Pacific Mutual Life Insuance v. Meldrim

101 S.E. 305, 24 Ga. App. 487, 1919 Ga. App. LEXIS 876
CourtCourt of Appeals of Georgia
DecidedNovember 19, 1919
Docket10698
StatusPublished
Cited by12 cases

This text of 101 S.E. 305 (Pacific Mutual Life Insuance v. Meldrim) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pacific Mutual Life Insuance v. Meldrim, 101 S.E. 305, 24 Ga. App. 487, 1919 Ga. App. LEXIS 876 (Ga. Ct. App. 1919).

Opinions

Smith, J.

This was a suit upon a .policy of insurance which covered “bodily injury sustained during the term of this policy through accidental means . . resulting directly, independently, and exclusively of all other causes in death.” The material allegations of the petition are as follows: “Deceased was^ttacked with [488]*488appendicitis December 9th, 1916. He was operated upon, upon the same day. Deceased recovered from the disease of appendicitis and the operation therefor at 6:30 p. m. December 18th;” that “on the 30th day of December, 1916, plaintiff [the deceased] having a wound in his side caused by an operation for appendicitis from which lie had fully recovered, an embolus from some accidental cause became attached to the wound, and said embolus, from accidental means, independently and exclusively of all other causes, was separated from said wound and was projected through the veins of the body of deceased to his heart and killed him almost immediately. An embolus is an infinitesimal particle of foreign matter. It may come from an infinitestimally small blood clot which hardens and accidentally escapes or resists antiseptics. Plaintiff [deceased] charges that an embolus lodged upon the surface of the wound, floating through the air lodged upon the wound. 'This embolus escaped or resisted the antiseptics. While lying in bed propped up on pillows deceased slipped off the pillows, and the head of deceased dropped suddenly off the pillows, and the jar of the body of the insured, incident to this fall, separated the embolus from its lodgment on the surface of the wound, and was taken up by the blood projected through the veins to the heart, and caused the death of the insured. Insured was a strong muscular man. He was strong and in normal condition. The lodgment or formation of an embolus in a wound is a rare and unusual occurrence, is the result of a chance and not to be expected. When an embolus becomes detached from a wound it is a most rare and unusual occurrence for it to be taken up by the blood and projected through the veins to the heart. Such an occurrence is so rare as not to be reasonably anticipated.” It was further alleged that “the disease of appendicitis, from which the insured was suffering, did not contribute to the death of the insured, and had no connection t therewith, other than that the wound in his body for the purpose of amputating the appendix had not healed up, and it was upon the surface of the wound that the embolus lodged and formed, and from which it was projected into the heart.” The defendant filed a demurrer to the petition as amended, which was overruled, and it excepted. The determination of the case depends upon whether or not the facts quoted from the plaintiff’s petition make out a case of accident within the meaning of the accident policy sued upon, sufficient to withstand a general demurrer.

[489]*489Able counsel fox tbe insurance company contend that the insured’s death was not, under the allegation of the petition, brought about through “accidental means,” and that even if the insured did suffer an accident his death did not result “directly, independently and exclusively of all other causes of death,” but that his death was caused by the disease of appendicitis with which he was afflicted, and the means taken for his relief,—the operation. To us the fact that the petition shows that the wound caused by the operation upon the insured had not completely healed, which may or may not have contributed to the death of the insured, would not necessarily render the petition subject to general demurrer, and this is true although it is stipulated in the contract of insurance that the insurer would only be liable when death was caused by accidental means resulting directly, independently and exclusively of all other causes. The fact that the insured had suffered an attack of appendicitis, been operated upon, and the wound had not healed, and that his death might or might not have resulted therefrom independently and exclusively of the alleged accident, is immaterial, the true question in the case being whether or not he would have died at the time that he did die if it had not been for the accident alleged to have occurred; and in view of the allegations contained in the petition, this is a question for determination by a jury. In other words, we think the circumstances alleged in the petition were sufficient to withstand a general demurrer, and the trial judge did not err in so holding. The question of proximate cause is purely a jury question. Of course had the petition showed conclusively that the facts alleged to be an accident were insufficient to bring them within the meaning of that term, it would have been subject to general demurrer, since the policy sued upon was an accident policy. In this connection it will be recalled that the petition alleged that the insured, “while lying in bed propped up on pillows, . . slipped off the pillows, and the head of deceased dropped suddenly off the pillows, and the jar of the body of the insured, incident to this fall, separated the embolus, from its lodgment on the surface of the wound, and was taken up by the blood projected through the veins to the heart.” This allegation precludes us from saying as a matter of law that an accident was not alleged. “The terms ‘accident’ and ‘accidental/ as used in insurance policies covering accidental death, or injuries [490]*490by accident or accidental means, are presumed to be employed in their ordinary and popular sense as meaning happening by chance; unexpectedly taking place; not according to the usual course of things; or not as expected; an event which takes place without the foresight or expectation of the person acted upon or affected by the event. . . An event happening without any human agency, an event whcli, under the circumstances, is unusual and not expected to the person to whom it happens.” 1 Corpus Juris, 425. See also Atlanta Acc. Asso. v. Alexander, 104 Ga. 709 (30 S. E. 939, 42 L. R. A. 188), in which it was held that where a blacksmith, a hale and hearty man, in striking a slanting blow with a sledge-hammer, suddenly felt a severe pain in the lower part of his abdomen which proved to be a rupture,'producing hernia, his death was caused by accidental means. See also in this connection the case of Fetter v. Fidelity Ins. Co., 174 Mo. 256 (61 L. R. A. 459, 73 S. W. 592, 97 Am. St. R. 560). The Supreme Court and this court have, we think, decided the principle controlling the case under consideration, since both courts have announced the doctrine not only that the disease from which the insured suffered must have been a substantial contributing cause to the injury, but that liability is not defeated merely because the existence of the-disease aggravated or rendered more serious the consequences of tire accident. See Thornton v. Travelers Ins. Co., 116 Ga. 121 (42 S. E. 287, 94 Am. St. R. 99), and Hall v. General Accident Assurance Corp., 16 Ga. App. 66, 74 (85 S. E. 600). In the Thornton case, supra, Mr. Justice Cobb, speaking for the Supreme Court, says: “To illustrate: If a policy-holder should have a serious and 'long continued illness, such as a fever of some nature, and while recovering therefrom, and in a condition unable to resist successfully any serious shock, should receive a blow upon the head from falling plastering, from which death ultimately, though not immediately, resulted, the proximate cause of the death would be, not the fever, but the blow from the plastering, although death might not have resulted but for the debilitated condition of the injured person resulting from the fever.

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Bluebook (online)
101 S.E. 305, 24 Ga. App. 487, 1919 Ga. App. LEXIS 876, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pacific-mutual-life-insuance-v-meldrim-gactapp-1919.