Dana Cormier v. Swla Center for Health Services
Opinion
STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT
25-681
DANA CORMIER VERSUS
SWLA CENTER FOR HEALTH SERVICES AND LOUISIANA WORKERS’ COMPENSATION CORPORATION
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APPEAL FROM THE OFFICE OF WORKERS’ COMPENSATION, DISTRICT 3 PARISH OF CALCASIEU, NO. 22-06547 THOMAS E. TOWNSLEY, WORKERS’ COMPENSATION JUDGE
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VAN H. KYZAR JUDGE
36 26 2 2 2 2 2K 3 2K oe
Court composed of Van H. Kyzar, Guy E. Bradberry, and Clayton Davis, Judges.
REVERSED AND RENDERED. Gregory P. Marceaux
Marceaux Law Firm
2901 Hodges Street
Lake Charles, LA 70601
(337) 310-2233
COUNSEL FOR PLAINTIFF/APPELLANT: Dana Cormier
Alysha B. Smith
Johnson, Rahman & Richards
P.O. Box 98001
Baton Rouge, LA 70898-8001
(225) 930-0414
COUNSEL FOR DEFENDANTS/APPELLEES: SWLA Center for Health Services Louisiana Workers’ Compensation Corporation KYZAR, Judge.
In this workers’ compensation case, Plaintiff, Dana Cormier, appeals the judgment of the workers’ compensation judge (WCJ) holding that she failed to prove that she suffered an injury as a result of an accident while in the course and scope of her employment with SWLA Center for Health Services (SWLA), and thereby, dismissing her claim. For the following reasons, we reverse and render.
FACTUAL AND PROCEDURAL HISTORY
Plaintiff has been employed as a medical assistant by SWLA since 2012. In 2021, she was assigned to SWLA’s Sowela Technical Community College (Sowela) medical clinic, which is located in the Charleston Building on Sowela’s Lake Charles campus. Five SWLA employees worked in the clinic: Plaintiff; Nurse Practitioner Allissa Joseph (NP Joseph); Melinda Beasley, a medical assistant; an unnamed medical assistant; and an unnamed laboratory technician.
Plaintiffs workstation was in the clinic’s lobby, about twenty feet from a wall, which SWLA shared with Sowela’s culinary department. The culinary department had a kitchen equipped with gas stoves and ovens.
On November 2, 2022, Plaintiff arrived at work wearing an N95 mask because of the COVID outbreak. NP Joseph testified that when she arrived that morning, she smelled gas throughout the clinic, including the lobby where Plaintiffs workstation was located. Ms. Beasley also testified that she smelled gas throughout the day and that she discussed the gas smell with her co-workers, who all indicated that they also smelled gas.
Although Plaintiff's co-workers complained of the gas smell, she did not notice the smell initially because of her N95 mask. However, just after the clinic
closed, Plaintiff went outside of the clinic to assist a gentleman that had knocked on the clinic’s door. When she returned to the clinic, she was not wearing her mask. It was at this time that Plaintiff first noticed a strong gas smell. When she went to the nurses’ office to ask if the nurses smelled the gas, they all confirmed the strong smell.
Plaintiff attempted to report the smell to her supervisor, Sharon Dunbar, but was unable to reach her. She then notified a security guard about the odor, who advised that he would inform the Sowela administration about the smell. The guard was eventually able to advise Ms. Dunbar about the odor. Ms. Dunbar, in turn, reported the odor to Adam Reed, the executive director of facilities, planning, and management for Sowela.
After approximately thirty minutes of smelling the gas, Plaintiff began to experience a headache and dizziness. She then left the building and got into her vehicle, where she passed out. When Plaintiff came to, she realized that she had urinated on herself. Although she drove herself home, she had no recollection of doing so. She was then helped into the home by her husband.
Once home, Plaintiff went to bed, but because she was still suffering from dizziness and a headache, she was taken to CHRISTUS St. Patrick Hospital (St. Patrick) by her husband later that evening. There she was seen by Dr. William Laborde, an emergency room physician, with complaints of generalized weakness, blurred vision, shortness of breath, nausea, and headaches, which she attributed to “inhaling gas at work.” Although there is no specific test to establish gas exposure, Dr. Laborde ordered an arterial blood gas test to determine the level of carbon monoxide in Plaintiff's blood. The test results did not show elevated levels of carbon
monoxide. Plaintiff was then provided medication and discharged home. Plaintiff stayed in bed the next day still suffering from weakness and a headache. She was able to advise Ms. Dunbar about the gas inhalation and her inability to work.
When Plaintiff's co-workers returned to work on November 3, 2022, the gas smell was still present. This was reported to the Sowela administration, who in turn contacted CenterPoint Energy (Centerpoint). Brandon Davis, a service technician, was sent to Sowela, and upon his arrival, he noted that a group of people reported smelling gas. In investigating the origin of the gas, Mr. Davis entered the culinary department and discovered that a pilot light on a gas stovetop was extinguished. If the pilot light is out, gas will continue to emit until the pilot light is relit or the gas is shut off. Mr. Davis did not smell any gas, nor did his combustible gas indicator (CGI) detect the presence of gas.
Plaintiff returned to St. Patrick on November 5, 2022, complaining of left- sided numbness and weakness.’ She was referred to a neurologist. On November 14, 2022, she was examined by her primary care physician, Dr. Christian LeBlanc, who noted that Plaintiff had inhaled fumes at work and diagnosed her with left-sided
paralysis and tremors. Dr. LeBlanc restricted Plaintiff from working.
A combustible gas indicator is an instrument that monitors the gas, carbon monoxide, and oxygen present in the air.
” At the emergency room, Plaintiff underwent a drug screen which was positive for opiate, amphetamine, and benzodiazepine. Plaintiff explained that she was prescribed amphetamine for ADHD, benzodiazepine for anxiety, and the opiate was associated with the hydrocodone she was taking for pain following the gas exposure. The hydrocodone had been prescribed to Plaintiff following cervical surgeries she had undergone in 2017 or 2018. On February 9, 2023, Plaintiff was examined by Dr. Fayez Shamieh, a
neurologist. She presented with weakness, numbness, and dizziness. Dr. Shamieh felt Plaintiff was suffering from post-chemical exposure, encephalopathy, and seizure disorder. He ordered an EEG; however, SWLA and its insurer, Louisiana Workers’ Compensation Corporation (LWCC) (referred to collectively as Defendants) had already refused her claim and authorization was denied.’
Due to Defendants denial of her workers’ compensation claim, Plaintiff became Medicaid qualified. On April 3, 2024, Plaintiff came under the care of the Allen Parish Rural Health Clinic (Rural Health Clinic). By this time, NP Joseph had begun to work at the Rural Health Clinic as a nurse practitioner. NP Joseph noted that Plaintiff was previously exposed to natural gas, and as a result, had suffered a seizure and neurological issues. In her opinion, Plaintiff was suffering from panic disorder and PTSD. Plaintiff was referred to a neurologist and restricted from working.
Plaintiff came under the care of Dr. Reynard Odenheimer, a neurologist. On October 9, 2024, Dr. Odenheimer performed an EMG, which showed changes consistent with left-sided sensory motor polyneuropathy. He was of the opinion that Plaintiff was suffering from nerve damage on the left side. He noted that Plaintiff
had inhaled fumes at work and suffered from left-sided hemisensory, migraines,
° Although Dr.
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STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT
25-681
DANA CORMIER VERSUS
SWLA CENTER FOR HEALTH SERVICES AND LOUISIANA WORKERS’ COMPENSATION CORPORATION
ie ie 2s 2 os 2c ok OK
APPEAL FROM THE OFFICE OF WORKERS’ COMPENSATION, DISTRICT 3 PARISH OF CALCASIEU, NO. 22-06547 THOMAS E. TOWNSLEY, WORKERS’ COMPENSATION JUDGE
oe ok 26 2K 2 ie 2 2K os ok
VAN H. KYZAR JUDGE
36 26 2 2 2 2 2K 3 2K oe
Court composed of Van H. Kyzar, Guy E. Bradberry, and Clayton Davis, Judges.
REVERSED AND RENDERED. Gregory P. Marceaux
Marceaux Law Firm
2901 Hodges Street
Lake Charles, LA 70601
(337) 310-2233
COUNSEL FOR PLAINTIFF/APPELLANT: Dana Cormier
Alysha B. Smith
Johnson, Rahman & Richards
P.O. Box 98001
Baton Rouge, LA 70898-8001
(225) 930-0414
COUNSEL FOR DEFENDANTS/APPELLEES: SWLA Center for Health Services Louisiana Workers’ Compensation Corporation KYZAR, Judge.
In this workers’ compensation case, Plaintiff, Dana Cormier, appeals the judgment of the workers’ compensation judge (WCJ) holding that she failed to prove that she suffered an injury as a result of an accident while in the course and scope of her employment with SWLA Center for Health Services (SWLA), and thereby, dismissing her claim. For the following reasons, we reverse and render.
FACTUAL AND PROCEDURAL HISTORY
Plaintiff has been employed as a medical assistant by SWLA since 2012. In 2021, she was assigned to SWLA’s Sowela Technical Community College (Sowela) medical clinic, which is located in the Charleston Building on Sowela’s Lake Charles campus. Five SWLA employees worked in the clinic: Plaintiff; Nurse Practitioner Allissa Joseph (NP Joseph); Melinda Beasley, a medical assistant; an unnamed medical assistant; and an unnamed laboratory technician.
Plaintiffs workstation was in the clinic’s lobby, about twenty feet from a wall, which SWLA shared with Sowela’s culinary department. The culinary department had a kitchen equipped with gas stoves and ovens.
On November 2, 2022, Plaintiff arrived at work wearing an N95 mask because of the COVID outbreak. NP Joseph testified that when she arrived that morning, she smelled gas throughout the clinic, including the lobby where Plaintiffs workstation was located. Ms. Beasley also testified that she smelled gas throughout the day and that she discussed the gas smell with her co-workers, who all indicated that they also smelled gas.
Although Plaintiff's co-workers complained of the gas smell, she did not notice the smell initially because of her N95 mask. However, just after the clinic
closed, Plaintiff went outside of the clinic to assist a gentleman that had knocked on the clinic’s door. When she returned to the clinic, she was not wearing her mask. It was at this time that Plaintiff first noticed a strong gas smell. When she went to the nurses’ office to ask if the nurses smelled the gas, they all confirmed the strong smell.
Plaintiff attempted to report the smell to her supervisor, Sharon Dunbar, but was unable to reach her. She then notified a security guard about the odor, who advised that he would inform the Sowela administration about the smell. The guard was eventually able to advise Ms. Dunbar about the odor. Ms. Dunbar, in turn, reported the odor to Adam Reed, the executive director of facilities, planning, and management for Sowela.
After approximately thirty minutes of smelling the gas, Plaintiff began to experience a headache and dizziness. She then left the building and got into her vehicle, where she passed out. When Plaintiff came to, she realized that she had urinated on herself. Although she drove herself home, she had no recollection of doing so. She was then helped into the home by her husband.
Once home, Plaintiff went to bed, but because she was still suffering from dizziness and a headache, she was taken to CHRISTUS St. Patrick Hospital (St. Patrick) by her husband later that evening. There she was seen by Dr. William Laborde, an emergency room physician, with complaints of generalized weakness, blurred vision, shortness of breath, nausea, and headaches, which she attributed to “inhaling gas at work.” Although there is no specific test to establish gas exposure, Dr. Laborde ordered an arterial blood gas test to determine the level of carbon monoxide in Plaintiff's blood. The test results did not show elevated levels of carbon
monoxide. Plaintiff was then provided medication and discharged home. Plaintiff stayed in bed the next day still suffering from weakness and a headache. She was able to advise Ms. Dunbar about the gas inhalation and her inability to work.
When Plaintiff's co-workers returned to work on November 3, 2022, the gas smell was still present. This was reported to the Sowela administration, who in turn contacted CenterPoint Energy (Centerpoint). Brandon Davis, a service technician, was sent to Sowela, and upon his arrival, he noted that a group of people reported smelling gas. In investigating the origin of the gas, Mr. Davis entered the culinary department and discovered that a pilot light on a gas stovetop was extinguished. If the pilot light is out, gas will continue to emit until the pilot light is relit or the gas is shut off. Mr. Davis did not smell any gas, nor did his combustible gas indicator (CGI) detect the presence of gas.
Plaintiff returned to St. Patrick on November 5, 2022, complaining of left- sided numbness and weakness.’ She was referred to a neurologist. On November 14, 2022, she was examined by her primary care physician, Dr. Christian LeBlanc, who noted that Plaintiff had inhaled fumes at work and diagnosed her with left-sided
paralysis and tremors. Dr. LeBlanc restricted Plaintiff from working.
A combustible gas indicator is an instrument that monitors the gas, carbon monoxide, and oxygen present in the air.
” At the emergency room, Plaintiff underwent a drug screen which was positive for opiate, amphetamine, and benzodiazepine. Plaintiff explained that she was prescribed amphetamine for ADHD, benzodiazepine for anxiety, and the opiate was associated with the hydrocodone she was taking for pain following the gas exposure. The hydrocodone had been prescribed to Plaintiff following cervical surgeries she had undergone in 2017 or 2018. On February 9, 2023, Plaintiff was examined by Dr. Fayez Shamieh, a
neurologist. She presented with weakness, numbness, and dizziness. Dr. Shamieh felt Plaintiff was suffering from post-chemical exposure, encephalopathy, and seizure disorder. He ordered an EEG; however, SWLA and its insurer, Louisiana Workers’ Compensation Corporation (LWCC) (referred to collectively as Defendants) had already refused her claim and authorization was denied.’
Due to Defendants denial of her workers’ compensation claim, Plaintiff became Medicaid qualified. On April 3, 2024, Plaintiff came under the care of the Allen Parish Rural Health Clinic (Rural Health Clinic). By this time, NP Joseph had begun to work at the Rural Health Clinic as a nurse practitioner. NP Joseph noted that Plaintiff was previously exposed to natural gas, and as a result, had suffered a seizure and neurological issues. In her opinion, Plaintiff was suffering from panic disorder and PTSD. Plaintiff was referred to a neurologist and restricted from working.
Plaintiff came under the care of Dr. Reynard Odenheimer, a neurologist. On October 9, 2024, Dr. Odenheimer performed an EMG, which showed changes consistent with left-sided sensory motor polyneuropathy. He was of the opinion that Plaintiff was suffering from nerve damage on the left side. He noted that Plaintiff
had inhaled fumes at work and suffered from left-sided hemisensory, migraines,
° Although Dr. Shamieh’s records state that Plaintiff suffered from right-sided weakness, all of her symptoms were, in fact, on her left side.
‘ According to Defendants’ discovery responses, Plaintiff, on November 30, 2022, made a demand for the payment of workers’ compensation indemnity benefits and authorization for medical treatment, which was denied by Defendants. Plaintiff filed a LWC-WC-1008 claim with the Office of Workers’ Compensation on December 14, 2022. dystonia tremors, and chemical exposure. Dr. Odenheimer felt that Plaintiff was unable to work.
Trial of the matter was held on June 11, 2025. At the end of trial, the WCJ orally denied Plaintiff's claim. In his November 2, 2025 judgment, the WCJ held that Plaintiff failed to prove “she suffered an “injury in an accident during the course and scope of her employment with her employer, [SWLA], and its insurer, LWCC, on November 2, 2022.” The judgement further held:
Claimant had a pre-existing history of epilepsy (seizure disorder) with
recurrent seizures. She had at least three (3) prior seizures before the
November 2, 2022, seizure in question and had a subsequent seizure in
June 2023. The Court also found serious inconsistencies in when and
where the seizure occurred on November 2, 2022.
Based on this finding, Plaintiff's claim was dismissed with prejudice.
Plaintiff now appeals the WCJ’s judgment, asserting the following assignments of error:
1. The trial court committed legal error in placing an artificial “high
burden” of proof on Dana Cormier to show a causal link between the natural gas exposure and her disability.
2. The trial court erred in finding that the pre-existing seizure
condition of Dana Cormier prevented her from recovering
workers’ compensation benefits.
3. The trial court erred in finding natural gas was not in the air at the SWLA Center for Health Services.
4. The trial court erred in allowing an uncertified opinion letter of the defendant’s expert into evidence.
5. The trial court erred in rejecting the opinion testimony of Dr. Reynard Odenheimer, neurologist, and Nurse Practitioner Alissa Joseph.
6. The trial court erred in failing to award penalties and attorney’s fees.
Dystonia is a movement disorder that includes involuntary, painful contractions of the body. OPINION
The WCJ’s finding that gas was not present at SWLA’s clinic.
As part of his oral ruling, the WCJ found that there was no incident where gas or other toxins were leaked into the air at SWLA’s clinic on November 2, 2022:
And the deposition of Brandon Davis, a CenterPoint Entergy [sic], on page -- that’s “Defense Exhibit 8” and Page[s] 13 and 14. He testified, “so I did my incident investigation in there first with my CTI and my nose and then I didn’t smell anything and my CTI didn’t pick up anything.” Page 16, he said he saw the pilot light was out in the stove in the kitchen.
Page 34, his CTI machine measured 0.0 on November 3rd, 2022. On Page 34 and 35 he said -- he reported upon arrival no loop found. He checked the appliances. He didn’t find the leak. He checked the drains in the restrooms for sewer gas and didn’t find a leak there but he did notice and see visually that the pilot light was on.
On Page 37 on how close he was to the pilot light area, he said, quote, “I was right -- I got all the way to the -- to the range and saw that it was out. And that’s what I mean. J didn’t pick up anything on my CTI, even standing right next to the -- you can stand right next to the stove with the CTI, and it’s not in the air.”
Nurse practitioner Allissa Joseph said that she smelled gas. Nobody else smelled it. The testimony was that Ms. Cormier didn’t smell [gas] because she had the mask on until between 4:00 and 4:30 and then after getting the security guard - he didn’t smell gas according to Adam Reed and they -- Brandon Davis said he didn’t smell gas the next day even though he saw the pilot light on. I do think mercaptan has a strong smell, and they smelled mercaptan because of the pilot light being on.
In discussing the deference afforded a trial court’s factual finding, this court in Thymes v. Golden Nugget Lake Charles, LLC, 23-100, pp. 4-5 (La.App. 3 Cir. 11/2/23), 373 So.3d 129, 133 (alterations in original), writ denied, 23-1576 (La. 1/24/24), 378 So.3d 69, stated:
When reviewing a verdict in a civil case, the manifest error-
clearly wrong standard applies, and the appellate court should not disturb a finding of fact made in the trial court unless it is clearly wrong. The Louisiana Supreme Court fashioned a two-part test when applying this standard: (1) is there a reasonable factual basis for the finding of the trial court; and (2) does a reading of the record establish that the finding is not clearly wrong or manifestly erroneous. Arceneaux v. Domingue, 365 So.2d 1330 (La.1978). In Rosell v. ESCO, 549 So.2d 840, 844 (La.1989), the court discussed the manifest error-clearly wrong standard in detail, stating:
It is well settled that a court of appeal may not set aside a trial court’s or a jury’s finding of fact in the absence of “manifest error” or unless it is “clearly wrong,” and where there is conflict in the testimony, reasonable evaluations of credibility and reasonable inferences of fact should not be disturbed upon review, even though the appellate court may feel that its own evaluations and inferences are as reasonable. Arceneaux v. Domingue, 365 So.2d 1330, 1333 (La.1978); Canter v. Koehring, 283 So.2d 716, 724 (La.1973). .. . [I]f the trial court or jury findings are reasonable in light of the record reviewed in its entirety, the court of appeal may not reverse even though convinced that had it been sitting as the trier of fact, it would have weighed the evidence differently. Where there are two permissible views of the evidence, the factfinder’s choice between them cannot be manifestly erroneous or clearly wrong. Arceneaux, supra at 1333, Watson v. State Farm Fire & Casualty Ins. Co., 469 So.2d 967 (La.1985)....
When findings are based on determinations regarding the credibility of witnesses, the manifest error- clearly wrong standard demands great deference to the trier of fact’s findings; for only the factfinder can be aware of the variations in demeanor and tone of voice that bear so heavily on the listener’s understanding and belief in what is said. Canter, supra at 724.
Contrary to the findings of the WCJ, the evidence presented at trial overwhelmingly established the presence of a gas or toxic-like smell in Plaintiff's workplace. Mr. Davis’s deposition testimony revealed that he was dispatched to Sowela because of a gas complaint on November 3, 2022, the day after the event. Upon arrival, he acknowledged that a group of people complained about the smell
of gas. On entering the culinary department’s kitchen, he observed that the pilot light
on a gas stovetop was not lit. Although gas was being released through the unlit pilot-light hole, Mr. Davis stated that he smelled no gas at that time. After shutting off the kitchen’s gas valve, he ran a test with his CGI monitor, which detected no gas. Mr. Davis then turned the gas valve on and relit the pilot light.
Mr. Reed testified that on November 2, 2022, he was advised of a gas smell in the SWLA clinic, which had caused someone to feel faint. Security guards, who were sent to investigate, reported that they smelled something strong in the clinic but did specifically report that the smell was natural gas. The following day, the gas smell was again reported, and CenterPoint was contacted, resulting in Mr. Davis being dispatched to the facility.
NP Joseph, who was accepted as an expert on the standard of care applicable to nurse practitioners, testified that she had worked with Plaintiff for eighteen months at SWLA. She described Plaintiff as a very trustworthy, dependable employee. NP Joseph testified that on November 2, 2022, she was the last employee to arrive at the clinic, and she immediately smelled what she thought was natural gas. She asked the other employees if they smelled anything, and they indicated they did not. NP Joseph stated that she smelled gas the entire day, and she explained that besides Plaintiff, a laboratory technician also became sick from the gas smell and required medical treatment. She pointed out that even if Mr. Davis did not detect any gas, he was not at the clinic until the day after the gas smell was first reported.
Ms. Beasley testified that on November 2, 2022, she and the other employees discussed the gas smell. All of the employees were wearing their N95 masks. She stated that the smell seemed to fade over time, but it seemed stronger after she left and then returned to the clinic. Ms. Beasley confirmed that NP Joseph complained
about the gas smell, as did all of the employees. She also recalled that a laboratory technician told her that she was not feeling well that day, but she did not know if the technician was medically evaluated.
Natalie Brooks testified that she was employed at SWLA as a patient access registrar. Although she was not present at the clinic on November 2, 2022, she did work on November 3, 2022, and she did smell something like gas.
Plaintiff testified that although NP Joseph complained of the smell of gas, she did not smell anything initially because of her N95 mask. She did, however, notice a strong gas odor at the end of the day after she left and then returned to the clinic without her mask on. When she was unable to contact her supervisor, Plaintiff reported the smell to a security guard, who indicated that he smelled something and would report it.
The evidence at trial established that the only person who did not smell gas was Mr. Davis, although he admitted that gas would have been flowing from the stove’s unlit pilot light. He indicated that he tested for gas in the kitchen, but this was after he turned off the gas at the source. Additionally, Mr. Davis was not present at the clinic on November 2, 2022. Multiple witnesses testified that they smelled gas or an odor at the clinic on that day. We, therefore, find manifest error in the WCJ’s finding that there was no accident associated with the release of gas into the work environment on November 2, 2022.
Whether there was a causal link between the gas exposure and Plaintiff's disability.
It is apparent to this court that from the outset, the WCJ identified Plaintiff's disabling condition as a seizure or seizures rather than the left-sided neurological impairments she suffered as a result of the gas exposure as established by the medical
evidence and expert testimony. The WCJ’s oral ruling makes this clear: I didn’t have any testimony to say that the smell triggered a pre- existing seizure disorder. If J had that, I would have related the seizure to the smell at the Sowela building on - the Charleston Building.
On June Sth, 2023, as I stated earlier, there was a report of another seizure or seizure activity. Natural gas is odorless. Mercaptan has the smell of rotten eggs or sulfur. To cause a seizure, to cause the actual seizure, with regard to natural gas or mercaptan, either one, it takes a large dose or long-term exposure to deprive the brain of oxygen. In order to determine that, it can be shown in blood work. So, Dr. Laborde did blood work and said it didn’t show anything.
I think the claimant suffered a pre-existing condition of epilepsy and recurring seizures. She had a seizure that day. I don’t know what triggered it. I don’t feel that she’s met the burden, that she has shown that there was a gas leak that caused her seizure.
I think that Brandon Davis and Dr. Laborde said there was no objective evidence of any gas exposure that would have caused the carbo-oxyhemoglobin level on her blood, so there wasn’t a deprivation of oxygen. There was no objective evidence of anything other than an epileptic seizure that evening after she returned to her house.
There wasn’t any testimony from any medical provider that really elicited or demonstrated that the smell triggered the seizure for Ms. Cormier.
In Barber Brothers Contracting v. Young, 03-747, pp. 3-6 (La.App. 1 Cir. 2/23/04), 873 So.2d 677, 679-81, writ denied, 04-704 (La. 5/7/04), 872 So.2d 1084, the court addressed what a workers’ compensation claimant must prove to establish that his work-related accident caused or contributed to his disability, stating:
In order for the employee to recover workers [sic] compensation benefits, it must be determined that the employment somehow caused or contributed to the disability, but it is not necessary that the exact cause be found. Walton v. Normandy Village Homes Assn. Inc., 475 So.2d 320, 324 (La.1985). If the employee suffered from a pre-existing medical condition, the employee may still prevail if he proves the accident aggravated, accelerated, or combined with the infirmity to produce the disability for which compensation is being paid. Peveto v. WHC Contractors, 93-1402, p. 2 (La. 1/14/94), 630 So.2d 689, 691. The Louisiana Supreme Court recognized the existence of a presumption to aid plaintiffs in cases involving pre-existing conditions. Id. Specifically, when an employee proves that before the accident he had not manifested disabling symptoms, but commencing with the accident disabling symptoms appeared, and that medical or
10 circumstantial evidence indicates a “reasonable possibility” of a causal connection between the accident and the activation of the disabling condition, the employee’s work condition is presumed to have aggravated, accelerated or combined with his pre-existing disease to produce the disability. Jd.
Once the employee has established the presumption of causation,
the opposing party bears the burden of producing evidence to prove that
it is more probable than not that the work injury did not accelerate,
ageravate, or combine with the pre-existing injury to produce his
disability. Preveto, 93-1402, pp. 2-3, 630 So.2d at 691. Medical testimony, albeit significant, is not conclusive as to the issue of causation, which is generally the ultimate fact to be decided by the court
after weighing all the evidence. Id.
On November 2, 2022, Plaintiff presented to St. Patrick at around 9:38 p.m., with complaints of gas inhalation and symptoms of dizziness, weakness, shortness of breath, and nausea. She was seen by Dr. Laborde, who ordered an arterial blood gas test to measure the carbon monoxide in her blood. In his deposition, Dr. Laborde explained that carbon monoxide is a byproduct of natural gas. The test results revealed that Plaintiffs blood level was not elevated at the time she presented. The fact that it was not elevated would indicate that she did not take in sufficient quantities of carbon monoxide. Dr. Laborde did state, however, that there is no specific test to determine if a patient has been exposed to natural gas. Although the length of time between Plaintiff's exposure and the test would result in a much lower carbon monoxide level, the fact that she was still symptomatic led him to believe that carbon monoxide was not causative of her continuing symptoms. Dr. Laborde testified that although he found no objective findings, Plaintiff's subjective
symptoms were consistent with gas exposure. As such, he could not say to a
reasonable medical certainty that Plaintiff's seizure was caused by her gas inhalation
11 as opposed to her epileptic history. Plaintiff was provided medication and discharged home.
Plaintiff returned to St. Patrick on November 5, 2022, with concerns of having suffered a stroke, however, CT scans of her brain and lumbar spine were normal. Plaintiff complained of weakness and numbness on her left side. On November 14, 2022, Plaintiff was examined by Dr. LeBlanc, who diagnosed her with left-sided paralysis and tremors and restricted her from working.
The WCJ felt that Plaintiff's condition was caused by her “pre-existing condition of epilepsy and recurring seizures.” Plaintiff's medical history indicated that she initially suffered a seizure on May 16, 2021. At the time, Plaintiff went to St. Patrick, where she was seen by Dr. Timothy Best, a neurologist, who prescribed anti-seizure medication. Plaintiff also saw Dr. LeBlanc on May 21, 2021, who noted that she had experienced a seizure with no head injury. Plaintiff advised that she became confused when she sat down to eat, at which time her whole body shook, and she urinated on herself. Dr. LeBlanc’s diagnosis included “[e]pilepsy and recurrent seizures[,]” and his report provided, “New onset seizures.” Plaintiff was referred to Dr. Best for an evaluation.
On Plaintiff's July 9, 2021 office visit to Dr. LeBlanc, she requested a clearance to return to work. It was noted that she had been seen by Dr. Best and had undergone an EEG. She stated that the vision in her left eye had been blurry since the May 16, 2021 seizure and that she had experienced numbness in the first three fingers of her left hand the day before this visit.
Dr. LeBlanc’s September 2, 2021 office note indicates that Plaintiff was seen by an eye doctor and diagnosed with visual migraines. It was noted that she had last
been seen in July and had suffered one seizure in May 2021. She had undergone an
12 EEG and an MRI, which were both unremarkable. She was not currently on anti- seizure medication. Dr. LeBlanc stated that the patient was unable to drive for six months after her seizure, but if she remained seizure free while off her medication, she could resume driving. Plaintiff was prescribed Topamax, an anticonvulsant medication, and scheduled to return in four weeks.
On November 22, 2021, Plaintiff returned to Dr. LeBlanc and advised that she had experienced a seizure, without loss of consciousness, approximately one month prior to this visit. She reported that she had stopped taking her Topamax due to having severe headaches, and she had not taken Keppra, another anticonvulsant medication, since her initial seizure. Dr. LeBlanc recommended that she restart the Keppra. He restricted her from driving and recommended that she continue working from home.
On January 5, 2022, Plaintiff returned to Dr. LeBlanc and requested a release to drive and to return to work as she had not experienced a seizure since she restarted the Keppra. Dr. LeBlanc’s note stated that Plaintiff had suffered from seizure-like activity but she was now on Keppra and had no further issues. He released Plaintiff to return to work, but continued her driving restriction.
Once Plaintiff started taking her medication, she suffered no seizures from September 2021 until November 2, 2022, when she inhaled the gas fumes. During this time, Plaintiff was fully capable of performing her job duties as a medical assistant. NP Joseph opined that the gas had to have caused Plaintiff's seizure since Plaintiff had not had a seizure since September 2021, but had not suffered another seizure since September 2021 until her exposure to the gas.
NP Joseph testified that she began treating Plaintiff at the Rural Health Clinic
on April 3, 2024. At that time, Plaintiff presented with left-sided weakness, abnormal
13 speech, and was dependent on a walker. Because the pain was so pronounced on her left side, Plaintiff was referred to Dr. Odenheimer for the performance of an EMG. NP Joseph last examined Plaintiff in March 2025. At that time, Plaintiff's speech had improved but she still suffered from left-sided weakness and was dependent on a cane. In NP Joseph’s opinion, Plaintiff was on a “non-duty status.”
In rejecting Plaintiffs claim, the WCJ stated:
We have discrepancies in the testimony of Ms. Cormier with
regard to having seizures versus not having seizures. There’s at least a
report of a seizure between her September visit of 2021 and November
22, 2021, a seizure since last visit; that would be her second seizure,
then we have a third seizure on November 2nd, 2022, then we have a
fourth potential seizure on November 4, 2022, and then we have another
seizure June of 2023.
During the hearing, Plaintiff explained that to her knowledge, she had suffered only two seizures, on May 16, 2021, and on November 2, 2022. She reiterated that in both instances, she lost conscience and urinated on herself. Particularly, the November 2, 2022 seizure occurred when she got into her car to leave work. Plaintiffs husband, Kelyn Thierry, confirmed that Plaintiff was disoriented and had urinated on herself when she arrived home, which was how they knew that she had suffered a seizure.
Regarding whether she had experienced any seizures between September 2021 and November 22, 2022, Plaintiff explained that although she had suffered seizure-like symptoms, these symptoms were related to her anxiety. She stated that her doctors had ruled out that she had suffered seizures.
It should be noted that Dr. LeBlanc’s January 5, 2022 report did provide that Plaintiff suffered from “seizure-like” activity but now on Keppra with no further
issues. Likewise, regarding the WCJ’s statement that Plaintiff had a seizure on
November 4, 2022, Plaintiff denied this. This was in reference to a July 29, 2024
14 note by NP Joseph that Plaintiff had been seizure-free from November 4, 2022. NP Joseph testified that she was told Plaintiff suffered a seizure on November 2, 2022, when her husband found her listless in the garage. Additionally, the November 5, 2022 St. Patrick report provides that Plaintiff presented with a three-day history of progressive weakness affecting her left side. The report also noted that her past medical history was significant for “anxiety.”
Finally, regarding the WCJ’s statement that Plaintiff had another seizure in June 2023, Dr. LeBlanc’s June 15, 2023 report stated that Plaintiff said, “she had another episode.” However, the report goes on to state that Plaintiff had a panic attack, and it was recommended that she undergo a psychological examination to rule out a conversion disorder.*
To establish that her current condition was caused by her exposure to gas fumes, Plaintiff submitted the deposition testimony Dr. Odenheimer, who performed her October 9, 2024 EMG. This test revealed nerve damage on Plaintiff's left side. Because Dr. Odenheimer noticed a neurologic condition that he felt he could treat, he began seeing Plaintiff on October 24, 2024. At that time, he noted that Plaintiff presented with left hemisensory motor complaints that affected her face, left arm, and left leg and that her left leg was shaking. His note stated that Plaintiff's left- sensory motor complaints had been ongoing for two years and were related to her inhalation of gas fumes at work in November 2022. The note further stated that
Plaintiff experienced a seizure on exposure to the gas.
Dana Cormier v. Swla Center for Health Services (Dana Cormier v. Swla Center for Health Services) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.