Appeal from judgment of Court of Common Pleas of Bucks County, Jan. T., 1963, No. 1183, in case of William P. Smith v. Clarence German.
David H. Kubert, for appellant.
Frederick E. Smith, with him Ross, Smith & Renninger, for appellee.
Jones, Cohen, Eagen, O'Brien, Roberts and Pomeroy, JJ. Opinion by Mr. Justice Roberts. Mr. Justice Cohen dissents. Mr. Chief Justice Bell took no part in the consideration or decision of this case.
This appeal grew out of a suit by appellant and countersuit by appellee over injuries both sustained in a serious auto accident in 1962. The jury concluded that both were negligent and therefore relief was denied to both. This appeal is taken only on behalf of litigant Smith who presents several reasons why he is entitled to a new trial in the action in which he is a plaintiff. Since we conclude that one of these grounds is indeed meritorious, we vacate the judgment of the court below and remand for a new trial in Smith's action against German.
One of the elements of damage claimed by Smith was that he underwent a severe personality change as a result of the injuries sustained in the accident. In order to support this claim, all of the doctors involved testified that it was their conclusion that Smith suffered from anoxia, the cutting off or reduction of the oxygen supply to certain parts of the brain. Further, as the trial court summarized this aspect of the evidence in the charge: "There was evidence that this brain injury caused a temporary psychosis while he was in the hospital, that he was paranoid and schizophrenic . . . in other words he was psychotic and completely insane, ate soap, ate containers of milk . . . and
did other things which only an insane person would do. There was evidence of personality change."
The fact that the personality change was caused by the anoxia was strongly contested by the appellee. It was argued in defense that the personality change (which everybody apparently agreed was present) was due to appellant's marital difficulties and did not result from the accident. In order to support this contention, appellee read into the record over specific objection certain testimony which appellant presented at his own divorce proceeding in 1964. This testimony tended to show that Mr. Smith was (either justifiably or unjustifiably) suspicious that his wife was having an affair with a neighbor, and that his knowledge of this affair upset him greatly. Appellant claims (1) that this evidence was highly prejudicial and (2) that without some competent medical testimony connecting the marital difficulties outlined in the divorce proceeding with appellant's personality change, the jury should not have been allowed to infer that these difficulties caused the personality change. We agree with both of his claims.
The law of this Commonwealth is well settled as to when medical testimony will be required to establish a causal connection between the event demonstrated and the result sought to be proved. Though most of the cases deal with plaintiffs who wish to show that a certain event caused a given injury, the rules are equally applicable when a defendant seeks to disprove the causal connection (the automobile accident) presented by the plaintiff by proving one (the marital difficulties) of his own. Thus in Florig v. Sears, Roebuck & Co., 388 Pa. 419, 130 A.2d 445 (1957), this Court held "Where there is no obvious causal relationship, unequivocal medical testimony is necessary to establish the causal connection." See Auerbach v. PTC, 421 Pa. 594,
A.2d 163 (1966); Dornon v. Johnston, 421 Pa. 58, 218 A.2d 808 (1966). This test has resulted in medical testimony being required to prove the causal connection between a heart attack and heavy exertion thirty minutes earlier, Washko v. Ruckno, Inc., 180 Pa. Superior Ct. 606, 121 A.2d 456 (1956), between a paralytic stroke and being struck by a swinging door, Fink v. Sheldon Axle Co., 270 Pa. 476, 113 Atl. 666 (1921), between a refracture and ...