
    C. L. SMITH OIL CO. v. RIGGS.
    (No. 2883.)
    (Supreme Court of Texas.
    April 20, 1921.)
    Damages &wkey;>l58(4) — Where pleading alleged plaintiff suffered from “neurasthenia,” medical testimony as to ocular symptoms admissible.
    In an action for personal injury, 'where the petition alleged, among other injuries, that plaintiff was suffering from “neurasthenia,” medical testimony as to ocular symptoms, such as that plaintiff, after reading a short time, became tired and unable to further read, is admissible, though no affection of the eye was pleaded; for by those symptoms the disease, which was one of the nerves, could be shown. [Ed. Note. — For other definitions, see Words and Phrases, Second Series, Neurasthenia.]
    Certified Questions from Court of Civil Appeals, First Supreme Judicial District.
    Action by Jesse Biggs against the C. L. Smith Oil Company. From a judgment for plaintiff, defendant appealed to the Court of Civil Appeals. On questions certified to Supreme Court.
    Questions answered.
    Hunt, Myer & Teagle, of Houston, for appellant.
    Carothers & Brown, of Houston, for appel-lee.
   GREENWOOD, J.

The certificate of the honorable Court of Civil Appeals of the First Supreme Judicial District is as follows:

“This case is now pending on motion for rehearing. This feuit was brought by appellee, Jesse Biggs, against appellant, C. L. Smith Oil Company, to recover damages for personal injuries alleged to have been suffered by him by reason of the explosion of one of appellant’s boilers, and by reason of the negligence of said appellant. Judgment was for appellee for $5,000. In appellee’s petition he alleges his injuries as follows: ‘That by reason of said explosion the plaintiff was thrown about 10 feet, and was burned and scalded all over his face and arms and over his back, particularly his left kidney, and plaintiff’s legs were badly burned and scalded; that plaintiff’s left ankle and ankle joint were badly burned, and said ankle was permanently injured; that as a result thereof plaintiff has very poor use of said ankle and will continue to have poor use thereof at all times hereafter; that plaintiff’s kidneys were injured by said burns, and plaintiff will probably have kidney trouble therefrom at all times hereafter; that the calf of plaintiff’s right leg was severely bruised and permanently injured; that plaintiff was also struck in the head by some object thrown by said explosion, and his head was thereby injured; that plaintiff’s whole nervous system has been shocked and permanently injured, and as a result of his said injuries the plaintiff! is now suffering and will continue at all times hereafter to suffer from neurasthenia; that plaintiff was confined to his bed for 18 days and suffered and will continue to suffer great mental and physical pain'and anguish; and that plaintiff's ability to earn a livelihood has been permanently impaired;- that by reason of the foregoing facts ihe plaintiff has been damaged in the sum of $10,000.’
“On the trial of this case Dr. Boss, a witness for plaintiff, testified, without objection, as follows: ‘I examined Jesse Biggs in February, 1914, and then I have had him under observation since then; not constantly, but he has been coming to consult me from time to time. He came to me complaining of a variety of nervous symptoms, and I gave him a thorough physical examination; I had him stripped, and I found that he was covered with quite a number of scars on his back and legs and on various parts of his body, but they were all healed. He was suffering then with his eyes and with headaches, and with pain in his back and with trembling of the hands and jerking of the muscles; not constantly, but at times he would have these jerkings; and he had all the symptoms of what we term neurasthenia. That is a nervous condition which is frequently brought, about by shock or injury; and he gave a history of being in this boiler explosion, and all these symptoms following that. He had not complained of any nervous symptoms before this, so I thought' that was the cause of his nervous condition. His nervous condition is one of traumatic neurasthenia. I made an examination of his knee reflexes, and found his reflexes decidedly diminished, which indicates a neurasthenic condition — nerve fatigue or exhaustion. Traumatic neurasthenia, or that condition, is most usually caused by shock, or it is caused by a. nervous shock. I found a scar on the patient’s shoulders, one on his back, and on his legs. The scar on his leg was on his ankle on the left leg; there was some atrophy there, that is, the left leg wasn’t quite as large as his right leg at the time of my first examination. It showed to have been a recent scar. I said that I had examined him and had him under observation several times since my first examination. In my subsequent examinations the symptoms were all practically the same except the tremors — the muscle trembling — but all of the subjective symptomsi are the same. There has been an improvement in that left leg, and the left leg and the right leg are practically the same now.’
“After the witness had given the above testimony he was asked the questions and gave thé following answers over the objection of defendant:
“ ‘Q.' Doctor, based on your observation of his case, just tell the jury what you think of Jesse’s chance of ultimate recovery. A. I don’t think he will ever completely recover; I think the boy’s main, trouble is going to be with his eyes — they seem to be more decidedly — ’
“Mr. Teagle, attorney for defendant, here interposed: ‘Defendant objects to any testimony from this witness tending to show that the plaintiff’s eyes have become dimmed and weakened as a result of the injuries complained of by plaintiff, or any evidence of injury to the plaintiff’s eyes or eyesight, because there was no allegation in the petition sufficient to put defendant on notice that such injuries would be claimed.’ Which objections were then and there overruled by the court and the defendant excepted, and court permitted said witness to continue as follows:
“ ‘Q. Dr. Ross, tell the jury jusi what effect this nerve exhaustion or neurasthenia had as you found it on Jesse Riggs’ eyes. A. Well, there was an inability on his part to read steadily; he was tired easily. At the beginning he could read very readily, but then after reading a little bit then it would become blurred and there would be a zigzag sensation, all due to exhaustion, and not to any organic disease of the eye itself, but just simply due to that nerve weakness or fatigue.
“ ‘Q. In other words, a nerve weakening in the eyes? A. Tes, sir.’
“In view of the fact that the alleged injuries to plaintiff were sufficiently proven by the testimony adduced, and no effort was made by defendant to disprove the same, we held in our opinion, a copy of which we have directed the clerk of this court to send up with this certificate, that the testimony of Dr. Ross objected to was erroneously admitted. As we are in doubt as to the correctness of said holding, we deem it advisable to certify to your honorable court the following questions, to wit:
“Question 1. Was the testimony of the witness Dr. Ross, objected to, above set out, admissible under the allegations of injuries set up in appellee’s petition, as set out above?
“Question 2. Did the failure of appellant to object to the. previous testimony of the witness, above set out, render the objection to his subsequent testimony, if otherwise inadmissible, unavailable?”

To question 1, \ye answer, “Yes.”

The petition alleged permanent Injury to plaintiff’s whole nervous system, and also that as a proximate result of his injury plaintiff was suffering and would continue to suffer from neurasthenia.

Under the medical testimony set out in the certificate, plaintiff was suffering and would continue to suffer from traumatic neurasthenia, which was a derangement of the nervous system, and the condition of plaintiff’s eye was both a symptom! and a result of traumatic neurasthenia.

It can hardly be questioned that one who alleges that a certain disease has resulted to him from an injury can prove the truth of the allegation by establishing that he has the symptoms of the disease.

Thus it was held that evidence was properly admitted of kidney trouble, because symptomatic of cellulitis, a diseased condition of the covering of the bones of the foot, where the issue was whether the injured party had cellulitis (H. & T. O. R. Co. v. Hanks, 58 Tex. Civ. App. 298, 124 S. W. 138), and it was likewise held that evidence was admissible to show the spitting up of blood, where, this indicated an injury to the chest, which was alleged (Et. W. & R. G. Ry. Co. v. White, 51 S. W. 856).

There would seem, in fact, no more reliable means of proving a disease not discernible by the senses than by establishing its symptoms; and it is neither, necessary nor proper to allege the symptoms of a disease which is the alleged result of an injury.

The court has never departed from the decision by Chief Justice Stayton in M. P. Ry. Co. v. Mitchell, 72 Tex. 173, 10 S. W. 411, that the effect of precise injuries alleged may be proven.

The very purpose of averring that a plaintiff is afflicted with a certain disease as the result of actionable injury is to give notice to the defendant that compensation is sought for the pains and infirmities which attend the disease. The pains and infirmities are necessarily included in the allegation of the disease.

Would it be contended that under the allegation of neurasthenia proof could not be offered of the effect of that disease on muscular control? No less admissible is proof of the disease’s effect on vision. The principle involved does not change with the portion of the body affected.

The following cases apply the principle ■ that results naturally flowing from a disease averred may be proven, though manifested in an organ of the body different from that directly injured: M., K. & T. Ry. Co. v. Edling, 18 Tex. Civ. App. 171, 45 S. W. 409; M„ K. & T. Ry. 'Co. v.| McCutcheon, 33 Tex. Civ. App. 557, 77 S. W. 233; M., K. & T. Ry. Co. of Tex. v. Smith, 172 S. W. 750; M., K. & T. Ry. Co. of Tex. v. Hawk, 30 Tex. Civ. App. 142, 69 S. W. 1039.

In the case last cited evidence was held correctly admitted which showed impaired vision, not alleged, because impairment of the vision was the result of a diseased nervous system, of which due averment was made.

Tlie decision in Campbell, Receiver, v. Cook, 86 Tex. 632, 26 S. W. 487, 40 Am. St. Rep. 878, that, “to admit proof of damage which does not necessarily result from the injury alleged, the petition must set up the particular effects claimed to have followed the injury,” has no application to this case.

Here the petition alleged neurasthenia as a particular effect of the injury, and the proffered testimony went no further than to tend to establish, first, that a condition of vision existed which was indicative of neurasthenia, and, second, that a condition of vision existed and would continue to exist as a result of the neurasthenia with which plaintiff was afflicted.

Our answer to question 1 renders unnecessary any answer to question 2. 
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