Boutte v. Langston Companies, Inc.

707 So. 2d 1315, 1998 La. App. LEXIS 156, 1998 WL 40409
CourtLouisiana Court of Appeal
DecidedFebruary 4, 1998
Docket97-972
StatusPublished
Cited by5 cases

This text of 707 So. 2d 1315 (Boutte v. Langston Companies, Inc.) 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
Boutte v. Langston Companies, Inc., 707 So. 2d 1315, 1998 La. App. LEXIS 156, 1998 WL 40409 (La. Ct. App. 1998).

Opinion

707 So.2d 1315 (1998)

Emily BOUTTE, Plaintiff-Appellant,
v.
LANGSTON COMPANIES, INC., Defendant-Appellee.

No. 97-972.

Court of Appeal of Louisiana, Third Circuit.

February 4, 1998.
Rehearing Denied March 17, 1998.

*1316 Michael Benny Miller, Crowley, for Emily Boutte.

Dennis Ray Stevens, New Iberia, for Langston Companies, Inc.

Before DOUCET, C.J., and PETERS and SULLIVAN, JJ.

SULLIVAN, Judge.

Emily Boutte appeals a judgment of the Office of Workers' Compensation (OWCA) denying her claim for disability benefits, medical expenses, penalties, and attorney fees. For the following reasons, we affirm.

Facts

Boutte was employed as a seamstress, or "strap attacher," for Langston Companies (Langston), at its plant in Crowley, Louisiana. She injured her neck and back on November 20, 1995 when she slipped, struck her head on a metal post, and fell to the concrete floor while walking to her work station. At the time of her injury, Boutte was forty-seven years old and had been employed with Langston for eleven months.

Langston and its workers' compensation insurer, Travelers Insurance Company (Travelers), referred her first to Dr. Mark Dawson, a family practitioner, then to Dr. Clifton Shepherd, an orthopedic surgeon. Dr. Shepherd released Boutte to light duty employment in December of 1995. In January of 1996, Boutte returned to work on light *1317 duty status, but she quit after three days, claiming that pain prevented her from working.

Boutte then began treatment with Dr. Michel Heard, also an orthopedic surgeon. After ordering several diagnostic studies, Dr. Heard considered Boutte to be totally disabled and recommended further testing with Dr. James Domingue, a neurologist. Travelers refused to authorize the referral to Dr. Domingue and did not pay Boutte compensation benefits, contending that she presented insufficient evidence of disability.

On January 10, 1996, Boutte filed this disputed claim for compensation against Langston and Travelers. After trial on August 17, 1997, the workers' compensation judge found that Boutte failed to prove a disability entitling her to either temporary total disability benefits or supplemental earnings benefits. The workers' compensation judge also rejected Boutte's claims for (1) penalties and attorney fees under La.R.S. 23:1201(F) and 23:1201.2 and (2) damages and attorney fees under La.R.S. 23:1127 for Travelers' alleged release of her medical records to a self-employed vocational rehabilitation counselor. On appeal, Boutte argues six assignments of error.

Disability Benefits and Medical Expenses

(Assignments of Error Nos. 2, 3, and 4)

Boutte urges that we find manifest error in the workers' compensation judge's finding that she is not disabled and in the failure to order defendants to pay for the recommended testing with Dr. Domingue. She also contends that the record does not support the finding that "Dr. Shepherd found no objective reason why claimant could not return to work." These assignments are interrelated because they require a discussion of the same medical evidence and lay testimony.

Langston's plant manager, Glenn Johnson, referred Boutte to Dr. Dawson on the day of the accident. Dr. Dawson prescribed muscle relaxers and pain medication and ordered cervical X-rays, which revealed a congenital cervical fusion at C3-4. He also prescribed three weeks of physical therapy during which time Boutte was not to work. When Boutte did not improve, Travelers referred her to Dr. Shepherd.

At his initial examination on December 11, 1995, Dr. Shepherd noted apparent tenderness in the left posterior cervical muscles, the left trapezius muscle, and the mid-thoracic region. Otherwise, he observed full range of motion with no atrophy or effusion in the neck, back, wrists, and shoulders. Impingement tests were negative for the shoulders. He reported that X-rays of the cervical spine showed mild arthritic changes, but he did not comment about the congenital cervical fusion that appeared on Dr. Dawson's films. His diagnosis was a mild cervical and lumbar strain with no evidence of serious injury. Although Dr. Shepherd continued the medications and physical therapy prescribed by Dr. Dawson, he released Boutte to light duty activities.

When Dr. Shepherd examined Boutte again on December 19, 1995, he again noted apparent tenderness in the right and left cervical muscles and in the lower half of the lumbar muscles. However, he also reported inconsistencies in the lumbar examination and that "[h]er complaints are excessive when compared to her benign examination." He again recommended continuing medication and therapy. After an examination on January 2, 1996, Dr. Shepherd stated that his opinion remained unchanged despite Boutte's continued complaints, but he recommended an MRI of the neck and back.

On January 15, 1996, Boutte attempted to perform light duty work at Langston. Johnson, the plant manager, explained that Boutte's new job was similar to her former one except that the "attacher" now positioned each strap only once on the sewing machine, as opposed to five times. The machine had been reprogrammed for a long, parallel sew, making the attaching of the straps faster and easier. Johnson also explained that employees on light duty did not have to meet a production quota, would still receive production bonuses based upon their unit's overall performance, and were free to move about as their condition required. Boutte quit this position after three days, informing Johnson that even with these changes she could not perform the job.

Boutte began treatment with Dr. Heard on January 22, 1996. As did Dr. Shepherd, Dr.

*1318 Heard noted tenderness in the neck and back, with no spasm and no abnormalities consistent with a neurological deficit. X-rays revealed the congenital fusion seen on Dr. Dawson's films, as well as mild spondylosis at C4-5 and degenerative changes in the lumbar spine that were normal for Boutte's age.

Dr. Heard then ordered further diagnostic testing that revealed additional abnormalities in the cervical spine. A CT scan of January 30, 1996 showed prominent osteophyte formation at three levels and narrowing of the spinal canal and the neural foramina at two levels. An MRI of February 14, 1996 noted that the osteophytic spurring caused anterior compression of the thecal sac at two levels. A myelogram performed on June 5, 1996 noted an underfilling of the nerve root sleeves at three levels, and the post-myelography CT scan noted a small, central disc herniation at C6-7. The lumbar scans and myelogram were all within normal limits.

In explaining the significance of these findings, Dr. Heard testified that the stenosis could result in a prolonged recovery and that the underfilling of the nerve root sleeves suggested, but did not prove, some nerve impingement. He acknowledged that no test revealed actual pinching of the nerves, that the small herniation at C6-7 was not pushing on a nerve, and that the myelogram showed no real evidence of foraminal encroachment. He believed that Boutte could one day return to light duty, but that she was still disabled from pain brought on by the soft tissue injury, spondylosis, the congenital defect, and the small herniation. He recommended continued treatment with medications, cortisone injections, and physical therapy, as well as the diagnostic work-up with Dr. Domingue.

At defendants' request, Dr. Shepherd examined Boutte again on August 28, 1996.

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707 So. 2d 1315, 1998 La. App. LEXIS 156, 1998 WL 40409, Counsel Stack Legal Research, https://law.counselstack.com/opinion/boutte-v-langston-companies-inc-lactapp-1998.