Joseph v. JE Merit Constructors, Inc.

822 So. 2d 72, 2001 La.App. 1 Cir. 1666, 2002 La. App. LEXIS 2057, 2002 WL 1350450
CourtLouisiana Court of Appeal
DecidedJune 21, 2002
Docket2001 CA 1666
StatusPublished
Cited by10 cases

This text of 822 So. 2d 72 (Joseph v. JE Merit Constructors, 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
Joseph v. JE Merit Constructors, Inc., 822 So. 2d 72, 2001 La.App. 1 Cir. 1666, 2002 La. App. LEXIS 2057, 2002 WL 1350450 (La. Ct. App. 2002).

Opinion

822 So.2d 72 (2002)

Devonna C. JOSEPH
v.
J.E. MERIT CONSTRUCTORS, INC.

No. 2001 CA 1666.

Court of Appeal of Louisiana, First Circuit.

June 21, 2002.
Rehearing Denied July 30, 2002.

*73 James L. Maughan, Baton Rouge, Counsel for Devonna C. Joseph.

Kirk L. Landry, Baton Rouge, Counsel for J.E. Merit Constructors, Inc.

Before: WHIPPLE, FOGG, and GUIDRY, JJ.

GUIDRY, J.

Claimant appeals judgment denying her medical and indemnity benefits. For the following reasons, we reverse in part and remand.

FACTS AND PROCEDURAL HISTORY

The claimant, Devonna C. Joseph, was hired by J.E. Merit Constructors, Inc. (J.E. Merit) in October 1999 to work as a *74 general laborer at an Exxon facility located in Baton Rouge. On January 13, 2000, as she tried to avoid the spray of a power washer being used by a co-worker to clean the area where they were working, Ms. Joseph slipped and fell against the iron hitch of a nearby trailer, injuring herself. On the advice of a co-worker, she reported the incident to her foreman. The foreman escorted Ms. Joseph to the safety manager, who gave Ms. Joseph some medication and instructed her to go to another location and rest for the remainder of her shift. That evening, Ms. Joseph's pain grew worse and on the following day, she went to the emergency room of Our Lady of the Lake Regional Medical Center (OLOL) for treatment. The emergency room physician who examined Ms. Joseph diagnosed her as having sustained a lumbar contusion, prescribed pain medication and instructed her to skip a day of work.

On returning to work, Ms. Joseph was tested for drug and alcohol use and then taken back to OLOL to have some x-rays taken. Thereafter, J.E. Merit scheduled an appointment for Ms. Joseph with Dr. J. Thomas Kilroy, a board-certified orthopedic surgeon. Dr. Kilroy first examined Ms. Joseph on January 18, 2000. Although Dr. Kilroy determined that she had no real neurological defects, he, nonetheless, ordered some diagnostic tests and conservative treatment, based on her subjective complaints.

Sometime after being initially examined by Dr. Kilroy, but before being released from his care, Ms. Joseph resumed, for one day, her active work duties. Specifically, she was placed on fire or hole watch, which consisted of her holding a water hose similar in size to one carried by firemen, while watching for any sudden outbreaks of fire or flames. Ms. Joseph claimed that the water hose she was required to hold weighed as much as a gallon of milk and that, as a result of performing this duty, she suffered increased pain in her neck and shoulder, which she alleged was an exacerbation of the injuries she had previously sustained from her initial work-related accident. However, neither OLOL nor Dr. Kilroy listed any complaints of neck or shoulder pain or stiffness in their documentation of the patient's history.

In the meanwhile, on reviewing the diagnostic studies made of Ms. Joseph's back, Dr. Kilroy found no objective basis for Ms. Joseph's complaints. Nevertheless, he ordered that Ms. Joseph be maintained on a light-duty regimen for two additional weeks before fully resuming her full work duties. Ms. Joseph, disagreeing with this diagnosis by Dr. Kilroy, sought a second opinion from her family physician, Dr. Stan Mays.

Dr. Mays first examined Ms. Joseph for her alleged work-related injuries on January 26, 2000. His medical records reveal that during that initial examination, Ms. Joseph disclosed sustained stiffness in her neck and shoulder following the first accident, which elevated to actual pain following the fire-watch incident. Dr. Mays saw Ms. Joseph on one other occasion following her initial examination, at which time he referred her to a local orthopedist, Dr. Robert Nicholson, to follow-up on her complaints of pain in her lower back, neck and right shoulder.

Pursuant to Dr. Mays' referral, Ms. Joseph sought authorization to see Dr. Nicholson. Authorization was denied and Ms. Joseph filed a disputed claim for compensation based on this denial. In her petition, Ms. Joseph requested that the previously sought medical treatment be authorized and that she be granted a summary hearing and attorney's fees for bringing the action pursuant to La. R.S. 23:1121. J.E. Merit excepted to Ms. Joseph's petition asserting insufficient *75 citation, insufficient service of process, unauthorized use of summary proceedings, and improper cumulation of actions.

On April 14, 2000, a summary hearing was held pursuant to Ms. Joseph's motion, at the commencement of which, J.E. Merit agreed to authorize treatment by Dr. Nicholson. The workers' compensation judge (WCJ) then expressly deferred ruling on the exceptions filed by J.E. Merit and Ms. Joseph's request for attorney's fees to the trial on the merits. The trial court signed an order to this effect on April 20, 2000.

Thereafter, Ms. Joseph chose to see Dr. Stephen Flood rather than Dr. Nicholson allegedly because she would have had to wait at least a month before being seen by Dr. Nicholson. Dr. Flood first examined Ms. Joseph on May 15, 2000 and as result of subjective complaints, desired to have additional diagnostic testing performed on Ms. Joseph. Dr. Flood also found Ms. Joseph to be temporarily, totally disabled, but noted that Ms. Joseph could perform light-duty, sedentary work if she so desired.

Authorization for the additional diagnostic testing was denied and on June 26, 2000, Ms. Joseph amended and supplemented her original disputed claim for compensation to seek penalties and attorney's fees for the failure to authorize the additional diagnostic testing and for failure to pay her indemnity benefits based on Dr. Flood's finding that she was temporarily, totally disabled. J.E. Merit filed an answer to Ms. Joseph's amended and supplemented petition on July 11, 2000, wherein it denied liability to Ms. Joseph for any additional workers' compensation benefits.

Shortly after commencing treatment of Ms. Joseph, Dr. Flood moved his practice to Lake Charles and referred Ms. Joseph to Dr. Joseph Rauchwerk for continued treatment. Dr. Rauchwerk's records of his initial treatment of Ms. Joseph do not indicate any complaints of neck or shoulder pain; however, during the course of his treatment, Ms. Joseph did express such complaints and he therefore requested the following additional diagnostic studies: an EMG of the lumbar and cervical spines, a cervical MRI and a lumbar discogram.

Although the record contains two motions for partial summary judgment filed by Ms. Joseph, a resolution of these motions does not appear in the record. Nevertheless, a trial on the merits in this matter was held on March 19, 2001, at which time the WCJ determined that Ms. Joseph was entitled to an EMG of her lumbar spine. The WCJ, however, determined that Ms. Joseph's cervical and shoulder complaints were not work-related, and therefore denied the requested treatment for these complaints. The WCJ further denied Ms. Joseph's request for penalties and attorney's fees. This appeal followed.

ASSIGNMENTS OF ERROR

In this appeal, Ms. Joseph disputes the judgment of the WCJ in the following respects:

1) In finding appellant did not sustain a cervical injury.
2) In failing to find the lumbar discogram and other treatment ordered by Dr. Joseph Rauchwerk were medically necessary.
3) In failing to find appellant was temporarily totally disabled and entitled to weekly compensation benefits.

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Bluebook (online)
822 So. 2d 72, 2001 La.App. 1 Cir. 1666, 2002 La. App. LEXIS 2057, 2002 WL 1350450, Counsel Stack Legal Research, https://law.counselstack.com/opinion/joseph-v-je-merit-constructors-inc-lactapp-2002.