Medical Jurisprudence, Forensic medicine and Toxicology. Vol. 1Witthaus, R. A. (Rudolph August)
Science
Medical Jurisprudence, Forensic medicine and Toxicology. Vol. 1
Witthaus, R. A. (Rudolph August)
Medical jurisprudence; Poisons; Toxicology
In consonance with the decision in _Grattan v. Metropolitan Life
Insurance Company_,[434] it has been held that a physician who
amputated a patient’s leg could not testify as to its condition at the
time it was amputated.[435]
The fact that the physician does not prescribe does not defeat the
privilege; if the information is acquired in the course of professional
employment the statute operates, for the decision that neither advice
nor medicine is needed is a professional act within the spirit of the
law.[436] _Medicus optimus, medicamentum minimum_, is the maxim used in
another case to illustrate this point.[437]
But it cannot be predicated as matter of law that a physician cannot
exclude from his consideration facts learned or opinions formed while
attending as physician; therefore he can testify as to his opinion on
hypothetical facts which might be deemed to relate to another person as
well as the patient; and where the physician testified that he could
so form an opinion, his opinion of such assumptions was held to be
admissible in evidence as expert testimony.[438]
But it is not all information which will be presumed to have been
necessary to enable the physician to act; it seems that where the
knowledge is such that it is evidently immaterial to the physician’s
decision, it will be admitted. Such a case is that of _Hoyt v.
Hoyt_,[439] where the testimony of physicians was admitted to show
the attitude of their patient toward his daughter and their advice
to him concerning her, the evidence being for the purpose of showing
the testator’s opinion and not the physicians’. It has also been held
that a statement made by a patient on the physician’s last visit as
to what occurred at the time the patient was injured, tending to show
contributory negligence, was not necessary information.[440] And a
physician’s evidence of the declaration of his patient as to making a
will and the doctor’s advice on that subject have been admitted.[441]
THE PROVINCE OF THE COURT IN DEALING WITH THE PRIVILEGE.
All questions of the competency of evidence are solved by the Court
and not by the jury.[442] The facts establishing the privilege are
presented to the Court for its consideration. In Iowa it has been held
that a fair trial demands that it should not be made to appear to the
jury in an action that the patient is reluctant to waive his privilege,
and that therefore the subject-matter of waiver has no place in the
taking of testimony except when introduced by the party permitted to
make it, and the Court should not allow the patient to be asked to
answer under oath whether he is willing to waive his privilege.[443]
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