Lanaux v. Thibodaux Regional Medical Center

36 So. 3d 311, 2009 La.App. 1 Cir. 1556, 2010 La. App. LEXIS 444, 2010 WL 1170059
CourtLouisiana Court of Appeal
DecidedMarch 26, 2010
DocketNo. 2009 CA 1556
StatusPublished
Cited by1 cases

This text of 36 So. 3d 311 (Lanaux v. Thibodaux Regional Medical Center) 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
Lanaux v. Thibodaux Regional Medical Center, 36 So. 3d 311, 2009 La.App. 1 Cir. 1556, 2010 La. App. LEXIS 444, 2010 WL 1170059 (La. Ct. App. 2010).

Opinion

GUIDRY, J.

12In this workers’ compensation action, Rebecca Lanaux appeals from a judgment of the Office of Workers’ Compensation in favor of defendant, Thibodaux Regional Medical Center (“Thibodaux Regional”), dismissing her claim for supplemental earnings benefits, penalties, and attorney fees. For the reasons that follow, we affirm.

FACTS AND PROCEDURAL HISTORY

Rebecca Lanaux, a registered nurse, worked as a home health nurse for Thibo-daux Regional. On November 18, 2003, Lanaux sustained injury to her lower back while performing duties within the course and scope of her employment.

Thereafter, Thibodaux Regional paid Lanaux temporary total disability benefits of $429.00 per week. On September 19, 2006, Lanaux filed a disputed claim for compensation, indicating a dispute as to Lanaux’s disability status and stating that a new issue had arisen relative to discovery interrogatories. On March 28, 2006, Lanaux and Thibodaux Regional entered into a consent judgment wherein Thibo-daux Regional agreed to continue paying benefits at the full rate of $429.00 per week until such time that Lanaux was released to return to some form of gainful activities. Thibodaux Regional also agreed to pay $4,000.00 in satisfaction of all claims for penalties and $4,000.00 in attorney’s fees for all actions by Thibodaux Regional and its agent prior to November 5, 2005.

On July 8, 2007, Thibodaux Regional suspended Lanaux’s benefits based on a labor market survey and a vocational rehabilitation report prepared by Jeannie Lillis. Lanaux subsequently filed an amended disputed claim for compensation, disputing Thibodaux Regional’s termination of benefits and requesting attorney’s fees. Following a trial, the workers’ compensation judge ruled in favor of [aThibodaux Regional, dismissing Lanaux’s claim for supplemental earnings benefits, penalties, and attorney’s fees. Lanaux now appeals from this judgment.

[314]*314DISCUSSION

Standard of Review

In a workers’ compensation case, the appellate court’s review of factual findings is governed by the manifest error or clearly wrong standard of review. Scott v. Lakeview Regional Medical Center, 01-0538, p. 3 (La.App. 1st Cir.3/28/02), 818 So.2d 217, 220, writ denied, 02-1712 (La.10/4/02), 826 So.2d 1127. Thus, factual findings of the workers’ compensation judge cannot be set aside unless the appellate court determines that there is no reasonable factual basis for the findings and that the findings are clearly wrong. Scott, 01-0538, at p. 3, 818 So.2d at 220.

If the findings are reasonable in light of the record reviewed in its entirety, an appellate court may not reverse even though convinced that had it been sitting as the trier of fact, it would have weighed the evidence differently. Furthermore, when factual findings are based on the credibility of witnesses, the fact finder’s decision to credit a witness’s testimony must be given great deference by the appellate court. Rosell v. ESCO, 549 So.2d 840, 844 (La.1989).

Temporary Total Disability Benefits (TTD)

A claimant who seeks TTD benefits must prove by clear and convincing evidence, unaided by any presumption of disability, that he is physically unable to engage in any employment or self-employment, regardless of the nature or character of the work, or employment while working in pain. La. R.S. 23:1221(l)(c). In the absence of such evidence, the claimant’s demand for TTD benefits fails. Bonvillain v. Preferred Industries, 04-0849, p. 12 (La.App. 1st Cir.5/27/05), 917 So.2d 1, 8.

14An employee is ineligible for TTD benefits when his physical condition has resolved itself to the point that a “reasonably reliable determination of extent of disability” may be made and “continued, regular treatment by a physician is not required.” Further, upon reaching maximum medical improvement, an injured worker who is able to return to work, even in pain, is no longer eligible for TTD benefits, but instead is relegated to supplemental earnings benefits. Foley v. Sportran, City of Shreveport, 40,624, p. 5 (La.App. 2nd Cir.5/17/06), 930 So.2d 368, 371.

In the instant case, Lanaux treated with two physicians, Dr. Thomas Dormer and Dr. Todd Cowen. Dr. Donner determined that Lanaux should be able to return to work in October 2004 following recovery from back surgery. However, when Lanaux expressed her opinion in December 2004 that she was unable to work full time, he referred her to Dr. Cowen for a functional capacity evaluation (FCE). Dr. Donner did not see Lanaux again until October 2008, some four years later, when she came to his office complaining of chronic lower extremity pain. However, at that time, Lanaux’s physical exam was normal and he discussed epidural steroid injections and medication. Thereafter, on February 27, 2009, Dr. Donner determined that Lanaux had reached maximum medical improvement.

Dr. Cowen noted in January 2006 that Lanaux had reached maximum medical improvement. In February 2006, he expressed his opinion that Lanaux could work at a sedentary level with no bending or lifting, and alternating from sitting to standing. Additionally, between December 2006 and December 2007, Dr. Cowen approved approximately eleven full-time positions for Lanaux as submitted by Jeannie Lillis. Finally, the records show that Lanaux went approximately two years [315]*315before returning to Dr. Cowen in May 2008, complaining of chronic pain.

|Jn addition to the medical records from Lanaux’s treating physicians, the record also contains the report and deposition of Trevor Bardarson who conducted Lanaux’s FCE. According to Bardarson’s report, he found Lanaux to be “currently unemployable.” However, in an addendum to his report and in his deposition testimony, Bardarson indicated that his report was based on a snapshot of that particular day and he would defer to Lanaux’s doctors as to her ability to work. Bardarson indicated that at the time of the FCE, he felt that Lanaux would benefit from further medical intervention; however, if there was no further treatment that Lanaux was willing to receive, he would have no disagreement with the doctors’ decision to release La-naux to perform sedentary work. Further, Bardarson stated that Lanaux would do well in case management, desk-type nursing.

Finally, according to the record and by her own admission, Lanaux had looked for employment since August 2004, albeit she thought she was only capable of part-time work due to her chronic pain. It is well settled that chronic pain is not enough to establish disability, because chronic pain does not meet the requirements of physical disability under La. R.S. 23:1221(l)(e). Bonvillain, 04-0849, p. 14, 917 So.2d at 9. Accordingly, to the extent that Lanaux indicated that she was capable of at least part-time work, and upon our review of the record as detailed above, we find no error in the workers’ compensation judge’s determination that Lanaux failed to prove by clear and convincing evidence that she is entitled to TTD.

Supplemental Earnings Benefits (SEB)

An employee is entitled to receive SEB if he sustains a work-related injury that results in his inability to earn ninety percent or more of his pre-injury wage. La. R.S. 23:1221(3)(a). The employee bears the burden of proving, by a preponderance of the evidence, that the work-related injury resulted in his inability to earn that amount under the facts and circumstances of the individual case. Hayes v.

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36 So. 3d 311, 2009 La.App. 1 Cir. 1556, 2010 La. App. LEXIS 444, 2010 WL 1170059, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lanaux-v-thibodaux-regional-medical-center-lactapp-2010.