Travelers Insurance Company v. Williams

274 S.W.2d 748, 1955 Tex. App. LEXIS 2380
CourtCourt of Appeals of Texas
DecidedJanuary 20, 1955
DocketNo. 5031
StatusPublished

This text of 274 S.W.2d 748 (Travelers Insurance Company v. Williams) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Travelers Insurance Company v. Williams, 274 S.W.2d 748, 1955 Tex. App. LEXIS 2380 (Tex. Ct. App. 1955).

Opinion

R. L. MURRAY, Chief Justice.

This is an appeal by The Travelers Insurance Company, appellant, from a judgment against it in favor of Blad'on Williams, appellee, in a workmen’s compensation case in the County Court of Jefferson County, at Law.

The appellee was awarded compensation benefits at the rate of $25 per week for 26 weeks because of a hernia. The judgment was based on the verdict of the jury.

The appellant says that the judgment was erroneous because the appellee failed to sustain the burden of proof upon him to show by a preponderance of the evidence that his hernia did not exist in any degree prior to his injury in the course of his employment. The jury found in its verdict, in answer to Special Issue No. 8 of the court’s charge, that the hernia did not exist in any degree prior to the injury and the appellant’s contention on appeal is that such finding by the jury was against the great weight and preponderance - of the evidence, and that the great weight and preponderance of the evidence showed that the hernia did exist in some degree prior to the injury.

The appellant relies largely in this contention on the testimony of Dr. Byrd, who performed an operation for a right inguinal hernia upon the appellee two days after he received the accidental injury, according to the testimony. Dr. Byrd’s testimony is as follows:

“Q. You. operated this man, did, you? A. I did. ,
“Q.. Was there any — Did you notice whether — Had he ever been operated on before? Was there any scar there? A. There was no scar, as of a surgical incision. -
“Q. What do you mean? No scar showing there had been an opening there? A. No. No scar to indicate an opening, as would be made for an operation. No scar there, as would be made, as for an operation.
“Q. Did you or not notice anything peculiar about this particular area, while you were operating, or after opening up the wound? A. Yes, I did.
“Q. What was it? A. In dissecting the tissue, to expose the cord, in .its, canal, at the point — on reading the exterior ring, to section it, and open the canal, to bring the cord up, for handling it and working on it, there was an un-. usual area of dense old scar tissue, attaching the edge of the exterior ring, to the tissue of the cord, and b’efore the ring could be cut through, and dissected away, this scar tissue being old, and in that particular location, suggested, as I have noted here in my written record of this operation, that a sclerosing solution had been deposited there — a-sclerosing solution is one that is designed to make scar tissue, and.is the. type solution that is injected by needle at this particular point, as one medium used by some doctors’ to tréat a hernia, in an attempt to cure it, or to do away with it. Now, deposited in this particular location, a small area..of dense old firm scár, in such á specific area, and not in adjacent areas, would suggest that some type of solution of that nature had been deposited at one special spot, which would be this spot, which would be, ordinarily,- the site of injecting, in that type of treatment, the so-called injection type treatment for hernia. Now, in addition to that— shall I go on and describe the unusual conditions ?”

[750]*750He further testified with reference to what he found upon the radical operation, as follows: “ * * * which indicates to a surgeon this sac had been in that position for a very long time — a time in which the tissue from the end of the sac on down the cord, would have become firm, dense, and tough, of a nature that would be termed scar tissue, and which process would take, certainly many months, and probably a year, or longer, for even any scar tissue to form * * *

He further testified, as to the prior existence of the hernia, as follows:

“Q. These facts reflect — as a medical man, do they not indicate to you, this hernia you repaired there, when you got in there — is it or not your medical opinion this situation had been treated, that is, the hernia had been treated, prior, in some fashion, by cutting — by injection, some time prior to the time you operated, on the twenty-fifth of June? A. It is my medical opinion that the state of the scar tissue, described, attaching the edge of the interior ring to the cord, was such that the most probable, or likely explanation,' from a medical standpoint, was that' there had been an attempt made to cure this hernia by an injection type treatment, and that attempt had been made at least six months, or more, before the time I looked at it, at the time of the operation.
“Q. Well, would that indicate .to your mind, as a-physician — you have operated on' many hernias, have you not? A.' That’s right.
“Q. Did that indicate to your mind that a hernia had existed in some degree, prior to the time you had seen him — the first date — if it was June twenty-fifth? A. June twenty-second, when he first came in. That was the day when he felt pain in his groin, and came over for an examination, at which time I found the hernia, and that indicates to me that the most probable explanation for that scar being there, is that he had a hernia before I examined. him on June twenty-second, and an attempt had been made to treat it by injection. In addition to the other reasons why I felt medically — my medical opinion is that the hernia existed before I saw him — -before I examined him on June twenty-second, was that there had not been enough time between June twenty-second, the time he had told me he had hurt himself, and June • twenty-fifth — three days to the time of operation — that there had not been enough time in those three days for the scar tissue to form * * * .
“Q. In other words, if I understand your medical terms — if I didn’t, correct me — what you say is that, to some extent, it was what you call congenital — he was born with a certain amount of hernia, which may or may not have given him a lot of trouble. A. That’s right.
“Q. But, in addition to that, there had been some treatment of it. A. There was indication that would suggest there had been some treatment, and that treatment had taken place at least six months prior to the operation.
“Q. You speak of a sclerosing solution being made. Is that put in by needle? A. An injection by needle, the needle having been passed through the scar, along the .cord, to put the point of the needle at the exterior ring, whereby injecting the needle at that time and point, would create scar tissue,, in an attempt to cure the hernia.
“Q. State whether or not that is a form of treatment — A. That is a form-of treatment used by some doctors in an attempt to cure a hernia.”
Further Dr. Byrd testified as follows:
“A. The question, as I understand it, was this., What was the size, in my opinion, of the hernia, at the time the injection treatment was given. If that’s right, as is my opinion, from the scar tissue found — Am I correct on the question.
[751]*751“Q. Yes, that’s the sense of it. A. • If there was injective treatment givén, I testified a while ago, there would be evidence — there was some knowledge on the part — in my opinion, on the part of the patient and the doctor giving the treatment, there was hernia present.

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Bluebook (online)
274 S.W.2d 748, 1955 Tex. App. LEXIS 2380, Counsel Stack Legal Research, https://law.counselstack.com/opinion/travelers-insurance-company-v-williams-texapp-1955.