Boaz v. K-Mart Corp.

334 S.E.2d 167, 254 Ga. 707, 1985 Ga. LEXIS 826
CourtSupreme Court of Georgia
DecidedSeptember 12, 1985
Docket42120
StatusPublished
Cited by23 cases

This text of 334 S.E.2d 167 (Boaz v. K-Mart Corp.) is published on Counsel Stack Legal Research, covering Supreme Court of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Boaz v. K-Mart Corp., 334 S.E.2d 167, 254 Ga. 707, 1985 Ga. LEXIS 826 (Ga. 1985).

Opinion

Clarke, Justice.

This is a workers’ compensation case. The Court of Appeals denied the claimant’s application to appeal an order of the superior court reversing in part an award of the Board of Workers’ Compensation and we granted certiorari directing the appeal to be filed in this court. The issue involved is whether the employer, K-Mart, was relieved of liability for medical expenses by the fact that the claimant-employee obtained treatment from physicians not approved by K-Mart. Upon a review of the facts of this case and the administrative findings, it is our judgment that the employer is not relieved of liability and the order of the superior court must be reversed.

Boaz sustained a compensable on-the-job injury to his lumbar spine on July 5, 1980, while employed by K-Mart. He was treated by the company-approved physician, Dr. Spillman, who diagnosed the problem as a herniated disc. Dr. Spillman discharged Boaz as a patient and authorized a return to work on September 2, 1980. Boaz returned to work at K-Mart and was terminated from employment for other reasons on May 25, 1981.

Boaz then wrote the board for a hearing complaining that his back was still bothering him from the earlier injury at K-Mart and that he was unable to secure work because of disability. Prior to the hearing Boaz consulted Dr. Ronald Koenig at the request of his counsel. His examination revealed a lumbar spine problem with radiating *708 pain arid numbness. A hearing was held on October 21, 1981, before the administrative law judge. K-Mart contended that Boaz hád no residual problems from the July 1980, injury.

On March 3, 1982, the administrative law judge issued an award in favor of Boaz. He found that Boaz was still suffering lumbar spinal difficulties which prohibited him from working and that he had been released by Dr. Spillman, the company physician, as “cured” in September of 1980. A finding of total disability as of May 26, 1981, was made and an economic award of total disability was issued. K-Mart appealed and the award was affirmed by the Board and the superior court. Boaz secured other employment from January 1982, until May of 1982 when he was terminated. He filed another change of condition application for workers’ compensation and after a hearing on December 2, 1982, benefits were denied, the administrative law judge finding insufficient evidence of change of condition as of May 1982.

In early 1983 Boaz began to have more severe back problems which resulted in two spinal operations and which was the subject of another change in condition hearing and award which is the basis of this appeal.

The hearing before the administrative law judge was held on October 4, 1983. At the onset of the hearing the court announced that she would take judicial notice of the evidence presented at the two prior hearings. The ALJ found that the back and spinal condition worsened around Márch of 1983 and included pain and loss of use in claimant’s arms. Dr. Koenig scheduled Boaz for a myelogram and referred him to a neurosurgeon, Dr. Achecar. Surgery for the lumbar disc was performed on June 3, 1983 and a cervical fusion and diskectomy were performed in July 1983. The award finds that all of the surgical and spinal problems were attributable to the injury at K-Mart in July 1980. It also finds that because the company physician had discharged Boaz from treatment as cured while in fact he was still suffering from his work related injury, and the employer was disputing the claim, Boaz was justified in going to Dr. Koenig for treatment.

Counsel for Boaz had received a letter from opposing counsel, advising that if further treatment were needed the claimant should return to Dr. Spillman, the compány physician. This communication was on June 1, 1983, while Boaz was in the hospital for surgery performed on June 3, 1983. The ALJ found that since the services of Dr. Koenig had been previously engaged, the claimant was not required to change physicians again.

The award was for total economic disability from March 1, 1983, until altered or terminated by law: On medical, the award orders K-Mart to pay a list of medical expenses, including the hospital and surgical bills incurred in June of 1983, and to reimburse claimant for *709 medical expenses previously paid to Dr. Koenig. Finally, the award orders K-Mart to furnish all medical, hospital and rehabilitative care reasonably required to prepare the claimant for employment.

K-Mart appealed the award to the full board which upon de novo consideration adopted the findings and conclusions of the ALJ. An appeal was then filed in the superior court.

1. The superior court found that the ALJ had erred when she took judicial notice of and considered the evidence from the two prior hearings because the results of that hearing were res judicata. There was no medical award at either of these prior hearings although there was medical evidence offered in support of the claims. The court also found no evidence to support the finding that Boaz had been dismissed by Dr. Spillman while suffering from a work related injury which would authorize treatment by the physician of claimant’s claims. The court concluded that under the decision of K-Mart Corp. v. Anderson, 166 Ga. App. 421 (304 SE2d 526) (1983), it was error in this case to award compensation for medical treatment by Dr. Koenig and Dr. Achecar and reversed the award for accrued medical expenses. The superior court affirmed the finding of total disability based on the lumbar disc problem, but reversed the conclusion that the cervical spine problem was also caused by the work injury on the grounds that there wás no evidence to support the diagnosis as to the cervical problem. The court affirmed that part of the award requiring K-Mart to furnish reasonable medical and rehabilitative care.

In K-Mart Corp. v. Anderson, supra, the claimant was being treated by physicians on a panel maintained by the employer for her work related injury. She was not satisfied with the company doctors and went for treatment to her private physician. The court held that the employer was not required to pay for the unauthorized medical treatment because they were not authorized by statute, OCGA § 34-9-201 (c) and the statute gave adequate relief which she did not pursue which was a petition to the Board for change of physician or treatment. OCGA § 34-9-201 (d). K-Mart v. Anderson, supra. This court reached a similar result in Holcombe v. Brown Transport Corp., 253 Ga. 719 (324 SE2d 446) (1985), holding the employer was not liable for medical expenses which were not authorized when no emergency existed and the employee sought outside treatment even though his request to do so was turned down by the employer. However, as in Anderson, supra, we held that the employee should have petitioned the board. The employee was currently receiving treatment from an employer-selected physician for an on-the-job injury which the employer must furnish under OCGA § 34-9-200.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

LINDA LILIENTHAL v. JLK, INC.
Court of Appeals of Georgia, 2023
LANE v. WILLIAMS PLANT SERVICES Et Al.
766 S.E.2d 482 (Court of Appeals of Georgia, 2014)
Kenneth Lane, Sr. v. Williams Plant Services
Court of Appeals of Georgia, 2014
Ronald Brasher v. US Express Enterprises
Court of Appeals of Georgia, 2014
Brasher v. US Xpress Enterprises, Inc.
761 S.E.2d 448 (Court of Appeals of Georgia, 2014)
New Grand Buffet, Inc. v. Mei Yu Zheng
Court of Appeals of Georgia, 2013
Zheng v. New Grand Buffet, Inc.
740 S.E.2d 302 (Court of Appeals of Georgia, 2013)
Barnes v. City of Atlanta Police Department
464 S.E.2d 609 (Court of Appeals of Georgia, 1995)
Wright v. Overnite Transportation Co.
449 S.E.2d 167 (Court of Appeals of Georgia, 1994)
Capital Atlanta, Inc. v. Carroll
444 S.E.2d 592 (Court of Appeals of Georgia, 1994)
Nu Skin International, Inc. v. Baxter
438 S.E.2d 130 (Court of Appeals of Georgia, 1993)
Owens-Illinois, Inc. v. Champion
417 S.E.2d 703 (Court of Appeals of Georgia, 1992)
St. Clair v. County of Grant
797 P.2d 993 (New Mexico Court of Appeals, 1990)
Bel Arbor Nursing Home v. Johnson
385 S.E.2d 667 (Court of Appeals of Georgia, 1989)
Owen of Georgia, Inc. v. Waugaman
366 S.E.2d 173 (Court of Appeals of Georgia, 1988)
Pritchard Services v. Lett
358 S.E.2d 842 (Court of Appeals of Georgia, 1987)
ITT Continental Baking Co. v. Powell
356 S.E.2d 267 (Court of Appeals of Georgia, 1987)
State v. Tungler
351 S.E.2d 248 (Court of Appeals of Georgia, 1986)
Ledbetter v. Pine Knoll Nursing Home
350 S.E.2d 299 (Court of Appeals of Georgia, 1986)
Hardee's v. Bailey
349 S.E.2d 211 (Court of Appeals of Georgia, 1986)

Cite This Page — Counsel Stack

Bluebook (online)
334 S.E.2d 167, 254 Ga. 707, 1985 Ga. LEXIS 826, Counsel Stack Legal Research, https://law.counselstack.com/opinion/boaz-v-k-mart-corp-ga-1985.