Gilbert v. Laborde

632 So. 2d 1162, 1994 WL 28630
CourtLouisiana Court of Appeal
DecidedFebruary 2, 1994
Docket93-761
StatusPublished
Cited by8 cases

This text of 632 So. 2d 1162 (Gilbert v. Laborde) 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
Gilbert v. Laborde, 632 So. 2d 1162, 1994 WL 28630 (La. Ct. App. 1994).

Opinion

632 So.2d 1162 (1994)

Joan M. GILBERT, et vir., Plaintiffs-Appellees-Appellants,
v.
Donald W. LABORDE d/b/a Chiropractic Diagnostic and Treatment Center and National Chiropractic Mutual Insurance Company (NCMIC), Defendants-Appellants-Appellees.

No. 93-761.

Court of Appeal of Louisiana, Third Circuit.

February 2, 1994.
Rehearing Denied March 11, 1994.[*]

*1163 Andrew E. Schaffer, Alexandria, for Donald Laborde, et al.

George Arthur Flournoy, Alexandria, for Joan M. Gilbert, et vir.

Before GUIDRY and YELVERTON, JJ., and BERTRAND, J. Pro Tem.

GUIDRY, Judge.

In this bifurcated trial, defendants, Dr. Donald W. Laborde and his insurer, National Chiropractic Mutual Insurance Company (NCMIC), appeal the trial judge's judgment in favor of plaintiff, Clyde Gilbert, in the amount of $5,000 on his loss of consortium claim. Plaintiff, Joan M. Gilbert, after her motion for judgment notwithstanding the verdict was denied, appealed the jury verdict in favor of defendants dismissing her claim against Dr. Laborde.

FACTS

Sometime in late February or early March, 1989, plaintiff, Joan Gilbert, participated in a garage sale. While preparing for the sale, Mrs. Gilbert was squatting with a full box of sale items when her right knee "gave way" and became painful. As the pain persisted for several weeks, she decided, on March 22, 1989, to consult defendant, Dr. Donald Laborde, a chiropractor. Because of plaintiff's pain and limited range of motion on the March 22nd visit, Dr. Laborde, aside from taking plaintiff's medical history, did only an abbreviated examination and placed Mrs. Gilbert on isometric exercises to strengthen the knee while allowing the pain to subside. At that point, Dr. Laborde suspected Mrs. Gilbert had sustained a right knee sprain/strain. There is conflicting testimony as to any history *1164 of left knee problems. One week later Mrs. Gilbert returned for interferential (electrical) stimulation to ease her pain. At that time, it was noted that she was improving.

Mrs. Gilbert returned to Dr. Laborde's office for a full examination of her right knee problem on April 18, 1989. As she was doing considerably better, Dr. Laborde was able to perform a complete knee examination. The findings of that examination were recorded on plaintiff's chart by Dr. Laborde's assistant, Ms. Melynda Gilliland. Dr. Laborde tested several muscles in Mrs. Gilbert's legs finding some weakness in the right leg that was not present in the left leg. Bilateral circumferential measurements of her knees showed slight swelling in the right knee. Additionally, Dr. Laborde performed a bilateral ROM (range of motion) examination of her knees which showed the right knee to have a ROM of 120° with slight pain and 135° ROM of her left knee with no pain. Dr. Laborde performed the ROM exam by having the patient lay on her stomach on the examination table and then he flexed (bent at the joint) the knee until he reached resistance.

Based upon his April 18, 1989 examination of plaintiff, Dr. Laborde diagnosed her problem as patellar femoral arthritis (PFA), a degenerative inflammatory condition under the kneecap (patella). Inasmuch as PFA usually occurs bilaterally, Dr. Laborde treats PFA based upon that premise. Dr. Laborde's treatment plan consisted of bilateral hamstring stretches (also known as straight leg stretches), bilateral hip flexion and bilateral knee extension exercises to be performed on a weight machine, and interferential (electrical stimulation) therapy for pain control. Mrs. Gilbert was to follow the treatment plan for one month, and then be re-evaluated.

On April 21, 1989, prior to beginning the rehabilitation plan, Dr. Laborde had Mrs. Gilbert return to his office for the purpose of making a videotape of the positive tests (the bilateral muscle tests and bilateral ROM exam of the knees) noted on the April 18, 1989 knee examination. Melynda Gilliland videotaped Dr. Laborde going through the positive tests with Mrs. Gilbert. Dr. Laborde desired the video for comparison purposes with a later planned examination because a video best shows the comparison.

The rehabilitation plan began on April 24, 1989. Ms. Gilliland supervised Mrs. Gilbert under Dr. Laborde's direction in following the plan. The exercises which made up the plan (knee extension, hip flexion and stretching) were always done on both legs. Mrs. Gilbert came into the office and went through the rehabilitation plan on April 24, April 26, April 28, May 1, May 5, May 8, May 10, May 15, May 17 and May 19, 1989. Ms. Gilliland was there on each of these occasions assisting Mrs. Gilbert through the exercises and recording in the office records on each of these dates, what was done. Although Dr. Laborde was not in the treatment room continuously while the plan was being carried out, he would come in to evaluate plaintiff's progress and to perform needed manipulations.

During the May 17, 1989 treatment, Dr. Laborde for the first time performed a quadricep stretch on Mrs. Gilbert. He also did a hamstring/straight leg stretch on plaintiff and she went through knee extension and hip flexion exercises as well as interferential stimulation. Inasmuch as this was the first time Ms. Gilliland had observed Dr. Laborde perform the quadricep stretch, she made particular note of the procedure.

At trial, Ms. Gilliland described to the jury how Dr. Laborde performed the quad stretch and Dr. Laborde also described and demonstrated it twice. Ms. Gilliland testified that the way Dr. Laborde demonstrated the quadricep stretch to the jury was the way he had in fact performed it on Mrs. Gilbert. Although Mrs. Gilbert testified at trial that during the quad stretch she experienced a severe pain in her left knee, she informed neither Dr. Laborde nor Ms. Gilliland of any pain and Dr. Laborde's records make no note of any complaint.

Subsequently, on May 19, 1989, Mrs. Gilbert telephoned and Ms. Gilliland wrote in the chart that Mrs. Gilbert reported her "knee" felt tight and full with decreased range of motion. As Dr. Laborde was treating Mrs. Gilbert's right knee, there was no *1165 reason to record in the chart which knee was causing the problem unless she specified a complaint about her left knee. That would have been a major change which Ms. Gilliland would have recorded. Dr. Laborde gave instructions which Ms. Gilliland relayed to plaintiff to put ice on it. Mrs. Gilbert came into the office later that same day and Dr. Laborde performed the quad stretch again. Mrs. Gilbert also did the knee extension and hip flexion exercises, and also underwent interferential therapy. Mrs. Gilbert did not exhibit any difficulties walking when she came into the office, neither did she have any problems doing the bilateral exercises nor did she complain of left knee pain. If she had, Ms. Gilliland would have recorded it on the chart, Dr. Laborde would have ordered the weights changed, and the change would have been recorded.

Dr. Laborde further testified that had the patient reported any significant pain, he would have stopped the rehabilitation program completely and returned her to the isometric program until the pain subsided.

Mrs. Gilbert returned May 23, 1989 for the planned re-evaluation examination. This examination, like the one on April 21, 1989, was video taped by Ms. Gilliland. Among other things, the video tape shows decreased ROM and discomfort upon flexion of both knees when compared to the April 21, 1989 video. However, once again, Mrs. Gilbert neither complained to Dr. Laborde or Ms. Gilliland of excessive pain nor did she state that she believed Dr.

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Bluebook (online)
632 So. 2d 1162, 1994 WL 28630, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gilbert-v-laborde-lactapp-1994.