People v. Elysee

49 A.D.3d 33, 847 N.Y.2d 654
CourtAppellate Division of the Supreme Court of the State of New York
DecidedDecember 18, 2007
StatusPublished
Cited by21 cases

This text of 49 A.D.3d 33 (People v. Elysee) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
People v. Elysee, 49 A.D.3d 33, 847 N.Y.2d 654 (N.Y. Ct. App. 2007).

Opinion

OPINION OF THE COURT

Skelos, J.

Today we hold that a physical blood specimen taken from a patient by a medical professional is not “information” protected by the physician-patient privilege as defined in CPLR 4504 (a) and, accordingly, such a blood sample is subject to seizure pursuant to a warrant issued under the authority of CPL 690.10.

On December 25, 2003, at approximately 4:20 a.m., Seon Andrews was killed, and several other people were injured, in a four-vehicle accident at the intersection of Nostrand Avenue (hereinafter Nostrand) and Atlantic Avenue (hereinafter Atlantic) in Brooklyn. Immediately before the accident, the defendant drove a Nissan Maxima automobile (hereinafter the defendant’s vehicle) from a side street onto Nostrand, almost striking the side of another vehicle that was proceeding southbound on Nostrand (hereinafter the witness’s car). The defendant’s vehicle almost caused an accident between the witness’s car and an oncoming car in the northbound lane. The witness “dropp[ed]” his car back so that the defendant’s vehicle could proceed ahead of him. The witness observed the defen[35]*35dant’s vehicle, which was traveling at “a fair amount of speed,” go straight through the red light at the intersection of Nostrand and Atlantic and strike a pickup truck. The defendant’s vehicle did not slow down as it entered the intersection and the witness did not observe the brake lights of the defendant’s vehicle come on at any point before the accident. The defendant’s vehicle hit the pickup truck with such force that the truck was propelled into a steel beam supporting the elevated railroad tracks.

A firefighter with the New York City Fire Department responded to the accident. He testified that as he approached the defendant’s vehicle and reached inside to ensure that the ignition was turned off, he “noticed a strong smell of alcohol” in the car and on the defendant’s breath. The firefighter also testified that when he and a police officer of the New York City Police Department (hereinafter the NYPD) approached the defendant’s vehicle and offered to assist the defendant, the defendant repeatedly cursed at them and threatened to spit on the police officer. The firefighter stated that the defendant was “belligerent [and] confrontational.”

Three NYPD officers responded to the accident. They also testified that the defendant appeared to be intoxicated because he had the odor of “alcohol on his breath and he was acting a little irrational,” had slurred speech, and walked with a stagger. One of the officers also testified that the defendant was “belligerent. He was acting up. He was cursing, what he was saying word-for-word, I can’t really remember, but he was really acting up.” In addition, the paramedic who responded to the accident testified that the defendant appeared “very agitated, he was uncooperative, he was cursing at the police officer,” and was refusing medical treatment. According to the paramedic, the defendant seemed incoherent. The first thing the paramedic noticed was alcohol on the defendant’s breath. An emergency room physician also testified that during his encounter with the defendant, the defendant seemed intoxicated based upon the way he was acting and the noticeable smell of alcohol coming from the defendant.

The NYPD obtained two sets of samples of the defendant’s blood and forwarded them to Dr. Elizabeth Marker, a forensic toxicologist employed by the New York City Office of the Chief Medical Examiner, to determine the defendant’s blood alcohol level at the time of the accident. The samples at issue on this appeal were comprised of hospital blood specimens seized upon the execution of a search warrant issued pursuant to CPL [36]*36690.10 (hereinafter the search warrant blood samples) five days after the accident. The search warrant blood samples were obtained from blood specimens drawn from the defendant by a second-year medical resident working in the emergency room at approximately 5:30 a.m. on December 25, 2003, immediately upon the defendant’s arrival at the hospital after the accident. The resident testified that it was the hospital’s practice to place all trauma victims in a special area of the emergency room where hospital personnel would start an intravenous line through which blood would be drawn.

The other set of blood samples was obtained through a court order issued pursuant to Vehicle and Traffic Law § 1194 (hereinafter the VTL samples). The VTL samples were drawn from the defendant by a registered nurse in the presence of an NYPD police officer on December 25, 2003, at approximately 2:50 p.m.

Dr. Marker testified that the VTL samples came into her possession on December 26, 2003, and revealed that the defendant’s blood alcohol “concentration was .05 gram percent.” Dr. Marker opined that it is scientifically possible, through reverse extrapolation, to reliably determine what a person’s blood alcohol content was at an earlier time based upon a later blood alcohol content test when certain assumptions are made. Dr. Marker testified that, assuming that the alcohol in the defendant’s system was fully absorbed at the time of the accident, going back a period of 10 hours from the time the blood samples were taken at 2:50 p.m., the defendant’s blood alcohol level range at the time of the accident would have been “between .20 [gram] percent and .25 [gram] percent.” Dr. Marker also testified that to have a blood alcohol content in that range, a person would have consumed “a minimum of ten drinks and probably more.”

Dr. Marker further testified that the two search warrant blood samples she tested that were drawn by the medical resident immediately after the accident revealed a blood alcohol concentration of .23 gram percent and .21 gram percent, respectively. Dr. Marker opined that these results were consistent with, and substantiated, the results of the reverse extrapolation analysis of the VTL samples.

Prior to trial, the defendant moved, inter alia, to controvert the search warrant and to suppress the results of the blood alcohol test performed on the search warrant blood samples on the ground that, among other things, the seizure of his blood pursuant to CPL 690.10 violated the physician-patient privilege defined by CPLR 4504. The motion court, among other things, [37]*37denied that branch of the motion which was to controvert the search warrant. The court found that the facts alleged in the search warrant application were sufficient to establish probable cause to believe that the defendant was operating a motor vehicle while under the influence of alcohol. The motion court also denied that branch of the motion which was to suppress the results of the blood alcohol test performed on the search warrant blood samples, upon determining that CPLR 4504 “has no application to vials of blood, which were the objects of the search warrant.”

Contrary to the defendant’s contention, neither the seizure pursuant to CPL 690.10 of the search warrant blood samples that were drawn at the hospital nor the admission of the results of the blood alcohol test performed by the Medical Examiner on those samples violated the physician-patient privilege.

Pursuant to CPLR 4504 (a): “a person authorized to practice medicine, registered professional nursing, licensed practical nursing, dentistry, podiatry or chiropractic shall not be allowed to disclose any information which he acquired in attending a patient in a professional capacity, and which was necessary to enable him to act in that capacity” (emphasis added).

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Cite This Page — Counsel Stack

Bluebook (online)
49 A.D.3d 33, 847 N.Y.2d 654, Counsel Stack Legal Research, https://law.counselstack.com/opinion/people-v-elysee-nyappdiv-2007.