Kurdek v. West Orange Bd. of Educ.

Citation536 A.2d 332,222 N.J.Super. 218
Parties, 44 Ed. Law Rep. 387 Robert KURDEK, Plaintiff, v. WEST ORANGE BOARD OF EDUCATION, Defendant.
Decision Date10 December 1987
CourtNew Jersey Superior Court

David P. Affinito, Orange, for plaintiff (Dell'Italia, Affinito & Jerejian, attorneys).

Domenic D. Toto, Millburn, for defendant (Goldstein, Toto, Romano & Avignone, attorneys).

VILLANUEVA, J.S.C.

This is a suit for personal injuries wherein plaintiff alleges that he was caused to fall off his motorcycle when an unidentified driver of defendant-West Orange Board of Education's van suddenly veered into his lane.

At the trial defendant sought to call as its witness plaintiff's treating physician to obtain the medical history given by plaintiff as well as the physician's prognosis of no permanency. Plaintiff objected to this expert testimony because of the allegiance allegedly owed by the physician to his patient and the fact that no expert report of this witness was supplied by defendant.

The issue is whether defendant, without supplying any expert's report, can call as a trial witness plaintiff's treating doctor to testify that plaintiff has no permanent disability.

This opinion supplements the court's ruling that permitted such testimony.

The jury found both plaintiff and defendant were negligent and apportioned the negligence: 30% to plaintiff and 70% to the board of education. The jury's award of total damages of $80,000 was molded, therefore, to $56,000 without interest.

After the accident, plaintiff was confined in the intensive care unit at St. Barnabas Medical Center under the care of Malcolm G. Coblentz, M.D., a general and vascular surgeon, who brought in five consultants.

The only doctor called as a witness by plaintiff was Rowland Goodman, M.D., an examining physician specializing in internal medicine. He stated that plaintiff suffered a posttraumatic laceration of the lung, with permanent effects to the heart and lung, that the injury and damage to the heart muscle was almost identical to a heart attack, that plaintiff had problems lifting his arm and permanent impairment of his lung function. He testified that this impaired function would affect plaintiff for the rest of his life, because he would not be able to exercise as much as before, and that if he had children, he could not physically keep up with them.

When the case was assigned for trial, defendant's attorney told plaintiff's attorney and the court that he would subpoena plaintiff's attending physician, Dr. Coblentz as his last witness to show the history plaintiff gave to the doctor about the accident and his prognosis of no permanency. After plaintiff completed his case, he requested a hearing in limine, Evid.R. 8, regarding Dr. Coblentz' "expert" testimony because of allegiance allegedly owed by the physician to his patient, plaintiff, and the failure to submit a report by Dr. Coblentz, causing surprise to plaintiff's attorney.

At the Rule 8 hearing, the court informed the doctor that he did not have to serve voluntarily as an expert for his patient's adversary in litigation. Lazorick v. Brown, 195 N.J.Super. 444, 457, 480 A.2d 223 (App.Div.1984); Doe v. Eli Lilly & Co., Inc., 99 F.R.D. 126, 128 (D.D.C.1983). Dr. Coblentz's reply was "I have an obligation for truth. I consider myself to be a highly ethical physician. I will state the facts of my opinion as I see them without influence one way or the other."

When questioned further by plaintiff's attorney whether there was a duty of loyalty to his patient, Dr. Coblentz stated: "To a patient who hasn't paid my bill, to a patient who doesn't come for follow up unless his attorney comes to ...."

He said further that a treating physician's function is to make the patient well and that he had told the patient that there had been a full recovery.

The last time Dr. Coblentz saw plaintiff was on November 25, 1985, when plaintiff's lawyer made an appointment for plaintiff. Dr. Coblentz testified that at that time he was of the opinion that the primary injury, which had caused a myocardial contusion, was not permanent and the doctor told plaintiff that he was fine. The last note on Dr. Coblentz' chart was "full recovery, no permanent injuries."

Dr. J. Harold Bennett, an examining orthopaedist for defendant, testified that plaintiff had made a good recovery and sustained no permanent injury, except for residual scarring from the thoracotomy and the lacerations to his knees.

The primary objection of plaintiff's attorney was that Dr. Coblentz should not be permitted to render an expert opinion because he did not submit a report. However, the fallacy with this specious argument is that it was the attorney for plaintiff who sent plaintiff to Dr. Coblentz for a final examination and it was plaintiff's attorney who "failed" to obtain an expert's report. In addition, defendant, in answers to interrogatories requesting the names of persons with relevant knowledge of the facts, responded with the names of several lay witnesses together with all other persons mentioned in answers to interrogatories of plaintiff and defendant.

A judge may exclude the testimony of an expert whose report is not furnished pursuant to Rules 4:17-4(a) and 4:23-5(b). The application of the sanction is consigned to the sound discretion of the judge, subject only to the rule that the sanction visited upon the party must be just and reasonable. The factors which would "strongly urge" the trial judge, in the exercise of his discretion, to suspend the imposition of sanctions are: (1) the absence of a design to mislead, (2) the absence of the element of surprise if the evidence is admitted, and (3) the absence of prejudice which would result from the admission of the evidence. This accords with the overriding objective of giving the defaulting party his day in court, with due regard, however, to protecting the opposing party from the effects of surprise or other prejudicial factors. Westphal v. Guarino, 163 N.J.Super. 139, 145-146, 394 A.2d 377 (App.Div.1978), aff'd o.b. 78 N.J. 308, 394 A.2d 354 (1978).

In this case, there was no design to mislead. Plaintiff, and presumably his attorney, cannot validly claim surprise since the evidence sought to be introduced was told to plaintiff when plaintiff's attorney sent him to the doctor, presumably for a final evaluation. Plaintiff and his attorney have always known that the person who is most familiar with plaintiff's condition and prognosis is his attending physician, Dr. Coblentz. Similarly, there can be no claim of prejudice other than the effects of testimony disputing a party's claim. In reality, of course, all evidence offered by a party against another party is prejudicial or it would not be offered.

Since plaintiff's attorney apparently did not receive an oral or written report from plaintiff's treating physician, technically, he may not have been required to furnish defendant a report of the physician. R. 4:17-4(e). Cf. Serrano v. Levitsky, 215 N.J.Super. 454, 521 A.2d 1377 (Law Div.1986). But, how can the attorney now complain that, because of his failure to obtain a report, he is surprised that the physician made a prognosis (of no permanency) when he discharged plaintiff?

The purpose of the patient-physician privilege is to enable the patient to secure medical services without fear of betrayal and unwarranted embarrassing and detrimental disclosure in court of information which might deter him from revealing his symptoms to a doctor to the detriment of his health. Piller v. Kovarsky, 194 N.J.Super. 392, 396, 476 A.2d 1279 (Law Div.1984).

The physician-patient privilege is a statutory creation in derogation of the common law. In fact, the common law rule of no privilege still applies in England and several states in this country. For a survey discussion, see 8 Wigmore, Evidence § 2380; "The Physician-Patient Privilege," 56 Northwestern L. Rev. 263 (1961).

However, it is questionable whether the expectation of privacy continues once the medical condition is revealed to the world at large in a civil lawsuit. When a plaintiff places a physical or mental condition at issue by way of filing a lawsuit, what further purpose is met by maintaining the privilege? "In the first...

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9 cases
  • Carson v. Fine
    • United States
    • Washington Supreme Court
    • February 10, 1994
    ...(fiduciary nature of the relationship precludes physician from testifying against his patient); but see Kurdek v. West Orange Bd. of Educ., 222 N.J.Super. 218, 536 A.2d 332 (1987) (treating physician's adverse testimony admissible because physician-patient privilege waived by placing physic......
  • State v. CIBA-GEIGY Corp.
    • United States
    • New Jersey Superior Court — Appellate Division
    • April 10, 1991
    ...(1978), cert. denied New York Times Co. v. N.J., 439 U.S. 997, 99 S.Ct. 598, 58 L.Ed.2d 670 (1978); Kurdek v. West Orange Educ. Bd., 222 N.J.Super. 218, 226, 536 A.2d 332 (Law Div.1987). Further, it may be difficult for the prosecutor to tell whether a corporate employee's statements can be......
  • State v. Szemple
    • United States
    • New Jersey Superior Court — Appellate Division
    • February 22, 1993
    ...defendants from interviewing plaintiff's treating physician in a medical malpractice trial. Accord Kurdek v. West Orange Bd. of Educ., 222 N.J.Super. 218, 226, 536 A.2d 332 (Law Div.1987). And in In re Murtha, 115 N.J.Super. 380, 387, 279 A.2d 889 (App.Div.), certif. denied, 59 N.J. 239, 28......
  • Stigliano by Stigliano v. Connaught Laboratories, Inc.
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    • New Jersey Supreme Court
    • May 31, 1995
    ...State v. Dyal, 97 N.J. 229, 237, 478 A.2d 390 (1984); see Graham, supra, 126 N.J. at 373, 599 A.2d 149; Kurdek v. Board of Educ., 222 N.J.Super. 218, 226, 536 A.2d 332 (Law Div.1987); McCormick, Handbook of the Law of Evidence § 105 at 390 (4th ed. 1992) (McCormick) (stating that privilege ......
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