Collins v. Patterson Drilling

902 So. 2d 1264, 2005 WL 1109588
CourtLouisiana Court of Appeal
DecidedMay 11, 2005
Docket39,668-WCA
StatusPublished
Cited by10 cases

This text of 902 So. 2d 1264 (Collins v. Patterson Drilling) 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
Collins v. Patterson Drilling, 902 So. 2d 1264, 2005 WL 1109588 (La. Ct. App. 2005).

Opinion

902 So.2d 1264 (2005)

George COLLINS, Plaintiff-Appellant
v.
PATTERSON DRILLING and Liberty Mutual Insurance Company, Defendants-Appellees.

No. 39,668-WCA.

Court of Appeal of Louisiana, Second Circuit.

May 11, 2005.

*1265 Street & Street, by C. Daniel Street, Monroe, Monroe, for Appellant.

Mayer, Smith & Roberts, by Kim P. Thomas, Shreveport, Shreveport, for Appellees.

Before STEWART, GASKINS and DREW, JJ.

STEWART, J.

George Collins, a workers' compensation claimant, appeals a judgment denying his demands for temporary total disability *1266 benefits (TTD's) or supplemental earnings benefits (SEB's), medical treatment, and penalties and attorney fees for the failure to provide medical treatment and failure to pay TTD's or SEB's. Collins' employer, Patterson Drilling Company, and its insurer, Liberty Mutual Insurance Company (referred to collectively as "defendants"), answered Collins' appeal to assert error in the award of penalties and attorney fees for their failure to provide a functional capacity evaluation (FCE) for Collins. Finding legal error in the denial of Collins' claim for disability benefits, we vacate that part of the judgment and remand for a new trial on Collins' entitlement to disability benefits. In all other respects, the judgment is affirmed.

FACTS

While employed as a roughneck by Patterson Drilling Company on December 12, 2001, George Collins injured his knees when he slipped and fell on a muddy, wet floor. Although he immediately reported the accident, Collins did not see a doctor until December 27, 2001, when he was examined by Dr. Eddie Ulmer in Meridian, Mississippi. Collins resides in Mississippi, but he was employed in Louisiana.

Dr. Ulmer referred Collins to Dr. Gustavus Rush, an orthopaedic surgeon, who began treating Collins on January 22, 2002. An MRI showed degenerative changes in both knees as well as a meniscus and ACL ligament tear in the right knee. Dr. Rush performed surgery on Collins' right knee and treated him until September 2002, when Collins was advised to return as needed. Dr. Rush's records indicate that he believed no further surgery was needed and that Collins could return to work in some capacity.

Collins sought further treatment from Dr. Keith P. Melancon, another orthopaedic surgeon. Dr. Melancon began treating Collins in November 2002. Contrary to Dr. Rush's conclusion, Dr. Melancon believed that Collins would benefit from additional surgery to both knees and should not return to work. Based on Dr. Rush's report, defendants had ceased payment of temporary total disability benefits to Collins as of December 2002. Though notified that Collins had obtained a second opinion from Dr. Melancon that conflicted with Dr. Rush's opinion as to Collins' condition, defendants did not reinstate TTD's. Additionally, defendants denied approval for Collins to be treated by Dr. Melancon.

Collins filed a "Disputed Claim For Compensation" on April 28, 2003, seeking reinstatement of TTD's and treatment by Dr. Melancon. An independent medical exam ("IME") of Collins was ordered. Dr. Terry L. Habig, an orthopaedic surgeon, examined Collins on November 17, 2003. Dr. Habig concluded that Collins had reached maximum medical improvement with regard to his knee injuries and the surgery on his right knee. He did not believe that Collins would particularly benefit from more surgery. However, he did conclude that Collins will have limitation of activity, and he recommended performing a functional capacity evaluation ("FCE") to determine the extent of his limitations.

The workers' compensation judge ("WCJ") heard Collins' claim on March 24, 2004. Collins testified that he attempted to return to light duty work for a week in January 2002 while under Dr. Ulmer's care. However, he did not return to work after being referred to Dr. Rush. Collins insisted that Dr. Rush never released him to return to his full duties as a roughneck. Rather, Dr. Rush advised him to try light duty or else find another occupation. Dr. Rush also restricted his climbing, stooping, and bending. Even at the time of his last visit with Dr. Rush in September 2002, Collins was still experiencing pain and *1267 problems with his right knee. He could not put pressure on the knee, he stumbled when walking, and he had problems squatting and walking on steps. Collins sought a second opinion from Dr. Melancon. He asked Patterson and its insurer to provide treatment by Dr. Melancon, but no authorization was ever given. Collins testified that he can no longer work as a roughneck due to his ongoing knee problems. He has not been offered any vocational or job services. He has not attempted to return to work since the surgery, nor has he looked for other employment.

Collins' wife, Barbara Collins, testified that her husband did not have problems with his knees prior to the accident and that he has not been able to do much since the accident. She testified that he stumbles when walking and can hardly make it up steps. She has observed his right knee give out causing him to stumble. Both she and Collins insisted that Dr. Rush recommended surgery for Collins' left knee but would not provide it unless Collins paid. They claimed that Dr. Rush indicated that workers' compensation had paid enough.

The WCJ reviewed the medical records of Dr. Rush and Dr. Melancon, the IME report of Dr. Habig, and other exhibits prior to making her ruling. In assessing the medical evidence, the WCJ determined that as treating physician, Dr. Rush's opinion should be given greater weight than the other doctors. She noted that Dr. Rush had treated Collins for nine months and released him to return to his job. The WCJ also noted that Dr. Habig agreed with Dr. Rush that Collins had reached maximum medical improvement and would not benefit from further surgery. Applying La. R.S. 23:1221(1)(d), the WCJ concluded that upon reaching maximum medical improvement and being released to return to work, Collins was no longer entitled to TTD's. The WCJ also concluded that there was no evidence to support a claim for SEB's. However, she ordered defendants to provide the FCE recommended by Dr. Habig and ordered Collins to then return to Dr. Habig for additional assessment of his limitations. She reserved Collins' right to assert a claim for SEB's if warranted by the findings of the FCE.

The WCJ denied Collins' claim for medical treatment by Dr. Melancon. Collins' choice of physician had been Dr. Rush, and he had not obtained approval to change physicians in the same specialty. The WCJ believed that ordering defendants to provide treatment by Dr. Melancon would be tantamount to condoning "doctor shopping" and would go beyond the reasonable and necessary medical services required by the workers' compensation law.

The WCJ denied Collins' claim for penalties and attorney fees due to defendants' termination of TTD's and denial of medical treatment by Dr. Melancon. She concluded that the defendants' reliance on Dr. Rush's opinion was proper and that they were neither arbitrary nor capricious in denying medical treatment when Collins had previously chosen Dr. Rush as his physician in the specialty of orthopaedics and had not obtained approval to change physicians. However, the WCJ did award a penalty of $500 and attorney fees of $2,000 for the defendants' failure to provide the FCE recommended by Dr. Habig.

Following the judgment rendered in accordance with the WCJ's ruling, Collins appealed the denial of his claims for TTD's, medical treatment, and penalties and attorney fees. The defendants answered the appeal to challenge the WCJ's ruling on the FCE.

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Bluebook (online)
902 So. 2d 1264, 2005 WL 1109588, Counsel Stack Legal Research, https://law.counselstack.com/opinion/collins-v-patterson-drilling-lactapp-2005.