TEXAS EMPLOYERS'INSURANCE ASSOCIATION v. Shirey

391 S.W.2d 75, 1965 Tex. App. LEXIS 2660
CourtCourt of Appeals of Texas
DecidedMay 19, 1965
Docket11299
StatusPublished
Cited by2 cases

This text of 391 S.W.2d 75 (TEXAS EMPLOYERS'INSURANCE ASSOCIATION v. Shirey) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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TEXAS EMPLOYERS'INSURANCE ASSOCIATION v. Shirey, 391 S.W.2d 75, 1965 Tex. App. LEXIS 2660 (Tex. Ct. App. 1965).

Opinion

HUGHES, Justice.

This is a workmen’s compensation case in which appellee, Walter Lee Shirey, recovered a judgment against Texas Employers’ Insurance Association for total and permanent incapacity payable in a lump sum. Trial was to a jury.

Appellee made a motion, filed after the trial had commenced, that appellant’s counsel be instructed “not to make any inquiry of any witness and not to make any statement to the Jury concerning the possible or potential beneficial effect of surgery upon the Plaintiff, WALTER LEE SHIREY, and further, not to ask any question of any witness designed or calculated to allude to any such potential benefit or to intimate that surgery is required on the Plaintiff’s person or should be rendered to the Plaintiff or might alter or change his condition. Further, Plaintiff prays the Court by instruction in the absence of the jury, to make known to medical witnesses that they are not to base any estimate as to future disability of Plaintiff upon the hypothesis of subsequent surgery.”

The transcript does not reflect that this motion was presented to and acted on by the Court, however, the statement of facts makes reference to a ruling made by the Court in chambers sustaining the motion. Also, the statement of facts contains a bill of exceptions in which it is shown that appellant offered and the Court excluded evi *77 dence of the nature described in appellee’s motion.

The Industrial Accident Board made its final decision on appellee’s claim on January-16, 1964.

Appellee was injured on January 29, 1963.

On June 27, 1963, while appellee’s claim was before the Board, Dr. James D. Wim-pee, a witness for appellant, performed surgery on appellee which Dr. Wimpee described as removing “the pressure that was on the nerves coming out of the back of his leg.” This was accomplished “by cutting away the bone and the protruded ruptured bulging disc out of the joint space that had bulged out against this nerve root.”

Dr. Wimpee re-examined appellee on June 19, 1964, after which he recommended that appellee undergo further surgery which would entail exploration of the third, fourth and possibly the fifth lumbar, and, a fusion of the third lumbar and fourth lumbar.

The possibility of this additional surgery was mentioned to appellee by Dr. Wimpee prior to the ruling of the Board on appel-lee’s claim but he “did not come right out and specifically recommend ‘We are going to do further surgery’ until February 1964.”

The record before the Board respecting appellee’s claim does not disclose any admission of liability on the part of appellant or that any tender of surgery was made to appellee for the operation which was performed or for the second operation which was not performed except as may be disclosed by the following testimony of appellant’s attorney:

“Q As attorney of record for Texas Employers’, do you know of any tender through the Industrial Accident Board of a second operation that was made to Mr. Walter Shirey while this case was pending before the Industrial Accident Board of Texas?
A Only in the sense that an operation was not only tendered but performed, and the man continued to be under the care of Dr. Wim-pee and Dr. Wimpee discussed with him the possibility of a second operation with the full realization that he could perform such an operation and Texas Employers’ would pay for it if he did it. As far as the formal written tender of a subsequent operation, there was no more such tender in connection with the second one than there was with the first. This whole case was handled informally, as far as I know.”

In the opinion of Dr. Wimpee, the second operation would make appellee “better off than he would be able to accomplish by himself.”

It is the contention of appellant that, “The additional surgery is nothing more than a continuation of the surgical procedures already performed, which was brought out in the direct examination of Dr. Wim-pee as follows: ‘Q. Now, essentially, when you speak of the decompression operation and fusion operation, are you talking about what frequently amounts to two steps in a two-step procedure? A. Yes, you are.’ ”

Dr. Wimpee also testified:

“Q All right. Now, Doctor, we are talking about two different operations, are we not, when you say you want to go back in and do an additional decompression and spinal fusion?
A Yes, in a sense. Yes, two separate operations in a way. You might even get in and find the condition, for instance, that would cause you to decide once again to stop just short of spinal fusion. So, in a sense I think yes, it is two separate operations, surgical procedures.”

We quote the following from appellant’s brief which follows the above quotation:

“The above reasons take this case out of the line of cases cited above *78 wherein the benefits of surgery were excluded where no tender had been made before the Industrial Accident Board.
******
In the instant case, the technical requirements of Sections 12b and 12e of Article 8306 were no longer in the picture when the Defendant tendered surgery to the Plaintiff, he accepted it, and the surgery was actually performed. All of the consequences of that operation, good and bad, became relevant and material when the surgery was performed. The possibility of repeat surgery to correct conditions that may have been caused by the first operation was one of those consequences.”

It is our opinion that the court did not err in sustaining appellee’s motion and in excluding the proffered testimony tending to show the beneficial effect of a second operation and that appellant’s point one presenting these assigned errors should be overruled.

The term “surgery” as used in the Workmen’s Compensation Act has been held to embrace “only cutting operations.” Truck Insurance Exchange v. Seelbach, 161 Tex. 250, 339 S.W.2d 521.

In Texas Employers’ Insurance Association v. Vasquez, 371 S.W.2d 119, Amarillo C.C.A., n. w. h., it was held that although the claimant was told on the day the Industrial Accident Board took final action on his claim that another operation (third) was needed and that although the insurer agreed to pay for such operation it did not while the claim was before the Board admit liability, tender surgery, make a demand therefor or request that the Board take action toward surgery, that the insurer could not offer evidence that the claimant had refused surgery or that further surgery might benefit him.

This case and the authorities cited in it are conclusive against the contention of appellant that it had complied with the requirements of Section 12e, Art. 8306, Vernon’s Ann.Tex.Civ.St., so as to entitle it to offer evidence of the benefits which might be expected from further surgery.

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391 S.W.2d 75, 1965 Tex. App. LEXIS 2660, Counsel Stack Legal Research, https://law.counselstack.com/opinion/texas-employersinsurance-association-v-shirey-texapp-1965.