Room v. Caribe Hilton Hotel, 80-1607

• Decision Date: 14 September 1981
• Docket Number: No. 80-1607,80-1607
• Citation: 659 F.2d 5
• Parties: Herbert ROOM, Plaintiff, Appellant, v. CARIBE HILTON HOTEL, Defendant, Appellee.
• Court: U.S. Court of Appeals — First Circuit

Page 5

659 F.2d 5

Herbert ROOM, Plaintiff, Appellant, v. CARIBE HILTON HOTEL, Defendant, Appellee.

No. 80-1607.

United States Court of Appeals, First Circuit.

Argued June 1, 1981.

Decided Sept. 14, 1981.

Jose E. Fernandez Sein, Rio Piedras, P. R., with whom Harvey B. Nachman, Santucce, P. R., was on brief, for plaintiff, appellant.

Charles DeMier Leblanc, Hato Rey, P. R., with whom A. Miranda Cardenas, De Corral & Rodriguez, Old San Juan, P. R., was on brief, for defendant, appellee.

Before COFFIN, Chief Judge, CAMPBELL and BREYER, Circuit Judges.

LEVIN H. CAMPBELL, Circuit Judge.

Plaintiff Herbert Room commenced this diversity action to recover damages allegedly arising out of a heart attack he suffered on November 24, 1976, while a guest at defendant Caribe Hilton Hotel. At the close of plaintiff's case-in-chief, the district court granted a directed verdict for defendant and plaintiff appeals. We affirm.

The facts as viewed in the light most favorable to plaintiff, see, e. g., Carlson v. American Safety Equipment Corp., 528 F.2d 384, 385 (1st Cir. 1976), are as follows. Herbert Room arrived in Puerto Rico on November 24, 1976 and registered as a guest at the Caribe Hilton Hotel in San Juan. That evening, Room gambled at the hotel casino. As he was leaving the casino, he began to feel weak and returned to his room. Upon arriving there, he felt nauseous, and therefore called the hotel operator, after reading the following section in the hotel service directory:

A registered nurse is on duty, and a qualified physician is available at all times. Call doctor's office for appointment 8:30 A.M. to 5:00 P.M., Monday through Friday. After hours and Saturdays and Sundays, call: Telephone operator. Nurse will be glad to make dental appointments. Call: Ext. 1740.

this first call to the operator took place, according to Room, at 7:30 p. m. He requested a doctor, although he did not describe his symptoms, and testified that the operator told him she would get him one. At 11:30 p. m., he called the operator and again requested a doctor, again making no mention of his symptoms. The operator tried to call one of three doctors listed on a hotel roster as available to treat guests, but his line was busy. She then called Room, who told her to keep trying. Five or ten minutes later she tried again to call the doctor, but his line was still busy. She informed Room, who again asked her to keep trying. She tried to call the other doctors on the list, but was unable to make contact with any of them. Once again, she called Room, who again asked her to keep trying. At no time did she call the 24-hour emergency number of the San Jorge Hospital, although that number was also listed on her roster. Eventually, Room called some friends in Puerto Rico, who advised him to take a cab to the Presbyterian Hospital which he did. They also called the hotel operator and informed her that she could stop trying to call the doctor.

Room arrived at the hospital at approximately 1:15 a. m. His condition was diagnosed as a myocardial infarction, or heart attack. He remained hospitalized for almost a month. In the course of that time, he suffered two more serious incidents involving his heart, acute cardiac failure on November 30, and paroxysmal tachycardia on December 8.

After being released from the hospital, Room returned to his home in New York and took a job as a converter in the textile industry. He quit approximately nine months later because he was unable to keep enough information in his head to do his job satisfactorily. He now suffers from a poor memory and head pains, complaints he never had before his heart attack.

Room sued the hotel, alleging that it had breached a duty under Puerto Rico law to provide him with adequate medical care by failing to put him in touch with a doctor from the time he first called the operator until he left for the hospital. Room alleged that this delay caused him permanent brain damage, and claimed $1 million in damages for hospital and medical expenses, loss of earnings, and pain and suffering. In directing a verdict for the defendant, the district court found, inter alia, that the delay in providing plaintiff with medical attention was not a proximate cause of his injuries. ¹

Assuming arguendo that the defendant breached a duty to exercise reasonable care in providing medical care to its guests, ² the plaintiff must still establish a causal relation between the defendant's negligence and the plaintiff's injury. See, e. g., Portilla v. Carreras Schira, 95 P.R.R. 785, 793 (1968). In discussing this issue, it is necessary to distinguish the plaintiff's permanent brain damage from any pain and mental anguish he may have suffered during the time when the defendant failed to provide him with a doctor. We shall address the permanent injuries first.

The plaintiff's sole expert testimony concerning his medical condition was given by Dr. Jose Luis Freyre, a clinical neurologist. Dr. Freyre examined the plaintiff on November 1, 1978. He had no contact with plaintiff at any time prior to this; specifically, he did not treat plaintiff during his hospitalization in 1976.

Dr. Freyre testified as to plaintiff's loss of some cerebral function, and testified further that the heart attack of November 24 could have caused this condition. On cross-examination, however, he admitted that the hospital's records of plaintiff's condition at the time of his admission were not complete enough to determine with any degree of certainty whether the November 24 attack did indeed cause any brain damage. In particular, the lack of any information as to plaintiff's blood pressure at the time of admission made it impossible for Dr. Freyre to ascertain whether the attack had resulted in any...