Carrasquillo v. American Missionary Ass'n

61 P.R. 837
CourtSupreme Court of Puerto Rico
DecidedMay 5, 1943
DocketNo. 8608
StatusPublished

This text of 61 P.R. 837 (Carrasquillo v. American Missionary Ass'n) is published on Counsel Stack Legal Research, covering Supreme Court of Puerto Rico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Carrasquillo v. American Missionary Ass'n, 61 P.R. 837 (prsupreme 1943).

Opinions

Mr. Justice Teavieso

delivered the opinion of the court.

The defendant association established several years ago, in the city of Hnmacao, a Hospital known as the “Ryder Memorial Hospital,” in which all kinds of diseases are treated and operations and childbirth cases are handled.

The plaintiff, Conchita L. de Carrasquillo, who was about to give birth, entered the defendant’s hospital on December 1, 1938, after having agreed to pay the sum of $40 as compensation for the services which the defendant agreed to render to her.

In the complaint filed by Mr. and Mrs. Carrasquillo it is alleged that due to the unskillfulness, incompetency, and negligence of the defendants, Dr. Bierley and his wife, and of Dr. R. Panzer, employees of the defendant, the baby born to the plaintiff suffered the same day of its birth serious burns produced by hot water, from which it is still suffering intense physical pain. In the first cause of action $20,000 was claimed for the damages caused to the infant, and in the second $10,000 was claimed for the physical suffering and mental anguish of the parents, $500 for expenses of medical services, plus costs and attorney’s fees.

The defendants answered, denying all the essential allegations of the complaint, and as special defenses they alleged:

1. That the defendant association has never had as its object or purpose profits or earnings; that they maintain the hospital at Humacao for charitable purposes, and that a great number of insolvent patients receive medical assistance, hospitalization, and medicines free from it; that per-' sons of means pay a sum which is fixed proportionate to their financial condition; and that the income that the hospital has on this account scarcely covers 50 per cent of -its expenses.

2. That the defendant association contracted for the services of the other defendants and its nurses after a careful investigation of their professional ability, experience, and reputation.

[840]*8403. That the burns suffered by the child were due to an inevitable accident, lamentable and disgraceful, but without any negligence on the part of the doctors and nurses.

The present appeal has been taken by the defendants against the judgment by which they were ordered to pay $5,365.50 plus costs and $500 as attorney’s fees. They also alleged that the trial court erred in entering judgment against the' defendant, the American Missionary Association, disregarding the decision of this court in Candal et al. v. Sociedad Española de Auxilio Mutuo, 37 P.R.R. 811; in entering judgment against the other three defendants, when the evidence showed that they were not guilty of negligence; in granting to the plaintiffs compensation for mental suffering and anguish; in granting to the plaintiffs the amount of $1,500 to submit the child to a plastic surgery operation; in not admitting in evidence, nor giving any probative value, to the express waiver of compensation for damages made by the plaintiff Ernesto Carrasquillo; and in subjecting the do-, fendants to the payment of costs and attorney’s fees.

The plaintiffs have also appealed, charging the court below solely the error of having dismissed the first cause of action, by which Carrasquillo and his wife claimed the sum of $20,000 as compensation for the damages suffered by the child.

The essential facts, gathered from the transcript of evidence, which contains 465 pages, are in brief as follows:

When the baby was born it was placed in a temporary cradle, in which one of the hospital nurses had placed two rubber bags with hot water, to keep the recently born baby warm. That same nurse, Petra Diaz, with Dr. Panzer, attended Mrs. Carrasquillo at the birth. Dr. Panzer took the baby in his arms, handed it to the nurse, Norberta Rodriguez, who placed it in the cradle. The baby remained in the cradle from five to fifteen minutes .until it was taken to the nursery for its first bath. And it was then and there [841]*841that the hospital employees realized that the baby was burned. It is a clearly established fact that the burns suffered by the baby were produced by the boiling water that was put inside the rubber hot water bags.

We agree with the lower court in that what happened can not be called an unavoidable accident. The exercise of reasonable care by the nurses who participated in fixing the. cradle and by the doctor in charge of waiting on the patient and the recently born baby, in determining whether the cradle was at the proper temperature, would have certainly avoided the regrettable accident.

We shall now consider the questions raised by defendants-appellants ’ assignments of errors.

1. Is the American Missionary Association liable for the damages caused by the negligence or lack of care of the nurses and doctors employed in its hospital at Humacao?

The defendant Association contends that it is not and, in support of its alleged immunity, cites the opinion of this court in Candal v. Sociedad Española de Auxilio Mutuo, supra, in which it was decided that the owners and directors of a private hospital, which has been organized and functioned for non-pecuniary purposes, were not liable for the damages caused -by negligence in the diagnosis and treatment of a sick person, on the part of a physician-surgeon who had been selected after a careful investigation of his professional ability, experience, and reputation; and that the mere fact that in one case a patient is charged a modest price for a room in a charity hospital and a reasonable price for certain radiographies, is not sufficient to change a charitable institution into a commercial establishment or enterprise.

In the instant case the evidence showed that while it is true that the defendant Association was organized exclusively for religious and educational purposes, it is also true that at the Ryder Memorial Hospital most of the patients that [842]*842are hospitalized are charged a fee and that in numerous instances patients with means have been charged almost the same amount ordinarily charged in other hospitals and elln-ics in the city of Humacao. It was also proved that since 1935 the defendant Association has been entering into contracts with the Veterans’ Administration for the hospitalization and medical treatment of veterans for $2 per day, exclusive of operations; and that at the Ryder Hospital insured automobile accident cases are treated, the insurance companies paying all the expenses. In Candal v. Sociedad Española de Auxilio Mutuo it was proved only that the plaintiff paid for the services rendered to her, but there was no other evidence to prove that at the Auxilio Mutuo the practice was followed, as in the Ryder Hospital, of charging to persons of means who go there. That was the reason why it was held that the evidence was not sufficient in that case to change a charitable institution into a commercial establishment or enterprise. The instant case is therefore easily distinguishable from the Candal case. In the instant case it was proved by the testimony of eight or nine witnesses that at the Ryder Hospital patients were charged in accordance with their economic ability and that the plaintiff paid $40 for the first ten days of his wife’s hospitalization.

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61 P.R. 837, Counsel Stack Legal Research, https://law.counselstack.com/opinion/carrasquillo-v-american-missionary-assn-prsupreme-1943.