GRAMBLING STATE UNIVERSITY v. Walker

31 So. 3d 1189, 2010 La. App. LEXIS 268, 2010 WL 715490
CourtLouisiana Court of Appeal
DecidedMarch 3, 2010
Docket44,995-WCA
StatusPublished
Cited by9 cases

This text of 31 So. 3d 1189 (GRAMBLING STATE UNIVERSITY v. Walker) 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
GRAMBLING STATE UNIVERSITY v. Walker, 31 So. 3d 1189, 2010 La. App. LEXIS 268, 2010 WL 715490 (La. Ct. App. 2010).

Opinion

STEWART, J.

11 Plaintiff-Appellant, the State of Louisiana, through Grambling State University (“Grambling”), is appealing a written judgment rendered in favor of Defendant-Ap-pellee, Martha Walker. For the following reasons, we affirm the lower court’s judgment denying the state’s request for a second medical opinion and its determination that the requirement to complete a Choice of Physician form pursuant to La. R.S. 23:1121(B) was inapplicable.

Facts

Ms. Walker was injured in three different accidents while working as a cook at Grambling. The first accident occurred in 1987, the second on November 16, 1990, and the third on September 9, 1992. The third accident is the accident that gives rise to this matter. All three claims were assigned to Freddie Adkins, who is an adjuster for the State of Louisiana, Office of Risk Management.

Ms. Walker received medical care from a neurologist, Dr. Warren Long, for her second and third accidents. During Ms. Walker’s treatment for her third injury, Dr. Long referred her to a rheumatologist, Dr. Christopher D. Burda. Dr. Burda died after the trial of this claim, and Dr. Long is currently treating her.

In May of 2006, the Office of Risk Management requested that Ms. Walker submit to a medical examination, which was represented to be a second medical opinion in order to determine what part of her current condition resulted from her work-related accident that occurred on September 9,1992. Ms. Walker refused to submit to the second medical |2opinion because she alleged that the Office of Risk Management had chosen the physicians who treated her. As a result, the state filed a disputed claim for compensation against Ms. Walker on October 2, 2006, seeking compliance with the request for the second medical opinion. Additionally, Grambling contended that Ms. Walker was required to execute a Choice of Physician form, and upon her refusal to do so, her medical benefits should be suspended pursuant to La. R.S. 23:1121(B). The trial for this matter was held on June 12, 2008.

Ms. Barbara Rachel, the state claims adjuster assigned to Ms. Walker’s claim in *1191 August of 2003, after Mr. Adkins death, testified that Ms. Walker was under the medical care of Dr. Long prior to her third accident. She further testified that Ms. Walker’s file did not contain any documentation that she was instructed by the state to seek medical treatment from Dr. Long.

Ms. Suzanne Mitton, who is a medical case manager and rehabilitation counselor who is currently employed by Thomas and Associates, testified that she was hired by the state in 2006, to schedule the second opinion appointment with an orthopaedic doctor and a rheumatologist for Ms. Walker. After arranging the second opinion appointments with an orthopaedic doctor, Dr. Gordon Mead, and a rheumatologist, Dr. Merlin Wilson, she advised Ms. Walker and her attorney of these appointments. Ms. Mitton testified that she received correspondence from Ms. Walker’s counsel indicating that she would not be submitting to the medical examinations for the second medical opinion |sbecause all of her doctors were chosen by the state. Ms. Mitton then informed the state adjuster assigned to Ms. Walker’s claim, Ms. Barbara Rachel, of Ms. Walker’s response. Ms. Rachel instructed Ms. Mitton to reschedule the second opinion appointments. Ms. Mitton made a second attempt to schedule a second opinion, but Ms. Walker did not comply with the attempt.

After reviewing the file information provided by the state upon hire, Ms. Mitton testified that she failed to find any documentation indicating that Grambling referred or instructed Ms. Walker to go and seek medical treatment from Dr. Long in connection with the third work-related accident that occurred on September 9,1992. Additionally, Grambling argued that Ms. Walker’s medical records indicate that she was under the medical care of Dr. Long prior to the September 9, 1992, accident. The medical records reveal that Ms. Walker was referred by Dr. Raymond Dennie to Dr. Long for a neurological consultation on December 4, 1990, after the second accident that occurred on November 16, 1990. She was seen by Dr. Long on several occasions between December 4, 1990, to November 24,1992.

Dr. Long’s testimony was introduced via deposition. In his deposition, he admitted that Ms. Walker sought medical treatment from him from December 4, 1990, to November 24, 1992, in connection with the second and third accident.

Ms. Walker testified that she was referred to Dr. Long by the state’s previous claims adjuster, Mr. Freddie Adkins. She alleges that Mr. Adkins’ office always arranged her appointments with Dr. Long and contacted her 14by telephone to inform her of the upcoming appointments. She denied ever requesting any appointments with Dr. Long.

On August 25, 2009, Worker’s Compensation Judge Ryan Gatti (“WCJ”), issued a judgment denying the state’s request for a second medical opinion, after determining that Dr. Long was its choice of physician. Therefore, a suspension of benefits was unwarranted. Additionally, the WCJ determined that the requirement to complete a Choice of Physician form pursuant to La. R.S. 23:1121(B) was inapplicable because that portion was not effective at the time that the accident occurred. The state has filed the instant appeal.

Law and Discussion

Right to Compensation

Grambling asserts two assignments of error in its appeal. In the first assignment, it contends that the WCJ erred in failing to grant its claim to suspend Ms. Walker’s right to compensation and in failing to initiate any further proceedings for her refusal to submit to the medical examination.

*1192 Grambling asserts that it did not instruct Ms. Walker to seek Dr. Long for medical treatment. Therefore, it is entitled to a second medical opinion because Ms. Walker has not been seen by a physician of its choice.

Factual findings in worker’s compensation cases are subject to the manifest error or clearly wrong standard of appellate review. Banks v. Industrial Roofing & Sheet Metal Works, Inc., 96-2840 (La.7/1/97), 696 So.2d 551. In applying the manifest error-clearly wrong standard, the appellate court does not determine whether the trier of fact was right or |flwrong, but determines whether the factfinder’s conclusion was a reasonable one. Id. Where there are two permissible views of evidence, a factfinder’s choice between them can never be manifestly erroneous or clearly wrong. Thus, if the factfinder’s findings are reasonable in light of the record reviewed in its entirety, the court of appeal may not reverse, even if convinced that had it been sitting as the trier of fact, it would have weighed the evidence differently. Sistler v. Liberty Mutual Ins. Co., 558 So.2d 1106 (La.1990).

La. R.S. 23:1121 states:

A. An injured employee shall submit himself to an examination by a duly qualified medical practitioner provided and paid for by the employer, as soon after the accident as demanded, and from time to time thereafter as often as may be reasonably necessary and at reasonable hours and places, during the pendency of his claim for compensation or during the receipt by him of payments under this Chapter.

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Bluebook (online)
31 So. 3d 1189, 2010 La. App. LEXIS 268, 2010 WL 715490, Counsel Stack Legal Research, https://law.counselstack.com/opinion/grambling-state-university-v-walker-lactapp-2010.