Atwell v. First General Services

951 So. 2d 348, 2006 La.App. 1 Cir. 0392, 2006 La. App. LEXIS 3011, 2006 WL 3804501
CourtLouisiana Court of Appeal
DecidedDecember 28, 2006
Docket2006 CA 0392
StatusPublished
Cited by19 cases

This text of 951 So. 2d 348 (Atwell v. First General Services) 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
Atwell v. First General Services, 951 So. 2d 348, 2006 La.App. 1 Cir. 0392, 2006 La. App. LEXIS 3011, 2006 WL 3804501 (La. Ct. App. 2006).

Opinion

951 So.2d 348 (2006)

Angela ATWELL
v.
FIRST GENERAL SERVICES.

No. 2006 CA 0392.

Court of Appeal of Louisiana, First Circuit.

December 28, 2006.

*351 Daniel Dazet, Baton Rouge, Counsel for Plaintiff/Appellee, Angela Atwell.

Stephen Brooks, Jr., Covington, Counsel for Defendant/Appellant, First General Services.

Before: CARTER, C.J., WHIPPLE and McDONALD, JJ.

WHIPPLE, J.

This is an appeal by defendant from a judgment of the Office of Workers' Compensation awarding claimant benefits and assessing defendant with penalties and attorney's fees. For the following reasons, we amend and affirm, as amended.

FACTS AND PROCEDURAL HISTORY

Claimant, Angela Atwell, was employed as a "restoration specialist" by defendant, First General Services, and was injured on November 4, 2002, when she slipped on concrete steps and fell.[1] As a result of the injury, claimant underwent a cervical fusion. However, after the surgery, claimant continued to experience pain in her neck, shoulder and back, which became chronic. Benefits were initially paid to claimant, but were subsequently terminated by her employer.

Claimant filed a disputed claim for compensation on January 8, 2004, seeking reinstatement of her weekly compensation benefits, adjustment of her weekly compensation rate, various medical benefits, the right to be treated by a physician of choice, and penalties and attorney's fees.

In its answer, defendant denied that claimant was entitled to any additional benefits. Additionally, in an amended answer, defendant asserted that claimant had willfully made false statements or misrepresentations about an alleged prior history of psychological problems and drug use and about her physical limitations and abilities. Thus, defendant contended claimant had forfeited her entitlement to any benefits pursuant to LSA-R.S. 23:1208.

Following trial in this matter, the workers' compensation judge rendered judgment, finding that claimant was temporarily totally disabled beginning October 13, 2003, and continuing through the date of trial; that claimant did not commit any violation of LSA-R.S. 23:1208; that claimant was entitled to reimbursement of out-of-pocket medical expenses for treatment by Dr. Sandra Weitz and to in-patient pain management treatment at Touro Infirmary Pain Center; that claimant was entitled to continue treatment with Dr. Weitz and Dr. Craig Waggoner; and that claimant was entitled to undergo cervical and brain MRIs. The workers' compensation judge also set claimant's weekly indemnity rate at $346.66.

With regard to penalties and attorney's fees, the workers' compensation judge determined that defendant was arbitrary and capricious for refusing to authorize and pay for medical treatment. Defendant was penalized $2,000.00 and ordered to pay $5,000.00 in attorney's fees for its refusal to provide such treatment. The workers' compensation judge further determined that defendant was arbitrary and capricious for its termination of benefits in December 2003 and for its failure to reinstate benefits after April 24, 2004.[2] Defendant *352 was ordered to pay attorney's fees of $1,000.00 for its termination of benefits in December 2003, and was also penalized $2,000.00 and ordered to pay $5,000.00 in attorney's fees for its failure to reinstate benefits in April 2004, as previously ordered by the OWC.

From this judgment, defendant appeals, contending that the workers' compensation judge erred in finding claimant temporarily totally disabled; finding no violation of LSA-R.S. 23:1208; awarding claimant reimbursement for medical expenses for treatment by Dr. Weitz and authorizing cervical and brain MRIs and continued treatment by Drs. Weitz and Waggoner; failing to suspend benefits until the date that Atwell actually submitted to a medical examination by Dr. Applebaum; and assessing penalties totaling $4,000.00 and attorney's fees totaling $11,000.00 against defendant. Claimant answered the appeal, seeking an amendment of the amount of penalties imposed and an increase in attorney's fees for defending the appeal.

TEMPORARY TOTAL DISABILITY BENEFITS

(Assignment of Error No. 1)

Benefits for a temporary total disability (TTD) shall be awarded only if a claimant proves by clear and convincing evidence that she is physically unable to engage in any employment. LSA-R.S. 23:1221(1)(c); Collins v. Family Dollar Stores, Inc., 99-0622 (La.App. 1st Cir.5/12/00), 760 So.2d 1210, 1214, writs denied, 2000-2356, 2000-2363 (La.11/13/00), 773 So.2d 727. Disability can be proven by medical and lay testimony. Isaac v. Lathan, 2001-2639 (La.App. 1st Cir.11/8/02), 836 So.2d 191, 199. A claimant who is unable to return to work as a result of a mental injury is entitled to TTD benefits. Williams v. Capitol Steel, 93-2154 (La.App. 1st Cir.10/7/94), 644 So.2d 705, 707. Additionally, a claimant who suffered from a pre-existing medical condition is also entitled to benefits if the accident aggravated, accelerated or combined with the pre-existing condition to produce disability. Peveto v. WHC Contractors, 93-1402 (La.1/14/94), 630 So.2d 689, 691.

The factual finding regarding whether a workers' compensation claimant has met her burden of proving disability and the length thereof must be given great weight and will not be overturned on appeal absent manifest error. Porter v. Gaylord Chemical Corporation, 98-0222 (La.App. 1st Cir.9/25/98), 721 So.2d 27, 30, writ denied, 98-2712 (La.12/18/98), 734 So.2d 638. If there is evidence before the workers' compensation judge that furnishes a reasonable factual basis for such a finding, the determination of facts will not be disturbed on appeal. Moreover, where there is conflict in the testimony, reasonable evaluations of credibility and reasonable inferences of fact will not be disturbed upon review. Porter, 721 So.2d at 30.

In the instant case, the workers' compensation judge found as a fact that claimant *353 was suffering from "very definitive severe depression specifically related to this physical injury that temporally totally disables her from employment." The workers' compensation judge explained that she found claimant to be disabled because of claimant's need for inpatient pain management, which defendant had refused to authorize. Additionally, the workers' compensation judge found as a fact that had defendant authorized the inpatient pain management treatment recommended by claimant's doctor, claimant would have been "much farther along in terms of her recovery and return to work."

Based on our review of the record, we find no manifest error in the workers' compensation judge's findings as to claimant's disability. Contrary to the assertions in defendant's brief, we find that the workers' compensation judge's findings are amply supported by the record and the medical evidence. Claimant was clearly suffering from severe depression related to her chronic pain from the work accident. While she may have suffered from depression in the past, claimant was working full time at the time of this accident with no demonstrated limitations. Thus, even if it could be argued that she had a pre-existing condition relating to depression, it is clear from the record that the accident at issue precipitated her current severe depression. Thus, the workers' compensation judge's conclusion that she was rendered temporarily, totally disabled given her current condition will not be disturbed by this court.[3]

REJECTION OF DEFENDANT'S LSA-R.S. 23:1208 CLAIM

(Assignment of Error No. 2)

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Bluebook (online)
951 So. 2d 348, 2006 La.App. 1 Cir. 0392, 2006 La. App. LEXIS 3011, 2006 WL 3804501, Counsel Stack Legal Research, https://law.counselstack.com/opinion/atwell-v-first-general-services-lactapp-2006.