Smith v. Shankman

208 Cal. App. 2d 177, 25 Cal. Rptr. 195, 1962 Cal. App. LEXIS 1770
CourtCalifornia Court of Appeal
DecidedOctober 3, 1962
DocketCiv. 20156
StatusPublished
Cited by16 cases

This text of 208 Cal. App. 2d 177 (Smith v. Shankman) 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
Smith v. Shankman, 208 Cal. App. 2d 177, 25 Cal. Rptr. 195, 1962 Cal. App. LEXIS 1770 (Cal. Ct. App. 1962).

Opinion

SHOEMAKER, J.

Plaintiffs appeal from a verdict and judgment for the defendant in an action to recover damages for wrongful death allegedly resulting from medical malpractice. The plaintiffs are the surviving husband and six children of the decedent, Elsie Mae Smith, who died on July 1, 1956, as the result of a ruptured tubal pregnancy.

The facts developed on this trial show that at 2 p. m. on the day preceding her death, Elsie Mae Smith, age 28, began to suffer from cramps in her lower abdomen and fainted upon attempting to walk to the bathroom. At about 3 p. m., her husband called his wife’s regular doctor and was referred to his "covering doctor,” the defendant, Irwin M. Shankman, M. D., and informed him of his wife’s condition. The defendant, after suggesting that the wife be brought to the office, inquired if he could afford to pay for a house call. When Mr. Smith replied that he could, the defendant agreed to come and arrived at the house around 5 p. m. Mr. Smith testified that the doctor then pressed on the bottom of his wife’s stomach in order to ascertain where her pain was *179 localized; used a stethoscope to listen at places where the pain was worst, hut did not make a pelvic examination; further, that although the doctor did not inquire about his wife’s menstruation, he volunteered the information that she had already had one period that month and was having a second period at that time. According to Mr. Smith, the doctor told him that this was not unusual. Dr. Shankman then gave Mrs. Smith a shot of penicillin and a shot of demerol to ease the pain. He also gave Mr. Smith his phone number in case he were needed.

By 8 o’clock that evening, Mrs. Smith’s symptoms had become increasingly more severe. She was still suffering from cramps in the lower abdomen and again fainted in attempting to go to the bathroom. Although the bathroom was a distance of only 6 or 8 feet from her bed, she required aid to walk that distance. Shortly after 8 p.m., Mr. Smith attempted to reach the doctor by phone but was informed that he was not in. At 11 p. m., Mr. Smith called again and was told that the doctor had gone to a party. At about 12 p. m., Mr. Smith called the Vallejo General Hospital and asked if he could bring his wife in. He was told that he could not bring his wife to the hospital without a doctor’s admission. At 2 a. m., Mrs. Smith again fainted while going to the bathroom, and Mr. Smith placed another call to the answering service. He was told that Dr. Shankman had not returned but that he would call Mr. Smith when he came in.

At approximately 5 a. m., Dr. Shankman called, and Mr. Smith informed him that his wife was still fainting and suffering from cramps, chills and fever. The doctor instructed Mr. Smith to go to the Vallejo General Hospital and pick up some pills. The pills prescribed were empirin and codeine to ease the pain, and nembutal to induce sleep. When Mr. Smith gave the pills to his wife, she immediately began vomiting, and Mr. Smith called the doctor and informed him of this symptom. The doctor advised him to give her aspirin.

By 7 o’clock in the morning, Mrs. Smith had fainted again and was having difficulty catching her breath. Mr. Smith called Dr. Shankman, and when he did not come to the house, got in touch with his brother and father. At 7 :40 a. m., Mr. Smith again called Dr. Shankman and informed him that his wife had gotten worse—“She keeps a fainting.” The doctor then told him not to call any more, that he would be out during the day.

After waiting until 9 :30 a. m. for the doctor to arrive, Mr. *180 Smith, with the aid of his relatives, placed his wife in the car and drove her to Vallejo General Hospital. According to the testimony of a hospital nurse, Mrs. Smith appeared to be dead when she was placed on the hospital bed. The death certificate placed the time of death at 10 :15 a. m., and listed the cause of death as a ruptured right tubal pregnancy, which was estimated to have set in 24 hours earlier. Dr. DeMay, the doctor who conducted the autopsy, testified that the decedent’s peritoneal cavity contained 5 pints of blood. He stated that she had bled to death as a result of a ruptured Fallopian tube.

According to the testimony of Dr. Shankman, Mr. Smith never informed him, at the time of the initial phone call, that his wife was suffering from any symptoms other than chills and fever. He further testified that when he arrived at the house, Mrs. Smith complained of pain in the area of the tubes and uterus, that he found her to be feverish, but did not detect any sign of chills. He stated that he did not make a pelvic examination of Mrs. Smith because she was a fat woman, and this type of examination would not have revealed the existence of a tubal pregnancy. He also testified that Mrs. Smith did not inform him that she had had an additional menstrual period, but told him that she had commenced her period a few" days earlier and was just finishing at that time. He stated that he took her blood pressure and found it to be within normal range. Pie diagnosed her condition as salpingitis, a pelvic inflammatory disease, and accordingly prescribed drugs which would combat the infection and reduce the pain.

Dr. Shankman further testified that when he talked to Mr. Smith at 5 a. m. the following morning, he was told that Mrs. Smith had not slept and that she was still having pain. He assumed that the salpingitis was getting a little worse and he accordingly prescribed nembutal to make her sleep. He stated that he received no further calls from Mr. Smith until 8 a. m., and, at that time, was told that Mrs. Smith kept fainting when she got up to go to the bathroom. He considered it nothing unusual, since people faint even when approached by a needle. He stated that he had never been informed of this symptom until that time, but that he did not consider .it inconsistent with his earlier diagnosis of salpingitis. He therefore instructed Mr. Smith to keep his wife in bed and advised him that he would come out to see her later.

*181 In addition to the evidence above summarized, plaintiffs’ expert witness testified that in his opinion, standard medical care had not been followed by the defendant. Defendant’s expert testified to the contrary.

Upon this evidence, verdict and judgment were for the defendant.

Appellants’ primary contention is based upon the bailiff’s conduct. The jury’s deliberations commenced at 2:10 in the afternoon. Four hours later the jury had not yet arrived at a verdict, and the court thereupon directed the bailiff to take them to dinner. The jury returned to continue its deliberations at 7:30 p. m. Subsequently, at approximately 7:45 or 8 p. m., in response to a knock on the door of the juryroom, the bailiff opened the door and the jury foreman informed him that the jury wanted the transcript of Dr. Shankman’s testimony. The bailiff replied that the jury could not have that transcript. He then closed and locked the door.

Thereafter, at 8:45 p. m., appellants counsel, Mr. Walkup, returned from dinner and was informed by his client of the jury’s request. Whereupon, Mr. Walkup, in the presence of respondent’s counsel, told the judge in chambers what he had learned and asked that the bailiff be questioned concerning the matter.

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Bluebook (online)
208 Cal. App. 2d 177, 25 Cal. Rptr. 195, 1962 Cal. App. LEXIS 1770, Counsel Stack Legal Research, https://law.counselstack.com/opinion/smith-v-shankman-calctapp-1962.