McCullough v. Langer

73 P.2d 649, 23 Cal. App. 2d 510, 1937 Cal. App. LEXIS 692
CourtCalifornia Court of Appeal
DecidedNovember 18, 1937
DocketCiv. 5660
StatusPublished
Cited by27 cases

This text of 73 P.2d 649 (McCullough v. Langer) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McCullough v. Langer, 73 P.2d 649, 23 Cal. App. 2d 510, 1937 Cal. App. LEXIS 692 (Cal. Ct. App. 1937).

Opinion

THOMPSON, J.

The defendant, Dr. Joseph Langer, has appealed from a judgment which was rendered against him in a suit for malpractice of the medical profession consisting of alleged improper use of an infra-red incandescent lamp which caused permanent injury to plaintiff’s leg in the nature of a third-degree burn, as a result thereof. A jury returned a verdict in favor of the codefendant, Mae Roberts, who, as appellant’s nurse, had charge of the patient at the time of the injury. The cause was dismissed as to the other codefendant, Dr. Hoag. The jury returned a verdict of $50,000, which, upon motion for a new trial, was reduced to $25,000.

The appellant is a regularly licensed physician who resides in Siskiyou County, California. He was employed as local physician for the Fruit Growers Supply Company, which was engaged in a logging business in the vicinity of Hilt in that county. He owned and operated a hospital at Hilt. The codefendant, Mae Roberts, was employed by him as a nurse in that hospital and had personal charge of the patient under the supervision of the appellant. The plaintiff was employed *514 by the Fruit Growers Supply Company, and was engaged in operating a platform crane at the time of the accident. He was caught between the stationary platform and a revolving portion of the crane and his leg was drawn into a 4% inch aperture seriously crushing and bruising the flesh of his left thigh. There was no abrasion of the skin. He was taken to the appellant’s hospital for treatment. X-ray pictures disclosed the fact that no bones were broken. He was placed in bed about 1:30 o’clock that afternoon. Opiates were administered to relieve his suffering. The chief injury which he received was on the anterior of the left thigh. Hot compresses were applied to the injured part, consisting of towels saturated with a hot saline solution and covered with a rubber sheet over which a dry towel was placed. A 500-watt incandescent infra-red lamp was then applied to the injured part through the compress. The lower rim of this lamp was suspended at a distance of twenty-one inches from the thigh of the patient. At 2:30 P. M. codein was administered to relieve his pain. The plaintiff testified that he thereafter became unconscious until he awoke at 5:30 P. M. Neither the compress nor the lamp was changed or removed from 1:30 until 5:30 P. M. The nurse did occasionally place her hand under the compress and ascertained that “it was still warm”, and that the skin was moist. It appears that Dr. Langer, whose office was just across the «hall from the room in the hospital which was occupied by the patient, visited Mm occasionally during that period of time. It does not appear that he participated personally in arranging the compress or lamp; that he interfered with the treatment administered by the nurse; that he instructed her regarding the time or the manner of using the lamp or that he directed her to watch the result of the treatment of the injury. About 4:30 o’clock the nurse asked the appellant whether the lamp or compress should be changed. He advised her to leave them as they were until after the patient’s evening meal. At 5:30 o’clock that evening the plaintiff awakened in great pain and rang for the nurse, who then removed the lamp and compress and found that the skin over the wound was blistered. This blister covered a space eight by ten inches in area. The evidence supports the implied finding that the plaintiff suffered a third degree burn on account of this negligence in treating his injured thigh. For a period of about two years *515 he suffered great pain; his ability to work was seriously impaired and certain medical experts testified that the result of the burn was permanent in its nature. Repeated graftings of skin over the burned area were necessary. The' grafted skin cracked and the wound bled frequently. It failed to heal and the plaintiff endures pain, discomfort and inconvenience which impairs his earning ability.

It is contended the evidence fails to support the judgment; that the exoneration of the nurse from negligence exempts the appellant from liability; that the court erroneously charged the jury with respect to the doctrine of res ipsa loquitur-, that the court erred in rejecting evidence and in refusing to permit the attorney for the defendants to argue their case to the jury; that the plaintiff’s attorneys were guilty of prejudicial misconduct particularly in adducing evidence that the appellant carried indemnity insurance, and that the damages which were awarded are excessive.

We are of the opinion the judgment is adequately supported by the evidence showing that the appellant was guilty of malpractice in the treatment of the plaintiff’s injured thigh. The mere use of an incandescent infra-red lamp to keep the compress warm over the injured portion of the limb did not constitute malpractice. But the manner in which the lamp was used and the period of time during which the devitalized flesh of the injured limb was submitted to excessive heat therefrom, in our judgment, constitutes negligence which amounts to malpractice. The evidence is undisputed that tender, devitalized flesh is much more susceptible to burning from excessive heat than is normal flesh. In response to a request from Dr. Rea to specify what he considered wrong with the treatment of plaintiff’s injury by the appellant and which was not in accordance with good medical practice in that vicinity, he testified: “It is not what he did; it is what he didn’t do. He should have watched his light, . . . watched his bandage and watched his skin.” Two qualified physicians testified that the third degree burn which was suffered by the plaintiff was the result of submitting the tender, devitalized flesh of the bruised thigh to excessive heat from the infra-red light for too great a length of time. It appears the compress was left undisturbed over the wound with the heat of the lamp applied thereto for more than four hours, without adequate effort to ascertain the *516 result of such treatment. There is evidence this lamp would generate 140 degrees of heat in one hour, and that the maximum heat which should be applied to that wound under the circumstances was not to exceed 110 degrees Fahrenheit. These physicians testified that the treatment of this injury which was administered by the appellant was not in accordance with approved medical practice of competent physicians in that vicinity. This furnishes sufficient evidence to support the judgment.

The exonerating of the nurse from negligence as a result of the rendering of a verdict by the jury in her favor does not necessarily relieve the appellant from liability. In support of his contention that he is relieved of responsibility by the rendering of a verdict in favor of his codefendant, the appellant relies on the case of Bradley v. Rosenthal, 154 Cal. 420 [97 Pac. 875, 129 Am. St. Rep. 171]. In the case of Mclnerney v. United Railroads of San Francisco, 50 Cal. App. 538, 549 [195 Pac. 958], in which a hearing was denied by the Supreme Court, a similar contention was disposed of in the following language:

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Bluebook (online)
73 P.2d 649, 23 Cal. App. 2d 510, 1937 Cal. App. LEXIS 692, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mccullough-v-langer-calctapp-1937.