Gallien v. Winn-Dixie

685 So. 2d 531, 1996 WL 709733
CourtLouisiana Court of Appeal
DecidedDecember 11, 1996
Docket96-832
StatusPublished
Cited by19 cases

This text of 685 So. 2d 531 (Gallien v. Winn-Dixie) 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
Gallien v. Winn-Dixie, 685 So. 2d 531, 1996 WL 709733 (La. Ct. App. 1996).

Opinion

685 So.2d 531 (1996)

Sarah GALLIEN, Plaintiff-Appellee,
v.
WINN-DIXIE, Defendant-Appellant.

No. 96-832.

Court of Appeal of Louisiana, Third Circuit.

December 11, 1996.

*532 Michael Keith Leger, Opelousas, for Sarah Gallien.

David John Calogero, Lafayette, for Winn-Dixie.

Before THIBODEAUX, PETERS and GREMILLION, JJ.

GREMILLION, Judge.

This is a workers' compensation case in which the hearing officer originally awarded the plaintiff, Sarah Gallien, medical treatment, including an independent medical examination, as a result of a work related injury. The hearing officer also awarded Gallien penalties and attorney's fees as a result of the defendant's, Winn-Dixie Louisiana, Inc., arbitrary and capricious handling of her claim. Winn-Dixie suspensively appealed this matter and then dismissed its appeal before the record was lodged with this court. Gallien then moved to enforce the judgment. The hearing officer granted the motion and awarded additional penalties and attorney's fees. Winn-Dixie suspensively appeals from this decision.

FACTS

Gallien, who was thirty-two years old at the time of the accident, was employed by Winn-Dixie, where she worked in the deli department, usually on the night shift.[1] On March 3, 1993, she injured her lower back lifting a large trash bag out of its container. She finished her shift and reported the incident to an assistant manager, who filled out a report on her injury.

Gallien sought medical treatment from her family physician, Dr. Richard Lafleur, who determined that she had suffered an acute lumbosacral strain. X-rays taken of Gallien's lower back on March 19, 1993, revealed that she suffered from bilateral spondylolysis of the para inarticularis of the L5, with first degree spondylolisthesis. On June 23, 1993, *533 Dr. Lafleur stated that Gallien should avoid jobs which required her to stand for long periods of time, with repeated bending, lifting, and straining. Gallien terminated her employment with Winn-Dixie, after being informed by management that there were no light duty positions available at the store. Gallien was treated by Dr. Lafleur over a total of seven visits. On her last visit on February 9, 1994, Dr. Lafleur noted that he was scheduling Gallien for physical therapy so she could attend back school and receive mobilization and functional training. This request was denied.

On December 21, 1994, Gallien was examined by Dr. J. Frazer Gaar at the request of Crawford & Company, the workers' compensation adjustor for Winn-Dixie. In his report to Dana Welch, the adjustor then handling Gallien's claim, Dr. Gaar opined that Gallien had suffered a soft tissue strain of her lower back on March 3, 1994, however, he felt that she had reached a medical plateau with regards to that incident. Dr. Gaar did not see the need for further diagnostic studies or physical therapy to be performed on Gallien, since he felt her injury had resolved. He further felt that Gallien was fit to work in the deli, except that he would restrict her from performing heavy lifting, bending, and straining. Dr. Gaar finished by stating that Gallien suffered from a chronic back condition, which preexisted the March 3, 1993 incident, however, it was his opinion that her work related accident was not the cause of her present problems. On the basis of this report, Crawford refused to authorize any further medical treatment for Gallien. It notified Gallien of this decision by letter dated February 10, 1994.

After obtaining counsel, Gallien requested that she be allowed to see an orthopedic surgeon of her own choosing and an explanation as to why Dr. Lafleur's request for physical therapy was denied. Consequently, Gallien was examined by Dr. John Cobb on October 17, 1994. His impression was that Gallien suffered from chronic post-traumatic lumbar pain syndrome and myofascial pain syndrome. He recommended that a lumbar MRI be performed on Gallien in order to rule out a disc related condition, and that she return following testing. Dr. Cobb stated that she could continue working in a light to sedentary position.

A copy of Dr. Cobb's report was sent to Crawford, who in turn forwarded a copy to Dr. Gaar asking him to address Dr. Cobb's recommendation of an MRI. Gallien was reexamined by Dr. Gaar on December 5, 1994. In his report to Crawford, Dr. Gaar, stated that Gallien had a mechanical dysfunction of her back, as a result of the spondylolisthesis, and that she had a previous history of problems since nineteen years of age. Dr. Gaar stated that Gallien could continue in her light duty position, with restrictions on heavy lifting, twisting, and straining. He felt that she was at maximum medical recovery and, although he did not specifically address the issue of the MRI, he stated that nothing else was indicated. Based on this report, Crawford refused to approve the MRI.

Gallien filed a disputed claim for compensation on December 5, 1994, seeking compensation benefits and authorization for medical treatment. Winn-Dixie filed a peremptory exception of prescription, arguing that Gallien's claim for compensation had prescribed since she filed her claim more than one year after her alleged accident on March 3, 1993. This exception was sustained and the matter proceeded to a hearing solely on the issue of medical treatment.

At the conclusion of the hearing, the hearing officer issued oral reasons, awarding Gallien further medical treatment, including an independent medical examination to determine the necessity of the MRI and physical therapy, and statutory penalties and attorney's fees. A proposed judgment was submitted by counsel for Gallien. Counsel for Winn-Dixie opposed the judgment because it indicated that medical treatment was ordered and because it stated that legal interest on the award was to run from date of judicial demand instead of from the date of judgment. The hearing officer signed the submitted judgment on August 28, 1995.

Gallien, through counsel, sent a letter to Winn-Dixie asking that it advise Dr. Lafleur's office that she was approved for further medical treatment. Winn-Dixie responded to the letter on September 20, 1995, *534 denying her request for medical treatment. Its basis for denial was that the hearing officer had not yet held that Gallien's request for medical treatment was work-related.

Winn-Dixie suspensively appealed from the hearing officer's decision on September 25, 1995. Gallien answered this appeal, seeking an increase in penalties and attorney's fees and additional attorney's fees on appeal. On November 3, 1995, Crawford sent a check to Gallien in the amount of $2,540.20, to cover the award for penalties and attorney's fees. On November 6, 1995, Winn-Dixie wrote counsel for Gallien informing him that it was dismissing its appeal. Winn-Dixie then filed the motion to remand the unlodged appeal from this court on the same date. Counsel for Gallien returned the check to Crawford on November 7, 1995 because he disagreed with the amount of legal interest included. On November 8, 1995, Winn-Dixie's motion to unlodge the appeal was granted. Six days later, Winn-Dixie sent a check for $1.80 to Gallien to cover the difference in legal interest, returned the check for $2,540.20, and offered an additional $100.00 in settlement of claims for attorney's fees on appeal. Gallien filed a motion to enforce the judgment on November 27, 1995.

The hearing officer conducted a status conference on December 19, 1995.

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Cite This Page — Counsel Stack

Bluebook (online)
685 So. 2d 531, 1996 WL 709733, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gallien-v-winn-dixie-lactapp-1996.