Futch v. Horseshoe Casino

146 So. 3d 818, 2014 WL 3608696, 2008 La. App. LEXIS 1932
CourtLouisiana Court of Appeal
DecidedJuly 23, 2014
DocketNo. 49,144-WCA
StatusPublished
Cited by6 cases

This text of 146 So. 3d 818 (Futch v. Horseshoe Casino) 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
Futch v. Horseshoe Casino, 146 So. 3d 818, 2014 WL 3608696, 2008 La. App. LEXIS 1932 (La. Ct. App. 2014).

Opinions

MOORE, J.

| horseshoe Casino appeals a judgment that awarded the claimant, Shellie Futch, supplemental earnings benefits (“SEB”), with a penalty and attorney fee in this workers’ compensation claim arising from a January 2004 accident. We affirm in part and reverse in part.

Factual Background

Ms. Futch was employed as a dealer at Horseshoe, at an average weekly wage of $800 and a comp rate of $429 a week. On January 17, 2004, she was entering the casino through the tunnel when she tripped on an industrial mat that had wrinkled on the floor. She did not fall but stumbled forward, twisting her right foot. Horseshoe sent her to the Willis-Knighton Bossier emergency room, where doctors diagnosed a strain and put her in a splint. Three days later she selected Dr. Michael Aeurio of Orthopedic Specialists in Bossier City as her treating physician. He found degenerative joint disease of the right foot and spurring of the bones — all preexisting conditions.1 He prescribed physical therapy and initially released her to return to work on February 2, 2004.

Ms. Futch felt she was not improving, and in May 2004 Dr. Aeurio mentioned surgery to remove a Morton’s neuroma in the front part of her foot. At Horseshoe’s request, Ms. Futch was examined by Dr. Gordon Mead at Highland Clinic; he found that all her foot problems were preexisting and that she could work. In October 2004, Ms. Futch went to 12orthopedist Dr. James Lillich, who noted a “traumatic clawtoe deformity of the right second toe.” She then obtained an independent medical exam (“IME”) from Dr. Christopher Hebert in Lafayette. In November 2004, Dr. Hebert recommended extensive surgery to fuse several bones in her midfoot and extend her Achilles and other tendons; Ms. Futch then designated Dr. Hebert as her choice of physician. He performed the proposed operation on February 3, 2005, as well as a followup operation on April 28, 2005, to remove two pins from the surgery site. For the next several months, Ms. Futch attended therapy and paid regular visits to Dr. Hebert; in September 2005, he released her to return to work half-days, or two days a week, for four weeks, and then to full duty. At some point, Horseshoe asked her to return to Dr. Mead for reevaluation.

Ms. Futch filed this disputed claim on August 5, 2005, principally to quash the examination by Dr. Mead; she also sought authorization to see a psychologist. Horseshoe answered that it had been paying her full comp benefits of $429 a week since the accident and all medicals, including both of Dr. Hebert’s surgeries; it also [822]*822sought an order to compel her to be reexamined by Dr. Mead.

Meanwhile, Ms. Futch returned to work at Horseshoe in late October 2005, but promptly went to Dr. Hebert, tearfully relating that standing up to deal caused “great pain” in her right foot; he told her to stay off work another six weeks. Pursuant to an order from the workers’ comp judge (“WCJ”), Ms. Futch went back to Dr. Mead in November 2005; he found a permanent impairment from the surgeries. He stated, however, that she |3could work in a job where she could sit down.

In late 2005, owing to Ms. Futch’s continued complaints, Dr. Acurio recommended a third operation, to remove another screw from her right foot. He performed this at Bossier Specialty Hospital on January 5, 2006. Ms. Futch then began a long period of almost weekly visits to various doctors — Dr. Acurio for followups, Dr. Letchuman at Pain Care Consultants for foot and other body pains, Dr. Baker for psychological counseling, and Dr. Sewell for depression, anxiety and respiratory issues.

In March 2006, Ms. Futch underwent a two-day functional capacity evaluation (“FCE”) by Steve Allison at Tri-State Physical Therapy. This found that she was capable of restricted, light-duty work; she could return to work as a dealer with the accommodation that she could alternate between standing and sitting as needed.2 At Horseshoe’s request, she returned to deal mini-baccarat, a game in which the dealer remains seated. However, she stayed only five hours. On a June 13 visit to Dr. Acurio, she complained that she had pain not only walking across the parking lot, but even when sitting behind the mini-bac table, as she still had to use her right foot to “pivot.” Based on these complaints, Dr. Acurio reported that she could not continue in the modified dealer position and should “seek another type of employment.”

Horseshoe discontinued Ms. Futch’s weekly benefits on June 30; however, it continued paying her medical expenses, with the exception of |4visits to Dr. Baker, the psychologist.

Procedural History

On February 26, 2007, Ms. Futch filed the instant amended claim, alleging that the accident aggravated her preexisting psychological condition. She demanded temporary total disability or SEB effective July 1, 2006, and a penalty and attorney fee for Horseshoe’s refusal to cover treatment by Dr. Baker. An Office of Workers’ Compensation mediator held a phone status conference on May 29, 2007, declaring the matter “unresolved.”

Then followed a long period of relative inactivity. Between June 7, 2007, and February 11, 2011, the parties filed 11 motions to continue, all routinely granted by the WCJ.3 Horseshoe filed a motion to continue on March 14, 2011, stating the parties were in settlement negotiations, the only remaining issue being the Medicare Set-Aside (“MSA”); the WCJ granted this motion to continue. On July 14, 2011, Ms. Futch filed another motion to continue, which the WCJ denied, writing, “Trial has been continued multiple times and claimant’s motion does not assert any reason to do so again.” Undeterred, Ms. [823]*823Futch filed motions to stay on August 5, 2011, and April 19, 2012; the WCJ granted these. On July 31, 2012, Horseshoe filed a motion to compel Ms. Futch to sign an MSA form; the WCJ granted this. Finally, on October 17, 2012, Ms. Futch sent a pro se letter to the WCJ, stating her desire to “resolve this matter” and “schedule a trial date in my case”; this was filed in the record.

[¿On February 18, 2018, Horseshoe filed the instant motion to dismiss under La. R.S. 23:1209 D, on grounds that the claimant had not, in good faith, requested a hearing and final determination within five years of the amended petition. The WCJ denied this, holding that Ms. Futch had complied with 23:1209 D “on multiple occasions * * * via multiple joint requests that the trial date be continued and set.”4

Action of the WCJ

The matter was tried on April 4, 2018. At the top of the hearing, the WCJ reiterated that the joint motion to continue filed August 8, 2008, included a motion to reset, and this qualified as a request for hearing under 23:1209 D. The parties stipulated the date of the injury, Ms. Futch’s weekly comp rate, and that Horseshoe had discontinued weekly benefits on June 30, 2006. The only live witness was Ms. Futch, whose testimony was limited to verifying her medical expenses and mileage to Shreveport to see the psychologist, Dr. Baker (she had moved to Farmerville and was driving to Shreveport to see him). There was no live testimony about her injury, pain, disability or attempt to return to work.

The parties introduced Ms. Futch’s unusually large medical records, very briefly outlined above. By deposition, Dr. Mead testified that Ms.

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146 So. 3d 818, 2014 WL 3608696, 2008 La. App. LEXIS 1932, Counsel Stack Legal Research, https://law.counselstack.com/opinion/futch-v-horseshoe-casino-lactapp-2014.