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  "id": 8572122,
  "name": "PAUL E. THACKER v. HURSHEL E. WARD, JR., and WILLIAM C. MARKHAM, JR., T/A WARD-MARKHAM CO., and BILLY SANFORD McCOY",
  "name_abbreviation": "Thacker v. Ward",
  "decision_date": "1965-01-29",
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    "parties": [
      "PAUL E. THACKER v. HURSHEL E. WARD, JR., and WILLIAM C. MARKHAM, JR., T/A WARD-MARKHAM CO., and BILLY SANFORD McCOY."
    ],
    "opinions": [
      {
        "text": "Shabp, J.\nThis appeal involves only a question of pleading, not the right of a plaintiff to recover for emotional disturbances precipitated by physical injuries. Upon proper allegations and medical proof as to causation, it is generally held that recovery for such a disturbance may be had. Williamson v. Bennett, 251 N.C. 498, 112 S.E. 2d 48 (recovery denied because no actual physical injuries); Ford v. Blythe Brothers Co., 242 N.C. 347, 87 S.E. 2d 879; see, on the requisites of medical proof of causation, Gillikin v. Burbage, ante, 317, 139 S.E. 2d 753.\nPlaintiff\u2019s evidence, viewed in the light most favorable to him, tends to show that after the automobile which he was driving was struck from the rear by the truck of defendants Ward and Markham, plaintiff developed a traumatic neurosis. Although none of the medical experts who testified used this term, the bizarre, metastatic symptoms detailed by plaintiff at the trial and to his physicians, who could find no physical basis for these complaints, are among the indicia of traumatic neurosis. This is a term loosely used to include a variety of emotional and nervous disorders which sometimes follow a physical injury and which cause pain as real as if it had a physical basis. 3 Lawyers\u2019 Medical Cyclopedia \u00a7\u00a7 20.1, 20.3, 20.4, 20.12 (1959 Ed.).\nPlaintiff has alleged that his nervous system was shocked and damaged, his ability to sleep permanently impaired, and that he has suffered excruciating physical and mental pain as a result of injuries sustained in the collision on April 25, 1960. He has not, however, specifically alleged that his disorders and suffering are emotional rather than physical or organic in origin, i.e., that he has become a victim of traumatic neurosis. May he recover for such an injury without an explicit averment of it? This is the question this appeal poses. If such an allegation is required, the judge correctly instructed the jury to allow plaintiff no damages for psychological complaints. The court cannot submit a case to the jury on a particular theory unless such theory is supported by both pleadings and evidence. Assuming, purely arguendo, that we have in this case the necessary proof of causation, \u201cproof without allegation is as ineffective as allegation without proof.\u201d McKee v. Lineberger, 69 N.C. 217, 239; accord, Calloway v. Wyatt, 246 N.C. 129, 97 S.E. 2d 881.\nThe general rule with reference to pleading items of damages in personal-injury cases is this: Those injuries which are the natural and probable consequences of the hurt alleged in the complaint, and which are reasonably included therein, need not be set out in detail. The law will infer them from the facts set forth. Effects, however, which are not logical and necessary, and which do not ordinarily follow such injuries constitute special damages, which must be specifically pleaded. 15 Am. Jur., Damages, \u00a7\u00a7 304, 311 (1938); 25 C.J.S., Damages \u00a7 135 (1941). Therefore, from an injury which necessarily causes physical pain the law assumes that the normal person will suffer some mental anguish, also. Hargis v. Power Co., 175 N.C. 31, 94 S.E. 702. Although it is the better practice in a personal-injury action to aver specifically that plaintiff has suffered mental anguish as a result of his injuries (if such be the case), most courts, including this one, hold that \u201cwhere a description of the injury itself is such as to indicate that pain and mental anguish would ordinarily accompany it, the specific allegation is unnecessary.\u201d McCormick, Damages \u00a7 88 (1935 Ed.); accord, Hargis v. Power Co., supra; 15 Am. Jur., Damages \u00a7 316 (1938).\nPlaintiff contends that, he having alleged both physical pain and mental suffering, as well as severe shock to his nervous system, these allegations are a sufficient foundation for the recovery of damages for traumatic neurosis. We do not agree.\nThe purpose of averring that a plaintiff is afflicted with a certain condition or disease as a result of a defendant\u2019s actionable negligence is to give defendant notice that plaintiff is seeking compensation for the infirmities and discomfort attending it. A defendant is entitled to know from the complaint the character of the injury for which he must answer. The complaint, therefore, should disclose \u201call the facts which the defendant should know in order to make his defense\u201d and thus prevent surprise at the trial. Barron v. Cain, 216 N.C. 282, 283, 4 S.E. 2d 618, 619; accord, Oberholtzer v. Huffman, 234 N.C. 399, 67 S.E. 2d 263.\nIn Connor v. Kansas City Rys. Co., 298 Mo. 18, 250 S.W. 574, plaintiff alleged that her entire body was strained, bruised, and contused; that she sustained a concussion of her spine; and that she would continue to lose sleep and suffer intense pain and mental anguish. In holding that evidence tending to show insanity was not admissible within this pleading, the court said: \u201cNeither insanity, irrationality nor traumatic neurosis with its train of ills, is a necessary result of injuries such as are pleaded in the petition. Injuries to nerves do not necessarily so result, and a nervous condition does not necessarily include them . . .\u201d Id. at 23, 250 S.W. at 576; accord, Arkansas Power & Light Co. v. Toliver, 181 Ark. 790, 27 S.W. 2d 985 (allegation of a broken rib, neck and back sprains, and a contusion on the back of the head, Held, not sufficient to admit evidence that plaintiff was suffering from a brain disease known as Friedman\u2019s Complex); Chambers v. Kennedy, 274 S.W. 726 (Mo.) (allegation of permanent injury to brain and entire nervous system, Held, not sufficient to admit evidence of epilepsy, which might or might not result from such injuries); Waters v. City of Morgantown, 110 W. Va. 43, 156 S.E. 837 (allegation of abdominal, head and neck injuries, which rendered plaintiff very nervous, Held, insufficient to admit evidence of insanity resulting from the accident in suit).\nAlthough, as the testimony of one of the medical experts in this case indicates, traumatic neurosis sometimes ensues from a neck sprain such as plaintiff presumably suffered, yet it is not the necessary or the usual result. Often it is very difficult for medical experts to determine whether a plaintiff is malingering, i.e., making a \u201cconscious attempt to simulate some condition which is not actually present,\u201d or whether he is the victim of a neurosis, \u201cwhich involves the unconscious production of a symptom so that the patient is unaware of its emotional origin'.\u201d 3 Lawyers\u2019 Medical Cyclopedia \u00a7 20.16 (1959 Ed.). A defendant who must face a determination of this question is entitled to pleading-notice that the plaintiff seeks to recover damages for a psy-choneurotic reaction.\nOrdinarily, the question of the sufficiency of the pleadings in cases involving a traumatic neurosis arises upon objections to evidence of plaintiff\u2019s symptoms. Here, however, without objection, the jury heard all of plaintiff\u2019s evidence with reference to his symptoms. No question arose until defendants requested the court to charge the jury that it could not include damages for psychological injuries in any award to plaintiff. Defendants\u2019 strategy of permissiveness was based, we apprehend, upon their belief (1) that jurors, like most other people, are unsympathetic to a person who has no physical basis for his complaints and (2) that plaintiff would victimize himself by overstating his baroque complaints. \u201cI pray you, sir, to understate your case, lest the full truth, falling upon untutored ears, deafen beyond belief.\u201d Wh\u00e9ther the verdict reflects the success of defendants\u2019 strategy or the jurors\u2019 strict compliance with the court\u2019s charge, we must leave to conjecture. In any event, plaintiff has assigned no reversible error. The charge conformed to the rule of damages for personal injuries as laid down in Smith v. Corsat, 260 N.C. 92, 131 S.E. 2d 894, and the cases therein cited. Under the charge plaintiff was permitted to recover for all his physical and mental sufferings which were the immediate and necessary consequences of the injury sustained. Had plaintiff desired elaboration of his contentions with reference to lost wages and other items embraced by the rule, he should have especially requested it. Peterson v. McManus, 210 N.C. 822, 185 S.E. 462.\nIn the trial, we find\nNo error.",
        "type": "majority",
        "author": "Shabp, J."
      }
    ],
    "attorneys": [
      "Yarborough, Blanchard <& Tucker; Douglass and Douglass for 'plaintiff.",
      "Smith, Leach, Anderson & Dorsett for defendants."
    ],
    "corrections": "",
    "head_matter": "PAUL E. THACKER v. HURSHEL E. WARD, JR., and WILLIAM C. MARKHAM, JR., T/A WARD-MARKHAM CO., and BILLY SANFORD McCOY.\n(Filed 29 January, 1965.)\n1. Damages \u00a7 11\u2014\nWhere the complaint describes an injury which necessarily causes physical pain the law will presume some mental anguish, and such natural consequences need not be pleaded in detail, but plaintiff must set forth in his complaint allegations as to consequences which are not the natural or normal result of the injury, since the defendant is entitled to know from the complaint the nature of the injury to which he must answer in order to make his defense and not be taken by surprise at the trial.\na. Same\u2014 Allegations of physical pain and mental anguish and shock to nervous system held insufficient predicate for recovery for traumatic neurosis.\nPlaintiff alleged that the accident in suit seriously and painfully injured his head, neck, back, chest and shoulders, that his nervous system was severely shocked and his ability to sleep impaired, and that he had suffered exhausting physical pain and mental anguish. Plaintiff\u2019s evidence tended to show, in addition to physical injury, a psychoneurotic reaction resulting in .total disability, but plaintiff\u2019s expert testimony was to the effect that plaintiff\u2019s complaints were entirely without organic basis. SelcL: In the absence of allegation that plaintiff had become a victim of traumatic neurosis the court correctly instructed the jury that it might award damages for all physical incapacities, past, present, and future plus all physical and mental suffering which was the immediate and necessary consequence of the injury sustained, but that the jury should allow nothing for psychological complaints.\n3. Trial \u00a7 33\u2014\nThe court may not submit a case to the jury on a particular theory unless such theory is supported by both allegation and evidence.\nAppeal by plaintiff from Hobgood, J., March 1964 Civil Session of Waice.\nAction for personal injuries. On April 25, 1960, plaintiff, a 41-year-old man employed by the Seaboard Airline Railroad Company as a switchman and yard conductor, was operating his automobile northerly on Boylan Avenue in the City of Raleigh. Intending to make a right turn onto Willard Place, a narrow street which forms a T intersection with Boylan, he stopped to permit a truck traveling west on Willard to clear the intersection. While waiting, he was struck from the rear by a truck owned by defendants Ward and Markham and operated by their employee, defendant McCoy. Plaintiff alleges that, as a result of this impact,\n\u201c(H)e was shocked, stunned, bruised and injured about various parts of his body; he was seriously, painfully and permanently injured about his head, neck, back, chest and shoulders; he suffered severe injuries to his cervical spine; the muscles, ligaments, nerves, tissues and bones of his neck were injured; the severe injury to his cervical spine necessitated the application of traction to his neck and the wearing of a cervical brace; he suffered and continues to suffer constant and intractable headaches; he was treated intensively with drugs and physical therapy; his nervous system was severely shocked and damaged and his ability to sleep was and has been permanently impaired. That as a direct result of said injuries, the interspaces between the vertebrae of his cervical spine have suffered a narrowing (cervical osteoarthritis), and the neurofora-mina at all these levels of his cervical spine suffered a moderate encroachment. These painful, serious and permanent injuries have required that he receive out-patient hospitalization and will require hospitalization and major surgery (cervical fusion), and orthopedic care and treatment in the future; that as a direct result of these specific injuries plaintiff has suffered excruciating physical pain and mental anguish. That at the time of his injury the plaintiff was gainfully employed as a yard conductor-switchman with the Seaboard Air Line Railroad Company, Raleigh, N. C., and was earning in excess of 15,000.00 a year; that as a direct result of the injuries received in the aforementioned collision, plaintiff has been rendered totally and permanently disabled, and unable to perform the duties of such employment, and the plaintiff has been damaged in the sum of Two Hundred Thousand Dollars ($200,-000.00).\u201d (Italics ours).\nPlaintiff\u2019s evidence tends to show the following: On March 14, 1960, he had passed the physical examination conducted by the Railroad\u2019s medical examiner; he was in good health on April 25, 1960. On that day, immediately after the collision, plaintiff felt numb and dazed, but he did not believe himself injured. He drove his car away from the scene and went ahead with his plans for the day. Thereafter, however, pain and stiffness, which became progressively worse, developed in his neck and back, and his head began to ache. Between April 25th and May 5th he was able to work only four days. Since May 5, 1960, he has been in constant pain and totally unable to perform his duties as a trainman. On December 29, 1960, on the basis of plaintiff\u2019s complaint to him, the Railroad\u2019s medical examiner declared plaintiff unfit for further employment by the Railroad.\nOn May 3, 1960, plaintiff consulted Dr. A. E. Harer, an orthopedic surgeon, who diagnosed his condition as a sprain of the cervical and lumbo-sacral spine. Dr. Harer treated him with traction, physiotherapy, and medications. By August 1960 plaintiff had developed a deformity which resulted from continuously carrying his head in a forward position, \"flexed as though he could not hold his head up straight.\u201d Dr. Harer then referred plaintiff to Dr. R. W. Willett, an internist, who gained the impression that the anteflexed position of plaintiff\u2019s neck was due to voluntary guarding. He found his coordination to be normal and diagnosed plaintiff's case as \u201canxiety with tension headaches, hypo-chondriasis.\u201d\nAt intervals plaintiff consulted other specialists with reference to his injury: orthopedists at Duke Hospital in May 1960, at the veterans hospitals at Durham and Winston-Salem' (7 trips from February 1961 to December 1963), and at Johns Hopkins Hospital in February 1962 and December 1963; an internist in September 1960; a neurologist in 'October 1960; an opthalmologist in the early part of 1962; an arthritis specialist in December 1963; and a chiropractor (time unknown). At no time did he ever stay overnight in a hospital. At the time of the trial his medical bills totaled $1,144.00.\nHereafter, chronology becomes difficult. After seeing Dr. Harer, plaintiff began to keep a diary of \u201cwhere he ached and hurt from time to time.\u201d According to plaintiff, he became \u201cabsolutely stiff and rigid.\u201d He is still stiff and cannot bend over at all. He developed dizziness, strange sensations in his head and neck, a \u201cfilibrating heart,\u201d and difficulty in breathing. His ability to sleep was and is impaired; his arm movements became restricted, and he is now afflicted with \u201cfumblingness.\u201d In August 1960 he felt \u201clike he was up on a hinge,\u201d his shoulders \u201csitting up from the rest of his body.\u201d He \u201cgot to having a blue flash going through his head; somewhere along in there it felt like electrical waves were going through his hair when he combed or touched it.\u201d There was a numbness in the hair on his head. He had the sensation of \u201cdropping and swishing in his brain.\u201d He lost his Adam\u2019s apple. His throat \u201cfelt like there was a circle or a string around it at an oblique angle \u2014 high on the right side and low on the left.\u201d After his throat went back into place \u201con Mother\u2019s Day,\u201d his spine began to feel as if it were enclosed in a pipe. He felt as if he had \u201cpancakes and fishtails\u201d in his back. Electrical impulses ran up and down his spine for months and created \u201ca sensation as though an electric motor were generating waves in the lower spine, these working up his back, moving about three quarters of an inch per second. . . .\u201d When these waves would get ahead on one side, there was \u201ca terrible mixup.\u201d From time to time, however, these impulses would travel from one part of his body to another, and queer sensations compassed him about. A pear-shaped lump with no end developed on his neck and remains there. For three years his eyeballs were painful and sore inside. In June 1960 his eyes were jumping back and forth about two inches \u201clike a printing press.\u201d When in the early part of 1962 he began to fear blindness from the accident, he consulted an opthalmologist. He prescribed glasses, which plaintiff did not purchase, and the eye symptoms eventually disappeared. He still has pains in his head and cheeks. Seven or eight times he lost his voice; twenty-five to thirty times his voice became \u201ca high thrilly type.\u201d In the summertime he has swelling of the feet and sensations of tight bands constricting his feet, with stringing sensations up his legs. A numbness began around his buttocks and spread into both legs. He lost all feeling in his right leg.\nBecause he was unable to work and wanted just \u201cto have something to do to kill time,\u201d plaintiff began to attend the trial of personal-injury cases in the Superior Court. Having a pass on the Railroad, he traveled as much as he could in order to keep from being \u201ccharged with vagrancy.\u201d In 1961 and 1962 he spent a while at Miami Beach; in 1962 he spent the summer on the sand at Virginia Beach. Frequently he \u201cwould get on a train and ride somewhere else just spending a day and night\u201d to save money.\nDr. Harer, as a witness for plaintiff, testified that plaintiff has a full range of motion in his entire spine, but that motion in the neck is guarded, \u201cpresumably because of pain.\u201d His reflexes are equal and active, and he has experienced no sensory changes. Neither Dr. Harer nor any other physician who examined plaintiff ever found any physiological or anatomical condition which could possibly form the basis for any of his complaints. Manual examination revealed no muscle spasm. Dr. Harer found no abnormal lumps in plaintiff\u2019s neck. X-rays were negative except that they revealed osteoarthritis, which predated April 25, 1960, in plaintiff\u2019s spine. It is Dr. Harer\u2019s opinion that although a sprain of the cervical spine could aggravate previously asymptomatic osteoarthritis, the symptoms of which plaintiff complained \u201cactually did not affect his arthritis.\u201d It is Dr. Harer\u2019s opinion, also, based on plaintiff\u2019s complaints to him (subjective symptoms), that plaintiff now has a permanent injury.\nDr. Zadek of Johns Hopkins testified by deposition in December 1962 that, upon his examination of plaintiff, he found some limitation of plaintiff\u2019s cervical spine and \u201cthe gross defect of holding his head forward.\u201d He found \u201cno objective pathology\u201d to support plaintiff\u2019s complaints about his legs.\nDr. Leroy Allen, the neurosurgeon to whom Dr. Harer referred plaintiff, testified as a witness for defendants. In September 1960, when he examined plaintiff, it was his opinion that if plaintiff would relax his neck muscles voluntarily, his cervical spine would be normal. He believed that plaintiff\u2019s complaints were all functional and entirely without organic basis, that is, that they were psychological.\nThe trial judge instructed the jury that it could award damages only for physical injuries, past, present, and future, plus \u201call physical and mental suffering which was the immediate and necessary consequence of the injury sustained.\u201d He specifically charged: \u201cYou are not to allow anything for psychological complaints but only for physical complaints.\u201d\nThe jury found that plaintiff had been injured by the negligence of defendants; that plaintiff was entitled to recover 15,800.00 for personal injuries and $200.00 for property damages. Plaintiff\u2019s motion to set aside the verdict upon the issue of damages was denied. From judgment on the verdict, plaintiff appeals, requesting a new trial on the issue of damages only.\nYarborough, Blanchard <& Tucker; Douglass and Douglass for 'plaintiff.\nSmith, Leach, Anderson & Dorsett for defendants."
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