Lim v. Court of Appeals, G.R. No. 91114, September 25, 1992

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6. Lim v. Court of Appeals, G.R. No.

91114, September 25, 1992


Facts:
Petitioner Nelly Lim and private respondent are lawfully married to each other until Private respondent
filed with the RTC of Pangasinan, a petition for annulment of such marriage on the ground that petitioner
has been allegedly suffering from a schizophrenia “before, during and after the marriage and until the
present.” After the issues were joined and the pre-trial was terminated, trial on the merits ensued.

Private respondent’s counsel announced that he would present as his next witness the Chief of the Female
Services of the National Mental Hospital, Dr. Lydia Acampado, a Doctor of Medicine who specializes in
Psychiatry. Petitioner’s counsel opposed the motion on the ground that the testimony sought to be elicited
from the witness is privileged since the latter had examined the petitioner in a professional capacity and
had diagnosed her to be suffering from schizophrenia.

Petitioner's counsel argued that having seen and examined the petitioner in a professional capacity, Dr.
Acampado is barred from testifying under the rule on the confidentiality of a physician-patient
relationship. Counsel for private respondent contended, however, that Dr. Acampado would be presented
as an expert witness and would not testify on any information acquired while attending to the petitioner in
a professional capacity.

The trial court denied the motion and allowed the witness to testify. Dr. Acampado thus took the witness
stand, was qualified by counsel for private respondent as an expert witness and was asked hypothetical
questions related to her field of expertise. She neither revealed the illness she examined and treated the
petitioner for nor disclosed the results of her examination and the medicines she had prescribed.

Petitioner filed with the public respondent Court of Appeals a petition to prohibit him from proceeding
with the reception of Dr. Acampado’s testimony. However, the Court of Appeals promulgated a
resolution denying due course to the petition.

Issue:
Whether or not Dr. Acampado should be allowed to testify.

HELD:
Yes. Though generally under
The law in point is paragraph (c), Section 24 of the Revised Rules on Evidence which reads:

“SEC. 24. Disqualification by reason of privileged communication.―The following persons cannot


testify as to matters learned in confidence in the following cases: x x x

(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 blacken the reputation of the patient.”

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, and be enabled safely and efficaciously to treat his patient.
It rests in public policy and is for the general interest of the community.
The SC held after a careful scrutiny of the transcript of Dr. Acampado’s testimony, We find no
declaration that touched 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 regarding the history and behaviour of the fictitious
character in the hypothetical problem. The facts and conditions alleged in the hypothetical problem did
not refer and had no bearing to whatever information or findings the doctor obtained from attending the
patient. A physician is not disqualified to testify as an expert concerning a patient’s ailment, when he can
disregard knowledge acquired in attending such patient and make answer solely on facts related in  the
hypothetical question.
Expert testimony of a physician based on hypothetical question as to cause of illness of a person whom he
has attended is not privileged, provided the physician does not give testimony tending to disclose
confidential information related to him in his professional capacity while attending to the patient.
The rule on privilege (sic) communication in the relation of physician and patient proceeds from the
fundamental assumption that the communication to deserve protection must be confidential in their
origin. Confidentiality is not to be blindly implied from the mere relation of physician and patient. It
might be implied according to circumstances of each case, taking into consideration the nature of the
ailment and the occasion of the consultation. The claimant of the privilege has the burden of establishing
in each instance all the facts necessary to create the privilege, including the confidential nature of the
information given." 

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