Gina Alpizar v. Dollar General Corp.

Louisiana Court of Appeal·Decided March 5, 2014·No. WCA-0013-1150·Unknown

Opinion

STATE OF LOUISIANA

COURT OF APPEAL, THIRD CIRCUIT 13-1150

GINA ALPIZAR VERSUS DOLLAR GENERAL **********

APPEAL FROM THE

OFFICE OF WORKERS’ COMPENSATION, DISTRICT 3 PARISH OF CALCASIEU, DOCKET NO. 10-11728 SAM LOWERY, WORKERS’ COMPENSATION JUDGE

**********

JAMES T. GENOVESE

JUDGE

**********

Court composed of Ulysses Gene Thibodeaux, Chief Judge, Marc T. Amy, and James T. Genovese, Judges.

AFFIRMED AND RENDERED.

Michael M. Meunier Sullivan Stolier Knight, LC 909 Poydras Street, Suite 2600 New Orleans, Louisiana 70112 (504) 561-1044 COUNSEL FOR DEFENDANT/APPELLANT:

Dolgencorp, LLC

Mark Zimmerman 4216 Lake Street Lake Charles, Louisiana 70605 (337) 474-1644 COUNSEL FOR PLAINTIFF/APPELLEE:

Gina Alpizar

GENOVESE, Judge.

In this workers’ compensation case, Defendant/Employer, Dolgencorp, LLC, doing business as Dollar General (hereafter Dollar General),1 appeals from a judgment in favor of Plaintiff/Claimant, Gina Alpizar, granting her request for a change in orthopedic surgeon, awarding her supplemental earnings benefits (SEB), a functional capacity evaluation (FCE), the costs associated with the litigation, penalties, and attorney fees. Ms. Alpizar has answered the appeal, seeking additional attorney fees for work done on appeal. For the reasons that follow, we affirm the judgment in its entirety, and we render an attorney fee award in favor of Ms. Alpizar for work done on appeal.

FACTS AND PROCEDURAL HISTORY On September 2, 2008, Ms. Alpizar, who was employed by Dollar General as an assistant manager of its Merryville, Louisiana store, tripped over a box and injured her right knee and lower back. On December 29, 2010, Ms. Alpizar filed a disputed claim for compensation, alleging that Dollar General denied a doctor- recommended MRI and claiming entitlement to SEB, penalties, and attorney fees. She filed an amended disputed claim for compensation on August 10, 2011, alleging that Dollar General denied doctor-recommended physical therapy and claiming entitlement to penalties and attorney fees.

In its answer, Dollar General admitted that Ms. Alpizar was injured in the course and scope of her employment and that it paid her indemnity benefits from December 2008 through December 2009; however, Dollar General averred that

1 Ms. Alpizar identified her employer as Dollar General in her disputed claim for compensation; however, we note that Dollar General is owned and operated by Dolgencorp, LLC. Since the parties refer to Defendant/Employer herein as Dollar General, we will do likewise.

Ms. Alpizar’s “current problems with her back and right knee are not related to the alleged work accident.” Dollar General further alleged that Ms. Alpizar had “voluntarily terminated her employment[.]”

This matter was tried on March 4, 2013, after which the Workers’

Compensation Judge (WCJ) took the matter under advisement and accepted post-trial memoranda. On May 20, 2013, the WCJ rendered oral reasons, wherein he characterized the matter before him as “focus[ing] on Ms. Alpizar’s contention that her employer unreasonably expected her to return to work performing duties beyond the limits of her post-accident physical condition.”

As previously stated, there is no dispute that Ms. Alpizar injured her right knee and back while in the course and scope of her employment with Dollar General. She initially saw her primary care physician, Dr. Larry Brown, and nurse practitioner, Anita Drake, at Newton Family Clinic. For her right knee, Ms. Alpizar was treated by Dr. J. David DeLapp. In March 2009, Dr. DeLapp performed a partial lateral meniscectomy and chondroplasty on Ms. Alpizar’s right knee. On March 24, 2009, Dr. DeLapp released Ms. Alpizar to “return to work without restrictions concerning her knee only[.]” For her back, Ms. Alpizar was initially treated by Dr. Richard Francis. On September 25, 2009, Dr. Francis performed a lumbar laminectomy and discectomy at L-3, L-4, and L-5 on Ms. Alpizar. On December 17, 2009, Dr. Francis found that Ms. Alpizar had reached “maximum medical improvement” and released her from his care, stating she could “return[] to the workforce in a full duty capacity.” It is at this point that Dollar General contends its responsibility for Ms. Alpizar’s ailments ceases. Ms. Alpizar, on the other hand, insists that she was unable to return to the workforce when Dr. Francis released her in December 2009, just two months after

a multi-level back surgery. She alleges that her medical treatment post-December 2009 is Dollar General’s continuing responsibility because she had not fully recovered from her September 2, 2008 work accident.

Ms. Alpizar testified that she continued to experience pain after her release by Dr. Francis in December 2009, and returned to the Newton Family Clinic. On April 5, 2010, an FCE was ordered to determine whether she was physically able to work. The FCE, performed on August 13, 2010, found that Ms. Alpizar was capable of performing light-duty, sedentary work only on a part-time basis. We find it noteworthy that when Dr. DeLapp released Ms. Alpizar in March 2009, he did state, relative to her right knee, that she may not tolerate being released without restrictions and that an FCE may ultimately be necessary.

On November 22, 2010, Ms. Alpizar saw Dr. Clark Gunderson, an orthopedic surgeon. He recommended a lumbar MRI, a right-knee replacement, and opined that she was incapable of working in any capacity. Ms. Alpizar returned to Dr. Francis on June 16, 2011. Dr. Francis assessed Ms. Alpizar as having “[c]hronic low back and right lower extremity pain” and “right lumbar radiculopathy.” He, like Dr. Gunderson in November 2010, recommended “[a]n MRI study of the lumbar spine with and without contrast as well as lower extremity electroneurographic studies[.]”

At trial, Dollar General defended its refusal to authorize Dr. Gunderson’s lumbar MRI by asserting that Dr. Francis was Ms. Alpizar’s treating physician and that she had been released from his care to return to work on December 17, 2009. It also took issue with the April 2010 prescription from the Newton Family Clinic for Ms. Alpizar to have an FCE because it was signed by a nurse practitioner and not a doctor. Dollar General also contends that Ms. Alpizar voluntarily terminated

her employment because, after Dr. Francis released her in December 2009, she did not contact Dollar General about returning to work. Therefore, Dollar General considered the ailments experienced by Ms. Alpizar after December 2009 as being unrelated to her September 2, 2008 work accident. Relative to Ms. Alpizar’s request to see Dr. Gunderson, Ms. Alpizar’s request was not made until June 2011, seven months after she actually saw him on November 20, 2010. Dollar General argued it was within its rights to deny all requests for treatment made by Ms. Alpizar.

In his extensive oral reasons for judgment, the WCJ ruled in favor of Ms. Alpizar, as set forth in the following significant excerpt:

Dollar General’s view is that it has followed the recommendations of Ms. Alpizar’s treating orthopedic surgeons, Drs. DeLapp and Francis, both of whom felt she could return to work with no restrictions. Her visits to Dr. Gunderson, in the employer’s opinion, [were]

unwarranted and had more to do with her litigation strategy than any valid medical purpose.

Actually, both sides questioned the motives of the physicians who espoused an opposing view. Claimant counsel suggested that Dr. Francis may have caved to pressure from the insurance company, and defense counsel minced few words in suggesting that Dr. Gunderson was selected by Ms. Alpizar’s counsel because he could be relied upon to find her disabled.

I find these comments to be mere editorial asides, having little to do with the facts at hand since I have neither the information, insight, nor inclination to gauge a physician’s motives.

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