Foreseeability and Damages: The Magic Circle

When we were little kids our moms taught us some important lessons.  She did not know it but some of the lessons she was teaching us about included the basics of  foreseeability:  look both ways before crossing the street, don't run while carrying sharp objects like knives or scissors, don't play with fire.  All of these lessons included  the basics of foreseeability.  In each instance we were being warned bad things could happen if we were not careful under the circumstances.  We were taught to foresee, or look ahead.  As we mature we learn more adult lessons about life and human nature until as a "reasonable man" we are expected to know and follow  most of life's little lessons.

There is some confusion and maybe misconception about the law of damages and foreseeability.  Once the Plaintiff has proven the defendant's conduct was a cause of  the injury, the Plaintiff is entitled to a verdict for all of his damages which were caused by the negligence, even if they were entirely unforeseeable. In an RSD case, for example, the development of searing pain caused by this horrible condition may not be foreseeable, but the defendant must pay for it if he caused it.   I think some attorneys need to refresh themselves on this rule.  See Silva v Stein, 527 So. 2d 943 (Fla. 3rd DCA 1988). The case is an extremely instructive and important  one clearing up the apples and oranges difference between foreseeablity and liability, and foreseeablity and damages.

The following is an excerpt from Professors Prosser & Keeton  in their 1984 book on the Law of Torts, pg 291-292:

"It is as if a magic circle were drawn about the person, and one who breaks it, even by so much as a cut on the finger, becomes liable for all resulting harm to the person, although it may be death. The defendant is held liable when the defendant's negligence operates upon a concealed physical condition, such as pregnancy, or a latent disease, or susceptibility to disease, to produce consequences which the defendant could not reasonably anticipate. The defendant is held liable for unusual results of personal injuries which are regarded as unforeseeable, such as tuberculosis, paralysis, pneumonia, heart or kidney disease, blood poisoning, cancer, or the loss of hair from fright. The defendant of course is liable only for the extent to which the defendant's conduct has resulted in an aggravation of the pre-existing condition, and not for the condition as it was; but as to the aggravation, foreseeability is not a factor. One of the illustrations which runs through the English cases is that of the plaintiff with the ‘eggshell skull,’ who suffers death where a normal person would have had only a bump on the head; and an obviously related rule is that the defendant who kills another must take the chances, as to damages for the death, that the other has a large income, although the defendant has no reason to expect it."

This rule comes up in final arguments to the jury in cases where one would not expect the consequences of the defendant's negligence to be as great as they turned out. The jury needs a lawyer to explain causation in the context of the injury which the defense is going to argue is being blown out of proportion to the reality.  I have an interesting case I am working on now where my client was rear-ended and suffered a heart attack at the scene.  Other cases I've handled included clients who developed RSD, have had repeat cervical fusions, and various types of mental injuries such as PTSD. 

The lesson is that if the defendant caused the injuries it is no excuse or defense to say that they could not have been anticipated.  You are not expected to be as tough as Arnold Schwarznegger.

 

What Happens When an Old Injury Gets Aggravated?

I was talking to a client recently about his car accident. Before the accident, he said he had lots of surgeries before including neck and lower back surgery. More than 10 years ago he had a multi-level cervical fusion. He said he was doing fine up until the accident.

After the accident, he is facing a brand new cervical fusion to fix problems in his neck. He has numbness in his hands and severe headaches. He drinks out of plastic cups because he is afraid of dropping a glass. His neurosurgeon is scheduling him for a multi-level fusion of the entire cervical region from C6-7 to C3. Because of the recent accident he wanted to know how his previous surgeries fit in, and how his case was going to be handled.

Here are a few things to keep in mind when an old injury gets aggravated:

1. Everyone over the age of 30 starts having changes in their body which are a part of getting older. These changes are called degenerative disc disease  by doctors. Actually it is not a disease at all, but simply a normal part of  the aging process.

As we grow older the changes are easier for doctors to read on xrays and MRI's. So it is important for a lawyer, when arguing your damages case, to as carefully as possible distinguish between that type of change (which is totally normal) and those caused by an accident. To know what changes have occurred it is very important to have an accurate medical history. One common change is a ruptured or herniated disc.

2. I told him that the law only allowed recovery for any new injuries or the aggravation of pre-existing injuries which were caused by the accident. Sometimes it is difficult, even for a doctor to pinpoint the cause of a change in a person's medical condition.

Changes in a person's medical status may be the natural result of changes which occur over time, a disease, the negligence of a defendant or a combination of all these factors. It may be caused by two or more accidents or trauma, some of which may happen at the same time, or happen over a period of months or years.

Sometimes changes after an accident are subtle, like a ruptured disc and they may take weeks or months to surface.

I told him his treating physician would be in the best position to state what new injuries he had and whether his medical condition was worsened, aggravated or exacerbated by the accident in question. The testimony of his doctor would be admissible in a court of law as an expert opinion.