bring- stealthy procedure by the represented ity against each. Each was encampment. As into the defense both by separate (emphasis counsel.” R. 509 elsewhere, there was some financial stated added). liability differed as to Theories doctors, nothing gain pales for the each doctor. compared to the destructive effect on when plaintiffs’ knowing There is no how case. presented clear cut This Court is with a paid to Dr. Wilson and Dr. Cind- much was opportunity to inhibit a defense counsel rich, but it is a matter of record that course of conduct which has been con- $2832.31, McKee awarded Wilson overwhelming majority demned an $3400.00, Dr. Cindrich as witness fees. On jurisdictions the courts in all which have scales, plain- the other end of the balance foregoing addressed the the issue. The nothing except tiff Pearce ended with Ethel statement is made without hesitation physically injured wholly shell of her authority, after an extensive research of disabled husband. which endeavor consumed weeks rather days, opinion than and which resulted suggestion, to the The aforementioned which, joined, prac- if would have halted respondents effect could have legal community tice which had not dismissal, apparently moved for had consid- previously brought been to the Court’s at- appeal, in a time it erable because short opinion As tention. a result of the for the concurrences, and the consensus had three puts stamp approval Court which presumably appeal to dismiss the *7 will, practice Topsy, grow, that like opinion lacking an a ratio decidendi. Pre- grow, grow, denigration of the sumably preferred opinion an this was over respectability practice of the of law in Ida- denouncing the actions of defense counsel ho, far more than did of the advent adver- making contact a nonconsensual with tising. plaintiff’s treating physicians, and worse review,

By any Judge yet, retaining expert standard of their services as wit- ruling Today McKee’s released trial and bar are which defense nesses. the bench statutory requirement judgment counsel from the which favored with Court’s justice readily accept ruling would more the Moser was in- 3. This McKee’s that Dr. majority’s opinion strength if it assessed the testify taking pretrial competent at the of his to pil- the defendants’ case in the absence of the deposition. defense of Dr. Ollie was based However, testimony. majority fered witness the entirely testimony Dr. on the of Dr. Wilson and attempt not to assert that the does Cindrich, treating phy- Frank Pearce’s who were against not havе won their case both Dr. would extensively, physicians testified as sicians. Both and Dr. Moser even if the defendants had Ollie by going Quane’s is to the record. Mr. disclosed Indeed, plaintiffs' physicians. stolen the not eighty- of Dr. Cindrich filled direct examination they proposition could not assert such a pages two of direct examination. His redirect confidence; any degree of without Dr. Cindrich pages. of Dr. Cindrich was four His examina- Wilson, the sole defense witness would and Dr. encompassed ninety-six pages Wilson tion of Dr. Nielsen, psychiatrist, been Dr. Cantril plus twenty-two pages of redirect. an additional testimony largely pertained to the mental whose defendants, Gjording, Mr. also for encom- the competency testimony of Dr. Moser. That was examination, passed pages four and eleven application to the issue of Dr. Moser’s not for negligence, pages of examination of defendants. asking but on defense motion majority. judgment only effectuates that consensus the learned of the default on open Pandora’s unless the locating box is until and judgment during lien a title legislature intervenes. property. petitioned search of his real He it set to have aside. order to sell appears majority Not one word the meantime, property deposited the Crouse opinion by the at- majority which even court, pursuant funds with the to I.C. tempts justify to the untoward and Court’s 10-1115, in satisfy judgment to order the precipitous taking § conduct itself the unto cloud and ‍​‌‌‌‌‌‌‌​‌‌​​‌​‌‌‌‌​‌​​‌‌‌‌‌​​‌​‌​‌​​​​‌​‌​‌‌​​‌‍thus remove the on his title. authority sponte appeal to sua dismiss the by doing contended request in- Plaintiff Radioear pausing without or allow Furthermore, so, making Crouse was of reme- volved counsel to be heard. election support attacking cases the so majority precluded the cited dies and was from not proposition judgment. of that do lend credence the This held distinguishable the it. Each one is depositing of the the Crouse’s funds with present set of facts. case now before clerk of court was not inconsistent with an vеry unlike us much the scenario right move the assertion the to vacate Budzianowski, 103 Idaho Walker judgment. P.2d issue where the us, Radioear, case as in it In the before appeal genuinely mooted the similarly not inconsistent the Pearces actions.4 defendant’s accept money judgment the from defen- upon by In the the second case relied Moser, jury Dr. found clear- dant whom Ford, majority, Donnelly, Bob Rice Inc. v. ly negligent, pursu- at the same time while (1977),judgment Idaho P.2d 37 objectionable a new trial free of Donnelly, against had been at trial entered in retaining tactics defendant, Ford. in favor Bob Rice treating physicians expert as wit- Pearces’ Subsequently, Donnelly deposited with Moser, proceedings As to nesses. Dr. judgment amount district court the do complete; and Ethel Pearce are Frank authorizing its release to Bob as well They simply try dispute that. wish later Rice Ford. This Court dismissed a against case Dr. Ollie without defense their appeal by Donnelly, holding that since he treating use Pearce’s counsel’s of Frank fully judgment against had satisfied Dr. Ol- physicians’ testimony on behalf of is rela- him the was moot. The law lie. Donnelly tively clear that when defendant judgment affirmatively satisfied ready that the response A notion him, proceedings in the all further has to appeal be dismissed because contrary, lawsuit ended. To when $150,000 plaintiffs accepted accepted Pearces Moser’s satisfaction Pearce, is no one jury awarded Frank nothing as to judgment, they admitted might out- possibly can know what it how related to Ollie. solely trial come if there to be new were *8 Ollie, ques- A against Dr. no one else. and Crouse, Finally, Corp. Radioear jury returned Had the tion to be asked is: a P.2d 546 involved Idaho liability as to both Dr. Ollie of no a verdict allegedly by for a owed Crouse. suit debt plaintiffs be enti- Moser, the and Dr. would appearance judgment and made no Crouse grant of a appeal pursuit of to him he failed tled because was entered de- and at the defendants the Crouse new trial which appear to defend case. to judgment to Walker, be entered sought damages an amended from ed and 4. In the personal injuries into the suffered had tendered for that Budzianowski Budzianowski when Budzianowski’s stationary reflect Walker’s vehicle struck the Since $1023.30. court entire district the dam- in the rear. Walker's vehicle by trial appealed Walker was the issue $1023.30, appor- jury ages the were because comparative negligence instructions on court’s plaintiff and negligence the the between tioned jury supported find- the evidence and whether defendant, resulting judgment in favor of the truly negligent, was it Walker was 49% that by the court was Walker entered trial pay the upon offer to mooted Budzianowski’s However, entry plus of after costs. parties $521.88 by requested Walker. amount entire stipulated it be vacat- judgment, the of using from well as her husband’s claim for loss fense counsel would be barred services, care, consortium, as comfort and Dr. Wilson and Dr. Cindrich witnesses trial, Yes, they companionship. The case to and for the defense? Answer: would went precluded, damages mem- Mrs. Mc- provided jury be so two awarded my $196,000, of the Court share view that this of and to Mr. bers Donald in the sum should to banish such con- of endeavor his loss consortium McDonald for trial would be $35,000. upheld duct. Otherwise a second sum of Both awards were futile. appeal opinion by this on in a unanimous Court. prejudice is done readily apparent any attorney, trial even previously, a similar case year Just one First, plaintiffs experience. one of limited presented was to us Runcorn v. Shearer deprived calling of both Dr. were Wilson Co., P.2d 324 107 Idaho Lumber and Dr. Cindrich as witnesses because both (1984). damages Runcorn’s were set Mr. expert had been retained as defense wit- $825,000. by the the sum of For jury at plaintiffs’ nesses. If the so were claim, of Mrs. Runcorn’s loss consortium calling foolish as to risk Dr. Cindrich or Dr. damages sum of jury in the awarded presentation testify Wilson to $100,000, was judgment that amount plaintiffs’ counsel would have defense Schilling, by Judge entered was not who day Any had a field on cross-examination. Company to by convinced Shearer Lumber leading questions manner and all appeal reduce On to this either amount. suggestive questions day’s be would affirmed, ex- judgments Court both were spoon by fed to the witnesses bill-of-fare cept for our unanimous conclusion that is defense counsel. Cross-examination district reduce loss of con- court should open much like season. The Pearces are percent sortium ten to account award entitled to a new trial wherein Wilson comparative negligence for Mr. Runcorn’s precluded and Dr. Cindrich would be percent. Mr. Run- jury set at ten testifying experts as for the defense. The judgment corn’s also was directed trial which we not a trial. review was fair $22,031.99, reduced sum of because by the ruling Because of McKee’s the ensu- he had received that amount worker’s ing trial was tainted even before it com- compensation benefits. menced coun- maneuvers sum, is indeed loss consortium retaining sel in and Dr. Wilson Cindrich action, viable and a claim which cause expert witnesses for defendants. dependent amount awarded Additionally, damage jury award to If injured person. evidence on that zero, clearly Ethel Pearce an unac- claim, Mrs. then supported issue Pearce’s ceptable Paragraph state of affairs. XII re- jury improperly and without basis alleged complaint the Pearces’ loss unacceptable turned on that verdict Although consortium. there be some testimony on direct and redi- claim. Her scoff, loss long of consortium has been who (a pages total of rect examination Idaho, recognized action cause of substantia] transcript) clearly illustrated claim the total absence of an award her damage loss of consortium and enough is reason for the Pearces considerably more than nom- entitlement to again issue second trial wherein Yet, the “zero” damages. jury inal said a jury. submitted acceрted It the verdict. court *9 I sign to am has would be a welcome know just years the last ten perused testi- has her only such it. The more not one who had two cases before purport mony. complaint did not Safeway one was McDonald v. recent necessary to (1985). particulars, nor was it Stores, P.2d 416 list 109 Idaho complaint that such physically injured do so. The stated McDonald was the Mrs. trial, Ethel at and joint complaint would be established spouse, and McDonalds’ is no promise. There general spe- Pearce fulfilled that a claim for her and contained zero stand $300,000, cannot damages in amount of as doubt that a verdict cial this case. The Pearces are diagnosis entitled to a tend that with earlier and treat- new trial. ment Pearce would have suffered little or impairment. no

Having my obligation fulfilled as as- signed opinion author to write an for the Boise, jury The case was tried to a and Court, examining undertaken after 24, 1988, on March jury returned a plaintiffs’ district court’s denial of motion finding verdict Dr. Moser committed mal- order, for an in limine it is now each practice. Judgment upon the verdict was justice to decide whether to breathe life against entered and the case Dr. Moser opinion by into this concurring, or not do- by payment judgment. was settled so, not, if endorsing approval and thus jury’s verdict absolved Dr. Ollie turning McKee’s decision negligence. purloin any plaintiff’s counsel free to treat- trial, During and after the Pearces ing physicians bargain and in the implicitly chief, Valley had rested their case in Coun- 9-203(4) relegating scrap I.C. § ty Hospital moved for a directed verdict. now, heap. time, If not then at some later granted The district court the motion and perhaps enlightened a more Court will see Hospital was dismissed from the action. opinion put fit to dust off the and it to the appealed The Pearces have from the final good use for which it was intended. Ac- Ollie, judgment granted of dismissal to Dr. follows, cordingly it than other that those denying post- and also from the order their parts majority my wherein the and view judgment for a motion new trial view coincide are omitted5: Hospital Valley County and Dr. Ollie. Hospital cross-appeals from the directed PROPOSED, PART IV. BUT RE- favor, asserting verdict its as a fall-back JECTED, MAJORITY OPIN- position its other defenses which the dis- BISTLINE, ION of J. rejected ruling trict court on the motion John Pearce suffered a subarachnoid ce- for directed verdict. Cascade, hemorrhage rebral Idaho in January malpractice of 1984. This medical A. EX PARTE INTER- DEFENDANTS’ action arises from the treatment adminis- TREAT- VIEWS WITH PLAINTIFF’S Valley County Hospital, tered ING PHYSICIANS Ollie, Dr. John Moser and Dr. Steven resi- consultation, physicians. impression juris- dent After initial An issue of first hospital, testimony care and treatment at the and the of Dr. diction whether hours, passage approximately Pearce have been Cindrich and Dr. Wilson should Hospital Alphonsus transferred to St. precluded of defense counsel’s because in Boise at the direction of Dr. Ollie. There having engaged them in non-consensual ex Cindrich, by Dr. he was treated Patrick This information was not interviews. Wilson, Richard neurosurgeon, and Dr. depositions being taken. learned until were neurologist. severe Mr. Pearce sustained having agreed to Both doctors conceded to impair- permanent physical and mental testify expert on behalf of witnesses hem- ments from the subarachnoid cerebral denied defendants. The district court orrhage. precluding plaintiffs’ motion for an order utilizing Dr. Cindrich defendants from Pearce and his In October of John witnesses, doing so and Dr. Wilson as against Dr. wife Ethel initiated this action decision: a written memorandum means of Moser, Ollie, County Hospi- Valley evaluating the In the course of complaint alleged: prop- failure to tal. The Cascade, hospitalized tiff he was while by Valley County; erly treat Mr. Pearce via tele- consulted the defendant Ollie neurological consultation was Wilson, a neurol- phone with Dr. Richard treating physi- properly by the obtained con- Subsequently, and ogist in Boise. cians; that Mr. Pearce was transferred Wilsоn, opinion con- sistent with Alphonsus. Plaintiffs too late St. *10 II, III, majority IV. my proposed opinion are Parts and 5. Deleted from

549 authority by the Al- I find the cited plaintiff transferred to St. Illinois Ill. Boise, McCray, 157 phonsus plaintiff, he was Karsten v. R.M.C. where Cindrich, Ill.Dec. 509 N.E.2d by App.3d a 109 operated upon Dr. Patrick (1987), El-Deiry, v. 160 1376 and Yates neurosurgeon. Ill.Dec. 513 Ill.App.3d 112 mal- Plaintiff now filed the instant has unpersuasive. 519 to be N.E.2d practice action two a the Illinois court that The conclusion of Ollie, Cascade, Drs. cians Moser and through informal party not obtain Valley County Appar- Hospital. and through means what would be available attorneys ently, during preparation, trial remedy discovery, and that the formal for the defendants discussed the case transgression of such is the exclusion and Dr. with both Dr. Wilson Cindrich. tainted, supportable. so is not evidence early discovery, In listed defendants experts both of these doctors as defense Instead, persuaded by I views am pertaining on issues to substantive jurisdictions to the expressed other plaintiff by treatment the de- afforded to parties that all have free access effect upon fendants local and relevant privileged, such all evidence not however date, plain- At a standard of care. later Brown, acquired. may be Lazorick v. deposed tiffs counsel both Dr. Wilson NJ.Super. 444, (1984); A.2d 480 223 195 depo- Following Cindrich. these v. Drobny, TransWorld Investments sitions, learning apparently upon (Alaska 1976); P.2d 1148 Stufflebam thereby prepared that these doctors were (Mo.App. Appelquist, S.W.2d 882 testify adversely plaintiff's position, to to 1985). plaintiff filed the instant to motion bar opinions by The ethical cited testimony. their is point. not in This not a case tiff are upon Plaintiff his motion bases have a where defense counsel invaded grounds that Drs. Wilson and Cindrich infringed ex- privileged upon area or subject fiduciary duty to the are to by previously retained pert ought plaintiff, they per- and that not be litigation purposes. testify adversely Plain- mitted to him. ruling. my I therefore decline revisit tiff further contends that defense сoun- motion to exclude the testimo- Plaintiff’s improperly discussing acted sel ny Drs. Cindrich will re- Wilson and parte, case with these doctors shall main denied. This memorandum retaining ex- then them as defense constitute the order court. perts____ impres- Because this is an issue first pos- opinions The information and Idaho, very important also a sion sessed Drs. are Wilson and Cindrich issue, only to necessarily must look not we 503(d) privileged. excepts I.R.E. by the holdings in the cases examined six any mat- physician-patient privilege court, jurisdictions other district placed patient. ters in issue passed upon that issue. (Even) I privilege, persuaded am absent naturally turn engaging in that exercise we Lilly of Doe & that the rationale v. Eli states, neighboring then first to our Co., (D.D.C.1983) F.R.D. states, way and work our western other better reasoned view: eastward. anything party litigation no has ... 1988, the years ago, in June right three

resembling proprietary Just Washington Supreme Court was confront- privilege witness’s evidence. Absent issue and reached oppo- the exact same party no entitled to restrict an ed with justices. nine of witness, signed by all to a however decision nent’s access him, 110 Wash.2d Mhyre, insist- Loudon v. partial important See (1988).6 Because Wash- allegiance. P.2d 138 ing upon notion of some brought by wrongful death action underlying This is a facts in Loudon were: 6. The Loudon, individually personal and as Robert *11 550

ington parte contact. See Alston v. Greater prior court’s ruling on that issue 1964, S.E. Comm’ty Hosp., 107 F.R.D. 35 dated back to it conducted an exten- sive Syntex Labs, authority (D.D.C.1985); Petrillo v. review of which had become Inc., available intervening 581, twenty-four Ill.App.3d 148 172, 102 Ill.Dec. years: appeal denied, (1986), 499 N.E.2d 952 584, 113 55, Ill.2d 106 Ill.Dec. 505 N.E.2d jurisdictions The which have addressed 361, cert. denied sub nom. Tobin v. Pe this issue are appropri divided as to the trillo, 1007, 483 3232, U.S. 107 S.Ct. 97 ate answer. A number of courts have (1987); Roosevelt Hotel Ltd. L.Ed.2d 738 parte ex approved contact due to its ad Partnership Sweeney, v. 394 N.W.2d 353 vantages depositions over (Iowa 1986); Wenninger Muesing, v. 307 claimed advantage given unfair plain 405, (1976); Smith Minn. 240 N.W.2d 333 Co., tiffs. See Doe Lilly v. Eli & 99 Ashby, v. 358, 106 N.M. 743 P.2d 114 (D.D.C.1983); Trans-World F.R.D. 126 Lewis, (1987); Nelsоn v. 106, 130 N.H. Inv. v. Drobny, 554 P.2d 1148 (Alaska Brodnitz, Anker v. (1987); 534 A.2d 720 1976); Langdon Champion, v. 745 P.2d 148, 98 Misc.2d 413 (Sup.Ct.), N.Y.S.2d 582 (Alaska 1987); Green v. Bloods 1371 mem., 589, 73 A.D.2d 422 f'd af worth, (Del.Su 501 A.2d 1257 (App.Div.1979). N.Y.S.2d 887 per.Ct.1985); State ex rel. v. Stufflebam Loudon, 677, 110 Wash.2d at 756 P.2d at

Appelquist, (Mo.App. S.W.2d 882 (footnote omitted).7 1985); Stempler Speidell, 100 N.J. 368, (1985). 495 A.2d 857 in Loudon con We Washington decline to The court adopt the rule of these cases. We find sidered all of those cases examined placed the burden on defendants judge McKee, district our Brown, having to Lazorick v. discovery use formal excepting only is out ex weighed by Karsten v. McCray, 109 Ill. problems 223, inherent at A.2d son, representative treating physician of the estate of his having gained David tiff’s without Loudon, involving malpractice against claims representing consent to do so from counsel Mhyre Kenny. Drs. James Mhyre and Gerald Drs. pending litigation, that factor was Kenny treated David for liver and likely guided most the beacon which the court kidney damage received in an automobile ac- into an exhaustive review of then current au- 14, Washington cident in on December 1985. thority. Believing improving, David’s condition to be opinion There had not been a trial or a court hospital the doctors released him from the Kime, only highway issued in an order. A state following Upon week. return to his home in injured truck struck and Leslie Kime. Kime’s however, Oregon, complica- David suffered response personal injury was to file a action January tions and died on 1986. employer, namely the driver and his death, Prior to his David received treatment Washington. Superior state of Court was Oregon providers. from two health care Lou- persuaded somehow to enter an order which voluntarily provided Mhyre Kenny don stated that defendant’s named counsel of record with the medical records from those institu- legal right question had a to contact and tions. Defense counsel said then moved for an clinics) declaring physician-patient (hospitals order doctors and institutions privilege authorizing x-rays pertaining had been waived and and to view records and to the parte treating communicatiоn with David’s condition of Leslie Kime. The order further Oregon. provided that defense counsel did not need the Niemann, Relying on Kime v. 64 Wash.2d attorneys consent of Kime or his in order to P.2d the trial court ruled conduct the interviews and receive information. privilege that the had been waived but that ex certiorari, Superior petition Court for order, prohibited. contact was The court or- granted stating, review and set aside the discovery dered that could be had not, record, pass ques- “We will on this on the through procedures provided in the court tion of when and under what circumstances a appealed. granted rules. The defendants We privi- will be deemed to have waived his discretionary review and we affirm the order do, lege: but we for the reasons stated earlier of the trial court. opinion, direct that the ‘Order’ now before Loudon, 110 Wash.2d at 756 P.2d at 139. Kime, us for review be set aside." 391 P.2d similarity Niemann, unique 957. That case had little 7. Because the 64 Wash.2d Kime v. presented squarely the circumstances at issue which was 391 P.2d Washington Superior twenty-four presented as an issue of a defense counsel’s right, any, years if to contact and interview the later.

551 integ- the 364, 1376, question mean to at We do not Dec. 509 N.E.2d at and Yates sug- lawyers or rity of and to 105, doctors 112 N.E.2d El-Deiry, v. Ill.Dec. at 513 discovery in gest must control that we 519, Judge at McKee which latter two ethical conduct. order assure their to by examined unpersuasive. found Cases concerned, however, with the We are Supreme includ Washington Court also determining a difficulty of whether per ed additional citations favorable to particular piece of information is rele- McKee, re namely the suasions of litigated. being Plac- vant the claim Langdon 745 Champion, cent cases of v. determining relevan- burden ¶. (Alaska 1987); Bloods P.2d 1371 Green know cy attorney, on an does not who worth, (Del.Super.Ct.1985); A.2d 501 1257 disclo- the nature of confidential ‍​‌‌‌‌‌‌‌​‌‌​​‌​‌‌‌‌​‌​​‌‌‌‌‌​​‌​‌​‌​​​​‌​‌​‌‌​​‌‍368, 100 495 Stempler Speidel, and v. N.J. elicited, risky. is to be sure about (1985). Basing A.2d its decision on all 857 Asking in the physician, untrained in its pro con cases cited thirteen of and law, greater this is a to assume burden cases, opinion, plus Wright five v. other physician. gamble and is unfair to 192, Hosp., 691 Group 103 Wash.2d Health is this determination better We believe (1984); Sasser, 74 Phipps P.2d 564 v. setting made in a in which counsel 439, (1968); 445 Wash.2d P.2d 624 Lockett present is party each is and court 654, Goodill, P.2d 589 v. 71 Wash.2d 430 disputes. to settle available 415, (1967); Bear, v. 50 Randa Wash.2d Partnership v. Roosevelt Hotel Ltd. Driscoll, (1957); 312 P.2d v. 640 Smith Sweeney, N.W.2d at 357. 394 (1917); 94 Wash. 162 P. 572 the Wash permit urge The us to ex defendants ington fol court concluded ruled as op- plaintiff the parte contact but allow lows: protective un- portunity seek a order parte We hold ex interviews limiting 26(c) prohibiting such der CR or pub- prohibited should as a matter of be showing good cause. upon contact a privi- The policy. physician-patient lic However, protective we foresee that lege being prohibits physician from by usually sought plain- be order would compelled pa- testify, without involve the tiff’s counsel which would consent, re- regarding tient’s information every system in supervision court acquired purpose vealed and reject proce- such such situation. We 5.60.060(4). patient A treatment. RCW dure. privilege by his putting waive physician might The mere threat that a physical her condition issue. See with de- engage private interviews Bear, P.2d v. 50 312 Randa Wash.2d would, some, fense counsel Sasser, (1957); Phipps 74 640 v. Wash.2d chilling physician-patient on the effect (1968). P.2d 624 Waiver is further treat- relationship and hinder absolute, however, to medi- limited relationship between ment. The litigation. cal relevant information fiduciary is ‘a one of the cian and 26(b)(1). danger The of an See CR involvpng] every ele- highest degree ... parte interview is that it result trust, good faith.’ ment of confidence irrelevant, privileged medi- disclosure 654, 656, Goodill, 71 Wash.2d Lockett v. disclo- The harm from cal information. (1967). close confiden- P.2d This can- information sure of this confidential by Hip- relationship recognized tial not, argue, fully remed- guide- defendants and in the ethical pocratic Oath subsequent sanctiоns. ied court Medical Associa- lines of the American avoiding dis- find it believe plaintiff’s interest difficult tion. such ‘[W]e allowing engage an ex protected physician can best be can closure legal par- adver- opportunity counsel an conference with plaintiff’s endangering sary and raise of his without ticipate physician interviews in him rea- trust faith invested objections. We find the appropriate Inc., Labs., Syntex Supreme per- patient.’ Petrillo soning the Iowa 102 Ill.Dec. Ill.App.3d suasive: presence 499 N.E.2d 952. present. Furthermore, argument tiffs protector counsel as the pa- of a depositions unfairly allow tient’s allay confidences will the fear that to determine strategy defendants’ trial irrelevant confidential material will be comport does not purpose with a behind *13 preserve disclosed and fiduciary trust the discovery prevent surprise rules—to relationship physician pa- between at trial. Minn, tient. Wenninger Muesing, v. 307 Finally, argue pro- defendants 240 N.W.2d 333. hibiting parte physicians ex contact with addition, In physician has an interest Wright inconsistent with Group v. avoiding wrongful inadvertent disclo- Hosp., Health 103 Wash.2d 691 P.2d during sures parte ex interviews. We (1984), 564 Washington and with the recognize, deciding, without that a cause State Bar Association Formal Ethics may against of action physician lie Opinion (1985). (1) 180 Wright held unauthorized privileged disclosure of in- attorney not, privilege client would Driscoll, formation. See Smith v. 94 itself, opposing bar an attorney from in- 441, 442, (1917) (dic- Wash. 162 P. 572 terviewing employees corporation of a so tum); Ward, Pretrial Phy- Waiver long inquiries as the concerned factual Privilege, sician/Patient 22 Gonz.L.Rev. matters and not communications between (1986-87); Annot., 62-63 Physician’s employee corporation’s and the attor- Liability, Apart Tort Defamation, from (2) ney; employees current authorized to Unauthorized Disclosure of Confi- speak corporation for a would be con- Patient, dential About Information sidered opposing ‘Parties’ with whom (1968). A.L.R.3d participation speak parte; (3) counsel could not ex plaintiff’s prevent counsel to improper opposing counsel could employ- interview questioning or inadvertent disclosures corporation ees of parte long ex so enhances the accomplishment pur- of the employees such were not authorized to pose physician-patient privilege by speak corporation manage- for the inor providing protection also physi- ment status. Wright Group v. Health cian. Hosp., supra, was not concerned with We note permitting parte also that fiduciary relationship confidential disputes interviews could result in at tri- physician which exists between a testimony al should a doctor’s differ patient. unique nature of the from the given informal statements cian-patient relationship dangers and the counsel, may require de- parte pose which ex justify interviews testify fense counsel to impeach- as an any direct involvement of counsel in ment witness. contact between defense counsel and a We are any hardship unconvinced that plaintiff’s physician. Similarly, Ethics by having caused the defendants to use Opinion parte states that ex discovery procedures formal outweighs unethical, contact with is not potential parte risks involved with ex policy but it does not address the con- may interviews. Defendants still reach against cerns which militate such con- plaintiff’s records, relevant medical tact. scheduling problems and the cost and We hold that defense counsel not depositions attendant with oral can be engage in ex contacts with a (though perhaps minimized not as satis- physicians. tiff’s The trial court’s order factorily) by using depositions upon writ- is affirmed. questions pursuant ten to CR 31. More- over, 677-79, Loudon, may agree counsel 110 Wash.2d at 756 P.2d (footnotes omitted).8 informal interview with both counsel at 140-42 pause Washington’s precluding 8. We to mention that Lou- the defendants motion for an order utilizing plaintiffs’ treating don was not available to court and doctors as wit- filed when McKee entered his written memo- nesses. That decision was rendered and 1988; denying plaintiffs’ January, randum decision and order on the Loudon was not 29th privilege may in that action or Turning neighboring to Idaho’s state to he east, Supreme see that the we Montana involving the same any other action con- it a case all had before which is on troversy, testimony of regarding the ev- Jaap fours the case before us. treated, ery person prescribed, who has Dist., Eighth District Court Judicial consulted, or examined or thereafter 623 P.2d 1389 Mont. Julie examine, treat, consult, prescribe or such Jaap personal damage initiated action party respect the same mental or injuries William Reeves suf- condition; physical such waiver shall fered in an automobile accident. Defense treatment, consultation, apply any counsel moved the court for an order prescription examination for men- permit private would it to hold conferences physical not related tal or condition *14 persons with all of the medical had who pending Upon motion season- the action. regard Jaap examined with to the various made, good for ally upon notice and alleged personal injuries. hearing After shown, in the cause the court which ac- motion, oral argument on the the district pro- pending, may tion is make an order court an order the entered essence of which hibiting in evidence the introduction of filing held of action that the the waived the any portion medical such of the record of relationship, physician-patient and that as any person may as not be relevant the physicians to all had the who treated or her, in pending would their status issues the action. treat would be con- any as other sidered the same witness who Jaap, 623 P.2d at 1391. might possessed of relevant information provi- A much similar waiver shorter but knowledge.

or in promulgated sion has Idaho been as a order, entry On Jaap, of that Julie 503(d)(3), evidence, rule оf I.R.E. which order, reversing the purpose applied of that reads: the Supreme to Montana Court a for writ supervisory of control and the Montana Condition an of claim or element defense. Supreme jurisdiction assumed to re- There is no under this rule as to privilege view propriety of the order. The court an issue a relevant to communication noted that the district court’s order on its physical, emotional mental or condi- inoffensive, adding, however, face was that any proceeding of the in in tion parties acknowledge all that the intent upon he the condition as which relies an permit private the order “was interviews or, element his claim or defense after Jaap’s between defense counsel and Julie death, patient’s any proceeding therapists.” Jaap, 623 P.2d any party upon relies the condition which at 1390. as an his claim or defense. element of had in effect a Montana then waiver of 503(d)(3). that I.R.E. We also observe both rule, 35(b)(2), privilege Rule which in full discovery jurisdictions promulgated provides: 26(a) rules and Rule of Montana that (1) Privilege.—Either by re- Waiver of exactly Rules of Civil Procedure is worded obtaining report questing and 26(a) same as of the Idaho Rules Rule herein, provided examination ordered as Procedure, than that the Ida- of Civil other taking deposition or exam- by additional sen- ho version concludes with an (2) iner, commencing an or or action tence, orders “Unless the Court otherwise places asserting defense which in issue rule, (c) this the fre- under subdivision physical or of a mental condition quency methods is not of use of these action, party examined party party or to the action limited.”9 waives However, sug- is no The reader that there June 1988. even ab- 9. is cautioned issued until gestion Loudon, of the Rule sub- the remainder respectable sent there was abundant jurisdictions two as sections are as alike in the may brought authority not have which been 26(a). reason at time is Rule There is no

the court’s attеntion. making academic excursion. said, Montana court then as to the of the Montana Rule of Civil set Procedure application of the rule: Accordingly, out above. viewing in-

There stant side question Jaap, is no side is- but that under Rule 35(b)(2)M.R.Civ.P., identical, are sues prom- as the is rules on claim of same Montana, ulgated privilege identical, waiver thereof Jaap, Julie com- are mencing although variously damages general action for for her located. The personal discovery 26(a) injuries placed practically rule is issue identical. perceive physical why mental and We no reason arising condition case from accident, state, neighboring from the any physician- squarely waived on all patient privilege fours as to applicable as to her mental circumstances and rules, physical law and controversy. extremely persuasive. condition Ac- Moreover, cepting premise impressed we are physician- that the with the Mon- waived, 26(a), tana privilege application has court’s may been M.R.C.P. Court, 26(a). which is by way District almost identical to discovery, I.R.C.P. 26(a) order M.R.C.P. engage that defense states: informal, private with the interviews Discovery methods. Parties obtain physicians treating Jaap Julie her discovery by one or more of the follow- *15 alleged injuries? depositions upon methods: ex- oral way, granting

Put another questions; that amination or written written tiff any physician-patient interrogatories; has production waived of documents privilege relating phys- things to her permission upon mental and or or to enter limits, ical controversy, condition in or other property, inspection what land and any, if power purposes; circumscribe the of the other physical and mental ex- aminations; authorizing District Court in requests and enforc- and for admission. ing discovery under the Rules the court Montana Unless orders otherwise under (c) rule, of Civil Procedure? frequency subdivision of this of use of these methods is not limited. agree Although рortion we with that of the Court District order which stated 623 P.2d Jaap, at 1391. physician-patient privilege that once the Having not a in point uncovered case waived, has physician been is to be or Wyoming, from Nevada the circumnavi- witness, other considered as we con- gation of bordering completed states is clude that the District Court does not an Oregon with examination of an power, discovery, under the rules of which hones on the confidential relation- private order interviews coun- between ship which is concomitant with the party possible adversary sel for and one cian-patient relationship. As sowas not, witnesses, expert or other. on the Washington’s opinion, unanimous Loudon We derive conclusion from exami- justices Oregon Supreme the seven of the nation Rules of of the Civil Procedure They agreed upon were unanimous. relating discovery. holding that breach physician’s of the by discovery may The methods which relationship gave physician-patient rise to obtained, under the Montana Rules of of patient. Humphers cause action in the 26(a). Procedure, Civil are set out Rule Bank, v. First Interstate Or. Jaap, 1391. (1985). 623 P.2d at brought action was P.2d 527 executor bank as the of the out, following The rule was set Mackey’s Dr. estate. The under- deceased emphasis, court subtle “Obvi- stated with opinion, facts lying were stated adversary ously private of an interview controversy: issue in was the of of the ‘methods’ dis- witness is not one upon are called to decide whether Proce- We covery for which Rules of Civil damages claim for at 1391. has stated a provide.” Jaap, 623 P.2d dure physician re- alleging that her former of Evi- We deem it that Idaho Rule clear daughter identity her whom 503(d)(3), vealed Exceptions entitlement dence [to given up adoption. had equivalent she privilege], the claim of is the above, complaint pleads for her complaint, counted according First, theories: five different as Ramona Elwess relief on plaintiff, then known nаme, liability for incurred Mackey Ramona Jean or her maiden second, Peek, daughter conduct’; in St. gave birth to a ‘outrageous Bend, Oregon. Medical fell professional Charles Center secret of a disclosure time, and her unmarried at the care, diligence She was em- and of the skill short Mackey, reg- Harry E. physician, in the commu- other ployed hospital as ‘Mrs. Jean istered her statute; third, commanded nity and day, Ramona consent- The next Smith.’ wrongfully breached disclosure that his adoption by Leslie and ed to the child’s relationship; privileged confidential Bend, named her Shirley who Swarens fourth, of confidential that his disclosure hospital’s medical Leslie Dawn. privacy’ an ‘invasion information was sealed concerning the birth were records intrusion of an ‘unauthorized in the form they marked to show that were seclusion, solitude, and upon plaintiff’s subsequently remarried public. Ramona affairs’; fifth, that his disclo- private family. Only Ramona’s raised a Kastning a con- Dawn breached sures to Mackey and Dr. mother and husband The cir- obligation secrecy. tractual given daughter she had knew about the granted defendant’s motion to court cuit adoption. up for grounds complaint on the dismiss daughter, years Twenty-one later theory short of each the facts fell Kastning, known as Dawn wished now entry judgment relief and ordered biological contact with her establish Ap- appeal, the Court defendant. On gain access to the mother. Unable first, peals the dismissal affirmed adoption court file of her confidential second, fifth counts reversed the at- (though apparently able to locate *16 relation- third, of confidential breach Dr. tending physician), sought out Dawn fourth, privacy. of invasion ship, and the agreed assist in her Mackey, and he Bank Humphers v. First Interstate of Mackey gave a letter quest. Dr. Dawn P.2d 581 Or.App. Oregon, 68 registered Ra- which stated that he had (1984). allowed review. We hospital, that mona Jean Peek at the Bank, 298 Humphers v. First Interstate although not locate his medical he сould 706-07, 527-28. The 696 P.2d at Or. at records, administering he di- remembered first Oregon Supreme Court on its review her, possi- ethylstilbestrol to and that the cognizable plaintiff if had a ruled that consequences of this medication made ble claim, Mackey’sbreach of from Dr. it arose biologi- important to find her it for Dawn confiden- duty to honor the professional statements were cal mother. The latter into existence relationship which came tial help Dawn to untrue and made relationship was physician-patient when confidentiality records breach proceeded then into. The court entered adoption. In concerning her birth and available law analysis its Dr. hospital personnel, relying on In be drawn. would its conclusion letter, make Mackey’s allowed Dawn to so, an Idaho brought forth doing it records, copies plaintiff’s medical thereon: comment albeit without plaintiff, now her to locate which enabled disclosing liability for physician’s A Humphers. Ramona patient about a information confidential pleased. Humphers was not Ramona law problem. In common a new is not development upset her unexpected more discussed has jurisdictions it been distress, emotional wor- caused her throughout much of this litigated than humiliation, embarrass- ry, sleeplessness, for dam- precedents century. There are normally. ment, inability to function disclosure unauthorized age actions for estate of sought damages from the She confidence, although conveyed of facts died, action had Mackey, Dr. who involving the disclosure know of none repre- we personal as the against defendant claims are Because such adoption. re- of an alleging the facts After sentative. against made a variety of defendants Mackey Dr. approach himself did not besides professional or other pry personal into facts counselors, banks, against instance know; indeed, he did not if he had see, e.g., Peterson v. Idaho First Nation- spoken written or to his former Bank, al 83 Idaho 367 P.2d 284 to tell her that her daughter eager was and because understand- her, to find it would be hard to describe ably plead alternative theories of recov- such a communication alone as an inva- ery, the always decisions do not rest on a sion privacy. point the claim single theory. Mackey Dr. pried is not that he Sometimes, prom- defendant into a but that he confidence failed ised confidentiality expressly byor factu- keep If Mackey one. incurred liabili- implication, al in this perhaps im- ty that, it must result from an obli- plied by registering in the hos- gation confidentiality beyond any gen- pital under an assumed name. duty eral people large not to invade Humphers, 298 Or. at 696 P.2d at 528. one privacy. another’s We therefore plaintiff’s turn to claim that Mackey concluding After a discussion which confidence, liable a breach of ‍​‌‌‌‌‌‌‌​‌‌​​‌​‌‌‌‌​‌​​‌‌‌‌‌​​‌​‌​‌​​​​‌​‌​‌‌​​‌‍ruled out privacy invasion of as a viable claim, third count of the complaint. Oregon Appeals Court of found a viable claim under breach of confidential

relationship theory: jury; logical ey helped causes But as fice to collect terest that close ents, without a court order. ORS to assume that Ms. tect ble for invasion of supra, at require 420. The statutes are keep private. out. as a lieve that uninvited phy, offensive tortious intrusion clusion, ed publicity. Doubtless Here there is no claim of offensive that the privacy plaintiff reasonably or the “privacy” the Nor, deserving protection it is established injury mother, already the adoptive parents, 854-55, prying adoption the entry, Dawn The Court of we interests of the natural like, judgment complaint alleges by physical plaintiff’s to that interest. Dr. Mack- damages theory think, See Prosser and but we are not stated, interest. That does not Kastning but in the sense of an wiretapping, photogra- into § privacy Kastning records to upon plaintiffs 117. We do not be- would fits this case. from to personal of a court or a interest designed Appeals by means such as has identify does not suf- find her bio- or the child. the statutes anyone anyone seeking became lia- 7.211, sought inspection a case of prepared qualifies conclud- Keeton, matters to an in- 432.- who who par- pro- her se- positive duty wrote in to include cret cian, statute pations. of 104 Neb. rectly Sutherland, Moench, as a condition sional S.W.2d 249 such Sur. (N.D.Ohio 1965) timony in OEC (1958); Hammonds v. Aetna Cas. & tory privilege to exclude the doctor’s tes- nonconsensual Some have courts By this As Nebraska, patient implicit [(1920)]: both for the benefit the case of the medical legislation early practice in Co., supra defined Simonsen [224] point 504-1(2). See, 8 Utah 2d litigation, fact have found sources of a ‘betrayal statute, (1965) noting as thought supra detriment of is where a medical of of medicine or other occu- are imposed upon duty professional in Tennessee. More di- ] engaging ] in the legal it of a enacted in this state [215 such a the [243 appears to 177 N.W. Swenson, supra, *17 cf. professional Supreme' Tenn. duties patient’s e.g., Berry v. confidentiality. the absence of 331 P.2d 814 in F.Supp. the duty Quarles misconduct the profession, advantage the licensing patient,’ imposed [831] profes- toward us, Court statu- se- at a patient of the as well as the interest of obligation

knew the facts without an of general public policy. The relation of secrecy simply by telling commit a tort necessarily Kastning. physician patient is a them to Ms. advantages to often nec- conclude that the highly confidential one. It is parte proce- essary give gained for the information the informal ex to clearly outweighed by em- the about himself which be most dure are dan- would barrassing given, if the gers procedure presents phy- or harmful to him that to general the sician-patient relationship by circulation. This information well as bound, physician only upon brings not own pressures procedure the to professional of his attorney par- honor and the ethics physician bear on secret, high profession, keeр but agree wholeheartedly with ticipants. We reason of the affirmative mandate Washington Supreme when Court of A of wrongful itself. breach statute of unique nature it stated ‘[t]he confidence, and of such betrayal such relationship and the physician-patient trust, give rise action would to a civil pose dangers parte which ex interviews damages naturally flowing from such of justify the direct involvement counsel wrong. contact between plaintiff’s physician.’ Loudon v. 756 P.2d Mhyre, Wash.2d duty The contours of asserted 138,142 (1988). upon Accordingly, based legal confidentiality are determined provisions of 12-2235 and A.R.S. itself. § source external the tort claim policy we defense coun- public hold that malpractice medical sel in a duty physician’s keep A medical and parte com- engage in non-consensual ex information related about a treating phy- with plaintiff’s munications beyond im- question. confidence is It is sician. posed 677.190(5) pro- statute. ORS Duquette P.2d Duquette, 778 at 642. list- disqualifying vides for disci- or otherwise barring such ed some of the reasons for negli- plining physician ‘wilfully ex interviews: non-consensual gently divulging professional secret.’ Appeals thought upon Among the reasons relied re- could statutory provision permission breach of fusing grant for informal liability not lead to civil such liabili- privacy when parte interviews are the broad ty quite provi- inappropriate would be underlying physician-patient interest 677.190, sions of ORS that misses the relationship, potential liability tort point. wrong pri- The actionable breach or invasion duty breach in a rela- potential vacy, the that defense counsel confidential 677.190(5)only ORS establish- tionship; improperly influence may seek duty secrecy es the in the medical treating physicians or discour- tiff’s relationship. testifying, age physician from physician to duty loyalty 715-21, Or. at P.2d at Humphers, 298 discovery rules patient, and view (footnotes omitted; emphasis *18 532-35 add- physician- the extent of determine ed). patient privilege. Appeals, The Arizona Court of Division Court, 1, Duquette Superior v. 161 in 269, (1989), P.2d made a 778 634

Ariz. EX PARTE OPPOSING DISCUSSION: thorough analysis parte of the interview ex COMMUNICATIONS in problem held that a and defense engage in malpractice may suit medical rejected the con- Having discussed and parte non-consensual ex communications support petitioners tentions raised plaintiff’s treating physicians: with a communications, proceed we parte of ex overriding what feel are to address we CONCLUSION which, when policy considerations public our statu- conjunction of the counter- considered Upon review numerous justify privilege, a tory physician-patient vailing public policy considerations communications prohibition parte on ex presented in this we issue 558 would, effect, plaintiffs treating physicians ary physician

between a for the attorneys. and defense engage Our initial con may conduct which be con- unique sideration involves the nature of trary fiduciary’s obligation to a physician patient relationship. That and, addition, good faith be is, foremost, relationship and first con potentially harmful to the interests of Udall, fidential one. See M. Arizona patient physician might in that the 93, (1960). Law Evidence at 145 § patient disclose intimate facts of the Thus, legislature perceived our a need to which are unrelated and irrelevant to protect the confidential nature of the re physical placed the mental or condition lationship by statutory enactment of Consequently, at issue in the lawsuit. physician-patient privilege. See A.R.S. parte the ex conference involves con- (1982). purpose 12-2235 of the § duct which could be violative of the physician-patient privilege is to ensure would, fiduciary duties of a and there- that ‘the will receive the best fore, contrary public policy be by encouraging full medical treatment favoring fiduciary nature of the history and frank disclosure medical physician-patient relationship. symptoms by patient and to his doctor.’ 595, Ill.App.3d 102 at Id. 148 at Ill.Dec. 27, 31, Jackson, Lewin v. 108 Ariz. 492 181-82, 499 N.E.2d 961-62. We be- 406, (1972). P.2d 410 believе the We parte lieve that ex communications be- public widespread has a belief that infor attorneys plaintiffs’ tween defense and given physician mation to a in confidence treating physicians would destructive parties will not be disclosed to third ab fiduciary the confidential and na- both legal compulsion, sent further we physician-patient tures of the relation- public right has a to have believe that ship recognized by stat- which have been expectation this realized. See Hum utory and case law. Bank, 68 phers v. First Interstate Or. support- A set of considerations (1984), second 573, 579, 581, App. 684 P.2d 587 ing prohibition parte on ex communica- part, part, rev’d in 298 Or. aff'd 696 P.2d 527 pressure brought tions involves the (1985). physician on the when he or she bear recognizes that there is a Arizona also request parte for an ex faced with a fiduciary relationship physi between the attorney. Al- by a defense interview requires phy cian and though physician reject is free to good the utmost faith.’ sician ‘to exercise thereby request force such Pittman, 305, 308, Ariz. v. Hales meth- attorney to utilize formal (1978). physician’s P.2d discovery, ods of we believe fiduciary duty requires that he act in the reduce the option acceptably does not patient so as to best interests of his physician A pressure physician. on the sanctity physician-pa protect the understanding legal may lack an while, time, relationship tient at the same informal method distinction between an authorized dis complying with court parte inter- discovery such as an ex covery. Syntex Labora See Petrillo discovery 581, 591-96, view, Inc., and formal methods tories, Ill.App.3d interrogatories, 172, 179-82, depositions 499 N.E.2d such 102 Ill.Dec. compelled par- denied, feel 483 U.S. therefore 959-62 cert. interview. We ticipate in the 107 S.Ct. 97 L.Ed.2d *19 Arizona, (1987). court in a substantial agree with the Petrillo also note that We by a when, are insured limiting physician in disclosure of number discovery, Real- it insurer. single court authorized methods ‘doctor owned’ impact an istically, stated: this factor could have In other physician’s the decision. on patient’s of the confidences Discussion might feel words, physician the witness circumstances, such any other under parte in the ex conference, compelled participate could be parte as the ex defending insurer because the of a fiduci- interview with the duties inconsistent lawyer repre- that if a may specifically states malpractice defendant the medical senting defendant wishes discuss physician insure the witness. also treating physician, he the case with a tak- An additional factor that must be present physician with should either physician into consideration is that a en information signed release of medical interviewed ex allows himself to be who subpoena physician embarks, unknowingly, authorization or perhaps parte case, deposition. In this there was may a course which involve a breach IV(B). liability. professional potential ethics and Guideline compliance no First, participation parte in an inter- ex supporting consideration An additional phy- of the view constitute a breach involves the parte a ban on ex interviews professional code of ethics. sician’s determining practical difficulty acknowledges phy- Hippocratic Oath physician- of the scope of the waiver obligation keep in trust sician’s scope patient privilege. The waiv- Further, Principle IV of confidences. dispute, and court er is often in absent Prin- the American Medical Association’s discovery process, participation in the ciples requires physi- of Medical Ethics dispute is left to the resolution of that ‘safeguard patient confidences cians to attorney physician and the wit- Final- the constraints of the law.’ within believe that this scenario ness. We Opinions ly, Section 5.05 of the Current attorney and the places both the defense of the Judicial Council of the American physician position. in an untenable in- Medical Assoсiation states that ‘[t]he Supreme As the Iowa Court stated during Physician disclosed to a formation Partnership v. Roosevelt Hotel Ltd. relationship between course (Iowa Sweeney, 394 N.W.2d physician is confidential to 1986): greatest degree.’ It possible would determining Placing the rel- burden appear physician’s therefore that a ethi- evancy attorney, on an who does preponderate against obligations cal the nature of the confidential know participation parte ex interviews. elicited, risky. disclosure about to be Second, physician’s disclosure of con- Asking physician, untrained during parte fidential information law, greater this burden is to assume may subject physician to interview physician. gamble and is unfair to charges professional misconduct. is better believe this determination We 32-1401.12(b) unprofes- defines A.R.S. § setting in a in which counsel made profession the medical sional conduct for present and the court is party each ‘[ijntentional betrayal pro- to include disputes. to settle available fessional secret or intentional violation any dispute resolution of We believe except ei- privileged communication as scope of the waiver of over the required by ther act otherwise be made in cian-patient privilege should be 13-1401.12(b) (Supp. law.’ A.R.S. § parte opposed to an ex an adversarial Thus, 1988). physician’s voluntary setting. participation parte the ex interview (foot- 640-42 Duquette, 778 P.2d professional him her to may subject omitted). *20 1987, 26, on June Appellate Court Maricopa County Medical and the ciation Ap- District by the Third IV(B) issued Yates was Society. of the Guidelines Section pellate defendant, plaintiff, Court less than three months later. ous that a like a has They obviously independently right were con opinion no to influence the decided, sidered and courts cited treating but both physician. being That upon Syntex to and relied the Petrillo v. not, through it is that we are evident our Laboratories, Inc. decision which was an parte decision to bar ex conferences be- District, nounced the First Fourth Divi plaintiff’s tween defense counsel and a 26, Appellate sion Illinois June treating physician, granting plaintiff a a 1986, exactly year prior one to issuance proprietary right testimony in the of his 581, opinion. Ill.App.3d the Karsten treating physician. contrary, To the we 172, 102 Ill.Dec. 499 N.E.2d 952 merely imposing prohibition are a on a appeal denied 113 Ill.2d single type practice of unauthorized Ill.Dec. N.E.2d 361. Idaho only jeopardizes which we not believe district court stated no reason for not cit fiduciary relationship treating between a contemporaneous all of those three also, physician patient, yields and his but opinions separate ap each from a Illinois up recognizable regard no benefit with to pellate court. Counsel for both the information and evidence obtained and defendants had utilized Petrillo in through its use. memorandum briefs submitted to the dis Petrillo, 102 Ill.Dec. at 499 N.E.2d trict court. It is reasonable to believe court also 965. Petrillo dealt with Petrillo, too, rejected would have been attorney contention that a defense has a supporting party not the conclusion “that a right engage parte to in ex conferences through not informal means obtain plaintiff’s treating physician: with a through what formal would be available compelled reject are We likewise to discovery,” as the district court remarked permitted, claim that he is under Tobin’s rejecting the rationale of the other two Procedure, the Illinois Code of Civil to perused three Illinois cases. We have all engage parte ex conferences with opinions supportable and find each to be plaintiff’s treating physician. Tobin re- supported logic by applica and well ‘right’ has a to peatedly asserts that he Petrillo, precedent. we note ble case law engage parte conferences with a ex interest, sup as a matter of does tend to plaintiff’s treating physician fails to port espousing the district court in the ra grants identify the rule or statute which party Lilly tionale of Doe v. that “no right. apparently him that Tobin be- resembling litigation anything pro has permitted are lieves that defense counsel prietary right evidence ... witness’s engage parte in ex conferences with oppo party entitled to restrict an no treating merely plaintiff’s physician be- Lilly, to a witness.” Doe v. nent’s access Illinois Rules of Civil Proce- cause the opinion at 128. The Petrillo 99 F.R.D. explicitly prohibit such. We dure do not states, Syntex agree with Tobin [the “[w]e position flawed. find this attorney eontemnor-appellant] that no do The Illinois Rules of CivilProcedure testimony of another.” person owns the address whether defense specifically not Petrillo, N.E.2d at 102 Ill.Dec. at engage in permitted should be concession, making In Justice 965. plaintiff’s parte conferences with ex Linn, court, speaking for the went on to Nevertheless, we be- treating physician. say: position on legislature’s lieve that confer- But our decision bar analysis gleaned from this can be way supports or ences in no advances statute. privilege physician-patient Again, we are such a conclusion. privi- creating physician-patient In prohibiting treating physician from ex- recognized that legislature deposition lege, opinions in a pressing his phy- approach a society who members of testifying in a court of law. Nor should, do, have for treatment that a sician our decision infer does from the embarrass- right to free treating physician right stop has a often privacy that addition, invasion of ment and testifying. it is obvi- from so *21 accompanies the ing physician engaging disclosure of confiden parte in ex con- (See, tial People medical information. v. attorneys ferences representing with (1982), 1, Bickham 89 Ill.2d 59 Ill.Dec. legal adversary. that individual’s We 365.) however, right 431 N.E.2d This unwilling accept are proposition is not according absolute and the statute legislature that the intended the consen- ly, exceptions contains several wherein sual physician-patient privi- waiver of the legislature protec deemed that the (see, lege Ill.Rev.Stat.1983, 110, par. ch. tion afforded physician-patient 8-802(4)) apply anything more than privilege ought give way public’s necessary the information to ascertain (See desire to ascertain the truth. Ill. the truth. Rev.Stat.1983, 8-802(1-8).) par. ch. significant note, It is as we stated Thus, example, when an individual above, creating that in physician-pa- places files suit and physi his mental or privilege excep- tient and the relevant issue, cal condition at that individual im thereto, legislature tions was con- consents, plicitly by filing lawsuit, that balancing cerned with society’s interest a waiver of the physician-patient privi maintaining relationship confidential lege specific as to physical that mental or physician between and his (Webb Lines, condition. Quincy City v. society’s ascertaining interest Inc. Ill.App.2d 219 N.E.2d truth in being civil lawsuits. With that 165.) Consequently, patient-turned- we are unable to discern how ex object cannot to the release of would, parte any way, conferences act regarding condition, medical records to foster either of those societal inter- treating physician to his giving testimo previously, ests. As mentioned there is ny regarding condition, even, suggestion Tobin, using no that regu- where appropriate, being physically lar channels discovery, is unable to by physician examined employed by his obtain all of the relevant medical infor- adversary concerning the condition at is mation and evidence that he is entitled to sue. Thus, society’s receive. interest in ascer- privilege and the excep relevant taining disputes the truth in civil is whol- applicable (#2, tions 4) thereto 3 and ly Society’s satisfied. pre- interest reflect a public sound policy which re serving the confidential nature of the spects society’s both privacy desire for physician-patient is, relationship through and its desire to see that the truth is parte conferences, our decision to bar ex (Parkson reached in disputes. civil also public fostered members of the DuPage (1982) Central Hospital 105 Ill. who system justice look to the court App.3d 61 Ill.Dec. 435 N.E.2d although they will know that have con- 140.) key importance Of legisla is the sented to the release of information re- ture’s determination that it be the garding issue, placed the condition at who, by conduct, (the affirmative filing not, they by instituting litigation, lawsuit) of a consents to the disclosure of automatically complete consented to a previously confidential medical infor breakdown of the trust and confidentiali- Thus, mation. public members of the ty physician-patient embodied rela- regarding specific who file suit condi tionship. upon doing so, tion realize that the infor regarding mation sum, condition will be person we believe that when a lawfully disclosed not to their adver places files suit and his mental or sary, public but to the forum as well. issue, person cal condition at con-

However, believe, we do sents to the release of all of the informa- and there suggest, placed is no evidence to tion related to the legis- that the condition lature, believe, however, by creating a consensual waiver issue. We do not physician-patient ‍​‌‌‌‌‌‌‌​‌‌​​‌​‌‌‌‌​‌​​‌‌‌‌‌​​‌​‌​‌​​​​‌​‌​‌‌​​‌‍privilege, legislature person intend- intended that a consents, ed that a public lawsuit, member of the also con- byfiling also to his sents, suit, by simply filing to his treating physician treat- engaging in ex

562 Columbia, person’s legal with that ad- of the District of but that there conferences appellate

versary. was a recent District of Columbia decision, Garfinckel’s, court Vassiliades v. Petrillo, 186-188, 102 Ill.Dec. 499 (D.C.App.1985), 492 A.2d 580 which al- added). (emphasis N.E.2d at 966-68 though distinguishable, indicated that there Tending nullify any efficacy which the fiduciary is a relation- confidential Lilly, district court 99 observed Doe v. ship existing pa- between a doctor and opinion F.R.D. there was a later issued tient, respected. Judge which must be out of the District United States Burnett, in а commendable intellectual Columbia, the District of Alston v. Greater move, have eschewed rote federal seems to Community Hosp., 107 F.R.D. Southeast rationales, turned to the district court (1985), 35 authored Senior United States plaintiff’s Wenninger citation of v. Mues- Magistrate, Basing his Arthur L. Burnett. ing, 307 Minn. 240 N.W.2d 333 Lilly, reliance on Doe v. counsel for the pre- cogently expressed for its rationale for Hospital defendant the court for an moved interviews, quoting from cluding informal compelling plaintiff Alston to order Charles Wenninger as follows: provide executed medical authorizations protects and his both [It] confirming plaintiff fully had waived danger physician from the that adverse bring- physician-patient privilege by opportunity to counsel abuse his personal injury predicated of a action privately in- interrogate physician by malpractice. negligence and medical opinions quiring into facts or about The extent of the authorizations was con- patient’s physical mental and health all who had tended authorize relevant to history neither be examined, treated, plain- or consulted with patient’s nor lead to dis- lawsuit existing copies tiff not to furnish of all In a for- covery of admissible evidence. possession, in their but also written records pa- presence of a deposition mal ... for inter- to make themselves available availability pro- counsel and the tient’s counsel views defense counsel without clearly irrele- tective orders assure plaintiffs being present. elicit- testimony will not be vant medical relying upon Lilly, Doe v. addition to at 336-37. ed. N.W.2d Hospital upon defendant relied another Judge Alston, 37. To that 107 F.R.D. at case, Sklagen v. District Columbia Burnett added his own views: Community Hosp., 625 Greater Southeast Furthermore, counsel for the when (D.D.G. 20, 1984), F.Supp. March heard deposition, the present at a formal tiff is Corcoran, Judge plus another feder- before rely upon can that counsel physician Orange Prod. Liab. Agent al In re his answers keep questioning (D.C.N.Y.1981). The Litig., 91 F.R.D. 616 at issue properly relevant to the matters that, points relying on Doe opinion then out remembered It must be in the lawsuit. Sklagen, Senior Oliver Gasch normally trained are not that doctors Farenga result v. reached a similar has for the the law. Counsel 84-1885, University, C.A. No. Georgetown Mann, 90 F.R.D. also cited Weaver Judge Burnett stated that 1985. June (D.N.D.1981), the court con- where other, authorities, cases and two the named engaging practice that ‘the cluded court, constituted an the same federal from plaintiff’s private conversations arguments and author- array of formidable contemplated by the not physicians is interviews, but supporting ities F.R.D. at 445. rules.’ 90 ar- plaintiff presented substantial also that Co., 61 Motor v. Ford See also Gamer disallowing guments 1983), (D.Alaska where F.R.D. personal interviews with engaging in Federal Rules that under the court held physicians. treating plaintiff’s Procedure, informa- discovery of of Civil attending plaintiff’s plaintiff’s from a tion Judge Burnett took note discovery in accord with must be had not cian specific issue argument private con- ‘by means rules and appellate courts by any of the decided been subject versations between a attor defendant’s relevant to the matter of this neys plaintiff’s attending and a action. physi so,

cian.’ 61 F.R.D. at 24. for the Counsel If this is it would seem to a futile upon has also relied require sign Miles v. act to *23 Farrell, interviews, F.Supp. (N.D.Ill.1982), allowing authorization oral gen especially plaintiff where the if counsel for the can court observed that as a rule, contact the and advise them treating eral physician may not notwithstanding the medical authori- patient’s discuss his medical condition signed by plaintiff, zations the doctor opposing with except pursuant counsel has the discretion to decline to be inter- discovery applicable authorized under the give any viewed or to oral information procedure, noting rules of civil that such except by deposition. formal It is doubt- unseemly informal contacts can lead to ‘gag’ ed that the Court can counsel from patiеnt’s treating situations which a stating correctly patient- the law to the physician, or other doctors associated plaintiff’s treating consulting physi- him, placed adversary posi an compelling plaintiff cians. Since expert tion as an witness provide allowing medical authorizations plaintiff. Such a situation not re parte ex oral interviews can thus come to interest, sults in a clear conflict of naught, reality and in amount to vain compromise could the course of treat act, cogent and because of the reasons being provided plaintiff ment as a depositions advanced for formal patient, treating physician when the be plaintiff cians who have treated a or expert comes an witness for a defendant consulted in have been the course hospital or a defendant doctor. treatment, it is the considered view argument At oral July on Magistrate compel that the motion to plaintiff presented counsel for the an ad- should be denied. ditional factor to be considered. Treat- reasons, foregoing For the it is now consulting physicians or who have hereby day July, this 19th OR- patient alleged dealt with a after his DERED that the defendant Greater injury or trauma potential be third- Community Hospital’s Southeast motion party indemnity defendants for or contri- compel discovery plaintiff Charlie bution if that doctor’s treatment has ex- hereby Alston be and DENIED. patient’s acerbated the condition or Alston, (footnotes 107 F.R.D. at 37-39 intervening superseding have been an omitted). present complaints. cause for his Fur- Dr. contends that once a Ollie ther, parte put the ex interviews could issue, places his or her condition lawyer potential being in the role of physician-patient privilege is I.C. waived. damaging witness as to a admission 9—203(4)(C); 503(d)(3). However, I.R.E. § witness, impeachment doctor or as an goes beyond simply far instant give testimony should a doctor different obtaining medical records or information significantly from what he told the law- concerning Here the defense treatment. yer in the informal interview. attorneys explicitly retained Mr. Pearce’s those courts Even which have allowed treating physicians expert as medical wit- informal interviews and conversations implied waiver nesses for the defense. The recognized that a doctor cannot be by filing personal injuries action for an required to submit to the interview. For privilege the holder of the means that example, Farenga Georgetown Uni- right object to dis- “only waives supra, Judge versity, Gasch observed: pertinent medical information covery of course, Of it is within the discretion sought through the formal meth- which is plaintiff’s treating physicians de- discovery applica- ods of authorized Duquette, cide whether to disclose to defendant’s Rules of Civil Procedure.” ble (cita- (emphasis original) medical interviews 778 P.2d at 637 omitted). information about the that is tions An example type being excellent of un After contacted the defen- acceptable expected attorneys conduct which could dant’s accepting and before employment physician- expert, result from violations of the as Dr. Farrell’s Flynn relationship por Troy confidential examined Miles at Bascom is well trayed Farrell, treating physician. Palmer Institute as a F.Supp. in Miles v. (N.D.Ill.1982): accepting employment After as defen- 12, 1979, expert, February dant’s MEMORANDUM OPINION AND OR- Flynn, capacity in his treating physi- DER cian, hospitalized Troy Miles at the Bas- GETZENDANNER, Dis- [United States] performed com Palmer Institute and Judge. trict general examination under anesthesia. The issue before the court is whether *24 Flynn At no time did Dr. reveal to the properly may testimony the court bar plaintiff’s parents any of the facts relat- Flynn of Dr. John T. who treated the ing to his involvement with one of the child, plaintiff, a blind both before and defendants in this case. expert by after he was retained as an 13, 1982, January On Dr. Farrell’s at- defendants, disclosing one of the without torneys Flynn expert disclosed Dr. as an relationship his with the defendant.1 witness on behalf of the defendаnt. On August The facts are as follows: On 22, 1982, February Flynn again Dr. hos- 17, 1978, plaintiff's parents were de- pitalized Troy at the Bascom Miles Palm- posed. attorneys representing Two Dr. Institute, er ordered and an ultrasound Farrell, defendants, William one of the electrocardiogram, Troy and examined present deposition. These were general Miles anesthesia. under On attorneys Caffery Joyce were John 26, 1982, about March one of Claussen, Lewis from the law firm of Flynn attorneys tiff’s contacted Dr. con- Miller, Gorman, Caffrey Witous. Dur- & treating physi- cerning his dual status as depositions, eight par- times the expert cian and witness for defendant.2 plaintiff Troy ents testified that argument persists The defendant in his and treated at the

Miles had been seen he should be entitled to call Dr. Bascom Palmer Clinic. expert, including Flynn testify as an Miles, later, and his con- August Troy his treatment of Two weeks parents in Caffrey telephoned Troy Mr. Dr. John T. sultations with Miles’s capacity treating physician. as Flynn of the Bascom Palmer Clinic. On 5, 1978, doctor/patient argues defendant September Ms. Lewis conferred Flynn to privilege requires which Dr. Flynn requested with Dr. that he act patient’s privacy Dr. Farrell honor his is waived as a consultant on behalf of Troy Miles filed this lawsuit purpose reviewing the records the fact that ‘for the at issue. possibly puts testi- his medical condition subject in this law suit and (This hospital and a is a suit expert witness at trial.’ fying as an malpractice.) The de- (Lewis Affidavit) agreed medical Flynn Dr. doctor for argues Flynn Dr. further expert on or about fendant act as the defendant’s fiduciary duty to 26, 1979, cognizable he had received owes no January after might prevent him Troy Miles which records from Dr. Troy Miles’s medical expert. testifying as a defendant’s attorneys. Farrell’s explains 2. There is nothing in the record which received a letter and numerous tele- 1. The court Flynn Dr. circumstances under which the permitted Flynn asking phone that the court calls from Dr. February Troy Miles in to treat an or not he act as determine whether Flynn as a been disclosed after Dr. had еxpert The court did not for the defendant. expert. that the I assume defendant’s parents issues the doctor but instead discuss the Flynn’s role as of Dr. were not advised However, parties brief the issue. asked the parents expert. were aware If the defendant’s barring now seeks an order to the Flynn’s and consented Dr. conflict testimony. expert doctor’s 1982, treatment, February, the court should of those facts. made aware discovery Flynn testify; he in- suant to authorized under Dr. wants to applicable procedure. rules of civil my T role as formed the court that see witness, testifying expert qual- The other side of the coin relates to lawyers. conduct of Counsel should not speak on the scientific known and ified treating physician except pur- contact a in cases of fibro- unknowns retrolental discovery. A neces- suant to authorized (Dr. court.) plasia.’ Flynn’s letter sary corollary lawyers rule is that should Flynn he did assures the court that not contact doctors affiliated or associat- knowingly expert and act as both treating physician without full ed with a treating physician.3 Arguments similar of all relevant facts so that disclosure arguments in to the defendant’s this the kind of situa- doctor avoid rejected by the were Circuit Court in this case. tion that occurred No lesser County Valley Cook Barkin v. Skokie attorneys standard conduct Hospital, L 23428. In Community arguable. even (who attorneys that case the defense owing fiduciary duty addition to were from the same law firm as the confidentiality, expert employed as an attorneys for Dr. Farrell defendant, Flynn had a clear case) plaintiff’s treating contacted the *25 conflict of interest which he had an obli- physician and conferred with him with gation patient. He disclose to his respect acting expert. to his as a defense proper failed to make a disclosure and it The court held that the doctor owed his failure unin- is not relevant that his was patient duty confidentiality, of fiduci- likely tentional. It is also that a nature, ary extra-judicial communi- patient duty loyalty cian owes a of to his notwithstanding cations and that the ex- prevent testifying him from would malpractice litiga- istence of the medical (Al- expert against patient. as an his plaintiff, doctor/pa- tion filed the argue though Flynn might Dr. that his privilege protected patient tient testimony be the truth and will against any disclosures sanctioned or not patient, to his the mere not be adverse permitted by privilege the Illinois statute expert an fact that he takes the stand as (Ill.Rev.Stat. 51, 5.1) by ch. or the rules § employed the defendant assures discovery of the Illinois Practice Civil position his is adverse to that of his 22, 1982, Act. Judge On June James E. However, parties not patient.) Murphy barring entered an order a treat- I it briefed this issue and do not believe ing physician acting from expert as an necessary to rule on the basis of what directing for the defendants and the de- physician’s duty I perceive to be a attorney destroy fense all *26 (D.D.C.1983), McCray, Karsten appeal should have been tention that the 364, 509 Ill.App.8d 109 Ill.Dec. dismissed, ruling in then accord v. El and Yates N.E.2d appeal Assuming that the motion. its own Ill.App.3d 112 Ill.Dec. Deiry, 160 ques- dismissed leaves should have been (1987)represent 513 N.E.2d dismissed? “Why, why, it not tions: oh apply should jurisdiction law which sought the dismissal?” should have Who in circumstances of the to the factual pos- litigants, the Pearces were As with all prece sound case. Abundant stant appeal an adverse right sessed of a discussed law hereinabove dential case right, They have exercised decision. against allowing defense coun militates find three argument oral long after indulge in nonconsensual ex sel to dismissing ap- their of the Court members malpractice a medical interviews with belatedly and sua peal, ground raised treating physicians and sur plaintiff’s could clerk of court sponte, whereas Likewise, in accordance with geons. opinion which either issuing an have been Defense counsel precedent. law part McKee on the found error retaining attempt improperly in acted part reversed, no error on or found expert such ing to retain and affirmed. Judge McKee for the defense. witnesses entry judgment district court’s reversed; is in favor of Ollie for a new trial plaintiffs’ motion

denial of reversed; court’s denial the district order an in limine

plaintiffs’ motion for reversed; remanded for the cause is against defendant solely

new trial

Ollie. added.)

(Emphasis memorandum written

The district court’s out, il-

decision, set serves hereinabove notes potential tort liabili- discipline as well as herein, court, earlier as noted The district ty- unpersuasive, authority Illinois found Third, present at least in the Ill.App.3d McCray, v. namely Karsten participation in a non-consen- physician’s (2 Dist. 1,109 N.E.2d 1376 Ill.Dec. not ‍​‌‌‌‌‌‌‌​‌‌​​‌​‌‌‌‌​‌​​‌‌‌‌‌​​‌​‌​‌​​​​‌​‌​‌‌​​‌‍be sual ex interview would 111. El-Deiry, 160 1987), and Yates voluntary Guidelines accord with 513 N.E.2d 112 Ill.Dec. App.3d Physicians and At- Cooperation Between Dist.1987), recent cases. (3 then both Maricopa County adopted torneys in District by the Second issued Karsten was Maricopa County Bar Asso- by the jointly

Notes

notes his Flynn’s willingness to loyalty and Dr. private contact and conference with the duty. breach treating physician. case, the circumstances of this Under agree analy- I with Circuit Court’s appropriate sanction is to bar calling Flynn sis and to the extent I must follow Illi- Dr. defendant from Accordingly, privileges, opin- testify any capacity. nois on state law law hereby Flynn that Dr. binding. the Court orders Flynn ion is Dr. owes a fiduci- testify by any of called to shall not be ary duty confidentiality patient. to his the defendants in this case. rule, general treating physician As a Miles, (emphasis patient’s F.Supp. not discuss his medical con- at 83-85 added). pur- opposing except dition with Dr. attorneys apparently plaintiff in the lawsuit in which did was the 3. The for defendant testify expert. Flynn plaintiff Flynn Con- as a defense not inform Dr. that the was was Institute, they just sidering before fact that two weeks at the Bascom Palmer affiliated, attorneys present they Flynn were Flynn which Dr. at the time contacted parents' deposition learned Flynn. they and informed at the first contacted Dr. Had Clinic, Flynn, at the was a he would have been сonscious of the that attorneys’ apparent give Troy fact that the Miles he was about to treat informa- failure full Flynn treating Troy is inexcusable. and was was the same Miles who tion to Dr. basically lustrate what was the crux of and This concludes our discussion right of defense counsel to con- appeal, claimed for the Pearces’ which has reason parte interviews duct non-consensual ex summarily majority dismissed. been and, treating physicians, plaintiff’s nothing opinion furnishes to the trial bar retaining particular case them as that which was written over above expert for the defense. We witnesses McKee, meaning- Judge appears to note, however, century over upon to less. McKee was called statehood, prior to that for over thir- controversy, and he did so. Had decide the existence, ap- ty years of territorial it challenge ruling, there been no to his there pears that no one has ever advanced appeal. But there was would have been no could philosophy that defense counsel specifically challenge appeal brought an ignore patient-physician con- elect to viewed, ruling. majority who So relationship, until now. That fidential casting speak for the Court are in stone for itself, were history remarkable just future similar this one but all precedent case law there not abundant precedent ruling of cases the case Doe v. available, up- very could well suffice to (D.C.C.1983). Co., 99 F.R.D. 126 Lilly Eli & patient-phy- persuasion hold that the our erupt abrupt and drastic This will into relationship, and all other relation- sician existing change prior Idaho law since involving implicit explicit ships either statehood, derogation of and is in before confidentiality may not be violated with plain language of the Idaho Code. impunity. re- cannot be said to have The Pearces CONCLUSION ap- process of law when their ceived due concluding The district court erred major- bypassed by peal to this Court Co., F.R.D. Lilly that Doe v. Eli & con- fashioning of its own ity’s expedient

Case Details

Case Name: Pearce v. Ollie
Court Name: Idaho Supreme Court
Date Published: Feb 4, 1992
Citation: 826 P.2d 888
Docket Number: 17744
Court Abbreviation: Idaho
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