Margaret L. Hitchcock and Wilbur W. Hitchcock v. United States of America, Margaret L. Hitchcock and Wilbur W. Hitchcock v. United States

665 F.2d 354, 214 U.S. App. D.C. 198, 1981 U.S. App. LEXIS 18039
CourtCourt of Appeals for the D.C. Circuit
DecidedSeptember 3, 1981
Docket79-2158, 79-2166
StatusPublished
Cited by42 cases

This text of 665 F.2d 354 (Margaret L. Hitchcock and Wilbur W. Hitchcock v. United States of America, Margaret L. Hitchcock and Wilbur W. Hitchcock v. United States) is published on Counsel Stack Legal Research, covering Court of Appeals for the D.C. Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Margaret L. Hitchcock and Wilbur W. Hitchcock v. United States of America, Margaret L. Hitchcock and Wilbur W. Hitchcock v. United States, 665 F.2d 354, 214 U.S. App. D.C. 198, 1981 U.S. App. LEXIS 18039 (D.C. Cir. 1981).

Opinion

TAMM, Circuit Judge:

In this case the Government appeals a judgment for plaintiffs under the Federal Tort Claims Act. Because we find that the district court applied the proper law, did not err in its findings of negligence and causation, and properly ruled the “discretionary function” exception to the Act inapplicable, we affirm.

I.

In March 1972 Mr. Wilbur W. Hitchcock, a career Foreign Service Officer, was reassigned from his post in Quebec, Canada, to Buenos Aires, Argentina. To prepare for that post, he was temporarily assigned to attend language classes at the Foreign Service Institute in Rosslyn, Virginia. His wife, Margaret L. Hitchcock, accompanied him to these classes. While attending the Institute, plaintiffs lived in Arlington, Virginia. On May 17, 1972 and June 13, 1972, Mrs. Hitchcock went to the Foreign Service Institute’s medical clinic, also in Rosslyn, where she received on each occasion a pre-exposure rabies immunization using duck embryo vaccine (DEV). The vaccine was administered by a nurse. Prior to administration of the vaccine, Mrs. Hitchcock was told only that she was scheduled to receive it.

Within a few days of the first injection, Mrs. Hitchcock “had sort of a feeling of tiredness in [her] legs and heaviness.” Trial transcript (Tr.) at 32; Joint Appendix (J.A.) at 127. This complaint was not altogether new. Mrs. Hitchcock had, at previous physical examinations in 1957, 1962 or 1963, 1970, and just prior to the administration of the vaccine in May 1972, reported tiredness, nervousness, and difficulty sleeping; this was the first time, however, that the complaint had been localized in her legs. She experienced a similar feeling after her second injection in June. At the time, she attributed the tiredness to the busy schedule that the Hitchcocks were keeping and the unfamiliar hot weather in Arlington. Consequently, the problem was not brought to the attention of the State Department or a physician at that time.

In September 1972 the plaintiffs moved to Buenos Aires. Mrs. Hitchcock continued to experience tiredness and weakness. In addition, in January or February 1973, she began to experience numbness in her fingers and, subsequently, in her feet and, later still, in her legs. Mrs. Hitchcock visited Dr. Jeronimo J. B. Loray, an orthopedist. He believed that the numbness was caused by a pinched nerve in her neck and prescribed traction, massage, and vitamins. This treatment, however, was ineffective; in February and March the numbness progressed toward her waist. On a vacation with her husband in Mendoza, she “began to feel more numb and more uncomfortable.” Tr. at 44; J.A. at 139.

In May 1973 Mrs. Hitchcock entered the British Hospital in Buenos Aires for tests. These tests revealed that her illness was of a neurological rather than an orthopedic nature, and she was referred to Dr. Pikiel-ny, a neurologist. While under his care Mrs. Hitchcock read an article in Newsweek magazine, June 25, 1973 issue, which she understood to relate to a rare reaction to rabies vaccine. Thinking that there might be a connection between the vaccinations she had received and her illness, she mentioned this possibility to Dr. Pikielny, who, as she recalls, “said it was a very intelligent premise to present, but ... he thought perhaps too much time had elapsed between the injection and the symptoms.” Tr. at 47; J.A. at 142. Over the course of the year that Dr. Pikielny was Mrs. Hitchcock’s treating physician, he permitted her to have a smallpox vaccination; this was followed by a worsening of her symptoms.

In July 1974 Mrs. Hitchcock consulted Dr. Ernesto Herskovits, also a neurologist, and has continued to see him three or four times *356 a year in connection with her illness. As the district court found and the parties agree:

[B]y May, 1978, she was confined to a wheelchair. At present, Mrs. Hitchcock can stand for about five minutes and only with assistance. * * *. [Her disease] has caused paralysis, pain, numbness, limitation of physical movement, mental anguish, inability to work or to do housework, and loss of enjoyment of life. She is permanently and totally disabled.

Hitchcock v. United States, 479 F.Supp. 65, 67 (D.D.C.1979).

The decision to recommend that Foreign Service personnel and their families stationed in Argentina be vaccinated for rabies was made in 1968, following three overseas rabies-related deaths in the Foreign Service. Tr. at 539-40; J.A. at 636-37. The decision was reviewed and “endorsed” in April 1971. Tr. at 511-12; J.A. at 608-09. The doctor in charge of the program in 1972, Dr. Martin S. Wolfe, testified that the inoculation was recommended only, that “[t]here was no requirement for them to take it.” Tr. at 539; J.A. at 636. He also testified that, if he had been a doctor on duty in an immunization clinic in 1972, he would have

told them that there have been reported some incidences of allergic reactions, sometimes going on to anaphylactic-like reactions that we were prepared to manage; that the great majority of these would occur in the first twenty minutes before they would leave. I would warn them about subsequent possibilities in a smaller percentage of cases of development of this type of problem and to report immediately to a physician or emergency room.
I don’t know that even if I had the time I would have mentioned the neuro-logic reactions, because they were so few and far between and had never occurred with the pre-exposure use of the vaccine.

Tr. at 538; J.A. at 635. Dr. Wolfe acknowledged, however, that the procedure he would have followed was not necessarily the practice in May 1972:

Q. Does the State Department have any informed consent procedures for persons, as of May 17, 1972, which is given prior to the inoculation of vaccines, the injection of vaccines?
A. No.
Q. ... Did you give any information to persons prior to getting an inoculation as to the risks that might surround this injection?
A. Well, as far as written material, the immunization guideline would have been available to them and material that was included in the packet[ 1 ] the Foreign Service Institute would have been available.
Q. Did a physician meet with the person before giving them an inoculation to discuss with them the risks of the injection?
A. No, I don’t think this would be considered feasible.
Q. Isn’t it true that in May of 1972, that no physician or nurse discussed with a person about to receive the duck embryo vaccine the benefits or lack thereof of the inoculation?
A. I can’t say with certainty that they would not have discussed some benefit of a particular vaccine.
Q. Was it the policy of the State Department?
THE COURT: Did they have any orders to do that?
THE WITNESS: There were no orders to discuss this with each and every vaccine, Your Honor.
THE COURT: Was there any orders to discuss it with anybody?

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665 F.2d 354, 214 U.S. App. D.C. 198, 1981 U.S. App. LEXIS 18039, Counsel Stack Legal Research, https://law.counselstack.com/opinion/margaret-l-hitchcock-and-wilbur-w-hitchcock-v-united-states-of-america-cadc-1981.