*1 SENDEJAR, Sr., al., Appellants, et Jose AND
ALICE PHYSICIANS SURGEONS INC., al.,
HOSPITAL, Appellees. et
No. 1009. Texas, Appeals
Court of Civil
Tyler.
June 1977.
Rehearing Aug. Denied
failing to exercise the proper standard of rendering care in hospital services to Jose Jr.; Sendejar, (2) such failure was not a proximate patient’s cause of the paraplegia; (3) Dr. D. R. Halverson did not fail proper exercise the standard of care in the Jr.; treatment of Jose (4) Jose Jr., Christi, Gandy, Corpus I. Sam Francis Sendejar, Jr., failed to exercise ordinary Yates, Jr., Houston, Mullen, Robert R. M. operation care in the of his automobile Alice, appellants. for shortly prior to the time hospitaliza- of his Redford, Redford, Bur- Dyer, D. Cecil tion; (5) such was proximate failure Donnell, nette, Wray Woolsey, Ben A. & paraplegia; (6) of his paraplegia Donnell, Christi, Corpus ap- for Meredith & *4 solely by injuries caused the by received pellees. him at accident; the time of the automobile (7) and neither the treatment by rendered MOORE, Justice. Dr. hospital Halverson nor the aggravated Ap- case. malpractice This is a medical pre-existing his condition or caused him to Sr., Sendejar, individually and pellant, Jose any past, present incur or future medical son, Jr., Sendejar, Jose as next friend of his expenses or compensatory damages. against appel- suit (appellant), instituted verdict, jury’s Pursuant to the the trial lees, Hospi- Physicians Surgeons and Alice court take-nothing judgment entered a Inc., Halverson, tal, alleging D. and Dr. R. against appellant. After his motion for negligent result of the acts and that as a overruled, new trial was appellant perfect- hospital of the and part omissions on the appeal. ed this Sendejar, occurring after Jose the doctor We affirm. Jr., hospital, the his son was admitted to permanent injuries spinal point, appellant to his Under the eleventh suffered con- complete paraly- and total tends that resulting “negative” finding cord in the of the jury response Special his chest down to his lower extrem- in sis from Issue No. 2 generally jury the alle- wherein the Appellees ities. denied refused to find that the affirmatively hospital’s gations petition proximate of the and was a paralysis by paraplegia suffered Jose of the alleged by appellant’s that suffered Jr., by caused son1 is Sendejar, proximately against overwhelming weight was negligence in over- contributory preponderance his own of the evidence. Under wrecking point appellant his automobile short- the twelfth turning and likewise con- hospitalized by jury’s “negative” finding and treated tends that ly before he was jury. refus- Halverson. Trial was before a Issue No. 3 wherein Dr. response special found in ed to find that Dr. D. R. Halverson was The Jr.,2 Sendejar, in is (1) hospital negligent negligent treating that was Jose issues “ISSUE NO. 2: 1. “ISSUE NO. 1: preponderance you of the a preponderance find from Do you a find from Do Hospi- by Alice P&S acting Hospital, that such failure evidence Alice P&S that evidence paraplegia of proximate cause of a nursing em- tal was through administrative or its Jr., injuries dam- Jr., Sendejar, and the Sendejar, Jose rendering Jose ployees, care to resulting ages May therefrom? hospitalization 11:30 PM during from his not.” It was 1971, ANSWER: 17, AM, May 15, 1971, failed to 9:00 would which of care that standard exercise of the same a exercised have been 2. “ISSUE NO. 3: or similar in the same located size similar or preponderance you cir- community same or similar find from Do and under Jr., Sendejar, of Jose in his care evidence cumstances? failed to exercise Halverson Dr. Darrell fail.” It did ANSWER: nothing spine abnormal in the pre- rays he saw overwhelming weight and against sign and there was no Appellant spinal or cord the evidence. ponderance room ex- judgment ground emergency on the After the paraplegia. attack the does not Dr. support Sendejar evidence” to was admitted there is “no amination findings. hospital “to the service of” jury’s Halverson to the Gonzales, at family physician, Dr. J. C. determining question
In
of fac
Dr. Halverson
approximately
p.
11:30 m.
insufficiency
points,
tual
of evidence
we are
elevated
gave instructions that his bed be
required to consider all the evidence in the
every
he be aroused
thirty degrees,
record,
of,
that in favor
as well
entire
both
hours,
two to three
and that he have bath-
judgment.
Garza v.
as that
morning.
privileges
following
room
Alviar,
(1965).
cised
ice, Texas,
community
fail.”
the same or
did not
ANSWER: He
or in a
According
promulgated by
to the rules
was
by injuries
caused
to the soft tissues
staff,
patient
if a
was in need
and the swelling
bleeding
spinal
in the
doctor,
of a
duty
it was the
of the floor
cord. He testified that
the paralysis came
admitting
nurse to call the
physician.
If
on gradually and that
the function of the
admitting physician
not
could
be located
spinal cord was lost in increments. He fur-
duty
it was the nurse’s
to call
physician
ther testified that
the fact
that Sendejar
him,
covering
if
for
he could not be
had some movement
in
legs
when he
found,
duty
it was the nurse’s
to call the was admitted to the emergency room was
physician who was
staff
on call for that
an indication
spinal
cord had not
week. There
is
evidence that the floor
been completely severed. He testified that
attempted
nurse
to contact
of these
proper
attention,
medical
para-
total
physicians except Dr. J. C. Gonzales. When
plegia
prevented
could have been
or at least
finally
Dr. J. C. Gonzales was
contacted on
could have been partially prevented and
17th,
Monday morning, May
he advised that
the failure to
proper
receive
medical
patient
he
not see the
could
but that he
was,
care
opinion,
in his
the producing
would send Dr. Dostal. After Dr. Dostal
paraplegia.
He admitted that
upon
arrived and
examination found Sende-
the injury was difficult
to detect on the
jar
suffering
to be
from
paralysis
flaccid
x-ray picture taken by Dr. Halverson and
from the waist
a spinal
down due to
cord
that neither he nor Dr. Halverson would
injury, Dr. Dostal then directed that
have detected the injury in the absence of a
patient
Hospital
be transferred to Memorial
complaint
pain
of back
patient.
Christi, Texas,
Corpus
where he would be
Dr. Craig
Joseph
Norstrom and Dr.
G.
treated
Dr. Rufino Gonzales.
Klotz,
neurosurgeons,
both
testified that
Cavazos,
aunt,
Sendejar’s
Emma
testified
they saw Sendejar after he arrived at Me-
Sunday,
that she visited him from
May
Hospital
morial
Corpus
They
Christi.
16th,
Monday morning
he
until
when
was
testified that
studies,
as a result of x-ray
Corpus
transferred to
Christi.
testified
She
they were of
opinion
that Sendejar’s
requested
that on several occasions she
spinal cord
severely
crushed and sev-
*6
get
to
nurses
a doctor and was told that Dr.
ered at the time of the automobile accident
J. C. Gonzales was not available. She testi-
and that such injuries caused immediate
spite
that in
of her many requests
fied
for
paralysis
They
at that time.
testified that
doctor,
get
the nurses to
another
no doctor
in their opinion he was paralyzed at the
came until Dr. Dostal arrived at approxi-
time he
emergency
reached the
room at the
mately
Monday morning.
8:00 o’clock
She
hospital and that
type
the
of medical treat-
on Sunday
also testified that
she observed
ment he received thereafter would not have
Sendejar
legs
to move his
and kick the
made any difference whatsoever because he
legs
complained
sheet from his
when he
of
Thus,
would
paralyzed.
have still been
ac-
being too warm. Other friends who visited
cording to
testimony Sendejar’s para-
their
Sunday
him on
afternoon also testified that
plegia
split
occurred at the
second he re-
they
legs
also saw him move his
and ob-
ceived the injury in the automobile acci-
served him to kick off the covers.
dent. They explained that
the movement
A. E. Minyard,
orthopedic surgeon
Dr.
an
in
legs
being
his
after
admitted to the hos-
by appellant,
response
called
testified in
to
pital was due to
spasms
flexor
which was a
Sendejar
hypothetical question
a
that
suf-
phenomenon following
natural
paraplegia.
fourth dorsal verte-
fered a fracture of the
Gonzales,
Dr. Rufino
orthopedist,
an
tes-
bra as a result of the automobile accident
tified
x-ray
that as a result of his
studies he
Sendejar
that
was not
opinion
and
Sendejar
found that
had received a severe
paralyzed when he was admitted
the
injury to his spinal cord in the automobile
hospital
paralyzed when he was
but was
accident
the
injury
and that
nature of the
transferred from the
on the follow-
spinal
to his
ing Monday.
opin-
ordinarily
He testified that in his
cord would
result in
Sunday
paralysis
ion the
commenced
and
death. He testified that the injury received
paraplegia
argues
presented
that under the facts
here
accident made
in the automobile
and,
even if sur-
opinion,
contributory negligence
in his
the
of
inevitable
defense
at 8:00 a. m.
performed
been
should
gery
had
not have been submitted to the
would
morning
patient
that
the
Sunday
Sendejar
of
negligence
because the
in sus-
paralyzed as a result of the
still been
injury
have
taining
previous
would not consti-
caused
injuries
spinal
to his
cord
malpractice.
tute a defense to his claim for
accident.
automobile
agree with this contention.
We
spi-
agreed
witnesses
that
All medical
To constitute a bar to a suit for
on the
injury
readily
was not
detectable
nal
contributory negligence
of
malpractice,
by Dr. Halverson and
x-ray picture taken
patient
must have been an active and
Dr. Halver-
physician situated as
that
contributing cause of
injury
efficient
not be
at that
time would
son had been
claim;
made the
patient’s
basis of the
it
injury
reading
from
expected to detect
co-oper
must have been simultaneous and
especially
view of the
x-ray pictures
ating
alleged fault
with the
of the defend
patient
complain
did not
of
fact
ant, must have entered into the creation of
All medical witnesses who tes-
pains.
back
the cause of action and must
been
have
an
subject
that Dr. Hal-
tified on the
testified
element in the transaction which constitut
under
did all that he could have done
verson
Moore,
(Tex.Civ.
ed it. Lee v.
complain
1974,
was therefore
immaterial and
e.);
writ ref’d n. r.
[14th
Martin
Dist.]
Haddad,
Crow,
harmless. Brown & Root v.
142
v.
724 (Tex.Civ.App.—
S.W.2d
624,
339,
(1944);
Tex.
180 S.W.2d
Ham
1963, writ).
Texarkana
v.
Ry.,
mon
Texas & N. O.
jury found special relating appellees’ alleged issues proxi cause” and “sole “Sole primary negligence liability were an re cause” issues constitute inferential mate by jury appellees, in favor of swered issues, longer and as such are no buttal submitting error in the manner of oth jury. McCane Sondock submitted definitions, er issues and such as special Distributors, Agency Detective v. Penland herein, appellant complains those of which Inc., (Tex.Civ.App. S.W.2d — Houston becomes immaterial and harmless. Brown 1975, history). no writ Rule Dist.] [14th Haddad, supra; Henry & Root v. Ameri 277, provides supra, specifically “Inferential Airlines, Inc., 123, can 413 S.W.2d 128-129 issues shall not be submitted.” rebuttal 1967, (Tex.Civ.App. writ). — Eastland should not have been submitted. The issue record, After a careful review of the entire Thus, becomes whether question we do not believe that the submission of of the issue resulted in harm to submission 10, Special though improper, Issue No. even 434, supra. Rule We have con appellant. was probably calculated to cause and did Appellant argues cluded that it did not. cause a improper judgment. rendition of an that, undisputed testimony since the shows 434, supra. Rule jury Special that the answered Issue No. 10 relating Matters to jury misconduct are refusing negligence to find that the before points made the basis of twenty-two hospital proximate was a through twenty-six. The misconduct com- Sendejar’s paraplegia (Special Issue No. plained by of consists of statements made 2), Special Issue No. giving jurors during jury Upon deliberation. together given with the instructions in con trial, hearing on the motion for new it therewith, jury nection caused the to be jurors was shown that some of the made negative Special lieve that a answer to Is the following (1) statements: this type of required sue No. 2 was in order to make the case hospitals causes insurance findings two causation consistent. We can go (2) hospitals rates to if up; and doctors agree reasoning. not with this by everyone were sued then there would be juror Special No testified that Issue No. 2 needed; no hospitals or doctors when negative in the solely was answered for the (3) that type against hospitals this of case purpose consistency. To hold that go makes our rates up. jury probably negative arrived at a answer Special No. 2 they probably Issue because undisputed The evidence shows they so, believed that if did not do then that none of foregoing statements were would conflict their prior jury their answer an- made to the time the answered high- Special would be 3 in Special jury swer to Issue No. Issue No. which the refus speculative and unwarranted. The ly part ed to find on the of Dr. Therefore, liberty Special alleged was at to answer Issue No. Halverson. since the negative either in the affirmative or misconduct occurred after Dr. Halverson they liability, on what found the facts to be had been exonerated from based fail see though even it would result in a conflict. how harm could have resulted to any showing appellant by alleged In the absence of that the reason of such miscon Issue duct insofar it negative finding made a as relates to the cause of solely injuries therefrom “ISSUE NO. 10: caused received him at the time of the automobile you preponderance find from a Do May accident which he had on 1971? paraplegia evidence that the of Jose They ANSWER: were.” injuries damages resulting *9 and the 888 well alleged against Dr. Halverson. The aware of this fact. According
action
to the
during
point
jury
in time
deliberations at
testimony adduced
the hearing
for new
important
trial,
occurs is an
which misconduct
complained
the remarks
of were brief-
determining
probability
factor
in
the
ly
only
mentioned
one
jurors.
or two
Ferguson,
v.
441
harm. Fountain
S.W.2d The foreman testified there was
pro-
no
(Tex.1969); Mrs. Baird’s Bread Co. v.
506
longed
any
discussion of
of the remarks.
Hearn,
159,
(1957).
300
646
157 Tex.
S.W.2d
None
appear
of the remarks
to have had
alleged
hold that the
Consequently, we
mis-
relationship
direct
to the issue of causa-
conduct could
have had
effect on
not
tion and for
it
this reason
is difficult
to
jury’s
Special
the
to
Issue No. 3
answer
understand
could
they
how
have influenced
therefore no harm could have resulted to
jury
the
answering
in
the issue. In view of
respect
appellant
the
with
to his cause of
the fact
jury
that
the
answered
negli-
the
against
action
Dr. Halverson.
gence issue in
of appellant,
favor
it is diffi-
cult to
jury’s
believe that the
adverse find-
hospital,
regard
the
With
ing on
proximate
the
cause issue was
jury experienced
dif
record shows that
solely
reached
of the jury’s preju-
because
answering Special Issue No. 1.
ficulty in
against
dice
appellant’s
claim.
other issues before
jury
The
then answered
returning
Special
to
Issue No.
The evi
alleged jury
Whether the
miscon
alleged
dence
misconduct
shows that
duct
in
probably resulted
harm to the com
jury
Spe
occurred before the
had answered
plaining
party
question
is a
law for the
2 relating
cial
1 and
to whether
Issues Nos.
reviewing
considering
court after
the rec
negligent and
was
whether
Barrington
Duncan,
ord as a whole.
v.
140
proximate
negligence
such
was
cause of
510,
(1943);
Tex.
462
Lackey
169 S.W.2d
v.
Sendejar’s
Since
Issue
paraplegia.
Moffett,
715 (Tex.Civ.App.—
172 S.W.2d
favor,
appellant’s
in
no
No. was answered
1943, writ).
Fort Worth
to
harm could have resulted
say
alleged jury
To
that
mis
regard
Consequently
only
to
that issue.
conduct in
probably
this instance
caused the
alleged
issue to which the
misconduct could
improper
judgment,
rendition of an
we
proxi
have
harmful was the
possibly been
compelled
would first be
to conclude from
mate cause issue.
the record
that
as a whole
but for the
Appellant
the statements
argues
alleged
jury
probably
misconduct the
would
jury’s
during
made
deliberation were
have answered the
cause issue
proximate
jury against
all
prejudice
calculated to
impose
such a fashion
liability
as to
on the
Therefore,
malpractice
argues
suits.
he
hospital.
enough
say
It is not
that the
probably caused the the
that the statements
jury might
have done so.
possibly
Condra
jury
proximate
cause issue
answer
Rollin,
478,
Funeral Home
158 Tex.
against
they
preju-
because
were
solely
him
(1958);
Ry.
Aultman v. Dallas
S.W.2d
&
against malpractice claims. We are
diced
Co.,
Term.
152 Tex.
S.W.2d
this contention.
not in accord with
Had
(1953). After a careful review of the entire
by prejudice
jury
been motivated
record,
justi
we
we would be
do not believe
suits,
appellant contends,
as
it
malpractice
fied in
but for
concluding
alleged
jury
occurs to us that the
would have also
jury
jury
proba
misconduct the
would have
issue
adversely
answered the
bly
in a manner favor
answered the issue
jury
appellant.
answered
Since
appellant.
supra.
able to
Rule
appellant’s
favor but
negligence issue
proximate
Appellant
cause issue in the
further
contends that
answered
favor,
logical
jury
think the more
established because it
hospital’s
misconduct was
during the deliberations
brought
made a was
out
deduction would be
drinking at the
Sendejar
to answer
been
time
good-faith effort
each issue ac-
had
and also that Dr.
cording to the
The causation is-
automobile accident
evidence.
J. C.
have been sued rather
sharply
sue was
contested and the
Gonzales should
*10
There
hospital.
explanation,
than Dr. Halverson and the
With this
we adhere to
previous
some indication in the record that Dr. J.
our
ruling holding
is
appellant
right
complain.
should have been available to waived his
any
C. Gonzales
In
event
error,
patient
any,
or should
notified the
if
could not have
treat the
have
resulted in
any
for
harm to
in the
hospital as to which doctor would cover
absence of a
showing by
compelled
is evidence that
him that he was
him. Also there
try
objectionable juror.
his case before
drinking.
had been
It is not error for
an
434, supra;
Contractors,
Rule
Palestine
to discuss the evidence and reason
Inc.
Perkins,
v.
(Tex.1964);
deductions therefrom.
International-
City
able
S.W.2d
Hawkins,
Smith,
Sons,
Germany
Northern R. R. v.
mitted several errors in the course of trial, do
lengthy not believe such errone rulings gravity were of such
ous
them, singularly collectively, or were either cause and did probably
calculated to judgment. of an improper
the rendition 434, supra. Appellant’s twenty- points
Rule twenty-eight are overruled.
seven Finding judgment error the reversible STERLING, widow, Appellant, Malvern a
of the trial court is affirmed.
ON MOTION FOR REHEARING UNITED STATES FIDELITY AND Rehearing ap- On Motion for counsel for COMPANY, Appllee. GUARANTY pellant challenges original opinion our No. 8011. wherein we stated he was furnished jurors showing panel list that 44 out of the Court Appeals Texas, of Civil After a review of 200 had been excused. Beaumont. supplemental transcripts subsequently July 28, parties, it now 1977. appears filed although appellant’s counsel was furnished Rehearing Aug. Denied jurors, a list of the 200 the list did not jurors indicate that had been
previously appears excused. It jurors juror’s
excused were shown on the kept by the District which
time book Clerk calling
list was used him in the names of jurors prior to voir dire examination.
The record reveals that when the District called list he not call the
Clerk did jurors previ- of the 44 who had been
names
ously appears excused. It thus that even
though did not showing counsel have a list jurors,
the excused he knew or should have jurors were
known that absent and unac- complaint
counted for and he made no
thereof.
