Casumpang v. Cortejo

CASUMPANG CASU MPANG V. V. CORTEJO CORTEJO FACTS: - 22-APR 22-APR-88: -88: 11AM; 11AM; Mrs. Cortejo Cortejo brou brougt gt er so! so! E"#er E"#er to te te e#erg e#erge!$% e!$% roo# o& te S'! Ju'! (e ()os *os+)t', SJ(* be$'use o& ")/$u,t% )! bre't)!g bre't)!g 0 $est +')!0 sto#'$ +')!0 '!" &eer - (r. (r. )e,o )e,o &'#),% &'#),% "o$tor "o$tor )!)t)', )!)t)',,% ,% 'tte!" 'tte!"e" e" to '!" '!" e3'#)! e3'#)!e" e" E"#er; E"#er; e too4 too4 )s #e")$', )stor%0 )s )t', s)g!s0 bo"% te#+0 '!" b+  )!)t)', ")'g!os)s: bro!$o+!eu#o!)'; )s b,oo" 5's ',so t'e! &or test)!g0 t%+)!g0 '!" &or +ur+oses o& '"#)!)ster)!g '!t)b)ot)$s  E"#er 5's te! g)e! '!t)b)ot)$s to ,esse! )s &eer '!" ,oose! )s +,eg# - Mrs. Cortejo Cortejo ")" ")" !ot !ot 4!o5 4!o5 '!% "o$tor "o$tor 't SJ(*. SJ(*. Se use" use" er er 6ortu 6ortu!e !e C're C're $'r" $'r" '!" 5's re&erre" to '! '$$re")te" 6ortu!e C're $oor")!'tor0 5o 5's te! out o& to5!. Se 5's tere'&ter 'ss)g!e" to (r. Noe, C'su#+'!g  Dr. Casumpang0 Casumpang0 ' +e")'tr)$)'! ',so '$$re")te" 5)t 6ortu!e C're - 797 PM0 (r. (r. C'su#+'! C'su#+'!g g e3'#)!e e3'#)!e" " E"#er0 E"#er0 $o!r $o!r#e" #e" te te )!)t)', )!)t)', ")'g!os) ")'g!os)s s o& bro!$o+!eu#o!)'  Mrs. Cortejo ")"!t 'gree 5)t t)s  E"#er o!,% '" &eer0 !o $oug !or $o,"s  (r. C'su#+'!g: )s b+ )s just be)!g '$t)e -
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Mrs. Cortejo 'g')! $',,e" (r. C'su#+'!g=s 'tte!t)o! '!" st'te" t't E"#er '" ' &eer0 tro't )rr)t't)o!0 's 5e,, 's $est '!" sto#'$ +')!. Mrs. Cortejo ',so ',erte" (r. C'su#+'!g 'bout te tr'$es o& b,oo" )! E"#er=s s+utu#. (es+)te tese +)e$es o& )!&or#'t)o!0 o5eer0 (r. C'su#+'!g s)#+,% !o""e"0 )!>u)re" )& E"#er 's '! 'st#'0 '!" re'ssure" Mrs. Cortejo t't E"#er=s ),,!ess )s bro!$o+!eu#o!)'

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1197'#: E"#er o#)te" +,eg# 5)t b,oo" stre'  ? #)!s ,'ter0 (r. M)r'!"' res)"e!t +%s)$)'! o& SJ(* 'rr)e" @g'e '! e3$use 'bout o5 te s+e$)#e! o#)t 5's 5'se" '5'%0 et$.B  e3'#)!e" E"#er  resu,ts: ,o5 gr'"e &eer '!" r'ses t't 're !ot t%+)$', o& "e!gue &eer 

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9PM: E"#er 'g')! o#)te" b,oo"; '" sto#'$ +')! '!" '" ")/$u,t% )! #o)!g )s r)gt ,eg; '" s+utu# 5)t b,oo"; t)s )s 5e! (r. M)r'!"' sus+e$te" t't E"#er #)gt 'e "e!gue  tour!)>uet test: NEGATVE  DP: !or#', 

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(r. M)r'!"' $',,e" u+ (r. C'su#+'!g re: E"#ers $o!")t)o!; te ,'tter 'se" te &or#er to subje$t E"#er to seer', tests; )t 5's '&ter su$ tests PM t't t't e!'b,e te# to !" out t't E"#er '" (e!gue0 st'ge V

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AT FPM0 (r. C'su#+'!g )s)te" E"#er  re$o##e!"e" e be tr'!s&erre" to te C  )t 5's &u,,  )re ' +r)'te !urse !' ,'!g  !o0 5e,, tr'!s&er )# to M'4't) Me" 

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Res+o!"e!t s)g!e" ' 5')er0 $e$4e" E"#er &or te ,'st t)#e  '#bu,'!$e "r)er !ot &ou!"0 (r. C'su#+'!g s+e!t 77 +esos o! ' +r)'te '#bu,'!$e 12#!

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2?-APR-88: E"#er ")e"

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Cortejo s+ouses )!st)tute" '! '$t)o! &or "'#'ges 'g')!st (r. C'su#+'!g '!" (r. M)r'!"' o! '$$ou!t o& te)r !eg,)ge!$e

RTC: RUE( N 6AVOR O6 T*E CORTEJOS ; NTENADE ERE T*E (OCTORS EHCSES  T*AT E(MERS SIMPTOMS (( NOT N(CATE (ENGUE 6EVER; T*EI REE( *EAVI ON T*E HRAI; NO EV(ENCE T*AT T*EI PRESENTE( PROPER ME(CA ATTENTON; SDJH SOLIDARILY LIABLE WITH PETITIONERS  DOCTRINE OF APPRENT  AUTHORITY  because before the hospital engaged his medical services, it scrutinized and determined 

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his fitness, qualifications, and competence as a medical practitioner; Dr. Miranda, as resident physician, is an employee of SJDH because like D r. Casumpang, the hospital, through its screening committee, scrutinized and determined her qualifications, fitness, and competence before engaging her services; the hospital also exercised control over her ork

CA: A66RME( N TOTO RTC (ECSON  S(J* AN( TS ATTEN(NG P*ISCANS 6AE( TO EHERCSE MNMUM ME(CA CARE  6AURE TO REA( T*E MOST DASC SGNS O6 (ENGUE K ME(CA NEGGENCE; (R. JAU(ANS PAT*OOGST  TESTMONI AS GVEN CRE(ENCE: DEGUE SHOULD HAVE BEEN CONSIDERED IN LIGHT OF HIS SYPTOS  SDJH!S LIABILITY BASED ON NCC "##$% RESPONDEAT SUPERIOR 

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PRESENT PETITIONS: 1. DR. CASUMPANG : GAVE E(MER ME(CA TREATMENT ACC(G. TO T*E DEST O6 *S ADTES; (ENGUE 6EVER ONI OCCURS A6TER SEVERA (AIS O6 CON6NEMENT; (R. JAU(AN0 CRE(DEL 2. DR. MIRANDA : (R. CASUMPANG AS T*E (OCTOR ASSGNE(; S*E EHERCSE( PRU(ENCE; NO CAUSA RE. DETEEN T*E NTA (AGNOSS  TO T*E CAUSE O6 (EAT*; (R. JAU(AN ASO NOT CRE(DE  NO EV(ENCE O6 CERT. O6 6ORMA RES(ENCI OR 6EOS*P N PE(ATRCS 3. SDJH : (R. CASUMPANG AN( (R. MRAN(A ARE MERE N(EPEN(ENT CONTRACTTORS; NO EER; T*EI (ONT *RE CONSUTANTS0 ONI GRANT PRVEGES TOAR(S T*EM; (ONT PAI T*EM AGES; NO POER O6 CONTRO: ODSERVE( PROPER (GENCE O6 A GOO( 6AT*ER O6 T*E 6AMI 4. RESPONDENTS: T*EI RASE 6ACTUA SSUES0 NOT REVEADE DI T*S COURT; T*E (OCTORS ERE NEGGENT  6AE( TO TMEI (AGNOSE0  T*ER ME(CA EHAMNATON AS NOT COMPRE*ENSVE0 EMPOIE( A GUESSNG GAME; S(J* *AS NO PROPER PAGNG SISTEM0 NO DRONC*OSOPE0 RATO O6 (OCTORS TO PATENTS O 

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NOTES: MEDICAL MALPRACTICE: an action available to victims to redress a rong committed by medical professionals ho caused bodily harm to, or the death of, a patient; the suit is brought henever a medical practitioner or health care provider fails to meet the standards demanded by his profession, or deviates from this standard, and causes in!ury to the patient; must prove that the doctor either failed to do hat a reasonably prudent doctor ould have done, or did hat a reasonably prudent doctor ould not have done; and the act or omission had caused in!ury to the patient; "he elements of medical negligence are# (1) duty; (2) breach; (3) injury; and (4) proximate cauation; !H"S#$#%&'!%#& *+, S%-+#SHD .H& H /0** %#&S H !%#&

ISSUES + RULING

1. N T*E (OCTORS ERE NEGGENTL - (R. CASUMPANG0 IES. (R. MRAN(A0 NO. - ! te +rese!t $'se0 e3+ert test)#o!% )s $ru$)', )! "eter#)!)!g frst 0 &'( s&an)ar) m()*+a, (-am*na&*ns% &(s&s% an) pr+()ur(s &'a& &'( a&&(n)*ng  p'/s*+*ans s'u,) 'a0( un)(r&a1(n *n &'( )*agns*s an) &r(a&m(n& 2 )(ngu( 2(0(r3 an) second 0 &'( )(ngu( 2(0(r s*gns an) s/mp&ms &'a& &'( a&&(n)*ng  p'/s*+*ans s'u,) 'a0( n&*+() an) +ns*)(r() -

DR. CASUMPANG WAS NEGLIGENT IN DIAGNOSIS: t 5),, be re$',,e" t't "ur)!g (r. C'su#+'!g=s rst '!" se$o!" )s)ts to E"#er0 e ',re'"% '" 4!o5,e"ge o& E"#er=s ,'bor'tor% test resu,t CDC0 #e")$', )stor%0 '!" s%#+to#s *.(.% 2(0(r% ras'(s% rap*) 4r(a&'*ng% +'(s& an) s&ma+' pa*n% &'ra& *rr*&a&*n% )*5+u,&/ *n 4r(a&'*ng% an) &ra+(s 2 4,) *n &'( spu&um. How!"# $%& '()o"*$'o( ,', (o$ , D". C&*/(0 $o $% /o&&'''$ $%$ E,*" o,  &"'(0 )"o* '$%" ,(0 )!"# o" ,(0 %*o""%0' )!"# & % (0 $o %'& ,'0(o&'& o) "o(%o /(*o('. T)s #e'!s t't g)e! te s%#+to#s e3)b)te"0 (r. C'su#+'!g ',re'"% ru,e" out te +oss)b),)t% o& oter ")se'ses ,)4e "e!gue. ! oter 5or"s0 )t 5's ,ost o! (r. C'su#+'!g t't te $'r'$ter)st)$ s%#+to#s o& "e!gue 's (r. J'u")'! test)e" 're:  pa&*(n&6s rap*) 4r(a&'*ng3 +'(s& an) s&ma+' pa*n3 2(0(r3 an) &'( pr(s(n+( 2 4,) *n '*s sa,*0a .  *E 6AE( TO APPRECATE A SIMPTOMS 

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DR. CASUMPANG WAS NEGLIGENT IN THE TREATMENT AND MANAGEMENT OF DENGUE: (r. C'su#+'!g &'),e" to #e'sure u+ to tese st'!"'r"s. Te e)"e!$e stro!g,% suggests t't e or"ere" ' tr'!s&us)o! o& +,'te,et $o!$e!tr'te )!ste'" o& b,oo" tr'!s&us)o!. Te tour!)>uet test 5's o!,% $o!"u$te" '&ter E"#er=s se$o!" e+)so"e o& b,ee")!g0 '!" te #e")$', #'!'ge#e!t 's ree$te" )! te re$or"s ")" !ot )!$,u"e '!t)b)ot)$ ter'+% '!" $o#+,ete +%s)$', e3'#)!'t)o!  NO ANTDOTC T*ERAPI AN( COMPETE P*I. EHAMNATON 

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DR. MIRANDA IS NOT LIA5LE FOR NEGLIGENCE: $% *,' " "6'", '& $%$ o) "&o( ") /%&''(& o" %o&/'$ *"0( "oo* o/"$o"&# (o$ o) '($"(& o" "&',($&; A,toug se '" gre'ter +'t)e!t e3+osure0 '!" 5's= subje$t to te s'#e st'!"'r" o& $'re '++,)$'b,e to 'tte!")!g +%s)$)'!s0 5e be,)ee t't ' !")!g o& !eg,)ge!$e sou," ',so "e+e!" o! seer', $o#+et)!g &'$tors0 '#o!g te#0 '(r au&'r*&/  & ma1( '(r 7n )*agns*s% &'( )(gr(( 2 sup(r0*s*n 2 &'( a&&(n)*ng  p'/s*+*an 0(r '(r% an) &'( s'ar() r(spns*4*,*&/ 4(&7((n '(r an) &'( a&&(n)*ng p'/s*+*ans3 (r. M)r'!"' ,)4e5)se "u,% re+orte" to (r. C'su#+'!g0 5o '"#)tte" re$e))!g u+"'tes reg'r")!g E"#er=s $o!")t)o!. Tere )s ',so e)"e!$e su++ort)!g (r. M)r'!"'=s $,')# t't se e3te!"e" "),)ge!t $'re to E"#er. ! &'$t0 5e! se sus+e$te" - )ur*ng E)m(r6s s(+n) (p*s)( 2 4,(()*ng - t't E"#er $ou," be suer)!g &ro# "e!gue &eer0 se 5'ste" !o t)#e )! $o!"u$t)!g te !e$ess'r% tests0 '!" +ro#+t,% !ot)e" (r. C'su#+'!g

'bout te )!$)"e!t. !"ub)t'b,%0 er #e")$', 'ss)st'!$e ,e" to te !")!g o& "e!gue &eer.

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THE CAUSATION 57W DR. CASUMPANG8S NEGLIGENCE AND EDMER8S DEATH WAS ADE9UATEL PROEN:  To re)ter'te0 (r. C'su#+'!g &'),e" to t)#e,% ")'g!ose E"#er 5)t "e!gue &eer "es+)te te +rese!$e o& )ts $'r'$ter)st)$ s%#+to#s; '!" 's ' $o!se>ue!$e o& te "e,'%e" ")'g!os)s0 e ',so &'),e" to +ro#+t,% #'!'ge E"#er=s ),,!ess. *'" e )##e")'te,% $o!"u$te" $o!r#'tor% tests0  *.(.% &urn*8u(& &(s&s an) s(r*(s 2 4,) &(s&s '!" +ro#+t,% '"#)!)stere" te +ro+er $'re '!" #'!'ge#e!t !ee"e" &or "e!gue &eer0 te r)s4 o& $o#+,)$'t)o!s or ee! "e't0 $ou," 'e bee! subst'!t)',,% re"u$e".

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SJDH8S LIA5ILIT 5ASED ON THE DOCTRINE OF APPARENT AUTHORIT NOT RESPONDEAT SUPERIOR #. HOSPITAL!S ANIFESTATIONS: ! t)s $'se0 te $ourt $o!s)"ere" te '$t o& te os+)t', o& o,")!g )tse,& out 's +ro)"er o& $o#+,ete #e")$', $'re0 '!" $o!s)"ere" te os+)t', to 'e )#+,)e",% $re'te" te '++e'r'!$e o& 'utor)t%. ". PATIENT!S RELIANCE: SDJH CLOTHED DR. CASUPANG W; APPARENT  AUTHORITY  D'se" o! te re$or"s0 te res+o!"e!t re,)e" o! SJ(* r'ter t'! u+o! (r. C'su#+'!g0 to $'re '!" tre't )s so! E"#er. *)s test)#o!% "ur)!g tr)', so5e" t't e '!" )s 5)&e ")" !ot 4!o5 '!% "o$tors 't SJ(*; $% &o ,', (o$ <(ow $%$ D". C&*/(0 w& ( '(,/(,($ o($"$o" . Te% brougt te)r so! to SJ(* &or ")'g!os)s be$'use o& te)r &'#),% "o$tor=s re&err',. Te re&err', ")" !ot s+e$)$',,% +o)!t to (r. C'su#+'!g or ee! to (r. M)r'!"'0 but to SJ(*. 

S)g!)$'!t,%0 te res+o!"e!t '" re,)e" o! SJ(*=s re+rese!t't)o! o& (r. C'su#+'!g=s 'utor)t%. To re$',,0 5e! Mrs. Cortejo +rese!te" er 6ortu!e C're $'r"0 se 5's )!)t)',,% re&erre" to te 6ortu!e C're $oor")!'tor0 5o 5's te! out o& to5!. Se 5's tere'&ter re&erre" to (r. C'su#+'!g0 5o )s ',so '$$re")te" 5)t 6ortu!e C're. ! bot )!st'!$es0 SJ(* troug )ts 'ge!t &'),e" to '")se Mrs. Cortejo t't (r. C'su#+'!g )s '! )!"e+e!"e!t $o!tr'$tor. Mrs. Cortejo '$$e+te" (r. C'su#+'!g=s ser)$es o! te re'so!'b,e be,)e& t't su$ 5ere be)!g +ro)"e" b% SJ(* or )ts e#+,o%ees0 'ge!ts0 or ser'!ts. 5 ")""'(0 D". C&*/(0 $o " (, $"$ )o" E,*"# SJDH '*/', %, o$ D". C&*/(0# (o$ o( & ( ",'$, **" o) Fo"$( C"# $ &o &  **" o) '$& *,' &$ .