Iberia Medical Center v. Ward

53 So. 3d 421, 2010 La. LEXIS 2606, 2010 WL 4867972
Supreme Court of Louisiana·Decided November 30, 2010·No. No. 2009-C-2705·Published·Cited by 45 cases

Opinions

JOHNSON, Justice.1

|, We granted this writ application to determine whether the court of appeal erred in finding: 1) Claimant, Wendy Ward, submitted sufficient evidence to prove she sustained a work-related injury to her hand; 2) Claimant was entitled to reinstatement of temporary total disability (“TTD”) benefits to eighteen months past February 3, 2006; and 3) the evidence supported a finding that her employer, Iberia Medical Center, was arbitrary and capricious in terminating benefits so as to award Claimant penalties and attorneys’ fees. After considering the record and the applicable law, we affirm in part, and reverse in part.

FACTS AND PROCEDURAL HISTORY

Claimant, Wendy Ward, was hired as a relief food service worker at Iberia Medical Center in December of 2005. On Friday, February 3, 2006, Ms. Ward and her coworker, Joy Erikson, were attempting to move a large food cart into the service elevator at the medical facility. Due to the size of the cart, there was only a couple of inches of clearance between the cart and the sides of the elevator. Ms. Ward |2alleged that she sustained an injury to her left hand while she was moving the food cart into the elevator. Descriptions of the mechanics of how the accident occurred have varied, causing Iberia Medical to eventually dispute that an accident actually took place.

Ms. Ward contemporaneously informed Ms. Erikson of her injury. While Ms. Erikson did not see exactly what happened, she did observe Ms. Ward’s hand immediately afterward and noticed that it was swollen. She advised Ms. Ward to report the accident to her supervisor, Annie Hines. Ms. Ward reported the accident to Ms. Hines, who completed an “Employee Report of Injury/Illness/Incident,” containing the following notation about the accident: “Pushing lunch cart and shut elevator on hand.” Ms. Hines observed an abrasion and swelling on Ms. Ward’s left hand and encouraged Ms. Ward to seek medical treatment in the emergency room. Ms. Ward declined, believing that her hand “would be okay.”

Ms. Ward returned to work on Monday, February 6, 2006. Her hand had not improved over the weekend and was still swollen, so she sought an evaluation in the emergency room at Iberia Medical. The emergency room record shows Ms. Ward’s complaint as “left wrist & hand pain & swelling.” The examining physician concluded that Ms. Ward sustained a contusion to her left hand as a result of her hand being caught between an elevator and a food cart. Ms. Ward was released with instructions to follow up with her personal physician and to take Tylenol for pain.

On February 8, 2006, Ms. Ward saw her personal physician, Dr. Kimberly Smith. At the time of the office visit, Ms. Ward’s hand and wrist were swollen and bruised. According to Dr. Smith’s records, Ms. Ward’s hand was smashed between a cart and the elevator. Dr. Smith gave Ms. Ward an “excuse slip” for work for the period from February 8, 2006, through February 13, 2006. Dr. Smith subsequently | .^provided a second “excuse slip” through February 24, 2006. Ms. Ward saw Dr. Smith again on February 24, 2006, [425]*425at which time Dr. Smith noted the wrist was sprained and Ms. Ward was advised to keep it wrapped or braced. Ms. Ward continued to have decreased range of motion in her left wrist and pain with movement of the wrist and hand, along with tenderness. Dr. Smith continued Ms. Ward on prescription medications for pain and gave her another “excuse slip” through March 6, 2006.

When Ms. Ward’s condition failed to improve, Dr. Smith referred her to Dr. Andre Cenac, an orthopedic surgeon. Dr. Cenac first examined Ms. Ward on March 15, 2006. In his initial evaluation, he described Ms. Ward’s medical history as follows: “Back on the 3rd she had a deep contusion to the hand. She works at Iberia General and had a contusion to her left hand in the elevator. She was apparently delivering food services.” Dr. Cenac observed swelling of the entire back of her left hand, and noted a limited range of motion. He prescribed physical therapy and pain medication, along with a compression glove. When he saw Ms. Ward again on April 12, 2006, Dr. Cenac noted Ms. Ward was progressing through therapy and recommended continuing the previously prescribed medical management. Because she continued to have no use of her left hand, he released her for light duty working in the Medical Records department, with no use of the left upper extremity.2 Dr. Cenac examined Ms. Ward again on June 19, 2006. During this visit, Dr. Cenac noted that the physical exam was suggestive of possible RSD3 and suggest ed that Ms. |4Ward undergo an EMG/ NCT.4 Ms. Ward did not undergo this testing. Dr. Cenac indicated Ms. Ward’s work status as “unable to return to work at this time.”

At the request of Iberia Medical, Ms. Ward was seen by Dr. E. Scott Yerger, an orthopedic surgeon, for a second medical opinion. Dr. Yerger first examined Ms. Ward on August 2, 2006. His notes describe Ms. Ward’s history as follows: “Ms. Ward is a 40-year old female who states she had her hand caught in an elevator between the door and a food cart that she was pushing on February 3, 2006. She has had pain and night pain in her left hand and wrist since that time. She states she has numbness in the left long finger and she gets swelling with the hand and wrist. She states the hand feels cool to touch and is very hypersensitive to light touch.” During the physical exam, Dr. Yerger noted Ms. Ward lacked terminal flexion of the PIP and DIP joints5 of the fingers in regards to making a fist, and she had pain upon making a fist. He also noted decreased light touch in the tip of the long finger. Objectively, Dr. Yerger [426]*426noted decreased skin turgor6 on the left wrist and hand, and the skin of the left hand was “duskier” in appearance and paler than the right hand. He further noted that Ms. Ward had pain and tenderness with very light touch over the left hand, as well as with range of motion of the joints of the fingers and the wrist. It was Dr. Yerger’s opinion that Ms. Ward suffered a contusion when her hand got caught between the elevator door and the cart. He opined that she had developed a complex regional pain syndrome. He further opined that she had not reached maximum | ^medical improvement (“MMI”), and recommended she be evaluated by a pain management specialist for formal hand/occupational therapy and other treatment for complex regional pain syndrome.

Iberia Medical hired an investigator to conduct surveillance on Ms. Ward.7 Surveillance was conducted from July 13, 2006, through August 8, 2006, and the surveillance video was compiled into a ten-minute segment on disc. On August 9, 2006, Iberia Medical provided Dr. Yerger with the surveillance video of Ms. Ward. Dr. Yerger was asked to review the video and “comment on Ms. Ward’s ability to work in light of what is contained on the video.” Specifically, Iberia Medical requested Dr. Yerger’s thoughts on whether Ms. Ward could return to work in her prior position as a food service worker.

On August 25, 2006, Dr. Yerger issued an addendum to his August 2, 2006 report. In the addendum, Dr. Yerger noted the activities on the surveillance video on July 13, 2006, as follows: “she appears to be carrying a newspaper out of what appears to be a grocery store in her left hand. She drinks using her left hand and she repeatedly grooms herself throughout the video using her left hand.

Free access — add to your briefcase to read the full text and ask questions with AI

Iberia Medical Center v. Ward, 53 So. 3d 421, 2010 La. LEXIS 2606, 2010 WL 4867972 (La. 2010).

53 So. 3d 421 (Iberia Medical Center v. Ward) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Mark Shubert v. City of New Orleans
Louisiana Court of Appeal, 2025
Succession of Ted Wayne Cox, Sr.
Louisiana Court of Appeal, 2024
Edward Fobbs v. CompuCom Systems, Inc.
Louisiana Court of Appeal, 2023
Julius Harper v. Weyerhaeuser Company
Louisiana Court of Appeal, 2022
Eddrina Woodard v. Brookshire Grocery Company
Louisiana Court of Appeal, 2022
Lee v. United Rentals Inc.
M.D. Louisiana, 2021
Ruver Moya Versus Michael Lucas
Louisiana Court of Appeal, 2021
Robert Landry v. Lofton Security Service, Inc.
Louisiana Court of Appeal, 2020