Elias v. State

661 A.2d 702, 339 Md. 169, 1995 Md. LEXIS 103
CourtCourt of Appeals of Maryland
DecidedJuly 18, 1995
DocketNo. 45
StatusPublished
Cited by24 cases

This text of 661 A.2d 702 (Elias v. State) is published on Counsel Stack Legal Research, covering Court of Appeals of Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Elias v. State, 661 A.2d 702, 339 Md. 169, 1995 Md. LEXIS 103 (Md. 1995).

Opinions

MURPHY, Chief Judge.

We here focus upon the crime of common law battery and whether on the record in this case, the defendant, a surgical oncologist, was properly found to have committed that offense when, in the course of a medical examination upon a patient complaining of painful breasts, he touched another sensitive part of the patient’s body without her express permission.

I

On March 3, 1993, Eliza Doreen Hancock applied to a District Court Commissioner for a Statement of Charges, naming Dr. E. George Elias, a surgical oncologist, as the defendant. In her application, Hancock related that on January 5, 1993 she went to Dr. Elias for a breast examination, during which she partially undressed. She said that Dr. Elias noted some white spots on her right thigh and she opened and pulled her slip up to permit him to better see the spots. She said that Dr. Elias then asked her to remove her dark pantyhose so that he could better examine the white spots and she complied. Hancock further asserted in her application that Dr. Elias did not show any great concern about the white spots but asked her to lie down so that he could finish his breast examination. She said that, at that point, Dr. Elias “slipped his hand into my panties without any gloves on”; that she “jumped” and asked him “what was he doing in my vaginal area,” to which he replied that he was “checking for melanoma which was oftentimes found in black women.” When she asked him why he was not wearing gloves, he replied “a woman is a woman,” after which he washed his hands and [172]*172discussed treatment with her for her breasts. Thereafter, according to Hancock’s application, she left the office “very uncomfortable about what had happened” and did not go to work the next day. She said that she talked to several medical personnel who told her that melanoma is never found in the vaginal area. She said that in Dr. Elias’s report to her gynecologist, no mention was made of melanoma.

Based on her application, a criminal summons was issued on March 8, 1993, charging Dr. Elias with (1) violating Maryland Code (1957, 1992 Repl.Vol.) Art. 27, § 464C (fourth degree sexual offense)1 in that he engaged in “sexual contact” with Ms. Hancock and (2) with having committed a common law battery upon her on the same date.

Trial was held in the District Court sitting in Baltimore City on April 9, 1993. Ms. Hancock, a clinical social worker at the University of Maryland Medical Systems, testified substantially in accordance with the averments set forth in her Application for a Statement of Charges. She acknowledged that before Dr. Elias undertook to examine her breasts, she told him she had lupus,2 and also a number of white spots on her upper right thigh, which had been earlier diagnosed as vitiligo.3 Ms. Hancock testified that Dr. Elias then examined her breasts in the course of which he said he wanted to see the white spots and she removed her stockings and slip, leaving on her underpants. She said that after Dr. Elias confirmed the diagnosis of vitiligo, he finished his breast examination by having her lie down on the table. She said that before she knew it, Dr. Elias “had his hands in my underwears” and “was [173]*173so quick that he was over to the other side before I could say what are you looking for.” Ms. Hancock said that he opened her labium area; that his hands entered the folds of her vagina; and he said that he was checking for melanoma4 but that she didn’t have it. As to how long he had his hands in her underwear, she said “it was very quick, very fast” and caught her off guard. Ms. Hancock expressed concern that Dr. Elias was not wearing gloves; that she did not give him permission to touch her in the vaginal area, and that no one else was present in the examination room other than Dr. Elias and herself.

Dr. Elias, testifying in his own behalf, stated that he was the Director of the Oncology Department at the University of Maryland Medical Systems since 1977, as well as a professor of surgical oncology and President of the American College of Surgery, Maryland Chapter. He indicated that he sees roughly two thousand patients each year of whom 70% are women, and he has never had any patient complaints of improprieties filed against him. He indicated that he first saw Ms. Hancock professionally on January 5, 1993 for evaluation of her sore breasts. He stated that his technique in examinations was to have the patient sit on the side of the table and he would first examine lymph glands in the neck above the collarbone and thereafter the armpits and the axilla for lymph nodes. He said Ms. Hancock came to him with a history of hair loss and vitiligo but with no family history of breast cancer. He said he then had his patient lie down for the breast examination which consisted of examining her breasts, first with arms down, then with arms up to stretch the breasts over her muscles. He advised Ms. Hancock that she has a condition called sclerosendinosis which is similar to fibrocystic disease. Elaborating, Dr. Elias said that this was a thickened breast, tender just before her period and comes and goes, and if it becomes severe, he would prescribe several drugs. Be[174]*174cause Ms. Hancock was not that tender, Dr. Elias told her that no medical intervention was necessary. He said that the lumps Ms. Hancock was feeling were part of the scarring in the breasts containing the cysts. He told her that he would write to her gynecologist, Dr. Johnson, pertaining to the results of her breast examination.

Dr. Elias further testified that as he was leaving the examination room, Ms. Hancock stood up, pulled her hospital gown back, and showed him the vitiligo on her thigh, asking his opinion of it. Dr. Elias explained that vitiligo is a “whitish depigmentation; the area is white and without pigment.” He said it could be a sign of melanoma even if it has been present for some time. He said he looked at it through her dark pantyhose and because he could not see it well, he asked her to pull her pantyhose down and lie down on the table to enable him “to feel the area and the groin.” Dr. Elias stated that it was very rare for a black person to get melanoma in the black skin but such cases had been reported about 126 times. Melanoma, he said, was twenty times more common in white than black persons and was very deceiving in the black population. He referred to one of his own patients, a sixty-six-year-old black man with lupus and vitiligo who had an enlarged lymph gland in his groin which was excised and diagnosed as an aplastic cancer in his thigh. Dr. Elias said that as a result of such cases, when he sees a patient with vitiligo in the same area, he becomes concerned and feels the entire vitiligo area. He said he did so with Ms. Hancock but found no nodules or anything suspicious in her case. He said that because of her history of lupus, he had palpated “the groin lymph nodes” on both sides to assess whether they were enlarged, but did not “get under her pants or near her vulva.”5 He said that if he felt an enlarged lymph gland, it could signify lupus or melanoma. During the examination, Dr. [175]*175Elias said he talked with Ms. Hancock about melanoma, explaining its rarity in the black population but that it could get to lymph glands and that was why he was examining those glands. He indicated that melanoma of the vagina and vulva is treated by gynecologists; that he never used the language attributed to him by Ms. Hancock that “a woman is a woman” and would not know what it meant.

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Cite This Page — Counsel Stack

Bluebook (online)
661 A.2d 702, 339 Md. 169, 1995 Md. LEXIS 103, Counsel Stack Legal Research, https://law.counselstack.com/opinion/elias-v-state-md-1995.