Mistrot v. York Intern.

712 So. 2d 968, 97 La.App. 4 Cir. 2374, 1998 La. App. LEXIS 1227, 1998 WL 256694
CourtLouisiana Court of Appeal
DecidedApril 22, 1998
Docket97-CA-2374
StatusPublished
Cited by3 cases

This text of 712 So. 2d 968 (Mistrot v. York Intern.) 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
Mistrot v. York Intern., 712 So. 2d 968, 97 La.App. 4 Cir. 2374, 1998 La. App. LEXIS 1227, 1998 WL 256694 (La. Ct. App. 1998).

Opinion

712 So.2d 968 (1998)

Bart S. MISTROT
v.
YORK INTERNATIONAL.

No. 97-CA-2374.

Court of Appeal of Louisiana, Fourth Circuit.

April 22, 1998.

*969 Jack A. Ricci, Gary J. Giepert, Ricci & Giepert, New Orleans, for Appellee.

Joseph B. Guilbeau, Mayra I. Leyva, Juge, Napolitano, Leyva, Guilbeau & Ruli, Metairie, for Appellant.

Before KLEES, LOBRANO and CIACCIO, JJ.

LOBRANO, Judge.

In this worker's compensation case, the plaintiff, Bart Mistrot, was awarded supplemental earnings benefits, all medical expenses (including psychiatric evaluation and treatment), and, because of defendant York International's (York) refusal to provide psychological and vocational treatment, statutory penalties and attorney's fees. From this judgment York appeals, and Mistrot has answered that appeal.

Mistrot was employed by York International as an air conditioning technician. On July 12, 1994, during the course and scope of his employment, Mistrot sustained a severe electrical shock. Immediately following the accident, he was taken to Meadowcrest Hospital. There, he was attended by a plastic surgeon, Dr. Dupin, and a neurologist, Dr. *970 Puente, among others. His left hand had suffered an electrical entry wound, and both feet bore the marks of the exit wounds. Mistrot complained then, as he has thereafter, of bilateral ankle pain.

Neurological exams performed by Dr. Puente the day after the accident and almost two years later showed no evidence of neurological dysfunction; Dr. Puente opined that Mistrot's description of his ankle pain was consistent with a soft tissue injury, but had no objective findings to support that opinion.

Dr. Dupin treated Mistrot until May of 1995. At that time, Dr. Dupin felt that Mistrot had reached his maximum medical improvement. Although Mistrot still had complaints of ankle pain, Dr. Dupin felt that Mistrot could return to work.

Dr. Dupin did refer Mistrot to an orthopedist, Dr. Cashio, who first saw Mistrot in March of 1995. Dr. Cashio recommended ankle supports and anti-inflammatory medication; when that medication failed to relieve Mistrot's discomfort, Dr. Cashio referred him to Dr. Marra, a rheumatologist, for evaluation. On October 2, 1995, Dr. Cashio opined that Mistrot could return to work "at Dr. Marra's discretion."

Dr. Marra treated Mistrot up through the time of trial. As early as January of 1996, Dr. Marra expressed his opinion that Mistrot could not return to his previous occupation. By May of 1997, he stated that Mistrot could perform sedentary work, though at that time Mistrot was only trained for physical work. Dr. Marra suggested that Mistrot suffered from depression because of his chronic pain and loss of functionality; eventually, Dr. Marra recommended psychiatric care.

Due to the lack of objective findings, and based on sections of the reports of Drs. Cashio, Dupin, Puente, and Dr. Akin (a physician York brought in for independent evaluation), York terminated all benefits on December 19, 1996, thus negating the opportunity for psychological evaluation or treatment. Mistrot filed suit January 22, 1997. In April of 1997, at York's request, Mistrot was examined by another rheumatologist, Dr. Sanders. Dr. Sanders made no objective findings to explain or corroborate Mistrot's complaints of pain; however, he did not rule out possible psychological problems. He stated that his opinions regarding treatment, causation of the pain, and Mistrot's ability to work would depend on the outcome of a psychiatric evaluation.

The worker's compensation judge gave extensive reasons and concluded that Mistrot was entitled to temporary total benefits through December 16, 1996; that he is entitled to supplemental earnings benefits (SEB) from that date;[1] that York was arbitrary and capricious in failing to authorize psychological and vocational treatment; and that Mistrot is entitled to the payment of all medical bills, medication expenses and transportation expenses arising from the accident. The judge awarded penalties in the amount of two thousand dollars ($2,000.00) and attorney's fees in the amount of two thousand dollars ($2,000.00). The court rejected Mistrot's claim that York was arbitrary and capricious for terminating disability benefits on December 16, 1996.

Both York and Mistrot appeal. York argues that the trial court erred in finding (1) that Mistrot was entitled to SEB; (2) that Mistrot was entitled to psychiatric evaluation and treatment; (3) that York was arbitrary and capricious in failing to authorize vocational and/or psychiatric evaluation; (4) that penalties and attorney's fees were due to Mistrot as a result of York's conduct; and (5) that Mistrot is entitled to payment of all medical bills and expenses arising from the accident. Mistrot argues that the court erred in failing to find York arbitrary and capricious for terminating disability benefits. For the following reasons, we affirm in part and reverse in part.

If a work-related injury results in a claimant's inability to earn at least 90% of his pre-injury wages, he is entitled to supplemental earnings benefits. La. R.S. 23:1021(3). Once an employee establishes his inability to earn at least 90% of pre-injury *971 wages, the burden shifts to the defendant employer to prove that the employee is physically able to perform a certain job and that the job was offered to the employee or that the job was available to the employee in his or the employer's community or reasonable geographic region. Freeman v. Poulan/Weed Eater, 93-1530 (La.1/14/94), 630 So.2d 733, 739. The purpose of SEB is to compensate the injured employee for the loss of wage earning capacity; the inquiry is therefore necessarily "a facts and circumstances one in which the court is mindful of the jurisprudential tenet that worker's compensation is to be liberally construed in favor of coverage." Banks v. Industrial Roofing & Sheet Metal Works, Inc., 96-2840 (La.7/1/97) at pp. 8-9, 696 So.2d 551, 556, quoting Daigle v. Sherwin-Williams Co., 545 So.2d 1005, 1007 (La.1989).

The appellate court's standard of review is one of manifest error. We must determine, not whether the trier of fact was right or wrong, but whether the factfinder's conclusion was a reasonable one. Banks, supra. The factfinder's choice between two permissible views of evidence can never be manifestly erroneous. In this case, York complains that the court erroneously decided that Mistrot satisfied his burden of proving a disability. In support of this argument, York relies on the fact that none of the physicians who testified could find objective reasons for Mistrot's continued complaints of pain. York specifically refers to Dr. Dupin's June 16, 1995 report wherein he finds no physical reason why Mistrot could not return to work, to Dr. Puente's failure to find any neurological problems, and to Dr. Cashio's October 2, 1995 opinion that Mistrot could return to work. Finally, York questions the credibility of Dr. Marra's contrary opinion because of the lack of objective findings, and of Mistrot's testimony in general.

Undoubtedly, Mistrot sustained a severe electrical shock. His complaints of pain in his ankles have been consistent since the date of injury. Dr. Cashio's "return to work" opinion is qualified by "Dr. Marra's discretion." Despite no objective findings, Dr. Marra opined that Mistrot's ankle pain is posttraumatic and prevents him from returning to his previous occupation. Dr. Sanders examined Mistrot after this lawsuit was filed and concluded that there were no objective findings to substantiate Mistrot's pain; however, Dr.

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Bluebook (online)
712 So. 2d 968, 97 La.App. 4 Cir. 2374, 1998 La. App. LEXIS 1227, 1998 WL 256694, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mistrot-v-york-intern-lactapp-1998.