Schmitt v. City of New Orleans

632 So. 2d 367, 1993 La. App. LEXIS 4003, 1993 WL 539870
CourtLouisiana Court of Appeal
DecidedDecember 30, 1993
Docket93-CA-1144
StatusPublished
Cited by25 cases

This text of 632 So. 2d 367 (Schmitt v. City of New Orleans) 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
Schmitt v. City of New Orleans, 632 So. 2d 367, 1993 La. App. LEXIS 4003, 1993 WL 539870 (La. Ct. App. 1993).

Opinion

632 So.2d 367 (1993)

Robert Charles SCHMITT
v.
The CITY OF NEW ORLEANS.

No. 93-CA-1144.

Court of Appeal of Louisiana, Fourth Circuit.

December 30, 1993.
Rehearing Denied March 17, 1994.

*368 Gilbert R. Buras, Jr., Robein, Urann & Lurye, Metairie, for plaintiff/appellee.

Neil J. Kohlman, Asst. City Atty., Milton Osborne, Jr., Deputy City Atty., Bruce E. Naccari, Asst. City Atty., Kathy L. Torregano, City Atty., for defendant/appellant.

Before BYRNES and JONES, JJ., and DIXON, J. Pro Tem.

JONES, Judge.

Defendant, City of New Orleans appeals a decision of the Administrative Law Judge (herein "ALJ"), awarding appellee, Robert Schmitt, worker's compensation benefits in the amount of $282 per week beginning November *369 4, 1991 and continuing for so long as the appellee is disabled, along with judicial interest, penalty interest, and attorney's fees of $1,000.

FACTS

In January, 1992 the appellee, a former fireman for the City of New Orleans, filed a disputed claim for compensation with the Office of Worker's Compensation Administration. Appellee alleged that his compensation benefits had been unilaterally and arbitrarily terminated by the City of New Orleans on or about October 24, 1991. Appellee demanded reinstitution of compensation benefits, penalties, and attorney's fees for an arbitrary and capricious refusal of benefits.

Attached to the appellee's claim form was a medical report dated November 24, 1991 from the appellee's treating physician, Dr. Robert Ruel, addressed to appellee's attorney. The letter from Dr. Ruel indicated the following: Dr. Ruel first examined the appellee on 11-6-90. The appellee gave a history of initially hurting his back while on the job as a fireman sometime in 1987. He was treated in a conservative fashion. He re-injured his back on 11-5-90 while on the job during training exercises. Appellee complained to Dr. Ruel of numbness and tingling into the left leg. X-rays of the lumbar spine showed defects of spondylolysis bilaterally at L5 at the pas interarticulaus. Additionally there was evidence of lumbar spinal stenosis. A CAT taken in February, 1991 showed hypertrophic (arthritic) changes on left facet joint at L5-S1. Dr. Ruel previously recommended that the appellee retire as a fireman. Dr. Ruel further opined that although the appellee had some preexisting problems in his back, his injuries while on the department aggravated his preexisting problem and caused the problem to become symptomatic.

The City responded to appellee's disputed claim and admitted it had paid weekly compensation benefits of $282 from November 5, 1990 to November 2, 1991. The City admitted that claimant was temporarily disabled for the period stated in the claim for compensation, but denied he was permanently disabled or that he had a loss of earning capacity. The City affirmatively averred that the appellee had been diagnosed as having degenerative disc disease and spinal stenosis; that each condition was now excluded as an occupational disease under R.S. 23:1031.1(B); thus, disability benefits were discontinued on 11/2/91 following a medical workup confirming that the appellee suffered from these conditions.

The sole witness at the hearing on the appellee's claim was the appellee, Robert Schmitt. He testified that he was formerly employed by the City of New Orleans as a fireman. The first injury to his back occurred in 1987 while he was at a fire. Appellee denied any problems or medical treatment for his back prior to the 1987 accident; however, after the 1987 accident he had low back pain and was treated by Dr. Nutik and a chiropractor. Appellee was able to work after the 1987 accident and did not receive any worker's compensation benefits for the first injury.

The second injury occurred while he was loading foam in November, 1990. He made a report after this injury, but remained on duty until two weeks later when he re-injured his back while lifting body drags at training exercises. He made another report of injury and went to see Dr. Ruel. After seeing Dr. Ruel, he was removed from duty and placed on "out with an on-duty injury" status. He was paid worker's compensation benefits from November, 1990 to November, 1991. In March, 1991 the City sent him to see Dr. Montz. In July of 1991, he started receiving a pension, and in November, 1991 the City terminated his worker's compensation benefits.

In support of his claim for benefits, the plaintiff submitted the November 24, 1991 letter from Dr. Ruel diagnosing the plaintiff as having spondylolysis and spinal stenosis and a letter dated November 5, 1987 from Dr. Nutik.[1] The City attempted to introduce *370 a report from Dr. John R. Montz, the physician chosen by the City to examine the appellee pursuant to the provisions of La.R.S. 23:1122. However, the appellee objected to the admission of the report arguing that the report had not been provided to him prior to the date of the trial. The ALJ sustained the objection to the admission of the report, but allowed the City to proffer the report.

At the conclusion of the hearing the ALJ entered a judgment in favor of the appellee awarding the appellee compensation at the rate of $282 per week, interest, penalty interest, and attorney's fees of $1,000. Although the ALJ did not give written reasons for the judgment, the following oral reasons were assigned:

In this case, the accident's been proved,... this man had a previous condition, in fact, the evidence in all the reports show that the accident aggravated and contributed to the added disability to make the back symptomatic so that he could not go back to work.... He was put on compensation by the City at the rate of $287 a week. Now, that was after the accident of November 1990. They cut him off on November 4th, 1991. No justification was shown to me for cutting him off on November 4th, 1991; therefore that action is arbitrary, capricious and without probable cause; therefore, the judgment's going to be judgment herein awarding compensation, back compensation with penalty, interest and attorney fees.

DISCUSSION AND LAW

In its first assignment of error the City argues that the ALJ abused its discretion by not allowing Dr. Montz's report to be admitted into evidence.

The City cites no cases to support its argument that this was error.

Pursuant to La.R.S. 23:1122 the medical report of the physician selected by the employer to perform a medical examination on the claimant is admissible and constitutes prima facie evidence of the facts contained therein. However, in order for the report to be admitted, the employer must establish that the report was timely mailed to the employee within the time period specified in the statute (i.e. within six days after the employer's receipt of the report). Richard v. Guillot, 271 So.2d 719 (La.App. 1 Cir.1972). The City offered no evidence to establish that Dr. Montz's report had been timely mailed to the appellee. Indeed, appellee's attorney objected to the admission of the report on the grounds that he had never seen the report prior to the day of trial. The City argues that the report was obviously available to opposing counsel since the appellee knew he had gone to Dr. Montz and there would be a report. The burden of proof was on the City to send the report timely. Absent a stipulation between the parties, the report constituted hearsay evidence and was not admissible.

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Bluebook (online)
632 So. 2d 367, 1993 La. App. LEXIS 4003, 1993 WL 539870, Counsel Stack Legal Research, https://law.counselstack.com/opinion/schmitt-v-city-of-new-orleans-lactapp-1993.