Comeaux v. Sam Broussard Trucking

657 So. 2d 449, 94 La.App. 3 Cir. 1631, 1995 La. App. LEXIS 1406, 1995 WL 323275
CourtLouisiana Court of Appeal
DecidedMay 31, 1995
Docket94-1631
StatusPublished
Cited by41 cases

This text of 657 So. 2d 449 (Comeaux v. Sam Broussard Trucking) 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
Comeaux v. Sam Broussard Trucking, 657 So. 2d 449, 94 La.App. 3 Cir. 1631, 1995 La. App. LEXIS 1406, 1995 WL 323275 (La. Ct. App. 1995).

Opinion

657 So.2d 449 (1995)

Horace P. COMEAUX, Plaintiff-Appellant,
v.
SAM BROUSSARD TRUCKING, et al., Defendants-Appellees.

No. 94-1631.

Court of Appeal of Louisiana, Third Circuit.

May 31, 1995.

*451 Edward J. Milligan, Jr., Lafayette, for Horace P. Comeaux.

Kelann Etta Larguier, Metairie, for Sam Broussard Trucking.

Before LABORDE, WOODARD and AMY, JJ.

AMY, Judge.

Horace Comeaux (hereafter claimant) was employed as a truck driver with Sam Broussard Trucking (hereafter employer) on December 2, 1991, when he slipped, lost his balance, and landed on his buttocks while unloading a five gallon can of hazardous materials during a truck run for his employer. The claimant maintains that he sustained injuries to his lower back and neck, and broke his dentures when he slipped. Claimant began receiving weekly temporary total disability benefits from the date of his injury until November 9, 1992, when defendants ceased paying benefits because claimant had been released to return to light duty work by the physician who was treating him. On November 26, 1993, claimant filed a claim against his employer and his employer's worker's compensation insurer to reinstate worker's compensation benefits. Claimant also sought statutory attorney's fees and penalties, contending that defendants had arbitrarily and capriciously terminated benefits.

On September 8, 1994, the hearing officer denied claimant's request for compensation benefits, attorney's fees, and penalties. Claimant timely perfected this appeal, asserting the following assignments of error:

1) The hearing officer erred in determining that claimant had de facto chosen Dr. Clifton Shepherd to be his treating physician by failing to specify a choice of orthopedist.

2) The hearing officer erred in deciding that defendants were not responsible for further medical treatment by Dr. Louis C. Blanda.

3) The hearing officer erred in determining that claimant had failed to prove by clear and convincing evidence that he was entitled to temporary total disability benefits.

*452 4) The hearing officer erred in determining that claimant had failed to prove by clear and convincing evidence his entitlement to supplemental earning benefits.

5) The hearing officer erred in deciding that defendants were not arbitrary and capricious in denying claimant's claim for attorney's fees and penalties.

DE FACTO SELECTION OF TREATING PHYSICIAN

Under La.R.S. 23:1121(B), an employee who is covered under the worker's compensation act has the right to choose one physician in any field or specialty and the treatment will be paid for by the employer or its compensation insurer. After this selection is made, the employee must obtain the employer's consent to receive treatment at the expense of the employer or its insurer from another physician in that same field or specialty. Guillotte v. Dynamic Offshore Contractors, 628 So.2d 234 (La.App. 3 Cir. 1993). In the instant case, the hearing officer determined that claimant had de facto chosen Dr. Clifton Shepherd as his treating physician and that claimant was not entitled to receive treatment from Dr. Louis Blanda at defendants' expense. Claimant maintains that the hearing officer erred in finding that Dr. Shepherd was his de facto choice of a physician.

Dr. Clifton Shepherd, an orthopedic surgeon, first saw claimant on January 23, 1992. Claimant complained of pain in his back that extended into his left leg and pain on both sides of his neck. Dr. Shepherd examined claimant and found no muscle spasms in his back or neck; moreover, a neurological exam of claimant's back and neck was normal. X-rays revealed arthritic changes throughout the back and lower part of the neck. Dr. Shepherd diagnosed claimant's injuries as a neck and back strain and concluded that he had some generalized arthritic changes in his neck and back. Dr. Shepherd treated claimant conservatively, recommending physical therapy four times a week and prescribing anti-inflammatory medicine.

Since claimant's complaints persisted after months of treatment, Dr. Shepherd had a CT scan and MRI of both the lumbar and cervical spine conducted on July 20, 1992. These tests revealed a spur at the left side of the L5-S1 level and spurs at the right side of two levels in claimant's neck. The spurs were indicative of arthritis. Dr. Shepherd concluded that claimant's complaints of pain were not consistent with the MRI and CT scans and he released claimant to engage in light-duty work. In October of 1992, claimant returned to Dr. Shepherd complaining of pain in his back. Dr. Shepherd concluded that arthritis was the cause of claimant's complaints. Dr. Shepherd opined that it was more likely than not that the arthritic changes in claimant's back would be present without the reported accident of December 2, 1991, because these changes take years to develop and manifest.

In November of 1993, claimant sought treatment from Dr. Louis Blanda, Jr., another orthopedic surgeon. The hearing officer determined that claimant had de facto chosen Dr. Clifton Shepherd as his treating physician and that claimant was not entitled to receive treatment from Dr. Louis Blanda at defendants' expense. In support of this finding, the hearing officer stated: "This Court finds that in the instant case, Comeaux had de facto chosen Dr. Shepherd as his treating physician in light of the fact that he treated with Dr. Shepherd on a monthly basis in 1992. It wasn't until Dr. Shepherd released him to return to work that he requested a change in physicians. As a matter of fact, it was actually one year from the date of Comeaux's release by Dr. Shepherd that he sought treatment with Dr. Blanda in November of 1993. Dr. Blanda has only had three visits with Comeaux compared to Dr. Shepherd's examinations of Comeaux on twelve different occasions."

The factual findings of a hearing officer in a worker's compensation case are reviewed under the manifest error standard of review. Bruno v. Harbert Intern. Inc., 593 So.2d 357 (La.1992). For us to set aside the hearing officer's factual determination that claimant had de facto chosen Dr. Shepherd to be his treating physician, we must conclude that from the record that a reasonable factual basis did not exist for the hearing *453 officer's findings and that these findings were clearly wrong. Stobart v. State, Through DOTD, 617 So.2d 880 (La.1993).

By assignment of error, claimant maintains that the hearing officer was manifestly erroneous in finding that Dr. Shepherd was his de facto choice of a physician. Specifically, claimant points to a letter dated July 8, 1992, in which claimant requested to schedule an independent medical examination with either Dr. Cobb or Dr. Blanda, as grounds to controvert the hearing officer's finding that claimant did not seek treatment with Dr. Blanda until November of 1993. While the record does reflect that claimant did request an independent medical examination with either Dr. Blanda or Dr. Cobb on July 8, 1992, and that defendants indicated that they would approve this independent medical examination, the record indicates that claimant neither scheduled this examination nor sought treatment from Dr. Blanda until November of 1993, more than a year after the request. Furthermore, the record indicates that Dr. Shepherd saw claimant eleven times in 1992: February 13; March 5; March 26; April 23; May 14; June 18; July 22; August 20; September 17; October 29; and December 22. Additionally, claimant attended physical therapy, as prescribed by Dr. Shepherd, and Dr.

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657 So. 2d 449, 94 La.App. 3 Cir. 1631, 1995 La. App. LEXIS 1406, 1995 WL 323275, Counsel Stack Legal Research, https://law.counselstack.com/opinion/comeaux-v-sam-broussard-trucking-lactapp-1995.