Sedillo v. Levi-Strauss Corp.

644 P.2d 1041, 98 N.M. 52
CourtNew Mexico Court of Appeals
DecidedApril 8, 1982
Docket5438, 5441
StatusPublished
Cited by23 cases

This text of 644 P.2d 1041 (Sedillo v. Levi-Strauss Corp.) is published on Counsel Stack Legal Research, covering New Mexico Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sedillo v. Levi-Strauss Corp., 644 P.2d 1041, 98 N.M. 52 (N.M. Ct. App. 1982).

Opinion

OPINION

WALTERS, Chief Judge.

Both parties appealed from portions of the judgment entered below; the appeals have been consolidated for decision.

Plaintiff Sedillo challenges the rate of disability compensation awarded her, and denial of payment to her doctor for medical services rendered. Defendant appeals the court’s allowance of expert witness fees to plaintiff. We reverse.

The parties stipulated at the beginning of trial that plaintiff suffered a work-related injury on March 14, 1979. At the conclusion of the trial, the court allowed plaintiff’s amendment of the pleadings to allege that plaintiff’s disability commenced on June 6, 1980, when she was unable to get out of bed. Defendant’s Exhibit B shows that on that date the defendant company placed her on leave of absence; she never returned to work. We discuss, in order, the date of disability upon which the rate of compensation is to be based; medical benefits payable on plaintiff’s behalf, and defendant’s liability for payment of plaintiff’s expert witness fees.

I.

Defendants rely on testimony of one doctor that; in his opinion, if plaintiff worked in pain from March 14, 1979 she was five or ten percent disabled from the date of the accidental injury; and from another doctor that, assuming plaintiff complained of pain from the date of the accident and consequently was shifted to other jobs for her accommodation, he would assume that her disability began at the date of injury and gradually increased until she was forced to stop work. This evidence, they claim, supports the trial court’s award of 10% disability commencing March 14, 1979, and total disability after June 6,1980.

We cannot say that either doctor was mistaken if we accept their opinions as being related to claimant’s medical disability following the 1979 injury. But eligibility under the Workmen’s Compensation Act is concerned with legal disability as statutorily defined, and the court is not bound by medical opinion or medical definitions when determining whether a compensable disability exists. Cardenas v. United Nuclear Homestake Part., 97 N.M. 46, 636 P.2d 317 (Ct.App.1981); Goolsby v. Pucci Distrib. Co., 80 N.M. 59, 451 P.2d 308 (1969). Medical testimony is necessary to establish the causal connection between an accidental injury and a resulting compensable disability, § 52-1-28 B, N.M.S.A. 1978; it does not resolve the questions of date of commencement or degree of compensable disability. Goolsby, supra.

We said, in Cardenas, supra, at 636 P.2d 320:

The concept of “compensable disability” intrinsic to our workmen’s compensation law is that in order to be entitled to an award of compensation benefits a workman must not only suffer a physical impairment, but also be unable to perform work.

The pertinent portions of the Act regarding disability are §§ 52-1-24 and -25, N.M. S.A.1978. They read, respectively:

“[TJotal disability” means a condition whereby a workman, by reason of an injury arising out of and in the course of, [sic] his employment, is wholly unable to perform the usual tasks in the work he was performing at the time of this injury, and is wholly unable to perform any work for which he is fitted by age, education, training, general physical and mental capacity and previous work experience[,]

and

“[P]artial disability” means a condition whereby a workman, by reason of injury arising out of and in the course of his employment, is unable to some percentage-extent to perform the usual tasks in the work he was performing at the time of his injury and is unable to some percentage-extent to perform any work for which he is fitted by age, education, training, general physical and mental capacity and previous work experience.

Chief Justice Easley said in Anaya v. New Mexico Steel Erectors, Inc., 94 N.M. 370, 610 P.2d 1199 (1980), that “[impairment of physical function is not enough to justify an award * * *; there must be some disability, or inability, to perform work.”

In this case, no one disputes or doubts that plaintiff suffered almost constant back pain following the March 14, 1979 injury. But the evidence concerning her ability, albeit with pain, to perform the work functions she was doing at the time of the accident was that she continued at “hook rope,” “trim pockets” ( — two operations for which she was awarded certificates of 100% production before she was injured — ) and “turn and stack” assignments after the accident. Other than for the payroll period following March 14, 1979, during which plaintiff was sent to the company’s doctors for examination and was off work, there is not an iota of evidence in the record to indicate that plaintiff did less work or put in fewer weekly hours after the accident than before. Indeed, her average weekly pay scale, based upon production, rose from $3,059 per hour for the March 1979 quarter to $4,199 per hour for the June 1980 quarter when she became unable to work. During that entire time she was able to and did perform the work she was doing at the time of the injury as well as work for which she was fitted by her training and experience.

Plaintiff was not paid any workmen’s compensation benefits at any time. She was not advised by the company doctors, nor was her employer, that she had suffered a compensable injury in March 1979. An uneducated worker is not charged with medical knowledge “which apparently transcends that possessed by the attending physician.” Duran v. New Jersey Zinc. Co., 83 N.M. 38, 39, 487 P.2d 1343 (1971). She filed her claim for compensation well with the time limitation after she knew or had reason to know she had suffered a compensable injury when so advised by her own doctor. See Gomez v. Hausman Corp., 83 N.M. 400, 492 P.2d 1263 (Ct.App.1972).

Plaintiff was not disabled, under the clear language of §§ 52-1 — 24 and -25, supra, until June 1980.

II.

Plaintiff contends it was error to deny her claim for payment of medical services rendered by her personal physician. According to the evidence, Lugie Sedillo was excused from work and sent to the Center for Industrial Medicine when she reported the accident on Wednesday, March 14,1979. X-Ray Associates made x-rays of her back and reported to the Center that Mrs. Sedillo had degenerative disc disease in the lumbosacral area. One of the Center’s doctors recommended moderate duty, no lifting of more than forty pounds, no excessive bending, and no excessive vibrative tool work. Neither the x-ray findings nor the doctor’s recommendations were communicated to the employer or to the plaintiff-employee.

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644 P.2d 1041, 98 N.M. 52, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sedillo-v-levi-strauss-corp-nmctapp-1982.