Sider-Jeffery v. Jefferson Parish Public School System

105 So. 3d 260, 12 La.App. 5 Cir. 366, 2012 WL 6176583, 2012 La. App. LEXIS 1601
Louisiana Court of Appeal·Decided December 11, 2012·No. No. 12-CA-366·Published·Cited by 1 cases

Opinion

ROBERT A. CHAISSON, Judge.

|2In this worker’s compensation action, the Jefferson Parish School Board appeals from a judgment approving additional psychotherapy treatment for Sandy Sider-Jef-fery, and awarding her attorney fees. Ms. Sider-Jeffery has answered the appeal seeking additional attorney fees and penalties. For the following reasons, we vacate that portion of the judgment awarding attorney fees to claimant. In all other respects, the judgment is affirmed.

FACTS AND PROCEDURAL HISTORY

Ms. Sider-Jeffery was employed by the Jefferson Parish School Board to work with special education students. On November 6, 2008, she was assaulted by one of the students on a school bus and received injuries to her neck and back. She also claimed that she had received mental injuries during the incident. She sought treatment for this latter condition from Dr. Jirina Fiala, a psychologist, and Dr. Frederic Henderson, a psychiatrist. In September of 2009, Dr. Henderson diagnosed claimant with post-traumatic stress disorder (PTSD), major depression and chronic pain disorder, and he referred her to Dr. Fiala for psychotherapy. lsDr. Fiala generally agreed with Dr. Henderson’s diagnosis, and recommended psychotherapy.

The School Board has continuously paid for treatment by Dr. Henderson. Although it initially paid for Dr. Fiala’s psychotherapy treatments, it soon questioned the need for these treatments. It therefore sought a second medical opinion from Dr. Rennie Culver, a psychiatrist. Dr. Culver was of the opinion that claimant did not suffer from PTSD. He noted that claimant’s worker’s compensation benefits were equivalent to her full salary, and thus there was an element of secondary gain in the formation and maintenance of her symptoms. He concluded that “if she is treated for PTSD, at best the treatment will do her little if any good and at worst it will reinforce her symptom formation.” [262] His initial opinion was based on his review of only a part of the medical record, but he later stated that when he had subsequently reviewed the entire record, his opinion remained the same.

Because of the disagreement about the need for continued psychotherapy treatment, the School Board requested an independent medical examination (IME) pursuant to La. R.S. 23:1123. Ms. Sider-Jeffery filed an objection to the IME. After a hearing on May 14, 2010, the Office of Workers’ Compensation (OWC) judge selected Dr. Harold Ginzberg, a psychiatrist, to perform an IME. For reasons which do not appear of record, the OWC judge limited the scope of Dr. Ginzberg’s examination to two issues: “1) condition (diagnosis) and 2) capacity of claimant to return to work from a psychiatric standpoint.” This doctor reviewed all of the pertinent medical records and conducted an examination lasting several hours.

Dr. Ginzberg generally agreed with Dr. Culver that “the clinical picture, as documented during this clinical evaluation, fails to support a diagnosis of major Ldepressive disorder or posttraumatic disorder.” He noted that the issue of secondary gain, i.e., the fact that claimant was receiving her full salary, was probably implicated. He stated that “the more psychotherapy that Ms. Sider-Jeffery receives, the more she will continue to believe that, because she will never be the way she was before the assault, she will never return to employment.” His ultimate conclusion was that “[tjhere is no psychiatric contraindication to Ms. Sider-Jeffery’s returning to the workplace in a position consistent with her work experience, education and physical abilities. There is no reasonable expectation that Ms. Sider-Jeffery will return to the workplace until this Workers’ Compensation case is settled.”

On the basis of Dr. Ginzberg’s report, the School Board terminated payments for additional psychotherapy treatment. Ms. Sider-Jeffery sought relief with the Office of Workers’ Compensation. After a trial on the merits, the OWC judge ruled that the claimant was entitled to continuing payments for psychotherapy treatments, but that the School Board had not acted arbitrarily and capriciously in terminating payment for these treatments. Nonetheless, she awarded claimant $2,500 in attorney fees. The School Board now appeals urging that: 1) the OWC judge erred in limiting the scope of Dr. Ginzberg’s IME; 2) the OWC judge erred in failing to consider the opinion of Dr. Ginzberg with regard to the need for additional psychotherapy; 3) the OWC judge erred in granting claimant additional psychotherapy treatment; and 4) the OWC erred in awarding attorney fees and costs to the claimant. Claimant has answered the appeal seeking penalties and additional attorney fees for work done on appeal.

LAW AND ANALYSIS

In Dean v. Southmark Construction, 03-1051 (La.7/6/04), 879 So.2d 112, 117, the court stated:

| rJn worker’s compensation cases, the appropriate standard of review to be applied by the appellate court to the OWC’s findings of fact is the ‘manifest error-clearly wrong’ standard. Brown v. Coastal Construction & Engineering, Inc., 96-2705 (La.App. 1 Cir. 11/7/97), 704 So.2d 8, 10, (citing Alexander v. Pellerin Marble & Granite, 93-1698, pp. 5-6 (La.1/14/94), 630 So.2d 706, 710). Accordingly, the findings of the OWC will not be set aside by a reviewing court unless they are found to be clearly wrong in light of the record viewed in its entirety. Alexander, 630 So.2d at 710. Where there is conflict in the testimony, [263] reasonable evaluations of credibility and reasonable inferences of fact should not be disturbed upon review, even though the appellate court may feel that its own evaluations and inferences are as reasonable. Robinson v. North American Salt Co., 02-1869 (La.App. 1 Cir.2003), 865 So.2d 98, 105. The court of appeal may not reverse the findings of the lower court even when convinced that had it been sitting as the trier of fact, it would have weighed the evidence differently. Robinson, 865 So.2d at 105.

As an initial matter, both the School Board and Ms. Sider-Jeffery have raised issues on appeal concerning the evaluation, opinion and report of Dr. Ginzberg. The School Board contends that the OWC judge erred in limiting the scope of Dr. Ginzberg’s IME. Ms. Sider-Jeffery contends that Dr. Ginzberg exceeded his mandate to address only claimant’s “condition (diagnosis)” and her ability “to return to work from a psychiatric standpoint.” She contends that portions of the doctor’s report improperly went to questions of the types of treatment which he deemed proper, and that the School Board’s reliance on these portions of the report in deciding to terminate payment for psychotherapy treatment was thereby tainted.

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Sider-Jeffery v. Jefferson Parish Public School System, 105 So. 3d 260, 12 La.App. 5 Cir. 366, 2012 WL 6176583, 2012 La. App. LEXIS 1601 (La. Ct. App. 2012).

105 So. 3d 260 (Sider-Jeffery v. Jefferson Parish Public School System) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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