Blanchard v. Rental Service Corp., USA

920 So. 2d 911, 2006 WL 119130
CourtLouisiana Court of Appeal
DecidedFebruary 21, 2006
Docket05-CA-460
StatusPublished
Cited by4 cases

This text of 920 So. 2d 911 (Blanchard v. Rental Service Corp., USA) 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
Blanchard v. Rental Service Corp., USA, 920 So. 2d 911, 2006 WL 119130 (La. Ct. App. 2006).

Opinion

920 So.2d 911 (2006)

Barry BLANCHARD
v.
RENTAL SERVICE CORP., U.S.A.

No. 05-CA-460.

Court of Appeal of Louisiana, Fifth Circuit.

January 17, 2006.
Opinion Granting Rehearing February 21, 2006.

*913 Olden C. Toups, Jr., Grant & Barrow, Gretna, LA, for Plaintiff/Appellee.

Philip J. Borne, Christovich & Kearney, LLP, New Orleans, LA, for Defendant/Appellant.

Panel composed of Judges JAMES L. CANNELLA, MARION F. EDWARDS and JAMES C. GULOTTA, Pro Tempore.

JAMES L. CANNELLA, Judge.

The Defendants, Rental Services, Corp., U.S.A. (Rental) and Liberty Mutual Insurance Company (Liberty Mutual), appeal from a workers' compensation judgment in favor of the Plaintiff, the employee, Barry Blanchard. We affirm, and award attorney's fees.

The Plaintiff was employed by Rental for several years delivering tools, materials and heavy duty equipment to the company's customers. His job entailed driving a truck, loading and off-loading supplies. On Thursday, July 12, 2001, the Plaintiff was assisting another worker move a pump from a three foot high table to the floor when the pump slipped and slid to the ground, injuring his neck. The Plaintiff *914 felt a "popping" in his right neck to shoulder area immediately. He informed the other worker that he felt pain, but continued to work without reporting the incident to the supervisor, thinking it was a pulled muscle. The Plaintiff returned to work on Friday, although he was sore. On Saturday morning, he woke up in severe pain. He stayed in bed over the weekend. On Monday, he went to work, but reported the problem to the dispatcher, who contacted the supervisor, Dennis McMahon (McMahon).

McMahon took the Plaintiff to Westside Clinic, where he was seen by Dr. Alberto Arrillaga, the first of five doctors chosen by the Defendants. Dr. Arrillaga examined the Plaintiff and concluded that he pulled a muscle. The doctor prescribed pain medication initially, then added physical therapy. He recommended light duty work. The Plaintiff returned to work.

The Defendants did not reimburse the Plaintiff until December of 2001 for those drugs, and have not paid for any medications after them. However, the Defendants paid worker's compensation benefits from September 28, 2001 until April 11, 2002.

When the Plaintiff's pain did not subside, Dr. Arrillaga referred the Plaintiff to an orthopedic surgeon, Dr. Matthew Grimm, who ordered a magnetic resonance imaging scan (MRI). After receiving those results, Dr. Grimm referred the Plaintiff to Dr. Frank Culicchia, a neurosurgeon, who diagnosed a herniated disk at the C5-6 level. Dr. Culicchia scheduled surgery for October of 2002. The Defendants, for unknown reasons, canceled the surgery. The surgery was rescheduled and in November of 2002, Dr. Culicchia performed an anterior cervical diskectomy with fusion. The Defendants refused to pay Plaintiffs medical bills. The Plaintiff used his health insurance to pay for the procedure. He has not yet returned to the work force.

The Plaintiff continued to complain of post-operational pain, so Dr. Culicchia referred him to Dr. Culicchia's associate, Dr. Maria Carmen Espiritu, a pain management doctor. Dr. Espiritu's treatments, which included trigger-point injections, did not resolve the pain. In March of 2003, Dr. Culicchia discharged the Plaintiff, instructing him to seek a second opinion. He was referred by the Defendants to Dr. Lucien Miranne.

On April 11, 2002, prior to the opinion by Dr. Miranne, the Defendants terminated the Plaintiff's worker's compensation benefits. On April 24, 2002, Dr. Miranne issued a report recommending further tests to rule out another nerve root compression. When notified subsequently of the recommendation by Dr. Miranne, the Defendants contacted Drs. Culicchia, who informed them that he disagreed on the necessity of the further tests.

On April 25, 2002 the Defendants filed a Disputed Claim for Compensation in which they asserted that the Plaintiff was capable of returning to work, and/or that there had been an intervening accident. The Defendants rejected Dr. Miranne's recommendation and refused to authorize any further tests.

In May of 2003, the Plaintiff returned to Dr. Espiritu for a final visit. He informed the doctor that Dr. Miranne wanted further tests. Dr. Espiritu immediately conferred with Dr. Culicchia. Dr. Espiritu then sent a letter to the Defendants with her opinion that the tests were unnecessary and should not be authorized. The Plaintiff then formally requested authorization to obtain a physician of his choice. Plaintiff was no longer under the care of either doctor at that point. The Defendants *915 have never responded to this request.

In June of 2002, the Plaintiff filed a Disputed Claim for Compensation asking for reinstatement of all benefits and for penalties and attorneys' fees.

The Plaintiff continued to have pain in the cervical area. Consequently, the Plaintiff was referred by counsel to Dr. Kenneth Adatto, an orthopedic surgeon. Dr. Adatto saw the Plaintiff for the first time on February 4, 2003. Based on the available MRIs, Dr. Adatto determined that the Plaintiff has another herniated disk at the C6-7 level, one below the fused site at C5-6. Dr. Adatto has recommended surgery, which the Defendants have refused to authorize. Plaintiff is currently receiving steroid injections by Dr. Adatto.

The case was tried on August 18, 23, and 24, 2004, and concluded on September 27, 2004. The case was taken under advisement. On November 23, 2004, the worker's compensation judge (judge) found in favor of the Plaintiff and awarded him temporary, total disability benefits. The judge further assessed penalties against the Defendants of $2,000 for their arbitrary and capricious refusal to pay indemnity benefits, and $2,000 for failure to pay medical expenses, medication expenses, diagnostic testing fees, and for failing to timely authorized the initial surgery recommended by the Defendant's doctor. She awarded attorney's fees of $8,000 for those violations. The judge further awarded statutory penalties of $250 and attorney's fees of $500 for the Defendants failure to timely provide medical records to the claimant. She filed written reasons for judgment in the record on February 24, 2005.

On appeal, the Defendants contend that the judge erred in failing to find that the Plaintiff committed fraud by misrepresenting his physical condition and ability to work, and in denying that he had a prior neck injury. The Defendants further contend that the judge erred in refusing to allow the introduction of a deposition of the Plaintiff's ex-girlfriend, who had been listed a witness by the Plaintiff in the pretrial list, and who testified falsely regarding the Plaintiff's condition. Third, they assert that the judge erred in the award of penalties and attorney's fees.

The Plaintiff answered the appeal requesting additional attorney's fees for appeal, and court costs in the trial and appellate courts.

STANDARD OF REVIEW

To be entitled to workers' compensation benefits, the plaintiff must prove that there was a work related accident, resulting in a disability that was caused by the accident. Wiley v. Dijon Services, Inc, 02-242, p. 3 (La.App. 5th Cir.10/16/02), 831 So.2d 317, 319, writ denied, 02-2612 (La.12/13/02), 831 So.2d 990. The plaintiff bears the burden of establishing this causal connection by a reasonable preponderance of the evidence. Id.; Quinones v. U.S. Fidelity and Guar. Co., 93-1648, p. 6 (La.1/14/94), 630 So.2d 1303, 1306-07.

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Cite This Page — Counsel Stack

Bluebook (online)
920 So. 2d 911, 2006 WL 119130, Counsel Stack Legal Research, https://law.counselstack.com/opinion/blanchard-v-rental-service-corp-usa-lactapp-2006.