Cross v. Hingle

475 So. 2d 1384
CourtLouisiana Court of Appeal
DecidedSeptember 16, 1985
Docket85-CA-180
StatusPublished
Cited by4 cases

This text of 475 So. 2d 1384 (Cross v. Hingle) 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
Cross v. Hingle, 475 So. 2d 1384 (La. Ct. App. 1985).

Opinion

475 So.2d 1384 (1985)

Audie C. CROSS
v.
Felton HINGLE, III, and South Central Bell Telephone Company.

No. 85-CA-180.

Court of Appeal of Louisiana, Fifth Circuit.

September 16, 1985.

*1385 Nelson J. Cantrelle, Jr., Gretna, for plaintiff-appellee.

Charlton B. Ogden, III, New Orleans, for defendants-appellants.

Allen H. Danielson, Jr., Berrigan, Danielson, Litchfield, Olsen & Schonekas, New Orleans, for appellee-intervenor.

Before BOUTALL, KLIEBERT and GRISBAUM, JJ.

KLIEBERT, Judge.

The defendant, South Central Bell Telephone Company (Bell), suspensively appealed from a judgment awarding plaintiff, Audie C. Cross, $147,594.18 as damages for personal injuries sustained in a rear end collision caused by Bell's employee, Felton Hingle, III. The court also awarded to Zurich Insurance Company, Bell's intervening workman's compensation carrier, $36,905.82 ($26,105.31 of medical expenses paid by it on behalf of plaintiff and $10,800.51 of weekly compensation benefit payments paid to plaintiff). Plaintiff answered the appeal requesting an increase of the judgment in his favor by including the medical expenses incurred by him whether paid by Zurich or him, subject to a credit of $36,905.82 for the weekly compensation benefits and medical expenses paid by Zurich. The intervenor also answered the appeal.

On appeal, Bell contends the plaintiff failed to prove the accident was the cause of his injuries and subsequent surgery or that he had sustained a loss of wages. Zurich contends the judgment in its favor should be amended to coincide with the stipulation of the parties as to Zurich's preferential recovery.

We amend the judgment in favor of the plaintiff to include an award for the stipulated to medical bills and, also amend the judgment in favor of intervenor to include payments made subsequent to the stipulated amount and as amended, affirm.

The accident occurred on March 21, 1980. On that same day, plaintiff saw Dr. Beverly Vasconcellos, an expert in chiropractic science. She referred plaintiff to Dr. Masako Wakabayashi for therograms of the thoracic and lumbar spine. He reported findings of muscle spasms and irritability. Dr. Vasconcellos treated plaintiff periodically and conservatively by spinal manipulations to about November 1980.

When plaintiff continued to complain of pain, Dr. Vasconcellos referred plaintiff to Dr. Russell Levy, an orthopedic specialist. Dr. Levy admitted plaintiff to East Jefferson General Hospital for tests. Based on the discogram performed at East Jefferson, Dr. Levy concluded plaintiff had an abnormal condition of the lower back at the L-4 and L-5 level. He prescribed conservative treatment, including prescription medicine for pain, a special seat for use in a car, and back braces. Plaintiff actually wore back braces from about three weeks following the accident to the time of surgical intervention.

When plaintiff did not respond to the conservative treatment, he was referred to Dr. LaRocca who admitted him to the hospital and performed a laminotomy at L-4 and L-5 with a spinal fusion. The hospital pathologist reported the removed disc was degenerative. Dr. LaRocca and Dr. Levy expressed the opinion that the most likely cause of the degenerative disc was the automobile accident. Their views of a disc herniation requiring surgical intervention and fusion was based on their interpretation of myelograms, theromograms and CAT scans. Dr. LaRocca believed the disc herniation was caused by a tear in the ligaments of the back which caused the ligaments to become elongated and weaker, thereby permitting abnormal amounts of motion between vertebras and thus the degeneration of the disc. He characterized *1386 the problem as a segmented instability of the back and concluded the most likely cause of the problem was the automobile accident.

Counsel for Bell argues that Dr. LaRocca was not furnished information as to plaintiff's prior treatment and work record and consequently drew an erroneous conclusion as to the cause of plaintiff's injury. He suggests that had Dr. LaRocca known plaintiff's spine was manipulated on an almost daily basis by a chiropractor and that plaintiff had continued to work for two months after the accident, he would not have concluded the cause of the disc degeneration was the result of a ligament being torn by the trauma sustained in the accident. Rather, he suggests the logical conclusion would be that the disc degeneration was caused by the back manipulations or the movements in the back while working.

In support of his position, he urges the observation that manipulation treatment is contrary to what most orthopedists or neurosurgeons would recommend to their patients after injury and points to Dr. Schumacher's, a neurosurgeon's, testimony that proper treatment for back pain following an accident is to initially put the back at rest as much as possible and not the performance of spinal manipulation.

Counsel also argues that Dr. LaRocca erred as to causation because of his reliance on plaintiff's contention he was consistently in pain from the time of the accident. He points to the testimony of Dr. Swan Ward, plaintiff's original treating physician, to support the argument. Dr. Ward, an internist, treated plaintiff from April 1, 1980 to April 24, 1980. On the latter date, he found the plaintiff to be asymptomatic and discharged him. Hence, counsel contends plaintiff was not in pain. Thus, reliance on plaintiff's contention he was in pain was error.

The defendant through counsel sought to buttress his position with the testimony of two consulting physicians, Dr. Gernon Brown and Dr. Robert Applebaum, both defense witnesses. Each doctor examined plaintiff prior to Dr. LaRocca's surgical intervention and separately concluded there was no evidence of a segmental instability of the back or a degenerative disc. Therefore, he argues there was no need for the surgical removal of the disc and the fusion.

The legal problem thus presented, i.e., differences in opinion, are as old as medical science and arise out of the fact that medicine is an inexact science. Although the views of the treating physicians differ from those of the consulting physicians, we have no doubt each is sincere in his belief. The trial judge found, however, that the plaintiff did suffer back injuries in the accident; that the chiropractic treatment of Dr. Vasconcellos was not the intervening cause of plaintiff's injury and concluded:

".... After considering all of this evidence I believe that it is simply more probable than not, that the accident in March of 1980 has caused this plaintiff's continuing back problem. This plaintiff is—says he's experienced constant back pain since the day of his accident; he denies any intervening trauma, and I find him to be a very believeable witness. And I simply cannot accept the theories that have been advanced by the defendant in this case, when they argue to me intervening cause. The plaintiff's burden is to prove probabilities and in my view, they have proved the probability, as I say—and they have carried by a preponderance of the evidence their burden of proof."

After a thorough review of the record, we find there is ample evidence to support the trial judge's observations and conclusion. Further, our observations and conclusion are exactly the same as the trial judge. Consequently, we cannot say he committed error in reaching his conclusions. See Canter v. Koehring, 283 So.2d 716 (La. 1974); Arceneaux v. Domingue, 365 So.2d 1330 (La.1978).

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Bluebook (online)
475 So. 2d 1384, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cross-v-hingle-lactapp-1985.