Masters v. Scogin Auto Parts, Inc.

625 So. 2d 319, 1993 La. App. LEXIS 2945, 1993 WL 394609
CourtLouisiana Court of Appeal
DecidedOctober 6, 1993
Docket92-1346
StatusPublished
Cited by6 cases

This text of 625 So. 2d 319 (Masters v. Scogin Auto Parts, 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
Masters v. Scogin Auto Parts, Inc., 625 So. 2d 319, 1993 La. App. LEXIS 2945, 1993 WL 394609 (La. Ct. App. 1993).

Opinion

625 So.2d 319 (1993)

John D. MASTERS, Plaintiff-Appellee,
v.
SCOGIN AUTO PARTS, INC., Defendant-Appellant.

No. 92-1346.

Court of Appeal of Louisiana, Third Circuit.

October 6, 1993.

Jerold Edward Knoll, Marksville, for John D. Masters.

*320 Robert Dean Hoover, Baton Rouge, for Scogin Auto Parts, Inc.

Before GUIDRY, THIBODEAUX and COOKS, JJ.

GUIDRY, Judge.

This is a worker's compensation case. On April 8, 1989, plaintiff, John D. Masters, injured his lower back while working for defendant, Scogin Auto Parts, Inc. (Scogin). The injury occurred as Masters placed an engine block, which he had lifted by himself, onto the floor of the Scogin facility. The issues presented by this case concern the classification of plaintiff's disability, the propriety of certain medical expenses, and whether the imposition of penalties and attorney's fees against defendant was warranted. Additionally, we must decide which version of La.R.S. 23:1221 to apply to the determination of Masters' disability classification, the pre or post-January 1, 1990 version.

Defendant initially paid Masters temporary total disability benefits (TTD) from the date of injury until November 29, 1989 when, based on several medical opinions, benefits were terminated. On February 22, 1990, Masters filed suit against Scogin to recover compensation benefits, alleging that he was permanently and totally disabled and unable to return to work. After trial on May 26, 1990, the district court rendered judgment signed on June 11, 1990 in which Scogin was ordered to pay Masters TTD benefits from December 2, 1989 to May 26, 1990. Thereafter and continuing through the period of disability, defendant was ordered to pay supplemental earnings benefits (SEB). The judgment also cast Scogin for plaintiff's unpaid medical expenses plus penalties on the unpaid TTD benefits and medical expenses. Additionally, Scogin was ordered to pay $2,500 in attorney's fees to Masters.

From the time of his injury through trial, Masters was treated by several physicians including Dr. Christopher Rich, an Alexandria orthopedic surgeon. Dr. Rich referred Masters to Dr. John Jackson, a New Orleans neurosurgeon, who first examined Masters on August 14, 1989. In June of 1990, Dr. Jackson decided that, because continued conservative treatment was yielding no positive results, it was necessary to perform surgery in an attempt to alleviate Masters' constant pain. On June 22, 1990, nearly one month after trial, Dr. Jackson performed a bilateral discectomy, foraminotomy, and posterior lumbar interbody fusion at the L4-5 level.

Despite the fact that after May 26, 1990 Scogin was liable only for SEB, the employer continued to pay Masters uninterrupted TTD benefits because of the surgery. On July 12, 1990, Masters filed a petition for increase in worker's compensation benefits seeking to be declared totally and permanently disabled and entitled to benefits therefor.

On February 1, 1991, Dr. Clifton Shepherd, a Lafayette orthopedic surgeon, performed an independent medical examination on Masters. He was seen by Dr. Shepherd five times thereafter, during which time several diagnostic tests were performed including a three-dimensional CT scan and magnetic resonance imaging (MRI) test. Plaintiff also received vocational rehabilitation services under the supervision of Mark Cheairs, a certified vocational rehabilitation counselor. Cheairs presented five available sedentary and light duty jobs to Dr. Shepherd for his approval. All of the jobs analyzed by Cheairs, which would pay Masters at least $1,000 per month, were approved by Dr. Shepherd in December of 1991. Based upon Dr. Shepherd's approval of these five jobs, which would pay plaintiff at least 90% of his pre-accident average weekly wage, and his opinion that plaintiff had reached maximum medical improvement, Scogin unilaterally terminated the payment of TTD benefits on December 21, 1991.

In reaction to the termination of his benefits, plaintiff filed a supplemental and amending petition on January 13, 1992 seeking to be declared totally and permanently disabled, penalties and attorney's fees, and payment for certain medical and future psychiatric treatments. Trial on these matters was held on June 29, 1992. The district court rendered judgment in favor of Masters finding that he was still temporarily and totally disabled and, thus, entitled to TTD benefits from December 21, 1991 to June 29, 1992 and continuing during the period of disability.

*321 Additionally, Scogin was held liable for $2,663.33 in previously unpaid medical expenses and $1,458.40 in previously unpaid travel expenses. Defendant was also found arbitrary and capricious for its unilateral termination of benefits and its refusal to pay for a treadmill prescribed by Dr. Jackson for Masters. Statutory penalties of 12% were assessed on the delinquent weekly compensation benefits and the price of the treadmill, $672.99. Attorney's fees in the amount of $4,000 were also awarded to plaintiff. Moreover, defendant was ordered to pay for "psychiatric evaluation and treatment for the plaintiff ... should he go to a psychiatrist".

From this judgment, Scogin appeals and assigns the following errors to the action of the trial court:

1) Improperly applying the "working in pain" doctrine;
2) Awarding TTD benefits instead of SEB;
3) Ordering defendant to pay for the treadmill and future psychiatric treatment; and,
4) Awarding penalties and attorney's fees.

For the following reasons, we reverse only the district court's ruling that Masters is entitled to psychiatric treatment. In all other respects, we affirm.

LAW APPLICABLE

The first assignment of error presents the issue of whether the pre or the post-January 1, 1990 version of La.R.S. 23:1221 is applicable to this case. The statute was amended by Act 454 of 1989, which became effective January 1, 1990. Under the temporary total disability classification, the amendment heightened the claimant's burden of proof to "clear and convincing evidence" and abolished the applicability of the "working in pain", "odd lot" and "sheltered employment" doctrines.

Defendant contends that the district court erred in applying the "working in pain" doctrine to this case. Specifically, Scogin argues that the court should have applied the disability classification law, as amended effective January 1, 1990, because plaintiff's disability rating increased in June of 1990. Alternatively, Scogin argues that Act 454 of 1989 effected an interpretive change in the disability classification statute and should be retroactively applied to the date of his injury, April 8, 1989.

Prior to January 1, 1990, La.R.S. 23:1221(1) provided as follows:

Compensation shall be paid under this Chapter in accordance with the following schedule of payments:
(1) Temporary total. For injury producing temporary total disability of an employee to engage in any self-employment or gainful occupation for wages whether or not the same or a similar occupation as that in which the employee was customarily engaged when injured and whether or not an occupation for which the employee at the time of injury was particularly fitted by reason of education, training, or experience, sixty-six and two-thirds percent of wages during the period of such disability.

Under this prior law, a worker was considered temporarily and totally disabled if he was in a recovery period and could not work because of substantial pain. Zeigler v. Pleasant Manor Nursing Home,

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625 So. 2d 319, 1993 La. App. LEXIS 2945, 1993 WL 394609, Counsel Stack Legal Research, https://law.counselstack.com/opinion/masters-v-scogin-auto-parts-inc-lactapp-1993.