KLLM, Inc. v. Reed

771 So. 2d 728, 0 La.App. 3 Cir. 295, 2000 La. App. LEXIS 2320, 2000 WL 1509965
CourtLouisiana Court of Appeal
DecidedOctober 11, 2000
Docket00-295
StatusPublished
Cited by14 cases

This text of 771 So. 2d 728 (KLLM, Inc. v. Reed) 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
KLLM, Inc. v. Reed, 771 So. 2d 728, 0 La.App. 3 Cir. 295, 2000 La. App. LEXIS 2320, 2000 WL 1509965 (La. Ct. App. 2000).

Opinion

771 So.2d 728 (2000)

KLLM, INC.
v.
Norbert REED.

No. 00-295.

Court of Appeal of Louisiana, Third Circuit.

October 11, 2000.

*729 David A. Bowling, Wilson and Bowling, New Orleans, LA, Counsel for Plaintiff/Appellee.

Richard C. Broussard, Anderson and Broussard, Lafayette, LA, Counsel for Defendant/Appellant.

(Court composed of HENRY L. YELVERTON, SYLVIA R. COOKS, and MICHAEL G. SULLIVAN, Judges.)

SULLIVAN, Judge.

Norbert Reed, a long-haul truck driver for KLLM, Inc., injured his lower back and left hip on September 4, 1997, when he fell while exiting the cab of his eighteen-wheeler after an accident with two other vehicles. KLLM paid Mr. Reed workers' compensation benefits from that date through December 29, 1998, when it terminated payments upon learning that Mr. Reed failed to report to his treating physicians a previous work-related back injury of July 21, 1988 and a subsequent fall from a ladder on December 3, 1997. After a trial, the workers' compensation judge ordered the forfeiture of all benefits under La.R.S. 23:1208, finding that "the consistency with which Mr. Reed disclosed only particular information to particular physicians indicates that the false statements or representations were deliberate and willful" and that the false statements or representations were made for the purpose of obtaining workers' compensation benefits. For the following reasons, we affirm.

Factual Background

In addition to the present accident of September 4, 1997, the record reveals that Mr. Reed was involved in at least three other accidents. In July of 1980, while working at a shipyard, Mr. Reed sustained a herniated disc at C6-7 when a co-worker dropped his end of a steel plate that the two men were holding. For this injury, Mr. Reed underwent a cervical fusion and discectomy performed by Dr. Ricardo Leoni, a neurosurgeon in Lafayette, Louisiana, on September 1, 1981. On July 21, 1988, Mr. Reed re-injured his neck and injured his lower back and left hip in a work-related fall from a riding lawnmower. After this accident, Mr. Reed was seen over twenty times from 1988 through 1990 for chronic lower back pain and complaints of left hip pain at the Veterans' Administration (VA) hospital in Alexandria, Louisiana. Mr. Reed also returned to Dr. Leoni, who noted for this second injury: "His low back pain is really in the sacrum and goes into his left hip and thigh." Dr. Leoni further recorded: "His prognosis is guarded as he has been out of work for nearly two years." On December 3, 1997, four months after the present accident, Mr. Reed fell from a ladder in his home. Although he was still being treated by private physicians and physical therapists for the instant job-related injury, Mr. Reed returned to the VA hospital to get "checked out" because he was in severe pain the following morning.

After the present accident of September 4, 1997, Mr. Reed was first examined by an industrial medicine specialist who referred him to Dr. David Pope, an orthopedic surgeon in Alexandria. At his initial visit on September 9, 1997, Mr. Reed complained of neck and shoulder discomfort and a constant burning sensation in the lower back. Dr. Pope noted no obvious muscle spasm, but he observed decreased range of motion on all planes and tenderness of the paraspinal musculature over the left sacroiliac joint. Diagnosing a contusion to the left hip with a mild lumbar strain, Dr. Pope anticipated that Mr. Reed would reach maximum medical improvement in three to four weeks. However, on his return visit of September 22, 1997, Dr. Pope found "no significant improvement," with "slight fullness" and tenderness around the left iliolumbar ligaments. He ordered a physical therapy regimen and predicted a return to full duty in six to eight weeks. On October 13, 1997, Dr. Pope diagnosed "possible left SI dysfunction" after noting marked tenderness along the left sacroiliac joint and recording slow progress in the physical therapy program. *730 At that time, Dr. Pope referred Mr. Reed to Dr. Melanie Firmin for a steroid injection in the left sacroiliac joint. Mr. Reed did not return to Dr. Pope until February 18, 1998, after he had underwent the injection from Dr. Firmin and physical therapy from November 11, 1997 through January 5, 1998. Dr. Pope again diagnosed "possible left SI joint dysfunction" and recommended another injection as well as a functional capacity evaluation.

At his initial visit with Dr. Pope, Mr. Reed reported that he had undergone a surgical fusion performed by Dr. Leoni "approximately 17 years ago," but he did not mention the treatment that he received from the VA hospital or from Dr. Leoni for his complaints of lower back and left hip pain from the tractor accident in 1988. In completing a "Work-Related Injury Questionnaire" at Dr. Pope's office, Mr. Reed answered "No" to the questions, "Have you had any similar problems in the past?" and "Have you had any prior work-related or any other significant disabling injuries or illnesses?" Additionally, at his February 18, 1998 visit with Dr. Pope, Mr. Reed did not report the intervening fall from the ladder in December of 1997 or his treatment at the VA hospital after that accident.

On October 21, 1997, Mr. Reed was examined by Dr. David Muldowny, an orthopedic surgeon in Lafayette, Louisiana, for complaints of neck and lower back pain. Diagnosing cervical and lumbar sprains, Dr. Muldowny recommended physical therapy and MRIs of the affected areas. Mr. Reed returned to Dr. Muldowny on December 2, 1997, describing his pain in the past few weeks "as a rollercoaster" with "good days and bad." The results of both MRIs were normal, with the exception of the C6-7 fusion performed by Dr. Leoni. Dr. Muldowny considered Mr. Reed temporarily disabled from his job as a truck driver, and he ordered refills of his medications. When asked about previous injuries at his initial exam with Dr. Muldowny, Mr. Reed again reported only the cervical fusion required by his 1980 accident. His fall from the ladder occurred several hours after his second visit with Dr. Muldowny on December 2, 1997.

Dr. Jose Andino, an emergency medicine physician, examined Mr. Reed at the VA hospital on December 3, 1997, after his fall from the ladder the previous day. At that visit, Mr. Reed exhibited spasm from the mid back down and appeared to be in significant pain. He was given an intramuscular steroid injection and prescriptions for several medications, including Tylenol, Robaxin, and Fioricet. On January 14, 1998, Mr. Reed returned to the VA hospital because of an allergic reaction to one of the prescribed drugs. After reporting that his back was still hurting, Mr. Reed was given a prescription for eighty tablets of Percocet.

According to Dr. Andino, Mr. Reed did not indicate that he had a history of back pain or that he was undergoing physical therapy at that time. Dr. Andino was certain that any previous back pain would have been documented had Mr. Reed reported it. Based upon this history, Dr. Andino related the spasm to the fall from the ladder, but after reviewing Dr. Muldowny's notes of disabling back pain the day before, he stated that he could not separate the pain from the two incidents. The record indicates that the VA sought reimbursement for medical expenses from Mr. Reed's employer after learning of the present work-related accident.

On November 24, 1998, Mr. Reed was referred to Dr. Thomas Montgomery, an orthopedic surgeon in Lafayette, for an independent medical examination. Dr. Montgomery noted tenderness in the lower back and over the left sacroiliac joint, with "an exquisitely tender spot" with a palpable spasm.

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Bluebook (online)
771 So. 2d 728, 0 La.App. 3 Cir. 295, 2000 La. App. LEXIS 2320, 2000 WL 1509965, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kllm-inc-v-reed-lactapp-2000.