LANE MEMORIAL HOSP v. Gay

873 So. 2d 682, 2004 WL 324981
CourtLouisiana Court of Appeal
DecidedFebruary 23, 2004
Docket2003 CA 0701
StatusPublished
Cited by8 cases

This text of 873 So. 2d 682 (LANE MEMORIAL HOSP v. Gay) 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
LANE MEMORIAL HOSP v. Gay, 873 So. 2d 682, 2004 WL 324981 (La. Ct. App. 2004).

Opinion

873 So.2d 682 (2004)

LANE MEMORIAL HOSPITAL
v.
Sheila Gaspard GAY.

No. 2003 CA 0701.

Court of Appeal of Louisiana, First Circuit.

February 23, 2004.

*684 J. Douglas Sunseri, Metairie, Jean-Louis Lemoine, Lafayette, Counsel for Plaintiffs/Appellants Lane Memorial Hospital and Louisiana Hospital Association-Workers' Compensation Group Self-Insurance Fund.

Charles R. Davoli, Baton Rouge, Counsel for Defendant/Appellee Sheila Gaspard Gay.

Before: PETTIGREW, DOWNING, and McCLENDON, JJ.

MCCLENDON, J.

The salient issue raised on appeal in this workers' compensation case is whether, pursuant to LSA-R.S. 23:1121, an employer can require an employee to submit to a second opinion examination by a physician of the employer's choice. Finding it cannot, we affirm the judgment of the Office of Workers' Compensation.

In June of 1991, while working as a phlebotomist at Lane Memorial Hospital, Sheila Gaspard Gay sustained a work-related injury. Gay has received weekly indemnity benefits since June 1991 and has received extensive medical treatment for alleged complications involving blood clots, thrombosis, and other blood flow problems in various parts of her body.

In November of 2001, Lane Memorial Hospital filed a disputed claim for compensation, seeking a judicial determination of the classification of indemnity benefits to which Gay is entitled[1] and requesting a second opinion examination of Gay by Dr. Watts Webb, a thoracic and vascular surgeon, pursuant to LSA-R.S. 23:1121. On March 6, 2002, Lane Memorial Hospital filed a motion to compel Gay to submit to a physical examination by Dr. Watts Webb. Gay filed an opposition to the employer's motion to compel and requested sanctions against Lane Memorial Hospital pursuant to LSA-C.C.P. art. 863. After hearing the matter, the workers' compensation judge denied the motion to compel and awarded Gay $3,000 in attorney's fees. Lane Memorial Hospital appeals.

Initially, Lane Memorial Hospital urges on appeal that the workers' compensation judge erred in denying its motion to compel Gay's physical examination by Dr. Webb. LSA-R.S. 23:1121 A[2] governs the employer's right to seek medical examination of an injured employee and provides as follows:

A. An injured employee shall submit himself to an examination by a duly qualified medical practitioner provided and paid for by the employer, as soon after the accident as demanded, and from time to time thereafter as often as may be reasonably necessary and at reasonable hours and places, during the pendency of his claim for compensation or during the receipt by him of payments under this Chapter. The employer or his workers' compensation carrier shall not require the employee to be examined by more than one duly qualified medical practitioner in any one field *685 or specialty unless prior consent has been obtained from the employee.

The record reflects that Dr. David Depp, a thoracic and cardiovascular surgeon, treated Gay for approximately four years beginning on September 10, 1991. Dr. Depp performed surgery on Gay in 1993 and 1994. Drs. Jon V. Schellack and John Frusha of Vascular Surgery Associates of Baton Rouge, both thoracic and vascular surgeons, began treating Gay in 1995 and continued to treat Gay at the time of the hearing herein. In late 1996, Dr. Schellack recommended that Gay seek another opinion to determine whether Gay was eligible for an experimental surgery by Dr. David B. Roos, a vascular surgeon in Denver, Colorado. In November of 1996, Dr. Roos performed an experimental surgical procedure on Gay. Gay continued her treatment with Drs. Schellack and Frusha after returning from surgery and treatment in Colorado. The workers' compensation judge made the factual determination that each of these thoracic and vascular surgeons was chosen by the employer. This conclusion is clearly supported by the record and is not manifestly erroneous. See Stobart v. State, Dep't of Transp. and Dev., 617 So.2d 880, 882 (La. 1993).

Lane Memorial Hospital urges that Gay treated with Drs. Schellack and Frusha for over forty examinations from 1995 to present and, as such, Drs. Schellack and Frusha are Gay's "de facto" treating physicians in the field of thoracic and vascular surgery. The employer notes that there have been no second opinion examinations pursuant to LSA-R.S. 23:1121 A by a thoracic and vascular surgeon selected by Lane Memorial Hospital during this time period. Lane Memorial Hospital asserts that, since Drs. Schellack and Frusha became the employee's "de facto" physicians in the field of thoracic and vascular surgery, it has the right to compel a second opinion examination by a specialist, of the employer's choice, in the field of thoracic and vascular surgery. We disagree.

In Smith v. Southern Holding, Inc., 02-1071 (La.1/28/03), 839 So.2d 5, the Louisiana Supreme Court reviewed the statutory provisions of LSA-R.S. 23:1121 and held that an employee possesses "the right to choose his treating physician, even though he or she submitted to treatment by the employer's physician." Smith, 02-1071 at p. 8, 839 So.2d at 10. The court specifically noted that LSA-R.S. 23:1121 B places no limit on the employee's right of selection of a physician "by submitting to treatment by the employer's physician, even for an appreciable amount of time. The statute is clear and mandatory that the `employee shall have the right to select one treating physician ...'" Smith, 02-1071 at p. 9, 839 So.2d at 11. In this case, the Louisiana Supreme Court rejected the jurisprudentially recognized de facto selection of a physician pursuant to LSA-R.S. 23:1121 as set forth in such cases as Moore v. Sanderson Farms, Inc., 95-2042 (La. App. 1 Cir. 5/10/96), 674 So.2d 478, writ denied, 96-1399 (La.9/13/96), 679 So.2d 106, and Guillotte v. Dynamic Offshore Contractors, 628 So.2d 234 (La.App. 3 Cir. 1993). Chauvin v. Southern, Technology & Services, Inc., 02-1871, p. 5 (La.App. 1 Cir. 6/27/03), 858 So.2d 519, 522. The supreme court, applying the rules of strict construction, held that the statute does not recognize the concept of de facto selection, rather an employee has the right to choose one treating physician regardless of treatment by the employer's physician. Therefore, Lane Memorial Hospital's contention that Dr. Schellack became Gay's de facto physician must fail.

Louisiana Revised Statutes 23:1121 A provides that "[t]he employer or his workers' compensation carrier shall not require *686 the employee to be examined by more that one duly qualified medical practitioner in any one field or specialty unless prior consent has been obtained from the employee." (Emphasis added.) Therefore, an employer may compel examination of an injured employee by only one physician in each field. The statutory provision provides no exception for length of treatment or complexity of condition as asserted by Lane Memorial Hospital. See Smith, 02-1071 at p. 9, 839 So.2d at 11. Herein, Lane Memorial Hospital had already chosen a thoracic and vascular surgeon and it was not Dr. Webb. Therefore, it may not compel Gay to submit to examination by Dr. Webb, and the workers' compensation judge correctly denied the employer's motion to compel.

Lane Memorial Hospital also urges on appeal the workers' compensation judge erred in imposing sanctions against it pursuant to LSA-C.C.P. art. 863. Article 863 authorizes a court to impose sanctions upon an attorney who signs pleadings without making an objectively reasonable inquiry into the facts and law.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Hardy v. Hardy
273 So. 3d 448 (Louisiana Court of Appeal, 2019)
Matthews v. MacK
978 So. 2d 1258 (Louisiana Court of Appeal, 2008)
Bracken v. Payne and Keller Company, Inc.
970 So. 2d 582 (Louisiana Court of Appeal, 2007)
Adams v. Dependable Source Corp.
961 So. 2d 1183 (Louisiana Court of Appeal, 2007)
Nelson v. Windmill Nursery of Louisiana
923 So. 2d 709 (Louisiana Court of Appeal, 2005)
Mansur v. Cox
898 So. 2d 446 (Louisiana Court of Appeal, 2004)

Cite This Page — Counsel Stack

Bluebook (online)
873 So. 2d 682, 2004 WL 324981, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lane-memorial-hosp-v-gay-lactapp-2004.