Miller v. Roger Miller Sand, Inc.

632 So. 2d 1176, 93 La.App. 3 Cir. 252, 1994 La. App. LEXIS 130, 1994 WL 41677
CourtLouisiana Court of Appeal
DecidedFebruary 9, 1994
DocketNo. 93 00252
StatusPublished
Cited by4 cases

This text of 632 So. 2d 1176 (Miller v. Roger Miller Sand, 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
Miller v. Roger Miller Sand, Inc., 632 So. 2d 1176, 93 La.App. 3 Cir. 252, 1994 La. App. LEXIS 130, 1994 WL 41677 (La. Ct. App. 1994).

Opinions

KNOLL, Judge.

Austin Miller appeals the hearing officer’s limitation of his right to worker’s compensation disability benefits to a two week period. The hearing officer determined that Miller suffered a compensable injury, a torn rotator cuff, when he fell into a deep ditch. However, because Miller suffered a stroke unrelated to his employment, after his fall, the hearing officer concluded that Miller was only entitled to worker’s compensation benefits for a two week period, since the intervening stroke precluded him from undergoing surgery to repair the torn rotator cuff.

Miller appeals contending that the hearing officer erred in: (1) not finding him totally disabled; (2) not finding him entitled to medical treatment; (3) failing to alternatively find him entitled to supplemental earnings benefits; and, (4) not finding his employer’s insurer arbitrary and capricious and thus liable for penalties and attorney’s fees.

FACTS

On or about February 2, 1991, Miller, who was 73 years of age at the time of his work-related accident, fell 10 to 15 feet into a ditch while working for Roger Miller Sand, Inc. (Miller Sand). Miller did not consult a physician for treatment of his shoulder injury until after his termination from work on March 31, 1991. When Miller sought medical treatment from Dr. Lester Ancelet, a general surgeon, on April 26,1991, it was determined that Miller suffered a substantially torn rota-tor cuff in his right shoulder. In addition, Dr. Ancelet found that Miller also suffered a stroke. Dr. Ancelet referred Miller to an orthopedic surgeon, Dr. Thomas Ford.

Dr. Ford confirmed Dr. Ancelet’s diagnosis when he examined Miller on May 10, 1991, and further noted significant arthritis in the same shoulder. He opined that Miller needed an examination by a neurologist before it could be determined what treatment was available for the shoulder. Because of Miller’s stroke, Dr. Ford thought that surgical intervention was not called for; instead, he chose at the time of his examination to inject Miller’s shoulder and started him on anti-inflammatory medications.

[1178]*1178On October 4, 1991, Dr. L. Lazaro, III, an orthopedic surgeon, examined Miller on referral by Miller Sand’s worker’s compensation insurer, CIGNA. Dr. Lazaro confirmed the prior medical diagnoses and made the following assessment of disability, “As all things being equal if this gentleman had never had a CYA [stroke] and at age 73 had sustained a supra spinatus tear with the resultant loss of motion that he has superimposed upon the arthritic change and the discomfort that he complains of in the shoulder area, I would assign him a 55% to 65% impairment to the shoulder.” Dr. Lazaro further admitted that it was almost impossible to differentiate between the torn rotator cuff, the arthritis, and the stroke when he was asked to address the question of the cause for Miller’s shoulder pain and disability-

After hearing this medical evidence and the testimony of Miller and Miller Sand, the hearing officer concluded as follows:

“1) Claimant, at 73 years old, suffered a compensable work-related injury on February 4, 1991, falling 10-15 feet into a ditch, from which he suffered a substantially torn rotator cuff in his shoulder.
2) Claimant continued to work for defendant-employer until March 31, 1991, at which time his employment was terminated.
3) Claimant suffered a stroke shortly thereafter, in the middle of April, 1991.
4) Claimant’s February 4th work-related injury was disabling, rendering him unable to perform his pre-injury job duties. This finding is consistent with Drs. Lester An-celet, Thomas Ford, and L. Lazaro.
5) Claimant could have returned to some form of work, or would have been capable thereof, after surgery to repair the rotator cuff, but the stroke had precluded claimant as a surgical candidate (Dr. Ford’s deposition).
6) The stroke suffered in mid-April, 1991, would have rendered claimant totally disabled, regardless of the work-related accident.
The Court1 feels a great deal of sympathy for claimant and fully understands what he has lost as a result of his disability. However, the Court believes that his condition of total disability is a result of his suffering a stroke in mid-April of 1991. Had he not suffered that stroke, or the other one which he suffered shortly before the trial, the rotator cuff would have been repaired, which means that his disability for the work-related incident was for a limited time, not permanent — which his condition is now because of the stroke. In addition, there is no evidence that shows that the work-related accident caused or contributed to the stroke. Therefore, it is the opinion of the Court that claimant is entitled to disability indemnity benefits only until he suffered his devastating stroke in mid-April.
⅛ ⅜ ⅜ ⅛ ⅜ ⅜
In the present case, claimant is permanently disabled, but only as a result of a non-work-related incident, that is, the mid-April, 1992 [sic] stroke. The work-related accident has nothing to do with this development. At most, the work-related incident would have entitled claimant to a limited period of indemnity, but the stroke Has made the possible length of this period a hypothetical, and has made further medical treatment of the injury untenable.”

DISABILITY DETERMINATION

Miller contends that the hearing officer was manifestly erroneous in failing to find him totally disabled because of his torn rota-tor cuff. He argues that the medical evidence preponderates that even without the intervening stroke, he would not have been able to return to work with Miller Sand.

A claimant who seeks worker’s compensation benefits on the basis he is temporarily totally disabled bears the burden of proving such disability by clear and convincing evidence. LSA-R.S. 23:1221(l)(c). While the worker’s compensation laws are construed liberally in favor of the claimant, that interpretation cannot lessen the claimant’s burden. Prim v. City of Shreveport, [1179]*1179297 So.2d 421 (La.1974). Disability can be proven by medical and lay testimony. The hearing officer must weigh all the evidence, medical and lay, to determine if the claimant has met his burden. Simpson v. S.S. Kresge Co., 389 So.2d 65 (La.1980). A hearing officer’s findings of fact may not be set aside on appeal in the absence of manifest error. Furthermore, where there is a conflict in the testimony, reasonable inferences of fact should not be disturbed on review. Johnson v. Ins. Co. of N. America, 454 So.2d 1113 (La.1984).

When we examined each of the medical depositions referred to by the hearing officer, we find clear support for the conclusions he reached that Miller suffered a com-pensable work-related accident; that the work-related injury to his shoulder rendered him unable to perform his pre-injury job duties; and, that “but for” the stroke, Miller could have returned to some form of work after surgery to repair the torn rotator cuff.

Although, as asserted in Miller’s brief, Dr. Ancelet opined that Miller’s torn rotator cuff was permanent, we find nowhere in the deposition that Dr. Ancelet was asked whether the arm injury would have been permanent if Miller could have successfully undergone surgery. Likewise, even though Dr.

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Miller v. Roger Miller Sand, Inc.
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Bluebook (online)
632 So. 2d 1176, 93 La.App. 3 Cir. 252, 1994 La. App. LEXIS 130, 1994 WL 41677, Counsel Stack Legal Research, https://law.counselstack.com/opinion/miller-v-roger-miller-sand-inc-lactapp-1994.