Ross v. St. Paul Fire & Marine Ins. Co.

556 So. 2d 891, 1990 La. App. LEXIS 72, 1990 WL 5377
CourtLouisiana Court of Appeal
DecidedJanuary 24, 1990
Docket21106-CA
StatusPublished
Cited by18 cases

This text of 556 So. 2d 891 (Ross v. St. Paul Fire & Marine Ins. Co.) 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
Ross v. St. Paul Fire & Marine Ins. Co., 556 So. 2d 891, 1990 La. App. LEXIS 72, 1990 WL 5377 (La. Ct. App. 1990).

Opinion

556 So.2d 891 (1990)

Fred ROSS, Jr., Appellee,
v.
ST. PAUL FIRE & MARINE INSURANCE COMPANY, Appellant.

No. 21106-CA.

Court of Appeals of Louisiana, Second Circuit.

January 24, 1990.
Rehearings Denied February 22, 1990.

*893 Mayer, Smith & Roberts by Ben Marshall, Jr., Shreveport, for appellant.

Ike F. Hawkins, Jr., Shreveport, for appellee.

Before NORRIS, LINDSAY and HIGHTOWER, JJ.

NORRIS, Judge.

In this workers compensation case, Fred Ross, Jr., a 36-year old manual laborer for B.J. Andrews Construction Company, sustained a serious injury to four fingers of his dominant right hand while in the course and scope of his employment. Ross's fingers were severely crushed and required extensive surgery by Dr. John Ferrell. He began receiving workers compensation benefits in the amount of $248 per week from defendant, St. Paul Fire & Marine Insurance Company. He underwent almost eight months of treatment before Dr. Ferrell declared him able to return to work on a trial basis. Defendant ceased paying benefits and plaintiff eventually sued. The trial court found plaintiff temporarily totally disabled and awarded him weekly benefits for the duration of the disability and all past due weekly benefits with legal interest. The insurer appeals and plaintiff has answered requesting penalties and attorney fees. For the reasons expressed, we reverse the award of temporary total benefits and render a judgment awarding plaintiff supplemental earnings benefits ("SEB"). We also render judgment in favor of the plaintiff for penalties and attorney fees.

FACTS

On September 28, 1984, Ross was employed as a manual laborer earning $9.70 an hour by B.J. Andrews Construction Company. He was in the process of removing a pin from a trough on a cement truck when a co-employee accidently flipped the trough down, crushing Ross's right fingers. He was taken to Dr. Ferrell, an orthopedic surgeon, where he underwent surgery and was released from the hospital on October 1.

On November 8, 1984, Dr. Ferrell reported that Ross was making slow progress. On December 5, he noted that Ross had been riding horses and doing well. On December 28, he reported that Ross was improving, although slowly. Dr. Ferrell next saw Ross on January 18, 1985 and recommended that he undergo physical therapy. On January 25, Dr. Ferrell found little progress from the last visit. On April 11, Dr. Ferrell saw Ross and noted that his injury was again improving and that he had recently won a horse riding and roping contest. On April 23, Dr. Ferrell prepared a document allowing Ross to return to his previous occupation on a trial basis by May 11. He testified that Ross mentioned to him that he wanted to work and that returning to work would help him functionally. However, in making this suggestion, Dr. Ferrell relied on mistaken information that Ross's old job was available to him. On the basis of Dr. Ferrell's document, defendant terminated the benefits on May 30, 1985.

At his lawyer's request, on February 19, 1986 Ross was evaluated by Dr. John Valiulis, a plastic and reconstructive surgeon. Using the guidelines of the AMA Guides to the Evaluation of Permanent Impairment, Dr. Valiulis carefully measured the percentage of disability in each of Ross's injured fingers and assessed plaintiff's overall hand disability at 58%. Dr. Valiulis saw Ross once more on July 13, 1987, and noted that there was no improvement in the motion and dexterity of his fingers.

On August 5, 1986, Ross filed suit against defendant seeking past due benefits with legal interest, penalties and attorney *894 fees. On August 26, Ross's counsel sent defendant Dr. Valiulis's report assessing Ross's hand disability at 58% and requested that it resume payments for permanent partial disability. Defendant, relying on Dr. Ferrell's report dated April 23, 1985, took no action.

The trial was held on November 5, 1987. Ross testified at trial that prior to his injury he had done farm, ranch, and construction work. All of his work history involved manual labor. He testified that he had been unemployed since the injury. He admitted to trying to bale hay and pen cows after the accident but complained that after 30 minutes of working his hand would "lock up," lose its strength and he would have to quit working. This was corroborated by other witnesses who were well acquainted with plaintiff.

B.J. Andrews testified that Ross worked for him on at least five occasions since the accident, hauling hay and working the cattle. He also testified that since the accident he had seen Ross hauling hay for his neighbors. Andrews noted several times that Ross was a good worker and "liked to get the job done." However, on cross examination, Andrews admitted that he had not actually seen Ross working for his neighbors, but had heard this from others. He also testified that Ross's brother, not Ross himself, had worked for him since the accident and that Ross had worked for his brother. Betty Andrews, B.J. Andrews's wife, testified that after the accident she once saw plaintiff opening the gate for cows with his right hand at the Livestock Auction. Ross denied working at the Livestock Auction or for Andrews's neighbors, but admitted working on one occasion for Andrews since the injury.

Dr. Ferrell testified by deposition in 1987 that although the plaintiff could functionally grasp and release objects, he had a problem with grip strength and motion in his fingers.

Dr. Valiulis testified by deposition that Ross's fingers were bent in a claw fashion and because of the injury he could not normally grasp objects. He testified that surgery could not improve Ross's hand injury.

The trial court found that because of the injury Ross was unable to pursue his only gainful occupation as a common laborer. It therefore held that he was temporarily totally disabled and entitled to workers compensation benefits with legal interest from May 30, 1985 and continuing for the duration of the disability. The court refused to award penalties and attorney fees. Judgment in accordance with the trial court's written ruling was signed and filed on January 13, 1989.

Defendant has appealed, claiming that the trial court erred in awarding plaintiff temporary total benefits after May 30, 1985, the point at which he allegedly reached maximum medical improvement. Defendant also contends that plaintiff failed to prove he was entitled to any benefits under the remaining three subsections of LSA-R.S. 23:1221 after May 30, 1985. Plaintiff answered the appeal urging that the trial court erred in refusing to award him penalties and attorney fees.

DISCUSSION

The trial court found plaintiff temporarily totally disabled under R.S. 23:1221(1), which at the time of injury provided:

Compensation shall be paid under this Chapter in accordance with the following schedule of payments:
(1) Temporary total. For injury producing temporary total disability of an employee to engage in any self-employment or gainful occupation for wages whether or not the same or a similar occupation as that in which the employee was customarily engaged when injured and whether or not an occupation for which the employee at the time of injury was particularly fitted by reason of education, training, or experience, sixty-six and two-thirds percent of wages during the period of such disability.

The issue of disability is to be determined by the totality of the evidence, including both lay and medical testimony. Augustine v. Courtney Const. Co., Etc., *895

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

Related

Brister v. Sears Authorized Retail Dealer
753 So. 2d 871 (Louisiana Court of Appeal, 1999)
Bank of Winnfield & Trust Co. v. Collins
736 So. 2d 263 (Louisiana Court of Appeal, 1999)
LeBlanc v. Grand Isle Shipyard, Inc.
676 So. 2d 1157 (Louisiana Court of Appeal, 1996)
Montana v. City of New Orleans
682 So. 2d 239 (Louisiana Court of Appeal, 1996)
Roberts v. BE & K CONST. CO.
658 So. 2d 314 (Louisiana Court of Appeal, 1995)
Hood v. CJ Rogers, Inc.
654 So. 2d 371 (Louisiana Court of Appeal, 1995)
Thomas v. Sears, Roebuck and Co.
653 So. 2d 102 (Louisiana Court of Appeal, 1995)
Kennedy v. Johnny F. Smith Trucking
652 So. 2d 526 (Louisiana Court of Appeal, 1995)
Bailes v. Be & K Construction
649 So. 2d 167 (Louisiana Court of Appeal, 1995)
Belaire v. L & L OIL CO.
636 So. 2d 1177 (Louisiana Court of Appeal, 1994)
Thibodeaux v. Cajun Restaurant
635 So. 2d 522 (Louisiana Court of Appeal, 1994)
Zechenelly v. F.A. Richard & Associates, Inc.
623 So. 2d 163 (Louisiana Court of Appeal, 1993)
Bradley v. Justiss Oil Co., Inc.
618 So. 2d 646 (Louisiana Court of Appeal, 1993)
Dyer v. GAB Business Services
613 So. 2d 801 (Louisiana Court of Appeal, 1993)
Holmes v. International Properties
611 So. 2d 773 (Louisiana Court of Appeal, 1992)
Patton v. Mini-Togs, Inc.
575 So. 2d 864 (Louisiana Court of Appeal, 1991)
Austin v. Howard Discount Stores, Inc.
569 So. 2d 659 (Louisiana Court of Appeal, 1990)
Cassard v. AMERICAN GENERAL FIRE & CAS. CO.
568 So. 2d 1151 (Louisiana Court of Appeal, 1990)

Cite This Page — Counsel Stack

Bluebook (online)
556 So. 2d 891, 1990 La. App. LEXIS 72, 1990 WL 5377, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ross-v-st-paul-fire-marine-ins-co-lactapp-1990.