Eaton v. General Accident Group

292 So. 2d 773
CourtLouisiana Court of Appeal
DecidedApril 9, 1974
Docket6153
StatusPublished
Cited by9 cases

This text of 292 So. 2d 773 (Eaton v. General Accident Group) 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
Eaton v. General Accident Group, 292 So. 2d 773 (La. Ct. App. 1974).

Opinion

292 So.2d 773 (1974)

Mary Boslaugh EATON
v.
GENERAL ACCIDENT GROUP and L. M. Berry & Co.

No. 6153.

Court of Appeal of Louisiana, Fourth Circuit.

April 9, 1974.

*774 Pierre F. Gaudin, Gretna, for plaintiff-appellant.

Dufour, Levy, Marx, Lucas & Osborne, Michael Osborne, New Orleans, for defendants-appellees.

Before SAMUEL REDMANN and LEMMON, JJ.

SAMUEL, Judge.

Plaintiff filed this suit against General Accident Group and its insured, L. M. Berry & Company, for compensation benefits at the rate of $49 per week from June 2, 1971 for the duration of her disability. She also seeks penalties and attorney's fees based on the defendants' alleged arbitrary and capricious refusal to pay compensation benefits. Defendants answered, admitting plaintiff's employment, denying her disability, and affirmatively alleging compensation was not paid because she failed to prove an accident and refused to be examined by a physician of defendants' choice.

After a trial on the merits, judgment was rendered in favor of plaintiff and against both defendants, in solido, awarding her compensation benefits at the rate of $49 per week from July 1, 1971 until February 18, 1972. However, the judgment denied and dismissed plaintiff's claim for penalties and attorney's fees. Plaintiff has appealed. In this court she contends she is entitled to benefits for total and permanent disability and to penalties and attorney's fees. Defendants have answered the appeal seeking dismissal of the suit against them.

The employer, L. M. Berry & Company, handles yellow page listings and advertisements for South Central Bell Telephone & Telegraph Company. Plaintiff's work required that she sit in her employer's office and make telephone solicitations of yellow page advertisements. She used several telephone directories placed in a book case next to her desk and she could reach these directories without leaving her chair. Typing was not a part of her job. Her supervisor estimated that 99% of her work consisted of telephone solicitations and paper work. On rare occasions she personally called on a customer. In making such calls she used her car and carried one or two telephone directories, and possibly a briefcase. Outside solicitation was not a requirement of her employment, and had little effect, if any, on her income.

On June 2, 1971 plaintiff fell at work in the office and appeared to be badly shaken by the fall. She apparently struck her knee and then landed on her buttocks, causing a jolting injury to her back. She continued to work that day and worked regularly until June 9. She was absent from work June 9 through June 11 and also was absent on June 16 and 17. Her employer's records indicate, and she did report, these five days of absence resulted from an attack of influenza. From June 18 through September 10, 1971 plaintiff was carried on her employer's records as being on leave of absence. She never returned to work and no compensation payments were ever made to her.

The first physician consulted by plaintiff was Dr. Charles S. Wyckoff, an osteopath. On June 8, 1971, she complained to him of pain in the back, legs and knee. The only positive findings by Dr. Wyckoff were spasm of the musculature of her back and traumatic fibrositis, which he attributed to her fall. She again saw him on June 9, and his ultimate conclusion was traumatic fibrositis caused by the accident. However, Dr. Wyckoff speculated that this condition should have cleared in four to five weeks. We note that plaintiff did return to work after seeing Dr. Wyckoff.

Later plaintiff telephoned Dr. Wyckoff with regard to her condition. Upon *775 learning she had 101 of fever he recommended she see her family physician. Following his advice she saw that physician, Dr. Swan Ward, on June 15, 1971. Dr. Ward's primary concern was plaintiff's respiratory problems, but he also noted complaints of pain by her in the lumbar-sacral area. His examination in this area was basically negative, with no evidence of bruises or muscle spasm. He saw her on June 18 and June 22. On the latter date he found her asymptomatic and discharged her from further treatment.

Plaintiff then drove herself by automobile to her sister's home in Florida. On July 1, 1971 she was examined by Dr. James H. Pollock, an orthopedic surgeon, in Boynton Beach, Florida. Dr. Pollock diagnosed acute neck and back strain and prescribed medicine and physical exercises to alleviate her condition. On July 8 she had improved, but continued to complain of neck soreness when she drove her automobile. On July 15 she complained to Dr. Pollock of a recurrence of her neck and shoulder pain while she was swimming. Dr. Pollock was of the opinion plaintiff was making slow but progressive improvement and concluded her injuries would interfere with her working activities at that time. He estimated her disability as 5% of her body as a whole, which should gradually resolve.

Plaintiff next was seen by Dr. Blaise Salatich, in New Orleans. Her first visit to him was on September 7, 1971. At that time he found palpable muscle spasm of the neck and back indicating a lumbosacral and cervical injury. He advised ultrasonic treatments three times a week. From September 7, 1971 to February 19, 1973 plaintiff saw Dr. Salatich and/or received treatments 129 times. Dr. Salatich's opinion was that she is totally and permanently disabled from returning to her usual occupation as a telephone sales person for the defendant employer.

On February 18, 1972, Dr. Irvin Cahen examined plaintiff at the request of the defendants. Dr. Cahen found the plaintiff to be completely asymptomatic and was of the firm opinion she was able to perform the usual duties of her occupation as of that date. Plaintiff was also examined on November 27, 1972 by Dr. H. R. Soboloff, again at the request of the defendants. Dr. Soboloff's findings were essentially the same as those of Dr. Cahen. Dr. Soboloff found no objective symptoms and concluded plaintiff could return to her employment.

The issue of the extent of the plaintiff's disability is easily resolved. Prior to July 1, 1971 she was seen only twice by a local osteopath and several times thereafter by her family physician. Both of these physicians concluded she did sustain some injury from her fall, but the diagnosis of each was that her disability would be of a limited duration. On July 1, 1971 plaintiff was first seen by Dr. Pollock, an orthopedic surgeon, whom she continued to visit until August 30. Dr. Pollock was of the opinion, and there is no contradictory evidence in the record, that she was unable to return to work. A week later, she began treatment by Dr. Salatich, a physician locally recognized as a specialist in the field of orthopedic surgery. Dr. Salatich's testimony is uncontradicted for the period beginning September 7, 1971 and ending February 18, 1972 when the plaintiff was examined by Dr. Cahen, a Board certified orthopedic surgeon. Dr. Cahen's negative findings were substantiated by Dr. Soboloff's examination of November 27, 1972.

It is obvious that, on the basis of the record before him the trial court had no alternative but to award compensation from the time plaintiff first saw an orthopedic specialist until the time of Dr. Cahen's examination and negative findings on February 18, 1972. During that period there is uncontradicted medical evidence showing that, because of injuries received in the fall, she could not return to her duties with the defendant employer. However, after that date the trial court chose *776 to give more weight to the findings of Dr. Cahen than to the findings of Dr. Salatich.

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292 So. 2d 773, Counsel Stack Legal Research, https://law.counselstack.com/opinion/eaton-v-general-accident-group-lactapp-1974.