Kyriss v. State

707 P.2d 5, 218 Mont. 162, 1985 Mont. LEXIS 904
CourtMontana Supreme Court
DecidedOctober 3, 1985
Docket83-479
StatusPublished
Cited by21 cases

This text of 707 P.2d 5 (Kyriss v. State) is published on Counsel Stack Legal Research, covering Montana Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kyriss v. State, 707 P.2d 5, 218 Mont. 162, 1985 Mont. LEXIS 904 (Mo. 1985).

Opinions

MR. JUSTICE SHEEHY

delivered the Opinion of the Court.

This is a medical malpractice case in which the District Court, Third Judicial District, Powell County, based on jury verdict, entered judgment against Drs. Roger A. Ganfield and Leonard M. Benjamin. The doctors appeal.

The principal issue in the case is whether the District Court properly instructed the jury on the issue of causation using the “legal cause” or “substantial factor” instruction instead of the historic “proximate cause” instruction. We determine that the court instructed the jury properly.

The second principal issue is an outgrowth of the first issue, for the [164]*164doctors contend that there was not sufficient competent evidence of proximate cause to justify a verdict against them. We determine the evidence is sufficient.

Other issues raised by the doctors include their contention that they were employees, not independent contractors, of the State of Montana and thus entitled to be immunized from plaintiff’s judgment under section 2-9-305, MCA; and a further issue respecting the jury’s possession of highlighted copies of the plaintiff’s prison medical record and color photographs of his right leg. We resolve these issues against the doctors also.

I

Frank Templin is characterized on the prison records as marginally mentally retarded and an alcoholic. He was born in 1922 and finished the 8th grade in ten years. In 1947, he enlisted in the Army from which he received an honorable discharge. He re-enlisted in 1950 and served a tour of duty in the Korean War, and was honorably discharged in 1953 for a second time. In his Korean duty, he suffered frostbite on both of his feet while working as a heavy equipment operator in building roads.

After the service, he worked in saw mills and as a farm laborer. He drank heavily however in the 1970s, was considered alcoholic and supported himself with welfare.

In 1973, Templin forged a $30 check drawn on a friend’s account to purchase wine. After 141 days in the Lincoln County Jail, he entered a plea of guilty of forgery. He had no prior juvenile record and no prior felony conviction, and on March 7, 1974, he received a three-year deferred sentence. One of the conditions of the deferred sentence was that he complete an alcoholic treatment course at Galen, Montana, and report regularly to a parole officer.

Templin completed the treatment at Galen on May 1, 1974, and then requested permission to transfer his supervision to Minnesota, where he hoped to find farm work. He was given permission. Two weeks after his departure from Montana, when he had not reported to his Minnesota supervisor, he was declared a probation violator. A warrant was issued for his arrest, he was returned to the District Court in Lincoln County and there he was sentenced to 10 years imprisonment in the Montana State Prison at Deer Lodge.

His incarceration at the prison was uneventful. He had no conduct problems, was classified as minimum security risk, did his job as[165]*165signments, did not need supervision, and was dependable. He was eligible for parole on January 11, 1976, but was apparently denied parole for failure to submit an acceptable work program following parole. Therefore he remained a prisoner at the Montana State Prison, where eventually he sought treatment from Leonard Benjamin, M.D., the prison doctor, for an ingrown toenail on September 7, 1977.

We will set out the history of his medical treatment more in detail when we discuss the sufficiency of the evidence issue. It is enough to say now that following the removal of his toenail, over a course of several weeks, and several visits to the prison nurses, the prison doctors, and stops at the prison infirmary, it was decided that he should be released to the Veterans Administration Hospital in Helena for treatment of what was obviously a gangrenous condition of his right foot. The Veterans Administration Hospital would not accept him unless he was paroled. His parole was effected, he entered the Veterans Administration Hospital, and there the lower portion of his right leg was amputated on December 20, 1977.

II

CAUSE

During the trial the doctors contended, and they contend on appeal, that Frank Templin was suffering from a pre-existing condition of arteriosclerosis of the blood vessels of the legs, particularly of the right leg, and that it was the arteriosclerosis which brought about the eventual amputation of his right leg.

Templin contended that the doctors were negligent in their medical treatment extended to him. There was also an issue of whether the State of Montana itself had exercised its duty to provide reasonable and ordinary care for the life and health of its prisoner.

The jury was given a special verdict form, which required it to find with respect to each defendant whether that particular defendant was negligent, and whether his or its negligence contributed as a legal cause of injury or damage to the plaintiff. Those questions related to defendants Roger Ganfield, Leonard Benjamin, Francis Bertoglio and the State of Montana. The jury returned a verdict that Roger Ganfield and Leonard Benjamin were negligent, and that their negligence contributed as a legal cause of injury or damage to [166]*166the plaintiff. The jury found in favor of the defendants Francis Bertoglio and the State of Montana.

With respect to causation, the District Court instructed the jury as follows:

“Instruction No. 13
“There may be more than one legal cause of an injury. When negligent conduct of two or more persons contributes concurrently as legal causes of an injury, the conduct of each said persons is a legal cause of the injury regardless of the extent to which each contributes to the injury.
“Instruction No. 14
“A legal cause of an injury is a cause which is a substantial factor in bringing about the injury.
“Instruction No. 18
“If you find that any negligent medical practice on the part of the Defendants substantially reduced the chances for saving Plaintiff’s leg, then such a reduction in chance can be a part of the legal cause as defined in this instruction.”

The District Court refused the defendant’s offer of a “proximate cause” instruction, which would have instructed the jury that proximate cause is one which in a natural and continuous sequence and unbroken by any new independent cause produces the injury and without which the injury would not have occurred.

The doctors contend that in refusing the proximate cause instruction, and granting one for legal cause, the District Court is establishing a new standard. The doctors rely on our decision in Sztaba v. Great Northern Railway Co. (1966), 147 Mont. 185, 411 P.2d 379, where we said that the test most generally employed in determining causation is the “but for” test. The doctors also point to Detert v. Lake County (Mont. 1984), [207 Mont. 460,] 674 P.2d 1097, where we stated that the plaintiff in a tort case must prove a breach of duty as a proximate cause of the injury, and to Hendrickson v. Neiman (Mont. 1983), [204 Mont.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Knudsen v. U. of M.
2025 MT 125 (Montana Supreme Court, 2025)
Hamlin v. DOT
2022 MT 190 (Montana Supreme Court, 2022)
Christofferson v. City of Great Falls
2003 MT 189 (Montana Supreme Court, 2003)
State v. Frick
2002 MT 298N (Montana Supreme Court, 2002)
Larson-Murphy v. Steiner
2000 MT 334 (Montana Supreme Court, 2000)
Busta Ex Rel. Busta v. Columbus Hospital Corp.
916 P.2d 122 (Montana Supreme Court, 1996)
Heltborg v. Modern MacHinery
795 P.2d 954 (Montana Supreme Court, 1990)
Young v. Flathead County
757 P.2d 772 (Montana Supreme Court, 1988)
Juedeman v. Montana Deaconess Medical Center
726 P.2d 301 (Montana Supreme Court, 1986)
Dvorak v. Matador Service, Inc.
727 P.2d 1306 (Montana Supreme Court, 1986)
Kyriss v. Aetna Life & Casualty Co.
624 F. Supp. 1130 (D. Montana, 1986)
Kyriss v. State
707 P.2d 5 (Montana Supreme Court, 1985)

Cite This Page — Counsel Stack

Bluebook (online)
707 P.2d 5, 218 Mont. 162, 1985 Mont. LEXIS 904, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kyriss-v-state-mont-1985.