Cassard v. AMERICAN GENERAL FIRE & CAS. CO.

568 So. 2d 1151, 1990 WL 161351
CourtLouisiana Court of Appeal
DecidedOctober 11, 1990
Docket90-CA-246
StatusPublished
Cited by6 cases

This text of 568 So. 2d 1151 (Cassard v. AMERICAN GENERAL FIRE & CAS. 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
Cassard v. AMERICAN GENERAL FIRE & CAS. CO., 568 So. 2d 1151, 1990 WL 161351 (La. Ct. App. 1990).

Opinion

568 So.2d 1151 (1990)

Elray CASSARD
v.
AMERICAN GENERAL FIRE & CASUALTY COMPANY, A SUBSIDIARY OF AMERICAN GENERAL CORPORATION.

No. 90-CA-246.

Court of Appeal of Louisiana, Fifth Circuit.

October 11, 1990.

*1152 Roger I. Dallam, Greenberg & Dallam, Gretna, for plaintiff/appellee.

Thomas G. Buck, Metairie, for defendant/appellant.

Before CHEHARDY, KLIEBERT and GOTHARD, JJ.

GOTHARD, Judge.

In this worker's compensation case, the compensation carrier has appealed judgment in favor of the injured worker and the claimant has answered the appeal.

In August, 1983 Elray Cassard received multiple injuries when he fell from a roof that he was engaged in repairing. He received weekly compensation benefits based on total disability from the time of the accident until June, 1988, when American General Fire and Casualty Company, the employer's insurer, reduced the benefits to supplemental earnings. The reduction was based on the treating physician's opinion that Cassard could return to light work with restrictions on climbing, repetitive bending, stooping, squatting, and lifting weights in excess of thirty pounds. The employee had been referred to a rehabilitation agency for assistance in obtaining training and employment, with no really positive results. In April, 1989, Cassard began working as a janitor for his parish church at a salary of $600.00 per month.

The insurer rejected a recommendation of the state Office of Worker's Compensation which would award Cassard weekly supplemental earnings benefits of $230.00 (the maximum compensation for injuries occurring between July 1, 1983 and August 31, 1983), plus all medical expenses. Cassard filed suit on October 7, 1988. After trial of the merits, the court ruled from the bench that Cassard was totally disabled under the Act and that employment was not available to him because employers are unwilling to hire injured workers who are litigating a compensation claim.

A judgment, signed on October 18, 1989, awarded Cassard weekly compensation of $230.00 from June 22, 1988 through March 31, 1989 and supplemental earnings benefits calculated on a weekly benefit of $230.00, subject to weekly earnings of $138.46, from April 1, 1989 for as long as Cassard is employed at $600.00 per month but no longer than 520 weeks; both awards are subject to credit for any benefits actually paid and legal interest from due date of each weekly benefit until paid. The judgment also provided for all medical benefits *1153 but denied the plaintiff's demand for penalties and attorney's fees.

The insurer raises the following issues: (1) whether the court may find a plaintiff totally disabled when the treating physicians say he is able to work and he is actually holding a job; (2) whether a worker may be awarded total disability benefits for a period when he was able to work but chose not to; and (3) whether the worker's supplemental earnings benefits should be based upon wages that are less than he is actually able to earn. In answering the appeal the plaintiff seeks penalties and attorney's fees.

Total disability

The appellant strongly opposes the court's ruling that, "... [T]he plaintiff in this case, Mr. Cassard, is totally disabled under the meaning of the Act.... I believe at this time that he is disabled, totally disabled." Counsel argues that Cassard could not be declared totally disabled when he was found to be medically able to work and was working at time of trial. The court did not specify "temporary" or "permanent" total disability in his oral ruling or in the judgment.

The factual determination of disability made by the trial court is entitled to great weight and will not be disturbed in the absence of manifest error. Clark v. Atlantic Painting Co., 521 So.2d 505 (La. App. 4th Cir.1988); Rosell v. ESCO, 549 So.2d 840 (La.1989).

Dr. Robert Fleming, an orthopedic surgeon, testified for the plaintiff as an expert and as his treating physician, having treated him since the day of the accident. Of the many injuries Cassard incurred, including a fractured skull, only the injuries to Cassard's left leg and left hand were continuing to give him problems at time of trial. Dr. Fleming performed surgery, placing a pin in the left hand and effecting "multiple internal fixation" of the left tibia. Dr. Fleming stated that as of the time of trial Cassard had pain and grinding in the left knee, pain from the knee to the ankle, and occasional back pain. His complaints were compatible with traumatic arthritis but, in the physician's opinion, removal of the knee cap or a total knee replacement was not indicated. An arthroscopic examination of the knee and hand was performed in September, 1988, which confirmed arthritis. X-rays of the knee and ankle, taken in July, 1989, revealed progression of arthritis in the ankle, as a small spur appeared on the talus, a bond in the ankle joint. In an X-ray taken a few months later a small calcification in the soft tissues of his left leg appeared, for which surgery was being considered. Dr. Fleming felt that Cassard's complaints were legitimate and coincided with the physical findings. He assessed the disability in the left leg at 33%.

Beginning in October, 1987 the physician recommended that Cassard undertake sedentary employment within his restrictions, where he would be able to sit and stand alternately. As long as he did not stand continually, his knee and ankle pain would not be disabling. The physician said he thought employment would be beneficial to the plaintiff, as it would take his mind off his problem.

Dr. William S. Brasted testified as an expert in behavioral psychology and as the plaintiff's treating psychologist. He had seen Cassard on an intermittent basis since October, 1984, when he was referred because of depression. Since Cassard began the job with the church he had become more anxious and agitated because he was unable to perform all the tasks and had to enlist the help of his wife and son in doing them. Dr. Brasted's impression was that he was extremely motivated to return to work and that on the occasions when employment appeared to be possible his psychological symptoms decreased. He stated that from a psychological standpoint Cassard would be much better off if he were working in a secure job situation that suited his physical limitations.

The plaintiff's counsel assumes that the court found Cassard to be temporarily totally disabled under the odd-lot doctrine, which was viable under the statute in effect at the time of the injury. Thomas v. Elder Pallet & Lumber Sales, Inc., 493 So.2d 1267 (La.App. 3rd Cir.1986), writ denied *1154 497 So.2d 312 (La.1986). Compensation for permanent total disability was disallowed under the statute if the claimant was engaging in or physically able to engage in any employment, including all odd-lot employment.[1]

We find that the trial judge was in error insofar as he found the plaintiff totally disabled. The record indicates clearly that he is disabled to the extent that he is unable to return to his former job as a roofer. However, the treating physician and psychologist both were of the opinion that he was able to perform light work and that it would be therapeutic for him to do so. The orthopedist's testimony indicates that the leg is permanently damaged and there is nothing in the record to suggest that it will improve, as arthritis has begun to progress. Consequently, the injury does not fit temporary total disability.

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Bluebook (online)
568 So. 2d 1151, 1990 WL 161351, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cassard-v-american-general-fire-cas-co-lactapp-1990.