Arriaga v. Reliance Ins. Co. of Illinois

564 So. 2d 832, 1990 La. App. LEXIS 1762, 1990 WL 96449
CourtLouisiana Court of Appeal
DecidedJuly 13, 1990
Docket89-83
StatusPublished
Cited by11 cases

This text of 564 So. 2d 832 (Arriaga v. Reliance Ins. Co. of Illinois) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Arriaga v. Reliance Ins. Co. of Illinois, 564 So. 2d 832, 1990 La. App. LEXIS 1762, 1990 WL 96449 (La. Ct. App. 1990).

Opinion

564 So.2d 832 (1990)

Baltazar R. ARRIAGA, Plaintiff-Appellant,
v.
RELIANCE INSURANCE COMPANY OF ILLINOIS, et al., Defendants-Appellees.

No. 89-83.

Court of Appeal of Louisiana, Third Circuit.

July 13, 1990.

*833 Marcantel, Marcantel & Wall, D. Keith Wall and David E. Marcantel, Jennings, for plaintiff-appellant.

Onebane, Donohoe, Bernard, Torian, Diaz, McNamara & Abell, John F. Wilkes, III, Lafayette, for defendants-appellees.

Before STOKER, LABORDE and YELVERTON, JJ.

LABORDE, Judge.

This is a worker's compensation case. Plaintiff, Baltazar R. Arriaga, filed this suit against defendants, South Louisiana Contractors, Inc., and its worker's compensation carrier, Reliance Insurance Company of Illinois, seeking worker's compensation benefits, medical expenses, penalties, attorney's fees, legal interest and costs. After a trial on the merits, the trial court found that plaintiff was not entitled to compensation benefits and granted judgment for defendants. The trial court also cast defendants with costs. From this judgment plaintiff appeals. Defendants have answered *834 plaintiff's appeal, urging that the trial court erred in casting them with court costs. We affirm in part, amend in part, reverse in part, and render.

FACTS

The parties stipulated at trial that plaintiff, a legal resident alien from Mexico, was involved in a work-related accident while in the course and scope of his employment on April 1, 1985. Plaintiff, who worked as a board road hand, injured his left knee which necessitated an operation on April 16, 1985. Defendants paid compensation benefits and medical bills through April 15, 1986, when benefits were discontinued. It was further stipulated that, as of the time of trial, plaintiff was no longer employable at a manual job equal to that required of a board road hand.

As a result of his injury, plaintiff was seen by several physicians. Dr. Thomas Bryan Ford, an orthopedic surgeon, saw plaintiff on April 2, 1985. He conducted an examination and aspirated 30 cc's of bloody fluid out of the left knee. Dr. Ford stated that the amount of fluid removed was a small to moderate effusion. Dr. Ford prescribed Motrin and recommended that plaintiff return within a few days to see his associate, Dr. David Drez Jr., a specialist in knee and shoulder problems.

Plaintiff saw Dr. Drez, on April 8, 1985. He complained of pain and swelling in his left knee. Dr. Drez operated on plaintiff's knee on April 16, 1985, and found tears of his lateral meniscus, medial meniscus and posterior cruciate ligament. He performed a patella tendon graft in order to reconstruct the ligament. At this time, Dr. Drez gave a preliminary estimate that plaintiff would have a 35% disability to his lower left extremity. Plaintiff saw Dr. Drez several times in the succeeding months. Two months following the operation the splint was removed and plaintiff was scheduled for physical therapy. Plaintiff was examined by Dr. Drez on September 11, 1985, at which time he exhibited satisfactory motion in his knee but had a marked degree of atrophy of his musculature. Plaintiff continued to show atrophy of his musculature during his October 14, 1985 examination, however, his motion and strength had improved significantly. On December 4, 1985, Dr. Drez sent defendants a report which stated that plaintiff could not perform work involving squatting, jumping, or running; that plaintiff had a 30% disability to his left leg; that plaintiff's prognosis was poor; and that plaintiff could not return to his former position. Plaintiff last saw Dr. Drez on January 13, 1986, complaining of his inability to stoop, squat, kneel or run. Plaintiff had five centimeters of atrophy to his musculture which indicated to Dr. Drez that plaintiff was either not performing his physical therapy exercises or not performing them properly. Dr. Drez felt that he could not do much else for plaintiff and suggested that he consider vocational rehabilitative training.

Dr. Michael E. Heard, an orthopedic surgeon, examined plaintiff at the request of Acadiana Claims on July 26, 1985. Based on his examination, Dr. Heard speculated that it would take plaintiff approximately nine months to regain most of the motion in his knee. Dr. Heard agreed with Dr. Drez that plaintiff's permanent impairment would be approximately 35% to the left lower extremity.

Defendants terminated plaintiff's benefits as of April 15, 1986. Plaintiff subsequently filed a claim with the Office of Worker's Compensation. In connection with plaintiff's claim, Dr. Drez wrote a letter dated June 3, 1986, to Mrs. Janet Fortune at the State Department of Labor stating that, in his opinion, plaintiff was disabled from returning to work. After an attempt at informal resolution of the matter failed, plaintiff filed suit against defendants. On July 22, 1986, Dr. Drez wrote to Ms. Brenda Johnson, North American Underwriters, stating that in his opinion, plaintiff would not be able to return to an occupation that required squatting, stooping, bending, climbing or lifting weights that were much heavier than approximately 25 lbs. Dr. Drez opined that plaintiff had a 30 percent permanent impairment to his involved left lower extremity. He also stated that plaintiff was not totally disabled *835 and could certainly do some type of sedentary work.

Plaintiff also visited his family physician Dr. Louis E. Shirley, Jr. on February 3rd and on March 2, 1988. He observed a marked atrophy of plaintiff's thigh and a laxness of the posterior cruciate ligament. Plaintiff also had limitation of motion. Dr. Shirley felt that plaintiff could not engage in activities which required prolonged standing or walking, walking on uneven ground, running, pushing or shoving heavy objects. He stated that his assessment of plaintiff's condition was consistent with Dr. Drez's. Dr. Shirley opined that plaintiff was totally and permanently disabled from any type of manual labor.

SUPPLEMENTAL EARNINGS BENEFITS

On appeal, plaintiff contends that the trial court erred in failing to find that he is entitled to supplemental earnings benefits in accordance with LSA-R.S. 23:1221(3)(a).

At the time of the accident, LSA-R.S. 23:1221(3), providing for supplemental earnings benefits, read in part:

"(a) For injury resulting in the employee's inability to earn wages equal to ninety per cent or more of wages at time of injury, supplemental earnings benefits equal to seventy-four percent of the difference between ninety percent of the average monthly wages at time of injury and average monthly wages earned or average monthly wages the employee is able to earn in any month thereafter in any employment or self-employment, whether or not the same or a similar occupation as that in which the employee was customarily engaged when injured and whether or not an occupation for which the employee at the time of the injury was particularly fitted by reason of education, training, and experience, such comparison to be made on a monthly basis. Average monthly wages shall be computed as four and three-tenths times the wages as defined in R.S. 23:1021(10)."

Paragraph 3(c)(i) of LSA-R.S. 23:1221 further provided that:

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Cite This Page — Counsel Stack

Bluebook (online)
564 So. 2d 832, 1990 La. App. LEXIS 1762, 1990 WL 96449, Counsel Stack Legal Research, https://law.counselstack.com/opinion/arriaga-v-reliance-ins-co-of-illinois-lactapp-1990.