Cloud v. CAJUN CONTRACTORS & ENGINEERS

517 So. 2d 1010, 1987 La. App. LEXIS 10365, 1987 WL 833
CourtLouisiana Court of Appeal
DecidedOctober 7, 1987
Docket86-956
StatusPublished
Cited by3 cases

This text of 517 So. 2d 1010 (Cloud v. CAJUN CONTRACTORS & ENGINEERS) 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
Cloud v. CAJUN CONTRACTORS & ENGINEERS, 517 So. 2d 1010, 1987 La. App. LEXIS 10365, 1987 WL 833 (La. Ct. App. 1987).

Opinion

517 So.2d 1010 (1987)

Roy Raymond CLOUD, Plaintiff-Appellee,
v.
CAJUN CONTRACTORS & ENGINEERS INC., et al., Defendant-Appellant.

No. 86-956.

Court of Appeal of Louisiana, Third Circuit.

October 7, 1987.

*1011 John P. Navarre, Oakdale, for plaintiff-appellee.

Gold, Simon, Weems, Bruser, Sharp, Sues & Rundell, Dee D. Drell, Alexandria, for defendant-appellant.

Stafford, Stewart & Potter, Russell L. Potter, Alexandria, for defendant-appellee.

Before FORET, LABORDE and KNOLL, JJ.

LABORDE, Judge.

Plaintiff, Roy Raymond Cloud (Cloud), on July 7, 1984, injured his knee in a work-related accident while employed by Cajun Contractors & Engineers (Cajun). Worker's compensation benefits were paid until plaintiff's physician "released" plaintiff to work on October 16, 1984. Plaintiff decided to return to work, but with a different employer, Sheehan Pipeline Construction Company (Sheehan). He worked on the pipeline from November 11, 1984, until the completion of the job, December 20, 1984, when he was laid off. Plaintiff returned to Dr. Drez on January 7, 1985, complaining of incessant and progressive knee pain.

After some procedural posturing, all parties were joined in suit. The trial court ruled that no new injury occurred while plaintiff worked for Sheehan; further, it ruled that he did not sustain an aggravation of his old injury. The trial court found that plaintiff was totally and permanently disabled solely as a result of his injury while working for Cajun. Cajun was also cast with attorney fees in the amount of $5,000.00. The demands against Sheehan and its worker's compensation carrier, Home Insurance Company, were dismissed. Cajun and its worker's compensation insurer, National Union Fire Insurance Company (National Union), appeal citing several assignments of error.[1] We affirm in part; reverse in part; and remand.

FACTS

The trial judge, in his written reasons for judgment, found the following facts:

"This is a workmen's compensation suit filed by Roy Raymond Cloud for injuries sustained by him on July 7, 1984, while working for Cajun Contractors & Engineers, Inc. The injury was to his left knee which he bumped while getting off a backhoe. He was seen and treated by Dr. H.A. Nesom of Oakdale, who then referred him to Dr. David Drez, Jr., who in due course performed a [sic] arthroscopic examination and repair of the left knee. He (Cloud) was found to have a tear in the medial meniscus and some mild arthritic changes of his knee. He was then placed on physical therapy in Lake Charles and later in Oakdale.
On October 16, 1984, Cloud was released by Dr. David Drez as able to return to work.

On November 11, 1984, Roy Raymond Cloud went to work for Robert D. Sheehan and James H. Nolan doing business as Sheehan Pipeline Construction Company. A number of witnesses who were co-workers at Sheehan testified at court as to the type of work which petitioner *1012 was doing at the time that he worked for Sheehan which was from November 11, 1984 until December 29, 1984, about six (6) weeks.

The issue for the court to decide in addition to the usual issue of disability is whether petitioner is still suffering from his original injury or did he have another accident while employed by Sheehan Pipeline Construction Company.
The court will decide the issue of disability first. It is clear that plaintiff is disabled at the present time and the court finds as a fact that he has been disabled from December 29, 1984. The evidence was clear and convincing that Roy Raymond Cloud is permanently totally disabled from doing any type of work until another surgery is performed on his knee and perhaps even after the surgery. Under those circumstances he is considered permanently totally disabled and is entitled to workmen's compensation payments of $203.64 during the period of disability.
The more difficult question for decision is whether or not a new injury occurred or an aggravation of the old injury during the six weeks that plaintiff was working for Sheehan Pipeline Construction Company. After considering the testimony of the various witnesses, it is the opinion of this court that no new injury occurred to plaintiff, nor did he sustain an aggravation of his old injury while working for Sheehan. The Court finds as a fact that plaintiff was just not able to do the heavy work required by the job without having to endure substantial pain. Plaintiff never filed any claim or report of an injury while he was employed by Sheehan nor could he remember any separate incident when he suddenly felt that he had reinjured his knee. He filed no claim against Sheehan until just before this trial. None of his fellow workers could recall any separate occasion when he had indicated he had reinjured his knee. It is the opinion of this Court that petitioner never fully recovered from his original injury and more surgery is needed to correct his problems. According to Dr. Drez, no prognosis can be made before this additional surgery is done. Therefore, the suit and third party demand against Sheehan Pipeline Construction Company is denied.
Defendant Cajun Contractors & Engineers, Inc. and National Union Fire Insurance Company for a period of one year refused medical payments for medical examinations and treatment despite repeated demands by petitioner. Not until December, 1985, did the company agree to allow Dr. David Drez, Jr. examine and treat Roy Raymond Cloud. Additionally, repeated demands for workmen's compensation benefits were denied. The Court is satisfied that defendants were unreasonable and arbitrary in their refusal to pay for needed medical examination and treatments and to pay workmen's compensation benefits. If there was doubt in defendant's mind as to whether plaintiff was disabled it was their duty to have him examined at their expense by Dr. David Drez, Jr., or some other qualified physician. Defendants did neither and therefore under the provisions of R.S. 23:1201.1, they are liable for reasonable attorney fees (legal penalties were eliminated in the 1983 amendments) [sic]. The Court sets the attorney fees assessed against defendants at the sum of Five Thousand and No/100 ($5,000.00) Dollars.
Additionally, petitioner is entitled to legal interest on all past due installments (January 1, 1985 until the present time) and all costs of these proceedings."

Disability

Cajun's first three assignments can be more efficiently treated as a single issue: whether, and to what extent, Mr. Cloud was disabled.

LSA-R.S. 23:1221(1) and (2) as amended in 1983 provides the applicable law for disability benefits:

"Compensation shall be paid under this Chapter in accordance with the following schedule of payments:

(1) Temporary total. For injury producing temporary total disability of an *1013 employee to engage in any self-employment or gainful occupation for wages whether or not the same or a similar occupation as that in which the employee was customarily engaged when injured and whether or not an occupation for the employee at the time of injury was particularly fitted by reason of education, training, or experience, sixty-six and two-thirds percent of wages during the period of such disability.

(2) Permanent total.

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Bluebook (online)
517 So. 2d 1010, 1987 La. App. LEXIS 10365, 1987 WL 833, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cloud-v-cajun-contractors-engineers-lactapp-1987.