Pomeroy v. MASONRY

600 S.E.2d 519, 165 N.C. App. 275
CourtCourt of Appeals of North Carolina
DecidedJuly 6, 2004
DocketCOA03-1170
StatusPublished

This text of 600 S.E.2d 519 (Pomeroy v. MASONRY) is published on Counsel Stack Legal Research, covering Court of Appeals of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pomeroy v. MASONRY, 600 S.E.2d 519, 165 N.C. App. 275 (N.C. Ct. App. 2004).

Opinion

LEVINSON, Judge.

Plaintiff (Daniel Pomeroy) appeals from an opinion and award of the North Carolina Industrial Commission (the "Commission") finding that he is not entitled to compensation for medical treatment rendered by Drs. Jalal Sadrieh, M.D., and Vincent Sportelli, D.C., and denying his motion for attorney's fees. We affirm. On 14 June 1994, plaintiff, while working as a foreman for Tanner Masonry, suffered an injury by accident arising out of and in the course of employment when he fell six to eight feet from a scaffold and landed on a bolt. The bolt penetrated his lower back. Plaintiff was taken to Lake Norman Regional Medical Center, where Dr. Marcus Wever performed surgery on plaintiff's back. During the surgery, the puncture wound to plaintiff's back was fully explored, irrigated, cleaned of debris and closed. On 15 June 1994, Dr. William A. Kutner, an orthopaedic surgeon, examined plaintiff and found no obvious fractures associated with plaintiff's injuries.

Following his discharge from the hospital, plaintiff was examined by Dr. Wever in an outpatient clinic on several occasions. On 17 August 1994, after plaintiff's final follow-up appointment, he was released to return to work the following week with no restrictions or permanent partial impairment indicated. Dr. Wever opined that plaintiff had reached maximum medical improvement and indicated that plaintiff would "be seen in follow-up on an as-needed basis." Following his injury, plaintiff also received physical therapy for his back. On 26 August 1994, plaintiff's physical therapist instructed him to return to work the following Monday with no restrictions or permanent partial impairment indicated.

On 27 June 1994, defendants (Tanner Masonry and USF&G Insurance) entered into a settlement agreement with plaintiff. The parties agreed that plaintiff sustained an injury by accidentarising out of and in the course of his employment on 14 June 1994, for which plaintiff would receive compensation for temporary total disability and payment of his injury-related medical treatment. The Commission approved this agreement on 5 August 1994.

On 29 August 1994, plaintiff returned to work for Tanner at full duty without restrictions. In December 1994, plaintiff stopped working for Tanner, moved to New York, and began working as a mason for H & R Masonry, where he worked for approximately one year. Plaintiff was also employed in New York by Yancey Conant Masonry (Yancey), where he worked as a mason for four or five months. According to plaintiff, he had to stop working for both H & R Masonry and Yancey Conant Masonry due to continuing back problems.

On 10 January 1996, plaintiff was examined in New York by Dr. Jalal Sadrieh, an orthopaedic surgeon. Dr. Sadrieh ordered an x-ray of plaintiff's lumbar spine, which showed that plaintiff's bony structures and disc spaces were normal and revealed no evidence of foreign material. Dr. Sadrieh was given an oral history of plaintiff's back problems, but did not review any records from plaintiff's treatment for his compensable back injury in North Carolina. Dr. Sadrieh diagnosed plaintiff with "acute and subacute low back sprain with sciatica and possible disc herniation." Dr. Sadrieh referred plaintiff to physical therapy and recommended that he undergo an MRI. Plaintiff saw Dr. Sadrieh again on 19 February 1996, but neither went to physical therapy nor had an MRIperformed, because defendants refused to authorize this medical treatment.

From 21 February through 4 October 1996, plaintiff was under the care of Dr. Vincent Sportelli, a chiropractor. In his deposition testimony, Dr. Sportelli opined that plaintiff had a sixty-five percent (65%) permanent partial disability to the pelvic girdle causally related to the injury suffered by plaintiff on 14 June 1994. However, the record shows that Dr. Sportelli's opinion was based solely on the history provided by plaintiff and the plaintiff's condition at the time Dr. Sportelli examined him. Dr. Sportelli had no access to the records from plaintiff's 14 June 1994 back injury and his subsequent treatment in North Carolina. As a result, Dr. Sportelli was under the impression that plaintiff's earlier back injury was caused by a fifteen to twenty foot fall, while the records from North Carolina indicate that plaintiff fell six to eight feet. Defendants refused to authorize insurance coverage for plaintiff's treatment by Dr. Sportelli, and plaintiff filed a claim for additional disability compensation and further medical treatment.

On 19 December 2000, the Full Commission entered an opinion and award in which it denied plaintiff's claim for additional disability benefits but ordered defendants to "pay for plaintiff's reasonably necessary medical treatment related to his compensable injury by accident for so long as such treatment tends to effect a cure, provide relief or lessen the period of disability." The 19 December 2000 opinion and award did not order defendants to pay forany specific medical treatment, and it did not specify whether defendants were to pay for the treatment rendered by Drs. Sadrieh and Sportelli.

On 9 January 2001, plaintiff filed a motion for reconsideration with the Commission in which he requested an order directing defendants to pay for the medical treatment provided to plaintiff by Drs. Sadrieh and Sportelli. Plaintiff also requested an award of attorney's fees pursuant to N.C.G.S. § 97-88.1. On 26 January 2001, defendants filed notice of appeal from the Commission's 19 December 2000 opinion and award. On 19 February 2001, the Commission entered an opinion and award concluding that it lacked jurisdiction to rule on plaintiff's motions because an appeal to this Court had been taken. On 21 February 2001, plaintiff filed notice of appeal from both the 19 December 2000 and 19 February 2001 opinions and awards.

In an opinion filed 2 July 2002, this Court affirmed the Commission's denial of plaintiff's claim for additional disability compensation, but remanded for further proceedings with respect to plaintiff's claim for additional medical compensation. Pomeroy v. Tanner Masonry I, 151 N.C. App. 171 , 184, 565 S.E.2d 209 , 218 (2002). Specifically, this Court ordered the Commission to "make findings based upon competent evidence relative to whether the treatment provided and prescribed by Dr. Sadrieh and Dr. Sportelli was required to effect a cure or give relief from the 14 June 1994 compensable injury or tended to lessen the period of disability caused by said compensable injury." Id. at 184, 565 S.E.2d at 217 . The Commission was also instructed to rule on plaintiff's motion for attorney's fees. Id. at 184, 565 S.E.2d at 218 .

On remand, the Full Commission entered an opinion and award, filed 19 March 2003, in which it denied plaintiff's claim for medical treatment rendered by Drs. Sadrieh and Spotelli and his motion for attorney's fees. The Commission made the following pertinent findings of fact:

19. The treatment which plaintiff received in New York from Dr.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Deese v. Champion International Corp.
530 S.E.2d 549 (Supreme Court of North Carolina, 2000)
Baker v. City of Sanford
463 S.E.2d 559 (Court of Appeals of North Carolina, 1995)
Pomeroy v. Tanner Masonry
565 S.E.2d 209 (Court of Appeals of North Carolina, 2002)
Goff v. Foster Forbes Glass Division
535 S.E.2d 602 (Court of Appeals of North Carolina, 2000)
Russell v. Lowes Product Distribution
425 S.E.2d 454 (Court of Appeals of North Carolina, 1993)
Robinson v. JP Stevens and Co., Inc.
292 S.E.2d 144 (Court of Appeals of North Carolina, 1982)
Griggs v. Eastern Omni Constructors
581 S.E.2d 138 (Court of Appeals of North Carolina, 2003)
Taylor v. J. P. Stevens Co.
298 S.E.2d 681 (Supreme Court of North Carolina, 1983)
Carroll v. Town of Ayden
586 S.E.2d 822 (Court of Appeals of North Carolina, 2003)
Pittman v. International Paper Co.
510 S.E.2d 705 (Court of Appeals of North Carolina, 1999)
Reinninger v. Prestige Fabricators, Inc.
523 S.E.2d 720 (Court of Appeals of North Carolina, 1999)

Cite This Page — Counsel Stack

Bluebook (online)
600 S.E.2d 519, 165 N.C. App. 275, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pomeroy-v-masonry-ncctapp-2004.