Duplessis v. Inman

539 So. 2d 880, 1989 La. App. LEXIS 221, 1989 WL 11889
CourtLouisiana Court of Appeal
DecidedFebruary 16, 1989
DocketNo. 88-CA-1140
StatusPublished
Cited by2 cases

This text of 539 So. 2d 880 (Duplessis v. Inman) 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
Duplessis v. Inman, 539 So. 2d 880, 1989 La. App. LEXIS 221, 1989 WL 11889 (La. Ct. App. 1989).

Opinion

BARRY, Judge.

On February 23,1984 Joycelyn Duplessis was stopped near an intersection when her station wagon was rear-ended by a van driven by Judith Inman.

Duplessis brought this suit for personal injuries against Inman and her insurer, USAA Casualty Insurance Co., and Duples-sis’ uninsured motorist carrier State Farm Insurance Co.1 The USAA policy limit is $50,000.

A jury awarded Duplessis general and special damages of $15,000 against Inman and USAA, in solido, plus interest and [881]*881costs. State Farm was dismissed at plaintiff’s cost.

Duplessis’ appeal essentially urges that the damages were inadequate because the jury attributed inordinate weight to the testimony of the defense medical expert over Duplessis’ treating physicians.

A damage award should not be disturbed absent a determination that under the facts of the particular case the factfinder abused its much discretion. Reck v. Stevens, 373 So.2d 498 (La.1979).

Dr. Hewitte Thian, a general surgeon, testified that he had seen Duplessis for over ten years prior to trial for gallbladder problems and she had no prior back or neck complaints. He examined Duplessis the day after the accident and diagnosed an acute cervical strain, post-traumatic headaches, and hematoma of a surgical scar. Muscle relaxants and pain medication were prescribed.

On March 2, 1984 Dr. Thian found her condition improved and the hematoma was draining. The prescriptions were refilled.

On March 16, 1984 Dr. Thian found an inflammatory reaction on the scar and outpatient surgery was performed.

On March 23 and 28 Dr. Thian removed clots from the hematoma and prescribed antibiotics. On April 6 Duplessis had improved, but was given pain medication and an appetite stimulant to counteract another medication.

On May 4 Duplessis’ scar was sore and she had nausea from the antibiotics. On May 23 she complained of chest pain on her right side and, a month later, of pain in her neck and shoulder down to her right hand. Medicine for arthritis and pain were prescribed.

On July 13 Dr. Thian treated her for a gallbladder problem. On August 1 Duples-sis saw Dr. Thian for back pain and muscle spasms. On December 28, 1984 she complained of weakness in her right hand, a new symptom.

Dr. Thian referred Duplessis to Dr. Is-sam Elmorshidy, an orthopedic surgeon, and did not see her again until June through July, 1987 when she had complaints of pain in her right upper back. Dr. Thian prescribed antibiotic and pain medication as well as diet medication because she gained forty pounds since the accident.

Dr. Thian testified he never found lumbar problems and her injuries did not seem severe at the time. He felt her condition would resolve in two to three months. He did note that the medication for her neck and upper back would also give relief in the lumbar area. His primary concern was the life-threatening hematoma and the possibility of internal injuries. He did not find it unusual that she could develop lumbar problems.

Dr. Thian said Duplessis followed his orders without difficulty, she did not have imaginary complaints, and did not take an inordinate amount of medication. He found that she did not require as much medication as other people with the same problems.

Dr. Elmorshidy saw Duplessis by referral from Dr. Thian on January 3,1985. He found neck muscle spasms, soreness of the lower neck and of the right shoulder blade muscles, including an exceptionally tender area at the border of the shoulder blade. An x-ray of the neck revealed some loss of the natural curve due to spasms.

Dr. Elmorshidy diagnosed a cervical spine strain and an inflammation of the neck and shoulder blade. He prescribed anti-inflammatory medication and a rubbing lotion.

On January 17, 1985 Dr. Elmorshidy injected cortisone into the sore shoulder blade. On February 7 she had some improvement although moderate spasms and stiffness were present. She was advised to start physical therapy for her neck.

On March 8 and April 4 Duplessis was seen by an associate of Dr. Elmorshidy who found spasms and swelling in the neck and shoulder blade areas. He started her on exercises and refilled her medication.

April 25, May 7 and May 28 visits reported continued muscle spasms and tenderness, plus an initial complaint of lumbar pain. Duplessis told Dr. Elmorshidy the [882]*882lumbar pain was present since the accident but she did not complain because her neck was causing greater pain. An x-ray of the lumbar area was normal.

Dr. Elmorshidy saw her 43 more times through July 27,1987. The complaints and findings were basically the same except for improvement and worsening at various times, including a re-injury in September 1985 from pulling on a mattress and a complaint of leg pain from her lower back. In January, 1985 a CAT scan showed degenerative changes. She received five cortisone and one steroid injection.

On July 21,1986 Duplessis was admitted to Chalmette General Hospital for a myelo-gram which showed a defect at C6-7 and no problems in the lumbar area. A March 9, 1987 x-ray of the lumbar spine indicated a change in the curvature and arthritic changes.

After July 23, 1987 Dr. Elmorshidy was on sick leave and Duplessis was treated by his associate, Dr. Raul Diaz. He continued to treat her up to the trial.

Dr. Diaz testified as board eligible but not board certified in orthopedic surgery. Duplessis continued the regular office visits with basically the same complaints and treatments, but the symptoms gradually worsened. In September, 1987 an EMG test revealed nerve root problems corresponding to problems indicated by physical examinations. The results of a CAT scan were “consistent with stenosis, which means narrowing in the canal” at two levels, especially at the L5-S1 level resulting from a bulging disc at L4-5.

In November, 1987 Duplessis was admitted to the hospital for 5-6 days of physical therapy, traction, a myelogram and an MRI. The myelogram showed bulges at L4-L5 and L3-L4. Dr. Diaz recommended an epidural injection of cortisone and nova-caine. Since that date the office visits indicate the injection provided relief although she had back pain at the site of the epidural puncture.

Dr. Diaz’ prognosis at trial was that her activity would be restricted and her medication should continue. He said a final prognosis could not be made because the injection might wear out at any time.

Dr. James Williams, orthopedic surgeon, testified for the defendants. He found no objective injury but he noted the complaint of back pain. He opined that the x-rays showed hypertrophic spurs on the dorsal spine related to wear and tear rather than the accident. He also found slightly narrowed lumasacral disc space which he said was not related to the accident.

Dr. Williams said Duplessis suffered a ligament strain in the neck and back from the accident and had no objective evidence of residual injury or orthopedic disability. He felt the mild disc bulge in the lower lumbar spine was not caused by trauma and was a degenerative change. He saw no basis to relate the lower back pain to the accident.

Duplessis testified that her auto was hit as she leaned forward to reach for the ashtray. Her body twisted and she hit her head. After a few minutes she got out.

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