Mallery v. Dynamic Industries, Inc.

86 So. 3d 826, 11 La.App. 3 Cir. 1221, 2012 WL 832793, 2012 La. App. LEXIS 344
CourtLouisiana Court of Appeal
DecidedMarch 14, 2012
DocketNo. 11-1221
StatusPublished
Cited by2 cases

This text of 86 So. 3d 826 (Mallery v. Dynamic Industries, Inc.) 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
Mallery v. Dynamic Industries, Inc., 86 So. 3d 826, 11 La.App. 3 Cir. 1221, 2012 WL 832793, 2012 La. App. LEXIS 344 (La. Ct. App. 2012).

Opinion

KEATY, Judge.

Iiln this workers’ compensation case, Defendants, Dynamic Industries, Inc. (Dynamic) and Louisiana Workers’ Compensation Corporation (LWCC), appeal a judgment of the workers’ compensation judge (WCJ) in favor of Dynamic’s former employee, Felton Mallery. For the following reasons, we amend, affirm as amended, and award Mallery additional attorney fees.

FACTS AND PROCEDURAL HISTORY

Mallery worked for Dynamic as a painter/sandblaster. He was injured on September 26, 2006, when a forklift caught a beam and dragged it onto his right leg, fracturing it. He developed low back pain as a result of his injury. On June 2, 2009, Mallery underwent lumbar surgery. He began suffering with neck pain several weeks later.

Mallery filed a 1008 Disputed Claim for Compensation (1008) in August 2009, alleging that Dynamic had failed to authorize and/or pay for his healthcare expenses, including several cervical nerve block injections and the purchase of a muscle stimulator. He sought penalties and attorney fees, contending that Dynamic had failed to reasonably controvert his claim.

At the start of the June 30, 2011 trial in this matter, the parties stipulated that: 1) Mallery was employed by Dynamic on the date of the accident, and the accident was in the course and scope of his employment; 2) Mallery is receiving benefits at the rate of $478 per week, the maximum amount allowed on the date of his September 26, 2006 accident; 3) if called to testify, Mal-lery would state that his initial injuries were to his leg and low back, that his cervical problems arose after his 2009 lumbar surgery, and that he desires to have the cervical surgery suggested by Dr. John Cobb. No witnesses were called by either party, and Mallery offered as exhib[828]*828its his records from Dr. Cobb, his orthopedic surgeon.

laAt the conclusion of the two-day trial, the WCJ issued a ruling from the bench finding that Mallery’s cervical complaints were related to his original work injury and that Defendants were responsible for all reasonable and necessary medical treatment related to his cervical spine, including the surgery recommended by Dr. Cobb. The WCJ assessed Defendants with $7,000 in attorney fees and the following penalties: $2,000 for failing to recognize the cervical conditions as related; $2,000 for failure to authorize the cervical surgery; and $2,000 for failure to authorize post-surgical care and other medical treatment of Mallery’s neck. A written judgment in conformance with the oral ruling was signed on August 12, 2011.

Defendants now appeal. First, they claim that the WCJ erred in ordering them to pay for the cervical surgery recommended by Dr. Cobb because the surgery is unrelated to Mallery’s September 26, 2006 work-related accident. Next, they claim that the WCJ erred in awarding penalties and attorney fees for their failure to authorize the cervical surgery. Mallery answers the appeal, seeking additional attorney fees for the work done in answering and defending this appeal.

DISCUSSION

“Factual findings in workers’ compensation cases are subject to the manifest error or clearly wrong standard of appellate review. In applying the manifest error standard, the appellate court must determine not whether the trier of fact was right or wrong, but whether the factfinder’s conclusion was a reasonable one.” Foster v. Rabalais Masonry, Inc., 01-1394, p. 2 (La.App. 8 Cir. 3/6/02), 811 So.2d 1160, 1162, writ denied, 02-1164 (La.6/14/02), 818 So.2d 784 (citation omitted).

In Green v. National Oilwell Varco, 10-1041, pp. 3-4 (La.App. 3 Cir. 4/27/11), 63 So.3d 354, 358, we explained:

[s“The determination of coverage is a subjective one in that each case must be decided from all of its particular facts.” Jackson v. Am. Ins. Co., 404 So.2d 218, 220 (La.1981). This court has held that, in light of that standard of review, “great deference is accorded to the [workers’ compensation judge’s] factual findings and reasonable evaluations of credibility.” Cent. Lumber Co. v. Duhon, 03-620, p. 3 (La.App. 3 Cir. 11/12/03), 860 So.2d 591, 593, writ denied, 04-315 (La.4/2/04), 869 So.2d 880 (quoting Garner v. Sheats & Frazier, 95-39, p. 7 (La.App. 3 Cir. 7/5/95), 663 So.2d 57, 61).

In Pender v. Southern Farm Bureau Casualty Insurance Co., 280 So.2d 599 (La.App. 3 Cir.1973) (Pender II), the claimant had suffered two work-related accidents in a one-and-one-half year time period. He later had surgery and suffered a serious infection as a complication of the surgery, which resulted in a lengthy period of convalescence and left him depressed. Claimant’s employer changed workers’ compensation insurers during the period between his two accidents. On appeal, claimant asserted that the second accident contributed to his disability. This court decided that it did not. In doing so, we looked to our earlier decision in Pender v. National Fire and Marine Insurance Co., 255 So.2d 95 (La.App. 3 Cir.), writ denied, 260 La. 132, 255 So.2d 355 (1971) (.Pender I), wherein we determined that the claimant had been totally and permanently disabled since the first accident. We then stated in Pender II:

[P]laintiff offered no new evidence that could in any way be considered as dem[829]*829onstrating that the [second] accident played a greater role in effecting his disability.... Instead his evidence served only to show the continuing disability that he is experiencing because of the infection that followed his operation and the mental depression that his lengthly [sic] convalescence produced. The fact still remains that what made his surgery necessary was the [first] accident, as was decided by this court in the previous case. By cause and effect it follows that any complications of said surgery were likewise the result of the ¡first] accident. If the [second] ‘accident’ had no bearing on plaintiff’s ailment it likewise could have no bearing on any surgical procedures made necessary by that ailment or on any consequences of the surgery.

Pender, 280 So.2d at 602 (emphasis added). See also Deville v. Townsend Bros. Const. Co., 284 So.2d 110 (La.App. 3 Cir. 1973) (an employer’s liability for | compensation for initial injury is not diminished if the disability from that injury is aggravated or prolonged due to complications that follow).

“The law is settled that an employer accepts an employee as he finds him, and that ordinarily the Workmen’s Compensation Act affords coverage if a work-connected accident precipitates or accelerates a pre-existing disposition or disease into becoming a present disability.” Porter v. Augenstein Const. Co., 280 So.2d 861, 864 (La.App. 3 Cir.1973).

Cervical Condition

On appeal, Defendants argue that “there can be no credible argument” that Mallery’s cervical complaints are directly related to his September 2006 work accident because they did not arise until nearly three years later. As they interpret Dr. Cobb’s records, Mallery suffered from a degenerative condition in his neck that “simply progressed over the intervening years following his work accident.” Defendants further contend that cervical complaints are not a “normal” risk associated with lumbar surgery.

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Bluebook (online)
86 So. 3d 826, 11 La.App. 3 Cir. 1221, 2012 WL 832793, 2012 La. App. LEXIS 344, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mallery-v-dynamic-industries-inc-lactapp-2012.