Majority
Opinion
Plaintiffs appeal a judgment dismissing their action after a general demurrer to the complaint had been sustained without leave to amend. The demurrer and ruling were based upon the running of the statute of limitations on plaintiffs’ medical malpractice action.
In 1971 Daniel Christ had a vasectomy performed by the defendant doctors, as he wished to father no more children. A few months after the operation, the defendants tested Daniel’s semen, finding he was sterile. After five nonproductive years, his wife, Patricia, discovered she was pregnant in July 1976, and gave birth to a son in December 1976.
The Christs sought legal advice on the matter in November 1977. Notice of the impending malpractice suit was sent to the defendants.[2]
1 The Christs state in their brief “notice was sent to defendants pursuant to the Government Code,” but we assume they mean notice was sent as required by Code of Civil *897 Procedure section 364. That section requires actions based upon health care provider’s professional negligence be preceded by 90 days’ notice of intention to commence the action. If the statute of limitations would run during this 90-day period, the notice tolls the statute until the end of this period (Code Civ. Proc., § 364, subd. (d); Gomez v. Valley View Sanitorium, 87 Cal.App.3d 507 [ 151 Cal.Rptr. 97 ]).
The statute of limitations applicable to the negligence actions (counts first, second, third, fifth and sixth) is Code of Civil Procedure section 340.5 which reads in part: “In an action for injury or death against a health care provider based upon such person’s alleged professional negligence, the time for the commencement of action shall be.. .one year after the plaintiff discovers, or through the use of reasonable diligence should have discovered, the injury,...”
The word “injury” in the statute includes not only the physical condition but also the negligent cause of the condition (Sanchez v. South Hoover Hospital, 18 Cal.3d 93 , 99 [ 132 Cal.Rptr. 657 , 553 P.2d 1129 ]). It refers to the damaging effect of the alleged wrongful act and not to the act itself. No cause of action accrues until the patient suffers appreciable harm as a consequence of the alleged act of malpractice (Larcher v. Wanless, 18 Cal.3d 646 , 656, fn. 11 [ 135 Cal.Rptr. 75 , 557 P.2d 507 ]).
Defendants contend the statute began to run from the discovery of the pregnancy. The judge below agreed with defendants. The Christs claim the negligent cause of the injury could not be determined until the birth of the child. Only at that point, they argue, could Daniel know if the child was his. They also contend only at birth could the amount of damages become known.
Even assuming the complaint could somehow be read to plead discovery of the injury at the time of the child’s birth, the judge acted properly in holding as a matter of law the statute began running upon the discovery of Patricia’s pregnancy. The reasonableness of a delayed discovery is usually a question of fact but may be a question of law when the allegations of the complaint bearing on whether the plaintiffs had constructive notice of allegedly undiscovered facts are susceptible to only one legitimate inference (Saliter v. Pierce Brothers Mortuaries, 81 Cal.App.3d 292 , 300 [ 146 Cal.Rptr. 271 ]).
The Christs’ argument the negligent cause of the pregnancy could only be discovered upon the child’s birth misconstrues what is required for the injury to be considered “discovered.” The statute begins to run when the plaintiff has notice of circumstances sufficient to put a reasonable person on inquiry, or has the opportunity to obtain knowledge from sources open to his investigation (Sanchez v. South Hoover Hospital, supra, 18 Cal.3d 93 , 101). When the wife of a supposedly sterile man gets pregnant, he knows either he is not sterile or she is not faithful. He may then have his own sterility confirmed by tests. A reasonable person is put on inquiry in a case such as this upon the discovery of the wife’s pregnancy.
Since neither the complaint nor the Christs’ brief allege any facts which would justify the delayed discovery, we can find no abuse of discretion in dismissing the negligence counts without leave to amend (Saliter v. Pierce Brothers Mortuaries, supra, 81 Cal.App.3d 292 , 300-301).
A plaintiff may not, however, circumvent the statute of limitations merely by pleading an action which is in substance a tort as a contract. “It is settled that an action against a doctor arising out of his negligent treatment of a patient is an action sounding in tort and not one based upon a contract.” (Bellah v. Greenson, 81 Cal.App.3d 614 , 625 [ 146 Cal.Rptr. 535 ]).
The fourth count alleges only there was a contract to perform the vasectomy, which was breached. This action arises solely from the alleged negligent act and sounds in tort. It is barred by the statute of limitations.
Count seven alleges the defendants warranted the sterility of Daniel “upon the successful completsion of the operation hereinbefore described,” and breach of this warranty caused damages.
A medical malpractice suit need not be limited to a negligence theory. “[I]f a plaintiff can prove. . .that a surgeon has clearly promised a particular result (as distinguished from a mere generalized statement that the result will be good), and that the patient consented to an operation or other procedure in reliance on that promise, there can be recovery on the theory of warranty (or, to give the theory its more accurate name, breach of contract).” (Depenbrok v. Kaiser Foundation Health Plan, Inc., 79 Cal.App.3d 167 , 171 [ 144 Cal.Rptr. 724 ]).
The allegation here was not that the defendants promised the operation would successfully sterilize Christ. The allegation is defendants promised Christ would be sterile if the operation were successfully completed. If there was a warranty, it was that the surgical procedure employed by defendants was the appropriate one to achieve the desired result.
The question remains whether the Christs should have been granted leave to amend the seventh count. The seventh cause of action has pretty much been treated as a waif throughout the proceedings. It
Judgment affirmed.
Footnotes
- * Before Brown, (Gerald), P. J., Cologne, J., and Staniforth, J.
Cases cited
- Sanchez v. South Hoover Hospital 18 Cal.3d 93 at 99, at 101 p. 897, p. 898
- Larcher v. Wanless 18 Cal.3d 646 at 656 p. 897
- Dujardin v. Ventura Cty. Gen. Hosp. 69 Cal.App.3d 350 at 356 p. 898
- Saliter v. Pierce Bros. Mortuaries 81 Cal.App.3d 292 at 300, at 300-301 p. 898
- Bellah v. Greenson 81 Cal.App.3d 614 at 625 p. 899
- Depenbrok v. Kaiser Foundation Health Plan, Inc. 79 Cal.App.3d 167 at 171 p. 899