Lauryn Ruebush v. Office of Risk Management & the Care Center of Dequincy

CourtLouisiana Court of Appeal
DecidedApril 8, 2015
DocketWCA-0014-1107
StatusUnknown

This text of Lauryn Ruebush v. Office of Risk Management & the Care Center of Dequincy (Lauryn Ruebush v. Office of Risk Management & the Care Center of Dequincy) 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
Lauryn Ruebush v. Office of Risk Management & the Care Center of Dequincy, (La. Ct. App. 2015).

Opinion

STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT

14-1107

LAURYN RUEBUSH

VERSUS

OFFICE OF RISK MANAGEMENT & THE CARE CENTER OF DEQUINCY

**********

APPEAL FROM THE OFFICE OF WORKERS’ COMPENSATION – DISTRICT 3 PARISH OF CALCASIEU, NO. 11-05528 CHARLOTTE L. BUSHNELL, WORKERS’ COMPENSATION JUDGE

MARC T. AMY JUDGE

Court composed of Sylvia R. Cooks, John D. Saunders, Marc T. Amy, John E. Conery, and David Kent Savoie, Judges.

AFFIRMED. ADDITIONAL ATTORNEY FEES AWARDED FOR WORK PERFORMED ON APPEAL.

Conery, J., concurs in part, dissents in part, and assigns reasons. Savoie, J., concurs in part and dissents in part for the reasons assigned by Conery, J.

H. Douglas Hunter Guglielmo, Lopez, Tuttle, Hunter & Jarrell, L.L.P. Post Office Drawer 1329 Opelousas, LA 70571-1329 (337) 948-8201 COUNSEL FOR DEFENDANT/APPELLANT: The Care Center of DeQuincy Marcus Zimmerman 4216 Lake Street Lake Charles, LA 70605 (337) 474-1644 COUNSEL FOR PLAINTIFF/APPELLEE: Lauryn Ruebush AMY, Judge.

The claimant alleged that she sustained injury to her hand while working as

a nurse at the defendant nursing home. She resigned from her position following

the accident and alleged that the condition of her hand deteriorated, eventually

resulting in a diagnosis of complex regional pain syndrome. Although the

employer provided certain medical treatment, the claimant filed this matter seeking

medical care that had been denied, indemnity benefits, and penalties and attorney

fees. The workers’ compensation judge ruled in favor of the claimant. The

employer appeals. For the following reasons we affirm, and award additional

attorney fees to the claimant for work performed on appeal.

Factual and Procedural Background

At the time of the December 4, 2010 work-related accident now at issue, the

claimant, Lauryn Ruebush, was employed as a nurse at The Care Center of

Dequincy, a nursing home. The claimant explained that, on that date, she

approached an altercation between two patients and that an aluminum walker used

by one of the patients struck her left hand/wrist. The claimant testified that she

continued with her shift, but that she indicated to her supervisor that she was

resigning due to the stressful nature of the position.

Although the claimant explained that her condition initially improved and

she began working as a nurse at Deer Creek Hospital, she testified that her

condition began to worsen. Specifically, she began having trouble with swelling

and discoloration in her hand. The claimant explained that a physician at the

facility suggested that she could have developed reflex sympathetic dystrophy. Ms. Ruebush explained that her family physician referred her to Dr. Steven Hale,

an orthopedic surgeon.

Dr. Hale testified in his deposition that, although he found bruising,

―swelling . . . and tenderness near her fifth metacarpal head and decreased

sensation in the ulnar distribution of her hand[,]‖ x-rays were negative for obvious

fracture or dislocation. He explained that, following an EMG, he diagnosed Ms.

Ruebush as having an ulnar nerve injury and that she was beginning to have early

complex regional pain syndrome. Dr. Hale stated that a bone scan and MRI,

conducted in March 2011, were consistent with the complex regional pain

syndrome diagnosis.

On Dr. Hale’s order, Ms. Ruebush underwent a nerve block in June 2011

and also began seeing Dr. Robert LeBlanc, an orthopedic surgeon, for further

investigation of the condition. Ms. Ruebush ultimately reported that her pain did

not decrease following the nerve block. Dr. LeBlanc testified that the failure of the

block to improve the condition could have meant either that she did not have

complex regional pain syndrome or that she was outside of the time frame where it

would be effective. Similarly, as with the nerve block, an injection performed by

Dr. LeBlanc afforded no relief. Dr. LeBlanc offered the claimant an exploratory

arthroscopic surgery for diagnostic purposes. However, that surgery was not

performed.

During this time frame, the claimant’s family physician referred her to Dr.

Tarun Jolly, an anesthesiologist and pain management physician. Although the

employer denied her request to see Dr. Jolly, she began treating with him in

January 2012. He reported that, on this first visit, his diagnosis ―was qualified as

complex regional pain syndrome of Type 1 of the upper [left] limb, as well as

2 chronic pain due to trauma.‖ He explained in his deposition that objective findings

supported the diagnosis. By June 2012, and while under Dr. Jolly’s care, the

claimant had a spinal cord stimulator inserted. At the hearing, she responded

―[a]bsolutely‖ when asked whether she was ―capable of doing some sort of light

duty work‖ due to the success of that procedure. She explained that a revision

surgery to that implantation was required after her symptoms returned. The

claimant denied, however, that she could return to the physical demands of her

prior work as a charge nurse. A November 2013 Functional Capacity Evalution

also indicated that a return to light duty would be possible.

The disputed claim form instituting this matter was filed in July 2011 against

both the employer and Risk Management Services,1 by which the claimant sought

indemnity benefits, medical benefits, and penalties and attorney fees for the failure

to provide services. At the workers’ compensation hearing, the parties entered into

several stipulations, including: the occurrence of the work-related accident; the

fact that the employer had not paid indemnity benefits (but that some medical

expenses were paid); and the fact that the employer denied Dr. Jolly’s involvement

and any treatment emanating from him.

Following a hearing, the workers’ compensation judge ruled in favor of the

claimant. The ruling, and an amended ruling, awarded: temporary total disability

benefits for the period between January 24, 2012 through September 9, 2012 and

supplemental earnings benefits after September 10, 2012. The workers’

compensation judge also ordered the reimbursement of the claimant’s out-of-

pocket medical expenses, as well as a penalty of $2,000 for the failure to reimburse

1 The record indicates that the employer was self-insured and that this claim was administered by Risk Management Services.

3 sums expended in co-payments and $2,000 for failure to provide indemnity

benefits. The workers’ compensation judge awarded attorney fees in the amount of

$18,000 as well as litigation expenses and court costs.

The employer appeals, arguing that the workers’ compensation judge erred

in: 1) finding that the claimant proved that her condition arose as a result of a

workplace accident; 2) finding that the claimant is entitled to reimbursement of

out-of-pocket medical expenses; 3) finding that the claimant is entitled to

indemnity benefits; and 4) awarding penalties and attorney fees.

The claimant answers the appeal, seeking an increase in attorney fees and

asserting that the workers’ compensation judge erred in limiting reimbursement.

Discussion

Work-Related Injury

In its first assignment of error, the employer suggests that the workers’

compensation judge erred in the finding that the claimant suffers from complex

regional pain syndrome in her upper left extremity as a result of the work-related

accident.

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