Case Name: Joseph H. Pahl, Respondent, v. Troy City Railway Company, Appellant
Court: New York Supreme Court, Appellate Division
Jurisdiction: New York
Decision Date: 1903-03
Citations: 81 A.D. 308
Docket Number: 
Parties: Joseph H. Pahl, Respondent, v. Troy City Railway Company, Appellant.
Judges: 
Reporter: Appellate Division Reports
Volume: 81
Pages: 308–311

Head Matter:
Joseph H. Pahl, Respondent, v. Troy City Railway Company, Appellant.
Evidence—reading• from a medical work and asking a physician whether the statements therein accord with his experience.
Where, upon the trial of an action to recover damages for personal injuries, a physician called hy the plaintiff testifies that the writings of a certain doctor upon the subject of nervous diseases are ■ considered authoritative by the medical profession, it is error to permit the counsel for the plaintiff to read to ' the witness from a medical work written by the doctor referred to, a descrip - ■ tion of a nervous disease called traumatic neuroses and to allow the 'witness to state that such description of. the disease accords with his experience and that he subscribes thereto.
Appeal by the defendant, the Troy City Railway Company, from a judgment of the Supreme Court in favor of the plaintiff, entered in the office of the clerk of the county of Rensselaer on the 25th day of October, 1901, upon the verdict of a jury for $15,000, and also from an order entered in said clerk’s office on the 25tli day of October, 1901, denying the defendant’s motion for a new trial made upon the minutes.
William, J. Roche, for the appellant.
Thomas F. Powers and Lewis F. Griffith, for the respondent.

Opinion:
Lyon, J.:
Upon the trial of this action, which was brought to recover damages on account of alleged grievous spinal injuries claimed to have been received by the plaintiff by reason of the negligence of the defendant as a common carrier, the plaintiff called as a witness one of his attending physicians, of whom he asked the following ques • tions, and to which the following objections and exceptions were taken, and answers were given : " Q. Do you know Dr. Charles L. Dana as a medical writer ? A. Yes, sir. Q. Are his writings accepted by the profession as authoritative on certain questions ? A. I think they are; on the question of nervous diseases and ailments. Q. I read from an article by Dr. Charles L. Dana on the subject of traumatic neuroses, which is published in ' A System of Legal Medicine ' in a book entitled ' A System- of Legal Medicine ' by ' Allan McLane Hamilton and Others,' second volume, commencing at page 307. Mr. Roche : I object to his reading it as immaterial and incompetent. Mr. Griffith: I propose to read it to the witness. That is the proper way. [Objection overruled. Defendant excepts.] Q. Doctor, what do you say to this : ' The nervous symptoms which follow shock and injury, and which take the neurasthenic type,, are not always alike, though they bear a general resemblance to each other. The most common series of phenomena is that which may be grouped under the head of a simple traumatic neurasthenia.. The history of a patient is something like the follow ing : After receiving an injury which is often but slight, but which is usually accompanied with a great deal of fright and emotional disturbance, the patient goes to his home feeling perhaps a little nervous and shaken, but not suffering to any great extent. He goes to bed and sleeps; wakes up the next morning, feeling not quite as well as usual, but congratulating himself perhaps on having gotten off so easily. He resumes his work and finds that he can do it, though with not quite so much ease as usual and he very likely suffers from some pain due to a strain, or bruise that he has received. In a few days, almost always within a week, he begins to notice that he is more nervous than usual, that little things irritate him which did not do so before, that his head seems somewhat confused, and that the effort to work is wearying. His sleep is disturbed, and he wakes up in the morning unrefreshed by his night's repose. He becomes somewhat despondent over his condition and thoughts of paralysis or some other serious ailment annoy him. His head aches, the pain being more or less constant and diffused, and located usually over the forehead, or at the back of the neck. He has unpleasant sensations in the head, such as that of constriction, or pressure, or scalded feelings. His back also is continually painful, and walking increases it. His nervousness becomes more marked, and close examination shows a little fine tremor in the hands. He has also sometimes creeping sensations over the body, or numb feelings in the extremities. He tires very easily. He is emotional, and becomes more despondent as the days go on. Sometimes he has .spots before his eyes, noises in his head, or ringing in the ears. Reading is laborious and increases his headache; so also does attention to work. His appetite becomes capricious, and his bowels are constipated. He suffers somewhat from flatulency and dyspepsia. His heart palpitates easily, and the pulse is a little accelerated. Sometimes for a few days there is a little weakness about the bladder, or irritability. These symptoms may be several weeks in developing.' Doctor, what do you say to that; do you subscribe to that %. Mr. Roche: I object to the reading again. And I also object to the question, that each and both of them are incompetent and improper; that it is not admissible evidence. Q. I ask you, doctor, whether the statement of the description of traumatic neuroses as stated there agrees with your experience, and do. you subscribe to it % [Objected to on the same grounds as before. Overruled. Defendant excepts.] A. That is a very fair pen-picture of this case. Mr. Roche: I object to the answer and move to strike it out on the ground it is incompetent and improper; that it is not a comparison which the witness can be allowed to make. It is hot a matter of legal evidence. [Objection overruled. Motion denied. Defendant excepts.] "
The plaintiff was thus enabled to bring to the knowledge of the jury the statement, not under oath, of Dr. Charles L. Dana, whose writings on the subject of nervous diseases the witness testified were considered authoritative by the medical profession, and without the defendant having an opportunity to cross-examine Dr. Dana as to the facts and symptoms upon which he based his opinion, and as to whether, perchance, his views had undergone a change since the time the article was written.
The fact that the article read was part of a medical book doubtless gave the statement therein contained much more weight with the jury than it would have received simply as part of the oral testimony of the local physician. Just what effect this article so read had upon the minds of Che jurors it is impossible to say, but it certainly cannot be said as a matter of law that the effect was harmless to defendant.
The evidence was clearly inadmissible. (Matter of Mason, 60 Hun, 46; City of Bloomington v. Shrook, 110 Ill. 219; State v. Coleman, 20 S. C. 441; Foggett v. Fischer, 23 App. Div. 207.)
The error in admitting this evidence renders unnecessary the •examination of the other questions presented upon the appeal.
The judgment and the order denying the motion to set aside the verdict and for a new trial must be reversed and a new trial granted, with costs to abide the event.
All concurred; Smith, J., not sitting.
Judgment and order reversed and new trial granted, with costs to appellant to abide event.