Johnson v. Insurance Co. of North America

440 So. 2d 1385
CourtLouisiana Court of Appeal
DecidedNovember 21, 1983
Docket83-206
StatusPublished
Cited by6 cases

This text of 440 So. 2d 1385 (Johnson v. Insurance Co. of North America) 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
Johnson v. Insurance Co. of North America, 440 So. 2d 1385 (La. Ct. App. 1983).

Opinion

440 So.2d 1385 (1983)

Raymond JOHNSON, Plaintiff-Appellee,
v.
INSURANCE COMPANY OF NORTH AMERICA and Louisiana Seed Company, Inc., et al., Defendants-Appellants.

No. 83-206.

Court of Appeal of Louisiana, Third Circuit.

November 21, 1983.

*1386 Provosty, Sadler & deLaunay, Albin A. Provosty, Alexandria, for defendants-appellants.

Ford & Nugent, Howard N. Nugent, Jr., Alexandria, for plaintiff-appellee.

Before DOMENGEAUX, GUIDRY, FORET, CUTRER and DOUCET, JJ.

GUIDRY, Judge.

The plaintiff, Raymond Johnson, brought this workmen's compensation suit seeking *1387 benefits for total and permanent disability as well as statutory penalties and attorney's fees. The defendants are his employer, Louisiana Seed Company, and its workmen's compensation insurer, Insurance Company of North America. The trial court found that the plaintiff was totally disabled at the time of trial, awarding benefits at the maximum rate "until plaintiff is no longer disabled under the provisions of the Louisiana Workmans (sic) Compensation Act." The plaintiff's demand for penalties and attorney's fees was denied. The defendants appeal. The plaintiff answers the appeal, re-urging his demand for penalties and attorney's fees.

The issues presented by this appeal are (1) the correctness of the trial court's finding that the plaintiff was disabled at the time of trial; and, (2) whether the defendant was arbitrary and capricious in terminating the plaintiff's benefits, and thus liable for penalties and attorney's fees.

FACTS

The plaintiff was employed by Louisiana Seed as a forklift operator. On July 23, 1981, the clutch on the forklift being operated by the plaintiff became stuck. While he attempted to correct the situation, the plaintiff's ankle was pinned between the forklift and a wall. As a result of the accident, the plaintiff suffered a fracture of the right tibia, along with multiple abrasions of the leg and ankle. The plaintiff was hospitalized and placed under the care of Dr. Douglas Gamburg, an orthopaedic surgeon. The plaintiff was discharged from the hospital on July 28, 1981, after which he continued to see Dr. Gamburg. On November 23, 1981, Dr. Gamburg suggested that the plaintiff return to light duty work. Dr. Gamburg saw the plaintiff for the last time on January 8, 1982. In a letter sent on that date to the defendant, Louisiana Seed, Dr. Gamburg stated that the plaintiff had reached maximum medical recovery with no permanent functional impairment, and that the plaintiff was capable of returning to the work he was engaged in before the injury.

On February 10, 1982, the plaintiff was examined by Dr. Thomas C. Laborde, who specializes in physical medicine and rehabilitation. The plaintiff complained at that time of pain in his right ankle and in the right leg above the ankle. In his report, Dr. Laborde stated that while the plaintiff complained of pain, the pain he described was not severe. Dr. Laborde concluded that the pain was related to residual inflammation and fibrosis as well as muscular deconditioning. He recommended a program of vigorous exercise with a physical therapist to stretch and recondition the muscles in the plaintiff's right leg. Dr. Laborde anticipated no residual physical impairment and/or disability. The plaintiff underwent a program of physical therapy beginning June 23, 1982 and ending with his final visit on July 22, 1982.

The plaintiff received benefits for temporary total disability from the date of the accident until January 8, 1982, the date of Dr. Gamburg's final report. All benefits were terminated on the basis of this report. This suit was filed on May 4, 1982, and tried on November 5, 1982.

DISABILITY

We first consider the correctness of the trial court's determination that the plaintiff was totally disabled at the time of trial. The trial court based its determination on a finding that the plaintiff was unable to return to work without suffering substantial pain.

A worker who is unable to maintain gainful employment without suffering substantial pain is entitled to compensation benefits for total disability. Wilson v. Ebasco Services, Inc., 393 So.2d 1248 (La. 1981); Lattin v. HICA Corporation, 395 So.2d 690 (La.1981). A claimant is not disabled solely if he experiences some residual pain and discomfort upon attempting to work. In order for a claimant to be considered *1388 disabled due to pain, the pain accompanying routine physical tasks and attempts to return to work must be substantial, serious, intense and/or severe. Culp v. Belden Corporation, 432 So.2d 847 (La. 1983).

The claimant bears the burden of proving to a legal certainty and by a reasonable preponderance of the evidence that he is disabled. Whether the claimant has met this burden must be determined by an examination of the entirety of the evidence, including both medical and lay testimony. Augustine v. Courtney Construction Company of Alexandria, Inc., 405 So.2d 579 (La. App. 3rd Cir.1981), writ. denied, 407 So.2d 735 (La.1981); Miller v. Electrical and Pneumatic Services, Inc., 434 So.2d 602 (La. App. 3rd Cir.1983).

On appellate review, the factual findings of the trial court concerning disability are entitled to great weight, and will not be disturbed unless clearly wrong. Culp v. Belden Corporation, supra; Crump v. Hartford Accident and Indemnity, 367 So.2d 300 (La.1979). In the instant case, our careful review of the record convinces us that the trial judge committed clear error in finding the plaintiff totally disabled at the time of trial.

The medical evidence consisted of the medical reports and depositions of Dr. Gamburg and Dr. Laborde, and the deposition of the physical therapist who worked with the plaintiff, Eugene Noel. Dr. Gamburg's report of January 8, 1982, stated that the plaintiff had reached maximum medical improvement with no permanent loss of physical function. In his deposition taken prior to trial, Dr. Gamburg restated this impression of the plaintiff's condition as of January 8, 1982, the last time he saw the plaintiff. He stated that the fracture was minimal in terms of severity, and that if the plaintiff had not reached maximum medical improvement by January 8, 1982, he was certainly approaching maximum improvement.

Dr. Laborde examined the plaintiff once, on February 10, 1982. He testified that upon this examination he noted no significant swelling or atrophy in the plaintiff's leg, and that the plaintiff made no complaints of significant pain. Rather, the pain was described to him by the plaintiff as moderate, intermittent pain. Other than the plaintiff's complaints of pain, Dr. Laborde found nothing abnormal in his examination of the leg. In his report issued following the examination, Dr. Laborde expressed no opinion regarding the plaintiff's ability to return to work. However, in his deposition taken prior to trial, he stated that he didn't think the plaintiff was capable of returning to work at the time of the examination. Dr. Laborde recommended an aggressive program of physical therapy, and stated in his report that the plaintiff should have no significant residual impairment and/or disability.

Eugene Noel, the physical therapist who worked with the plaintiff from June 23, 1982 to July 22, 1982, testified by deposition concerning the plaintiff's progress during the program of physical therapy. Noel stated that on the last four visits made by the plaintiff, from July 19 to July 22, the plaintiff was performing very strenuous exercises with his leg with no difficulty and with no complaints of pain.

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