Opinion
The trial judge in this case read
Minder v. Cielito Lindo Restaurant
(1977)
We can understand why the judge was so cautious, but we do not think that Minder, strictly construed, should be read to preclude the use of reasonable inferences to show causation in food poisoning cases. To the degree that Minder may, arguendo, be susceptible for the proposition that inferences are unavailable in food poisoning cases, or that food poisoning defendants are somehow accorded a special, protected status with an abnormally “heightened” standard of causation, we respectfully decline to follow it. Despite intimations in the Minder opinion to the contrary, food poisoning cases are governed by the same basic rules of causation that govern other tort cases. Reasonable inferences drawn from substantial evidence are indeed available to show causation. We will therefore reverse the jnov and order reinstatement of the original verdict.
*1191 I. BACKGROUND
On April 7, 2005, Alexis Sarti and a friend ate at the Salt Creek Grille. They split an appetizer consisting of raw ahi tuna, avocado, cucumbers and soy sauce. Sarti became nauseous and chilled the next day. The day after that she suffered constant diarrhea, fever and chills. The diarrhea continued for the next 10 days. By April 19, Sarti was unable to move her legs and was having a hard time focusing her eyes. Her mother called the paramedics, who took her to the emergency room. Her admitting physician took a “food history.” She was put into intensive care, where a neurologist diagnosed a variant of Guillain-Barré syndrome (a disease that damages peripheral nerves). She was tested, and found to have Campylobacter bacteria, which was the only pathogen found in the sample. Expert testimony would later indicate that Sarti’s Guillain-Barré was an idiosyncratic immunosuppressant reaction to the constant diarrhea brought on from Campylobacter.
Campylobacter is not found in raw tuna, unless that tuna has been cross-contaminated by raw chicken, where the bacteria is common. Sarti’s sickness was reported to the Orange County Health Department. The report resulted in a “food borne illness” report dated May 5, 2005—a little less than a month after the meal. The report identified four practices at the Salt Creek Grille that could lead to cross-contamination. Specifically: Wipe-down rags were not being sanitized between wiping down surfaces. There was also an insufficient amount of sanitizer in the dishwasher. Chicken tongs were sometimes used for other food (the tongs would take raw chicken off the grill and then cooked food would be touched with the same tongs). Raw vegetables were stored under “raw meat” (the expert testifying did not say what kind of raw meat), so that a drop of raw meat juice might get on the vegetables. There was also testimony that the waiter who served Sarti had used a wet, unsanitized rag stored underneath the bar to wipe down Sarti’s table.
Sarti, who was about 21 years old at the time she became ill, never completely recovered. She had to use a walker for eight months, and to this day retains only about 40 percent of what would have been her normal endurance. She sued the partnership that owns the Salt Creek Grille for breach of warranty.
There was plenty of substantial evidence on which the jury could have found the restaurant not liable: Sarti’s friend who split the appetizer did not get sick. The Salt Creek Grille takes great pains to separate its raw tuna from its raw chicken, including defrosting it in a different place in the walk-in *1192 freezer than where the chicken is stored, having the chef use a newly cleaned cutting board for the tuna, and preparing the tuna at the opposite end of the cook’s line from where the chicken is cooked. Chicken is prepared in its own separate room. Different colored cutting boards are used for tuna and chicken, and the same chef does not prepare both items. And Sarti herself worked as a supermarket checker the day she became ill, and could, at least in theory, have picked up Campylobacter from a leaking bag of raw chicken she might have scanned.
But the jury didn’t find the restaurant not liable. The jury returned a verdict of $725,000 in economic damages and $2.5 million in noneconomic damages (obviously pain and suffering). The trial judge perceived that the jury’s verdict was based on the inference that the practice of using the same wipe-down rag (or storing raw meat over raw vegetables, or touching cooked food with chicken tongs that had previously touched raw chicken) had led to cross-contamination from raw chicken to raw tuna.
The trial judge himself was plain that he believed that Sarti had indeed presented “the jury with sufficient evidence to avoid a jnov.” Indeed, he said, referring to his role as “13th juror,” that “I must say I would have voted with the jury on the question of liability in this case.” (Italics added.) He elaborated: “I think this case was tried well within the profile of what I routinely see in negligence cases and, for that matter, breach of warranty cases. ... I think Ms. Sarti won this case fair and square except. . . .”
Except for the one thing that brings us to the instant appeal. The trial judge read Minder, supra, 67 Cal.App.3d 1003, for the black-letter rule of law that inferences are off-limits to prove a food poisoning case. (The remainder of his “fair and square except” comment was: “. . . for what I perceive to be as the heightened causation requirements of the Minder case.”)
The trial judge had earlier noted that Minder “found that causation had not been shown as a matter of law.” Continuing, he said, “and that means to me that the concept of inferences, which are otherwise permitted in civil cases, apparently play little or no role in food poisoning cases. And remember, an inference is not evidence itself, an inference is the result of reasoning based upon collateral evidence.” He made it clear that it was only under the compulsion of the Minder case that he granted the restaurant’s motion for judgment notwithstanding the verdict.
*1193 n. ANALYSIS
A. The Minder Case
1. Overview
It is understandable why the trial judge here ruled as he did. All trial courts are bound by all published decisions of the Court of Appeal
(Auto Equity Sales, Inc. v. Superior Court
(1962)
Unlike at least some federal intermediate appellate courts, 3 though, there is no horizontal stare decisis in the California Court of Appeal. 4 This court— this panel—is not bound by Minder and we may take a more critical *1194 approach to that opinion. Strictly construed, Minder simply held in the case before it that there wasn’t enough evidence upon which a reasonable inference could be drawn that the particular kind of unsanitary practices found at the restaurant could be linked to the particular kind of food poisoning sustained by the plaintiffs. To the degree that, for sake of argument, Minder stands for more than just that (e.g., as standing for a rule that unsanitary conditions are per se insufficient to establish a reasonable inference of food poisoning), we respectfully decline to follow it.
2. The Minder Facts
A couple ate a Sunday afternoon lunch at a Mexican restaurant, apparently in company with another couple. The husband felt a stomach upset thereafter. Three days later he began sweating and developed a fever. Meanwhile his wife felt a little nauseated on that Sunday afternoon, and her symptoms lasted for two days, when she became feverish and chilled. After a culture it was determined that both of them had Shigella Flexneri, Group B.
In subsequent litigation against the Mexican restaurant, there was evidence that about two months before, a health inspector had “observed dirt, grease and food particles in the comers of the floor and behind the stove.”
(Minder, supra,
However, the couple’s treating physician gave opinion testimony that their illness “occurred as a result of [the] contaminated food” they had eaten that Sunday.
(Minder, supra,
Despite the treating physician’s testimony and the
general
evidence of unsanitary conditions, the
Minder
court reversed awards of about $6,000 each in favor of the couple, concluding that they had not “met their burden of
*1195
showing that the probable cause of their illness was contaminated food” at the Mexican restaurant.
(Minder, supra,
3. Minder, Strictly Construed
Let us now analyze the nature of the plaintiffs’ case in Minder. There was evidence of unsanitary conditions, including the opening of the ice machine to flies and dust, dirt and grease, and food stored directly on the floor. Those conditions raised the question: Would it have been reasonable for the trier of fact to infer a link between the unsanitary conditions and the illness that the treating doctor opined came from food poisoning contracted the day the couple ate at the restaurant?
Reading Minder strictly, there simply wasn’t enough of a specific link between the particular kind of food poisoning (Shigella Flexneri, Group B) and any particular unsanitary condition at the restaurant. The opinion, for example, sets forth no facts indicating how “observed dirt, grease and food particles in the comers of the floor and behind the stove,” or how the possibility of contamination of ice to dust and flies, or how food stored directly on the floor, causes Shigella Flexneri. The opinion recounts no expert testimony making the link.
To be sure, the testimony from the plaintiffs’ treating physician comes close, but there is nothing in his testimony, at least as recounted by the
Minder
court, that actually connected the Shigella Flexneri to the unsanitary conditions found at the restaurant. The one person who might have given an opinion making the link—the health inspector who requested the stool samples from the restaurant’s employees—conspicuously was “unable to form any conclusions.” (See
Minder, supra,
To sum up: In Minder, even with the testimony of the treating physician, there was no evidence to reasonably infer a link between the particular kind of food poisoning involved and the specific unsanitary conditions at the restaurant.
4. The Minder Analysis
It is one thing for an appellate court to arrive at a sound result. It is quite another to arrive at a sound result in conformity with settled law. While Minder’s result, strictly construed, may be sound, much of the analysis by which it got there was seriously flawed.
*1196
The
Minder
court began its legal discussion with the proposition, taken from a Missouri Supreme Court case
(Stewart v. Martin
(1944)
So far so good. The Minder court was merely making the point that the logical fallacy of “post hoc, ergo propter hoc” (after the fact, therefore because of the fact) is not available to win a food poisoning case. And of course no one can reasonably quarrel with that particular supposition. Just because you get sick soon after eating at a restaurant doesn’t prove bad food or some other contamination at the restaurant caused it. Any other rule would be untenable, since it would make restaurants de facto health insurers of their customers.
The
Minder
court then repeated the same thought again, this time by quoting a passage from a Missouri appellate court about illness following a swig of cola being insufficient.
(Williams v. Coca-Cola Bottling Company
(Mo.Ct.App. 1955)
At that point the Minder court listed a series of common scenarios about what might, or might not, show causation in food poisoning cases. It was at this point that the court’s analysis began to stray from established California rules of causation. The main source for these scenarios appears to have been a looseleaf treatise, 2 Framer and Friedman, Products Liability, as it stood in 1977.
The first scenario was other people getting sick from “the same food” at about the same time. The
Minder
court quickly (and gratuitously) opined that the fact that other people get sick at the same time from the same restaurant was “not controlling.” The supporting quote from the Framer and Friedman treatise, however, didn’t exactly spin the point that way. The quote said that other people getting sick at the same time “
‘may
justify a finding of
*1197
unwholesomeness,’ ” but also that other people
not
getting sick “
‘may
justify a converse result.’ ”
(Minder, supra,
The second scenario was a “process of elimination,” which apparently the
Minder
court was more inclined to be “impressed” with, e.g., if other persons ate everything that the plaintiff ate except for one thing (the court’s example was a tamale), that would point to that one thing as “the cause of illness.”
(Minder, supra,
The third scenario was a “[scientific analysis of the food” itself, but the court noted that none of the food in the case was analyzed and stool samples of the restaurant employees proved negative.
(Minder, supra,
And, then, finally, the Minder court listed a catchall “Other causes” category. The Minder court, however, did not actually define the category in terms of those items of evidence that might prove causation, as much as it was articulating a reason to reject causation. Thus immediately after introducing the category, “Other causes,” the court began with a sentence to the effect that if the illness was “explainable on grounds other than unwholesomeness,” then “it may be necessary to exclude such causes.” (Minder, supra, 67 Cal.App.3d at p. 1009.)
Reading just that sentence, it is not clear what the court meant, though one can perhaps detect the intimation of a rale that the plaintiffs in food poisoning cases must rale out all other possible causes to prevail. (As we will soon see, at least one California food poisoning case had already rejected the rale-outall-other-possibilities rale.) The example the
Minder
court gave immediately after its statement came from a Georgia appellate case
(Payton v. Lee
(1953)
The
Minder
court next noted that testimony in the case before it that
if the
plaintiffs, or even one of them, had eaten at “a restaurant” the day before they ate at the defendant’s restaurant, it was “just as logical that the contamination could have resulted therefrom” (presumably meaning, at the other restaurant) or had “come from a source other than food.”
(Minder, supra,
At that point in the opinion the
Minder
court shifted its organizational structure from a list of scenarios to a reliance on precedent, namely the case cited earlier from the Missouri Supreme Court,
Stewart v. Martin.
The
Minder
court said the facts before it were “very similar” to those in
Stewart. (Minder, supra,
In
Stewart,
the plaintiff became ill after eating a ham sandwich at a restaurant, and his treating physician said it was food poisoning. However, the plaintiff had eaten or drank on four different occasions within the 18 hours before becoming sick, and there was “ ‘no medical testimony whatever’ ” to “ ‘prove’ ” that eating the ham sandwich caused the illness.
(Minder, supra,
At this point the Minder opinion had two more substantive paragraphs to go and it had yet to confront the plaintiffs’ strongest evidence (other than, arguably, the treating physician’s opinion). That was the evidence of the health violations noted by previous health inspectors.
The
Minder
court began by noting that two health inspectors had testified as to “certain unsanitary conditions” found at the restaurant (conspicuously not recounted in the opinion at that point), and then flatly declared: “These conditions, absent further evidence, could not establish probable cause.”
(Minder, supra,
Let’s stop here for a second. Where did that phrase “probable cause” come from? The phrase first appeared in the court’s statement of the “sole issue on appeal”
(Minder, supra, 67
Cal.App.3d at p. 1008), and then twice in the way
*1199
the court framed the scenarios it had just discussed (see
id.
at p. 1009 [“can support an inference of probable cause”]). But the
Minder
court never actually provided any authority for the proposition that a plaintiff in a food poisoning case must “establish probable cause,” it just seemed to assume that everybody already knew that “probable cause” was the standard—except to the extent that, after its flat declaration, it impliedly supported its statement with what came next, which was a precis of the only California authority the
Minder
court relied on, the case of
Beaupre v. Nave
(1970)
Before we discuss how the
Minder
court handled
Beaupre,
let’s look at the
Beaupre
decision itself first. In
Beaupre,
unrelated plaintiffs sued the owners of a restaurant for having contracted hepatitis. The 1970
Beaupre
opinion treats hepatitis as one disease, and gives no hint that the disease may be classified into the various types, A, B, C, et cetera, that we now, in 2008, take for granted. In fact, the court would recount that the “cause of the illness from which each plaintiff suffered is not so well known that we may rely upon any causative evidence other than that produced through the testimony of the medical experts”
(Beaupre, supra,
In any event, one must read
Beaupre
carefully in order to ascertain the decision’s “procedural posture,” that is, how the case got to the Court of Appeal from the trial court. The procedural posture of the case is mentioned rather casually, literally as an afterthought in a sentence primarily devoted to what was then the current state of knowledge about hepatitis.
6
But in that sentence one learns that the case was tried to the court, “sitting without a jury,” and the court,
as trier of fact,
had made “finding[s] of fact” adverse to the plaintiffs. So, the conflicts and inferences in the evidence
had
to be drawn in favor of the defendant restaurant, which is what the
Beaupre
court said in the next sentence. And the appropriate resolution of the conflicts and inferences meant, as the
Beaupre
court said next, that in order for the
plaintiffs
to prevail on appeal, the evidence had to be clear, certain, “without dispute,” and point “unerringly to the determination of a particular issue.”
(Beaupre, supra,
*1200 In short, the plaintiffs in Beaupre were contending on appeal that they had to win on the causation issue, as a matter of law. And, of course, they lost, because there was substantial evidence to support a defense verdict: The Beaupre court needed merely to recount a few points to demolish the plaintiffs’ hopes of winning on appeal. (Those points were: one medical expert gave only 10 percent odds that the plaintiffs had contracted hepatitis at the defendant restaurant, another expert testified that food-borne hepatitis was extremely rare worldwide (only 10 to 20 food-borne outbreaks ever), and there was expert testimony to the effect that, given the respective dates of the outbreaks, the food handler could not have transmitted the disease. (Beaupre, supra, 13 Cal.App.3d at pp. 404-405.))
Later in the opinion the
Beaupre
court did allude to “various sanitation violations”
(Beaupre, supra,
The point of that whole discussion, though, was that the trial court had clearly found, as a matter of fact, that any sanitation violations were neither the “proximate cause” nor the “cause in fact” of the plaintiffs’ hepatitis.
(Beaupre, supra,
We now turn to how the
Minder
court treated
Beaupre,
which is to be found in
Minder’s
third-to-the-last paragraph. As we just noted, the
Beaupre
decision was used by
Minder
as implied support for the flat proposition that certain unsanitary conditions, “absent further evidence”—and apparently, by “further evidence,” the
Minder
court meant that the opinion of the treating physician didn’t count for anything—could not “establish probable cause.”
(Minder, supra,
Sentence one: a restatement of the plaintiffs’ allegation they contracted hepatitis from eating at the defendant restaurant. Sentence two: a quotation from findings of the
Beaupre
trial court acknowledging unclean food, beverages, et cetera, from time to time. (And with
no
mention of the trial court’s other findings specifically rejecting causation as a matter of fact.) Sentence three: a statement that the trial court in
Beaupre
found the plaintiffs had “failed to prove causation.” (And—to be a bit repetitive ourselves—with no mention of the trial court’s role as a finder of fact.) Sentence four: a statement that the Second District (i.e., the
Beaupre
panel) “agreed” with the failure to prove causation, and then quoting the sum-of-all-these-findings-fell-short passage from
Beaupre
(which we have also mostly quoted above).
(Beaupre,
supra,
Then came the final substantive paragraph of the opinion, which simply restated the Minder court’s conclusion that the plaintiffs, as respondents, had “as a matter of law, failed to meet their burden of showing that the probable cause of their illness was contaminated food eaten at [the] restaurant.” (Minder, supra, 67 Cal.App.3d at p. 1011.)
5. A Critique of the Minder Analysis
The trial court read the Minder analysis as requiring a “heightened” level of proof of causation in food poisoning cases. To the degree that there is, indeed, support for such a view in the text of the case itself, we respectfully decline to follow it, for no less than five separate reasons:
a. Minder's general departure from established rules of tort causation
The Minder court never expressly said that it thought that defendants in food poisoning cases deserved a break from ordinary rules of tort causation, *1202 but that thought permeated the court’s analysis, and it was certainly picked up by the trial judge in our own case, who described Minder as enunciating a “heightened” standard of causation.
We cannot agree, however, with the strong implication in the Minder analysis that food poisoning cases are somehow unique in tort law. Ironically, the current version of Framer and Friedman’s treatise on products liability— the 1977 version of which seemed to have played a role in Minder’s analysis—is plainly to the contrary. Food poisoning cases follow the same rules as other tort cases: “The basic elements of proof in a food poisoning case are essentially those of any personal injury action.” (4 Frumer & Friedman, Products Liability (2008) § 48.06[1], p. 48-23 (rel. 109-8/2008) (4 Frumer & Friedman).)
The current Framer and Friedman treatise, apparently like its 1977 version, also continues to list the sort of facts that can prove a food poisoning case, but the spin is significantly different than the one apparently described in the Minder opinion. The current treatise states that “The ideal factual situation in a food poisoning case” would have all of these four elements: simultaneous illness of a group of people who eat the same food at the same time, all “patients” manifesting classic food poisoning symptoms, prompt investigation of suspect food (like potato salad left out too long), and “microscopic examination” of that food, which might show, for example, a staph infection, and which would correlate with the same infection sustained by the plaintiff. (4 Frumer & Friedman, supra, § 48.06[2], p. 48-24, italics added.)
But the Framer and Friedman treatise recognizes that this “ideal . . . situation” will not always present itself to a court, and thus notes that often the plaintiff will have “recovered to the point where recovery of the pathogenic bacteria is no longer possible” and, also the food may not be “available for bacteriological study,” besides which, often doctors may decide that the illness is not serious enough to “warrant[] the expense of such an investigation.” (4 Frumer & Friedman, supra, § 48.06[2], p. 48-24.) And thus the treatise recognizes that: “Food poisoning cases, just as any other personal injury cases, often depend upon expert testimony.” (Id., § 48.06[3], p. 48-25.)
b. Minder’s departure from established case law allowing use of reasonable inferences
While the Minder court never straight out declared that inferences are off-limits in food poisoning cases, 9 its treatment of the various scenarios and *1203 its discussion of sanitation violations suggest that the court did not think that reasonable inferences are available to prove a plaintiff’s case in a food poisoning case. (Either that, or, its implication is that no inference is ever quite good enough to be reasonable.) To the degree that the Minder opinion does indeed suggest a no-inference rule (or, at least, a presumption against inferences different from other tort cases), it contradicted established precedent in existence at the time.
i. Dougherty v. Lee
Minder
did not consider
Dougherty v. Lee
(1946)
In Dougherty, a rancher bought a ton of baled Sudan hay from a hay seller. The next morning he opened two or three bales and fed it to his cows. He fed some of the same hay that evening. The next morning five cows were dead and three were sick; two of those died, the other recovered. A post mortem by a veterinarian determined that the dead cows had botulism. However, an analysis of the hay was “not so conclusive,” though a sample of the hay produced “ ‘some organism that looked like botulina badila.’ ” (Dougherty, supra, 74 Cal.App.2d at pp. 133-134.)
The appellate court upheld an award for breach of warranty against the hay seller. In setting out its initial conclusions, the court used language—“There can be little doubt” and “It seems quite persuasive”—that showed reasonable inferences were obviously available to prove food poisoning. (Dougherty, supra, 74 Cal.App.2d at p. 134.)
Then later,
Dougherty
made the availability of reasonable inferences quite explicit, doing so in the context of a plaintiff’s burden of proof. Basically, the court said that the same rules of inference and substantial evidence applied in the food poisoning case before it as would normally apply in other civil cases. The
Dougherty
court quoted a passage about the burden of proof from a Supreme Court case,
Barham
v.
Widing
(1930)
Next, Dougherty stated that the foregoing rule, from normal “civil cases” should apply to food poisoning cases: “Suits for damages resulting from partaking of poisoned food, whether they are based on negligence or upon a breach of implied warranty, are closely allied, and we assume the foregoing rule would apply to both classes of cases.” (Dougherty, supra, 74 Cal.App.2d at pp. 136-137.)
Then the
Dougherty
court put its explicit imprimatur on the use of inferences in food poisoning cases: “Where
the evidence is susceptible of a reasonable inference that death or illness resulted from the eating of contaminated food, a prima facie case of negligence or of a breach of implied warranty of the fitness of the food, has been established, and it is erroneous for the court to direct a verdict for the defendant.
Under such circumstances a judgment for the plaintiff on that issue should not be disturbed on appeal.”
(Dougherty, supra,
ii. Grinnell v. Pfizer
A vaccination case, also decided prior to
Minder,
and also clearly approving of the use of reasonable inferences to prove causation, is
Grinnell v. Charles Pfizer & Co.
(1969)
*1205 c. Minder's preference for a rule requiring exclusion of all possible alternative causes also departed from case law
Another rule that the Minder opinion never actually articulated, but which may arguably be mined from its analysis is a requirement that the plaintiff rule out all other causes of the illness. The argument for an “all alternatives must be ruled out” approach is also pressed by Salt Creek directly in the case before us. Salt Creek asserts that California law “requires proof excluding other causes.”
We have already quoted the plain language from the
Dougherty
decision that shows that exclusion of alternatives is
not
the rule. (But we’ll quote it again: “ ‘It is not necessary in the trial of civil cases that the circumstances shall establish the negligence of the defendant as the proximate cause of injury with such absolute certainty as to exclude every other conclusion.’ ”
(Dougherty, supra,
d. Minder's variance from current California tort law regarding the standard of causation
We now come to that problematic phrase, “probable cause,” that the Minder court treated, without authority, 11 as the talisman for what the plaintiffs had to prove in that case. If a law student had only the Minder case, he or she would likely assume that the causation element in California tort and warranty law was “probable cause.”
*1206
“Probable cause” is an important phrase in criminal law, and, of course, the lack of it in a previous lawsuit is an
element
of a civil tort cause of action for malicious prosecution. Ironically enough, in both the criminal and malicious prosecution contexts courts have tended to define the phrase fairly leniently. Thus in the criminal context, probable cause has been defined as “an ‘ “honest and strong suspicion” ’ ”
(People v. Perrusquia
(2007)
Which is all very curious, because one cannot read the Minder opinion as a whole without getting the distinct impression that what it meant by “probable cause” was a far cry from honest suspicion, reasonable ground, or reasonable tenability. Clearly, Minder had something more “heightened” in mind, something that, for example, would be impervious to such evidence as a treating physician’s opinion or conclusions that might readily be drawn from the fact of the sanitation violations. 12
Minder's “probable cause” language was at the very least dubious even at the time. (See
Cronin v. J.B.E. Olson Corp.
(1972)
Mitchell
was the case that disapproved an old jury instruction (BAJI No. 3.75) because it used the phrase “proximate cause,” finding the phrase confusing, and endorsed a rival jury instruction (BAJI No. 3.76), which asked “ ‘whether the defendant’s conduct was a
substantial factor
in bringing about the injury.’ ”
(Mitchell, supra,
*1207 e. Minder’s miscitation of the Beaupre decision
Particularly relevant in the case before us is the question of what inferences are reasonable from sanitation violations in a restaurant food poisoning case. As we have noted, there was no evidence recounted in the Minder decision linking Shigella Flexneri to the kind of sanitation violations found at the Cielito Lindo Restaurant. Thus the court’s declaration that “These [meaning the sanitation violations recounted pages prior] conditions, absent further evidence, could not establish probable cause” might have been accurate at the time. (Minder, supra, 67 Cal.App.3d at p. 1010.) As noted above, though, Minder did not operate in a “substantial factor” world. It is thus interesting to wonder whether the Minder court could have written that sentence post -Mitchell.
But in any event the Minder court’s treatment of the earlier Beaupre decision was certainly incorrect at the time. Plainly said: You cannot cite a case that simply affirms a defense judgment because there was substantial evidence for the trier of fact to find that restaurant food did not cause food poisoning, despite health violations, for the legal proposition that health violations cannot support a restaurant food poisoning verdict as a matter of law. That is the sort of misreading of a case that usually gets a first semester law student a bad grade on a legal writing assignment. We will charitably assume that the Minder court was simply having a bad day.
B. The Case Before Us
1. The Inference Here Was Reasonable
In the case before us, unlike Minder, there was expert testimony expressly making the link between the particular kind of food poisoning involved (campylobacter) and the particular unsanitary conditions found at the restaurant—cross-contamination from raw chicken. An expert for Sarti, Dr. Andrew Kassinove, testified that anything that might have touched something that touched raw chicken would be cross-contaminated. Particularly given the lack of proper sterilization in the dishwasher and the waiter’s constant use of an unsterilized wipe-down rag, a reasonable jury could infer either that a rag used to wipe down a raw chicken board was used to wipe down a vegetable or tuna board, or, alternatively, that a drop or two of raw chicken juice may have leaked onto some of the vegetables stored beneath it. As Dr. Kassinove testified: “Any preparation in this case—this case dealt with raw cucumbers, wasabi, ginger, all those in addition to Ahi tuna which were uncooked, and vegetables that easily could have been prepared on a surface that had cross-contamination.”
*1208 We should add that Dr. Kassinove also testified as to any necessary implications from Sarti’s companion’s lack of illness. Dr. Kassinove said that it was “very common for people to eat at the same restaurant or eat the same meal and only one person get sick. That one person had the misfortune or the metabolism or the bad luck that their body was susceptible to it at that time. Maybe two people even could be contaminated who ate from the same dish, but it’s much more likely one person would get sick. Also, that one person might get sicker than the other two people who ate the contaminated piece of chicken. It’s very common for one to get really sick, the other one to get a little stomach upset or some mild symptoms.”
The expert testimony in this case linking the particular kind of food poisoning experienced by plaintiff to the particular kind of health violation attributable to defendant is what distinguishes this case from Minder.
It also distinguishes this case from
Reese
v.
Smith
(1937)
In Reese, a seamstress stopped at a meat market about 5:00 o’clock, where she purchased a pound of linked sausages. She went home and, about a half an hour later, made herself a fried sausage sandwich, using only a portion of the sausage. The remainder went back to the “ice box.” (This was the 1930’s, remember.) She became ill “as she finished” eating the sandwich; within a few minutes neighbors offered their assistance and the police were summoned. One of the officers examined what was left of the sausages with his flashlight, and noticed several maggots on the open end of the sausage. Also, a neighbor testified that he saw two maggots between two of the linked sausages. The plaintiff’s physician testified that the plaintiff had suffered “botulism” and in his opinion it was caused from eating the sausages. (Reese, supra, 9 Cal.2d at pp. 325-326.)
The trial court, sitting without a jury, did the intuitive thing and awarded plaintiff a damage award against the meat market. The Court of Appeal reversed, and that opinion was later adopted verbatim by the Supreme Court (hence almost all the opinion is one long quote from the appellate court’s opinion; all our quotations from the opinion thus omit the initial quotation marks showing the high court was quoting from the lower court).
Why should the Supreme Court reverse a judgment for the plaintiff when maggots had been found on meat the plaintiff had consumed almost immediately before? The answer lies in a fact in Reese that is not common in food poisoning cases: A sample of the food consumed could be scientifically tested contemporaneously with the illness.
*1209
It turned out that the very next day after the seamstress took ill, inspectors from the city health department visited the plaintiff’s home and made an examination of the remaining sausages, including a
microscopic
examination. Those inspectors testified that the remainder of the sausages appeared fresh and wholesome and maggot-free when they examined it, and, more importantly, the microscopic examination showed no “ ‘organism of the food poisoning groups’ ” to be present.
(Reese, supra,
Now, the Reese court did acknowledge that no examination was made specifically for botulism, and that was because—and the Reese court emphasized the expert testimony in this regard was uncontroverted—botulism only flourishes in environments without oxygen. (Reese, supra, 9 Cal.2d at p. 327.) Moreover (again, an uncontroverted point in the Reese case) botulism takes at least “several hours” to manifest itself after the “contaminated food is eaten.” (Ibid.) The court noted, in contrast, that the “only expert evidence offered by [the] plaintiff’ was that of her physician, who diagnosed the case as one of botulism. (Ibid.)
The Reese court then reasoned that maggots themselves are “not poisonous,” and not necessarily confined to rotting food, and described maggots as “but the larvae of insects, most commonly that of the housefly.” (Reese, supra, 9 Cal.2d at p. 328.) In fact, the court went on to say that maggots “are used in modem surgery for the treatment of open wounds.” (Ibid.) (We would note that antibiotics were not in general use in 1937.) Since, “The only credible evidence as to the condition of the meat was that it was pure and wholesome when chemically analyzed on the day following the sale,” the Reese court concluded that the treating physician’s inference that his patient’s botulism was the result of eating the sausages was not reasonable. (Id. at p. 329.)
A close reading of the
Reese
case shows that its somewhat counterintuitive result is “explainable” on the ground that the evidence that the sausages were “wholesome” was so strong as to be preclusive of any contrary possibility, much less inference. After all, it is the rare food poisoning case where city health inspectors get to make a microscopic examination of a portion of the suspect food the very next day (and we note, presumably the passage of time would only increase the probability of maggots) and rale out any organism from “food poisoning groups.” And indeed, the later
Dougherty
opinion would distinguish
Reese
on that very basis. (See
Dougherty, supra,
On top of that, the treating physician’s opinion that his patient was ill with botulism, when examined in the light of the uncontroverted evidence that botulism could “only flourish where there is no oxygen,” that botulism “does not manifest itself for several hours after contaminated food is eaten” and, of
*1210
course, that the plaintiff became ill almost immediately upon consuming the sausage sandwiches, completely undercut the plaintiff’s case.
(Reese, supra,
Perhaps not wanting to be associated with maggoty sausages, Salt Creek has not cited or relied on the Reese decision in any way in its briefing. Though on the surface Reese seems a strong case for the defense in food poisoning cases, on reflection it actually underscores our “strict” reading of Minder. That is, in Reese, there was no evidence (at least presented to the 1937 court) that linked the plaintiff’s particular illness, which was botulism, to any particular health hazard attributable to the defendant. For the Reese court, the timing of the illness, the relatively oxygen rich environment of the icebox, and the microscopic examination ruled out any attribution of the plaintiff’s botulism to the sausage that had maggots on it. And, we should add, the Reese court did not suggest that inferences were off-limits, as a matter of law, to prove a food poisoning case. It merely held that under the particular evidence before it, the inference of causation was not reasonable.
2. Salt Creek’s Rule-out-all-alternatives Argument: In Its Direct Form
Salt Creek asserts that Sarti was required, as a matter of law, to exclude all “possibilities” other than the meal she had at the restaurant. As we have already shown in our criticisms of
Minder,
that point is untenable.
Mitchell
plainly demonstrated that California law on causation is “substantial factor.” And, as the prior
Dougherty
opinion expressly stated, a plaintiff need not “ ‘exclude every other conclusion’ ” than the defendant’s negligence.
(Dougherty, supra,
At this point, we should confront the semantic danger in the word “possibility.” The word must necessarily connote something more than bare conceivability or plausibility, otherwise it would swallow up the universe. For example, in a food poisoning case, how could the plaintiff disprove that she didn’t pick up some nasty bacteria (here, Campylobacter) because she touched a doorknob that had been previously touched by someone who had been handling raw chicken or who had changed a diaper, and hadn’t washed his or her hands? Well, yes, one might reason, it is conceivable that that might have happened. It is ludicrous, though, to suggest that such bare conceivability must, as a matter of law, defeat a food poisoning claim.
The relevant question is this one: Was there any
substantial evidence
that someone who had just handled raw chicken (or changed a diaper or whatever) and who hadn’t washed his or her hands, touched something that the plaintiff soon touched, and then the plaintiff, say, ate a hamburger or a
*1211
sandwich without washing her hands, after which she became sick within a timeframe consistent with the illness that she, indeed, contracted? In the Georgia
Payton
case, which served as the inspiration for
Minder’s
“explainable on [other] grounds” language, there was certainly substantial evidence of such an alternative “explanation” for the disease (the virus going around town at the time).
(Minder, supra,
Given the facts of the case before us, we are spared the tough problem of whether the existence of an alternative “explanation” supported by substantial evidence competing with the finding the jury actually chose might somehow defeat, as a matter of law, the jury’s finding of food poisoning from the restaurant meal. (We don’t think so, given the Mitchell case, because substantial factor does not have to be the “exclusive factor,” but that precise problem can await another day.) Salt Creek has cited no substantial evidence requiring a finding that Sarti picked up the Campylobacter from handling a leaky package of chicken while working at a checkstand, or handling a cat, or somehow being exposed to a baby in the house, or eating in the lunchroom with the employees from the meat department.
One must remember, it is the winning party after a jury trial, not the losing party, who gets the benefit of reasonable inferences from the evidence. Under classic rules of appellate review, we are required to accept the inference, if reasonable, that Salt Creek got sloppy with its wipe-down rags over the inference that Sarti ran a leaky bag of chicken through a checkout scanner and then didn’t wash her hands before touching some food she ate. 13
3. Salt Creek’s Rule-out-all-altematives Argument: Its “Gotcha” Form
(Based on Acquiescence to a Bad Jury Instruction)
A variation on Salt Creek’s exclusion-of-all-else theory is based on Sard’s failure to challenge all the language in the “substantial factor” jury instruction, which, ironically as Salt Creek now reads it on appeal it believes *1212 required the jury to find for the defense unless Sarti ruled out all other causes. Deconstructed, Salt Creek’s argument is: Even if a rule-out-all-possibilities rule is not the law, Sarti’s lawyers effectively agreed to that faulty rule in a jury instruction, and therefore she must lose because of their acquiescence to an instruction even if it does not accurately reflect the law.
The jury instruction consisted of two paragraphs, which we now quote in full: “A substantial factor in causing harm is a factor that a reasonable person would consider to have contributed to the harm. It must be more than a remote or trivial factor. It does not have to be the only cause of the harm, [f] In food poisoning cases, the plaintiff must prove that the food was unwholesome or unfit and caused her illness. If you find that her illness is explanable [sz'c] on grounds other than unwholesomeness of the food, you must determine by a preponderance of the evidence that plaintiff has excluded such other causes.”
We recognize that this is not the most felicitous jury instruction around. On the one hand, the phrase from the last sentence, “explanable [sz'c] on grounds other than unwholesomeness of the food,” was obviously lifted verbatim from the passage in the
Minder
case about the Georgia potato salad decision. (See
Minder, supra,
On the other hand, the first paragraph, which plainly says that food poisoning did not “have to be the only cause of the harm,” is certainly an accurate statement of basic tort causation in light of Mitchell. Counsel for Sarti, of course, had no choice in acquiescing to the “explainable on grounds other” clause of the instruction, because—until our opinion in this case—no published appellate decision has had occasion to note that Minder's 1977 approach to causation is inconsistent with current law as established in Mitchell. Thus, apropos our initial discussion of Auto Equity Sales, the trial court was bound to try to find some formulation that recognized both the Mitchell substantial factor approach and the (still technically viable at least to that point) “explainable on grounds other” language from Minder. The tension in the jury instruction is simply a reflection of Minder's tension with Mitchell 14
In any event, for the same reasons outlined under the previous subheading in this opinion, Sarti’s counsel’s acquiescence in the (in our opinion, no longer valid in light of current law) “explainable on grounds other” language from Minder did not require the trial judge to grant the jnov motion (or *1213 require us to otherwise affirm that grant of jnov). As we have noted, and under classic rules of appellate review (inferences are not drawn in favor of the loser after a jury trial) there is no substantial evidence to transform the bare speculative possibilities of contraction of Campylobacter via checkstand, baby diapers, a cat in the house or the lunchroom into a valid alternative explanation.
C. The Cross-appeal
1. The Consistency Issue
The restaurant has taken a protective cross-appeal, based on the denial of a motion for new trial heard at the same time as its motion for jnov. Most of the cross-appeal is merely argument based on Minder by other means, i.e., contending that it was legal error to allow a verdict for plaintiff to stand.
We should mention, though, that it was certainly within the bounds of reason, i.e., within the proper exercise of the trial court’s discretion, to deny the new trial motion at least on the contingency that the jnov motion was reversed on appeal. This is not a case (like
Fountain Valley Chateau Blanc Homeowner’s Assn.
v.
Department of Veterans Affairs
(1998)
2. The Jury Misconduct Issue
Salt Creek raises, however, one issue that does not depend on the Minder case—jury misconduct. The motion for new trial was supported by four very brief and conclusory juror affidavits to the effect that the jurors determined not to follow the court’s instructions. (Basically, the four jurors said that the jury “agreed” (that’s the operative word in all four affidavits) to require Salt Creek to prove that its food didn’t cause the food poisoning.)
The standard of review on a new trial motion alleging juror misconduct is abuse of discretion. (E.g.,
People
v.
Williams
(1988)
The absence of any supporting detail about the jurors having supposedly “agreed” to do something contrary to an instruction supports the reasonable inference that the affidavits were mere conclusions about the jurors’ mental processes. Thus it was not unreasonable for the judge to deny the motion. (See
Ford
v.
Bennacka
(1990)
HI. DISPOSITION
The judgment notwithstanding the verdict is reversed. The case is remanded to the trial court to reinstate the original judgment. Appellant shall recover her costs on appeal.
Rylaarsdam, J., and Moore, J., concurred.
A petition for a rehearing was denied November 26, 2008, and the opinion modified to read as printed above. Respondent’s petition for review by the Supreme Court was denied January 21, 2009, S168822. Kennard, J., was of the opinion that the petition should be granted.
Notes
We apologize for a long opinion with many topics and subheadings. For the convenience of readers who might like an overview of this opinion, here is an organizational outline:
l. BACKGROUND
H. ANALYSIS
A. The Minder Case
1. Overview
2. The Minder Facts
3. Minder, Strictly Construed
4. The Minder Analysis
5. A Critique of the Minder Analysis
a. Minder’s general departure from established rules of tort causation
b. Minder’s departure from established case law allowing use of reasonable inferences
i. Dougherty v. Lee
ii. Grinnell v. Pfizer
c. Minder’s preference for a rule requiring exclusion of all possible alternative causes also departed from case law
d. Minder’s variance from current California tort law regarding the standard of causation
e. Minder’s miscitation of the Beaupre decision
B. The Case Before Us
1. The Inference Here Was Reasonable
2. Salt Creek’s Rule-out-all-altematives Argument: In Its Direct Form
3. Salt Creek’s Rule-out-all-altematives Argument: Its “Gotcha” Form
(Based on Acquiescence to a Bad Jury Instruction)
C. The Cross-appeal
1. The Consistency Issue
2. The Jury Misconduct Issue
m. DISPOSITION
The passage means that a trial judge sitting in San Francisco is equally bound by decisions from divisions of the Court of Appeal sitting in Fresno, San Diego and even Orange County just as much as he or she is bound by decisions by a panel sitting in San Francisco. California doesn’t work the way the federal courts do, with so-called “rules of the circuit” where a trial judge is bound to a given intermediate appellate subdivision.
For example, the sprawling Ninth Circuit adheres to a rule of “intracircuit stare decisis” because consistency would otherwise be impossible. (Ulrich & Sidley Austin LLP, 1 Fed. Appellate Prac. Guide 9th Cir. 2d § 8:19 (accessible on Westlaw, database updated Apr. 2008) [“The Ninth Circuit’s 28 authorized, active judges can be combined into 3,276 different three-judge panels .... The principal way the Ninth Circuit avoids having these shifting three-judge panels issue conflicting decisions is to follow a rule of intracircuit stare decisis: panel decisions bind subsequent panels except in certain narrow situations discussed below or unless overruled by the court en banc.”].)
(E.g.,
Jessen
v.
Mentor Corp.
(2008)
Because the Framer and Friedman Products Liability treatise is kept and updated in a looseleaf format, our court librarian informs us that it is practically impossible to reconstitute the treatise exactly as it was read by the Minder court in 1977.
Here’s the sentence: “The cause of the illness from which each plaintiff suffered is not so well known that we may rely upon any causative evidence other than that produced through the testimony of the medical experts, and since this appeal seeks to reverse the finding of fact on the issue of causation drawn by the trial judge sitting without a jury, we look only to that evidence which would support his conclusion.”
(Beaupre, supra,
Shakespeare had Brutus do the same thing in his speech to the crowd in Julius Caesar. As Judge Posner points out, Brutus “buried” the best reason he had to assassinate Julius Caesar—“ ‘but, as he was ambitious, I slew him’ ”—in a subordinate clause. (Posner, Law and Literature: A Misunderstood Relation (Harvard University Press 1988) p. 278.)
Here is the passage: “In
Beaupre
v.
Nave,
Twice, in the context of listing scenarios of what might or might not show causation of food poisoning, the court used the same phrase, “support an inference of probable cause.”
(Minder, supra,
Those facts were: (1) The Surgeon General had issued some information “indicating a risk of vaccine-induced polio to adults” and studies beginning in 1961 showed “a risk to those over 30 years of age”; (2) reports “that attenuated strains of polio virus were genetically unstable”; and (3) there had been several cases “classified as compatible with vaccine-induced polio” after “ingestion of oral polio vaccine.”
(Grinnell, supra,
To be sure, the words “probable cause” had appeared as part of a quotation in
Dougherty
from an earlier Massachusetts opinion,
Monahan
v.
Economy Grocery Stores Corp.
(1933)
Here’s a law school hypothetical: Suppose the Minder court had used the phrase “probable cause” the way Sheldon Appel would later define it? Would the result in Minder be any different? Our answer: It should have been. Under the Sheldon Appel standard surely a treating physician’s opinion would make a reasonable attorney believe in at least the reasonable tenability of a food poisoning claim.
Here’s another law school hypothetical: Suppose the trial judge had granted a new trial motion based on insufficient evidence (see Code Civ. Proc., § 657) because he drew the inference that Sarti was exposed to Campylobacter from a bag of leaky chicken (or by shaking hands in the lunchroom with an employee from the meat department or some similar encounter with someone who had just changed diapers without washing, or whatever). Would that decision be upheld on appeal under the abuse of discretion standard for the granting of a new trial because, on review from the granting of a new trial motion, we would be required to draw all reasonable inferences in favor of the trial court’s decision? That is, would an inference that Sarti got the Campylobacter from a bag of leaky chicken be strong enough to sustain the new trial grant? Our answer: We’ll leave that one for another day.
Interestingly, a tension reflected in the very typeface of the written jury instruction as it appears in our record. The first paragraph, reflecting Mitchell, is double spaced. The second paragraph, reflecting Minder, is single spaced. It is as if the trial court literally cut and pasted the two competing jury instructions proposed by the two competing sides into one document.
