Clay v. Our Lady of Lourdes Regional Medical Center, Inc.

38 So. 3d 1196, 9 La.App. 3 Cir. 1219, 2010 La. App. LEXIS 825, 2010 WL 2178518
CourtLouisiana Court of Appeal
DecidedJune 2, 2010
Docket09-1219
StatusPublished
Cited by3 cases

This text of 38 So. 3d 1196 (Clay v. Our Lady of Lourdes Regional Medical Center, 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
Clay v. Our Lady of Lourdes Regional Medical Center, Inc., 38 So. 3d 1196, 9 La.App. 3 Cir. 1219, 2010 La. App. LEXIS 825, 2010 WL 2178518 (La. Ct. App. 2010).

Opinion

THIBODEAUX, Chief Judge.

| ¡The claimant/appellant, Gloria Clay, brought a workers’ compensation claim against her employer, defendant/appellee, Our Lady of Lourdes Regional Medical Center, Inc. (Lourdes), for injury to her back while lifting solution supplies. A rehabilitation counselor provided information regarding potential employers. When Ms. Clay applied for but did not obtain employment, the OWC terminated her benefits after applying a credit in favor of Lourdes for the wages that Ms. Clay would have earned had she been employed by a particular employer. Ms. Clay appeals the termination of her benefits and the calculation of her average weekly wage (AWW) after the inclusion of fringe benefits.

Where Ms. Clay attempted to obtain all positions suggested, we find that employment was unavailable to Ms. Clay and that the OWC applied an overly restrictive interpretation of the applicable law in terminating her benefits. We, therefore, reverse the judgment terminating Ms. Clay’s benefits. We further find a misapplication of the statutory and jurisprudential provisions for calculating a claimant’s AWW and reverse the OWC judgment on that issue as well.

I.

ISSUES

We must decide:

(1) whether the OWC erred in terminating Ms. Clay’s workers’ compensation benefits; and,
*1199 (2) whether the OWC erred in calculating Ms. Clay’s average weekly wage and fringe benefits.

_l2.II-

FACTS AND PROCEDURAL HISTORY

On June 28, 2005, Gloria Clay, who had been employed with Lourdes for a total of twenty-two years, sustained a back injury while lifting and pulling heavy solution bags from twenty carts. She began to have spasms in her upper back on the first day, and by the end of the second day, June 29, the pain went down her back and into her left leg. The injury caused Ms. Clay pressure in her back, a ten (10) on the pain scale, with burning, pulling sensations in her left buttock worsened by sitting, standing, and walking.

Ms. Clay was treated with medication, physical therapy, and a lumbar epidural steroid injection. When this worsened her pain, she was referred to a neurosurgeon, Dr. Bertuccini, who diagnosed symptomatic spinal stenosis at L4-5. He opined that injury can cause this degenerative condition to become symptomatic and recommended lumbar decompression surgery at the initial visit in December of 2005. Lourdes did not authorize payment for the prescriptions and surgery recommended by Dr. Bertuccini until May of 2007.

Lourdes obtained an order compelling vocational rehabilitation in February of 2008. A vocational rehabilitation counsel- or provided information regarding jobs that were ostensibly available to Ms. Clay. She applied for all of the jobs suggested, including those at a medical facility, but was unable to obtain employment. Ms. Clay received at least two rejection letters based upon her unmatched skills and qualifications. Lourdes did not offer Ms. Clay a position similar to either of the hospital positions recommended by the vocational counselor.

The OWC found that a recommended job at Stuller Settings was available to Ms. Clay in August of 2008, even though Ms. Clay had received a ^rejection letter from Stuller. The OWC further found that actual job placement was not a requirement for proof of availability of employment. Lourdes terminated Ms. Clay’s benefits in December of 2008 pursuant to the OWC ruling at trial during that same month.

The OWC issued a judgment finding that Ms. Clay was entitled to weekly wage benefits of $252.03, based upon an AWW of $878.05, from December 28, 2005 through August 25, 2008, subject to a credit for wage benefits already paid. The judgment awarded Ms. Clay $8,000.00 in penalties for four failures by Lourdes to timely pay medical related benefits, as well as attorney fees in the amount of $10,000.00.

Ms. Clay appealed the judgment on the issues of termination of benefits and the calculations of average weekly wages and fringe benefits. Lourdes answered the appeal and listed errors for review, but failed to file its brief. Issues not briefed are deemed abandoned. See Uniform Rules— Courts of Appeal, Rule 2-12.4-

We find that the OWC applied an overly restrictive interpretation of Banks v. Industrial Roofing & Sheet Metal Works, Inc., 96-2840 (La.7/1/97), 696 So.2d 551, resulting in a termination of benefits in this case. Therefore, we reverse the OWC judgment on the issue of termination of benefits, reinstating Ms. Clay’s benefits from the date of termination, August 25, 2008, forward. We further reverse the OWC on its calculation of Ms. Clay’s AWW and fringe benefits due to incorrect methodology and misinterpretation of the applicable law. We increase the award of attorney fees by $5,000.00 for work done by Ms. Clay’s attorney on appeal.

*1200 Jin.

LAW AND DISCUSSION

Standard of Review

When an appellate court finds that a reversible error of law was made in the lower court, it must conduct a de novo review of the entire record and render a judgment on the merits. Rosell v. ESCO, 549 So.2d 840 (La.1989).

Termination of Benefits

Ms. Clay contends that the OWC erred in terminating her benefits. We agree. The workers’ compensation judge stated at trial that the vocational rehabilitation counselor, Ms. Montero, “attempted jobs that were suitable” and that under Banks, 696 So.2d 551, actual “job placement is not required.” Counsel for Ms. Clay argues that the positions were not suitable and that, since Ms. Clay applied for all positions submitted and was turned down in every case, those jobs were not available to her under La.R.S. 23:1221(8)(c)(i).

The record reveals that Ms. Clay was a fifty-six-year-old widow with three grown daughters when she met with the vocational rehabilitation counselor for the first time on March 31, 2008. She had graduated from high school in 1971 but had had no additional schooling. Ms. Clay had worked for Lourdes as a supply, purchasing, and distribution clerk from 1975 to 1986 and again from 1995 until the time of her injury in June 2005. In the nine-year interim between her two periods of employment with Lourdes, Ms. Clay had taken care of her grandmother. Her only other employment was a two-month temporary position making pies for a bakery. At Lourdes, she stocked shelves and pulled and delivered medical supplies, occasionally entering patient charges onto a form in a computer. Ms. Clay did not own a computer and denied computer literacy. Her rate of pay with Lourdes was $9.95 per hour.

|bMs. Clay argues that she met her burden of proving that she could not earn ninety percent (90%) of her pre-injury wages because she could no longer stock medical supplies and because none of the clerical jobs submitted were available to her wherein she had applied but was turned down for each one. She correctly argues that under La.R.S. 28:1221(3)(c)(i), the burden then shifted to Lourdes to prove that the jobs were available. More specifically, La.R.S.

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38 So. 3d 1196, 9 La.App. 3 Cir. 1219, 2010 La. App. LEXIS 825, 2010 WL 2178518, Counsel Stack Legal Research, https://law.counselstack.com/opinion/clay-v-our-lady-of-lourdes-regional-medical-center-inc-lactapp-2010.