NOT DESIGNATED FOR PUBLICATION
STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT
19-103
FRANK COLLATT AND JENNIFER CORREIA
VERSUS
BARBARA T. BOUDREAUX, ET AL.
**********
APPEAL FROM THE FIFTEENTH JUDICIAL DISTRICT COURT PARISH OF LAFAYETTE, NO. C-2014-5830 HONORABLE DAVID M. SMITH, DISTRICT JUDGE
CANDYCE G. PERRET JUDGE
Court composed of Elizabeth A. Pickett, D. Kent Savoie, and Candyce G. Perret, Judges.
REVERSED IN PART; AFFIRMED IN PART; AMENDED IN PART; AND RENDERED.
Brian M. Caubarreaux Laura B. Knoll Eugene A. Ledet, Jr. Brian Caubarreaux & Associates 144 Tunica Drive West Marksville, LA 71351 (318) 253-0900 COUNSEL FOR PLAINTIFF/APPELLANT: Jennifer Correia F. Douglas Wimberly Cloyd, Wimberly & Villemarette, LLC Post Office Box 53951 Lafayette, LA 70505-3951 (337) 289-6906 COUNSEL FOR DEFENDANTS/APPELLEES: State Farm Mutual Automobile Insurance Company Barbara T. Boudreaux
J.P. D’Albor Haik, Minvielle & Grubbs 1017 East Dale Street Post Office Box 11040 New Iberia, LA 70562-1040 (337) 365-5486 COUNSEL FOR INTERVENOR: Lafayette Surgical Hospital, LLC PERRET, Judge.
Plaintiff, Jennifer Correia, appeals the trial court’s judgment on her Motion
for Judgment Notwithstanding the Verdict (“JNOV”) and Motion to Tax Costs
rendered on April 11, 2019, which modified a jury verdict rendered on May 2, 2018.
Ms. Correia challenges the adequacy of the general damages awarded. On appeal,
we increase Ms. Correia’s total general damages.
FACTUAL AND PROCEDURAL BACKGROUND:
This court previously set forth the facts of this case as follows:
Correia and Frank Collatt (Collatt)[ 1] filed suit against Barbara T. Boudreaux (Boudreaux) and her insurer, State Farm Mutual Automobile Insurance Company (State Farm), following an automobile accident that occurred on December 5, 2013. The vehicle being driven by Correia and occupied by Collatt as a guest passenger was stopped in the drive-through lane at the Chick-Fil-A on Ambassador Caffery Parkway in Lafayette, Louisiana, when it was rear-ended twice by the vehicle that Boudreaux was driving.
A review of the record reveals the following facts. . . . Correia and Collatt filed a motion for summary judgment, which was not opposed by the defendants, and the trial court entered judgment finding Boudreaux one hundred percent at fault in causing the accident. . . .
Correia’s claims proceeded to trial by jury, and a verdict was returned in her favor. She was awarded $ 120,960.04 for past medical expenses; $ 120,000.00 for future medical expenses; $ 50,000.00 for past mental and physical pain and suffering; $ 50,000.00 for future mental and physical pain and suffering; $ 41,600.00 for past lost wages; $ 20,800.00 for future lost wages; and $ 40,000.00 for permanent disability. The jury did not award Correia any damages for permanent scarring and disfigurement or for loss of enjoyment of life. A judgment in accordance with the jury’s verdict was signed by the trial court.
Thereafter, Correia filed a motion for judgment notwithstanding the verdict which was set for contradictory hearing on August 6, 2018. At the conclusion of the hearing, the trial court awarded Correia $ 15,000.00 for scarring and disfigurement, $ 25,000.00 for loss of enjoyment of life, and otherwise left untouched the damages awarded by the jury. Counsel for Boudreaux and State Farm was ordered to
1 Frank Collatt’s claims were settled prior to trial and are not at issue in this appeal. prepare a judgment. On September 17, 2018, the trial court signed the judgment presented to it. . . .
....
The defendants did not appeal either judgment. Correia filed a motion for devolutive appeal of “the original Judgment rendered by the jury and signed by the presiding judge on May 24, 2018, as well as the Judgment Notwithstanding the Verdict signed on September 17, 2018.” When the record was received by this court, we discovered that the September 17, 2018 judgment did not state the relief granted or denied, nor did it name the parties cast in judgment. Thereafter, we ordered Correia to show cause why the appeal should not be dismissed as having been taken from a judgment that lacked proper decretal language.
Collatt v. Boudreaux, 19-103, pp. 1-2 (La.App. 3 Cir. 3/13/19) (unpublished
opinion) (footnotes omitted).
This court suspended the appeal and remanded the matter back to the trial
court with instructions to enter a judgment with proper decretal language. The trial
court amended the September 17, 2018 JNOV by a judgment signed on April 3,
2019. However, that judgment also did not contain proper decretal language. See
Collatt v. Boudreaux, 19-103 (La.App. 3 Cir. 5/1/19) (unpublished opinion). This
court suspended the appeal a second time and remanded to the trial court with
instructions. The latest judgment, signed on April 11, 2019, now contains proper
decretal language.
On appeal, Ms. Correia asserts one assignment of error: (1) “The Trial Court
abused its discretion in awarding total general damages of only $180,000.00 for two
major spinal injuries, both requiring surgery, as well as diagnosed
temporomandibular joint disorder [“TMD”], loss of enjoyment of life, and 50-60
percent permanent whole body impairment.” Ms. Correia also presents an additional
issue for review: “What is the lowest reasonable amount of general damages for the
aforementioned significant injuries based on current jurisprudence?”
2 In contrast, Defendants assert, as they did at the JNOV hearing, that the jury
concluded that Ms. Correia was not credible in her testimony and, thus, awarded the
current general damages award, citing to Wainwright v. Fontenot, 00-492, (La.
10/17/00), 774 So.2d 70, for support. For the following reasons, we increase the
total general damage award, which requires reversing the trial court’s partial denial
of the motion for JNOV and affirming as amended the trial court’s partial grant of
the motion for JNOV.
STANDARD OF REVIEW:
As mentioned above, the trial court granted Ms. Correia’s JNOV in part and
denied it in part. “In Louisiana, a motion for JNOV may be granted on the issue of
damages[.]” Bertrand v. Kudla, 14-61, 14-62, p. 7 (La.App. 3 Cir. 6/4/14), 139
So.3d 1233, 1238, writ denied, 14-1447 (La. 10/10/14), 151 So.3d 584; see also
La.Code Civ.P. art. 1811(F). “General damages are those which may not be fixed
with pecuniary exactitude; instead, they ‘involve mental or physical pain or
suffering, inconvenience, the loss of intellectual gratification or physical enjoyment,
or other losses of life or life-style which cannot be definitely measured in monetary
terms.’” Duncan v. Kansas City S. Ry. Co., 00-66, p. 13 (La. 10/30/00), 773 So.2d
670, 682 (quoting Keeth v. Dep’t of Pub. Safety & Transp., 618 So.2d 1154, 1160
(La.App. 2 Cir. 1993)). “The factors to be considered in assessing quantum of
damages for pain and suffering are severity and duration.” Falcon v. La. Dep’t of
Transp., 13-1401, p. 16 (La.App. 1 Cir. 12/19/14), 168 So.3d 476, 489, writ denied,
15-133 (La. 4/10/15), 163 So.3d 813. The trier of fact has vast discretion in fixing
general damages. Youn v. Maritime Overseas Corp., 623 So.2d 1257 (La.1993),
cert. denied, 510 U.S. 1114, 114 S.Ct. 1059 (1994).
Louisiana Code of Civil Procedure controls the use of JNOVs, but the criteria
governing when one is proper has been set forth by the jurisprudence, such as in 3 Joseph v. Broussard Rice Mill, Inc., 00-0628, pp. 4-5 (La. 10/30/00), 772 So.2d 94,
99:
[A] JNOV is warranted when the facts and inferences point so strongly and overwhelmingly in favor of one party that the trial court believes that reasonable persons could not arrive at a contrary verdict. The motion should be granted only when the evidence points so strongly in favor of the moving party that reasonable persons could not reach different conclusions, not merely when there is a preponderance of evidence for the mover. The motion should be denied if there is evidence opposed to the motion which is of such quality and weight that reasonable and fair-minded persons in the exercise of impartial judgment might reach different conclusions. Scott [v. Hosp. Serv. Dist. No. 1], 496 So.2d [270,] 274 [La.1986]. In making this determination, the trial court should not evaluate the credibility of the witnesses, and all reasonable inferences or factual questions should be resolved in favor of the non-moving party. Anderson v. New Orleans Pub. Serv., Inc., 583 So.2d 829, 832 (La.1991). This rigorous standard is based upon the principle that “[w]hen there is a jury, the jury is the trier of fact.” Scott, 496 So.2d at 273; Jinks v. Wright, 520 So.2d 792, 794 (La.App. 3 Cir.1987).
Furthermore, “[i]f the trial court determines that a JNOV is warranted, it conducts a
de novo review of the evidence to arrive at an appropriate award.” Pike v. Calcasieu
Par. Sch. Bd., 18-996, p. 9 (La.App. 3 Cir. 5/15/19), 272 So.3d 943, 951.
In reviewing a JNOV, the appellate court must first determine if the trial judge erred in granting the JNOV. This is done by using the aforementioned criteria just as the trial judge does in deciding whether to grant the motion or not, i.e. do the facts and inferences point so strongly and overwhelmingly in favor of the moving party that reasonable persons could not arrive at a contrary verdict? If the answer to that question is in the affirmative, then the trial judge was correct in granting the motion. If, however, reasonable persons in the exercise of impartial judgment might reach a different conclusion, then it was error to grant the motion and the jury verdict should be reinstated. Anderson, 583 So.2d at 832.
Joseph, 772 So.2d at 99.
Thereafter, if there is no error as to the grant of a JNOV, the appellate court
considers whether the trial court abused its discretion in arriving at an appropriate
award. Pike, 272 So.3d 943. However, a trial court’s “[r]efusal to render a judgment
notwithstanding the verdict (JNOV) can only be overturned if it is manifestly
4 erroneous.” Peterson v. Gibraltar Sav. & Loan, 98-1601, 98-1609, p. 6 (La.
5/18/99), 733 So.2d 1198, 1203.
DISCUSSION:
Ms. Correia assigns as error the trial court’s award of general damages,
asserting that the total amount of general damages awarded is abusively low. It is
worth noting that Ms. Correia is only challenging general damages. There is no
answer to appeal, and neither party challenges causation. After reviewing the record
and exhibits, we find merit in Ms. Correia’s argument that the trial court erred in
partially denying her motion for JNOV and abused its discretion in its award of
general damages following its partial grant of JNOV.
At trial, Ms. Correia testified that the collision occurred when she was stopped
in a Chick-Fil-A drive-through lane in her Grand Marquis and that Ms. Boudreaux,
in her Toyota Sequoia, “slammed into me, slammed my car into the car in front of
us, backed up, hit the car behind her, put it into drive again and hit me a second
time.” She explained that the collision caused her to jerk forward and then hit the
headrest. She further testified that the collision also caused her car to collide with
the car in front of her and that the occupants of that car “got out of their car, they
looked at their bumper. It was during lunch hour, so they got back in their car and
left.” Furthermore, “the person who she [Ms. Boudreaux] hit behind her honked but
left.” Afterwards, Ms. Correia testified that she experienced pain and sought
treatment with her regular treating nurse practitioner, Diana Verdelor, FNP, and
chiropractor, Dr. James Griffin. However, as her pain progressively worsened, she
sought treatment with Dr. Keith Mack, general practitioner, on July 17, 2014, but
was ultimately referred to an orthopedic surgeon, Dr. Louis Blanda, Jr. Ms. Correia
reported “neck and back aches, numbness in arms and hands, back spasms, neck
paralyzed, pressure between shoulder blades.” Ms. Correia testified that she tried 5 physical therapy, dry needling, and neck stretching, TENS Unit, heating pads, and
essential oils to no avail. Instead, her problems got worse. She had “hand issues.
Couldn’t open up water bottles. The radiating pain was excruciating. I was in bed
so much.” Dr. Blanda recommended a two-level anterior cervical discectomy and
fusion surgery at C5-6 and C6-7.
Ms. Correia underwent surgery on July 15, 2015. After surgery, Ms. Correia
testified that her pain is better, but that there is “still so much pain.” She testified
that her hands are numb all the time, her feet get numb, and that several fingers stay
numb. She also testified that she had to wear neck and back braces and use a walker.
The neck brace often required her to sleep in a recliner. She testified it was difficult
to walk at the store and she “would have to decide whether or not I’d want to get
milk today or if I had the energy to.” Ms. Correia explained that she took strong
pain medication because she needed to block the pain, but the medication caused her
to have some memory loss, leaving her in a daze, and resulted in a loss of energy.
She testified that she went through depression, for which she saw a doctor.
The surgery left a scar on her neck, which she showed to the jury. She testified
she puts makeup on and wears chokers to cover the scar, but people still notice and
ask her about it. After surgery, Ms. Correia also began experiencing TMJ
(temporomandibular joint)/TMD symptoms. Ms. Correia testified that she had
swelling and pain in her ear and that she could not yawn, cough, or open her mouth
up wide without feeling a stabbing pain. Therefore, she sought treatment with James
Pearce, D.D.S, F.A.G.D., and Craig Landry, D.D.S.
Although Ms. Correia testified that she is doing better after the cervical
surgery, she still experiences radiating numbness and spasms, but can function. She
also notes that “probably 80 percent of the time at night” she wakes up “at 2:00 or
3:00 in the morning to take my meds because the pain wakes me up. I’ll have 6 shooting pains down my arm, stiff neck.” Her back continues to be an issue, and she
is hesitant about lumbar surgery following her cervical surgery recovery experience.
Instead, she has received a Lumbar Epidural Steroid Injection (LESI).
Ms. Correia testified that, prior to the crash, she was an “avid walker, walked
three, five, seven miles a day. Physical, did water parks, one of my favorite things.
Water parks, jumping into spring waters in Texas. My life completely took a
different path. I’m not the same person physically that I was.” Ms. Correia missed
watching her daughter play softball because she could not tolerate sitting in the
bleachers. At the time of the collision, she worked the tax season at Jackson-Hewitt.
After the collision, she continued this work until the end of the tax season in 2014
but could not manage to continue working there. She now works at a café where she
stays moving, which helps her avoid thinking about the pain and prevents stiffness.
Additionally, post-collision, she does not walk as much and tries to do yoga. She
also believes she will try to swim again but has not done so yet.
Ms. Correia testified that she was involved in a prior automobile accident in
September of 2012, for which she treated with Dr. Griffin. She reported to Dr.
Griffin nine days after the incident with back pain and a stiff neck that interfered
with sleeping, her daily routine, and recreation. It was painful for her to sit, stand,
walk, bend, and lie down. However, she testified that she got better and her last
“maintenance” appointment with him was approximately one month before the
current collision. In fact, she testified that she went several months without a visit,
but after doing a lot of gardening over the summer, she returned for some
adjustments. Ms. Correia testified that the 2012 incident occurred when another
vehicle collided with her vehicle in the parking lot and “kind of moved the car a little
bit.” On the contrary, the current 2013 incident she described as “a doozy[]” and
further explained, “I’ve never been in a position where I can’t even explain to most 7 people the damage done to my spine. The numbness, the pain that shoots down my
leg, shoots down my feet, shoots down my fingers, the stiffness.”
On cross-examination, Ms. Correia testified that she reported to Dr. Griffin
that Ms. Boudreaux “sped around corner and rear-ended vehicle.” However, she
admitted that she did not see Ms. Boudreaux coming. Defendants submitted a
“Vehicle Accident Information” form wherein Ms. Correia described her pain
immediately following the collision as feeling “like someone punched me in the
center of my back between shoulder blades.” Ms. Correia also discussed her prior
accident in 2012. She described the 2012 accident in Dr. Griffin’s paperwork as
occurring when her “car was struck very hard and the force pushed vehicle sideways
in middle of road.”
Contrary to Ms. Correia’s testimony, Ms. Boudreaux testified that she only
collided with Ms. Correia’s car once, and that she did not contact the car behind her.
She testified that she was in bumper-to-bumper cars in the drive-through waiting to
order with her foot on the brake. She dropped her wallet, and when she reached for
it, her foot slipped from the brake, and her car hit Ms. Correia’s vehicle. She
immediately reapplied the brake, turned off the ignition, and went to check on Ms.
Correia. Upon reaching her window, Ms. Boudreaux claims that Ms. Correia got
out of her car, said her passenger was about to have surgery, and began taking
pictures of the vehicles.
The records from Dr. James Griffin indicate that Ms. Correia sought treatment
following both the 2012 and 2013 collisions. As to the 2012 collision, Ms. Correia
was treated from September 19, 2012 to November 6, 2013. Her appointments
decreased from twelve in October of 2012, to only one in November 2013. In fact,
she received no treatment by Dr. Griffin from June 2013 through the end of
September 2013. At her first visit following the 2012 collision, the records indicate 8 that Ms. Correia’s chief complaint was “Stiffness in the muscles of the posterior
neck, the thoracic paravertebral muscles, and the muscles of the lumbar spine.” Her
pain was rated as a seven out of ten. Dr. Griffin ordered an anteroposterior and
lateral x-ray exam on September 19, 2012. The “Clinical Impression(s)” on the
Imaging Report note:
1.) Degenerative joint disease is seen on the anterior and lateral endplates of the 6th to 7th cervical; 7th-9th thoracic; 3rd to 4th lumbar vertebrae.
2.) Mild osteophytes are displayed on the anterior aspect of the 7th to 9th thoracic; 6th to 7th cervical vertebrae.
3.) Hypolordosis of the cervical spine is seen.
4.) Possible disc protrusion at the 3rd lumbar intervertebral disc is suggested.
On her last visit prior to the 2013 collision, Ms. Correia’s chief complaints were
listed as “Tightness in: the muscles of the lumbar spine. Tenderness in: the sacroiliac
joint on the right. Pain in: the muscles of the lumbar spine.” Her overall condition
was noted as stable.
Thereafter, Ms. Correia did not see Dr. Griffin again until February 5, 2014,
following the December 2013 collision at issue in this case. At that initial exam,
Ms. Correia’s chief complaints were:
• Pain in: the thoracic paravertebral muscles.
• Pain in: the muscles of the upper back and the muscles of the posterior neck.
• Pain in: the muscles of the lumbar spine.
• Spasms in: the muscles of the thoracic spine and the muscles of the upper back.
• Stiffness in: the muscles of the posterior neck, the muscles of the thoracic spine, and the muscles of the lumbar spine.
• Tenderness in: the muscles of the thoracic spine.
9 • Tightness in: the muscles of the upper back.
Dr. Griffin noted in his objective examination: “Pain or tenderness to
palpation was found in C7, T7, L5, and S1. Increased or changed tone in the
associated muscles and fascia was identified in L5, T7, and C7.” Additionally, Dr.
Griffin ordered an anteroposterior and lateral x-ray exam on February 5, 2013. The
“Clinical Impression(s)” on the Imaging Report note:
1.) Possible disc protrusion is seen at the 5th lumbar intervertebral disc.
2.) Hypolordosis of the cervical spine.
3.) Degenerative joint disease is oberseved on the anterior and lateral endplates of the 6th-7th cervical; 7th to 9th thoracic; 3rd to 4th lumbar vertebrae.
4.) Mild osteophytes are revealed on the anterior aspect of the 6th to 7th cervical; 7th to 9th thoracic vertebrae.
Ms. Correia began seeing Dr. Mack when she continued to have pain. Dr.
Mack’s records report a restricted range of motion in Ms. Correia’s neck, as well as
pain radiating towards both shoulders and down her left arm towards her fingers.
Dr. Mack sent Ms. Correia for cervical, thoracic, lumbar, and shoulder x-rays as well
as MRI scans. According to his records, after Dr. Mack could not offer Ms. Correia
any further treatment, he recommended she see an orthopedic surgeon.
Ms. Correia was thereafter treated by Dr. Blanda and presented Dr. Blanda as
an expert in orthopedic surgery. Dr. Blanda treated Ms. Correia beginning on
August 21, 2014. After viewing her MRIs, Dr. Blanda testified that Ms. Correia had
a significant herniated disc at C5-6, another herniation with some instability at C6-
7, and a herniation or a protrusion at L5-S1. Although Dr. Blanda admitted that you
cannot tell when a disc was herniated by the MRI, an MRI is ordered once a patient’s
symptoms mandate an MRI. Dr. Blanda testified that it was not until after the 2013
10 incident that an MRI was ordered for Ms. Correia, despite the fact she experienced
some muscular neck and back pain prior to this event:
Q. Dr. Blanda, albeit we can’t say that this disc that is on this film is herniated on last Tuesday or the Tuesday before that, that’s where the clinical physician - - there’s a lot of people that you see walk in there with back pain and you never order an MRI on them, right?
A. Right.
Q. Because they don’t have the symptoms that mandate that you do order an MRI?
A. Correct.
Q. And if somebody goes to a doctor with all this radicular nerve pain, those doctors are taught to order tests like that to see what they’re dealing with?
A. Yes.
Q. Okay. That wasn’t done with Ms. Correia until after this accident, even though she had before this accident some muscular neck and back pain?
A. That’s right.
Dr. Blanda saw Ms. Correia twenty-five to thirty times and made a
recommendation for anterior cervical discectomy and fusion surgery after objective
findings indicated the need for surgery, such as an Electromyogram (EMG) test that
indicated nerve damage/deficit and his objective findings during his physical exam
of Ms. Correia during which he observed muscle spasms. Ms. Correia underwent
the cervical surgery in July 2015. Dr. Blanda explained that an anterior cervical
discectomy and fusion surgery removes “the disc where it’s pressing on the spinal
cord and the nerves and then to fuse it with a cage or bone graft.” For Ms. Correia,
this was done at two levels. In Dr. Blanda’s opinion, a patient typically takes one
year, sometimes more, to heal from this surgery. He testified that Ms. Correia’s neck
gradually improved, but clarified, “we don’t really expect a hundred percent
symptom relief, but 80 or 90 percent improvement is usually very good for a 11 patient.” Dr. Blanda further explained, generally, that the muscles guarding the neck
are very weak. Therefore, it does not take tremendous force to damage the neck.
For her back, Ms. Correia has received Depo-Medrol injections and an LESI.
Dr. Blanda explained that a Depo-Medrol injection is a “Cortizone [sic] or steroid[,]”
that stops “inflammatory changes.” Dr. Blanda’s focus initially was on Ms.
Correia’s neck, and after surgery, he focused on her back pain. Around February
2017, Dr. Blanda diagnosed Ms. Correia with retrolithesis Grade 1, L5-S1, which
showed up on a more recent MRI. Dr. Blanda explained that retrolisthesis “means
that the vertebra slips[.]” Dr. Blanda believes Ms. Correia may require a two-level
lumbar fusion in the future, which has a similar recovery time and cost to the cervical
surgery. The lumbar fusion would require rods and screws, which would then be
bone grafted like the cervical fusion. Dr. Blanda opined that, in the future, he would
refer Ms. Correia to pain management for medication as well as occasional physical
therapy or injections. Dr. Blanda testified that Ms. Correia has a fifty to sixty percent
disability rating—twenty percent on the back and thirty percent on the neck.
Regarding Ms. Correia’s TMJ symptoms, Dr. Blanda testified that Ms.
Correia first presented with these symptoms after her cervical surgery. He further
testified that being in a neck collar may cause TMJ: “I mean, patients after surgery,
we like to keep them in the neck brace and that presses on the jaw and can cause
TMJ.” He noted that Ms. Correia was required to wear a neck brace for about six
weeks after her cervical surgery. In August 2015, Dr. Blanda referred Ms. Correia
to Dr. Pearce for her TMJ issues. Dr. Blanda testified that he sees TMJ issues very
often and that they are “often related to the neck . . . it causes the tension in the jaw
and they often go hand-in-hand.”
On cross-examination, Dr. Blanda admitted that, upon her first visit, Ms.
Correia indicated no previous back injury in one place on his forms but noted that in 12 another, she marked that she had previous back problems. Dr. Blanda explained that
his charts can be confusing in that the difference between injuries and back problems
is not well explained. Dr. Blanda further testified that although Ms. Correia’s
records show her pain levels have not changed post-cervical surgery, her physical
exam is better. He seemed unperturbed by Ms. Correia’s unchanging pain levels
when he stated, “[P]ain is, again, kind of relative. You know, I hate to compare it to
a woman having a baby, but you know, it’s pretty painful obviously. But there’s so
much joy afterwards that they don’t often remember how painful the experience was,
so it can be different with different patients.”
For her TMJ symptoms that presented after her cervical surgery, Ms. Correia
had one visit with Dr. Pearce on September 14, 2015, for bilateral jaw pain and
headaches. Dr. Pearce noted that his examination showed “myofascial pain of her
muscles of mastication, her jaw muscles, on both sides of her head, face, and her
neck.” Dr. Pearce recommended splint therapy, but first recommended that Ms.
Correia have her teeth cleaned and a cracked filling repaired.
Dr. Craig Landry also treated Ms. Correia for her TMJ pain. Dr. Landry
testified as Ms. Correia’s expert in general dentistry regarding the field of
TMJ/TMD. Ms. Correia sought treatment from Dr. Landry on February 8, 2016, for
a broken tooth and root canal referral. After both issues were disposed of, Ms.
Correia continued to complain of jaw and face pain as well as headaches. After an
exam consisting of both objective and subjective parts, Dr. Landry required Ms.
Correia to wear a splint to address the TMJ issues. Although Dr. Landry did not
review Ms. Correia’s dental records prior to 2013 and Ms. Correia did not mention
a neck injury prior to 2013, Dr. Landry noted she told him that she had never had
this type of pain before. Dr. Landry further testified that Ms. Correia’s TMJ issues
were likely caused by the change in her head posture following her neck injury and, 13 especially, neck surgery. However, he noted that he did not get very far with Ms.
Correia’s treatment because her appliance broke and she stopped treatment
thereafter. He also could not say whether Ms. Correia would be a chronic-type pain
person, or whether her pain would resolve with treatment.
Dr. Landry also addressed Defendant’s dentistry expert’s, Dr. Kenneth
Dubois, opinion. Dr. Landry reviewed Dr. Dubois’ findings and found them to be
the same as those during his own examination. Dr. Landry noted the only difference
was that Dr. Dubois felt that, despite his findings, Ms. Correia was exaggerating her
symptoms. Dr. Landry stated:
I just don’t know how he came to that conclusion. I mean, when you physically palpate someone’s muscle that’s not painful you don’t get a reaction from it. When you physically palpate a muscle that is painful, it’s easy to figure out, someone backs away. So that was the only thing that jumped out at me, was that he made a comment that he felt like she was exaggerating her symptoms. And then he went on to say she was sensitive to palpation everywhere I palpated on her - - on her face.
And he said these are not typical findings on examination, that’s what he said.
Q. Are they typical?
A. Yeah, I mean, it was exactly typical, so I was confused by that. He basically spelled out why she has TMJ symptoms by the examination, but then said he thinks she’s exaggerating, they’re not typical. To me it contradicted what he found.
Ms. Correia also presented the testimony of Dr. David Barczyk, an expert in
the field of chiropractic medicine, biomechanics, and accident reconstruction. Prior
to rendering an opinion, Dr. Barczyk was given Ms. Correia’s records from Dr.
Griffin, before and after the 2013 collision. Dr. Barczyk recalled that the pre-2013
collision records indicated that she had a “neck sprain and a lower back sprain” from
a prior collision. He also interviewed Ms. Correia and examined her vehicle,
although Dr. Barczyk did admit that he relied on Defendant’s expert’s photographs 14 and measurements in his calculations. Dr. Barczyk testified that he calculated Ms.
Correia’s car to have had a five mile per hour change in velocity when it was hit, for
which tests have proven can cause a head acceleration of an occupant of five and
one-half g’s. He made this determination based on the compression of one of her
vehicle’s isolators, which he testified were compressed three eighths of an inch. He
also testified that speed or velocity of the impact is not all that is important in these
situations, so is how fast that speed change occurs.
On cross-examination, Dr. Barczyk testified that the black box of Defendant’s
vehicle did not record an event and that it would not record an event with less than
a 3.3 mile per hour velocity change in a barrier test. However, he noted that velocity
change is higher for a car-to-car crash setting, as was the case in this collision.
Therefore, the necessary velocity change to record an event in a car-to-car collision
would equal a velocity change that is one-and-one half to two times the necessary
barrier test velocity change.
Kelley Adamson, Defendant’s expert in the field of occupant kinematics,
accident reconstruction, and biomechanics, testified that he calculated this collision
as a one mile per hour delta-v (velocity change) collision, differing from Dr.
Barczyk. A one mile per hour delta-v would equate to “less than two miles per hour,
which is about the speed of the vehicle if you release - - if you let your foot off of
the accelerator and begin to roll forward, that’s probably about the speed that you
would keep it up to.” This calculation was based on his inspection of Ms. Correia’s
isolators, which are designed to fully compress, a compression of two inches, for a
four mile per hour delta-v. His inspection indicated there was no compression of the
isolators, again, differing from Dr. Barczyk’s conclusion. Additionally, Mr.
Adamson testified that the gravitational force on Ms. Correia would be “less than
15 one g[,]” and compared that to sneezing for which “head accelerations have been
measured for sneezing at five g’s.”
Dr. William Brennan testified for Defendants as an expert in the field of
neurosurgery. Dr. Brennan did a medical records review in this case instead of a
physical examination of Ms. Correia. He agreed that Ms. Correia had cervical issues
that needed to be treated and found Dr. Blanda’s procedure appropriate. However,
he did note that prior to the incident at issue, “the clinical picture of the patient is
strikingly similar to after the subject accident.”
Lastly, Dr. Kenneth Dubois testified as an expert in the field of general
dentistry and treatment of TMD/TMJ for Defendants. Dr. Dubois performed a
physical exam and interview of Ms. Correia. He noted that she reported pain
everywhere he touched, which he considers atypical. He testified that it is unusual
that her pain would be bilateral and affect everything. He further noted that her
headaches were reportedly all over, whereas TMJ headaches are typically in the
temporal area. Dr. Dubois concluded, “I felt like she was exaggerating her
symptoms.”
On the motion for JNOV, the trial court was required to determine whether
the evidence, when viewed in the light most favorable to Defendants, pointed so
strongly in favor of Ms. Correia that reasonable persons could not arrive at a contrary
verdict on whether Ms. Correia was entitled to an increase in general damages.
Peterson, 733 So.2d 1198. The trial court gave no reasons for its partial denial of
Plaintiff’s motion for JNOV regarding past mental and physical pain and suffering,
future mental and physical pain and suffering, or permanent disability damages.
The record in the instant case shows that the jury awarded $120,960.04 in past
medicals expenses—the amount Ms. Correia admitted into evidence as her “Medical
Profile.” Additionally, the jury awarded future medical expenses in the amount of 16 $120,000.00. This court notes that Dr. Blanda testified a future lumbar surgery
would be similar in cost to the cervical surgery and that Ms. Correia would likely
also need pain management. Therefore, the jury found Defendants liable for past
and future medical expenses related to the accident at issue.
Ms. Correia’s testimony was that she hurts all the time, takes pain medication
every day, and that her pain levels have not changed. She suffered for twenty months
before undergoing cervical spine surgery to help alleviate her problems, and Dr.
Blanda testified that the recovery for that surgery is approximately one year.
Additionally, since the accident in December of 2013, Ms. Correia has been
experiencing pain in her lumbar spine, which may ultimately require surgery with
its own recovery time. On top of her spinal issues, Ms. Correia has also been
suffering from TMJ/TMD pain since her cervical surgery, which she testified causes
her headaches and facial pain.
Defendants attempt to attack Ms. Correia’s credibility with her description of
the prior 2012 collision and by suggesting that Ms. Correia exaggerated the collision
and her pain. Ms. Correia testified continuously that her pain from the 2012 accident
had resolved and that she only saw Dr. Griffin for some maintenance. Her records
from Dr. Griffin show that she had a four-month hiatus in visits, returning in October
and once in November 2013. Ms. Correia explained that those visits were for
maintenance and that, after doing a lot of gardening in the prior months, she needed
some adjustments. Additionally, she explained that the 2013 pain was different from
that following the 2012 collision, noting that she experienced numbness in her
extremities. Although it appears the 2012 accident may have involved more
movement of her vehicle than her original testimony suggested, Ms. Correia’s
description of the 2013 collision as a “doozy[,]” was appropriate as depicted by her
description of the subsequent pain and medical treatment she endured compared to 17 the 2012 collision. Comparatively, Ms. Correia only sought chiropractic care for her
2012 injuries, and her symptoms at the time neither indicated nor necessitated the
need for an MRI. Furthermore, although Ms. Correia’s pain ratings did not change
much following her surgery, Dr. Blanda explained that patients tend to forget the
amount of pain they initially experienced. Finally, despite both parties’ competing
experts regarding the impact of the collision and her medical treatment thereafter,
the jury related all Ms. Correia’s medical expenses to the 2013 collision, and no
party has challenged this finding on appeal.
Considering the foregoing, and particularly the fact that Ms. Correia endured
twenty months of cervical pain before a two-level anterior cervical discectomy and
fusion surgery (with approximately a one year recovery), has endured lumbar pain
since the collision (and for which surgery may ultimately be performed), and TMJ
pain since the cervical surgery, leaving her with a fifty to sixty percent total body
disability rating, we find merit in Plaintiff’s argument that the trial court was
manifestly erroneous in partially denying Ms. Correia’s motion for JNOV. Based
on the above evidence and the special damages awarded by the jury, the general
damages the jury awarded for pain and suffering and permanent disability were
abusively low considering the duration of pain and type of treatment Ms. Correia
endured. Thus, we reverse the trial court’s partial denial of Ms. Correia’s motion
for JNOV and must now determine the appropriate general damages. Additionally,
based on the above evidence and testimony, we also find that the trial court’s awards
of general damages for loss of enjoyment of life and scarring following its partial
grant of JNOV were abusively low. Pike, 272 So.3d 943.
“Having found the jury award . . . to be abusively low, this court can only
increase the award to ‘the lowest amount which is reasonably within the court’s
discretion.”’ Deligans v. Ace Am. Ins. Co., 11-1244, p. 7 (La.App. 3 Cir. 3/7/12), 86 18 So.3d 109, 115 (quoting Ryan v. Zurich Am. Ins. Co., 07-2312, p. 7 (La. 7/1/08), 988
So.2d 214, 219). In our review of the jurisprudence, we find the following recent
cases instructive regarding the general damages involved herein.
This court in Huntley v. 21st Century Premier Insurance Co., 16-514 (La.App.
3 Cir. 11/2/16), 204 So.3d 1085, writ denied, 17-148 (La. 3/13/17), 216 So.3d 803,
affirmed general damages of $150,000.00 for past and future pain and suffering and
$100,000.00 for past and future mental and emotional anguish following injury to
the plaintiff’s cervical and lumbar spine. Huntley involved a low impact automobile
accident after which the plaintiff sought treatment for both cervical and lumbar
spinal injuries. The plaintiff ultimately had cervical spinal surgery and asserted that
she would require a single-level “lumbar laminectomy, discectomy, and fusion with
instrumentation” in the future. Id. at 1093. The jury awarded past and future medical
expenses as well as $150,000.00 in past and future pain and suffering, $100,000.00
in past and future mental and emotional anguish, $25,000.00 in past and future
disability, and $25,000.00 in past and future loss of enjoyment of life. The defendant
only appealed the pain and suffering and mental and emotional anguish damages.
Considering the extensive future lumbar surgery and the previous cervical fusion,
this court found no abuse of discretion in those awards.
Further, in 2012 this court found no abuse of discretion in the trial court’s
increase of a $40,000.00 general damage award by the trial court after it granted a
motion for JNOV. Savant v. Hobby Lobby Stores, Inc., 12-447 (La. App. 3 Cir.
11/7/12), 104 So.3d 567. The trial court increased the general damages to
$250,000.00 for past, present, and future mental and physical pain and suffering and
$100,000.00 for loss of enjoyment of life. In Savant, the plaintiff “sought relief via
conservative measures such as physical therapy, injections, and chiropractic care.
She ultimately underwent two separate surgeries to relieve her neck pain.” Id. at 19 572. The first surgery was a single level cervical surgery, while the second was a
three-level anterior cervical discectomy fusion. The plaintiff also experienced stress
due to the limitations her physical condition placed on her ability to interact with her
small children and could not participate in a host of activities she could previously.
In Cobb v. Delta Exports, Inc., 05-509, p. 2 (La.App. 3 Cir. 12/30/05), 918
So.2d 1080, 1084, this court affirmed the award of $500,000.00 in general damages
(described as “Physical Pain and Suffering, Past and Future Physical Disability”) for
three surgeries, including a lumbar fusion and a cervical fusion. The plaintiff was
involved in a collision between his vehicle and a front-end loader that was removing
debris. The plaintiff was unable to return to work, and his physicians remained
“skeptical about a permanent return to work.” Id. at 1091. He continued to
experience pain and uses a cane to walk most of the time, which impacted his daily
activities. In fact, “[h]is condition is described as a permanent one which will
require future pain management.” Id.
Based on the record, Ms. Correia endured twenty months of cervical and
lumbar pain prior to a two-level anterior cervical discectomy and fusion surgery. As
of trial, nearly three years post-cervical surgery, she continued to live in pain,
requiring pain medication, and with added TMJ issues. Ms. Correia’s physicians
projected that she will need a two-level lumbar surgery in the future, and she was
awarded those medical costs by the jury. Although, unlike Cobb, the projection is
that Ms. Correia will require two surgeries, one of which she already underwent,
both are two-level fusions and Dr. Blanda declared that she had significant total body
impairment, fifty to sixty percent. Her cervical injury left her with a scar and with a
thirty percent cervical impairment, and Dr. Blanda opined that she additionally
experiences a twenty percent lumbar impairment.
20 Ms. Correia was an active individual prior to this incident. Her injuries have
since made it difficult for her to engage in the activities she participated in prior to
the incident. Given the nature of Ms. Correia’s injuries and the length of time that
she has treated and suffered with pain, and especially considering her total body
impairment, we find that the lowest amount a fact finder could have reasonably
awarded for general damages is $400,000.00.
CONCLUSION:
Based on the foregoing, the trial court’s partial denial of Ms. Correia’s motion
for JNOV is reversed. We also find the trial court’s award of general damages
following its partial grant of the motion for JNOV to be abusively low. Thus, we
increase the general damage award to Ms. Correia from a total of $180,000.00 to
$400,000.00. The costs of this appeal are assessed to Defendants/Appellees.
REVERSED IN PART; AFFIRMED IN PART; AMENDED IN PART;
AND RENDERED.
This opinion is NOT DESIGNATED FOR PUBLICATION. Uniform Rules—Courts of Appeal, Rule 2-16.3.