People of The Philippines, Plaintiff-Appellee, vs. Bryan Ganaba Y Nam-Ay, Accused-Appellant. Decision
People of The Philippines, Plaintiff-Appellee, vs. Bryan Ganaba Y Nam-Ay, Accused-Appellant. Decision
DECISION
MARTIRES, J.:
This resolves the appeal of accused-appellant Bryan Ganaba y Nam-ay (accused-appellant)
assailing the 27 August 2014 Decision of the Court of Appeals (CA), Seventh Division in CA-
G.R. CR-HC No. 06030 affirming, with modification as to the award of damages, the 9 January
2013 Decision of the Regional Trial Court (RTC), Branch 172, Valenzuela City, finding him guilty
beyond reasonable doubt of the crime of Rape under Article (Art.) 266-A of the Revised Penal
Code (RPC).
THE FACTS
Accused-appellant was charged with rape in an Information docketed as Criminal Case No.
429-V-09, the accusatory portion of which reads as follows:
That on or about July 1, 2009 in Valenzuela City, Metro Manila and within the jurisdiction of this
Honorable Court, the above-named accused, with lewd design, by means of force and
intimidation employed upon the person of AAA, 16 years old (DOB: June 16, 1993), did then
and there wilfully, unlawfully, and feloniously have sexual intercourse with the complainant,
against her will and without her consent, thereby subjecting the said minor to sexual abuse
which debased, degraded, and demeaned [her] intrinsic worth and dignity as a human being.
CONTRARY TO LAW
When arraigned, the accused-appellant pleaded not guilty to the charge against him; hence, trial
proper ensued.
To establish its case, the prosecution presented the victim, AAA, and P/Supt. Bonnie Y. Chua
(Dr. Chua), a medico-legal officer of the Northern Police District Crime Laboratory (crime
laboratory).
PO1 Archie P. Castillano (PO1 Castillano) was no longer put on the witness stand after the
parties stipulated that he would be testifying on his affidavit relative to the arrest of the accused-
appellant.
On 1 July 2009, at about 2:30 p.m., the accused-appellant was at home with his wife Jane, their
son Edison, and a boarder named Erickson. He was watching television.
The accused-appellant claimed that the accusation against him was not true and that he was
implicated by AAA to ask for money. He was told by Jane that AAA asked for P200,000.00 in
exchange for dropping the case against him. Although the accused-appellant and Jane were
only factory workers, that amount of money could be raised by his relatives; but the accused-
appellant did not give in to AAA's demand because nothing happened between him and AAA.
The Ruling of the RTC
The RTC held that the accused-appellant had carnal knowledge of AAA by using force and
intimidation. According to the RTC, AAA gave details of her ordeal that took place on 1 July
2009, and that she positively identified the accused-appellant as the person who raped her.
Moreover, AAA's testimony, coupled with the medical findings, confirmed the truth of her
charges.
The RTC found the accused-appellant's denial without merit. It ruled that his denial was
negative and self-serving which pales in comparison with AAA's clear and convincing narration
and positive identification of the accused-appellant.
SO ORDERED.
Not satisfied with the RTC's ruling, the accused-appellant appealed to the CA.
The CA ruled that the prosecution had indubitably established that the accused-appellant raped
AAA. It held that the accused-appellant's act was consummated through force, threat, and
intimidation. Moreover, AAA's unrelenting narration of what transpired, accompanied by her
categorical identification of the accused-appellant as the malefactor, established the case for
the prosecution. On the one hand, it held that the defense of denial and alibi offered by the
accused-appellant was weak since he failed to prove that it was physically impossible for him to
be at the crime scene at the time of its commission.
While the CA affirmed the penalty imposed by the RTC upon the accused-appellant, it found the
need to modify the award of damages; hence, it ruled as follows:
WHEREFORE, premises considered, the appealed Decision dated 9 January 2013 of the
Regional Trial Court (RTC), Branch 172, Valenzuela City is AFFIRMED WITH MODIFICATION.
Accused-appellant Bryan Ganaba y Nam-ay is found GUILTY beyond reasonable doubt of
RAPE and is sentenced to suffer the penalty of reclusion perpetua and ordered to pay the victim
AAA P50,000.00 as civil indemnity, P50,000.00 as moral damages, and P30,000.00 as
exemplary damages. The award of damages shall earn legal interest at the rate of 6% per
annum from date of finality of this judgment until fully paid. Costs against accused-appellant.
ISSUES
I.
THE TRIAL COURT ERRED IN NOT FINDING ILL MOTIVE ON THE PART OF THE PRIVATE
COMPLAINANT AS THE REASON FOR THE FILING OF THE CRIME OF RAPE AGAINST
THE ACCUSED-APPELLANT.
II.
Jurisprudence has emphatically maintained that the trial court's evaluation and conclusion on
the credibility of witnesses in rape cases are generally accorded great weight and respect, and
at times even finality, especially after the CA, as the intermediate reviewing tribunal, has
affirmed the findings; unless there is a clear showing that the findings were reached arbitrarily,
or that certain facts or circumstances of weight, substance or value were overlooked,
misapprehended or misappreciated that, if properly considered, would alter the result of the
case.
The Court has amply elucidated on the reason for according weight to the findings of the trial
court, viz:
It is well-settled that the evaluation of the credibility of witnesses and their testimonies is a
matter best undertaken by the trial court because of its unique opportunity to observe the
witnesses first hand and to note their demeanor, conduct, and attitude under grilling
examination. These are important in determining the truthfulness of witnesses and in unearthing
the truth, especially in the face of conflicting testimonies. For, indeed, the emphasis, gesture,
and inflection of the voice are potent aids in ascertaining the witness' credibility, and the trial
court has the opportunity and can take advantage of these aids. These cannot be incorporated
in the record so that all that theappellate court can see are the cold words of the witness
contained in transcript of testimonies with the risk that some of what the witness actually said
may have been lost in the process of transcribing. As correctly stated by an American court,
"There is an inherent impossibility of determining with any degree of accuracy what credit is
justly due to a witness from merely reading the words spoken by him, even if there were no
doubt as to the identity of the words. However artful a corrupt witness may be, there is
generally, under the pressure of a skillful cross-examination, something in his manner or
bearing on the stand that betrays him, and thereby destroys the force of his testimony. Many of
the real tests of truth by which the artful witness is exposed in the very nature of things cannot
be transcribed upon the record, and hence they can never be considered by the appellate
court."
Consequently, it was incumbent upon the accused-appellant to present clear and persuasive
reasons to persuade the Court to reverse the lower courts' unanimous determination of her
credibility as a witness in order to resolve the appeal his way. The onus is upon the accused-
appellant to prove those facts and circumstances which the lower courts allegedly failed to
consider and appreciate, and that would fortify his position that they seriously erred in finding
him guilty of the crime charged. The accused-appellant, however, miserably failed to discharge
his burden.
By the distinctive nature of rape cases, conviction usually rests solely on the basis of the
testimony of the victim; provided that such testimony is credible, natural, convincing, and
consistent with human nature and the normal course of things. Thus, the victim's credibility
becomes the primordial consideration in the resolution of rape cases. Noteworthily, both the
RTC and the CA found the testimony of AAA credible and persuasive.
In conjunction thereto, jurisprudence has firmly upheld the guidelines in evaluating the testimony
of a rape victim, viz: first, while an accusation for rape can be made with facility, it is difficult to
prove but more difficult for the person accused, though innocent, to disprove; second, in view of
the intrinsic nature of the crime of rape where only two persons are usually involved, the
testimony of the complainant must be scrutinized with extreme caution; and lastly, the evidence
for the prosecution must stand or fall on its own merits and cannot be allowed to draw strength
from the weakness of the evidence of the [Link] Court has meticulously applied these
guidelines in its review of the records of this case, but found no reason to depart from the well-
considered findings and observations of the lower courts.
The Court notes that the testimony of AAA was full of convincing details which, in her young
age, could not have been known to her unless these were the truth. "When the offended party is
of tender age and immature, courts are inclined to give credit to her account of what transpired,
considering not only her relative vulnerability but also the shame to which she would be
exposed if the matter to which she testified is not true. Youth and immaturity are generally
badges of truth and sincerity."
A catena of cases sustains the ruling that the conduct of the victim immediately following the
alleged sexual assault is of utmost importance in tending to establish the truth or falsity of the
charge of rape. In this case, after the accused-appellant had carnal knowledge of her, AAA
immediately left his house and proceeded to her brother's house where she narrated what had
happened to her. On that same day, AAA went to the barangay to report the incident, then to
the police station to give her statements, and subsequently to the crime laboratory to submit
herself to physical examination. The act of AAA in wasting no time in reporting her ordeal to the
authorities validates the truth of her charge against the accused-appellant.
AAA's positive and categorical statement that the accused-appellant had carnal knowledge of
her was reinforced by the testimony and medico-legal report of Dr. Chua. The pertinent findings
of Dr. Chua were as follows:
To prove that the RTC erred in according credence to AAA's testimony, the accused-appellant
offered the absurd contention that AAA's testimony can only prove that she had shared an
intimate moment with someone else and not with him. Accused-appellant anchored his
contention in his testimony on the witness stand, viz: that on 1 July 2009, he was at home
watching television with his wife; that AAA was not in his house that day; that he was told by his
wife that AAA had asked P200,000.00 in exchange for her dropping the case against him; and
that he did not give in to the demand of AAA because nothing happened between him and AAA.
In contrast, according to the accused-appellant, was the testimony of AAA where she admitted
that nothing happened between them.
SECOND DIVISION
(accused-appellant Manabat) assailing the Decision dated August 2, 2018 (assailed Decision) of the
2
Court of Appeals (CA) Special Twenty Third Division in CA-G.R. CR--HC No. 01781-MIN, which
affirmed the Decision dated September 5, 2017 of the Regional Trial Court of Dipolog City, Branch 8
3
(RTC) in Criminal Case Nos. 18353 and 18354, finding accused-appellant Manabat guilty beyond
reasonable doubt of violating Sections 5 and 11, Article II of Republic Act No. (RA) 9165, otherwise
known as "The Comprehensive Dangerous Drugs Act of 2002," as amended.
4
appellant Manabat of the crimes charged. The dispositive portion of the said Decision reads:
WHEREFORE, in view of the foregoing, judgment is hereby rendered as follows:
1. In Criminal Case No. 18353, the Court finds the accused MARIO MAN AB AT y Dumagay
GUILTY beyond reasonable doubt of the charge for violation of Sec. 5, Art. II, RA 9165 for selling
0.2079 gram of shabu, and sentences him to suffer life imprisonment and to pay a fine of FIVE
Hundred Thousand (₱500,000.00) pesos;
2. In Criminal Case No. 18354, the Court finds the same accused MARIO MANABAT y Dumagay,
GUILTY beyond reasonable doubt of violation Sec. 11, Art. II, RA 9165 for possessing 1.8515 grams
of shabu, hereby sentences him to suffer the penalty of imprisonment of Twelve (12) years and one
days as minimum to Twenty (2) years as maximum and to pay a fine of Three Hundred Thousand
(₱300,000.00);
The shabu, cash money, and cellphone used in the commission of the offense are hereby forfeited in
favor of the government to be disposed in accordance with the prescribed rules.
Moreover, he is not eligible for parole pursuant to Section 2 of the Indeterminate Sentence Law.
SO ORDERED. 7
In sum, the R TC ruled that the evidence on record was sufficient to convict accused-appellant
Manabat. The R TC did not give credence to accused-appellant Manabat's defense of frame-up as it
deemed the same self-serving and unsubstantiated. It held that the defense of a frame-up could not
stand against the positive testimonies of PO2 Barral and SPO2 Vertudes whose testimonies enjoy
the presumption of regularity. The RTC ultimately held that the prosecution sufficiently discharged its
burden of proving accused-appellant Manabat's guilt beyond reasonable doubt. 8
After carefully reviewing the records of the case, the CA found that:
the prosecution effectively established compliance with the chain of custody rule. Verily, the
prosecution, through testimonial and documentary evidence, was able to account [for] the
continuous whereabouts of the subject saches of shabu, from the time they were seized during the
buy-bust operation up to the time it was presented before the court a quo as proof of the corpus
delicti.
10
On the other hand, illegal possession of dangerous drugs under Section 11, Article II of RA 9165 has
the following elements: (1) the accused is in possession of an item or object, which is identified to be
a prohibited or regulated drug; (2) such possession is not authorized by law; and (3) the accused
freely and consciously possessed the drug. 12
In cases involving dangerous drugs, the State bears not only the burden of proving these elements,
but also of proving the corpus delicti or the body of the crime. In drug cases, the dangerous drug
itself is the very corpus delicti of the violation of the law. While it is true that a buy-bust operation is
13
a legally effective and proven procedure, sanctioned by law, for apprehending drug peddlers and
distributors, the law nevertheless also requires strict compliance with procedures laid down by it
14
commission of the alleged crimes, lays down the procedure that police operatives must follow to
maintain the integrity of the confiscated drugs used as evidence. The provision requires that: (1) the
seized items be inventoried and photographed immediately after seizure or confiscation; and
(2) the physical inventory and photographing must be done in the presence of (a) the
accused or his/her representative or counsel, (b) an elected public official, (c) a
representative from the media, and (d) a representative from the Department of Justice (DOJ),
all of whom shall be required to sign the copies of the inventory and be given a copy thereof.
This must be so because with the very nature of anti-narcotics operations, the need for entrapment
procedures, the use of shady characters as informants, the ease with which sticks of marijuana or
grams of heroin can be planted in pockets of or hands of unsuspecting provincial hicks, and the
secrecy that inevitably shrouds all drug deals, the possibility of abuse is great.
16
Section 21 of RA 9165 further requires the apprehending team to conduct a physical inventory of the
seized items and the photographing of the same immediately after seizure and confiscation. The
said inventory must be done in the presence of the aforementioned required witness, all of whom
shall be required to sign the copies of the inventory and be given a copy thereof. The phrase
"immediately after seizure and confiscation" means that the physical inventory and photographing of
the drugs were intended by the law to be made immediately after, or at the place of
apprehension. It is only when the same is not practicable that the Implementing Rules and
Regulations (IRR) of RA 9165 allow the inventory and photographing to be done as soon as the buy-
bust team reaches the nearest police station or the nearest office of the apprehending
officer/team. In this connection, this also means that the three required witnesses should
17
already be physically present at the time of apprehension - a requirement that can easily be
complied with by the buy-bust team considering that the buy-bust operation is, by its nature,
a planned activity. Verily, a buy-bust team normally has enough time to gather and bring with it the
said witnesses.
As held in the fairly recent case of People v. Tomawis, the Court explained that the presence of
18
the three witnesses must be secured not only during the inventory but more importantly at
the time of the warrantless arrest. It is at this point in which the presence of the three witnesses is
most needed, as it is their presence at the time of seizure and confiscation that would belie any
doubt as to the source, identity, and integrity of the seized drug, viz.:
The presence of the witnesses from the DOJ, media, and from public elective office is necessary to
protect against the possibility of planting, contamination, or loss of the seized drug. Using the
language of the Court in People v. Mendoza , without the insulating presence of the representative
19
from the media or the DOJ and any elected public official during the seizure and marking of the
drugs, the evils of switching, "planting" or contamination of the evidence that had tainted the buy-
busts conducted under the regime of RA No. 6425 (Dangerous Drugs Act of 1972) again reared their
ugly heads as to negate the integrity and credibility of the seizure and confiscation of the subject
sachet that was evidence of the corpus delicti, and thus adversely affected the trustworthiness of the
incrimination of the accused.20
The presence of the three witnesses must be secured not only during the inventory but more
importantly at the time of the warrantless arrest. It is at this point in which the presence of the
three witnesses is most needed, as it is their presence at the time of seizure and confiscation that
would belie any doubt as to the source, identity, and integrity of the seized drug. If the buy-bust
operation is legitimately conducted, the presence of the insulating witnesses would also controvert
the usual defense of frame-up as the witnesses would be able testify that the buy-bust operation and
inventory of the seized drugs were done in their presence in accordance with Section 21 of RA 9165.
The practice of police operatives of not bringing to the intended place of arrest the three witnesses,
when they could easily do so - and "calling them in" to the place of inventory to witness the inventory
and photographing of the drugs only after the buy-bust operation has already been finished - does
not achieve the purpose of the law in having these witnesses prevent or insulate against the planting
of drugs.
To restate, the presence of the three witnesses at the time of seizure and confiscation of the drugs
must be secured and complied with at the time of the warrantless arrest; such that they are required
to be at or near the intended place of the arrest so that they can be ready to witness the inventory
and photographing of the seized and confiscated drugs "immediately after seizure and
confiscation". (Emphasis in the original)
21
Based from the foregoing, the Court holds that the buy-bust operation was not conducted in If the
witnesses were indeed present during the entire photographing and inventory of the evidence,
obviously, it would have been easy and effortless on the part of the buy-bust team to take
photographs of the other witnesses. Yet, this was not done, creating some doubt in the mind of the
Court as to the presence of the required witnesses during the buy-bust operation.
The apprehending team cannot justify its failure to ensure the availability of the witnesses during the
apprehension of accused-appellant Manabat, considering that the buy-bust operation was
conducted seven days after the day it received information about accused-appellant and was
instructed to conduct the buy-bust operation. Simply stated, the apprehending team had more than
enough time to ensure that all the mandatory procedures for the conduct of the buy-bust operation
would be sufficiently met.
Second, the Certificate of Inventory that was produced by the prosecution was irregularly executed.
To reiterate, Section 21 of RA 9165 requires that the copies of the inventory should be signed
by all the following persons: (a) accused or his/her representative or counsel, (b) an elected public
official, (c) a representative from the media, and (d) a representative from the Department of Justice
(DOJ).
The Certificate of Inventory itself reveals that the document was not signed by accused-
28
appellant Manabat or by his counsel or representative. Upon perusal of the records of the instant
case, the prosecution did not acknowledge such defect. Nor did the prosecution provide any
explanation whatsoever as to why accused-appellant Manabat was not able to sign the Certificate of
Inventory.
Concededly, Section 21 of the IRR of RA 9165 provides that "noncompliance of these requirements
under justifiable grounds, as long as the integrity and the evidentiary value of the seized items are
properly preserved by the apprehending officer/team, shall not render void and invalid such seizures
and custody over said items." For this provision to be effective, however, the prosecution must first
(1) recognize any lapse on the part of the police officers and (2) be able to justify the same. In this
29
case, the prosecution neither recognized, much less tried to justify, the police officers'
deviation from the procedure contained in Section 21, RA 9165.
Third, the Court notes that the marking of the plastic sachets allegedly recovered was irregularly
done.
Under the 1999 Philippine National Police Drug Enforcement Manual, the conduct of buy-bust
30
In the instant case, as incontrovertibly revealed by the photographs of the plastic sachets allegedly
retrieved from accused-appellant Manabat, only the date and initials of the seizing officers were
inscribed on the specimens. The time and place of the buy-bust operation were not indicated in
the markings, in clear contravention of the PNP's own set of procedures for the conduct of buy-bust
operations.
At this juncture, it is well to point-out that while the RTC and CA were correct in stating that denial is
an inherently weak defense, it grievously erred in using the same principle to convict accused-
appellant Manabat. Both the RTC and CA overlooked the long-standing legal tenet that the starting
point of every criminal prosecution is that the accused has the constitutional right to be presumed
innocent. And this presumption of innocence is overturned only when the prosecution has
32
discharged its burden of proof in criminal cases and has proven the guilt of the accused beyond
reasonable doubt, by proving each and every element of the crime charged in the information, to
33
warrant a finding of guilt for that crime or for any other crime necessarily included therein. Differently
34
stated, there must exist no reasonable doubt as to the existence of each and every element of the
crime to sustain a conviction.
It is worth emphasizing that this burden of proof never shifts. Indeed, the accused need not
present a single piece of evidence in his defense if the State has not discharged its onus. The
accused can simply rely on his right to be presumed innocent.
In this connection, the prosecution therefore, in cases involving dangerous drugs, always has the
burden of proving compliance with the procedure outlined in Section 21. As the Court stressed
in People v. Andaya: 35
We should remind ourselves that we cannot presume that the accused committed the crimes they
have been charged with. The State must fully establish that for us. If the imputation of ill motive
1âшphi1
to the lawmen is the only means of impeaching them, then that would be the end of our dutiful
vigilance to protect our citizenry from false arrests and wrongful incriminations. We are aware that
there have been in the past many cases of false arrests and wrongful incriminations, and that should
heighten our resolve to strengthen the ramparts of judicial scrutiny.
Nor should we shirk from our responsibility of protecting the liberties of our citizenry just
because the lawmen are shielded by the presumption of the regularity of their performance of
duty. The presumed regularity is nothing but a purely evidentiary tool intended to avoid the
impossible and time-consuming task of establishing every detail of the performance by
officials and functionaries of the Government. Conversion by no means defeat the much
stronger and much firmer presumption of innocence in favor of every person whose life,
property and liberty comes under the risk of forfeiture on the strength of a false accusation of
committing some crime. (Emphasis and underscoring supplied)
36
To stress, the accused can rely on his right to be presumed innocent. It is thus immaterial, in this
case or in any other cases involving dangerous drugs, that the accused put forth a weak defense.
To reiterate, breaches of the procedure outlined in Section 21 committed by the police officers, left
unacknowledged and unexplained by the State, militate against a finding of guilt beyond reasonable
doubt against the accused as the integrity and evidentiary value of the corpus delicti would have
been compromised. As the Court explained in People v. Reyes:
37 38
Under the last paragraph of Section 21(a), Article II of the IRRofR.A. No. 9165, a saving mechanism
has been provided to ensure that not every case of non-compliance with the procedures for the
preservation of the chain of custody will irretrievably prejudice the Prosecution's case against the
accused. To warrant the application of this saving mechanism, however, the Prosecution
must recognize the lapse or lapses, and justify or explain them. Such justification or
explanation would be the basis for applying the saving mechanism. Yet, the Prosecution did
not concede such lapses, and did not even tender any token justification or explanation for
them. The failure to justify or explain underscored the doubt and suspicion about the integrity
of the evidence of the corpus delicti. With the chain of custody having been compromised, the
accused deserves acquittal. 39
Lastly, it was an error for the RTC to convict accused-appellant Manabat by relying on the
presumption of regularity in the performance of duties supposedly extended in favor of the police
officers. The presumption of regularity in the performance of duty cannot overcome the
stronger presumption of innocence in favor of the accused. Otherwise, a mere rule of evidence
40
will defeat the constitutionally enshrined right to be presumed innocent. As the Court, in People v.
41
Both lower courts favored the members of the buy-bust team with the presumption of regularity in
the performance of their duty, mainly because the accused did not show that they had ill motive
behind his entrapment.
We hold that both lower courts committed gross error in relying on the presumption of regularity.
Presuming that the members of the buy-bust team regularly performed their duty was patently bereft
of any factual and legal basis. We remind the lower courts that the presumption of regularity in
the performance of duty could not prevail over the stronger presumption of innocence
favoring the accused. Otherwise, the constitutional guarantee of the accused being
presumed innocent would be held subordinate to a mere rule of evidence allocating the
burden of evidence. Where, like here, the proof adduced against the accused has not even
overcome the presumption of innocence, the presumption of regularity in the performance of duty
could not be a factor to adjudge the accused guilty of the crime charged.
Moreover, the regularity of the performance of their duty could not be properly presumed in
favor of the policemen because the records were replete with indicia of their serious lapses.
As a rule, a presumed fact like the regularity of performance by a police officer must be
inferred only from an established basic fact, not plucked out from thin air. To say it differently,
it is the established basic fact that triggers the presumed fact of regular performance. Where there is
any hint of irregularity committed by the police officers in arresting the accused and thereafter,
several of which we have earlier noted, there can be no presumption of regularity of performance in
their favor. (Emphasis supplied)
43
In this case, the presumption of regularity cannot stand because of the buy-bust team's disregard of
the established procedures under Section 21 of RA 9165 and the PNP's own Drug Enforcement
Manual.
In sum, the prosecution failed to provide justifiable grounds for the apprehending team's deviation
from the rules laid down in Section 21 of RA 9165. The integrity and evidentiary value of the corpus
delicti have thus been compromised. In light of this, accused-appellant Manabat must perforce be
acquitted.
WHEREFORE, in view of the foregoing, the appeal is hereby GRANTED. The Decision dated
August 2, 2018 of the Court of Appeals in CA-G.R. CR-H.C. No. 01781-MIN is
hereby REVERSED and SET ASIDE. Accordingly, accused-appellant MARIO MANABAT y
DUMAGAY is ACQUITTED of the crimes charged on the ground of reasonable doubt, and
is ORDERED IMMEDIATELY RELEASED from detention unless he is being lawfully held for
another cause. Let an entry of final judgment be issued immediately.
Let a copy of this Decision be furnished the Superintendent of the San Ramon Prison and Penal
Farm, Zamboanga City, for immediate implementation. The said Superintendent
is ORDERED to REPORT to this Court within five (5) days from receipt of this Decision the action he
has taken.
FIRST DIVISION
his birth, Gerald underwent colostomy, a surgical procedure to bring one end of the large intestine
out through the abdominal wall, enabling him to excrete through a colostomy bag attached to the
3
On May 17, 1995, Gerald, then three years old, was admitted at the Ospital ng Maynila for a pull-
through operation. Dr. Leandro Resurreccion headed the surgical team, and was assisted by Dr.
5
Joselito Luceño, Dr. Donatella Valeña and Dr. Joseph Tibio. The anesthesiologists included Dr.
Marichu Abella, Dr. Arnel Razon and petitioner Dr. Fernando Solidum (Dr. Solidum). During the
6
operation, Gerald experienced bradycardia, and went into a coma. His coma lasted for two
7 8
weeks, but he regained consciousness only after a month. He could no longer see, hear or move.
9 10 11
Agitated by her son’s helpless and unexpected condition, Ma. Luz Gercayo (Luz) lodged a complaint
for reckless imprudence resulting in serious physical injuries with the City Prosecutor’s Office of
Manila against the attending physicians. 12
Upon a finding of probable cause, the City Prosecutor’s Office filed an information solely against Dr.
Solidum, alleging: –
13
That on or about May 17, 1995, in the City of Manila, Philippines, the said accused, being then an
anesthesiologist at the Ospital ng Maynila, Malate, this City, and as such was tasked to administer
the anesthesia on three-year old baby boy GERALD ALBERT GERCAYO, represented by his
mother, MA. LUZ GERCAYO, the former having been born with an imperforate anus [no anal
opening] and was to undergo an operation for anal opening [pull through operation], did then and
there willfully, unlawfully and feloniously fail and neglect to use the care and diligence as the best of
his judgment would dictate under said circumstance, by failing to monitor and regulate properly the
levels of anesthesia administered to said GERALD ALBERT GERCAYO and using 100% halothane
and other anesthetic medications, causing as a consequence of his said carelessness and
negligence, said GERALD ALBERT GERCAYO suffered a cardiac arrest and consequently a defect
called hypoxic encephalopathy meaning insufficient oxygen supply in the brain, thereby rendering
said GERALD ALBERT GERCAYO incapable of moving his body, seeing, speaking or hearing, to
his damage and prejudice.
Contrary to law.14
The case was initially filed in the Metropolitan Trial Court of Manila, but was transferred to the RTC
pursuant to Section 5 of Republic Act No. 8369 (The Family Courts Act of 1997), where it was
15
WHEREFORE, premises considered, the Court finds accused DR. FERNANDO P. SOLIDUM
GUILTY beyond reasonable doubt as principal of the crime charged and is hereby sentenced to
suffer the indeterminate penalty of TWO (2) MONTHS and ONE (1) DAY of arresto mayor as
minimum to ONE (1) YEAR, ONE (1) MONTH and TEN (10) DAYS of prision correccional as
maximum and to indemnify, jointly and severally with the Ospital ng Maynila, Dr. Anita So and Dr.
Marichu Abella, private complainant Luz Gercayo, the amount of ₱500,000.00 as moral damages
and ₱100,000.00 as exemplary damages and to pay the costs.
Accordingly, the bond posted by the accused for his provisional liberty is hereby CANCELLED.
SO ORDERED. 17
Upon motion of Dr. Anita So and Dr. Marichu Abella to reconsider their solidary liability, the RTC
18
excluded them from solidary liability as to the damages, modifying its decision as follows:
WHEREFORE, premises considered, the Court finds accused Dr. Fernando Solidum, guilty beyond
reasonable doubt as principal of the crime charged and is hereby sentenced to suffer the
indeterminate penalty of two (2) months and one (1) day of arresto mayor as minimum to one (1)
year, one (1) month and ten (10) days of prision correccional as maximum and to indemnify jointly
and severally with Ospital ng Maynila, private complainant Luz Gercayo the amount of ₱500,000.00
as moral damages and ₱100,000 as exemplary damages and to pay the costs.
Accordingly, the bond posted by the accused for his provisional liberty is hereby cancelled. 19
Ruling
The appeal is meritorious.
Applicability of the Doctrine of Res Ipsa Loquitur
Res ipsa loquitur is literally translated as "the thing or the transaction speaks for itself." The doctrine
res ipsa loquitur means that "where the thing which causes injury is shown to be under the
management of the defendant, and the accident is such as in the ordinary course of things does not
happen if those who have the management use proper care, it affords reasonable evidence, in the
absence of an explanation by the defendant, that the accident arose from want of care." It is simply
24
"a recognition of the postulate that, as a matter of common knowledge and experience, the very
nature of certain types of occurrences may justify an inference of negligence on the part of the
person who controls the instrumentality causing the injury in the absence of some explanation by the
defendant who is charged with negligence. It is grounded in the superior logic of ordinary human
experience and on the basis of such experience or common knowledge, negligence may be
deduced from the mere occurrence of the accident itself.
Hence, res ipsa loquitur is applied in conjunction with the doctrine of common knowledge." 25
Jarcia, Jr. v. People has underscored that the doctrine is not a rule of substantive law, but merely a
26
mode of proof or a mere procedural convenience. The doctrine, when applicable to the facts and
circumstances of a given case, is not meant to and does not dispense with the requirement of proof
of culpable negligence against the party charged. It merely determines and regulates what shall be
prima facie evidence thereof, and helps the plaintiff in proving a breach of the duty. The doctrine can
be invoked when and only when, under the circumstances involved, direct evidence is absent and
not readily available. 27
The applicability of the doctrine of res ipsa loquitur in medical negligence cases was significantly and
exhaustively explained in Ramos v. Court of Appeals, where the Court said –
28
Medical malpractice cases do not escape the application of this doctrine. Thus, res ipsa loquitur has
been applied when the circumstances attendant upon the harm are themselves of such a character
as to justify an inference of negligence as the cause of that harm. The application of res ipsa loquitur
in medical negligence cases presents a question of law since it is a judicial function to determine
whether a certain set of circumstances does, as a matter of law, permit a given inference.
Although generally, expert medical testimony is relied upon in malpractice suits to prove that a
physician has done a negligent act or that he has deviated from the standard medical procedure,
when the doctrine of res ipsa loquitur is availed by the plaintiff, the need for expert medical testimony
is dispensed with because the injury itself provides the proof of negligence. The reason is that the
general rule on the necessity of expert testimony applies only to such matters clearly within the
domain of medical science, and not to matters that are within the common knowledge of mankind
which may be testified to by anyone familiar with the facts. Ordinarily, only physicians and surgeons
of skill and experience are competent to testify as to whether a patient has been treated or operated
upon with a reasonable degree of skill and care. However, testimony as to the statements and acts
of physicians and surgeons, external appearances, and manifest conditions which are observable by
any one may be given by non-expert witnesses. Hence, in cases where the res ipsa loquitur is
applicable, the court is permitted to find a physician negligent upon proper proof of injury to the
patient, without the aid of expert testimony, where the court from its fund of common knowledge can
determine the proper standard of care. Where common knowledge and experience teach that a
resulting injury would not have occurred to the patient if due care had been exercised, an inference
of negligence may be drawn giving rise to an application of the doctrine of res ipsa loquitur without
medical evidence, which is ordinarily required to show not only what occurred but how and why it
occurred. When the doctrine is appropriate, all that the patient must do is prove a nexus between the
particular act or omission complained of and the injury sustained while under the custody and
management of the defendant without need to produce expert medical testimony to establish the
standard of care. Resort to res ipsa loquitur is allowed because there is no other way, under usual
and ordinary conditions, by which the patient can obtain redress for injury suffered by him.
Thus, courts of other jurisdictions have applied the doctrine in the following situations: leaving of a
foreign object in the body of the patient after an operation, injuries sustained on a healthy part of the
body which was not under, or in the area, of treatment, removal of the wrong part of the body when
another part was intended, knocking out a tooth while a patient’s jaw was under anesthetic for the
removal of his tonsils, and loss of an eye while the patient plaintiff was under the influence of
anesthetic, during or following an operation for appendicitis, among others.
Nevertheless, despite the fact that the scope of res ipsa loquitur has been measurably enlarged, it
does not automatically apply to all cases of medical negligence as to mechanically shift the burden
of proof to the defendant to show that he is not guilty of the ascribed negligence. Res ipsa loquitur is
not a rigid or ordinary doctrine to be perfunctorily used but a rule to be cautiously applied, depending
upon the circumstances of each case. It is generally restricted to situations in malpractice cases
where a layman is able to say, as a matter of common knowledge and observation, that the
consequences of professional care were not as such as would ordinarily have followed if due care
had been exercised. A distinction must be made between the failure to secure results, and the
occurrence of something more unusual and not ordinarily found if the service or treatment rendered
followed the usual procedure of those skilled in that particular practice. It must be conceded that the
doctrine of res ipsa loquitur can have no application in a suit against a physician or surgeon which
involves the merits of a diagnosis or of a scientific treatment. The physician or surgeon is not
required at his peril to explain why any particular diagnosis was not correct, or why any particular
scientific treatment did not produce the desired result. Thus, res ipsa loquitur is not available in a
malpractice suit if the only showing is that the desired result of an operation or treatment was not
accomplished. The real question, therefore, is whether or not in the process of the operation any
extraordinary incident or unusual event outside of the routine performance occurred which is beyond
the regular scope of customary professional activity in such operations, which, if unexplained would
themselves reasonably speak to the average man as the negligent cause or causes of the untoward
consequence. If there was such extraneous intervention, the doctrine of res ipsa loquitur may be
utilized and the defendant is called upon to explain the matter, by evidence of exculpation, if he
could.
In order to allow resort to the doctrine, therefore, the following essential requisites must first be
satisfied, to wit: (1) the accident was of a kind that does not ordinarily occur unless someone is
negligent; (2) the instrumentality or agency that caused the injury was under the exclusive control of
the person charged; and (3) the injury suffered must not have been due to any voluntary action or
contribution of the person injured.29
The Court considers the application here of the doctrine of res ipsa loquitur inappropriate. Although it
should be conceded without difficulty that the second and third elements were present, considering
that the anesthetic agent and the instruments were exclusively within the control of Dr. Solidum, and
that the patient, being then unconscious during the operation, could not have been guilty of
contributory negligence, the first element was undeniably wanting. Luz delivered Gerald to the care,
custody and control of his physicians for a pull-through operation. Except for the imperforate anus,
Gerald was then of sound body and mind at the time of his submission to the physicians. Yet, he
experienced bradycardia during the operation, causing loss of his senses and rendering him
immobile. Hypoxia, or the insufficiency of oxygen supply to the brain that caused the slowing of the
heart rate, scientifically termed as bradycardia, would not ordinarily occur in the process of a pull-
through operation, or during the administration of anesthesia to the patient, but such fact alone did
not prove that the negligence of any of his attending physicians, including the anesthesiologists, had
caused the injury. In fact, the anesthesiologists attending to him had sensed in the course of the
operation that the lack of oxygen could have been triggered by the vago-vagal reflex, prompting
them to administer atropine to the patient.30
This conclusion is not unprecedented. It was similarly reached in Swanson v. Brigham, relevant
31
failing to do, without malice, an act from which material damage results by reason of an inexcusable
lack of precaution on the part of the person performing or failing to perform such act.33
Dr. Solidum’s conviction by the RTC was primarily based on his failure to monitor and properly
regulate the level of anesthetic agent administered on Gerald by overdosing at 100% halothane. In
affirming the conviction, the CA observed:
On the witness stand, Dr. Vertido made a significant turnaround. He affirmed the findings and
conclusions in his report except for an observation which, to all intents and purposes, has become
the storm center of this dispute. He wanted to correct one piece of information regarding the dosage
of the anesthetic agent administered to the child. He declared that he made a mistake in reporting a
100% halothane and said that based on the records it should have been 100% oxygen.
The records he was relying on, as he explains, are the following:
(a) the anesthesia record – A portion of the chart in the record was marked as Exhibit 1-A
and 1-B to indicate the administration at intervals of the anesthetic agent.
(b) the clinical abstract – A portion of this record that reads as follows was marked Exhibit
3A. 3B – Approximately 1 hour and 45 minutes through the operation, patient was noted to
have bradycardia (CR = 70) and ATSO4 0.2 mg was immediately administered. However,
the bradycardia persisted, the inhalational agent was shut off, and the patient was ventilated
with 100% oxygen and another dose of ATSO4 0.2 mg was given. However, the patient did
not respond until no cardiac rate can be auscultated and the surgeons were immediately told
to stop the operation. The patient was put on a supine position and CPR was initiated.
Patient was given 1 amp of epinephrine initially while continuously doing cardiac massage –
still with no cardiac rate appreciated; another ampule of epinephrine was given and after 45
secs, patient’s vital signs returned to normal. The entire resuscitation lasted approximately 3-
5 mins. The surgeons were then told to proceed to the closure and the child’s vital signs
throughout and until the end of surgery were: BP = 110/70; CR = 116/min and RR = 20-22
cycles/min (on assisted ventilation).
Dr. Vertido points to the crucial passage in the clinical abstract that the patient was ventilated with
100% oxygen and another dose of ATSO4 when the bradycardia persisted, but for one reason or
another, he read it as 100% halothane. He was asked to read the anesthesia record on the
percentage of the dosage indicated, but he could only sheepishly note I can’t understand the
number. There are no clues in the clinical abstract on the quantity of the anesthetic agent used. It
only contains the information that the anesthetic plan was to put the patient under general
anesthesia using a nonrebreathing system with halothane as the sole anesthetic agent and that 1
hour and 45 minutes after the operation began, bradycardia occurred after which the inhalational
agent was shut off and the patient administered with 100% oxygen. It would be apparent that the
100% oxygen that Dr. Vertido said should be read in lieu of 100% halothane was the pure oxygen
introduced after something went amiss in the operation and the halothane itself was reduced or shut
off.
The key question remains – what was the quantity of halothane used before bradycardia set in?
The implication of Dr. Vertido’s admission is that there was no overdose of the anesthetic agent, and
the accused Dr. Solidum stakes his liberty and reputation on this conclusion. He made the
assurance that he gave his patient the utmost medical care, never leaving the operating room except
for a few minutes to answer the call of nature but leaving behind the other members of his team Drs.
Abella and Razon to monitor the operation. He insisted that he administered only a point 1% not
100% halothane, receiving corroboration from Dr. Abella whose initial MA in the record should be
enough to show that she assisted in the operation and was therefore conversant of the things that
happened. She revealed that they were using a machine that closely monitored the concentration of
the agent during the operation.
But most compelling is Dr. Solidum’s interpretation of the anesthesia record itself, as he takes the
bull by the horns, so to speak. In his affidavit, he says, reading from the record, that the quantity of
halothane used in the operation is one percent (1%) delivered at time intervals of 15 minutes. He
studiedly mentions – the concentration of halothane as reflected in the anesthesia record (Annex D
of the complaint-affidavit) is only one percent (1%) – The numbers indicated in 15 minute increments
for halothane is an indication that only 1% halothane is being delivered to the patient Gerard
Gercayo for his entire operation; The amount of halothane delivered in this case which is only one
percent cannot be summated because halothane is constantly being rapidly eliminated by the body
during the entire operation.
In finding the accused guilty, despite these explanations, the RTC argued that the volte-face of Dr.
Vertido on the question of the dosage of the anesthetic used on the child would not really validate
the non-guilt of the anesthesiologist. Led to agree that the halothane used was not 100% as initially
believed, he was nonetheless unaware of the implications of the change in his testimony. The court
observed that Dr. Vertido had described the condition of the child as hypoxia which is deprivation of
oxygen, a diagnosis supported by the results of the CT Scan. All the symptoms attributed to a failing
central nervous system such as stupor, loss of consciousness, decrease in heart rate, loss of usual
acuity and abnormal motor function, are manifestations of this condition or syndrome. But why would
there be deprivation of oxygen if 100% oxygen to 1% halothane was used? Ultimately, to the court,
whether oxygen or halothane was the object of mistake, the detrimental effects of the operation are
incontestable, and they can only be led to one conclusion – if the application of anesthesia was
really closely monitored, the event could not have happened. 34
The Prosecution did not prove the elements of reckless imprudence beyond reasonable doubt
because the circumstances cited by the CA were insufficient to establish that Dr. Solidum had been
guilty of inexcusable lack of precaution in monitoring the administration of the anesthetic agent to
Gerald. The Court aptly explained in Cruz v. Court of Appeals that: 35
Whether or not a physician has committed an "inexcusable lack of precaution" in the treatment of his
patient is to be determined according to the standard of care observed by other members of the
profession in good standing under similar circumstances bearing in mind the advanced state of the
profession at the time of treatment or the present state of medical science. In the recent case of
Leonila Garcia-Rueda v. Wilfred L. Pacasio, et. al., this Court stated that in accepting a case, a
doctor in effect represents that, having the needed training and skill possessed by physicians and
surgeons practicing in the same field, he will employ such training, care and skill in the treatment of
his patients. He therefore has a duty to use at least the same level of care that any other reasonably
competent doctor would use to treat a condition under the same circumstances. It is in this aspect of
medical malpractice that expert testimony is essential to establish not only the standard of care of
the profession but also that the physician's conduct in the treatment and care falls below such
standard. Further, inasmuch as the causes of the injuries involved in malpractice actions are
determinable only in the light of scientific knowledge, it has been recognized that expert testimony is
usually necessary to support the conclusion as to causation.
In litigations involving medical negligence, the plaintiff has the burden of establishing appellant's
negligence and for a reasonable conclusion of negligence, there must be proof of breach of duty on
the part of the surgeon as well as a causal connection of such breach and the resulting death of his
patient. In Chan Lugay v. St Luke's Hospital, Inc., where the attending physician was absolved of
liability for the death of the complainant’s wife and newborn baby, this Court held that:
"In order that there may be a recovery for an injury, however, it must be shown that the ‘injury for
which recovery is sought must be the legitimate consequence of the wrong done; the connection
between the negligence and the injury must be a direct and natural sequence of events, unbroken by
intervening efficient causes.’ In other words, the negligence must be the proximate cause of the
injury. For, ‘negligence, no matter in what it consists, cannot create a right of action unless it is the
proximate cause of the injury complained of.’ And ‘the proximate cause of an injury is that cause,
which, in natural and continuous sequence, unbroken by any efficient intervening cause, produces
the injury, and without which the result would not have occurred.’"
An action upon medical negligence – whether criminal, civil or administrative – calls for the plaintiff to
prove by competent evidence each of the following four elements, namely: (a) the duty owed by the
physician to the patient, as created by the physician-patient relationship, to act in accordance with
the specific norms or standards established by his profession; (b) the breach of the duty by the
physician’s failing to act in accordance with the applicable standard of care; (3) the causation, i.e.,
there must be a reasonably close and causal connection between the negligent act or omission and
the resulting injury; and (4) the damages suffered by the patient. 36
In the medical profession, specific norms or standards to protect the patient against unreasonable
risk, commonly referred to as standards of care, set the duty of the physician to act in respect of the
patient. Unfortunately, no clear definition of the duty of a particular physician in a particular case
exists. Because most medical malpractice cases are highly technical, witnesses with special medical
qualifications must provide guidance by giving the knowledge necessary to render a fair and just
verdict. As a result, the standard of medical care of a prudent physician must be determined from
expert testimony in most cases; and in the case of a specialist (like an anesthesiologist), the
standard of care by which the specialist is judged is the care and skill commonly possessed and
exercised by similar specialists under similar circumstances. The specialty standard of care may be
higher than that required of the general practitioner.
37
The standard of care is an objective standard by which the conduct of a physician sued for
negligence or malpractice may be measured, and it does not depend, therefore, on any individual
physician’s own knowledge either. In attempting to fix a standard by which a court may determine
whether the physician has properly performed the requisite duty toward the patient, expert medical
testimony from both plaintiff and defense experts is required. The judge, as the trier of fact,
ultimately determines the standard of care, after listening to the testimony of all medical experts.
38
Here, the Prosecution presented no witnesses with special medical qualifications in anesthesia to
provide guidance to the trial court on what standard of care was applicable. It would consequently be
truly difficult, if not impossible, to determine whether the first three elements of a negligence and
malpractice action were attendant.
Although the Prosecution presented Dr. Benigno Sulit, Jr., an anesthesiologist himself who served
as the Chairman of the Committee on Ethics and Malpractice of the Philippine Society of
Anesthesiologists that investigated the complaint against Dr. Solidum, his testimony mainly focused
on how his Committee had conducted the investigation. Even then, the report of his Committee was
39
Presented for review by this committee is the case of a 3 year old male who underwent a pull-thru
operation and was administered general anesthesia by a team of anesthesia residents. The patient,
at the time when the surgeons was manipulating the recto-sigmoid and pulling it down in preparation
for the anastomosis, had bradycardia. The anesthesiologists, sensing that the cause thereof was the
triggering of the vago-vagal reflex, administered atropine to block it but despite the administration of
the drug in two doses, cardiac arrest ensued. As the records show, prompt resuscitative measures
were administered and spontaneous cardiac function re-established in less than five (5) minutes and
that oxygen was continuously being administered throughout, unfortunately, as later become
manifest, patient suffered permanent irreversible brain damage.
In view of the actuations of the anaesthesiologists and the administration of anaesthesia, the
committee find that the same were all in accordance with the universally accepted standards of
medical care and there is no evidence of any fault or negligence on the part of the
anaesthesiologists.
Dr. Antonio Vertido, a Senior Medico-Legal Officer of the National Bureau of Investigation, was also
presented as a Prosecution witness, but his testimony concentrated on the results of the physical
examination he had conducted on Gerald, as borne out by the following portions of his direct
examination, to wit:
FISCAL CABARON Doctor, what do you mean by General Anesthetic Agent?
WITNESS General Anesthetic Agent is a substance used in the conduction of Anesthesia and in this
case, halothane was used as a sole anesthetic agent.
Q Now under paragraph two of page 1 of your report you mentioned that after one hour and 45
minutes after the operation, the patient experienced a bradycardia or slowing of heart rate, now as a
doctor, would you be able to tell this Honorable Court as to what cause of the slowing of heart rate
as to Gerald Gercayo?
WITNESS Well honestly sir, I cannot give you the reason why there was a bradycardia of time
because is some reason one way or another that might caused bradycardia.
FISCAL CABARON What could be the possible reason?
A Well bradycardia can be caused by anesthetic agent itself and that is a possibility, we’re talking
about possibility here.
Q What other possibility do you have in mind, doctor?
A Well, because it was an operation, anything can happen within that situation.
FISCAL CABARON Now, this representation would like to ask you about the slowing of heart rate,
now what is the immediate cause of the slowing of the heart rate of a person?
WITNESS Well, one of the more practical reason why there is slowing of the heart rate is when you
do a vagal reflex in the neck wherein the vagal receptors are located at the lateral part of the neck,
when you press that, you produce the slowing of the heart rate that produce bradycardia.
Q I am pro[p]ounding to you another question doctor, what about the deficiency in the supply of
oxygen by the patient, would that also cause the slowing of the heart rate?
A Well that is a possibility sir, I mean not as slowing of the heart rate, if there is a hypoxia or there is
a low oxygen level in the blood, the normal thing for the heart is to pump or to do not a bradycardia
but a … to counter act the Hypoxia that is being experienced by the patient
(sic).
Q Now, you made mention also doctor that the use of general anesthesia using 100% halothane and
other anesthetic medications probably were contributory to the production of hypoxia.
A Yes, sir in general sir.
41
At the continuation of his cross-examination, Dr. Vertido maintained that Gerald’s operation for his
imperforate anus, considered a major operation, had exposed him to the risk of suffering the same
condition. He then corrected his earlier finding that 100% halothane had been administered on
43
Dr. Solidum was criminally charged for "failing to monitor and regulate properly the levels of
anesthesia administered to said Gerald Albert Gercayo and using 100% halothane and other
anesthetic medications." However, the foregoing circumstances, taken together, did not prove
45
beyond reasonable doubt that Dr. Solidum had been recklessly imprudent in administering the
anesthetic agent to Gerald. Indeed, Dr. Vertido’s findings did not preclude the probability that other
factors related to Gerald’s major operation, which could or could not necessarily be attributed to the
administration of the anesthesia, had caused the hypoxia and had then led Gerald to experience
bradycardia. Dr. Vertido revealingly concluded in his report, instead, that "although the
anesthesiologist followed the normal routine and precautionary procedures, still hypoxia and its
corresponding side effects did occur." 46
The existence of the probability about other factors causing the hypoxia has engendered in the mind
of the Court a reasonable doubt as to Dr. Solidum’s guilt, and moves us to acquit him of the crime of
reckless imprudence resulting to serious physical injuries. "A reasonable doubt of guilt," according to
United States v. Youthsey: 47
is a doubt growing reasonably out of evidence or the lack of it. It is not a captious doubt; not a doubt
engendered merely by sympathy for the unfortunate position of the defendant, or a dislike to accept
the responsibility of convicting a fellow man. If, having weighed the evidence on both sides, you
reach the conclusion that the defendant is guilty, to that degree of certainty as would lead you to act
on the faith of it in the most important and crucial affairs of your life, you may properly convict him.
Proof beyond reasonable doubt is not proof to a mathematical demonstration. It is not proof beyond
the possibility of mistake.
We have to clarify that the acquittal of Dr. Solidum would not immediately exempt him from civil
liability. But we cannot now find and declare him civilly liable because the circumstances that have
1âwphi1
been established here do not present the factual and legal bases for validly doing so. His acquittal
did not derive only from reasonable doubt. There was really no firm and competent showing how the
injury to Gerard had been caused. That meant that the manner of administration of the anesthesia
by Dr. Solidum was not necessarily the cause of the hypoxia that caused the bradycardia
experienced by Gerard. Consequently, to adjudge Dr. Solidum civilly liable would be to speculate on
the cause of the hypoxia. We are not allowed to do so, for civil liability must not rest on speculation
but on competent evidence.
Liability of Ospital ng Maynila
Although the result now reached has resolved the issue of civil liability, we have to address the
unusual decree of the RTC, as affirmed by the CA, of expressly holding Ospital ng Maynila civilly
liable jointly and severally with Dr. Solidum. The decree was flawed in logic and in law.
In criminal prosecutions, the civil action for the recovery of civil liability that is deemed instituted with
the criminal action refers only to that arising from the offense charged. It is puzzling, therefore, how
48
the RTC and the CA could have adjudged Ospital ng Maynila jointly and severally liable with Dr.
Solidum for the damages despite the obvious fact that Ospital ng Maynila, being an artificial entity,
had not been charged along with Dr. Solidum. The lower courts thereby acted capriciously and
whimsically, which rendered their judgment against Ospital ng Maynila void as the product of grave
abuse of discretion amounting to lack of jurisdiction.
Not surprisingly, the flawed decree raises other material concerns that the RTC and the CA
overlooked. We deem it important, then, to express the following observations for the instruction of
the Bench and Bar.
For one, Ospital ng Maynila was not at all a party in the proceedings. Hence, its fundamental right to
be heard was not respected from the outset. The R TC and the CA should have been alert to this
fundamental defect. Verily, no person can be prejudiced by a ruling rendered in an action or
proceeding in which he was not made a party. Such a rule would enforce the constitutional
guarantee of due process of law.
Moreover, Ospital ng Maynila could be held civilly liable only when subsidiary liability would be
properly enforceable pursuant to Article 103 of the Revised Penal Code. But the subsidiary liability
seems far-fetched here. The conditions for subsidiary liability to attach to Ospital ng Maynila should
first be complied with. Firstly, pursuant to Article 103 of the Revised Penal Code, Ospital ng Maynila
must be shown to be a corporation "engaged in any kind of industry." The term industry means any
department or branch of art, occupation or business, especially one that employs labor and capital,
and is engaged in industry. However, Ospital ng Maynila, being a public hospital, was not engaged
49
in industry conducted for profit but purely in charitable and humanitarian work. Secondly, assuming
50
that Ospital ng Maynila was engaged in industry for profit, Dr. Solidum must be shown to be an
employee of Ospital ng Maynila acting in the discharge of his duties during the operation on Gerald.
Yet, he definitely was not such employee but a consultant of the hospital. And, thirdly, assuming that
civil liability was adjudged against Dr. Solidum as an employee (which did not happen here), the
execution against him was unsatisfied due to his being insolvent.
WHEREFORE, the Court GRANTS the petition for review on certiorari; REVERSES AND SETS
ASIDE the decision promulgated on January 20, 2010; ACQUITS Dr. Fernando P. Solidum of the
crime of reckless imprudence resulting to serious physical injuries; and MAKES no pronouncement
on costs of suit.
CLJ 5 (EVIDENCE)