Thomas v. Merriam

337 P.2d 604, 135 Mont. 121, 1959 Mont. LEXIS 24
CourtMontana Supreme Court
DecidedMarch 23, 1959
Docket9772
StatusPublished
Cited by13 cases

This text of 337 P.2d 604 (Thomas v. Merriam) is published on Counsel Stack Legal Research, covering Montana Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thomas v. Merriam, 337 P.2d 604, 135 Mont. 121, 1959 Mont. LEXIS 24 (Mo. 1959).

Opinions

MR. JUSTICE ANGSTMAN:

This is an appeal by plaintiff from a judgment of nonsuit. The action is for malpractice against Dr. Gordon Merriam. Pending the action Dr. Merriam died and by stipulation his estate was substituted as party defendant.

Plaintiff in the year 1951 was a resident of Fairview, Montana. At the age of 67 or 68, just before Christmas in 1951 he became ill. Dr. Merriam, a physician practicing medicine in Fairview was called to attend him. Plaintiff was first taken to the Sidney hospital. About a day later, at Dr. Merriam’s suggestion, plaintiff entered the Deaconess Hospital in Billings, where he was treated by Dr. A. J. Movius, Jr. According to plaintiff’s exhibit No. 1, Dr. Movius after giving plaintiff a physical examination diagnosed his case as follows:

“Patient sent here for treatment because of distension, nausea &'Vomiting & Dehydration. Treated last few days by L. M. D. in Fairview. Had incarcerated hernia 3-4 days ago and above distension etc. followed. Hernia was reduced with difficulty several hrs. after onset.”

Plaintiff remained in the Billings hospital only one night and then'returned to his home in Fairview. Sometime after the first of January 1952, plaintiff suffered severe abdominal pain. Dr! Merriam again sent him to the hospital in Billings, which he entered on January 15, 1952, and where he underwent operations for gallstones and incarcerated hernia. The doctor who performed the operation in Billings was Dr. A J. Movius,. Jr., who was not a witness at the trial.

According to the testimony of Dr. Harper, a gallstone was [123]*123removed at that time, but the gall bladder was not, probably because it. was inflamed and removal involved too great a risk to the patient. Dr. Harper also testified that plaintiff was operated on again about two or three days .following the gallstone operation for a bowel obstruction, or hernia, which.he said was not involved in this case “only to the extent that he had it and that, it would pull him down further.”

Plaintiff was discharged from the Billings hospital on February 3, 1952, and returned to his home in Fairview. He became ill again, experiencing severe pain, and was taken to the Sidney hospital on March 12, 1952. Dr.. Harper was again called into the case, and .performed another gallstone operation, but because of the infection remaining he did not remove the gall bladder, but performed essentially the same operation as the one. done for gallstones in Billings. Dr. Harper. placed a tube from the gall bladder, to the outside body wall. Plaintiff was .discharged from the Sidney hospital on March 17, 1952. A discussion between doctor':and patient was then had about removing the gall bladder when the patient, got in shape to do so. . ■ ■

Following plaintiff’s discharge, his' condition improved to the extent that on March 31, Dr. • Harper performed, yet a fourth operation, removing the gall bladder and placing a “T” tube in the common duct. On April 7, plaintiff was- discharged from the hospital and returned to his home' in Fairview. Although Dr.' Harper performed the operation, Dr. Merriam assisted and continued to act as plaintiff’s doctor in postoperative care and treatment.

Two days later, on April 9, plaintiff went from his home in Fairview to Dr. Merriam’s office in Fairview to have the “T” tube irrigated. Following the irrigation by Dr. Merriam, the plaintiff became desperately ill. Dr. Merriam continued to ■treat plaintiff at his home, giving him sedatives ■ until April 18 at which time Dr. Harper was called and plaintiff was then taken to the Sidney hospital where he remained until May 1 [124]*124when he was transferred to the Billings hospital. There he was examined by Dr. Movius, Jr., who made this report:

“Patient was operated here for empyema of the gall bladder following incarcerated hernia January 1952 by me. Became ill latter part of March and Dr. Harper re-drained the gall bladder and put in a “T” tube although patient had no jaundice. Two weeks ago Dr. Merriam irrigated the “T” tube with 50 % alcohol and 50 % ether mixture and patient has been desperately ill since with jaundice and distension.”

Plaintiff remained in the Billings hospital until June 22 after which date he returned to his home. His mental condition changed during his prolonged illness and he was unable to be in court for the trial. At the time of trial he was 72 years, of age.

As previously related, Dr. Merriam died prior to the trial. Dr. Movius of Billings did not testify either in person or by deposition. Dr. Harper was called as plaintiff’s witness, and he provided all of the medical information other than the hospital records.

At the conclusion of plaintiff’s case, defendant made a motion for judgment of nonsuit upon the ground that the evidence of plaintiff failed to show that the irrigation of a “T” tube following gall bladder surgery with a solution of ether and alcohol was not a standard, accepted medical practice in the locality of Fairview, at the time such irrigation was had, and hence that there was no competent, sufficient evidence to sustain the allegations of the complaint.

The motion was granted and judgment entered in favor of defendant. The sole specification of error is the granting of defendant’s motion for nonsuit and the entry of judgment for defendant.

The gravamen of the complaint was that Dr. Merriam did something that a physician of ordinary skill, care and diligence would not have done and that, as a result thereof, plaintiff was injured and damaged. •

More specifically, the plaintiff urges that a 50 percent alcoV [125]*125hoi, and a 50 percent ether solution was used improperly in irrigating the “T” tube so that the solution passed through the “T” tube into the common duct and then into plaintiff’s liver. Plaintiff asserts that his evidence was sufficient to make out a ease for the jury from which the jury could find that the “improper use” consisted of irrigating the “T” tube under pressure and that the solution would cause the sphincter muscle to close, forcing the solution up into the liver causing damage.

Dr. Harper, a witness for plaintiff, testified a 50 percent alcohol-ether solution to irrigate a “T” tube was an accepted medical practice in Fairview, but that to irrigate the liver (as distinguished from the “T” tube) with that solution was not accepted medical practice anywhere. He at first testified that in his opinion it was impossible to irrigate the liver but he later said that the alcohol and ether would cause the sphincter muscle to close and if the gall bladder were out, as it was here, the solution would have no place to go but back up into the liver. Plaintiff’s daughter, Marjorie Thorson, testified in part:

“Q. Do you know for what reason he [plaintiff] went [to Dr. Merriam’s office] this time? A. He went to have his tube irrigated. * * *
“Q. Did Dr. Merriam come over afterwards? A. Yes, I would say he came over about every day.
“Q. During this time did you have any conversation with him there? A. I did.
‘ ‘ Q. What was it ? A. I asked him one day why my dad was having all this pain after the irrigation and before he was all right, and he said he irrigated the liver through the ‘T’ tube with pressure and that is what caused the pain and irritation, but in a few days he would be all right.
“Q.

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Thomas v. Merriam
337 P.2d 604 (Montana Supreme Court, 1959)

Cite This Page — Counsel Stack

Bluebook (online)
337 P.2d 604, 135 Mont. 121, 1959 Mont. LEXIS 24, Counsel Stack Legal Research, https://law.counselstack.com/opinion/thomas-v-merriam-mont-1959.