106 Wn. App. 226, FOX v. MAHONEY

[No. 19294-6-III. Division Three. May 15, 2001.]

Nancy Fox, Appellant, v. Timothy Mahoney, as Personal Representative, Respondent.

[1] Evidence - Documents - Court Rule - Purpose. The purpose of ER 904 is to expedite the admission of documentary evidence.

[2] Evidence - Documents - Discretion of Court. A trial court exercises its traditional discretion when deciding whether to admit documentary evidence under ER 904.

[3] Evidence - Documents - Report for Purpose of Treatment - Letter From Examining Physician. A letter from an examining physician evaluating a party's injuries and treatment options is admissible under ER 904(a) as a report made for the purpose of "treatment."

[4] Evidence - Business Records - Medical Records - Letter From Examining Physician. A letter from an examining physician evaluating a party's injuries and treatment options may be admitted under the uniform business records as evidence act (RCW 5.45.020).

 May 2001     FOX v. MAHONEY    227 
106 Wn. App. 226

[5] Evidence - Review - Discretion of Court - Abuse - What Constitutes. A trial court abuses its discretion by excluding evidence if the ruling is unsupported by any substantive evidentiary reason or any other tenable basis.

[6] Evidence - Review - Harmless Error - Outcome of Trial. A trial court's erroneous exclusion of evidence constitutes reversible error if the exclusion is prejudicial to the proponent's case.

[7] Interest - Prejudgment Interest - Liquidated Claim - Exercise of Discretion - Measure of Damages. Prejudgment interest may not be awarded on an unliquidated claim. A claim is unliquidated if the measure of damages requires an exercise of discretion by the finder of fact.

Nature of Action: Action for damages for injuries suffered in a motor vehicle accident. Superior Court: The Superior Court for Benton County, No. 99-2-00631-1, Carolyn A. Brown, J., on March 30, 2000, entered a judgment on a verdict in favor of the plaintiff for past economic and noneconomic damages. Court of Appeals: Holding that the trial court erred by excluding a letter from a physician offered by the plaintiff to establish a claim for future medical expenses and that the error was not harmless, the court reverses the judgment and remands the case for further proceedings.

Allen D. Brecke, for appellant.

James S. Berg, for respondent.

Kato, J. - Nancy Fox was awarded damages for injuries she received in a car accident. Claiming the court erroneously excluded evidence of future medical expenses, she appeals. We agree and remand for new trial.

In May 1996, Ms. Fox was in a car accident caused by Mary Peck (now deceased). Ms. Fox received a cut on her lip that left a scar. She also suffered from pain in her ribs, back, and neck.

 228    FOX v. MAHONEY    May 2001 
106 Wn. App. 226

In July 1996, Ms. Fox began treatment with Dr. Charles Nelson for her injuries. At the initial visit, her most serious complaint was the pain in her upper lip. She also complained of pain in her ribs, right shoulder, and neck. Dr. Nelson determined that Ms. Fox had some shifting in her vertebrae and there was evidence of degenerative joint disease. Although these symptoms would have eventually surfaced, Dr. Nelson opined the accident accelerated them and recommended physical therapy. In September 1996, he discharged Ms. Fox with a guarded prognosis. He believed she would have permanent pain problems and might need surgery at some point in the future.«1»

In April 1999, Ms. Fox sued Timothy Mahoney, the personal representative of Mary Peck's estate, for damages resulting from the car accident. Ms. Peck's liability was not contested. The case went to trial on damages only.

Ms. Fox incurred medical expenses of $2,546 for her treatment with Dr. Nelson. The parties stipulated that the charges were reasonable for the treatment she received, but the jury would determine if the treatment was necessary.

The jury awarded Ms. Fox $2,616.84 for past economic damages and also awarded her $500 for past noneconomic damages. She appealed.

Before trial, Ms. Fox informed Mr. Mahoney and the court that she intended to use a letter from Dr. Robert C. Luckey to establish her future medical expenses pursuant to ER 904(a)(1). The doctor had retired and moved to Canada and was unavailable to testify at trial. Ms. Fox had seen Dr. Luckey, a plastic surgeon, about the scar on her lip. His letter outlined the visit and the possible treatment options and costs for Ms. Fox. Arguing the letter was not for treatment purposes, Mr. Mahoney objected to its admission. The court agreed and excluded it.

[1, 2] ER 904(a)(1) provides:


«1» Dr. Chester McLaughlin conducted an independent medical examination of Ms. Fox and disagreed with Dr. Nelson's assessment. He concluded her problems existed prior to the accident. He also stated her prognosis was excellent and no further treatment was necessary.


 May 2001     FOX v. MAHONEY    229 
106 Wn. App. 226

(a) Certain Documents Admissible. In a civil case, any of the following documents proposed as exhibits in accordance with section (b) of this rule shall be deemed admissible unless objection is made under section (c) of this rule:

(1) A bill, report made for the purpose of treatment, chart, record of a hospital, doctor, dentist, registered nurse, licensed practice nurse, physical therapist, psychologist or other health care provider, on a letterhead or billhead[.]

The purpose of ER 904 is to expedite the admission of documentary evidence. Miller v. Arctic Alaska Fisheries Corp., 133 Wn.2d 250, 258, 944 P.2d 1005 (1997). ER 904 does not require the court to admit documents offered under this rule; rather it may exercise its traditional discretion to address a party's evidentiary objection and admit or exclude the evidence. Id. at 259.

[3] The question is whether Dr. Luckey's letter was for the purpose of treatment. "Treatment" is not defined either in the rule or by case law. The drafters, however, indicated that a "report made for the purpose of treatment" would include medical reports actually prepared in the course of treatment, but not reports prepared for forensic purposes. 5C Karl B. Tegland, Washington Practice, Evidence, § 904.2, at 227 (4th ed. 1999).

Dr. Luckey examined Ms. Fox to evaluate the scar she received in the car accident. He wrote a letter to her attorney addressing the scar and the various options for its removal or minimization. Dr. Luckey believed that for $3,500, he could produce the best result possible for Ms. Fox.

This letter was for the purpose of treatment as intended by ER 904. It was not merely a forensic report. See CR 35. Ms. Fox went to see Dr. Luckey, a plastic surgeon, to determine how best to treat her scar. From the beginning, the pain in her lip and the scar were Ms. Fox's biggest complaints. The letter outlined her treatment options and was admissible under ER 904(a).«2»


«2» Mr. Mahoney argues that because the letter was addressed to Ms. Fox's


 230    FOX v. MAHONEY    May 2001 
106 Wn. App. 226

[4, 5] This letter may also have been admissible under RCW 5.45.020, the Uniform Business Records as Evidence Act. Moreover, there is no indication that Dr. Luckey could not have testified about the same information contained in his letter had he been available at trial. Absent any substantive evidentiary reason to exclude the letter, the trial court abused its discretion by doing so because there is no tenable basis for its decision. State ex rel. Carroll v. Junker, 79 Wn.2d 12, 26, 482 P.2d 775 (1971).

[6] The next question is whether exclusion of Dr. Luckey's letter was prejudicial. The letter was evidence of future medical expenses Ms. Fox was likely to incur in fixing the scar. Deciding if those expenses were reasonably necessary was a question for the jury. Because this letter was not admitted, it was prevented from considering this possibility of future treatment. The court's failure to admit the letter constitutes reversible error.

[7] Ms. Fox also claims the court erred by not awarding her prejudgment interest on the past economic damages. Prejudgment interest is awarded when the amount of damages claimed is "liquidated." Car Wash Enters., Inc. v. Kampanos, 74 Wn. App. 537, 548, 874 P.2d 868 (1994). Because the jury was entitled to exercise its discretion to determine if her medical expenses were necessary, the claim was unliquidated and prejudgment interest could not be awarded. See Car Wash Enters., 74 Wn. App. at 549; Hansen v. Rothaus, 107 Wn.2d 468, 477, 730 P.2d 662 (1986).

The case is remanded for new trial.

Kurtz, C.J., and Schultheis, J., concur.


counsel, it could not have been for the purpose of treatment but was merely forensic. We disagree. To whom the letter was addressed is not dispositive. What is of consequence is the type of information contained in the letter.


 May 2001     STANDING ROCK v. MISICH    231 
106 Wn. App. 231