Jones v. Evangeline of Natchitoches, Inc.

704 So. 2d 905, 97 La.App. 3 Cir. 869, 1997 La. App. LEXIS 2819, 1997 WL 758072
CourtLouisiana Court of Appeal
DecidedDecember 10, 1997
DocketNo. 97-869
StatusPublished
Cited by2 cases

This text of 704 So. 2d 905 (Jones v. Evangeline of Natchitoches, Inc.) 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
Jones v. Evangeline of Natchitoches, Inc., 704 So. 2d 905, 97 La.App. 3 Cir. 869, 1997 La. App. LEXIS 2819, 1997 WL 758072 (La. Ct. App. 1997).

Opinion

liDOUCET, Chief Judge.

In this appeal, defendant, Evangeline of Natchitoches, Inc. d/b/a Riverside Nursing Home, seeks reversal of a judgment by an Office of Workers’ Compensation Judge changing claimant’s classification of disability from temporary total to permanent total disability, accelerating her benefits due under each status, and awarding claimant costs and attorney’s fees. We affirm.

FACTS

The record reflects that claimant, Edna Jones, was injured in the course and scope of her employment as a laundry worker for Riverside Nursing Home in Natchitoches, Louisiana, on June 6, 1988. Ms. Jones was sent by her employer to see |2a Dr. Sills. Thereafter, she consulted Dr. Baer I. Ram-bach, an orthopaedic surgeon, who became her treating physician. On March 26,1990, a judgment was rendered against defendant finding Ms. Jones entitled to temporary, total disability benefits of $71.00 per week from June 6, 1988, plus medical expenses, penalties, interest and attorney’s fees. A second judgment, dated May 20,1991, again ordered defendant to pay past due benefits, medical expenses, interest, penalties and attorney’s fees. Thereafter, on June 7, 1995, claimant underwent a lumbar laminectomy and diskec-tomy. This procedure failed to alleviate her symptoms. Subsequently, by a third judgment, rendered November 16, 1995, defendant was, once again, ordered to pay Ms. Jones’ outstanding medical bills, $1,100.00 in past due benefits, $4,000.00 in penalties, $5,000.00 in attorney’s fees, and $200.00 in court costs. That judgment was satisfied in December 1995.

Thereafter, on January 30, 1996, claimant filed a another motion to make past due installments executory and to accelerate future installments alleging that no benefits had been paid after November 22, 1995. A hearing on claimant’s motion was set for April 15,1996. Prior to the hearing claimant filed a motion to modify her disability status from one of temporary, total to that of permanent, total disability. At the close of the April 15, 1996 hearing, the workers’ compensation judge held the case open pending the results of an independent medical examination. Prior to the final hearing on September 26, 1996, Ms. Jones underwent an MRI and an independent medical examination.

At the September hearing, the workers’ compensation judge found the claimant to be permanently and totally disabled and the de[907]*907fendant to be arbitrary, capricious, unreasonable and willful in its handling of Ms. Jones’ claim and thus subject to | -¡acceleration. She therefore found in favor of claimant on all issues and ordered defendant to pay $7,500.00 in attorney’s fees, $3,000.00 in penalties plus interest and all reasonable medical expenses. She also ordered “... all weekly disability benefits in the amount of $74.00 per week for the remainder of plaintiffs life expectancy, 27.4 years, be made executory and due for the whole amount, together -with legal interest from the date of judgment, September 26, 1996, until paid.” Costs, including expert fees, were also assessed against defendant. Defendant now appeals.

LAW AND DISCUSSION

Defendant appeals the judgment of the workers’ compensation judge arguing that she erred in finding the claimant permanently, totally disabled, in accelerating her benefits, and in casting appellant for costs and attorney’s fees.

In Pinkins v. Cardinal Wholesale Supply, Inc., 619 So.2d 52, 55 (La.1993), the Louisiana Supreme Court stated the following:

It is well established that the workers’ compensation act is remedial in nature. In order to effectuate the humane policies it reflects, the law is to be liberally construed in favor of the injured employee. Breaux v. Travelers Ins. Co., 526 So.2d 284 (La. App. 3rd Cir.1988). Provisions of the worker’s compensation law should be liberally construed in favor of the claimant. Lester v. Southern Casualty Insurance Company, 466 So.2d 25 (La.1985); Hill v. L.J. Earnest, Inc., 568 So.2d 146 (La.App. 2d Cir.1990), writ denied, 571 So.2d 652 (La.1990).

The law applicable to the determination of permanent total disability is contained in La. R.S. 23:1221(2) which states, in pertinent part, as follows:

(a) For any injury producing permanent total disability of an employee to engage in any self-employment or occupation for wages, whether or not the same or a similar occupation as that in which the employee was customarily engaged when injured, and whether or not an occupation for which the employee at the time of injury was particularly fitted by reason of education, training, and experience, sixty-six and two-thirds percent of wages during the period of such disability.
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14(c) For purposes of Subparagraph (2) (a) of this Paragraph, whenever the employee is not engaged in any employment or self-employment as described in Sub-paragraph (2)(b) of this Paragraph, compensation for permanent total disability shall be awarded only if the employee proves by clear and convincing evidence, unaided by any presumption of disability, that the employee is physically unable to engage in any employment of self-employment, regardless of the nature or character of the employment or self-employment, including, but not limited to, any and all odd-lot employment, sheltered employment, or employment while working in any pain, notwithstanding the location or availability of any such employment or self-employment.

The record shows that Ms. Jones injured her lower back in the course and scope of her employment. She underwent a lumbar laminectomy and diskectomy in June of 1995, and still experiences severe, limiting back pain. Ms. Jones cannot stand for more than a few minutes or sit for more than about thirty minutes without experiencing debilitating pain. Her treating physician restricts her lifting to five pounds, occasionally, and not more than ten pounds under any circumstances. She is also limited in bending and stooping. Ms. Jones testified that although she finished the eighth grade, she cannot read a newspaper or fill out a job application. She claims to be able to do some addition and subtraction, but denies that she can either multiply or divide. She has no trade or special job skills and, according to Dr. Richard Galloway, the head of the Vocational Rehabilitation Department at Northwestern State University, considering her age, physical status, and academic achievement, vocational rehabilitation for her would be futile. Dr. Galloway testified that there were no jobs that he expected Ms. Jones could perform. This is consistent with the opinion of Dr. Rambach, her treating [908]*908physician. He stated that she probably has scar tissue at the site of her surgery and, that if that was the case, another surgery would only make things worse. The tests undergone by Ms. Jones between the April and September hearings confirmed Dr. Ram-bach’s suspicions. Dr. J.E. Smith, who conducted an independent | ¡¡medical examination of Ms. Jones during this same period, found that she had a “... markedly degenerative disk at L5/S1 with virtually no space remaining in osteophyte formation.” He stated that in his opinion, because any operation on such a condition is largely ineffective and many times makes thing worse, “[t]hat [it] is probably worse than a herniated disk.” Dr. Smith further testified that he was of the opinion that she “... could not do any, ... or very minimal bending, stooping, and lifting.”

Considering the testimony of the three experts and that of Ms.

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704 So. 2d 905, 97 La.App. 3 Cir. 869, 1997 La. App. LEXIS 2819, 1997 WL 758072, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jones-v-evangeline-of-natchitoches-inc-lactapp-1997.