Stansfield v. Gardner

Decision Date08 October 1937
Docket Number26387.
PartiesSTANSFIELD v. GARDNER.
CourtGeorgia Court of Appeals

Rehearing Denied Nov. 4, 1937.

Syllabus by the Court.

1. "A private hospital in which patients are placed for treatment by their physicians, and which undertakes to care for the patients and supervise and look after them, is under the duty to exercise such reasonable care in looking after and protecting a patient as the patient's condition which is known to the hospital through its agents and servants charged with the duty of looking after and supervising the patient, may require. This duty extends to safeguarding and protecting the patient from any known or reasonably apprehended danger from himself which may be due to his mental incapacity, and to use ordinary and reasonable care to prevent it."

(a) Although in the present case the defendant was originally under a duty to provide a special attendant, as provided by contract with the father of the plaintiff, for the patient while being treated and cared for in the hospital of the defendant, it was shown by competent evidence that at the time of the injury to the plaintiff the defendant was under no special duty to have an attendant with the plaintiff constantly, the father having authorized the defendant to limit the special supervision in accordance with the latter's judgment, consistently with the condition of the plaintiff, as determined by the defendant, in order to reduce the expense being sustained by the father, who advised that he did not wish to be "penny wise and pound foolish," but desired to leave the entire matter in the hands of the defendant. The defendant having given his judgment that the special attendant was necessary only while the patient was outside of the building, and having in good faith acted to his prejudice on the authority given by the father and made a reduction in charges, the father would be estopped from claiming that the original contract in reference to the special attendant had not been fully complied with; and hence the plaintiff could not complain in that respect, although he would nevertheless not be deprived of the right to avail himself of the protection otherwise afforded under the law as to the care and diligence due him as a patient by the defendant. Whether at the time of the injury ordinary and reasonable care on the part of the defendant required that the plaintiff have an attendant with him at the moment of his injury was a question for the jury.

(b) The evidence, though conflicting, was sufficient to authorize the jury to return a verdict for the defendant.

2-10. None of the special grounds of the motion for new trial shows reversible error.

11. The court did not err in overruling the motion for new trial.

Error from City Court of Decatur; Frank Guess, Judge.

Action by C. A. Stansfield against W. A. Gardner. Judgment for defendant, and plaintiff brings error.

Affirmed.

FELTON J., dissenting.

In a hospital patient's action for injuries, an instruction that if the jury believe the people who had charge of plaintiff, under the care of defendant, were the agents of defendant, etc., is not erroneous as requiring the jury to determine an issue of agency not raised by the pleadings, and because the attendants were in fact employees, where, in view of the full charge, the jury could not have been confused or required to enter upon an inquiry not necessary as to the liability of defendant for the negligence of the attendants.

J Howell Green, of Decatur, for plaintiff in error.

Bryan, Middlebrooks & Carter, of Atlanta, and B. H. Burgess, of Decatur, for defendant in error.

SUTTON Judge.

Charles A. Stansfield brought suit against W. A. Gardner for damages on account of injuries which he sustained because of alleged negligence of the defendant at a time when the plaintiff was a patient in the private hospital operated by the defendant. The defendant denied the material allegations of the petition, and specially pleaded that the plaintiff was placed in the hospital by his parents under an original agreement that the defendant was to be paid $50 as an admission fee, $35 per week for room and board, and $25 per week for a special attendant for the patient; that in January, 1935, the father requested the defendant to dispense with the special attendant, and it was agreed between the father and the defendant that the defendant would not furnish the patient with a special attendant at all times, but would furnish such an attendant only when the patient was out of the hospital building for walks, exercise, etc., and that thereafter the total charges for all services rendered to the patient, including room and board, were reduced to $50 per week, including the services of a special attendant while the patient was outside of the hospital building. The jury returned a verdict in favor of the defendant. The plaintiff filed a motion for new trial on the general grounds and on several special grounds which are hereinafter referred to. The exception is to the judgment overruling the motion for new trial.

The material evidence on the trial of the case was substantially as follows: The plaintiff, before his illness which made necessary his treatment in the hospital of the defendant, was an adult young man of superior mentality. He had received a Master of Arts degree from a university of note, and was further prosecuting his studies for a Doctor's degree when he suffered a nervous breakdown which resulted in temporary insanity. On or about August 18, 1934, at the instance of his parents, he was placed in the institution of the defendant at Stone Mountain, Ga., in order that he might be properly cared for and treated for his mental condition. The defendant, Gardner, made an admission charge of $50, and it was agreed that the father would pay $35 per week for the son's board and $25 per week for a special attendant. The defendant, who was a physician, and was a specialist in nervous and mental diseases, subsequently diagnosed the patient's mental condition as dementia praecox. There was testimony from one or two other physicians that it was of the manic depressive type. It was shown that a person suffering from the latter type is susceptible to contrasting moods, sometimes experiencing a feeling of lofty well being, manifested by intense activity, and at other times falling into marked depression, in which last-named condition there is a frequent tendency to commit suicide. In the case of dementia praecox there is sometimes, though less often than in the other type, a similar tendency. The plaintiff, who has been declared to be fully recovered, testified that he could recall that in his stay at the hospital he was often disposed to destroy himself and meditated on how he might accomplish that end, but that the opportunity did not present itself. Attendants and his nurse testified that at no time did he indicate that in his condition he might harm himself. One of the attendants testified that he had accompanied him to the top of Stone Mountain, an enormous monolith in the vicinity of the hospital, and that the plaintiff had been near the edge thereof, but made no effort to commit suicide by jumping or otherwise; and that during their walks he had many opportunities to throw himself in front of automobiles but never did. It was found necessary, in the early part of his stay at the hospital, to confine the patient in a room fortified by bars in order to prevent his escape and to properly protect him. But there was testimony that he had gradually improved, had gained weight, and his mental condition was such, shortly before the injuries sued for, that he realized the need of the treatment he was receiving, expressed a desire to co-operate, and the defendant had written to the patient's father that he hoped the son would be able to return home in a few weeks. The plaintiff, however, testified that about a week before the occurrence he had been confined in the "locker," but, although at the time of the injury he was rooming on the second floor, where patients were not in barred rooms, he had little confidence in himself and so expressed himself to the defendant.

As the case involves the question of what care and attention the plaintiff was entitled to receive as a patient, it is pertinent to set out here certain correspondence between the father of the plaintiff and the defendant. On January 28 1935, the father wrote to the defendant as follows: "It is the financial circumstances under which I am laboring prompts me to write you this letter. Yet bear in mind I do not wish 'to be penny wise and pound foolish' in the matter; therefore I am leaving it entirely up to your judgment, and will abide entirely by what you say. I am wondering if we could reduce Mr. Gillman's [the attendant's] services, say one-half, or give Chas. half a day, or every other day, and thus reduce my bill $12.50 a week or $50 per month. Say from Feb. 1st for two weeks. As time goes on you know my indebtedness to you is increasing every week. This I regret, and circumstances are so I see no chance to better them. Also I have thought that after a trial as suggested above that if he still improves and becomes more and more normal that we might try dispensing with Mr. Gillman's services and throwing him entirely on his own man, restricting him as to territory, and time to come back to report, for meals and keeping him in after supper until retirement time. Of course, this is to be taken into consideration, that his mind had improved to the extent that you can have a heart-to-heart talk with him. If he is back to anywhere near normal, and he will give you his word to comply in every respect to your wishes, he will in no way violate it. If you wish,...

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