Buckner v. Wheeldon
| Decision Date | 21 March 1945 |
| Docket Number | 161 |
| Citation | 33 S.E.2d 480,225 N.C. 62 |
| Parties | BUCKNER v. WHEELDON. |
| Court | North Carolina Supreme Court |
This was an action for damages for injuries alleged to have resulted from negligent treatment of plaintiff's broken leg by the defendant, a physician and orthopedic surgeon.
Plaintiff alleged defendant failed to use reasonable care and diligence and failed to exercise his best judgment and skill in treating plaintiff's case, resulting in increased pain, a second operation and permanent injury. Defendant denied all allegations of negligence, and alleged that whatever injury plaintiff suffered was due to the force which broke his leg and not to any want of skill or failure to exercise proper care on the part of the defendant.
At the close of the evidence defendant's renewed motion for nonsuit was allowed, and from judgment dismissing the action plaintiff appealed.
Watson & Fouts, of Burnsville, for plaintiff.
C P. Randolph, of Burnsville, and Armistead W. Sapp, of Greensboro, for defendant.
The only question presented to us is the propriety of the judgment of nonsuit entered by the court below. Was there sufficient evidence to carry the case to the jury?
The facts upon which the plaintiff contends he was entitled to go to the jury were substantially these:
January 17, 1942, the plaintiff, then 19 years of age, was residing at Toano, Virginia. While walking on the left side of the highway he was struck from behind by a motor vehicle and thrown into a sandy ditch. His right leg below the knee suffered a compound comminuted fracture, the broken bones extruding. He was picked up, temporary assistance given by Dr. Sneed, and he was placed in a hospital in Williamsburg Virginia. January 19 defendant Dr. Wheeldon was called in and took charge of the case. Dr. Wheeldon specializes in bone and joint surgery and has been in active practice and lecturing on orthopedics in College of William and Mary and University of Virginia for twenty-five years.
According to plaintiff's testimony, as a result of the accident there was an open wound in his lower leg with the broken bone protruding through the flesh, and that defendant Wheeldon did nothing to sterilize or cleanse the wound except to wipe off the blood, and then immediately put on a closed cast extending from plaintiff's toes to his groin. Thereafter gravel, sand and pus came out from the cast at the top at the groin. Eighteen days after the cast was put on, plaintiff's brother-in-law cut an opening in the cast over the wound, and pus and sand came from the opening. Later the defendant placed another cast on the leg and left a window in it for dressing. On the 6th of March plaintiff returned to his former home in Yancey County, North Carolina. There he consulted other physicians, and on April 5 Dr Cherry performed an operation on his leg, removing pieces of bone. Plaintiff suffered great pain from the time defendant first undertook his case, and still suffers. On the back of the leg, where the pus ran along, it 'took all the hide off.' One leg is now an inch shorter than the other.
There was evidence from medical experts that the lack of attempt to disinfect and cleanse the wound and limb was improper treatment, and that it would not be proper to put a cast on a leg without sterilizing it; and that failure to sterilize an open wound with sand in it would tend to set up or increase infection.
There was evidence contra offered by defendant tending to show that the wound was properly cleaned and sterilized, and dressed and treated in the best approved manner. However, on a motion for judgment of nonsuit under the law in this jurisdiction the defendant's evidence, unless favorable to plaintiff, is not considered, except when not in conflict it may tend to make clear or explain that offered by plaintiff. Gregory v. Travelers Insurance Co., 223 N.C. 124, 25 S.E.2d 398, 147 A.L.R. 398. Furthermore on the motion to nonsuit the plaintiff is entitled to the benefit of every fact and inference of fact pertaining to the issues involved which may reasonably be deduced from the evidence. Davis v. Wilmerding, 222 N.C. 639, 24 S.E.2d 337.
We note the fact that plaintiff's leg was broken, and the employment of defendant to treat it, as well as the services rendered in consequence, occurred in the State of Virginia. It follows therefore that in an action for damages for malpractice in the treatment of the fracture the standard of the defendant's duty in the premises as affecting his liability for negligence must be determined by the law of the place where the tort complained of was committed. Howard v. Howard, 200 N.C. 574, 158 S.E. 101; Wise v. Hollowell, 205 N.C. 286, 171 S.E. 82; Farfour v. Fahad, 214 N.C. 281, 199 S.E. 521.
Deduced from the decisions of the Court of last resort in Virginia, in the cases of Hunter v. Burroughs, 123 Va. 113, 96 S.E. 360; Fox v. Mason, 139 Va. 667, 124 S.E. 405; Henley v. Mason, 154 Va. 381, 153 S.E. 653; Alexander v. Hill, 174 Va. 248, 6 S.E.2d 661; Reed v. Church, 175 Va. 284, 8 S.E.2d 285, it would seem that one who practices the profession of physician and surgeon is bound to bestow upon the treatment of his patient such reasonable and ordinary skill and diligence as those practicing in the same general line ordinarily exercised in like cases; and that one who accepts employment as a specialist must not only possess that degree of skill and knowledge ordinarily possessed by those engaged in that specialty but must also exercise his best judgment in the application of his skill, and in the use of ordinary care. This degree of skill and care is to be exerted both in the performance of the operation and in the subsequent necessary treatment following. The physician or surgeon, however, is not an insurer of a cure or even of beneficial results, nor is he held to the highest degree of care known to his profession. The mere fact that his treatment was not successful or was deleterious will not alone raise a presumption of negligence. He must...
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