Professional Documents
Culture Documents
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* THIRD DIVISION.
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This petition brings into focus the rule on the confidentiality of the
physician-patient relationship. Petitioner urges this Court to strike
down as being violative thereof the resolution of public respondent
Court of Appeals in C.A.-G.R. SP No. 16991 denying due course to
a petition to annul the order of the trial court allowing a Psychiatrist
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Since petitioner’s counsel insisted that the ruling of the court on the
motion be reduced to writing, respondent Judge issued the following
Order on the same date:
“In his omnibus motion filed with the Court only yesterday, January 24,
1989, petitioner seeks to prevent Dr. Lydia Acampado from testifying
because she saw and examined respondent Nelly Lim in her professional
capacity perforce her testimony is covered by the privileged (sic)
communication rule.
Petitioner contends that Dr. Acampado is being presented as an expert
witness and that she will not testify on any information she acquired in (sic)
attending to Nelly Lim in her professional capacity.
Based on the foregoing manifestation of counsel for petitioner, the Court
denied the respondent’s motion and forthwith allowed Dr. Acampado to
testify. However, the Court advised counsel for respondent to interpose his
objection once it becomes apparent that the testimony sought to be elicited
is covered by the privileged communication rule.
On the witness box, Dr. Acampado answered routinary (sic) questions to
qualify her as an expert in psychiatry; she was asked to render an opinion as
to what kind of illness (sic) are stelazine tablets applied to; she was asked to
render an opinion on a (sic) hypothetical facts respecting certain behaviours
of a person; and finally she admitted she saw and treated Nelly Lim but she
never revealed what illness she examined and treated her (sic); nor (sic) the
result of her examination of Nelly Lim; nor (sic) the medicines she
prescribed.
WHEREFORE,
1
the omnibus motion dated January 19, 1989 is hereby
DENIED.”
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1 Rollo, 34.
2 Id., 41-58.
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“The present suit is a civil case for annulment of marriage, and the person
whose testimony is sought to be stopped as a privileged communication is a
physican, who was summoned by the patient in her professional capacity for
curative remedy or treatment. The divergence in views is whether the
information given by the physician in her testimony in open court on
January 25, 1989 was a privileged communication. We are of the opinion
that they do not fall within the realm of a privileged communication because
the information were (sic) not obtained from the patient while attending her
in her professional capacity; and neither were (sic) the information
necessary to enable the physician to prescribe or give treatment to the
patient, Nelly Lim. And neither does the information obtained from the
physician tend to blacken the character of the patient or bring disgrace to her
or invite reproach. Dr. Acampado is a Medical Specialist II and incharge
(sic) of the Female Service of the National Center for Mental Health, a
fellow of the Philippine Psychiatrist Association and a Diplomate of the
Philippine Board of Psychiatrists. She was summoned to testify as an expert
witness and not as an attending physician of petitioner.
After a careful scrutiny of the transcript of Dr. Acampado’s testimony,
We find no declaration that touched (sic) or disclosed any information
which she has acquired from her patient, Nelly Lim, during the period she
attended her patient in a professional capacity. Although she testified that
she examined and interviewed the patient, she did not disclose anything she
obtained in the course of her examination, interview and treatment of her
patient. Given a set of facts and asked a hypothetical question, Dr.
Acampado rendered an opinion
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3 Id., 33-38; per then Associate Justice Jose C. Campos, Jr., concurred in by Associate
Justices Emeterio C. Cui and Nicolas P. Lapeña, Jr.
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“I.
x x x in not finding that all the essential elements of the rule on physician-
patient privileged communication under Section 21, Rule 130 of the Rules
of Court (Section 24, Rule 130 of the Revised Rules of Evidence) exist in
the case at bar.
II.
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4 Rollo, 36-37.
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III.
IV.
xxx
(c) A person authorized to practice medicine, surgery or obstetrics cannot in a
civil case, without the consent of the patient, be examined as to any advice or
treatment given by him or any information which he may have acquired in attending
such patient in a professional capacity, which information was necessary to enable
him to act in that capacity, and which would
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5 Rollo, 14-15.
6 Id., 99.
7 Id., 84-89.
8 Id., 94-97.
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and (b) substitution of the word reputation for the word character.
Said Section 21 in turn is a reproduction of paragraph (f), Section
26, Rule 123 of the 1940 Rules of Court with a modification
consisting in the change of the phrase “which 9
would tend to
blacken” in the latter to “would blacken.” Verily, these changes
affected the meaning of the provision. Under the 1940 Rules of
Court, it was sufficient if the information would tend to blacken the
character of the patient. In the 1964 Rules of court, a stricter
requirement was imposed; it was imperative that the information
would blacken such character. With the advent of the Revised Rules
on Evidence on 1 July 1989, the rule was relaxed once more by the
substitution of the word character with the word reputation. There is
a distinction between these two concepts. “Character’ is what a man
is, and ‘reputation’ is what he is supposed to be in what people say
he is. ‘Character’ depends on attributes possessed, and ‘reputation’
on attributes which others believe one to possess. The former
signifies 10reality and the latter merely what is accepted to be reality at
present.”
This rule on the physician-patient privilege is intended to
facilitate and make safe full and confidential disclosure by the
patient to the physician of all facts, circumstances and symptoms,
untrammeled by apprehension of their subsequent and enforced
disclosure and publication on the witness stand, to the end that the
physician may form a correct opinion,11
and be enabled safely and
efficaciously to treat his patient. It rests
12
in public policy and is for
the general interest of the community.
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9 FRANCISCO, V.J., The Revised Rules of Court, Vol. VII, Part I, 1973 ed., 248.
10 Black’s Law Dictionary, Fifth ed., 211.
11 FRANCISCO, op. cit., 267, citing Will of Bruendi, 102 Wis., 47, 78 N.W. 169.
12 81 Am Jur 2d, 263.
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“The predominating view, with some scant authority otherwise, is that the
statutory physician-patient privilege, though duly claimed, is not violated by
permitting a physician to give expert opinion testimony in response to a
strictly hypothetical question in a lawsuit involving the physical mental
condition of a patient whom he has attended professionally, where his
opinion is based strictly upon the hypothetical facts stated, excluding and
disregarding any personal
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16 FRANCISCO, op. cit., 269, citing Smart vs. Kansas City, 208 Mo., 162, 105 S.W., 709;
Rule 220, Model Code of Evidence.
17 WIGMORE, op. cit., 846.
18 Id., 833.
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“Some courts have held that the casual presence of a third person destroys
the confidential nature of the communication between doctor and patient
and thus destroys the privilege, and that under such circumstances
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the
doctor may testify. Other courts have reached a contrary result.”
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Petition denied.
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