Hill v. Highland Park General Hospital

263 N.W.2d 362, 80 Mich. App. 334, 1977 Mich. App. LEXIS 1292
CourtMichigan Court of Appeals
DecidedDecember 22, 1977
DocketDocket 28161
StatusPublished
Cited by7 cases

This text of 263 N.W.2d 362 (Hill v. Highland Park General Hospital) is published on Counsel Stack Legal Research, covering Michigan Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hill v. Highland Park General Hospital, 263 N.W.2d 362, 80 Mich. App. 334, 1977 Mich. App. LEXIS 1292 (Mich. Ct. App. 1977).

Opinions

J. H. Gillis, P. J.

In the late evening of July 12, 1966, plaintiff was assaulted and injured. At approximately 2:30 a.m. of July 13, 1966, he was admitted to defendant hospital. Plaintiff was diagnosed as having a broken jaw. Ten days after his admittance to the hospital, plaintiff was operated upon by Dr. Newby, a plastic surgeon. This ten-day wait was apparently due to infection and swelling. During the operation, Dr. Newby drove a steel pin through plaintiff’s jaw, wired it and removed a tooth that was on the fracture line of the jaw.

Plaintiff was discharged from defendant hospital about three days after the operation with instructions to see Dr. Newby at his private office for removal of the stitches in six days. Plaintiff went to see Dr. Newby as scheduled, at which time Dr. Newby removed the stitches and told plaintiff to return for another examination in six more days. Plaintiff did not keep the second appointment. Instead, he waited nine days and went to Veterans Administration Hospital. An infection had developed requiring another operation to remove a portion of the jaw bone.

On April 10, 1968, plaintiff commenced a malpractice action against defendant alleging improper care during the ten days between his admittance and the operation and also that in the course of the operation the pin was placed in such a manner so as to sever the nerve in plaintiff’s jaw [337]*337and interfere with the blood supply causing the infection that necessitated the second operation and a loss of feeling in the facial area.

Trial commenced on April 27, 1971. On April 28, 1971, defendant moved for, and was granted a mistrial. On September 9, 1974, the second trial began. The trial court ruled that the repair of a jaw fracture is within the proscription of the dental practice act and that a plastic surgeon who performs jaw surgery violates the statute. MCLA 338.201 et seq.; MSA 14.629(1) et seq. Accordingly the trial court instructed the jury that Dr. Newby was negligent per se in performing the operation in question leaving the issue of proximate cause to be decided by the jury. The jury returned a verdict of no cause of action in favor of defendant. Plaintiff appeals as of right raising three issues. Defendant cross-appeals raising one additional issue. We will address the cross-appeal first.

Defendant raises the following issue on cross-appeal: Is the surgical repair of a fractured jaw by a physician in a nonemergency situation a violation of the dental practice act?

The Michigan Academy of Plastic Surgeons (hereinafter referred to as Plastic Surgeons) and the Society of Oral Surgeons (hereinafter referred to as Oral Surgeons) have filed amicus curiae briefs in support of their respective positions.

Section 4 of the dental practice act makes it "unlawful for any person to practice or engage in the practice of dentistry or dental surgery in any of its branches”, other than licensed dentists unless the particular procedure or practice comes within an exception provided in the dental practice act. MCLA 338.204; MSA 14.629(4).

Section 12 of the dental practice act states that a person is practicing dentistry when it is shown:

[338]*338"(1) That he uses a dental degree, designation, card, device, directory, poster, sign, or other means whereby he represents himself, or permits himself to be represented as being able to diagnose, treat, prescribe, or operate for any disease, pain, deformity, deficiency, injury or physical condition of the human tooth, teeth, alveolar process, gums or jaws, or their dependent tissues.
"(2) That he is a manager, proprietor, operator, or conductor of a place where dental operations are performed.
"(3) That he performs dental operations of any kind gratuitously, or for a fee, gift, compensation, or reward, paid or to be paid to himself, to another person, or agency.
"(4) That he, or his employees, use a Roentgen or X-ray machine for dental treatment, radiograms, or for dental diagnostic purposes.
"(5) That he extracts a human tooth or teeth, or corrects or attempts to correct malpositions or deformities of the human teeth or jaws, or repairs or fills cavities in human teeth.
"(6) That he offers and undertakes, by any means or method, to diagnose, treat, or remove stains or accretions from human teeth or jaws.
"(7) That he conducts a physical evaluation, uses or administers anesthetics in the treatment of dental, or oral diseases, or in any preparation incident to a dental operation of any kind or character.
"(8) That he takes impressions of the human tooth, teeth, jaws, or performs any phase of any operation incident to the replacement of a part of a tooth, teeth, or associated tissues.
"(9) That he examines clinical material in a dental office or contracts or agrees to render or perform, either personally or through another, a dental service or services.
"(10) That he performs any operation included in the curricula of recognized dental schools or colleges.” MCLA 338.212; MSA 14.629(12).

Section 13 of the dental practice act provides [339]*339that "[t]he rendering of temporary supportive relief in emergency cases in the practice of his profession by a physician or surgeon” is an exception to the dental practice act. MCLA 338.213(1); MSA 14.629(13X1).

Section 2 of the Medical Practice Act, MCLA 338.1801 et seq.; MSA 14.542(1) et seq., defines the practice of medicine to be:

"[T]o diagnose, treat, prevent, cure, or relieve a human disease, ailment, defect, complaint, or other condition, whether physical or mental, by attendance or advice, or by a device, diagnostic test, or other means, or to offer, undertake, attempt to do, or hold oneself out as able to do, any of these acts.” MCLA 338.1802(g); MSA 14.542(2)(g).

Dr. Newby is a licensed physician and not a licensed dentist. The Oral Surgeons contend that the jaw surgery which he performed in the instant case was nonemergency dental surgery in violation of the dental practice act. In support of their argument, the oral surgeons submit that the Medical Practice Act provides a broad definition of the practice of medicine and that the dental practice act provides a specific definition for the practice of dentistry and that in order to give full force and effect to both statutes, under the rules of statutory construction, the specific definition of the dental practice act controls. Mayor of Port Huron v City Treasurer of Port Huron, 328 Mich 99; 43 NW2d 77 (1950), Attorney General ex rel Owen v Joyce, 233 Mich 619; 207 NW 863 (1926), McKenna v Chevrolet-Saginaw Grey Iron Foundry Div, General Motors Corp, 63 Mich App 365; 234 NW2d 526 (1975).

The Oral Surgeons also argue that oral surgery is the one health care field specifically trained to [340]*340treat the human jaw and that jaw surgery should be measured against the standards as set by oral surgeons. The Oral Surgeons further contend that a physician has a duty to inform a patient, who is suffering a jaw related problem, of the availability of an oral surgeon as a specialist for such treatment.

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Hill v. Highland Park General Hospital
263 N.W.2d 362 (Michigan Court of Appeals, 1977)

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Bluebook (online)
263 N.W.2d 362, 80 Mich. App. 334, 1977 Mich. App. LEXIS 1292, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hill-v-highland-park-general-hospital-michctapp-1977.