Robby Sandifer v. Calcasieu Parish Public Works

CourtLouisiana Court of Appeal
DecidedNovember 22, 2017
DocketWCA-0017-0343
StatusUnknown

This text of Robby Sandifer v. Calcasieu Parish Public Works (Robby Sandifer v. Calcasieu Parish Public Works) 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
Robby Sandifer v. Calcasieu Parish Public Works, (La. Ct. App. 2017).

Opinion

STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT

17-343

ROBBY SANDIFER

VERSUS

CALCASIEU PARISH PUBLIC WORKS, ET AL.

**********

APPEAL FROM THE OFFICE OF WORKERS’ COMPENSATION, DISTRICT 03 PARISH OF CALCASIEU, NO. 14-06686 CHARLOTTE A. L. BUSHNELL, WORKERS’ COMPENSATION JUDGE

ULYSSES GENE THIBODEAUX CHIEF JUDGE

Court composed of Ulysses Gene Thibodeaux, Chief Judge, Sylvia R. Cooks, and Shannon J. Gremillion, Judges.

GREMILLION, J., dissents and assigns reasons.

AFFIRMED.

Thomas E. Townsley Law Office of Thomas E. Townsley LLC 711 Pujo Street Lake Charles, LA 70601 Telephone: (337) 430-0994 COUNSEL FOR: Plaintiff/Appellee - Robby Sandifer

Eric J. Waltner Allen & Gooch, A Law Corporation P. O. Box 81129 Lafayette, LA 70598-1129 Telephone: (337) 291-1400 COUNSEL FOR: Defendant/Appellant - Calcasieu Parish Police Jury THIBODEAUX, Chief Judge.

The Calcasieu Parish Public Works (hereafter “the Parish”) appeals a

judgment in favor of plaintiff-appellee, Mr. Robby Sandifer, which denied its

claimed offset for disability benefits and awarded Mr. Sandifer attorney fees. The

Parish contends that it is entitled to a credit/offset for the amount it contributed to

the Parochial Employees’ Retirement System (“PERS”). Additionally, the Parish

alleges that the trial court committed an error awarding Mr. Sandifer attorney fees

and finding that Mr. Sandifer was permanently and totally disabled. Mr. Sandifer

asserts that the Parish failed to reasonably controvert Mr. Sandifer’s disability

status and failed to establish the contribution for the credit/offset. We affirm the

judgment in favor of Mr. Sandifer. Furthermore, we grant Mr. Sandifer an

additional $5,000 in attorney fees for defending this appeal.

I.

ISSUES

We must determine whether the trial court erred in holding that the

employer was not entitled to a credit/offset for disability benefits paid by the

employer and received by the plaintiff. We must also determine whether the trial

court erred in awarding attorney fees. Additionally, this court must determine

whether subsequent attorney fees should be awarded to the plaintiff for defending

this appeal. II.

FACTS AND PROCEDURAL HISTORY Mr. Sandifer was injured in the course and scope of his employment

with the Parish. On August 16, 2005, Mr. Sandifer and another employee of the

Parish were attempting to install a piece of metal onto a gradeall when the metal

piece slipped, causing Mr. Sandifer to jerk forward, pulling his lower back. Mr.

Sandifer felt severe low back pain and felt his legs buckle.

Mr. Sandifer had back surgery approximately nine months before

sustaining his work-related injury. Mr. Sandifer was treated in Houston, Texas by

Dr. Todd Trask, who performed back surgery. After he sustained a back injury

during work, Mr. Sandifer returned to Dr. Trask who then referred him to Dr.

Richmond Simmons who handled workers’ compensation-related cases. The

doctors recommended a spinal cord stimulator implant because Mr. Sandifer

experienced pain radiating down his legs which caused him to fall frequently. The

nurse case manager sent Mr. Sandifer to see Dr. Patrick Juneau in Lafayette. Dr.

Juneau found that Mr. Sandifer needed a two-level decompressive laminectomy

and fusion at L4-5 and L5-S. Mr. Sandifer underwent the surgery on January 4,

2005. Mr. Sandifer experienced some improvement after the surgery but later

developed low back pain and pain which radiated down his legs. Subsequently,

Dr. Juneau referred Mr. Sandifer to Dr. Frank Lopez for pain management.

Dr. Lopez saw Mr. Sandifer on May 20, 2009, and noted that Mr.

Sandifer experienced pain in his low back, neck, chest, groin, buttocks with pain

radiating down both legs. Dr. Lopez opined that Mr. Sandifer had low back pain

and failed back surgery syndrome. Dr. Lopez ordered an MRI which showed Mr.

Sandifer had a free/extruded disc fragment between L3-4 and L4-5. Dr. Lopez

2 then referred Mr. Sandifer to Dr. Erich Wolf, a neurosurgeon, with the first

appointment occurring on August 12, 2013. Dr. Wolf’s notes reflect moderate

tenderness along the lumbar spine, and muscle tenderness ranging from moderate

to severe from L-2 to L-5. Mr. Sandifer communicated to Dr. Wolf that his pain

was an eight on a scale of one to ten, causing him severe functional impairment

and impairing his ability to sleep. Dr. Wolf performed further testing which

reflected tenderness and abnormalities in Mr. Sandifer’s muscle groups in his back.

Dr. Wolf determined that a conservative course of treatment and administering

injections would be appropriate for Mr. Sandifer’s care. The conservative

treatment provided little relief for Mr. Sandifer. Subsequently, on August 28,

2013, Dr. Wolf noted that an MRI of Mr. Sandifer’s lumbar spine showed a free

fragment of disc and disc degeneration. Dr. Wolf recommended another fusion or

discography which was denied by Utilization Review because the Medical Director

said there was no pre-psychosocial evaluation. Dr. Wolf referred Mr. Sandifer to

Jodie Guth for the evaluation which took place on August 19, 2014. Dr. Wolf

resubmitted the request for surgery in September of 2014. Mr. Sandifer received

the discogram in early 2016.

Dr. Wolf referred Mr. Sandifer to an orthopedic surgeon, Dr. Clark

Gunderson, who recommended injections into the sacroiliac joint with CT

guidance. The injections were denied before being approved on appeal to the

Medical Director. The procedure was performed on July 28, 2016.

In October 2016, the Medical Director approved a second SI injection

after Dr. Wolf met with Mr. Sandifer following his bilateral sacroiliac joint

injection. Dr. Wolf reported that Mr. Sandifer experienced a sixty-percent

improvement from the treatment.

3 Although Mr. Sandifer saw improvement with the injection, the

doctors who evaluated Mr. Sandifer agree that he is permanently and totally

disabled. Mr. Sandifer is in severe pain and has been out of work for over eleven

years. Moreover, two vocational counselors evaluated Mr. Sandifer and found that

Mr. Sandifer was functionally or partially illiterate, had been in special education

classes, lacked diversity in his work history, and relied on his mother and girlfriend

to help with bills and paperwork. Additionally, Mr. Sandifer was unable to

function without his pain medication. Thus, the vocational counselors determined

that Mr. Sandifer was unable to return to work and concluded that there was no

reasonable probability that he could be rehabilitated to the extent he can achieve

gainful employment.

A trial was held to determine whether Mr. Sandifer is considered

permanently and totally disabled and whether the Parish was able to show what

they contributed to Mr. Sandifer’s disability/retirement benefit in order to obtain a

credit/offset for receipt of benefits from PERS. The parties stipulated that Mr.

Sandifer was injured in the course and scope of his employment. Additionally, the

parties stipulated that Mr. Sandifer’s average weekly wage is $512.80, with a

compensation rate of $341.86.

The Parish contended that it was entitled to an offset of 48.85 percent

of what PERS pays Mr. Sandifer. The Parish relied on the testimony of Ms.

Dianne Tulley, the administrative director of PERS, to determine that this

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