
    Annie Gerken, Respondent, v. Warren O. Plimpton, Appellant.
    
      Bwi'geon — Ms duty to Ms patient — the term of his employment — evidence of neglect of dvfiy — a verdict which is not excessive.
    
    A physician who undertakes the treatment of a patient is bound to exercise, not only the required degree of skill, but also care and attention, in attending the patient until he notifies the patient that his professional relations have terminated.
    While a physician is not responsible' for mere errors of - judgment, he is chargeable with knowledge of the probable consequences of any injury or for neglect or unskillful treatment. His employment continues while the illness of the patient lasts, unless it is terminated by the assent of the parties or the dismissal of the physician.
    In an action to recover damages sustained by the plaintiff in consequence of the negligence of the defendant,'a physician'and surgeon, it appeared’ that the plaintiff fractured her arm on July 29,1897, and that on the thirtieth the defendant was called to attend her; that he continued to attend the plaintiff until September 12, 1897, when he found that the bones had not united; that he then rubbed the ends of the broken bones together and replaced them-in splints-and told the plaintiff, as testified to by her, that he was going away for a vacation and that- he would be back again within ten days or two weeks, and in the meantime directed her to keep her arm in a sling. The defendant did not return for five weeks, at which time he found that the bones had slipped from their position, overlapped and formed a union, causing a deformity which would be permanent unless the bones were refractured and placed in their proper position and then allowed to unite. It was conceded that the defendant was competent and that the-method adopted by him up to September 12,1897, was proper.
    
      
      Held, that the jury could properly find that the deformity was caused by the neglect of the defendant in not giving the plaintiff’s arm proper attention;
    That a verdict of §500, the reasonable value of the operation of refracturing the bones and causing them to unite in their proper position, was not excessive.
    Appeal by the defendant, Warren O. Plimpton, from a judgment of the Supreme Court in favor of the plaintiff, entered in the office of the clerk of the county of New York on the 16th day of October, 1900, upon the verdict of a jury for $500, and also from an order entered in said clerk’s office on the 23d day of October, 1900, denying the defendant’s motion for a new trial made upon the minutes.
    
      JB. Gerson Ogypenheim, foi> the appellant.
    
      Frcmk Herwig, for the- respondent.
   Ingraham, J.:

This ■ action was to recover from the defendant, a physician and .surgeon, for the injuries sustained by the plaintiff caused by the neglect of the defendant. The plaintiff testified that on July 29, 1897, she fractured her left arm, and on the thirtieth the defendant was called to attend her. He put the arm in splints and directed plaintiff to carry her arm in a sling. The defendant from that time attended the plaintiff until September twelfth, when upon an examination he found that the bones had not united, and, after treating them, he again put on the bandage and told the plaintiff that he was going away on his vacation and would be back within ten days or two weeks. He did not, however, return for five weeks, when he again examined the arm and found that the bones had slipped from their position, overlapped, and in this position formed a union causing a deformity, which is permanent unless the bones are refractured and placed in their proper position and then allowed to unite.

The qualifications of the defendant as a physician and surgeon were conceded, and there is no evidence to show that the case was not in the first- instance properly treated. All of the physicians called united in saying that the method adopted by the defendant tip to the twelfth day of September, the day on which he examined the" arm prior to his departure on his vacation, was proper, and, when he made that examination, it is apparent that the bones had failed to unite, and the case was either a delayed union or a non-union. The evidence was that in cases of this kind it is not uncommon, for some reason connected with the individual peculiarities of the patient, that the bones fail to unite. In such a case the proper treatment is to rub the ends of the bones together and restore them to their proper position, and to hold them in that position by splints. If the bones then fail to unite an incision is made and the bones are held in position by wires and thus given time to unite. Now, on the twelfth day of September, which was six weeks after the injury, there was no union. The defendant then rubbed the ends of the broken bones together and replaced them in splints and did not see the plaintiff again for five weeks. The plaintiff testified that at this time the defendant stated that he was going away for a vacation and that he would be back again within ten days or two weeks, and in the meantime directed her to keep her arm in the sling. The defendant testified that prior to his leaving he told the plaintiff that he was going away on his vacation for two or three weeks, and that if she desired him to call again she must send for Mm. As to which of these versions is true is the crucial point in this case, and that question was left for the jury to determine. That the bones of this plaintiff’s arm for some reason have improperly united, and that there is a deformity is conceded. The question is whether the neglect of the defendant in not giving the arm proper attention caused this deformity. The defendant was called in as a surgeon in connection with a physician who was first summoned, who did not consider himself competent to treat a case of this kind, and as such he undoubtedly undertook the case, and in doing so assumed to give it the care and attention required. If on this twelfth day of September he told the plaintiff he would return in ten days or two weeks and gave her instructions as to the course she should follow in the meantime^ and he failed to return for five weeks, and if in consequence of this failure to properly treat her during that interval this injury resulted, it would seem that the jury were justified in finding that the defendant was. negligent in this particular. A physician who undertakes the treatment of a patient is bound to exercise not only the skill required, but also care and attention in attending his patient until he notifies the patient that his professional relations are terminated.

A physician and surgeon engages to bring to the treatment of his ■patient care, skill and knowledge, and while, when, exercising these, he is not responsible for mere errors in judgment, he is chargeable with knowledge of the probable consequence of any injury, or for neglect in its treatment or unskillful treatment (Du Bois v. Decker, 130 N. Y. 325); and when a physician is employed to attend Upon a sick person his employment continues while the sickness lasts, and the relation of. physician and patient continues unless it -is put an .end to by the assent of the parties, or is. revoked bv the express dismissal of the physician. (Potter v. Virgil, 67 Barb. 580.)

The case depends upon the interview on the twelfth day of Sep.tember, and I think the jury were justified in finding, if they believed the plaintiff’s .version ' of that interview, that the defendant had been negligent in the discharge of his duties which lie had assumed in relation to the plaintiff.

The jury found a verdict for the plaintiff for $2,000 ; but the court considering that excessive ordered a new .trial unless the plaintiff stipulated to reduce it to $500 ; and the plaintiff so stipulating, judgment, was entered for the amount of the verdict as reduced.

Whatever may be said of the original verdict of $2,000, it is quite evident that $500 is not excessive. There was evidence tending to show that the only treatment practicable at this time was to fra'cture ■ the bones where the union had taken place and then to wire the bones in their proper position, and that the reasonable value for" such an operation would be $500. After that operation the plaintiff would be in the position she was on the twelfth day of September, but there is no certainty that there would be a union of bones.

I have examined the exceptions to rulings on evidence, but none of them appear to be substantial. On the whole case, I think it was a question for the, jury, and we are not justified in disturbing their verdict.

The judgment and order are affirmed, with costs.

Patterson, O’Brien, McLaughlin and Laughlin, JJ., concurred.

Judgment and order affirmed, with costs.  