Leonard v. Watsonville Community Hospital
Leonard v. Watsonville Community Hospital
Opinion of the Court
A scissors-shaped metal instrument about 6 inches long, called a Kelly clamp, was left in plaintiff’s abdomen when an operation was performed on her at defendant hospital. The operation was commenced by Doctors Lacy and Slegal. Kay Pogatschnik, who was an employee of the hospital, acted as surgical nurse. Doctor Eiskamp assisted in a part of the operation at the request of Doctor Lacy. Plaintiff" was unconscious during the entire operation, which lasted approximately five hours. She was in considerable pain during the 10 days she remained in the hospital following the operation, and the pain persisted for several months after she returned home. X-ray pictures taken about six months after the operation revealed a clamp lodged in the upper right quadrant of her abdomen. The clamp was removed, and plaintiff brought this action to recover damages from the hospital, the doctors and the surgical nurse. At the close of plaintiff’s ease motions for nonsuit were "granted as to Eiskamp, Pogatschnik and the hospital, and plaintiff has appealed from the ensuing judgment.
The questions presented are whether an inference of negligence was raised under the doctrine of res ipsa loquitur and whether, if such an inference arose, it was dispelled as a matter of law.
Evelyn Craig, who was superintendent of the hospital, and defendants Lacy, Slegal and Eiskamp were called by plaintiff to testify under section 2055 of the Code of Civil Procedure, which provides that in a civil action a party may call and examine an adverse party.
The testimony of Lacy, who was in charge of the operation, may be summarized as follows: He scheduled the operation after deciding that an exploratory examination of the upper right quadrant of plaintiff’s abdomen should be made. The
About 40 minutes after the operation was begun, Lacy requested Eiskamp, who had been performing surgery in another part of the hospital, to look at plaintiff’s gall bladder. Eiskamp made a visual inspection and recommended that the gall bladder be removed. After Eiskamp left the room, Lacy and Slegal discovered a “mass” in the sigmoid colon, which appeared to be cancerous. Lacy again consulted Eiskamp, who agreed that the mass should be removed and offered to help. The doctors decided not to operate on the gall bladder, and, while Lacy began to close the upper half of the incision, Eiskamp and Slegal prepared to remove the mass, which was in the lower left quadrant. None of Eiskamp’s work was performed in the upper portion of plaintiff’s abdomen, and he left the room before final closure of the incision. During the operation Lacy and Slegal used about 18 Kelly clamps which are uncurved scissors-shaped instruments. Eiskamp did not use anything but curved clamps. Lacy paid Slegal his fee but never received a bill from Eiskamp for his services.
Lacy further testified that the surgical nurse keeps a set of instruments on a tray very close to the surgical field and that one of her principal functions is to hand instruments to the doctor and take them back from him. No request for an instrument count was made by Lacy. The practice of hospitals generally is to maintain a sponge count before closure of an incision and to account for the needles used in suturing. This practice is followed by the nurses at defendant hospital.
Slegal’s testimony substantially confirmed that of Lacy as to the sequence of events in the operating room. He said that Eiskamp did not take part in closing the upper portion of the incision and left before final closure of the abdomen.
Eiskamp testified that no Kelly clamps were used in his part of the operation, that he “had nothing to do with the gall bladder” and that in order to speed the operation he worked with Slegal on the tumor in the lower left quadrant of the abdomen.
When a foreign object is unintentionally left in a patient’s abdomen it is ordinarily the result of the negligence of someone. (Ales v. Ryan, 8 Cal.2d 82 [64 P.2d 409].) And where a patient receives unusual injuries while unconscious, all of the persons who had any control over his body or the instrumentalities which might have caused the injuries may properly be called upon to meet the inference of negligence by giving an explanation of their conduct. (Ybarra v. Spangard, 25 Cal.2d 486 [154 P.2d 687, 162 A.L.R. 1258].) The evidence is sufficient to raise an inference of negligence under the doctrine of res ipsa loquitur as to Biskamp, Pogatschnik and the hospital. Biskamp assisted in the operation; at one time or another during the operation the control of the instrument left in plaintiff’s body was in the hands of the nurse; the hospital employed the nurse and furnished and reassembled the instruments. This places upon them the burden of initial explanation. (Ybarra v. Spangard, supra.)
Plaintiff contends that the inference of res ipsa loquitur was not dispelled as a matter of law and that therefore the court erred in granting the motion for a nonsuit. The same test is applicable in determining when the res ipsa loquitur inference is dispelled as a matter of law as in deciding when any other inference is conclusively rebutted. (See Rose v. Melody Lane, 39 Cal.2d 481, 487 [247 P.2d 335]; Leet v. Union Pac. R. R. Co., 25 Cal.2d 605, 621-622 [155 P.2d 42, 158 A.L.R. 1008].) It has long been the rule in this state that a nonsuit may be granted only when, disregarding conflicting evidence, giving to the plaintiff’s evidence all the value to which it is legally entitled, and indulging
The testimony which defendants claim dispels the inference of res ipsa loquitur as a matter of law was elicited from witnesses called under section 2055 of the Code of Civil Procedure,
It has been squarely held that an inference upon which a plaintiff relies may be completely dispelled .as a matter of law by evidence given by witnesses called under section 2055. (Crouch v. Gilmore Oil Co., Ltd., 5 Cal.2d 330 [54 P.2d 709].) In the Crouch case an inference that one Smith was an agent of defendant arose from proof of the fact that the defendant’s advertising insignia was painted on trucks operated by Smith. Evidence was adduced under section 2055 which the court found dispelled the inference as a matter of law, and it was held that a nonsuit was proper.
Our decision in Crowe v. McBride, 25 Cal.2d 318 [153 P.2d 727], is not inconsistent with the holding in the Crouch ease. As will be seen from an examination of the opinion in Crowe v. McBride, the point involved was whether the evidence was sufficient to present a question for the trier of fact, and in this connection we held that the testimony of the defendant given pursuant to an examination under section 2055 was evidence in the case and could be used to establish a cause of action against him. The use of evidence elicited
Cases involving the use of evidence adduced under section 2055 to dispel a presumption must be distinguished from those involving inferences. Generally speaking, it may be said that a presumption is dispelled as a matter of law only when a fact which is wholly irreconcilable with it is proved by the uncontradieted testimony of the party relying on it or of such party’s own witnesses,
It follows from what has been said that the testimony of a witness called by a plaintiff under section 2055 may be used to dispel an inference upon which the plaintiff relies, provided the evidence is clear, positive, uncontradicted and of such a nature that it cannot rationally be disbelieved. It is particularly appropriate to allow such testimony to be used to rebut the inference in cases like the present where plaintiff, because she was unconscious while receiving the treatment that resulted in her injuries, is given the benefit of a liberalized test for res ipsa loquitur, and all persons who had any control over her body or the instrumentalities which might have caused her injuries are required to meet the inference of negligence by giving an explanation of their conduct. If in these circumstances evidence given by witnesses under section 2055 establishes as a matter of law that one of the defendants is free from negligence, the prima facie case against that defendant based on the inference should fall, and plaintiff’s position with respect to that defendant should be the same as if she had failed to prove all the facts necessary to raise the inference.
A witness may, of course, be disbelieved if there is any rational ground for doing so, and the interest of a party in the result of a case will in some circumstances justify the trier of fact in disregarding his testimony. (See Hamilton v. Abadjian, 30 Cal.2d 49, 53 [179 P.2d 804] ; Hicks v. Reis, 21 Cal.2d 654, 659-661 [134 P.2d 788]; Blank v. Coffin, 20 Cal.2d 457, 461-462 [126 P.2d 868].) There are situations, however, where the interest of a party in obtaining a judgment favorable to himself will not render all of his testimony subject to disbelief. Por example, where part of a defendant’s testimony is harmful to him but favorable to a codefendant, as where it tends to show that the witness is. liable or makes it more difficult for him to establish his own lack of fault, that portion of his testimony may be used to rebut an inference unfavorable to the codefendant provided there is nothing to indicate collusion or any other reason for disbelieving the testimony.
The evidence as to Eiskamp’s participation in the operation consisted of the testimony of Lacy, Slegal and Eiskamp, and it was clear and uneontradicted to the effect
The evidence, however, does not compel the conclusion that the inference of negligence on the part of the surgical nurse and the hospital has been dispelled. The testimony relied upon to absolve them was given by Craig, who was a hospital employee and who, in view of the advantages to her of maintaining a favorable relationship with the hospital, obviously had an interest in the outcome of the case. She likewise had an interest in the litigation as to the nurse because the hospital, as employer, would be liable for acts of the nurse within the scope of her employment. Craig’s testimony could therefore be disbelieved by the trier of fact. (See Hamilton v. Abadjian, 30 Cal.2d 49, 53 [179 P.2d 804]; Hicks v. Reis, 21 Cal.2d 654, 659-661 [134 P.2d 788]; Blank v. Coffin, 20 Cal.2d 457, 461-462 [126 P.2d 868].)
Moreover, if Craig’s testimony were accepted by the trier of fact as being true, it is not of the character required to dispel the inference of negligence raised against the hospital and the nurse. As we have seen, Craig testified that it was the practice of hospitals in the area to count sponges and needles as part of the operative procedure, and with respect to “other implements” she stated there was “no established practice of instrument counting either before or after surgery.” Even if we assume she intended to say that it was the practice not to count instruments, this evidence would not conclusively establish that the hospital and nurse were free from negligence. These defendants seek to avoid liability on the theory that they were required to exercise only that degree of skill employed by other hospitals and nurses in the community. It is a matter of common knowledge, however, that no special skill is required in counting instruments. Although under such circumstances proof of practice or custom is some evidence of what should be done and may assist in the determination of what constitutes due care, it does not conclusively establish the standard of care. (Cf. Ales
We cannot say as a matter of law that there was no duty on the part of the hospital and nurses to keep an instrument count in order to assist the surgeon in determining whether all instruments used had been removed from the patient before final closure.
The judgment is affirmed as to defendant Eiskamp and is reversed as to defendants Pogatschnik and Watsonville Community Hospital.
Traynor, J., Schauer, J., Spence, J., and McComb, J., concurred.
The case against Lacy and Slegal was settled after the nonsuits were granted as to the other defendants.
Section. 2055 of the Code of Oivil Procedure provides: “A party to the record of any civil action or proceeding or a person for whose immediate benefit such action or proceeding is prosecuted or defended, or the directors, officers, superintendent, member, agent, employee, or managing agent of any such party or person, or the agent, officer or employee of a municipal corporation which is a party to the action or proceeding, may be examined by the adverse party as if under cross-examination, subject to the rules applicable to the examination of other witnesses. The party calling such adverse witness shall not be bound by his testimony, and the testimony given by such witness may be rebutted by the party calling him for such examination by other evidence. Such witness, when so called, may be examined by his own counsel, but only as to the matters testified to on such examination. ’ ’
In an article entitled “Some Reeent Cases in Evidence,’’ 13 Cal.L.Rev. 285, 302 (1925), Professor A. M. Kidd, in commenting on section 2055, said: “The section states that a party calling such adverse party shall not be bound by his testimony, as if a party were ever bound by the testimony of any witness. What was meant was that an adverse party called as a witness might be examined and impeached to the same extent as the ordinary witness.’’
There is a recognized exception to the general rule where evidence of the opposite party is absolutely conclusive, as for instance, where the presumption of death of a person who has not been heard from in seven years is dispelled by production of the person in court. (See Engstrom v. Auburn Auto. Sales Corp., 11 Cal.2d 64, 70 [77 P.2d 1079]; Smellie v. Southern Pac. Co., 212 Cal. 540, 552 [299 P. 529].) The general rule also is subject to the qualification that where testimony of the party relying on a presumption or of his witnesses is the product of mistake or inadvertence, such testimony will not operate to dispel the presumption. (See Mar Shee v. Maryland Assur. Corp., 190 Gal. 1, 9 [210 P. 269].)
Concurring in Part
The holding of the majority opinion may be epitomized as follows: An inference of negligence which arises from testimony of adverse witnesses examined under section 2055 of the Code of Civil Procedure may be dispelled by such testimony even though plaintiff is not bound thereby and is entitled to rely upon all of such testimony which is favorable to her and disregard all that is unfavorable. The unsoundness of this holding is so obvious that the mere statement of it should disclose its absurdity. It is not only directly in conflict with the statutory law of this state (Code Civ. Proc., § 2055) but countless decisions of this court and of the appellate courts of the state. It is sheer double talk to say that evidence which is not binding upon a party may be relied upon to repel or dispel other evidence—an inference—in favor of such party.
Section 2055 of the Code of Civil Procedure provides that “A party to the record of any civil action or proceeding or a person for whose immediate benefit such action or proceeding is prosecuted or defended . . . may be examined by the adverse party as if under cross-examination, subject to the rules applicable to the examination of other witnesses. The party calling s%ich adverse witness shall not be bound by his testimony, and the testimony given by such witness may be rebutted by the party calling him for such examination by
“Evelyn Craig, who was superintendent of the hospital, and defendants Lacy, Slegal and Eiskamp were called by plaintiff to testify under section 2055 of the Code of Civil Procedure, which provides that in a civil action a party may call and examine an adverse witness.” (Emphasis added.) Section 2055 of the Code of Civil Procedure provides a great deal more than the above quoted misleading statement would lead one to believe. In discussing the effect of section 2055, the following statement from the majority opinion is of interest: “Section 2055 provides in effect that a party to a civil action may be examined as if under cross-examination by the adverse party and that the party examining such witness shall not be bound by the witness’ testimony and may rebut it by other evidence. Before section 2055 was enacted, a litigant who called an adverse party to testify found that the witness was treated as his own and that his examination was restricted by the rules applicable to direct examination. (See Smellie v. Southern Pac. Co., 212 Cal. 540, 555 [299 P. 529].) This rule was changed by section 2055 so that testimony elicited by a plaintiff under this section is not treated as testimony of his own witness but as testimony obtained under cross-examination of the defendant’s witnesses. (Smellie v. Southern Pac. Co., 212 Cal. 540, 556 [299 P. 529]; Figari v. Olcese, 184 Cal. 775, 782 [195 P. 425, 15 A.L.R. 192].)” The just quoted excerpt from the majority is more than misleading—and the cases cited do not stand for the proposition for which they are cited. For illustration, in the Smellie case, supra, at page 556, we find this court stating that section 2055 “is a statute remedial in character, and as such should receive a construction by the courts which will carry into effect and accomplish the intent and purpose of the legislature in enacting it. This intent was, as we read the section, to enable a party to an action to call an adverse party as a witness for the purpose of eliciting such facts as said witness may testify to which are favorable to the party calling him, without being bound by any adverse testimony which said witness may give. Only by such construction can the full remedial purposes of said
We are presently concerned with an appeal from an order granting a nonsuit.
Every member of this court has, at one time or another, relied upon and stated the rule of law applicable when a motion for a nonsuit is made: “ ‘A motion for nonsuit may properly be granted . . . “when, and only when, disregarding conflicting evidence, and giving to plaintiff’s evidence all the value to which it is legally entitled, indulging in every legitimate inference which may be drawn from that evidence, the result is a determination that there is no evidence of sufficient substantiality to support a verdict in favor of the plaintiff.” . . . “Unless it can be said as a matter of law, that ... no other reasonable conclusion is legally deducible from the evidence, and that any other holding would be so lacking in evidentiary support that a reviewing court would be impelled to reverse it upon appeal, or the trial court to set it aside as a matter of law, the trial court is not justified in taking the case from the jury.” . . ” (Seneris v. Haas, 45 Cal.2d 811, 821 [291 P.2d 915]; Carter, J.) In Hinds v. Wheadon, 19 Cal.2d 458, 460 [121 P.2d 724], Mr. Chief Justice Gibson in speaking for the court, said: “Where a judgment is rendered upon a motion for nonsuit, the court must assume that all evidence received in favor of the plaintiff relevant to the issues is true. All presumptions, inferences and doubtful questions must be construed most favorably to the plaintiff. ... In such [res ipsa loquitur] cases an inference arises that the accident resulted from a want of proper care on the part of the defendants. ... It is incumbent upon the defendant in such a ease to bring forth evidence to rebut the inference of negligence, and under such circumstances a nonsuit is improper since the ease should be submitted to the jury.” (Emphasis added.) Mr.
The above stated rule has been so firmly embedded in the law of this state, that I find it incomprehensible that a majority of the members of this court should fail to realize that the above cases, and those following (to cite but a very few) will be overruled sub silento! (For statements and restatements of the rule, see: Schaufele v. Doyle (1890), 86 Cal. 107 [24 P. 834]; Archibald Estate v. Matteson (1907), 5 Cal.App. 441 [90 P. 723] ; Hercules Oil etc. Co. v. Hocknell (1907), 5 Cal.App. 702 [91 P. 341]; Leitch v. Marx (1913), 21 Cal.App. 208 [131 P. 328] ; Fildew v. Shattuck & Nimmo W. Co. (1918), 39 Cal.App. 42 [177 P. 866]; Scott v. Sciaroni (1924), 66 Cal.App. 577 [226 P. 827]; Dawson v. Tulare Union High Sch. (1929), 98 Cal.App. 138 [276 P. 424]; Nicholas v. Jacobson (1931), 113 Cal.App. 382 [298 P. 505]; Green v. Newmark (1933), 136 Cal.App. 32 [28 P.2d 395]; Cash v. Los Angeles Ry. Corp. (1935), 6 Cal.App.2d 738 [45 P.2d 280] ; Estate of Cushing (1939), 30 Cal.App.2d 340 [86 P.2d 375] ; Knecht v. Lombardo (1939), 33 Cal.App.2d 447 [91 P.2d 917]; Kersten v. Young (1942), 52 Cal.App.2d 1 [125 P.2d 501] ; Estate of Rabinowitz (1943), 48 Cal.App.2d 106 [135 P.2d 579]; MacDonald v. Jackson (1953), 117 Cal.App.2d 598 [256 P.2d 591]; Sanders v. MacFarlane’s Candies (1953), 119 Cal.App.2d 497 [259 P.2d 1010] ; Lehman v. Richfield Oil Corp. (1953), 121 Cal.App.2d 261 [263 P.2d 13]; and, more recently, Palmquist v. Mercer, 43 Cal.2d 92 [272 P.2d 26]; Dunn v. Pacific Gas & Elec. Co., 43 Cal.2d 265 [272 P.2d 745]; McBride v. Atchison, T. & S. F. Ry. Co., 44 Cal.2d 113 [279 P.2d 966] ; Warner v. Santa Catalina Island Co., 44 Cal.2d 310 [282 P.2d 12]; Hilyar v. Union Ice Co., 45 Cal.2d 30 [286 P.2d 21]; Raymond v. Independent Growers, Inc., 133 Cal.App.2d 154 [284 P.2d 57] ; Hale v. Safeway Stores, Inc., 129
In the case under consideration an inference of negligence arose because of the proved fact that a foreign body, a Kelly clamp, was left in plaintiff’s abdomen after she had undergone surgery performed by defendants in defendant hospital. The clamp was not there prior to the surgery. That fact was proved by X-rays taken prior to the time the surgery was undertaken. In Seneris v. Haas, 45 Cal.2d 811, 825 [291 P.2d 915], we said, quoting from Ybarra v. Spangard, 25 Cal.2d 486, 491, 492 [154 P.2d 687, 162 A.L.R 1258], that “Every defendant in whose custody the plaintiff was placed for any period was bound to exercise ordinary care to see that no unnecessary harm came to him and each would be liable for failure in this regard.” We also said (45 Cal.2d at p. 826) that “where a plaintiff receives unusual injuries while unconscious and in the course of medical treatment, all those defendants who had any control over his body or the instrumentalities which might have caused the injuries may properly be called upon to meet the inference of negligence by giving am, explanation of their conduct.” (Emphasis added.) In Summers v. Tice, 33 Cal.2d 80, 86, 87 [199 P.2d 1, 5 A.L.R.2d 91], speaking of an analogous situation, we said that “a patient injured while unconscious on an operating table in a hospital could hold all or any of the persons who had any connection with the operation even though he could not select
Plaintiff here alleged and proved that Drs. Lacy, Slegal, Eiskamp, Nurse Pogatsehnik and the Watsonville Community Hospital had control of her unconscious person during abdominal surgery; that during that surgery a Kelly clamp— a foreign object—was left in her abdomen causing her pain, suffering and injury. Having proved that much, an inference of negligence arose and the duty immediately devolved upon the defendants to rebut that inference of negligence or become liable to plaintiff in damages. In order to rebut the inference of negligence, the defendants must make "an affirmative showing of a definite cause for the accident, in which cause no element of negligence on the part of the defendant adheres, or of such care in all possible respects as necessarily to lead to the conclusion that the accident could not have happened from want of care, but must have been due to some unpreventable cause, although the exact cause is unknown.” (Dierman v. Providence Hospital, 31 Cal.2d 290, 295 [188 P.2d 12].)
In Scott v. Burke, 39 Cal.2d 388 [247 P.2d 313], this court adopted the holding of Ales v. Ryan, 8 Cal.2d 82, 99 [64 P.2d 409], that “the inference of negligence which is created by the rule res ipsa loquitur is in itself evidence which may not be disregarded by the jury and which in the absence of any other evidence as to negligence, necessitates a verdict in favor of the plaintiff.” (Emphasis added.)
The majority admits, as necessarily it must, that the res ipsa loquitur rule is applicable here and that an inference of negligence arose as to all these defendants. Despite this admission, the majority holds that evidence elicited under section 2055 of the Code of Civil Procedure may be considered and used to dispel the inference of negligence which arose as to Dr. Eiskamp.
In so holding, the author of the majority opinion ignores the full impact of the rule set forth in the case of Crowe v. McBride, 25 Cal.2d 318, 319 [153 P.2d 727], in which he, speaking for this court, said: “In considering the propriety of the nonsuit, we must accept the evidence most favorable
We are now told that it has been “squarely held that an inference upon which a plaintiff relies may be completely dispelled as a matter of law by evidence given by witnesses called under section 2055. (Crouch v. Gilmore Oil Co., Ltd., 5 Cal.2d [330] 333 [54 P.2d 709].)”
In Crouch v. Gilmore Oil Co., Ltd., supra, an appeal from a judgment of nonsuit was involved. Plaintiff there sought to establish the issue of agency by defendant’s testimony under section 2055. Plaintiff proved that the truck in question, while different in construction from that used by Gilmore Oil Company, was painted by Gilmore Oil with the colors used
Maupin v. Solomon, supra, involved an appeal from a judgment for the plaintiff after a trial on the merits, and the court held, merely, that an inference that the driver of defendant’s car was acting within the scope of his employment could not stand in the face of uncontradicted evidence to the contrary. Testimony adduced under section 2055 was not involved and it was not an appeal from either a nonsuit or a directed verdict.
It is my opinion that the Crouch case was incorrectly decided. The evidence on the issue of agency was sufficiently conflicting to make it a question of fact for the jury. Plaintiff was not bound by the testimony under section 2055 which was contrary to the inference arising from the facts above set forth. Furthermore, I do not see how Mr. Chief Justice Gibson can cite, with approval, the Crouch case in view of his opinion in Crowe v. McBride, 25 Cal.2d 318, 319 [153 P.2d 727],
Also in his endeavor to distinguish the Crowe v. McBride case from the Crouch case (to the detriment of the Crowe case), the author of the majority opinion informs us that the quotation from the Crowe case “must, of course, be read in the light of the facts of the case and the question presented for determination. It is correct as a general proposition, and it should not be given a strained interpretation to reach a conclusion on a matter not presented to or considered by the court.” This statement is grossly inaccurate. Crowe v. McBride involved an action for malpractice; defendant chiropractor’s motion for a nonsuit was granted. The appeal was from the order granting the nonsuit. Defendant’s testimony under 2055 was treated as evidence in the case insofar as it was favorable to plaintiffs and we reversed the judgment of nonsuit. It was, therefore, not necessary to give the language used there ‘ ‘ a strained interpretation to reach a conclusion on a matter not presented to or considered by the court.”
The majority opinion makes much of the fact that the doctrine of res ipsa loquitur raises an inference rather than a presumption and that a presumption may not be dispelled by evidence produced by an adverse party, whereas an inference may be so dispelled. In Burr v. Sherwin Williams Co., supra, the author of this opinion specifically held that the doctrine of res ipsa loquitur gave rise to a “special kind of inference” which the defendant must rebut and that the effect of this particular inference was “somewhat akin to that of a presumption”!
The law in this state has, until the case at bar, always been that on a motion for a nonsuit all evidence elicited under section 2055 which is unfavorable to the plaintiff must be disregarded. (Green v. Uarte, 87 Cal.App.2d 75 [196 P.2d 63]; Jeppi v. Brockman Holding Co., 34 Cal.2d 11 [206 P.2d
It appears to me that the majority opinion has thoroughly confused the issue. It ignores cases where the inference of res ipsa loquitur was involved and the holding therein that testimony taken under section 2055, insofar as it is favorable to plaintiffs, remains in the case until rebutted by the defendant ; it ignores the time-honored rule where an appeal from a judgment of nonsuit is involved; it makes misleading statements and cites cases in support thereof which are not in point. As another example, the statement in the majority opinion that “The same test is applicable in determining when the res ipsa loquitur inference is dispelled as a matter of law as in deciding when any other inference is conclusively rebutted. (See Rose v. Melody Lane, 39 Cal.2d 481, 487 [247 P.2d 335]; Leet v. Union Pac. R. R. Co., 25 Cal.2d 605, 621-622 [155 P.2d 42, 158 A.L.R. 1008].) ” This follows the statement of plaintiff’s contention that the inference of res ipsa loquitur was not dispelled as a matter of law and that therefore the court erred in granting the motion for a nonsuit.
Both the Rose and Leet cases were appeals from judgments rendered after a trial on the merits. Neither one involved an appeal from a judgment of nonsuit. Then the author of the majority opinion makes this statement: “There is, however, a qualification on this broad general rule [the rule on appeal where a nonsuit is involved]. It is settled that where the evidence raises an inference that a fact exists, and either party produces evidence of the nonexistence of the fact that is clear, positive, uncontradicted and of such a nature that it cannot rationally be disbelieved, the nonexistence of the fact is established as a matter of law. (See Blank v. Coffin, 20 Cal.2d 457, 461 [126 P.2d 868].)” In Blank v. Coffin,
“Usually, the opposing party introduces evidence as to the nonexistence of the fact in issue, and the jury must then determine the existence or nonexistence of the fact from all the evidence before it. If the evidence contrary to the existence of the fact is clear, positive, uncontradieted, and of such a nature that it can not rationally be disbelieved, the court must instruct the jury that the nonexistence of the fact has been established as a matter of law. ” It is quite apparent that Blank v. Coffin does not stand for the proposition for which it is cited. The Blank quotation continues thus: “The jury, however, is the sole judge of the credibility of the witnesses (Cal. Code Civ. Proc., § 1847; see cases cited in 27 Cal.Jur. 182, § 156) and is free to disbelieve them even though they are uncontradieted if there is any rational ground for doing so.” The Blank ease, incidentally, involved the question of whether or not it was proper for the jury to draw the inference that the automobile was being driven by an employee of the owner with his permission at the time of the accident. A majority of the court in the Blank case held that the directed verdict was improper because there was sufficient evidence “to permit the jury to infer that the car was being driven with defendant’s permission.” Engstrom v. Auburn Auto. Sales Corp., 11 Cal.2d 64 [77 P.2d 1059], Crouch v. Gilmore Oil Co., Ltd., supra, and Ceranski v. Muensch, 60 Cal.App.2d 751 [141 P.2d 750], were all cases involving the inference of ownership. Johnston v. Black Co., 33 Cal.App.2d 363 [91 P.2d 921], involved the inference of res ipsa loquitur and a situation where the trial court had
Plaintiff here has proved her injury and defendants’ causal connection therewith, and that inference of negligence remains undispelled until an “affirmative showing of a definite cause for the accident, in which cause no element of negligence on the part of the defendant adheres” is made. There is here, therefore, no failure of proof as in the Crouch case. Plaintiff is not bound by any adverse testimony of any defendant called under 2055. Had the case gone to the jury it was free to believe that Dr. Eiskamp may have used a Kelly clamp; that he did, at some time, during the surgery, work in the upper quadrant of plaintiff’s abdomen; or that the clamp had, during the six months it remained in plaintiff’s abdomen, worked its way to the position in which it was found. “. . . the inference of negligence which is created by the rule res ipsa loquitur is in itself evidence which may not be disregarded by the jury and which in the absence of any other evidence as to negligence, necessitates a verdict in favor of the plaintiff.” (Ales v. Ryan, 8 Cal.2d 82, 99 [64 P.2d 409].) Plaintiff here had made out her case against all defendants by proving facts which raised an inference of negligence which remained in the case as evidence until dispelled by the defendants.
The following statement is made in the majority opinion: “A witness may, of course, be disbelieved if there is any rational ground for doing so, and the interest of a party, would in some circumstances justify the trier of fact in disregarding his testimony. (See Hamilton v. Abadjian, 30 Cal.2d 49, 53 [179 P.2d 804] [nonsuit not involved]; Hicks v. Reis, 21 Cal.2d 654, 659-661 [134 P.2d 788] [non-suit not involved]; Blank v. Coffin, 20 Cal.2d 457, 461-462 [126 P.2d 868] [reversal of directed verdict for defendant].) ” It is, of course, elementary that the trier of fact may, on the trial of a case, disbelieve any witness or his testimony. We are here concerned with a nonsuit (and testimony taken under section 2055) where all of the plaintiff’s evidence and the inferences to be drawn therefrom must be taken as true and
The following statement from the majority opinion is totally irrelevant where, as here, an appeal from a judgment of nonsuit is involved; “There are situations, however, where the interest of a party in obtaining a judgment favorable to himself will not render all of his testimony subject to disbelief. For example, where part of a defendant’s testimony is harmful to him but favorable to a codefendant, as where it tends to show that the witness is liable or makes it more difficult for him to establish his own lack of fault, that portion of his testimony may be used to rebut an inference unfavorable to the codefendant provided there is nothing to indicate collusion or any other reason for disbelieving the testimony.” The question of disbelief of testimony does not enter into the case when a motion for a nonsuit is made. The defendant, in making the motion, admits that all of plaintiff’s case is true. (People v. One 1940 Buick Sedan, 71 Cal.App.2d 160 [162 P.2d 318] ; Seaford v. Smith, 86 Cal.App.2d 339 [194 P.2d 792] ; Mastro v. Kennedy, 57 Cal.App.2d 499 [134 P.2d 865]; Moore v. Belt, 34 Cal.2d 525 [212 P.2d 509] ; Connors v. Southern Pac. Co., 91 Cal.App.2d 872 [206 P.2d 31] ; Karstensen v. Western Transp. Co., 93 Cal.App.2d 435 [209 P.2d 47]; Carlton v. Pacific Coast Gasoline Co., 110 Cal.App. 2d 177 [242 P.2d 391] ; Baley v. J. F. Hink & Son, 133 Cal.App.2d 102 [283 P.2d 349]; New Zealand Ins. Co. v. Brown, 110 Cal.App.2d 411 [242 P.2d 674]; deAryan v. Butler, 119 Cal.App.2d 674 [260 P.2d 98].)
The majority opinion states: ‘ ‘ The evidence as to Eiskamp’s participation in the operation consisted of the testimony of Lacy, Slegal and Eiskamp, and it was clear and uncontradicted to the effect that Eiskamp was not responsible for leaving the clamp in plaintiff’s abdomen. This testimony did not in any way tend to benefit Lacy or Slegal but, to the contrary, was disadvantageous to them because the exoneration of one defendant would have the necessary effect of increasing the possibility of liability on the part of each of the other defendants. The record indicates no rational ground for disbelieidng their testimony, and we hold that the inference raised against Eiskamp under the doctrine of res ipsa loquitur was
The essence of the legal theory upon which the majority holding is based is contained in the following statement from the majority opinion: “It follows from what has been said that the testimony of a witness called by a plaintiff under section 2055 may be used to dispel an inference upon which the plaintiff relies, provided the evidence is clear, positive, uncontradicted and of such a nature that it cannot rationally be disbelieved. It is particularly appropriate to allow such testimony to be used to rebut the inference in cases like the present one where plaintiff, because she was unconscious while receiving the treatment that resulted in her injuries, is given the benefit of a liberalized test for res ipsa loquitur, and all persons who had any control over her body or the instrumentalities which might have caused her injuries are required to meet the inference of negligence by giving an explanation of their conduct. If in these circumstances evidence given by witnesses under section 2055 establishes as a matter of law that one of the defendants is free from negligence, the prima facie ease against that defendant based on the inference should fall, and plaintiff’s position with respect to that defendant should be the same as if she had failed to prove all the facts necessary to raise the inference.”
It is impossible for me to rationalize the foregoing statement as it requires the application of a brand of mental gymnastics which I do not possess. What I think it means is this: While the testimony of Drs. Lacy, Slegal and Eiskamp, taken under section 2055, established an inference of negligence against Eiskamp under the doctrine of res ipsa loquitur which, under the authorities, remains in the case until rebutted
Applying the judicial process to this ease, we find that under section 2055, as construed by all of the authorities, plaintiff may establish her case by the testimony of adverse witnesses; she may do this without being bound by any testimony which is unfavorable to her. So far as her case in chief is concerned, all testimony unfavorable to her must be disregarded the same as if it were not in the record. The testimony favorable to her establishes an inference of negligence against all defendants. She may rest her case on such evidence, secure against a motion for a nonsuit. The judgment of nonsuit against her was therefore erroneous and should be reversed. This always has been the law of this state since section 2055 was enacted and would still be the law if the judicial process was followed in this ease.
It would be just as honest, and do less harm to the law, if the majority, in order to reach the result it desires, would hold that no inference of negligence arose against Dr. Eiskamp because the undisputed evidence shows that he did not use a Kelly clamp in the portion of the operation he performed in plaintiff’s abdomen. While I could not join in such holding,
In view of the foregoing rule it would obviously be more logical for the majority to conclude that under the evidence produced here no inference of negligence arose against Dr. Eiskamp. In so holding the majority would have at least a semblance of authority to support its otherwise wholly unfounded conclusion.
We have held (Ales v. Ryan, 8 Cal.2d 82, 95, 100 [64 P.2d 409]) that leaving a foreign object in a patient’s abdomen does not ordinarily occur without negligence and in Ybarra v. Spangard, 25 Cal.2d 486 [154 P.2d 687, 162 A.L.R 1258], that when a patient receives unusual injuries while unconscious, all defendants having any control over his body or the instrumentalities which might have caused the injuries may be called upon to rebut the inference of negligence by giving an explanation of their conduct. Nurse Pogatschnik, as an employee of the hospital, was one of the defendants having ‘ ‘ control ’ ’ over the unconscious body of the plaintiff. Plaintiff established through the testimony of Mrs. Evelyn Craig, superintendent of defendant hospital, who was called under section 2055, that it was not the practice of the hospital, through its nurse employees, to make an instrument count after surgery. Whether such an omission constituted negligence was answered adversely to defendant hospital in Ales v. Ryan, 8 Cal.2d 82, 100 [64 P.2d 409], where this court said: “We have already held upon authority that the failure to remove a sponge from the abdomen of a patient is negligence of the ordinary type and that it does not involve knowledge of materia medica surgery but that it belongs to that class of mental lapses which frequently occur in the usual
We have repeatedly held that a hospital must exercise reasonable care towards a patient as his known condition may require (Wood v. Samaritan Institution, Inc., 26 Cal.2d 847, 851 [161 P.2d 556]; Rice v. California Lutheran Hospital, 27 Cal.2d 296, 302 [163 P.2d 860]; Ault v. Ross General Hospital, 105 Cal.App.2d 78, 80 [232 P.2d 528]). “If the alleged neglect relates to matters or conduct which are reasonably within the ken of the average layman the jury may determine the culpability of the person charged therewith without the aid of experts. If it relates solely to the exercise of judgment in the application of skill and learning then proof of the negligence must be made by experts.” (Valentin v. La Societe Francaise, 76 Cal.App.2d 1, 5 [172 P.2d 359]; Dean v. Dyer, 64 Cal.App.2d 646, 653 [149 P.2d 288]; Stevenson v. Alta Bates, Inc., 20 Cal.App.2d 303, 309 [66 P.2d 1265]; Inderbitzen v. Lane Hospital, 124 Cal.App. 462 [12 P.2d 744, 13 P.2d 905].) It appears to me that the failure to make an instrument count subsequent to surgery is a matter “reasonably within the ken” of the average layman to permit the jury,
It is impossible to rationalize the majority opinion on any theory of law or logic. It certainly finds no support in the prior decisions of this court or the appellate courts of this state. In the absence of any basis in legal philosophy for the holding here, it is obvious that considerations of expediency have controlled. I submit that such considerations are foreign to the judicial concept. If the law is to be changed, the Legislature is the law-making body, and such change should be brought about by legislation and not by judicial fiat. In our constitutional form of government, with its system of cheeks and balances, the Legislature is more responsive to the will of the people than the courts and any change in public policy or statutory law should originate with it. I submit that the action of this court here invades the province of the Legislature in a most vital field of legislation and public policy as it repeals or nullifies the provision in section 2055 of the Code of Civil Procedure that a party is not hound by testimony elicited under this section.
I would reverse the judgments of nonsuit as to defendants Eiskamp, Pogatschnik and the Watsonville Community Hospital.
Even though he maintains it is not inconsistent.
Dissenting Opinion
I dissent. I am in agreement with the dissenting opinion of Mr. Justice Carter insofar as he concludes that the majority opinion has misapplied section 2055 of the Code of Civil Procedure and the doctrine of res ipsa loquitur. It is well established by the authorities in this state and cited by Mr. Justice Carter that the plaintiff may, under section 2055, call the defendants as adverse witnesses
The petition of respondents Watsonville Community Hospital and Kay Pogatschnik for a rehearing was denied January 16, 1957.
Reference
- Full Case Name
- GRACE T. LEONARD, Appellant, v. WATSONVILLE COMMUNITY HOSPITAL Et Al., Respondents
- Cited By
- 86 cases
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- Published