Dutcher v. Allstate Ins. Company
Randall DUTCHER, Appellant,
ALLSTATE INSURANCE COMPANY, a Florida corporation, Appellee.
District Court of Appeal of Florida,
May 24, 1995.
655 So.2d 1217
Plaintiff brought personal injury action against insurer under no-fault
statute in the Circuit Court, Broward County, W. Herbert Moriarty, J.
Following jury finding that plaintiff suffered no permanent injury, plaintiff
appealed. The District Court of Appeal, Klein, J., held that: (1) trial
court improperly limited plaintiff's treating chiropractor to testifying
to permanency of plaintiff's injuries within reasonable degree of "chiropractic"
rather than "medical" probability; (2) trial court erred in
denying plaintiff's request for concurring cause instruction; and (3)
defense counsel's statements in personal injury case which communicate
to jury counsel's own opinion denigrating chiropractors in general are improper.
Reversed and remanded.
 EVIDENCE k537
Chiropractor is qualified to testify as to whether plaintiff has or has
not suffered permanent injury in threshold case within reasonable degree
of medical probability, for purposes of no-fault statute.
West's F.S.A. s 627.737(2).
 EVIDENCE k555.10
Trial court improperly limited personal injury plaintiff's treating chiropractor
to testifying to permanency of plaintiff's injuries within reasonable
degree of "chiropractic" probability, under provision of no-fault
statute concerning evidence of permanent injury within reasonable degree
of "medical" probability; chiropractor was plaintiff's treating
West's F.S.A. s 627.737(2).
 TRIAL k121(1)
Defense counsel's statements in personal injury case which communicate
to jury counsel's own opinion denigrating chiropractors in general are
improper. West's F.S.A. Bar Rule 4-3.4(e).
 NEGLIGENCE k1741
Concurring cause instruction is necessary where personal injury plaintiff's
present condition could have resulted from combination of plaintiff's
pre- existing condition and defendant's negligence.
*1218 Dan Cytryn of the Law Offices Cytryn and Santana, P.A., Tamarac, for appellant.
R. Wade Adams and Mai-Ling E. Castillo of the Law Offices of Adams &
Adams, Miami, for appellee.
We reverse a finding by a jury that plaintiff suffered no permanent injury
because we conclude that the trial court improperly limited plaintiff's
treating chiropractor to testifying within a reasonable degree of "chiropractic"
probability. We also conclude that defense counsel's statements denigrating
chiropractors in general were improper, as well as the trial court's failure
to instruct the jury on concurring cause.
When plaintiff's counsel asked plaintiff's treating chiropractor whether
plaintiff had a permanent injury within a reasonable degree of medical
probability, defense counsel objected, and the trial court required plaintiff's
counsel to limit the question to reasonable chiropractic probability.
The court instructed the jury, however, pursuant to section 627.737(2),
Florida Statutes (1987), that they were to determine whether plaintiff
sustained a "permanent injury within a reasonable degree of medical
probability." The question was posed in the same manner on the form
of verdict, and the jury answered the question in the negative.
Horowitz v. American Motorist Ins. Co., 343 So.2d 1305 (Fla. 2d DCA 1977), the court was confronted with the issue of whether a chiropractor could
give an opinion as to whether a claimant suffered a permanent injury under
our no-fault insurance law. After pointing out that the no-fault statute
does not exclude injured persons from being treated by chiropractors and
does not limit the payment of medical expenses to medical doctors, the
court held that a chiropractor could render an opinion as to permanency
of injuries within a reasonable medical probability "where such injuries
are to areas of the body within his permitted practice and his education,
training and expertise." Id. at 1308. See also
Fay v. Mincey, 454 So.2d 587 (Fla. 2d DCA 1984).
 We agree with the second district that a chiropractor is qualified
to testify as to whether a plaintiff has or has not suffered a permanent
injury in a threshold case within a reasonable degree of medical probability.
Limiting the chiropractor in this case to testifying within a "chiropractic
probability" was prejudicial to plaintiff, because neither the statute,
the jury instruction, nor the verdict contained that term. The chiropractor
was plaintiff's treating physician, and the jury could well have concluded
that only the defendants' medical doctors were qualified to testify on
the issue of permanency within a reasonable degree of medical probability.
As Judge Warner pointed out in
Bohannon v. Thomas, 592 So.2d 1246, 1248 (Fla. 4th DCA 1992):
[I]nstead of clarifying things, allowing a dichotomy between medical or
chiropractic probability would actually tend to confuse the issue.
 The distinction the trial court made between a chiropractor and a physician
played right into the hands of defense counsel's strategy of communicating
to the jury his own opinion of all chiropractors as well as the lack of
bias of the medical doctor testifying for the defendant.
In opening statement, defense counsel said:
Dr. Routman, you will hear--he would like you to think that Dr. Routman
is in my hip pocket, but he's been in cases against me. He's a good doctor.
He's not on any side. He calls it like it is, and I think you will see
that for yourself.
In closing argument, defense counsel made the following statements:
*1219 I don't think there is a chiropractor that would ever stop someone from
having more care.... Folks, asking a chiropractor to cut off another chiropractor
is sort of like throwing kerosene on a fire.
As this court said in
Bellsouth Human Resources Admin., Inc. v. Colatarci, 641 So.2d 427, 430
(Fla. 4th DCA 1994):
What other lawyers have done, what has occurred in other law suits, and
what other corporations have done, are things which are clearly outside
the bounds, [of proper argument], and reference to them directly violates
the ethical rule. [FN1]
- FN1. Florida Bar rule 4-3.4(e) provides that a lawyer shall not:
- in trial, allude to any matter that the lawyer does not reasonably believe
is relevant or that will not be supported by admissible evidence, assert
personal knowledge of facts in issue except when testifying as a witness,
or state a personal opinion as to the justness of a cause, the credibility
of a witness, the culpability of a civil litigant, or the guilt or innocence
of an accused.
Similarly, references to what other chiropractors have done, when not supported
by evidence, are also improper.
Silva v. Nightingale, 619 So.2d 4 (Fla. 5th DCA 1993).
 We also conclude that the trial court erred in denying plaintiff's
request for Florida Standard Jury Instruction 5.1(b) on concurring cause.
Although we find no cases passing directly on the issue of whether a concurring
cause instruction should be given in a threshold case, we can think of
no reason why it should not be given where plaintiff has a pre-existing
injury which combines with the injury in the accident to produce a permanent injury.
In the present case, plaintiff had a pre-existing degenerative disc; however,
the jury was only asked to determine whether he "... sustained an
injury as a result of the incident complained of, which consists in whole
or in part of a permanent injury, within a reasonable degree of medical
probability." In the absence of an instruction on concurring cause,
the jury could have been under the erroneous impression that the required
permanent injury had to result solely from the accident. See e.g.,
Marinelli v. Grace, 608 So.2d 833 (Fla. 4th DCA 1992), holding that a concurring cause instruction is necessary where plaintiff's
present condition could have resulted from a combination of plaintiff's
pre-existing condition and defendant's negligence.
We therefore reverse and remand for a new trial.
GLICKSTEIN and STEVENSON, JJ., concur.