Barton v. Wausau Ins. Co.

545 So. 2d 1248, 1989 La. App. LEXIS 1240, 1989 WL 63850
CourtLouisiana Court of Appeal
DecidedJune 14, 1989
Docket20588-CA
StatusPublished
Cited by33 cases

This text of 545 So. 2d 1248 (Barton v. Wausau Ins. Co.) 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
Barton v. Wausau Ins. Co., 545 So. 2d 1248, 1989 La. App. LEXIS 1240, 1989 WL 63850 (La. Ct. App. 1989).

Opinion

545 So.2d 1248 (1989)

Charles A. BARTON, Plaintiff/Appellant,
v.
WAUSAU INSURANCE COMPANY, et al., Defendant/Appellee.

No. 20588-CA.

Court of Appeal of Louisiana, Second Circuit.

June 14, 1989.

*1249 Fuhrer, Flournoy, Hunter & Morton by George A. Flournoy, Alexandria, for plaintiff/appellant.

Gist, Methvin, Hughes & Munsterman by Howard B. Gist, III, Alexandria, for defendant-appellee.

Before FRED W. JONES, Jr., NORRIS and LINDSAY, JJ.

NORRIS, Judge.

This is a workers compensation case in which the trial court determined the claimant was temporarily and totally disabled from the time of the accident until his doctor conditionally released him to return to work. The court denied the claim for supplemental earnings benefits ("SEB") after the conditional release, but awarded penalties, attorney fees and interest. The claimant appeals, contesting the denial of SEB. The insurer answers, contesting part of the award for temporary, total disability, as well as the penalties, attorney fees and interest. For the reasons expressed, we amend the judgment to include an award of SEB, and otherwise affirm.

Facts

The claimant, 52-year-old Charles A. Barton, had worked a rock drill for Winn Rock Inc. about six or seven years, and served as lead drill operator about three, before the accident. On December 20, 1984, he went to Winn Rock's shop and sat on a chair that unexpectedly fell over backwards. His elbow struck the concrete floor and his head hit some timbers supporting a motor in the shop. Barton did not report the accident that day; in fact, he completed the work day as scheduled.

The following evening, however, he began experiencing shooting pains in his arm and chest. He went to the hospital in Winnfield, where he was suspected to have had a heart attack. Dr. Mosley kept him there for a few days. After this, Barton returned to work and resumed his normal duties at his usual pay. Meanwhile Dr. Mosley continued to treat the arm and neck *1250 pain with pills. Because the pain persisted Barton went to a hospital in Ruston, where an EMG by Dr. Smith showed a fairly certain ruptured disc. Barton left work on May 5, 1985, when he could no longer endure the pain. At this time Barton reported the accident as work-related. Winn Rock's insurer, Wausau, began paying medicals and weekly benefits.

Barton was referred to a neurosurgeon, Dr. Fresh, in Alexandria. Dr. Fresh confirmed the diagnosis of a ruptured disc at C5-6 and operated. Barton was at home by May 17 to begin his recuperation. The pain and stiffness in his neck persisted, but gradually diminished. On January 13, 1986, Dr. Fresh suggested that Barton return for a "trial of work at normal duty." Barton went back the next day as a drill operator at his previous salary. He continued to attend physical therapy sessions with Dr. Fresh, however, and reported to him that he experienced discomfort when performing his work functions. Wausau quit paying benefits when it received notice from Dr. Fresh on January 17.

Six weeks later, on February 27, Winn Rock terminated Barton. His manager, Mr. Daughtry, testified this was part of a general reduction in work force, as four or five employees were dismissed simultaneously, but Barton's position was not eliminated. Mr. Daughtry admitted he was not privy to the decision to fire Barton, and Barton felt he was discharged because he could not do his job. He drew unemployment benefits for several months; for three months he worked as a backhoe operator on a temporary construction job that paid considerably less than he made at Winn Rock. Dr. Fresh finally discharged him in November 1986. He felt Barton had 75% of left rotation, 75% of flexion (ability to look down) and 50% of extension (ability to look up); and assigned an overall 75% function of the neck. This condition is permanent and will cause problems in any work that requires looking up, and intermittent problems in heavy lifting.

The trial court concluded that Barton was temporarily, totally disabled from the time of the accident in December 1984 until he quit in May 1985, since he was working in pain; the court ordered benefits for this period. For the period from May 1985 until January 1986, Wausau paid weekly benefits based on a 40-hour week; however, Barton typically worked overtime, which would have increased his comp benefits. Feeling the insurer had within its control the means of obtaining the correct wage data, the trial court imposed penalties of 12% on the excess due. The court also awarded attorney fees of $4,000 and interest of 12% on all awards. As for the period since January 14, 1986, the trial court denied Barton's claim for SEB, holding in essence that the injury and residual disability have not prevented Barton from earning 90% of his pre-injury wage. Barton has appealed the last finding; Wausau has answered, appealing the rest.

Temporary, Total Disability

Wausau appeals the trial court's finding that Barton was temporarily, totally disabled from December 20, 1984 until May 5, 1985, since he worked the entire time and earned wages. Citing LSA-R.S. 23:1201, Wausau contends there should be no finding of disability until there is a covered injury "and resulting loss of income."

Compensation for temporary, total disability is governed by LSA-R.S. 23:1221(1) which, at the time of Barton's injury, provided:

(1) Temporary total. For injury producing temporary total disability of an employee to engage in any self-employment or gainful occupation for wages 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 injury was particularly fitted by reason of education, training, or experience, sixty-six and two-thirds percent of wages during the period of such disability.

A claimant seeking benefits for temporary, total disability must prove his case by a preponderance of evidence. Price v. Fireman's Fund Ins., 502 So.2d 1078 (La. *1251 1987); Green v. Jackson Rapid Delivery Inc., 506 So.2d 1345 (La.App. 2d Cir.1987).

Revisions to the comp law in 1983 elevated the burden of proof for cases of permanent, total disability. Specifically they required proof by clear and convincing evidence and excluded benefits for workers who despite their injuries may accept "odd lot" jobs or may work in pain. See LSA-Acts 1983 Ex.Sess., No. 1; Malone & Johnson, Workers' Compensation, § 276.5 (1989 p.p.). These enhanced requirements were not imposed on claims for temporary, total disability. We have therefore concluded that the "working in pain" doctrine is applicable to temporary, total cases. Johnson v. Monroe Pulpwood Co., 505 So.2d 862 (La.App. 2d Cir.1987). See also Thomas v. Elder Pallet & Lumber Sales Inc., 493 So.2d 1267 (La.App. 3d Cir.1986), writ denied 497 So.2d 312 (La.1986).

Under the "working in pain" doctrine, if a claimant's injuries are such that the performance of important functions of his old trade involve substantial pain and suffering, he is deemed totally disabled. See Walker v. Gaines P. Wilson & Son, 340 So.2d 985 (La.1976); Johnson v. Monroe Pulpwood Co., supra; Malone & Johnson, § 273. The "working in pain" doctrine is not limited to workers who make tentative, unsuccessful efforts to work. A person may perform substantial work even though he is later determined to be totally disabled. See Meche v. Arthur G. McKee & Co., 415 So.2d 494 (La.App. 1st Cir.1982); LeBlanc v. Mangel's of La. Inc.,

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Bluebook (online)
545 So. 2d 1248, 1989 La. App. LEXIS 1240, 1989 WL 63850, Counsel Stack Legal Research, https://law.counselstack.com/opinion/barton-v-wausau-ins-co-lactapp-1989.