Opinion
January Term, 1902.
I.R. Oeland and George D. Yeomans, for the appellant.
J. Stewart Ross, for the respondent.
According to the testimony of the plaintiff he was injured by accidentally driving into a hole in the street near the railroad track of the defendant. His wounds were treated at the Homœopathic Hospital in Brooklyn. One of the witnesses called by the defendant was the surgeon who had accompanied the plaintiff in the ambulance from the place of the accident to the hospital. This witness was asked, "Did the plaintiff state to you in the hospital ambulance that he had slipped from his wagon while trying to get onto it and that the wagon ran over him?" From the record it appears that this question was objected to without any ground of objection being stated, that the objection was sustained and that the defendant excepted. The witness was afterwards permitted to say that the plaintiff in answer to an inquiry stated to him how the accident happened, but no further attempt appears to have been made to ascertain what the plaintiff said to the ambulance surgeon on that subject.
It seems to me quite clear that the trial court erred in sustaining the objection to the question which I have quoted, unless this court was wrong in deciding the case of De Jong v. Erie R.R. Co. ( 43 App. Div. 427), and unless the former General Term of the third department was also wrong in deciding the case of Brown v. Rome, W. O.R.R. Co. (45 Hun, 439). The learned counsel for the respondent recognizes that these decisions are adverse to the ruling under consideration, and squarely challenges their correctness, arguing that the De Jong case followed the Brown case, and that the latter decision was based upon an erroneous interpretation of Edington v. Ætna Life Ins. Co. ( 77 N.Y. 567), which would have been corrected by reference to Renihan v. Dennin (103 id. 573).
Section 834 of the Code of Civil Procedure provides: "A person duly authorized to practice physic or surgery, shall not be allowed to disclose any information which he acquired in attending a patient, in a professional capacity, and which was necessary to enable him to act in that capacity." The rule asserted in the Brown case and followed by us in the De Jong case was simply this: That a trial court cannot properly exclude testimony from a physician or surgeon as to information which he acquired in attending a patient in his professional capacity, unless the information was necessary to enable him to act in that capacity. In the Brown case the plaintiff was injured by a train while trying to cross the defendant's railroad. The defendant attempted to show by the doctor who attended the plaintiff professionally immediately after the injury that the plaintiff had told him that he heard persons shouting as he approached the track, and saw a man swing his hat, but didn't think where he was until the train was right on him. This evidence was excluded on the ground that the witness was incompetent to give it under section 834 of the Code, and the General Term declared that its exclusion was error because the information had no relation whatever to the plaintiff's condition, and was in no respect necessary to enable the physician to act in his professional capacity. The case of Renihan v. Dennin ( supra) is referred to in the opinion of Mr. Justice BOCKES, who plainly regarded it as in harmony with his view instead of hostile to it, as that decision is construed by the learned counsel for the respondent.
The accident which was the subject of investigation in the De Jong case also occurred at a railroad crossing, and the question put to the surgeon who attended the plaintiff was also designed to establish the plaintiff's contributory negligence. The doctor was asked whether the plaintiff had not stated to him on the day when the doctor first called on him that he did not observe the train until he was struck. We held that it was error to sustain an objection to this question under section 834 of the Code, inasmuch as nothing that the plaintiff could say in regard to his observation of the train which struck him, or his failure to observe it, could by any possibility have been either material or useful to the surgeon in his professional capacity.
If these decisions were wrong, it seems to me the qualifying clause at the end of section 834, contained in the words, "and which was necessary to enable him to act in that capacity," might as well have been wholly omitted from the statute. In my opinion they should not be eliminated by a process of construction which is nothing more or less than judicial legislation. We have no right thus to nullify an act of the Legislature or any portion thereof. If the law-making power desires to extend the privilege of secrecy to all statements of every kind made by an injured person to his medical attendant, it is very easy to say so in plain and unmistakable language. Up to the present time, however, the Legislature has refused to go so far as that. It has limited the privilege to information necessary to enable the physician or surgeon to act in the capacity of physician or surgeon; and when in any case it is perfectly plain that the information given is not of this character, there is no reason why the courts should be sedulous to create a protection which the Legislature has not seen fit to bestow.
It is easy of course to imagine cases, and any judge who has had much experience in the trial of negligence suits can recall many, where a disclosure by the injured person of the manner in which the accident occurred might well be deemed necessary to the furtherance of proper surgical or medical treatment. In what I have said of course I do not refer to cases of this character, but only to those in which there is absolutely nothing to indicate that the information disclosed by the patient and sought to be laid before the jury could have any possible bearing upon the professional conduct or action of the medical man to whom the disclosure was made.
I have thus far referred only to the ruling excluding the evidence of the ambulance surgeon, Dr. William F. Chamberlain. The house surgeon, Dr. John L. Castlebury, who treated the plaintiff in the Homœopathic Hospital, was also called as a witness for the defendant. He testified that he inquired of the plaintiff for the history of the accident and as to how it happened, and that the plaintiff stated to him how it happened, but the witness was not allowed to go further on this subject, the court sustaining an objection to the question "What did he say?" on the ground that it was incompetent under the provision of the Code cited. It is not clear that this ruling was erroneous, inasmuch as it appeared that it was always the custom at the hospital to get a full history of the case, including an account of how the accident occurred, as soon as each patient was admitted. If this means that it was the duty of the house surgeon to find out from the patient how the accident occurred in order to comply with the rules of the institution, then the information given by the patient on that subject may be deemed privileged under the authority of Green v. Met. St. R. Co. ( 65 App. Div. 54). There it was held that information obtained by a surgeon from a patient for the purpose of making a hospital record, which it was the surgeon's duty to make, should be regarded as information necessary to enable the surgeon to act in a professional capacity.
No such inference or assumption can be indulged in, however, so far as relates to any disclosure to Dr. Chamberlain, the ambulance surgeon, in the present case; and on account of the ruling excluding his testimony, I think the judgment should be reversed.
WOODWARD, HIRSCHBERG and JENKS, JJ., concurred.
I concur in the first ground of reversal stated in the opinion of Mr. Justice WILLARD BARTLETT, but as there is to be a new trial it seems to me proper to refer to the exclusion of Dr. Castlebury's testimony, which, in my opinion, was just as much error as the exclusion of Dr. Chamberlain's testimony. The statement of the plaintiff to Dr. Castlebury was requisite only to the commencement of any treatment whatever. It did not relate to the method of the treatment. I regard the words "enable him to act in that capacity" as relating to acting one way or another in professional treatment, not to the matter of acting as a physician at all. ( People v. Koerner, 154 N.Y. 355, 366.)
The hospital record is a matter between the physician and the hospital. So far as the evidence discloses, there is no necessity for this record to be made by the attending physician. It is true that it was in Dr. Castlebury's handwriting, but, for aught that appears, it might have been made by the superintendent. Dr. Castlebury says, "It is always the custom to get a full history of the case at the time they are received, how the accident was received, as soon as the patient is admitted in the hospital."
The witness, without objection, testified that the plaintiff "stated to me how it happened." The question "what did he say?" evidently referred only to the manner in which the accident happened. It did not call upon him "to disclose any information" which was necessary to professional treatment by the physician. I think the exclusion was error. The objection was not pointed against a disclosure of information relating to professional treatment.
Judgment and order reversed and new trial granted, costs to abide the event.