MEMORIAL WREATH FOR THE PROSECUTION IN THE GRAVES MALPRACTICE SUIT. By LEVI C. LANE, M. D., Professor of Surgery in Cooper Medical College, San Francisco. "Quod medicina non sanat, ferrum sanat; quod ferrum non sanat, ignis sanat."- Aphorism of Hippocrates. ' L >■ I ( J / (Reprinted from the "Pacific Medical and rural/ and Western Lancet.") \, ' i MEMORIAL WREATH FOR THE PROSECUTION IN THE GRAVES MALPRACTICE SUIT. LEVI C. LANE, M. D., Professor of Surgery in Cooper Medical College, San Francisco. "Quod medicina non sanat, ferrum sanat; quod ferrum non sanat, ignis sanat."- Aphorism of Hippocrates. The medical profession of California have watched with special interest the case in which Dr. G. W. Graves, of Petaluma, was sued, over a year ago, for alleged malpractice. The cause of action was based on the charge of improper treatment of an in- jury to the ankle of an old woman-one of those injuries where, despite the utmost care and skill on the part of the surgeon, the perfect use of the joint can never be regained. Though it was proven by written authority, as well as by prominent expert evidence, that the doctor had treated the case properly, and had obtained as good results as are ever gotten in such injury; yet the legal managers of the prosecution, uninfluenced by these facts, of which they became cognizant at the very commence- ment of the trial, have waged against the defendant during this long period a most merciless legal warfare, and one that has had but one parallel in the medical annals of this coast. And the outrage was further intensified by the fact that the plaintiff's family had received unremunerated services, during many years, from Dr. Graves. Early in the case a compromise could have been effected, but the defendant, with more regard for his professional honor than for his purse, refused every overture of the kind; and, aided by 2 The Graves Malpractice Suit. the moral as well as the financial support of the profession, and inspired by the principle which guided our forefathers in their struggle, viz., millions for defense, but not a cent for tribute, he has made a resistance that deserves all praise, for a compro- mise, though it would have saved him money, would have been the signal for many similar suits against others. The case has been tried three times, the first trial resulting in a verdict for eight thousand dollars against the defendant. This verdict, so at variance with what should have resulted from the evidence, awakened in the mind of almost every physician in this State a feeling of intense indignation'and the determined resolve, that the outrage should not be submitted to. At once, contribu- tions were freely offered for the defense, amounting in the aggre- gate to nearly two thousand dollars. "With this money additional legal counsel was employed, viz.: Hall McAllister, Esq., and Dr. E. R. Taylor of this city; and, after no slight effort, the shameful verdict was set aside, and the case re-opened for trial. At the second trial no decision was arrived at, the jury being divided; but at the third trial justice was triumphant, and vic- tory crowned the side of right in a full acquittal of Dr. Graves. This verdict, so gratifying to the defendant, is almost as much so to the general profession, of which several of the leading members, besides liberally contributing money, spent some days of precious time in attendance at court, to reach which, the most of them were compelled to travel long distances. But all will now feel more than repaid in the consciousness of hav- ing aided in rolling back the flood of injustice which was threat- ening to ingulf in ruin a professional brother. And besides this feeling of happiness, their united action has taught the lesson, that should a like instance recur, they will be quite as ready for concerted defense again; for, though the lance which they have lately so successfully wielded is laid in its rest, yet all will see to it, that its point is kept sharp, and ready for action. All may be assured that this serpent, the foul offspring of com- munism, as often as it may be evoked from its slimy pool by legal incantations, will be returned again to its festering home with- out doing other violence than leaving its fangs in those who may conjure it forth. Whenever this Hercules, in the form of a mal-practice suit, is sent forth in quest of golden apples, the profession are determined that he shall return, as on this occa- sion, laden only with apples of Sodom, whose bitterness will The Graves Malpractice Suit. 3 leave an interminable writhing in the mouths of those who sent him on such mission. The fancy of Schiller has painted a strange scene, in which young Moor is studying how he may shorten the life of his father; he decides the surest plan would be to suddenly fill the old man's heart with intense happiness, and then, in a moment, to overwhelm him with grief and despair; in the course of this suit, this experiment, instead of in fancy, has been exhibited in reality. What wild joy the actors in this prosecution must have tasted when they obtained a verdict for eight thousand dollars; and with what heart-aches they must have been tortured when they saw the last glitter of those ducats returning to the pocket of their rightful owner! Some curious psychologist would do well to chronicle how much their life-span has been shortened at its distal end by such experience. Great praise is due to the attorneys who aided in the defense: Mr. McAllister, too long ago recognized as facile princeps at the bar of California, for any new salutations of praise to touch his ear, deserves thanks for snatching some time from his over- worked hours, and ably co-operating in the management which led the way to final victory in the case; and, especially, is high credit due to Edward R. Taylor, who, though a graduate in med- icine, has chosen the law as his profession; to his untiring work the final result is mainly due; for, besides bringing that special knowledge, which is so valuable in such a case, he threw his heart and soul into the matter, and worked with the zeal and en- thusiasm of a personal friend of the medical profession. The history of this case would be more satisfactory if it could close without reference to certain medical men who allied them- selves with the plaintiff, and, as far as it was possible, aided in the prosecution. Some of these men are residents of San Fran- cisco, and gave their evidence by deposition; but the two who were especially active in this work-unnatural as throwing stones at a mother-were present at the trial, and mingled in their evi- dence an amount of malevolence which has brought on them the universal contempt of the medical profession. Their position now finds a proper parallel in the case of the traitor Benedict Arnold, who, after the close of our Colonial war, being asked by some European for introductory letters to the New World, replied, that he was the only man in Europe who had no friends in America. As Ulysses, in his visit to Hades, being repelled by his old enemy Ajax, learned that the resentments of the dead 4 The Graves Malpractice Sait. are eternal, so these men will find that those of the living are no less so. Should they desire to return to the profession, whose altar they have sullied, ignominy, as a flaming sword, will forever prevent them. Such action, whithersoever it may turn, will find no rest; for should it think to find a screen for its offences in the flight of years, it will search in vain, since in the untrodden labyrinths of futurity, there will be found no hidden recess where the finger of infamy will not follow it; nay, more, death itself will give such action no refuge, since disgrace and dishonor will carve their initials upon its grave-stone as an un- fading epitaph. SUPPLEMENT. The above was written and intended as a memorial offering to the defeated in this important trial; but while it was in the hands of the printer, and on the eve of appearing, information was received that the plaintiff had asked for a new trial. But as a pleasure deferred is not a pleasure lost, so the solace which might have been theirs at an earlier hour, has been but briefly deferred. Not content with a verdict which has given satisfaction to all fair-minded persons, not satisfied with the unmerited scourging with which they have tortured the defendant for many months, yet unconvinced that the support which the profession had given the defense was founded on the knowledge that he was wholly innocent of any neglect of duty to the patient, the prose- cution, finding it hard to relinguish a prize, which at one time seemed plainly to be theirs, have asked for a re-opening of the case. A.nd thus they would add another scene to this merciless drama, in which honest thrift and prudent industry have so long been held the counterpoise in the scales of justice, of dissipation and improvidence. But this last menace must ex- pire as a menace, for death has too effectually touched the vital centers of this many headed serpent to admit of resuscitation, in fact, this final effort has evidently been made, more for the pur- pose of annoyance than with any hope of success, since it has been the boast of, at least, one member of the prosecution, that a purpose of the suit was to humiliate the profession which had so persistently defended one of its members. To what a depth of moral degradation the spirit must have fallen, that can in- dulge in such fiendish malice. The espousal of the cause of Dr. Graves by the profession was, without doubt, the most The Graves Malpractice Suit. 5 praise-worthy movement which can be found in the medical his- tory of the Pacific Coast. Men who have repeatedly declined tempting fees to make professional visits in the country, on this occasion, forgetting every selfish interest, abandoned their busi- ness, and made great personal sacrifices. And forwhat object ? To defeat justice as the prosecution cunningly put it in their argument ? No, it was to promote justice and prevent its miscar- riage. And all this was done without a single hope of reward, either direct or contingent. In fact, the thought of profit and gain entered the minds of the medical witnesses who testified in behalf of the defense, quite as little as it did the head of Dr. Graves, when he went to the house of this misguided woman to treat her injury. And were those witnesses now sued for their pains, the outrage would find a parallel in the treatment which the physician has received from the hands of this woman. Indeed, the errands of mercy and charity in which the physi- cian's feet are daily wearied tend to banish from his heart that selfishness which is so prominent an element in human nature; nay, more, to lift and place him on a plane of self-abnegation, quite unknown to those who have not been so tutored. To support this assertion by pertinent proof, what greater example of altruism and extinction of self can be found than the fact that no physician is permitted to conceal or patent any discovery in medicine, and if he does so, he is guilty of an ethical offence which excludes him from all association with his fellows. Ad- herence to this rule, which goes a step beyond the golden, has cost many a medical inventor and discoverer a prospective fort- une. Had Jenner patented vaccination, to-day his heirs would have the wealth of Rothschilds. And yet of this profession, whose cardinal principle has ever been to work for the world rather than for itself, a member has been singled out whose excellent attainments and skill, acquired in civil and military practice, have never been questioned, and were especially illus- trated in the good results obtained in the treatment of this wo- man; and because he sought to vindicate his honor as a physi- cian and refused to surrender his purse when parties, brigand- like, were seeking, under guise of law, to wrest it from him, he has been pursued wi|h fell diligence, and. for month after month, scourged with a whip of scorpions. Unmoved by the sight of this "man of unsubdued spirit, bravely struggling against adversity, a spectacle in which God himself takes delight," to 6 The Graves Malpractice Suit. quote the words of Eugene Sue, the prosecution have added to the enormity of their offence by declaring that they intended to humiliate the profession who, at the call of their victim, came to his aid. They have probably learned that the seeds of humilia- tion, if they would flourish, must be planted in far other soil. As the parties of the prosecution have failed in every object for which they contended, the question arises, what have they done for themselves ? If historic indifference, under the guid- ance of impartial criticism, cast its eye on the disconsolate group, and indulge in a few observations, the following facts will be learned. The plaintiff, no longer needing her crutch or mal- position of the limbs, has won something, but her attorneys, after having worked with the energy that is inspired by empty maws and empty purses, and having seen the prize that was once won fall from their grasp, now stand as " men who have had their losses." Nay, more, the hostility which their enven- omed action has awakened in the mind of every honorable phy- sician in this state, has projected a long penumbral shadow athwart the orbit of their future lives. As to the medical prosecutors, who listened to the temptation to gratify local envy and personal hate, and to do so, like the young of the spider, turned on and devoured their mother, but little additional need be entwined in the wreath already woven for them. None will envy them the satisfaction they have had in torturing a professional brother. To mitigate the bitterness of the cup, which the hand of retributive justice surely lifts to the lips of him who unjustly injures, they should hasten their repentance, and as visible evidence of the same, they should sprinkle their heads with the ashes of their burnt honor, and clothe themselves in sackcloth woven from the tattered remains of that once spotless robe with which they were invested when they were admitted to the profession of medicine, and took on themselves its vows. How different in contrast stands the defendant! Witharms well tutored in the practice of defense, with patience begotten of prolonged discipline, gladdened by the approval of friends, and the encouraging salutation of every upright member of the medical profession, with heart full of content, and warmed with emotions of triumph in a just cause, he now, with fearless spirit and armor well tried at every point, stands erect, and, come what may, he will go forth an assured victor in the struggles of life.