Theodore Venissat v. St. Paul Fire & Marine Ins. Co.

Louisiana Court of Appeal·Decided August 15, 2007·No. CA-0006-0987·Unknown

Opinion

STATE OF LOUISIANA

COURT OF APPEAL, THIRD CIRCUIT

06-987

THEODORE VENISSAT, ET AL. VERSUS ST. PAUL FIRE & MARINE INS. CO., ET AL.

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APPEAL FROM THE

FOURTEENTH JUDICIAL DISTRICT COURT PARISH OF CALCASIEU, NO. 03-5880 HONORABLE R. RICHARD BRYANT, JR., DISTRICT JUDGE

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ULYSSES GENE THIBODEAUX

CHIEF JUDGE

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Court composed of Ulysses Gene Thibodeaux, Chief Judge, Sylvia R. Cooks, Elizabeth A. Pickett, J. David Painter, James T. Genovese, Judges.

PICKETT, J., DISSENTS.

AFFIRMED AS AMENDED.

Thomas John Gayle Ranier, Gayle & Elliot P. O. Box 1890 Lake Charles, LA 70602-1890 COUNSEL FOR:

Plaintiffs/Appellants - Theodore and Vera Venissat

Todd M. Ammons Stockwell, Sievert, Viccellio, Clements & Shaddock P. O. Box 2900 Lake Charles, LA 70602 COUNSEL FOR:

Secondary Defendants/Appellants - St. Paul Fire & Marine Ins. Co., Calcasieu Parish Sheriff’s Dept. and Charles Ferguson

THIBODEAUX, Chief Judge.

Plaintiff, Theodore Venissat, was rear-ended by a sheriff’s deputy, Charles Ferguson, while stopped at a traffic light. Mr. Venissat and his wife sued the deputy and his employer, the Calcasieu Parish Sheriff’s Department (CPSD), as well as the CPSD’s liability insurer, St. Paul Fire & Marine Insurance (St. Paul), for damages sustained as a result of the collision. The Venissats appeal the jury’s special damage awards of $25,000 in past medical expenses, $8,000 in past lost wages, and the general damage award which totaled $45,000. Also, they contend that the trial court committed reversible, legal error when it rejected their request for a jury instruction that would allow the jury to consider whether the injured party was entitled to the presumption that the accident caused his injuries.

The defendants appeal the trial court’s inclusion of St. Paul in the judgment rendered in favor of the plaintiffs. They assert that St. Paul’s coverage is inapplicable in this case because the policy has a self-insured retention clause that requires the CPSD to pay for judgments or claims up to $250,000, which exceeds the total damage award of $83,000.

We find that the jury erred in rendering its awards of special damages and general damages; therefore, we amend the judgment to reflect past medical expenses in the amount of $75,000; past lost wages of $32,000; and the pain and suffering component of general damages in the amount of $60,000. The jury’s awards of $5,000 for loss of enjoyment of life and $10,000 for mental anguish are affirmed. Therefore, the total general damage award is $75,000.

I.

ISSUES

1. Did the trial court err when it rejected the plaintiffs’

request for a Housley v. Cerise jury instruction,

regarding a presumption that the accident caused Mr. Venissat’s cervical spine injuries, even though he had been diagnosed with pre-existing and occasionally symptomatic, cervical degenerative disc disease before the accident?

2. Were all of the plaintiff’s post-accident medical expenses incurred for the treatment of accident-

related injuries, therefore entitling him to an increase in the award for medical expenses?

3. Did the plaintiff establish that his entire claim for past lost wages consisted of wages lost as a result of accident-related injuries, therefore, entitling him to an increase in his past lost wage award?

4. Was the jury’s general damage award of $45,000 abusively low, considering the plaintiff received almost three years of medical treatment and underwent a three-level discectomy after the accident?

5. Was St. Paul erroneously cast in judgment for the damages awarded to the plaintiffs since the CPSD’s $250,000 self-insured retention provision of the St.

Paul policy was not exceeded by the damage award?

II.

FACTUAL BACKGROUND

On November 1, 2002, sixty-eight year old plaintiff, Theodore Venissat, was rear-ended by Deputy Charles Ferguson’s patrol car as he sat in his stopped vehicle at a red traffic light. Mr. Venissat refused treatment at the scene, but sought medical treatment a few days later for the overall body soreness and pain in his neck and shoulders that manifested in the immediate days following the accident. For approximately the next four months, his family physician, Dr. Kevin Schlamp, treated him conservatively with pain medication, anti-inflammatory medication, and physical therapy for a perceived neck sprain and/or strain.

Because his symptoms continued to recur, on April 7, 2003, Dr. Schlamp ordered an MRI to further investigate the source of his problems. The MRI showed that a herniated disc was protruding into the spinal canal at the C4-5 level. Dr. Schlamp also viewed deterioration in the cervical spine, which he attributed to degenerative disc disease, at the C5-6 and C6-7 levels. Dr. Schlamp had previously diagnosed this degenerative disc disease with arthritic changes in 1996, at which time he also first noted complaints from Mr. Venissat of symptoms that were suggestive of a possible cervical disc herniation. It was not until the MRI was taken in 2003, however, that he objectively determined the existence of a disc herniation at C4-5. He also opined at that time that the herniation was caused by the 2002 rear-end collision. Dr. Schlamp referred Mr. Venissat to orthopedic surgeon, Dr. Dale Bernauer of Lake Charles, Louisiana, for further evaluation and treatment.

Dr. Bernauer evaluated Mr. Venissat and recommended that he undergo a cervical discectomy and fusion at the levels C4-7, having found herniations at all three levels. Mr. Venissat sought a second opinion regarding the recommendation of surgery with neurosurgeon, Dr. Thomas Bertuccini of Lafayette, Louisiana. Dr. Bertuccini met with and evaluated Mr. Venissat on January 14, 2004. Based on his evaluation and review of the MRI results, he agreed that there was a cervical disc herniation at the C4-5 level. He also diagnosed bilateral foraminal stenosis (narrowing of the cervical disc space) due to degeneration of the discs at the lower levels. Nevertheless, Dr. Bertuccini opined that surgery was not immediately necessary due to his impression, after conducting additional testing, that no neurologic deficits were being caused by these conditions. Instead, Dr. Bertuccini recommended continued conservative treatment and a six-month follow-up evaluation.

Mr. Venissat had been medically advised about the risks of further injury, particularly paralysis, that could arise if the herniation was not surgically addressed. He consequently sought a third opinion with neurosurgeon, Dr. Homero Anchondo of Houston, Texas. Dr. Anchondo evaluated Mr. Venissat about three months later, on April 1, 2004, and opined that surgery, sooner rather than later, would be necessary to alleviate Mr. Venissat’s symptoms and to reduce or eliminate any risk of spinal cord injury that could be caused by the herniated disc. Finding also that significant deterioration had occurred in the cervical spine at the lower levels, he agreed with Dr. Bernauer’s recommendation for a three-level fusion. Mr. Venissat agreed to move forward with the surgery. On May 14, 2004, Dr. Anchondo performed a discectomy and spinal fusion surgery at the C4-7 levels. Following what was deemed by his doctors to have been a successful surgery, it took Mr. Venissat approximately a year to recover. He was left with a limited range of motion in the neck as a result of the fusion.

As stated earlier, at the time of the car accident, Mr. Venissat was sixty-

eight years old and was actively employed at a local refinery as a security guard, although he had previously retired from his employer of forty-three years. After the car accident, he continued to work until the day before the May 14th surgery; by that time he was seventy years old. About a year after his surgery in the Spring of 2005, he was released to return to work by Dr. Anchondo; however, Mr. Venissat chose to resign to reenter retirement.

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