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Case Digest Legal Medicine Lucas Vs Tuano

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PETERPAULPATRICKLUCAS,etal.vs.DR.PROSPEROMA.

C.TUAÑO
G.R.NO.178763 21April20 9
Chico-Nazario,J.

DOCTRINES:

Inamedicalnegligencesuit,thepatientorhisheir
s,inordertoprevail,isrequiredtoproveby
preponderanceofevidencethatthephysicianfaile
dtoexercisethatdegre ofskil,care,and
learningpossessedbyotherpersonsinthesameprof
ession;andthatasaproximateresultof
suchfailure,thepatientorhisheirssuffereddamag
es.

Thereisbreachofdutyofcare,skilanddiligence,o
rtheimproperperformanceofsuchduty,by
theatendingphysicianwhenthepatientisinjuredi
nbodyorinhealthconstitutestheactionable
malpractice.

FACTS:

Hereinpetitioner,PeterLucas,firstconsultedres
pondent,Dr.Tuaño,onacomplaintofsoreness
andrednessonhisrighteye.Therespondent,afteras
eriesofexaminations,foundthatthe
formerwassufferingfrom
conjunctivitisor“soreeyes”andprescribedtheus
eoftheSpersacet-
C. However,afterthe petitioner’scondition se
med to have worsened,he soughtforthe
respondent’s second finding wherein the latersaid
thathis condition had progressed to
EpidemicKeratoConjunctivitis(EKC),aviralinf
ection.Therespondenthenprescribedtheuse
ofMaxitrol,asteroid-
basedeyedrop.Thepetitioner’sconditionworsene
dovertime,yethe
obedientlycompliedwithaltheprescriptionsando
rdersoftherespondent.

Fourmonthslaterandafterthepetitionersufferedf
rom significantswelingofhisrighteyebal,
headaches,nauseaandblindnessonthisrighteye,he
soughtfortheopinionofanotherdoctor,
Dr.Aquino.Dr.Aquinofoundthathepetitionerhadb
e nsufferingfrom glaucomaandne ded
toundergolasersurgery,lesthemightsufferfrom
totalblindness.

Afterreadingtheliteratureontheuseofthemedici
neMaxitrol,Fatima,oneofthepetitioners
hereinandPeterLucas’wife,readthatoneoftheadv
erseeffectsofprolongeduseofsteroid-
basedeyedropscouldpossiblybeglaucoma.Peter,F
atima,andtheirtwochildreninstituteda
civilcasefordamagesagainsthereinrespondentfo
rmedicalmalpractice.

ISSUE:
WhetherornotthepetitionersamplyprovedthatDr.
Tuañofailedtoexercisediligenceinthe
performanceofhisdutyaspetitionerPeterLucas’p
hysician.

RULING:

No.Absenta definitive standard ofcare


ordiligence required ofDr.Tuaño underthe
circumstances,theCourthasnoyardstickuponwhic
htoevaluatetheatendantfactsofthe
caseathandtobeabletostatewithconfidencethathe
actscomplainedof,inde d,constituted
negligenceand,thus,shouldbethesubjectofpecuni
aryreparation.

Inmedicalnegligencecases,alsocaledmedicalmal
practicesuits,thereexistaphysician-
patientrelationshipbetwe
nthedoctorandthevictim.Butjustlikeanyotherpr
oce dingfor
damages,fouressential(4)elementsi.e.,
(1)duty;(2)breach;(3)injury;and(4)proximate
causation,mustbeestablishedbytheplaintiff/s.A
lthefour(4)elementsmustco-existinorder
tofindthephysiciannegligentand,thus,liableford
amages.

Asthephysicianhasthedutytouseatleastthesame
levelofcareasthatofanyother
reasonablycompetentphysicianwoulduseinthetre
atmentofhispatient,saidstandardlevelof
care,skilanddiligencemustlikewisebeprovenbye
xpertmedicaltestimony,becausethe
standardofcareinamedicalmalpracticecaseisama
terpeculiarlywithintheknowledgeof
expertsinthefield.Thesameisoutsidethekenofth
eaveragelayperson.

Thereisbreachofdutyofcare,skilanddiligence,o
rtheimproperperformanceofsuchduty,by
theatendingphysicianwhenthepatientisinjuredi
nbodyorinhealth[andthis]constitutesthe
actionablemalpractice.Hence,pro
fofbreachofdutyonthepartoftheatendingphysic
ianis
insufficient.Rather,thenegligenceofthephysicia
nmustbetheproximatecauseoftheinjury.

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