Monceaux v. R & R CONST., INC.

919 So. 2d 795, 5 La.App. 3 Cir. 533, 2005 La. App. LEXIS 2699, 2005 WL 3579231
CourtLouisiana Court of Appeal
DecidedDecember 30, 2005
Docket05-533
StatusPublished
Cited by15 cases

This text of 919 So. 2d 795 (Monceaux v. R & R CONST., 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
Monceaux v. R & R CONST., INC., 919 So. 2d 795, 5 La.App. 3 Cir. 533, 2005 La. App. LEXIS 2699, 2005 WL 3579231 (La. Ct. App. 2005).

Opinion

919 So.2d 795 (2005)

Donovan MONCEAUX
v.
R & R CONSTRUCTION, INC.

No. 05-533.

Court of Appeal of Louisiana, Third Circuit.

December 30, 2005.
Rehearing Denied February 15, 2006.

*796 Mark Zimmerman, Attorney at Law, Lake Charles, Counsel for Claimant/Appellee: Donovan Monceaux.

Thomas J. Solari, Woodley, Williams, Boudreau, Norman, Brown & Doyle, Lake Charles, Counsel for Defendant/Appellant: R & R Construction, Inc.

Gregory E. Bodin, Russell L. Mosely, Taylor, Porter, Brooks & Phillips, L.L.P., Baton Rouge, Counsel for Secondary Defendant/Appellant: Louisiana Workers' Compensation Corp.

Court composed of JIMMIE C. PETERS, MARC T. AMY, and ELIZABETH A. PICKETT, Judges.

PICKETT, J.

APPEAL

The defendants are the claimant's employer, R & R Construction, Inc. (R & R) and R & R's insurer, Louisiana Workers' Compensation Corporation (LWCC). The Office of Workers' Compensation's (OWC) judgment awarded the claimant, Donovan Monceaux, indemnity benefits and "all related medical treatment" retroactive to October 29, 2002, a penalty of $2,000.00 for the defendants' refusal to provide reasonable medical treatment and attorney's fees of $5,000.00 for defendants' failure to reasonably controvert the claim. The judgment also granted the defendants a dollar-for-dollar credit for wages R & R paid the claimant, in lieu of benefits, from December 29, 2002, through October 23, 2003, a total of $40,822.87. The defendants appeal the finding by the OWC judge that the claimant sustained an on-the-job injury in October of 2002. The claimant answered the appeal, seeking to have the credit awarded to the defendants made week for week rather than dollar for dollar. We affirm the judgment of the workers' compensation judge.

FACTS

We agree with the recitation of facts set out by the workers' compensation judge (WCJ) in his oral reasons for judgment:

There is scant agreement between the parties on much of anything, save the fact that Mr. Monceaux was an employee at the time of the alleged incident and that his weekly wage was $940. The testimony of Mr. Monceaux and the company's representative could hardly have been more at variance about the alleged incident or the events thereafter.
This claim arises as a result of an unwitnessed accident which allegedly occurred on or about October the 29th, 2002 when Mr. Monceaux says he was inspecting a vacuum unit 30 or 40 feet above ground at Citgo Oil and Lube Plant in Carlyss, Louisiana, in order to prepare a bid for work to be completed by his employer. He testified that while walking on a catwalk of the vacuum unit, he attempted to step over a piece of pipe, slipped and fell backward on the grating landing on his buttocks and lower side.
Mr. Monceaux says that the next day he reported the accident to the risk manager for R & R, Inc., Gary Lemmons, by telephone. He contends that Mr. Lemmons and the president of the company, Mr. Ronnie Lovette, instructed him to file the accident on his private insurance rather than have the accident *797 reported as a work related and, in exchange, he would be paid his full wages, $940 a week rather than workers' compensation benefits.
Mr. Monceaux was seen by several doctors after his alleged accident, including his family doctor, Dr. Kevin Schlamp, Dr. John Noble, an orthopedist, and Dr. Eric Wolf, a neurosurgeon. He ultimately underwent a posterior lumbar interbody fusion performed by Dr. Wolf on February the 5th, 2003 at St. Patrick's Hospital in Lake Charles.
At the trial, the claimant testified that Dr. Wolf subsequently performed a second back surgery approximately five weeks prior to the trial date. The first surgery was paid through the employee's private health insurance with Blue Cross/Blue Shield. According to the claimant, Dr. Wolf performed the second surgery free of charge because the claimant's health insurance had expired.
R & R Construction disputes Mr. Monceaux's claim that he was injured on the job. The employer denies that any such injury was reported. The employer flatly denies that Mr. Monceaux ever told his employer that his back pain was due to a job—to an accident on the job. The employer disputes Mr. Monceaux's contention that he was ever instructed by his employer to report his work related accident to his private health carrier for treatment as being unrelated to work and in exchange for R & R Construction [C]ompany paying him full wages.

The claimant's deposition and hearing testimony is not entirely consistent with his medical records. In both instances, he stated that he thought the accident which causes his problems occurred "around" October 29, 2002. Dr. Kevin Schlamp, a family practitioner, is the claimant's family physician. The records from Dr. Schlamp's office show that the claimant sought treatment from Dr. Schlamp for constant pain in his lower back and right side with numbness and tingling extending into his right leg to the knee on October 18, 2002. The medical history take on that visit states: "No previous back problems" and further relates: "Pain for past 6 months." However, these complaints are consistent with the claimant's description of his fall and injuries. The same records also show two visits in April and May of 2002 for complaints of right foot pain. At those visits, the claimant did not complain of back or leg pain.

In May of 2002, the claimant also visited Dr. Timothy R. Van Cleve, a chiropractor, four times for his right foot pain. The medical history the claimant filled out at Dr. Van Cleve's office does indicate a history of low back pain, but we find no evidence that the claimant had any significant back problem prior to October 2002.

Dr. Schlamp diagnosed the claimant as having low back pain, but the records indicate no etiology for the diagnosis. The records of the claimant's November 13, 2002 visit indicate that he was being referred to Dr. John Noble, an orthopaedic surgeon.

Dr. Noble initially saw the claimant on December 4, 2002. Dr. Noble saw the claimant on just two occasions, the initial visit and a follow-up on December 11, 2002. He examined two myleograms and concluded they showed a "significant disc bulge at L4-5 with a pseudobulge with standing." He also examined a CT scan and was of the opinion that it showed "a diffuse disc bulge." Dr. Noble concluded the claimant was suffering from "dynamic spondylolisthesis" and referred him to Dr. Erich W. Wolf, II, a neurosurgeon, for further treatment.

Dr. Wolf's deposition was taken on June 29, 2004. In his deposition, Dr. Wolf stated *798 that during the taking of his medical history on January 15, 2003, the claimant related that his pain "was present since March or April of 2002, and that it had developed steadily over several months." Once again, the claimant's medical history failed to show any claim of an accident, but rather explained his symptoms had started about eight months previously "after lifting." Dr. Wolf further stated that the claimant denied the pain was associated with any trauma. However, Dr.

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Bluebook (online)
919 So. 2d 795, 5 La.App. 3 Cir. 533, 2005 La. App. LEXIS 2699, 2005 WL 3579231, Counsel Stack Legal Research, https://law.counselstack.com/opinion/monceaux-v-r-r-const-inc-lactapp-2005.