Donnell v. Prudential Life Ins. Co. of America

160 So. 828, 1935 La. App. LEXIS 261
CourtLouisiana Court of Appeal
DecidedApril 29, 1935
DocketNo. 16054.
StatusPublished
Cited by4 cases

This text of 160 So. 828 (Donnell v. Prudential Life Ins. Co. of America) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Donnell v. Prudential Life Ins. Co. of America, 160 So. 828, 1935 La. App. LEXIS 261 (La. Ct. App. 1935).

Opinion

LECHE, Judge.

Plaintiff’s minor son, Lloyd Donnell, was the named insured in three policies of insurance issued by the Prudential Insurance Company of America bearing the numbers 77391183, 61751146, 71751147. The insured died on December 13, 1933, and defendant paid plaintiff the amount named in each of said policies, or a total of $488, but refused to pay double this amount under the double indemnity features of the said policies. Plaintiff then filed this suit claiming a like amount under the double indemnity provisions and, from an adverse judgment, has appealed to this court.

The clause in question contained in each of the said policies or attached thereto by indorsement reads as follows:

“Upon receipt of due proof that the Insured after attainment of age' 15 and prior to the attainment of age 70, has sustained bodily injury, solely through external, violent and accidental means, occurring after the date of this policy and resulting in the death of the Insured within ninety days from the date of such bodily injury while this Policy is in force, and while there is no default in the payment of premium, the Company will pay in addition to any other sums due under this policy and subject to the provisions of this policy an Accidental Death Benefit equal to the face amount of insurance stated in this Policy less the amount of any disability benefit which has become payable under this Policy on account of the same bodily injury, except as provided below.”

The record discloses that the insured, Lloyd Donnell, met his death in the swimming pool of the T. M. C. A. in the City of New Orleans. Two reputable physicians gave their testimony.

Dr. Julian Graubarth testified on behalf of defendant that he was in the Y. M. C. A. building at the time the death occurred and was summoned as soon as the body was removed from the pool. His examination, at that time, disclosed that the insured was dead. Dr. Graubarth said that in his opinion drowning was not the sole cause of death and *829 in explanation of this statement, on direct examination, gave the following reasons:

“A. My reasons are these: It is quite evident that the boy was subject to convulsions. I mean, the history of his case brings it out Now, it is true that he was found dead in the water and the autopsy revealed that he had the classical signs of drowning; that is, water in the lungs, etc. But while that is so, if he had not had some convulsion, he probably would not have died. Now, why did he have a convulsion in the water? If we understand the mechanism of epilepsy and convulsions, it is quite clear why it happened. For instance, the boy was swimming and taking breaths, forming inspiration and expiration, and when one breathes with forcible inspiration, that, in turn, increases the blood pressure, and that, in turn, increases the intracranium pressure, and that, in turn, is enough to cause drowning, subject to convulsions to start off stimuli and the first convulsion.
“Now, we will say that happened because I think the records show it.
“When a person has a convulsion, the beginning of a convulsion, he suddenly becomes unconscious, and while he becomes unconscious he makes a forcible expiration, and if he was unconscious at the bottom of the pool, he probably made a forcible inspiration which follows a few seconds after the forcible expiration and that, in turn — of course, he inhales water or sucks in water. Being unconscious, he is unable to struggle and naturally he just dies, as the .result of being unable to being resuscitated.
“Q. Doctor, as an expert medical man, are you prepared to testify that drowning was not the sole cause of this boy’s death? A. I think that is true, yes, sir.
“Q. Is that your opinion? A. My opinion is that he had a convulsion and that he was unconscious and inhaled or sucked in water and died as the result of inability to be resuscitated. It is true, he had water in his lungs and all that sort of thing, but I don’t think that it was directly due to drowning. It was due to the convulsion that he had.”

This physician was also present at the autopsy and, on cross-examination, testified as follows:

“Q. If he had the convulsion before he died and an autopsy was held on the body, would not the autopsy disclose whether or not death came from the convulsion? A. Well, I thipk that is difficult to answer, for this reason: The brain did shew marked swelling, and that is one of the common findings in epilepsy. It is also a finding in drowning. But often it is a peculiar thing that epilepsy even don’t show much pathology at the autopsy except by microscopic means, which was not done here. But he did show this condition of the brain, and that is enough to be one of the causes of epilepsy.”

On the “Attending Physician’s Certificate of Death,” a printed form furnished by the Prudential Insurance Company of America, and signed by Dr. Graubarth, following the printed words “State the immediate cause of death,” he wrote the word “drowning,” and after the printed words “State the contributing cause of death,” he wrote “convulsions,” and immediately thereunder, in parenthesis, the word “epilepsy” and following both he put a question mark, showing • that at the time of filling out the certificate, which is dated December 16, 1933, three days after death and subsequent to the autopsy, there was some doubt in his mind as to the contributing cause of death.

The other physician, Dr. George H. Hauser, who was assistant coroner at the time, in his official certificate following the printed words “Cause of death” stated: “Drowning — chronic fibrous meningitis, with convulsions — accidental.” Dr. Hauser also filled out an “Attending Physician’s Certificate'of Death” similar to the one signed by Dr. Graubarth, and following the words “State the immediate cause of death,” he wrote “drowning (accidental),” and after the words “State the contributing cause of death,” he wrote “chronic fibrous meningitis with convulsions.” Dr. Hauser, in his official capacity as assistant coroner, performed the autopsy and testified that in his opinion death was due to drowning. On cross-examination he said:

“Q. Doctor, you qualify that in your certificate. You say that the boy suffered from chronic fibrous meningitis with convulsibns. Would not you say that was a contributory cause to his death? A. Contributory in that, if he had an epileptic attack while in the water, drowning would ensue. * * *
“Q. You make the same notation on that certificate that you put on your report as Coroner, that he died of drowning associated with chronic fibrous meningitis, with convulsions? A. That is correct. We make any notation of any pathological condition at the autopsy.
“Q. What led you to believe he had convulsions? A. The history showed he had convulsions.
*830 “The Court:
“Q. Is there anything to show that he had a convulsion at the time of his drowning? A. No, sir.
“Q. In the autopsy? A. No.
“Q. Could you have told by an examination that there was? A.

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Related

Hughes v. Standard Life Insurance
140 F. Supp. 577 (W.D. Louisiana, 1956)
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50 Pa. D. & C. 433 (Bucks County Court of Common Pleas, 1944)

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Bluebook (online)
160 So. 828, 1935 La. App. LEXIS 261, Counsel Stack Legal Research, https://law.counselstack.com/opinion/donnell-v-prudential-life-ins-co-of-america-lactapp-1935.