Renfro v. San Juan Hospital, Inc.

403 P.2d 681, 75 N.M. 235
CourtNew Mexico Supreme Court
DecidedJune 21, 1965
Docket7667
StatusPublished
Cited by25 cases

This text of 403 P.2d 681 (Renfro v. San Juan Hospital, Inc.) is published on Counsel Stack Legal Research, covering New Mexico Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Renfro v. San Juan Hospital, Inc., 403 P.2d 681, 75 N.M. 235 (N.M. 1965).

Opinion

COMPTON, Justice.

The plaintiff appeals from the denial of workmen’s compensation benefits for disability from a back injury claimed to have been suffered by her as the result of a fall arising out of and in the course of her employment. The defendants, pursuant to Supreme Court Rule 17(2), § 21-2-1(17) (2), N.M.S.A., 1953 Comp., cross-appeal from the court’s finding that, at the time of the alleged accident, the plaintiff was acting within the scope of her employment, and that the employer received actual notice of the circumstances and extent of the injury.

The appellant, Opal Renfro, was employed by the appellee, San Juan Hospital of Farmington, New Mexico, as a circulating practical nurse or nurse’s aide. At the time of the alleged accident she was on 24-hour call duty. On January 12, 1963, in response to a duty call and while going to her car outside her trailer home, she slipped and fell on some ice or snow and suffered pain in her low back. She continued to work, although experiencing pain for which she received medication, until February 28, 1963.

On March 1, 1963, while stepping into a bathtub at her home, she felt sudden pain and a burning sensation in her back and went to bed. On March 3rd she sought and received emergency treatment at the hospital from a Dr. Gene R. Smith. On March' 8th she was hospitálized for traction and was given therapy for ten days while under the care of Dr. Smith. On August 9th she was readmitted to the hospital, and a laminectomy and spinal fusion for a lumbo sacral herniated disc were performed. Thereafter, she brought this action to recover compensation benefits, and for past and future medical expenses resulting from the fall in January, 1963. From an adverse judgment she appeals.

The appellant raises several points among which she attacks the findings and conclusion of the trial court with respect to the insufficiency of the medical evidence to establish causal connection between the accident of January 12, 1963, and the disability claimed. She further contends that the court erred in requiring a greater quantum of medical proof than that required by § 59-10-13.3(B) of the Workmen’s Compensation Act, N.M.S.A., 1953 Comp., and in failing to consider non-medical evidence relating to the sequence of events preceding the appellant’s disability.

In considering first the point raised as to the quantum of' proof required by the court, we deem it beneficial to set forth the findings of the court under attack:

“12. That the only medical testimony in the case did not with reasonable medical certainty relate the plaintiff’s injury arid consequent disability’ to the fall which occurred on January 12, 1963.
“13. That the medical testimony in the case was only to the effect that a fall like that of plaintiff could as a reasonable medical probability' cause the injuries and disability of plaintiff, but said testimony was not that the fall did cause plaintiff’s injuries and disability.
“14. That the medical testimony of the doctor did not rule out the plaintiff’s previous back trouble or the bath tub incident as the probable medical cause of plaintiff’s injuries and disability and the doctor was unable to testify with any certainty as to a causal connection with the accident of January 12, 1963 and plaintiff’s injuries and disability.” ■

The .court then found:

“15. That the testimony did not establish to a reasonable medical probability that the injuries and disability of plaintiff are a natural and direct result of the accident of January 12, 1963.”

and concluded:

“1. That plaintiff is not entitled to recover compensation because she failed to establish a causal connection as a medical probability .by expert medical testimony between the accident alleged and the disability claimed.”

The appellant asserts that findings 12, 13 and 14 demonstrate that the court required her to rule out all other causes, and to prove with reasonable medical certainty, rather than as a reasonable medical probability, that the accident of January 12th was the cause of her disability. We do not agree.

Section 59-10-13.3(33), supra, provides:

“In all cases where the defendants deny that an alleged disability is a natural and direct result of the accident, the workman must establish that causal connection as a medical probability by expert -medical testimony. No award of compensation shall be based on speculation or on expert testimony that as a medical possibility the causal connection exists.” (Emphasis supplied.)

This statute makes it encumbent upon the claimant to present one or more medical experts to testify that in his or their opinion there is a medical probability of causal connection between the accident alleged and the disability claimed. Yates v. Matthews, 71 N.M. 451, 379 P.2d 441; Montano v. Saavedra, 70 N.M. 332, 373 P.2d 824.

As we view the challenged findings, they say that -the- medical testimony only establishes'that'the fall could, rather than that it did,'as a'medical'probability, cause the disability; '(The, statute requires that the workman establish “that” causal connection as a medical probability. The burden of proof, under facts such as are present here, is not met if the medical testimony only goes so far as to establish that any one of the several separate factors involved, within the realm of medical probability, could have caused the 'disability, leaving it to the trier of the facts to take his choice. Such testimony does' not rise above speculation and surmise. We think the court was correct in-requiring a greater degree of medical probability with, respect to the fall than to some other cause. . In this sense, we understand the court’s use of the word certainty to refer to a certainty of medical probability and not to medical certainty. Although now objected to by the appellant, this word was used , at the trial by her counsel in the direct examination of the medical expert, and also by counsel for appellees, without objection. The, appellant can derive no comfort from White v. Valley Land Company, 64 N.M. 9, 322 P.2d 707 or Alspaugh v. Mountain States Mutual Casualty Co., 66 N.M. 126, 343 P.2d 697, with respect to quantum of proof. Both of these cases, decided under prior workmen’s compensation law, recognized that causal connection may be established notwithstanding the lack of medical evidence. This is no longer the law. Notwithstanding all the foregoing, the court heard the medical testimony and aside from any' reference to' uncertainties therein,, made finding 'No. 15 which clearly states that the court did not understand the doctor to testify that the January 12 incident "as a reasonable medical probability” as a natural and direct result caused' claimant’s injuries and disability.

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Bluebook (online)
403 P.2d 681, 75 N.M. 235, Counsel Stack Legal Research, https://law.counselstack.com/opinion/renfro-v-san-juan-hospital-inc-nm-1965.