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GRENINGER v. FISCHER
Case Summary: Elizabeth Greninger v. Ray Fischer et al. (Court of Appeal of California, First District, Division One, Sept. 23, 1947)
Factual and Procedural Background
Plaintiff (Elizabeth Greninger) brought an action against the defendants, licensed physicians, seeking recovery for injuries allegedly resulting from negligent treatment and diagnosis. The complaint alleged an injury on or about February 11, 1945, that defendants undertook treatment "immediately thereafter," and that by reason of defendants' carelessness and lack of skill plaintiff suffered damages (claimed in the amount of $25,000). The complaint also alleged that plaintiff relied on defendants' assurances and did not seek other medical care until on or about June 15, 1945.
Defendants filed separate general and special demurrers. The trial court sustained the demurrers without leave to amend, entered judgment for defendants, and noted in its orders that "no one appearing as counsel for plaintiff." The record does not indicate that plaintiff requested leave to amend. Plaintiff appealed from the judgment; the appellate court reversed.
Legal Issues Presented
- Whether, under Code of Civil Procedure section 472c and controlling authority, an appellate court may consider on appeal the trial court's ruling sustaining demurrers without leave to amend even though the plaintiff did not request leave to amend in the trial court.
- Whether the complaint sufficiently stated a cause of action for medical malpractice so as to withstand a general demurrer (i.e., whether negligence/malpractice may be pleaded in general terms and whether the complaint alleged the necessary elements).
- Whether the one-year statute of limitations (Code Civ. Proc., § 340, subd. 3) barred the action on the face of the complaint, given the pleading of discovery or termination of the physician-patient relationship.
- Whether the plaintiff's failure to appear in court to argue against the demurrers may be inferred as a waiver or abandonment of the cause of action.
- Whether it was an abuse of discretion for the trial court to sustain the demurrers without leave to amend, even if special demurrers were arguably well taken.
Arguments of the Parties
Respondents' (Defendants') Arguments
- The complaint is "replete with conclusions, inferences and non sequiturs, but lacking in any allegation of necessary facts" and therefore is insufficient as a matter of law (i.e., defendants contended the complaint fails to allege necessary factual detail).
- The complaint on its face shows the action is barred by the one-year statute of limitations (Code Civ. Proc., § 340, subd. 3); defendants pointed to the alleged dates and argued the limitations period had run.
- Because the trial court's orders recited "no one appearing as counsel for plaintiff," defendants argued that the trial court could infer that the plaintiff had abandoned or waived her cause of action as a result of failing to appear.
Table of Precedents Cited
| Precedent | Rule or Principle Cited For | Application by the Court |
|---|---|---|
| Wennerholm v. Stanford Univ. Sch. of Med., 20 Cal.2d 713 | That under Code Civ. Proc. § 472c an appellate court may review whether the trial court abused its discretion in sustaining a demurrer without leave to amend even if no request to amend was made in the trial court. | Cited to support the proposition that plaintiff's failure to request leave to amend does not preclude appellate review of whether sustaining the demurrer without leave to amend was an abuse of discretion. |
| Maguire v. Hibernia S. L. Soc., 23 Cal.2d 719 | Same general principle under § 472c regarding appellate review of sustaining demurrers without leave to amend. | Used with other authorities to establish the controlling rule that sustaining a demurrer without leave to amend may be reviewed on appeal. |
| Hancock Oil Co. v. Hopkins, 24 Cal.2d 497 | Rule that sustaining a demurrer without leave to amend may be an abuse of discretion in appropriate circumstances. | Cited as authority on abuse-of-discretion principle and later cited regarding reconsideration and possible clarification on remand. |
| Columbia Pictures Corp. v. DeToth, 26 Cal.2d 753 | Another supporting authority for appellate review under § 472c regarding leave to amend after demurrer sustained. | Relied on to show consistency in appellate treatment of sustaining demurrers without leave to amend. |
| Guilliams v. Hollywood Hospital, 18 Cal.2d 97 | That negligence (including medical malpractice) may be pleaded in general terms and a plaintiff need not plead detailed facts to survive a general demurrer. | Cited to support the court's conclusion that the complaint in the instant case adequately stated a malpractice cause of action against a general demurrer. |
| Rannard v. Lockheed Aircraft Corp., 26 Cal.2d 149 | Same principle: general pleading of negligence is permissible; detailed particulars are unnecessary to defeat a general demurrer. | Grouped with other authorities to demonstrate that the malpractice pleading here was sufficient. |
| Criss v. Angelus Hospital Assn., 13 Cal.App.2d 412 | Authority supporting the adequacy of general allegations of malpractice for purposes of a general demurrer. | Cited to show precedent for permitting general allegations of negligent medical treatment. |
| Abos v. Martyn, 31 Cal.App.2d 705 | Support for the rule that malpractice may be pleaded generally and survive a general demurrer. | Used to reinforce the court's conclusion that the complaint was sufficient. |
| Smith v. Beauchamp, 71 Cal.App.2d 250 | Same pleading rule regarding malpractice and general allegations of negligence. | Cited among authorities validating the sufficiency of the complaint's general negligent-treatment allegations. |
| Huysman v. Kirsch, 6 Cal.2d 302 | Established (and liberalized) the rule that the one-year statute of limitations for malpractice begins to run at discovery, or when by reasonable care plaintiff should have discovered the wrongful act, or at termination of the physician-patient relationship. | Relied upon to conclude the statute of limitations did not begin to run prior to plaintiff's alleged discovery (pleaded as on or about June 15, 1945), making the June 13, 1946 filing timely. |
| Trombley v. Kolts, 29 Cal.App.2d 699 | Followed Huysman in applying the discovery/termination rule to malpractice statute of limitations questions. | Cited as part of the line of cases establishing the discovery rule applicable to the one-year limitation in malpractice cases. |
| Petrucci v. Heidenreich, 43 Cal.App.2d 561 | Another case applying the discovery rule to the malpractice one-year limitation. | Included to show the settled nature of the discovery rule relied upon by the court. |
| Ehlen v. Burrows, 51 Cal.App.2d 141 | Likewise, authority applying discovery/termination doctrine to malpractice statutes of limitation. | Used to support the court's holding that the complaint pleaded discovery within one year. |
| Faith v. Erhart, 52 Cal.App.2d 228 | Another appellate decision in the line applying the Huysman discovery rule. | Grouped with the other cases to show consistency of authority on the timing of accrual in malpractice suits. |
| Antioch College v. Barnhart, 49 Cal.App.2d 171 | That a complaint is subject to a limitations demurrer only when it appears on the face of the pleading that the cause is barred, not merely that it may be barred. | Applied to reject defendants' argument that the phrase "on or about June 15, 1945" rendered the complaint fatally uncertain as to the discovery date. |
| Craig v. White, 187 Cal. 489 | Rule that waiver of a right cannot be established without a clear showing of intent to relinquish it; doubtful cases are resolved against waiver. | Quoted to reject defendants' contention that plaintiff's nonappearance could be taken as a waiver or abandonment of the cause of action. |
| Aronson v. Frankfort etc. Ins. Co., 9 Cal.App. 473 | Supporting authority on the requirements for establishing waiver by conduct. | Used alongside Craig to show that mere nonappearance does not demonstrate an intent to waive rights. |
| Richards v. Travelers' Ins. Co., 80 Cal. 505 | That a defendant's failure to argue a demurrer does not waive the defect asserted by the demurrer; the demurrer itself raises the issue of law and the court must decide it. | Analogized to the plaintiff's nonappearance: court relied on Richards to conclude that failing to appear should not be construed as a waiver of the cause of action. |
| Philip v. Durkee, 108 Cal. 300 | Held that overruling a demurrer is a decision on an issue of law and that failure to present argument is not a valid basis for ruling on waiver grounds. | Cited to reinforce the court's view that the court must decide the sufficiency of the pleading and should not infer waiver from nonappearance. |
| Washer v. Bank of America, 21 Cal.2d 822 | Authority regarding reconsideration and the court's ability to permit amendment or require clarification when demurrers are reconsidered. | Cited to support the statement that upon reconsideration of special demurrers the trial court may require clarification of uncertainties in the complaint rather than simply refusing leave to amend. |
Court's Reasoning and Analysis
The court's analysis proceeded in several steps closely tied to authority and the allegations of the complaint:
- Jurisdiction to review the leave-to-amend question: The court began by addressing the procedural point that the record did not show any request by plaintiff for leave to amend. Citing the changed law under Code of Civil Procedure section 472c and decisions such as Wennerholm, Maguire, Hancock Oil Co. and Columbia Pictures, the court explained that an appellate court may consider whether the trial court abused its discretion in sustaining a demurrer without leave to amend even if no request to amend was made below.
- Sufficiency of the complaint as to general demurrer: The court reviewed the complaint's allegations and concluded they sufficiently pleaded the essential elements of a negligence (malpractice) cause of action — duty, breach, proximate causation and damages. Relying on authorities (Guilliams, Rannard, Criss, Abos, Smith), the court reiterated that negligence (including medical malpractice) may be pleaded in general terms and that it is sufficient, for purposes of a general demurrer, to aver that treatment was negligently administered without specifying the precise particulars of the alleged deficiencies.
- Statute of limitations analysis: The court examined defendants' contention that the complaint showed the action was barred under the one-year statute (Code Civ. Proc., § 340, subd. 3). The court recounted the line of cases beginning with Huysman v. Kirsch and subsequent decisions which clarified that the one-year period runs from discovery (or when a plaintiff reasonably should have discovered) or from termination of the physician-patient relationship. Accepting the complaint's allegation that plaintiff discovered the alleged malpractice on or about June 15, 1945, and noting the action was filed June 13, 1946, the court concluded the complaint was timely. It further held that the "on or about" phrasing did not render the allegation fatally uncertain for statute-of-limitations purposes because a limitations-based demurrer is appropriate only when the pleading shows on its face that the action is barred (citing Antioch College v. Barnhart).
- Waiver/inference from nonappearance: The court rejected defendants' argument that the trial court permissibly inferred abandonment or waiver from the trial court's notation that "no one appearing as counsel for plaintiff." The court explained that waiver of a right requires a clear showing of intent to relinquish it (citing Craig v. White and Aronson), and that the failure of a defendant to appear to argue a demurrer has been held not to constitute waiver (citing Richards and Philip). By analogy, the court held that plaintiff's failure to appear should not be taken as a per se waiver of the cause of action and that the trial court should not resolve pleading sufficiency by indulging in inferences of waiver.
- Abuse of discretion for refusing leave to amend: Having found that the complaint adequately stated a cause of action as to general demurrers and the limitations question, the court concluded that it was an abuse of discretion to sustain the demurrers without granting leave to amend (even if some special demurrers might later be sustained). The court noted that on reconsideration the trial court could require clarification of uncertainties in the complaint (citing Washer v. Bank of America and Hancock Oil Co.).
Holding and Implications
Holding: The Court of Appeal reversed the judgment of the Superior Court. The appellate court held that the complaint stated a cause of action as against general demurrers and the statute-of-limitations demurrer, and that the trial court abused its discretion by sustaining demurrers without leave to amend.
Implications and immediate consequences:
- The direct effect is reversal of the trial court judgment entered after sustaining demurrers without leave to amend.
- The trial court, on reconsideration of the special demurrers, may require clarification of any uncertainties in the complaint rather than refusing leave to amend outright.
- No novel rule of law was announced; the court applied and reiterated existing authorities concerning (a) appellate review under Code Civ. Proc. § 472c, (b) the sufficiency of general allegations in malpractice pleadings, (c) the discovery rule for the one-year malpractice statute of limitations, and (d) the requirements for establishing waiver. The opinion reverses the judgment on the basis of those established principles rather than announcing new precedent.
PETERS, P.J.
Plaintiff brought this action against defendants, licensed physicians, to recover for injuries resulting from the alleged negligent treatment and diagnosis of her illness by defendants. Defendants separately demurred, generally and specially. The trial court sustained the demurrers without leave to amend, and judgment for defendants was entered. Plaintiff appeals.
[1a] The record does not indicate that plaintiff requested leave to amend. Prior to 1939, such failure would have been fatal to plaintiff's appeal, but since section 472c was added to the Code of Civil Procedure in that year, it is now the law that when a demurrer is sustained without leave to amend the question of whether the trial court abused its discretion in making the order may be urged on appeal even though no request to amend has been made. It has consistently been held under this section that, where a complaint is not subject to general demurrer, it is an abuse of discretion to sustain a demurrer without leave to amend even though the complaint may be subject to special demurrer and that no request to amend is necessary. ( Wennerholm v. Stanford Univ. Sch. of Med., 20 Cal.2d 713 [ 128 P.2d 522, 141 A.L.R. 1358]; Maguire v. Hibernia S. L. Soc., 23 Cal.2d 719 [ 146 P.2d 673, 151 A.L.R. 1062]; Hancock Oil Co. v. Hopkins, 24 Cal.2d 497 [ 150 P.2d 463]; Columbia Pictures Corp. v. DeToth, 26 Cal.2d 753 [ 161 P.2d 217, 162 A.L.R. 747].)
[2] Tested by this standard there is no doubt that the complaint, while not a model of pleading, amply states a cause of action sufficient to withstand a general demurrer. It alleges that on or about February 11, 1945, plaintiff sustained certain injuries; that defendants undertook to treat plaintiff for those injuries; that "defendants carelessly and negligently failed and neglected to exercise reasonable and ordinary care and diligence in the treatment of plaintiff's injury as aforesaid, and failed and neglected to exercise a degree of learning and skill of knowledge ordinarily possessed by physicians of good standing practicing in the said County of Alameda where defendants undertook the treatment of plaintiff. That said defendants were unskilled in that they failed to correctly diagnose the nature of the injury to said plaintiff, that they were unskilled in that they failed to select a proper method of treatment of said injury and they were further unskilled in their care of said injury in that they failed to take proper precautions to prevent infection from setting in at the site of said injury. That by reason of said carelessness and negligence and want of skill of defendants, and as a proximate result thereof plaintiff suffered the damages hereinafter set forth." Damages in the amount of $25,000 are then properly alleged.
[3] It is quite obvious that these allegations set forth a legal duty, breach thereof, proximate causation and resulting damage. That is all that is required. [4] In this state negligence may be pleaded in general terms, and that is as true of malpractice cases as it is of other types of negligence cases. [5] Moreover, in a malpractice case, it is sufficient, at least as far as a general demurrer is concerned, to aver that certain treatment was negligently administered by defendant to plaintiff's damage without alleging in what respect the treatment may have been deficient. ( Guilliams v. Hollywood Hospital, 18 Cal.2d 97 [ 114 P.2d 1]; Rannard v. Lockheed Aircraft Corp., 26 Cal.2d 149 [ 157 P.2d 1]; Criss v. Angelus Hospital Assn., 13 Cal.App.2d 412 [ 56 P.2d 1274]; Abos v. Martyn, 31 Cal.App.2d 705 [ 88 P.2d 797]; Smith v. Beauchamp, 71 Cal.App.2d 250 [ 162 P.2d 662]; see notes 33 Cal.L.Rev. 248, 264; 35 Cal.L.Rev. 267, 269.) Defendants, without the citation of a single authority, urge that the complaint is "replete with conclusions, inferences and non sequiturs, but lacking in any allegation of necessary facts." (Res. Brief, p. 6.) In many of the above-cited cases the complaints there involved were much more sketchy and less detailed than the instant one. Those cases demonstrate to a certainty that the present complaint states a cause of action.
Defendants urge, again without citation of a single authority, that the complaint shows on its face that the cause of action is barred by the one-year limitation contained in section 340, subdivision 3, Code of Civil Procedure, a point raised in the demurrers. The complaint was filed June 13, 1946. The injury requiring medical care occurred on February 11, 1945. The professional services of defendants commenced "immediately thereafter." The complaint alleges: "That until on or about the 15th day of June, 1945, plaintiff had full faith in the skill and veracity of defendants, and each of them, and believed and relied upon statements made by said defendants to plaintiff that all possible care and treatment was being rendered to plaintiff's injury, and that said injury would be finally cured; that by reason of plaintiff's reliance upon the statements so made by defendants plaintiff was induced to refrain from seeking or securing medical advice and treatment from other physicians and surgeons until on or about June 15, 1945."
[6] Prior to 1936, the courts of this state applied a very strict rule in malpractice cases in reference to the statute of limitations. In that year the Supreme Court clarified and liberalized the applicable rules in the case of Huysman v. Kirsch, 6 Cal.2d 302 [ 57 P.2d 908]. As a result of that case, and the cases following it ( Trombley v. Kolts, 29 Cal.App.2d 699 [ 85 P.2d 541]; Petrucci v. Heidenreich, 43 Cal.App.2d 561 [ 111 P.2d 421]; Ehlen v. Burrows, 51 Cal.App.2d 141 [ 124 P.2d 82]; Faith v. Erhart, 52 Cal.App.2d 228 [ 126 P.2d 151]) the rule is now settled that in those cases where the one-year statute is applicable (and not the three-year statute based on allegations of fraudulent concealment) the statute does not start to run until the date of the discovery, or the date when, by the exercise of reasonable care, plaintiff should have discovered the wrongful act, or the date of the termination of the relationship of physician and patient. The allegations here demonstrate that the action was filed within one year of discovery.
[7] Defendants do not directly challenge the application of the rules announced in these cases to the allegations here involved, but argue, again without citation of authority, that the date of discovery is alleged to be "on or about June 15, 1945," and contend that such allegation is insufficient in that "on or about" may have been June 12th or 13th as well as June 15th. The contention lacks merit. Before a complaint is subject to a demurrer based on the statute of limitations it must appear from the face of the complaint that the cause is barred, not merely that it may be barred. ( Antioch College v. Barnhart, 49 Cal.App.2d 171 [ 121 P.2d 521.) This being so, the pleading is sufficient so far as the statute of limitations is concerned. [8] The orders of the court below in sustaining the demurrers recite that "no one appearing as counsel for plaintiff." Based on this finding defendants, again without the citation of a single authority, urge that when plaintiff failed to appear, the trial court, within its discretion, could infer that plaintiff had abandoned or waived her cause of action. To state the contention is to refute it. A waiver of a right cannot be established without a clear showing of an intent to relinquish such right, and doubtful cases will be decided against a waiver. ( Craig v. White, 187 Cal. 489 [ 202 P. 648]; Aronson v. Frankfort etc. Ins. Co., 9 Cal.App. 473 [ 99 P. 537]; see cases collected 25 Cal.Jur., p. 932, § 7.)
Although we have found no case involving the legal effect of a plaintiff failing to appear to support his pleading there are several cases discussing the legal effect of a defendant failing to appear to argue in support of his demurrer. In Richards v. Travelers' Ins. Co., 80 Cal. 505, 506 [22 P. 939], the court stated: "We know of no reason for holding that a party who submits a demurrer without argument thereby waives any objection raised by the demurrer. The objection is taken by the demurrer, and not by the argument and it points out to the court and the opposite party every objection to the complaint that is raised by such a demurrer. It is the duty of the opposite party to look to his pleading and see that it is sufficient to withstand such a demurrer, and it is equally the duty of the court to examine the pleading and determine as to its sufficiency, whether the demurrer is argued or not."
The same principle was announced in Philip v. Durkee, 108 Cal. 300 [41 P. 407], where the court stated (p. 303): "It has often been held that there is nothing in the proposition that the court overruled the demurrer because the defendant failed to appear and present it. A demurrer raises an issue of law. To overrule the demurrer is to decide that issue. On appeal, if there was prejudicial error in the ruling, the case may be reversed for that reason. Even a rule of the superior court that a demurrer would be overruled for want of presentation would make no difference. The code allows such issue to be made, and, unless the demurrer is waived or gotten rid of in some lawful mode, the court must decide the questions raised."
[9] It would appear too clear to require further argument that if the failure of a defendant to appear in support of his own demurrer is not a waiver, even if a court rule so provides, the failure of a plaintiff to appear to argue against the demurrer cannot and should not, per se, be interpreted as a waiver of the cause of action. It is the duty of the court to rule on the sufficiency of the pleading and this cannot be done by indulging in inferences of a waiver.
[1b] The complaint states a cause of action good as against the general demurrers or the charge that the statute of limitations had run. To refuse leave to amend was an abuse of discretion even if the special demurrers were well taken. Upon a reconsideration of the special demurrers the court may require the clarification of any uncertainties that may appear in the complaint. ( Washer v. Bank of America, 21 Cal.2d 822 [ 136 P.2d 297, 155 A.L.R. 1338]; Hancock Oil Co. v. Hopkins, 24 Cal.2d 497 [ 150 P.2d 463].)
The judgment is reversed.
Bray, J., and Finley, J. pro tem., concurred.
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