Sinai Hospital of Detroit v. Welborn

99 N.W.2d 553, 357 Mich. 625
CourtMichigan Supreme Court
DecidedNovember 24, 1959
DocketDocket 67, 68, Calendar 47,848, 47,849
StatusPublished
Cited by4 cases

This text of 99 N.W.2d 553 (Sinai Hospital of Detroit v. Welborn) is published on Counsel Stack Legal Research, covering Michigan Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sinai Hospital of Detroit v. Welborn, 99 N.W.2d 553, 357 Mich. 625 (Mich. 1959).

Opinion

*627 Kavanagh, J.

These 2 eases were separately commenced in the common pleas court in the city of Detroit and because of the subject matter they were consolidated for the purposes of trial, for appeal to the AVayne county circuit court, and for appeal to this Court.

Sinai Hospital v. Katie Welborn was brought to recover charges incurred by Mrs. AVelborn for hospital services rendered by plaintiff November 5-19, 1955, and December 4-16,1955. The companion case of Katie Welborn v. Michigan Hospital Service is for recovery for the cost of such hospitalization and is based on a Michigan Hospital Service comprehensive hospital care certificate. Mrs. AVelborn claims that under her policy Sinai Hospital should be paid by Michigan Hospital Service.

In the first case it is admitted that services were rendered by Sinai Hospital to Katie AVelborn in the amount of $690 and that the hospital has not been paid for these particular services. It is contended by defendant Katie AVelborn that Sinai Hospital is a participating hospital in the Blue Cross Service and that Michigan Hospital Service is obligated under her certificate to pay the amount of the charges to Sinai Hospital.

In the second case Katie AVelborn contends that in the event Sinai Hospital is determined to be entitled to a judgment for the amount of the services, she is entitled to a judgment against Michigan Hospital Service for the same sum under her hospital contract.

The pertinent facts that gave rise to these suits are as follows: Katie AVelborn, on May 8,1955, ivhile employed as a waitress at the Sea Pood Grotto, slipped and fell to the floor, sustaining certain injuries. The nature of those injuries and their relationship to subsequent hospitalization is contested. It is uncontested that she was treated by a physician, *628 Dr. Jorgenson, for a period of about 2 weeks after the injury, and again by tbe same physician in October for a period of about 2 weeks. In the' latter part of October Mrs. Welborn went to another physician, Dr. Goldstein, who ordered her admission to Sinai Hospital. She remained in the hospital for the period November 5-19, 1955, incurring certain charges, a portion of which are involved in these suits. During this period of hospitalization Dr. Harvey Gass, a neuro-surgeon, was called into consultation. He examined Mrs. Welborn and received a history of her injury and condition from her.

On December 4, 1955, Mrs. Welborn was again admitted to the hospital. She remained in the hospital until December 16, 1955. During this time she-was operated on by Dr. Gass. The operation was a laminectomy and removal of a herniated disc.

On the trial the evidence on behalf of Mrs. Welborn consisted of her statement that she hurt her right ankle in the fall of May 8, 1955; that she received treatment for approximately 2 weeks; that she received further treatment for approximately 2 weeks in October; that her pain at the time of her confinement in the hospital in November of 1955 was in her hip as well as her right leg; that she returned to the hospital about 2 weeks after the first period of hospitalization and had an operation on her back by Dr. Gass.

Dr. Gass testified that he was called into consultation during the first period of hospitalization, received a history of low back pain and right sciatic pain running over a period of approximately 2 years; that his tests showed nerve root compression and pain in the right leg; that he had at his disposal a myelogram test and that he operated on Mrs. Welborn. He gave it as his opinion, in response to a hypothetical question, that the fall in May was not related to the condition for which he operated.

*629 The evidence of appellee Michigan Hospital Service consisted entirely of correspondence with Mrs. Welborn, a statement signed by her in response to such correspondence, certain documents from the file of the Michigan workmen’s compensation commission, and certificate of insurance, particularly section 6 (B) 5 thereof. In summary, this evidence is as follows: On November 9, 1955, Michigan Hospital Service wrote Mrs. Welborn and requested information regarding her admission to Sinai Hospital on November 5, 1955. A questionnaire was submitted to Mrs. Welborn with this letter. On November 25th another letter was written stating that a response had not been received and enclosing another questionnaire. In response Mrs. Welborn submitted a questionnaire signed by her and received by Michigan Hospital Service on November 28, 1955, containing the following statements:

“Date on which injury occurred or was first noticed: May 8, 1955.
“Place where injury occurred: Sea Pood Grotto Restaurant.
“Describe fully how injury happened: I slipped & fell on my buttocks hurt them and my right ankle.”

The questionnaire contained further information that she was working as a waitress, that the injury occurred on her employer’s premises and that she reported the injury to her employer.

After Mrs. Welborn was released from the hospital in December 1955, and on January 19, 1956, she signed a notice to her employer of claim for injury, addressed to the Sea Food Grotto, which read as follows:

“To Employer: Sea Pood Grotto
“Address: 24010 W. Seven Mile Road, Detroit 19, Mich.
*630 _ “Take 'notice that in accordance with the provisions of the Michigan workmen’s compensation law, employee Kay Welborn hereby gives you notice of injury and makes claim for compensation upon you for injury received by her while in -your employ.
“The , accident, personal injury and/or ' occupational disease occurred on or about the 8th day of May A.D., 1955, at Detroit, Michigan.
“The foregoing injury occurred in following manner : Slipped and fell on wet floor.
“Nature of disability: Injuries to back, head, upper and lower extremities, and internal injuries.
“Dated at Detroit, Michigan, this 19th day of January A.D., 1956.
“Employee: /s/ Kay Welborn
“Address: 12696 W. Outer Drive, Detroit 23.”

On the same day, January 19, 1956, Mrs. Welborn signed an application for hearing and adjustment of claim on a form supplied by the workmen’s compensation commission, the pertinent parts of -which read as follows:

“Employee: Kay Welborn, 12696 W. Outer Drive, Detroit, 23.
“Employer: Sea Pood Grotto 21010 Y{. Seven Mile rd., Detroit, 19 * * *
“The applicant respectfully shows:
“1. That this claim relates to a personal injury which occurred on or about May 8, 1955. * * *
“2. That the injury or disablement occurred at Detroit, Wayne County, Michigan and in the following manner: Slipped and fell on wet floor.

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99 N.W.2d 553, 357 Mich. 625, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sinai-hospital-of-detroit-v-welborn-mich-1959.