Ashy Enterprises, Inc. v. Matte

497 So. 2d 1048, 1986 La. App. LEXIS 8068
CourtLouisiana Court of Appeal
DecidedNovember 5, 1986
DocketNo. 86-15
StatusPublished
Cited by1 cases

This text of 497 So. 2d 1048 (Ashy Enterprises, Inc. v. Matte) 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
Ashy Enterprises, Inc. v. Matte, 497 So. 2d 1048, 1986 La. App. LEXIS 8068 (La. Ct. App. 1986).

Opinion

STOKER, Judge.

Ashy Enterprises appeals a judgment awarding worker’s compensation benefits to its former employee, Louis C. Matte. Ashy argues that the trial court erred in finding that it was an on-the-job injury, rather than a pre-exisiting condition, that caused Matte’s total and permanent disability.

FACTS

Most of the facts are undisputed. Louis Matte had worked as a roustabout for Ashy for almost 30 years when he injured his back at work on March 4, 1982. He was 58 years old. He saw a doctor, who diagnosed spondylolisthesis, a condition involving a congenital defect in Matte’s back. Matte did not receive long-term medical treatment, but complained of continuing back pain. Ashy paid Matte’s medical expenses, as well as compensation benefits through May 8, 1985.

On December 27, 1984, Ashy filed a “Petition for Determination of Employer’s Liability for Worker’s Compensation.” It was not disputed that Matte had had an accident, and that he is now disabled. However, based on a report from Matte’s doctor, dated May 24, 1984, Ashy concluded that Matte’s disability did not result from his accident, but rather was attributable to spondylolisthesis. Ashy intended to terminate benefits as of the date of filing, but continued to pay Matte for several more months due to an oversight.

Matte filed a reconventional demand, claiming that Ashy had terminated benefits without justification. He asked for benefits based on a total and permanent disability, and penalties and attorney’s fees.

The trial judge concluded that Matte was entitled to a presumption that the work-related injury had caused his disability since Matte stated that he had had no problems before the accident, and that Ashy had failed to rebut that presumption. He awarded Matte compensation benefits, but denied attorney’s fees and penalties.

Ashy appeals the finding of causation, in particular, the judge’s use of the presumption of causation in light of the medical testimony to the contrary. Matte also appeals, asking for penalties and attorney’s fees.

From a review of the medical testimony it is clear that the two physicians who gave expert opinions were of the opinion that plaintiffs on-the-job accident had nothing to do with his present condition of disability. Our ultimate conclusion is that the physicians were studiously confining themselves to questions of medical causation. In reading their testimony and written reports it is indeed possible to conclude, as a purely medical matter, that any aggravation of Matte’s pre-existing condition was temporary and resolved itself. The trial court was evidently not satisfied with the state of the medical evidence and asked for additional reports from the two doctors. Their reports add little.

Although neither doctor felt that Matte’s disability was in anyway related to his accident, we are of the opinion that the medical evidence problem in this case stems from the difficulty which physicians understandably have in distinguishing between medical causation and legal causation. On the basis of the facts we can not say that the trial court manifestly erred in finding legal causation. Because of the closeness of the medical question, we think that the trial court correctly denied penalties and attorney’s fees. We attach hereto a copy of the trial court’s written reasons for judgment.

[1050]*1050The judgment of the trial court is affirmed at appellant’s costs.

AFFIRMED.

LABORDE, J., concurs, but would award penalties and attorney’s fees.

APPENDIX

CIVIL DOCKET NUMBER 84-2648-D

27TH JUDICIAL DISTRICT COURT

ST. LANDRY PARISH, LOUISIANA

REASONS FOR JUDGMENT

This is a suit for Worker’s Compensation benefits. The action was brought by the employer on December 27, 1984 against the employee under the provisions of LSA— R.S. 23:1811. The law prior to the 1982 amendment is applicable to this case.

The following facts were established by the stipulation of the parties:

a. The injury to the employee occured on March 4, 1982 while he was in the course and scope of his employment with the plaintiff.
b. The compensation rate in this case is $183.00 per week.
c. The plaintiff paid defendant $30,-378.00 in weekly benefits.
d. The total medical paid to or on behalf of the employee is $2,513.63.
e. Plaintiff terminated weekly benefit payments to the defendant on May 8, 1985.

It was further established by the testimony of the employee that he had worked for the plaintiff for about 30 years doing heavy manual (oil-field) labor. He is 62 years of age and has no education. He hurt his back in March of 1982 and hasn’t worked since. He still suffers all the time from pain in his back. He had no back problems before the accident and could perform his duties as a roustabout. Now he can’t even do his house work.

Glenn Coco who is in charge of the plaintiff’s insurance & safety program and worker’s compensation claims testified that it was his decision to terminate the benefits to the employee, and this decision was made after consultation with the company attorney. His decision was based principally on Dr. Gaar’s report of May 24, 1984 (to be discussed). When queried as to why he didn’t wait for a court determination, he stated that it was a “judgment call.”

Dr. Gaar’s report of May 24, 1984 was introduced as Matt #1. This exhibit also contains reports from Dr. Gaar dated October 17, 1983, July 27, 1982, and July 2, 1982. These reports reflect that the employee is suffering from a Grade I Spondy-lolisthesis, which is a mechanical derangement in the low back, and this is the cause of his low back pain. Dr. Gaar stated that the condition pre-exhisted the “injury”. In his report dated July 2, 1982 Dr. Gaar noted the existence of the spondylolisthe-sis, and found that the employee suffered a 20 per cent permanent physical impairment and loss of a physical function to the body because of the back condition.

Dr. Gaar’s reports further reflect that the employee refused surgery to his back, but there was no argument made nor was evidence offered which would indicate that the refusal was arbitrary.

The employee’s disability is also not disputed. This is understandably so since Dr. Gaar found that the employee could not return to his previous employment with or without surgery. This coupled with the report (Matte #2) of Deborah Grual, a certified rehabilitation counselor, who found that the vocational forecast for the employee was bleak, clearly establishes the odd-lot status.

In his letter of May 2nd, 1984 Dr. Gaar, in response to an inquiry by Mr. Coco, plaintiff's employee, stated:

“In determining his physical impairment at 20 per cent, I really don’t know how to break this down into a pre-existing defect and the strain that he sustained on March 4, 1982. I would, at this time probably feel that all of his impairment is a result of his spondylolithesis which of course, pre-exhisted. He has periodic back strains as a result of the weak [1051]*1051back, but these apparently resolve or at least seem to reach a pre-injury level.
Again, I wish I could be more specific, but there is really no

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Related

Ashy Enterprises, Inc. v. Matte
501 So. 2d 212 (Supreme Court of Louisiana, 1987)

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497 So. 2d 1048, 1986 La. App. LEXIS 8068, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ashy-enterprises-inc-v-matte-lactapp-1986.