Laneaux v. Opelousas Artificial Kidney Center

640 So. 2d 701, 93 La.App. 3 Cir. 1264, 1994 La. App. LEXIS 1694, 1994 WL 234199
CourtLouisiana Court of Appeal
DecidedJune 1, 1994
DocketNo. 93-1264
StatusPublished
Cited by2 cases

This text of 640 So. 2d 701 (Laneaux v. Opelousas Artificial Kidney 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
Laneaux v. Opelousas Artificial Kidney Center, 640 So. 2d 701, 93 La.App. 3 Cir. 1264, 1994 La. App. LEXIS 1694, 1994 WL 234199 (La. Ct. App. 1994).

Opinion

| ¶YELVERTON, Judge.

The Administrative Hearing Officer heard this workers’ compensation case on its full merits but decided it at the threshold question of whether there was an accident, finding there was none and dismissing the action. Diana Laneaux, 33, the claimant, was employed as a patient care technician at Opelousas Artificial Kidney Center. On August 12, 1991, when she bent over to adjust a knob on a dialysis machine, her back popped and she experienced pain. We reverse the hearing officer’s finding as to the occurrence of an accident. We find that an accident clearly occurred. The hearing officer never reached the remaining issues. The record before us is complete. Following the precept of Gonzales v. Xerox Corporation, 320 So.2d 163 l2(La.1975), we decide the remaining issues: we find that the claimant was rendered temporarily totally disabled and award benefits accordingly; we find that the claimant has incurred medical expenses and we award those; we find that the defendants were arbitrary and capricious in denying benefits and award penalties and attorney’s fees; and we assess all costs against the defendants.

FACTS

Diana had been employed at Opelousas Artificial Kidney Center since 1984. She worked steadily except for one layoff period of 11 months and one maternity leave. Her duties included helping patients in and out of wheel chairs and dialysis machines. She also had to fill dialysis jugs and prepare the machines and patients for treatment.

There is no dispute as to what happened on August 12, 1991. She was bending down adjusting the negative pressure on a dialysis machine when she felt something pop in her back. She immediately reported the incident to her supervisor, Carol Babineaux, who subsequently filled out a report. Her supervisor asked her if she wanted to go see a doctor, but Diana said she would try resting at home. Diana went home. When her back began to hurt even worse that afternoon, she went to see Dr. Michael Lee, a chiropractor.

Dr. Lee was the only expert to testify at the hearing. He testified that she told him exactly what had happened earlier that day. His diagnosis was that of a lumbosacral joint injury. In Dr. Lee’s opinion, Diana had gotten herself into a juxtaposition when she bent down, and when she stressed the biomechan-ics of her lower back it popped out. Dr. Lee testified that Diana also suffered from a congenital condition which was asymptomatic at the | -¡time of her injury on August 12. Dr. Lee stated that her congenital problem together with her obesity contributed to the injury occurring.

The defendants argue that her disability was the result of a gradual deterioration or progressive degeneration of her back. They point out that in 1985 Diana sought chiropractic treatment from a Dr. Keith Quebe-deaux for neck and low back pain. Also, in 1990 Diana again sought chiropractic treatment from Dr. Rick Ortego for low back pain. Dr. Ortego’s 1990 diagnosis was that Diana suffered from lumbar facet syndrome. The defendants also call attention to some evidence that Diana had complained to fellow employees of back problems before this accident. From this evidence they argue that because Diana had complained of and had been treated previously for a degenerative low back condition, the events of August 12, 1991 did not directly produce the injuries complained of, but, rather, the disability was the product of a gradual deterioration or progressive degeneration.

Dr. Lee testified that the previous back problems that Diana sought treatment for were not the same as those for which he treated her on and following August 12,1991. He stated that Diana’s complaints to him of pain on the left side of her lower back were consistent with his diagnosis of a lumbar [703]*703joint or disc problem and not that of lumbar facet syndrome, where the pain in the back would be in the middle of the back. Thus, according to Dr. Lee the earlier manifestations were separate and distinguishable conditions.

This accident happened on a Monday. Diana testified, as did her supervisor, Ms. Babi-neaux, that she had suffered a back incident the previous Saturday, but did not report it as an accident. Ms. Babineaux also I testified that Diana had complained of back problems before but “[n]ot more than the usual backache problems. Other people had backaches.” Ms. Babineaux opined, “Everybody has a backache every once in a while.” There was no evidence at all that the plaintiff ever lost any time from work on account of her back.

ACCIDENT

La.R.S. 23:1021(1) defines what an accident means:

(1) “Accident” means an unexpected or unforeseen actual, identifiable, precipitous event happening suddenly or violently, with or without human fault, and directly producing at the time objective findings of an injury which is more than simply a gradual deterioration or progressive degeneration.

In ruling that there was no accident in this case, the hearing officer gave the following explanation:

In a case like the present one, where the accident was not a slip and fall type of injury, and which occurred while performing regular duties, and where the claimant has a congenital defect and degeneration in her back, and the complained of disability is a result of these problems becoming symptomatic, the alleged act in order to become compensable under post-1990 law must be unique to the job and not an activity customarily performed in everyday life. The act must involve heavy or strenuous labor or be an unusual activity characteristic to the job, such as in one case that appeared before the Court where the employee riding a tractor plowing a field ruptured a cervical disc because he had to turn his head repeatedly and quickly to look at the field behind him to make sure the rows were even.
In the present case, the symptoms occurred from claimant simply bending over. In the Court’s opinion, this act is an everyday occurrence and not uniquely characteristic of the job. It cannot, therefore, be compensable under post-1990 law.

The hearing officer in ruling that the act causing the employee’s injury “must involve heavy or strenuous labor or be an unusual activity ... ”, made the same misinterpretation as the hearing officer in Rice v. AT & T, 614 So.2d 358 (La.App. 2d Cir.1993). The hearing officer |Bin our present case in effect rewrote the requirements of La.R.S. 23:1021(1), to add the heightened physical work stress requirements of La.R.S. 23:1021(7)(e)(i) which pertains to heart-related or perivascular injuries. The Rice court interpreted the 1989 amendments to La.R.S. 23:1021 definitions of accident to mean that only heart-related or perivascular injuries require heightened physical work stress proof. In the definition of an accident involving a gradually deteriorated or progressively degenerative condition, no such requirement is made. We agree with Rice.

In Rice, the plaintiff was working on the assembly line at AT & T installing parts in cable telephones. She attempted to push her chair closer to the assembly line, while at the same time twisting and turning to reach the parts to be installed on the telephones. As a result of the described movement she felt a tightness in her back, radiating down into her right leg, causing her leg to go numb. She had a long history of back problems and had had surgery as recently as the year before this accident. In Rice, the claimant was found to have had an accident.

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640 So. 2d 701, 93 La.App. 3 Cir. 1264, 1994 La. App. LEXIS 1694, 1994 WL 234199, Counsel Stack Legal Research, https://law.counselstack.com/opinion/laneaux-v-opelousas-artificial-kidney-center-lactapp-1994.