Professional Documents
Culture Documents
122445 November 18, 1997 fourth element of reckless imprudence: that the injury to the person
or property was a consequence of the reckless imprudence.
DR. NINEVETCH CRUZ, petitioner, vs. COURT OF APPEALS and
LYDIA UMALI, respondents. Whether or not a physician has committed an "inexcusable
lack of precaution" in the treatment of his patient is to be determined
Facts: according to the standard of care observed by other members of the
profession in good standing under similar circumstances bearing in
The present case against petitioner is in the nature of a mind the advanced state of the profession at the time of treatment or
medical malpractice suit, which in simplest terms is the type of claim the present state of medical science. The prosecution's expert
which a victim has available to him or her to redress a wrong witnesses in the persons of Dr. Floresto Arizala and Dr. Nieto
committed by a medical professional which has caused bodily harm. Salvador, Jr. of the National Bureau of Investigation (NBI) only
The petitioner and one Dr. Lina Ercillo who was the attending testified as to the possible cause of death but did not venture to
anaesthesiologist during the operation of the deceased were charged illuminate the court on the matter of the standard of care that
with "reckless imprudence and negligence resulting to (sic) homicide petitioner should have exercised. Expert testimony should have been
for the untimely death of said Lydia Umali on the day following her offered to prove that the circumstances cited by the courts below are
surgical operation. constitutive of conduct falling below the standard of care employed by
other physicians in good standing when performing the same
Rowena Umali De Ocampo, accompanied her mother, Lydia,
operation. It must be remembered that when the qualifications of a
to the Perpetual Help Clinic and General Hospital. Lydia was examined
physician are admitted, as in the instant case, there is an inevitable
by the petitioner who found a "myoma" in her uterus, and scheduled
presumption that in proper cases he takes the necessary precaution
her for a hysterectomy operation on March 23, 1991. Because of the
and employs the best of his knowledge and skill in attending to his
untidy state of the clinic, Rowena tried to persuade her mother not to
clients, unless the contrary is sufficiently established. This
proceed with the operation. The following day, before her mother
presumption is rebuttable by expert opinion which is so sadly lacking
was wheeled into the operating room, Rowena asked the petitioner if
in the case at bench.
the operation could be postponed. Lydia then informed Rowena that
the petitioner told her that she must be operated on as scheduled. In litigations involving medical negligence, the plaintiff has
Rowena and her other relatives waited outside the operating room the burden of establishing appellant's negligence and for a reasonable
while Lydia underwent operation. While they were waiting, Dr. Ercillo conclusion of negligence, there must be proof of breach of duty on
went out of the operating room and instructed them to buy tagamet the part of the surgeon as well as a causal connection of such breach
ampules which Rowena's sister immediately bought. About one hour and the resulting death of his patient. It is significant to state at this
had passed when Dr. Ercillo came out again this time to ask them to juncture that the autopsy conducted by Dr. Arizala on the body of
buy blood for Lydia. After the lapse of a few hours, the petitioner Lydia did not reveal any untied or unsutured cut blood vessel nor was
informed them that the operation was finished. Some thirty minutes there any indication that the tie or suture of a cut blood vessel had
after, Lydia was brought out of the operating room in a stretcher and become loose thereby causing the hemorrhage. This Court has no
the petitioner asked Rowena and the other relatives to buy additional recourse but to rely on the expert testimonies rendered by both
blood for Lydia. Unfortunately, they were not able to comply with prosecution and defense witnesses that substantiate rather than
petitioner's order as there was no more type "A" blood available in contradict petitioner's allegation that the cause of Lydia's death was
the blood bank. Thereafter, a person arrived to donate blood which DIC which, as attested to by an expert witness, cannot be attributed
was later transfused to Lydia. to the petitioner's fault or negligence. The probability that Lydia's
death was caused by DIC was unrebutted during trial and has
Rowena then noticed her mother, who was attached to an
engendered in the mind of this Court a reasonable doubt as to the
oxygen tank, gasping for breath. Apparently the oxygen supply had
petitioner's guilt. Thus, her acquittal of the crime of reckless
run out and Rowena's husband together with the driver of the
imprudence resulting in homicide, but this Court finds the petitioner
accused had to go to the San Pablo District Hospital to get oxygen.
civilly liable for the death of Lydia Umali, for while a conviction of a
Lydia was given the fresh supply of oxygen as soon as it arrived. But
crime requires proof beyond reasonable doubt, only a preponderance
at around 10:00 o'clock P.M. she went into shock and her blood
of evidence is required to establish civil liability.
pressure dropped to 60/50. Lydia's unstable condition necessitated
her transfer to the San Pablo District Hospital so she could be WHEREFORE, premises considered, petitioner DR. NINEVETCH CRUZ
connected to a respirator and further examined. Upon Lydia's arrival is hereby ACQUITTED of the crime of reckless imprudence resulting in
at the San Pablo District Hospital, she was wheeled into the operating homicide but is ordered to pay the heirs of the deceased Lydia Umali
room and the petitioner and Dr. Ercillo re-operated on her because the amount of FIFTY THOUSAND PESOS (P50,000.00) as civil liability,
there was blood oozing from the abdominal incision. While the ONE HUNDRED THOUSAND PESOS (P100,000.00) as moral damages,
petitioner was closing the abdominal wall, the patient died. Lydia and FIFTY THOUSAND PESOS (P50,000.00) as exemplary damages.
Umali was pronounced dead. Her death certificate states "shock" as
the immediate cause of death and "Disseminated Intravascular
Coagulation (DIC)" as the antecedent cause.
PRECIOLITA V. CORLISS vs. THE MANILA RAILROAD COMPANY
Trial ensued after both the petitioner and Dr. Lina Ercillo G.R. No. L-21291, March 28, 1969
pleaded not guilty to the above-mentioned charge. On March 4, 1994,
the Municipal Trial Court in Cities (MTCC) of San Pablo City rendered FACTS: Ralph Corliss Jr. was an air police of the Clark Air Force Base.
a decision finding the accused Dra. Lina Ercillo not guilty of the The jeep he was driving while accompanied with a P.C. soldier,
offense charged for insufficiency of evidence while her co-accused collided with a locomotive of Manila Railroad Company (MRC) close to
Dra. Ninevetch Cruz is hereby held responsible for the death of Lydia midnight at the railroad crossing in Balibago, Angeles, Pampanga, in
Umali on March 24, 1991, and therefore guilty under Art. 365 of the front of the Clark Air Force Base. Corliss Jr. died of serious burns at
Revised Penal Code. The RTC and the Court of Appeals affirmed the the hospital the next day, while the soldier sustained serious physical
MTCC in toto and further directed petitioner to pay the heirs of Lydia injuries and burns.
Umali P50,000.00 as indemnity for her death.
In the decision appealed from, the lower court, after summarizing the
Issue: Won petitioner is guilty of reckless imprudence resulting in evidence, concluded that the deceased in his eagerness to beat, so
homicide? to speak, the oncoming locomotive, took the risk and attempted to
reach the other side, but unfortunately he became the victim of his
Held: own miscalculation.
No. This Court finds the foregoing circumstances insufficient to The negligence imputed to MRC was thus ruled out by the lower
sustain a judgment of conviction against the petitioner for the crime court, satisfactory proof to that effect, in its opinion, being lacking.
of reckless imprudence resulting in homicide. The elements of Hence this appeal direct to us, the amount sought in the concept of
reckless imprudence are: (1) that the offender does or fails to do an damages reaching the sum of P282,065.40.
act; (2) that the doing or the failure to do that act is voluntary; (3)
that it be without malice; (4) that material damage results from the ISSUE: WON the lower courts decision is erroneous
reckless imprudence; and (5) that there is inexcusable lack of
precaution on the part of the offender, taking into consideration his HELD: The decision of the lower court dismissing the complaint, is
employment or occupation, degree of intelligence, physical condition, affirmed.
and other circumstances regarding persons, time and place.
NO. The lower court judgment has in its favor the presumption of
Even granting arguendo that the inadequacy of the facilities correctness. It is entitled to great respect. In the absence of
and untidiness of the clinic; the lack of provisions; the failure to compelling reasons, [the factual] determination is best left to the trial
conduct pre-operation tests on the patient; and the subsequent judge why had the advantage of hearing the parties testify and
transfer of Lydia to the San Pablo Hospital and the reoperation observing their demeanor on the witness stand.
performed on her by the petitioner do indicate, even without expert
testimony, that petitioner was recklessly imprudent in the exercise of But more importantly, this action is predicated on negligence, the
her duties as a surgeon, no cogent proof exists that any of these Civil Code making clear that whoever by act or omission causes
circumstances caused petitioner's death. Thus, the absence of the damage to another, there being negligence, is under obligation to pay
for the damage done. Unless it could be satisfactorily shown,
therefore, that MRC was guilty of negligence then it could not be held TC ruled in favor of the Mables. CA affirmed but reduced the award
liable. The crucial question, therefore, is the existence of negligence. ofdamages.
The failure to observe for the protection of the interests of another YES. The doctrine of res ipsa loquitor is applicable to the case. The
person that degree of care, precaution and vigilance which the CA, therefore, had basis to find Cruz liable for the loss sustained by
circumstance justly demand whereby such other person suffers the Mables.
injury.
The doctrine of res ipsa loquitur, may be stated as follows:
There was likewise a reliance on Ahern v. Oregon Telephone Co.
Where the thing which caused the injury complained of is shown to be
Thus:
under the management of the defendant or his servants and the
Negligence is want of the care required by the circumstances. It is a accident is such as in the ordinary course of things does not happen if
relative or comparative, not an absolute term and its application those who have its management or control use proper care, it affords
depends upon the situation of the parties and the degree of care and reasonable evidence, in the absence of explanation by the defendant,
vigilance which the circumstances reasonably require. Where the that the accident arose from want of care. [Africa v. Caltex
danger is great, a high degree of care is necessary, and the failure to (Phil.),Inc., G.R. No. L12986, March 31, 1966, 16 SCRA 448.]
observe it is a want of ordinary care under the circumstances.
The facts of the case likewise call for the application of the doctrine,
To repeat, by such a test, no negligence could be imputed to MRC and considering that in the normal course of operations of a furniture
the action of Corliss must necessarily fail. The facts being what they manufacturing shop, combustible material such as wood chips,
are, compel the conclusion that the liability sought to be fastened on sawdust, paint, varnish and fuel and lubricants for machinery may be
MRC had not arisen. found thereon.
Finally, each and every case on questions of negligence is to be It must also be noted that negligence or want of care on the part of
decided in accordance with the peculiar circumstances that present petitioneror its employees was not merely presumed.Cruz failed to
themselves. There can be no hard and fast rule. There must be that construct a firewall between its shop and the residenceof the Mables
observance of that degree of care, precaution, and vigilance which as required by a city ordinance:
the situation demands.
- that the fire could have been caused by a heated motor or a
litcigarette
Africa vs. Caltex, 16 SCRA 448 - that gasoline and alcohol were used and stored in the shop; and
Facts: In the afternoon of March 18, 1948, a fire broke out at the - that workers sometimes smoked inside the shop
Caltex service station at the corner of Antipolo St. and Rizal Avenue,
Even without applying the doctrine of res ipsa loquitur, Cruz's failure
Manila. It started while gasoline was being hosed from a tank truck
to construct a firewall in accordance with city ordinances would suffice
into the underground storage, right at the opening of the receiving
to support a finding of negligence.Even then the fire possibly would
tank where the nozzle of the hose was inserted. The fire spread to
not have spread to the neighboring houses were it not for another
and burned several houses. The owners, among them petitioner
negligent omission on the part of defendants, namely, their failure to
spouses Africa and heirs of Ong, sued respondents Caltex Phil., Inc.,
provide a concrete wall high enough to prevent the flames from
the alleged owner of the station, and Mateo Boquiren, the agent in
leaping over it. Defendant's negligence,therefore, was not only with
charge of its operation, for damages. The CFI and CA found that the
respect to the cause of the fire but also with respect tothe spread
petitioners failed to prove negligence of the respondents, and that
thereof to the neighboring houses.
there was due care in the premises and with respect to the
supervision of their employees. In the instant case, with more reason should petitioner be found
guilty of negligence since it had failed to construct a firewall between
Issue: Whether or not, without proof as to the cause and origin of the
its property and private respondents' residence which sufficiently
fire, the doctrine of res ipsa loquitur should apply so as to presume
complies with the pertinent city ordinances. The failure to comply with
negligence on the part of the respondents.
an ordinance providing for safety regulations had been ruled by the
Held: Yes. Res ipsa loquitur literally means the thing or transaction Court as an act of negligence [Teague v. Fernandez, G.R. No. L-
speaks for itself. For the doctrine of res ipsa loquitur to apply, the 29745, June 4, 1973, 51 SCRA 181.]
following requisites should be present: (a) the accident is of a kind
REPUBLIC VS. LUZON STEVEDORING
which ordinarily does not occur in the absence of someones
CORPORATION 21 SCRA 279
negligence; (b) it is caused by an instrumentality within the exclusive
FACTS:
control of the defendant or defendants; and (c) the possibility of
In the early afternoon of August 17, 1960, barge L-
contributing conduct which would make the plaintiff responsible is
1892, owned by the Luzon Stevedoring Corporation was
eliminated. In the case at bar, the gasoline station, with all its
being towed down the Pasig River by two tugboats when
appliances, equipment and employees, was under the control of
the barge rammed against one of the wooden piles of the
respondents. A fire occurred therein and spread to and burned the
Nagtahan bailey bridge, smashing the posts and causing
neighboring houses. The persons who knew or could have known how
the bridge to list. The river, at the time, was swollen and
the fire started were respondents and their employees, but they gave
the current swift, on account of the heavy downpour in
no explanation thereof whatsoever. It is a fair and reasonable
Manila and the surrounding provinces on August 15 and
inference that the incident happened because of want of care. The
16, 1960.
negligence of the employees was the proximate cause of the fire,
which in the ordinary course of things does not happen. Therefore,
The Republic of the Philippines sued Luzon
the petitioners are entitled to the award for damages.
Stevedoring for actual and consequential damage caused
by its employees, amounting to P200,000. Defendant
Corporation disclaimed liability on the grounds that it had
FF CRUZ & CO. V. CA, GR NO. 52732, AUG 29, 1988 exercised due diligence in the selection and supervision of
its employees that the damages to the bridge were caused
FACTS: by force majeure, that plaintiff has no capacity to sue, and
that the Nagtahan bailey bridge is an obstruction to
The furniture manufacturing shop of F.F. Cruz in Caloocan City was navigation.
situatedadjacent to the residence of the Mables.Sometime in August
1971, private respondent Gregorio Mable first approached Eric Cruz, After due trial, the court rendered judgment on
petitioner's plant manager, to request that a firewall be constructed June 11, 1963, holding the defendant liable for the damage
between the shop and Mables residence. The request was repeated caused by its employees and ordering it to pay plaintiff the
several times but they fell on deaf ears.In the early morning of actual cost of the repair of the Nagtahan bailey bridge
September 6, 1974, fire broke out in Cruzs shop.Cruzs employees, which amounted to P192,561.72, with legal interest from
who slept in the shop premises, tried to put out the fire, buttheir the date of the filing of the complaint.
efforts proved futile. The fire spread to the Mables house. Both the
shopand the house were razed to the ground.The Mables collected ISSUE:
P35,000.00 on the insurance on their house and thecontents Was the collision of appellant's barge with the
thereof.The Mables filed an action for damages against the Cruzs.The supports or piers of the Nagtahan bridge caused by
fortuitous event or force majeure?
vessel, or to decline to act as pilot. Under certain systems of foreign
RULING: law, the pilot does not take entire charge of the vessel, but is deemed
Yes. Considering that the Nagtahan bridge was an merely the adviser of the master, who retains command and control
immovable and stationary object and uncontrovertedly of the navigation even in localities where pilotage is compulsory. It is
provided with adequate openings for the passage of water quite common for states and localities to provide for compulsory
craft, including barges like of appellant's, it was undeniable pilotage, and safety laws have been enacted requiring vessels
that the unusual event that the barge, exclusively approaching their ports, with certain exceptions, to take on board
controlled by appellant, rammed the bridge supports raises pilots duly licensed under local law. The purpose of these laws is to
a presumption of negligence on the part of appellant or its create a body of seamen thoroughly acquainted with the harbor, to
employees manning the barge or the tugs that towed it. For pilot vessels seeking to enter or depart, and thus protect life and
in the ordinary course of events, such a thing will not property from the dangers of navigation. Upon assuming such office
happen if proper care is used. In Anglo American as compulsory pilot, Capt. Gavino is held to the universally accepted
Jurisprudence, the inference arises by what is known as high standards of care and diligence required of a pilot, whereby he
the "res ipsa loquitur" rule assumes to have skill and knowledge in respect to navigation in the
The appellant strongly stressed the precautions particular waters over which his license extends superior to and more
taken by it on the day in question: that it assigned two of to be trusted than that of the master. He is not held to the highest
its most powerful tugboats to tow down river its barge L- possible degree of skill and care, but must have and exercise the
1892; that it assigned to the task the more competent and ordinary skill and care demanded by the circumstances, and usually
experienced among its patrons, had the towlines, engines shown by an expert in his profession. Under extraordinary
and equipment double-checked and inspected' that it instructed its circumstances, a pilot must exercise extraordinary care. In this case,
patrons to take extra precautions; and Capt. Gavino failed to measure up to such strict standard of care and
concludes that it had done all it was called to do, and that diligence required of pilots in the performance of their duties. As pilot,
the accident, therefore, should be held due to force he should have made sure that his directions were promptly and
majeure or fortuitous event. strictly followed.
ISSUE:
176 AS JR 1215PM 9 PAID MANDALUYONG JUL 22-66 LORETO HELD:
DIONELA CABANGAN LEGASPI CITY
WIRE ARRIVAL OF CHECK FER 1. Rakes was negligent. He disobeyed the orders of his superiors
LORETO DIONELA-CABANGAN-WIRE ARRIVAL OF CHECK-PER when he walked alongside the car instead of in front or behind it.
115 PM
SA IYO WALANG PAKINABANG DUMATING KA DIYAN-WALA-KANG 2. Atlantic is liable to Rakes. The negligence of Rakes will not totally
PADALA DITO KAHIT BULBUL MO bar him from recovering anything from Atlantic, although the liability
of the latter will be mitigated as a result of Rakes contributory
Loreto Dionela alleges that the defamatory words on the telegram negligence. This is because although Rakes contributed with his own
sent to him wounded his feelings, caused him undue embarrassment negligence, the primary cause of the accident was still the weak rails
and affected adversely his business because other people have come which Atlantic refused to repair.
to know of said defamatory words. RCPI alleges that the additional
Distinction must be made between the accident and the injury,
words in Tagalog was a private joke between the sending and
between the event itself, without which there could have been no
receiving operators, that they were not addressed to or intended for
accident, and those acts of the victim not entering into it,
plaintiff and therefore did not form part of the telegram, and that the
independent of it, but contributing to his own proper hurt.
Tagalog words are not defamatory.
Where he contributes to the principal occurrence as one of its
The RTC ruled that the additional words are libelous for any person
determining factors, he cannot recover. Where, in conjunction with
reading the same would logically think that they refer to Dionela, thus
the occurrence, he contributes only to his own injury, he may recover
RCPI was ordered to pay moral damages in the amount of P40,
the amount that the defendant responsible for the event should pay
000.00. The Court of Appeals affirmed the decision ruling that the
for such injury, less a sum deemedequivalent for his own imprudence.
company was negligent and failed to take precautionary steps to
avoid the occurrence of the humiliating incident, and the fact that a We are with reference to such obligations, that culpa or negligence,
copy of the telegram is filed among other telegrams and open to may be understood in two different senses: either as culpa,
public is sufficient publication; however reducing the amount awarded substantive and independent, which on account of its origin arises in
to P15, 000.00 an obligation between two persons not formerly bound by any other
obligation; or as an incident in the performance of an obligation; or as
Issue:
already existed, which cannot be presumed to exist without the other,
Whether or not the company should answer directly and primarily for and which increases the liability arising from the already existing
the civil liability arising from the criminal act of its employee. obligation.
Ruling:
FACTS:
ISSUES: