Wall v. New Orleans Public Service, Inc.

389 So. 2d 80, 1980 La. App. LEXIS 4491
CourtLouisiana Court of Appeal
DecidedSeptember 9, 1980
DocketNo. 11345
StatusPublished
Cited by3 cases

This text of 389 So. 2d 80 (Wall v. New Orleans Public Service, Inc.) 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
Wall v. New Orleans Public Service, Inc., 389 So. 2d 80, 1980 La. App. LEXIS 4491 (La. Ct. App. 1980).

Opinion

SAMUEL, Judge.

The sole issue before us is the quantum of a jury award for damages resulting from a rear end collision. Plaintiff was awarded $2,000 for personal injuries and $96,000 for past and future loss of income.1 Both litigants have appealed. While not questioning the award for loss of wages, plaintiff contends the award for personal injuries is inadequate. Defendant does not contest the award for personal injuries, but contends the award for loss of income is excessive.

The Injury

Testimony pertinent to personal injuries was given by plaintiff, his wife, and the following medical experts: Dr. Philip Rabi-to, plaintiff’s family physician, Dr. Stuart Phillips, an orthopedic surgeon, who testified on behalf of plaintiff, and Drs. Harold Stokes and G. Gernon Brown, orthopedic surgeons who testified on behalf of defendant.

Plaintiff, who was 55 at the time of trial, testified: On May 10, 1976, while stopped for a light on South Claiborne Avenue near the Poydras off ramp in the City of New Orleans, his vehicle was struck from behind by a defendant bus. His head snapped back and his face was turned up to the roof of the car. He was stunned and felt pain in the neck from the base of the skull to the shoulders, upper back and right arm. He went from the scene to a hospital emergency room, where x-rays were taken. He was advised to consult his personal physician. That afternoon he saw Dr. Rabito who treated him. The therapy helped and he improved under the doctor’s care. He was out of work from the date of the accident until some time the following month.

In the middle of August he had a flareup. He did not return to Dr. Rabito but went to Dr. Phillips, a surgeon recommended by his attorney. Dr. Phillips treated him thereafter.

Plaintiff’s principal employment was with the Community Improvement Agency, for whom he makes construction inspections of residential property and evaluations and recommendations for repairs. In addition to his principal job he is a self-employed construction contractor on evenings and weekends.

At the time of trial he complained of stiffness in his neck, right arm and shoulder. He was discharged from the Community Improvement job but the discharge was not related to the accident.2 He had appealed the decision to the Civil Service Commission, which upheld the agency, and the matter is now on appeal in the courts. Plaintiff would like to return to his job with the agency and feels he could manage the work, but he could not do full time construction work. He has not sought other employment, awaiting the outcome of his suit for reinstatement.

Mrs. Wall testified that after the accident her husband seemed to be in constant pain and is restless at night. He goes to work but comes home in distress, uses traction regularly and rests frequently.

Dr. Rabito testified he saw plaintiff on the date of the accident, took a history and performed an examination based on plaintiff’s complaints of soreness in the upper and lower cervical and dorsal areas. Muscle tenderness and spasm were found. The doctor concluded plaintiff had a cervical strain. Treatment consisted of analgesic compound, muscle relaxants, moist heat applications. He was seen again May 14, 21, 28, and was discharged on May 28. He had received ten ultrasound and wet pack treatments. The doctor concluded plaintiff had received maximum benefits from treatment [82]*82and would continue to improve. There was no evidence of a nerve or disc injury and residual impairment was not anticipated.

The next physician to see plaintiff was Dr. Stokes, defendant’s orthopedic specialist, who examined him on August 3, 1976. Plaintiff stated he was much improved but still had soreness in the neck, back and right shoulder. He denied numbness or tingling in the arms and legs. No muscle spasm was noted and there was normal range of motion with no apparent discomfort. At this time there was no evidence of a serious disorder or clinical evidence of nerve root compression or irritation; the patient was back at work and his symptoms were subsiding. The doctor concluded plaintiff may have sustained a cervical and dorsal spine strain as a result of the accident.

Plaintiff was next seen by Dr. Stuart Phillips, who testified: He first saw plaintiff on October 19, 1976 (five months after the accident). He took a history and performed a routine orthopedic examination. At that time plaintiff complained of low level pain in his neck, radiating into his right arm. The doctor associated this with paresthesia, i. e., if a nerve is injured numbness and tingling are noted. Plaintiff stated his symptoms were worse with activity and better with rest. The doctor considered this important because it is typical of a ruptured disc, which he felt plaintiff had. No muscle spasm or muscle weakness was noted, but there was a decrease in the right tricep reflexes as compared to the left. X-rays of the cervical spine taken at this time showed a straightening of the cervical curve.

The doctor diagnosed plaintiff’s injuries resulting from the accident as an injury to the nerve between the sixth and seventh cervical vertebrae. The symptoms are common (intermittent pain, worse with activity, radiating to the arm, and pain associated with numbness and tingling) in a patient with an irritated nerve in the neck from a ruptured disc. He concluded Dr. Rábito had treated the patient properly because the symptoms were low grade and were not exacerbated when he was seen.

Plaintiff was next seen by Dr. Phillips on November 16, at which time he was placed on cervical traction at home. When seen on December 4, plaintiff was almost well. However, he returned January 14, 1977 with complaints of pain radiating into his arm, but no neck complaints. Increased activity was recommended. On February 25, plaintiff had a normal examination and complained of only occasional symptoms. He was ordered to discontinue traction and increase his activities.

On March 25, following the discontinuation of traction, plaintiff’s symptoms returned. The doctor noted spasm and limitation of the neck along with absent reflex. Plaintiff stated he had good and bad days, which is compatible with a ruptured disc.

On November 22, 1978 plaintiff returned to be checked. He said he experienced intermittent pain in his neck and right shoulder. Some spasm and limitation were noted. The doctor concluded plaintiff could learn to live with the problem and therefore did not advise surgery. Initially he was of the opinion plaintiff had a sprain while under Dr. Rabito’s care, but instead of healing, it progressed to a disc injury. The difference in symptoms between a cervical sprain and a ruptured disc is determined by the presence or absence of evidence of nerve injury. The fact that plaintiff had pain running into his arm indicated the pain was due to an irritated nerve in his back.

Dr. Phillips testified if he had seen plaintiff on only one occasion he might have made a diagnosis of sprain, but he was able to see him on a continuing basis, and thus concluded plaintiff had a ruptured disc.

When last seen May 3, 1979 plaintiff still had intermittent symptoms and pain radiating into his right arm. The doctor measured plaintiff’s arms and found the right arm smaller than the left arm, which is distinctly abnormal for working people. He had spasm, limited motion of the neck and muscle atrophy in his arm. Atrophy is caused by disuse. When something hurts we don’t use it, or if it is paralyzed we can’t use it.

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Related

Hall v. Louisiana Coca-Cola Bottling Co.
444 So. 2d 747 (Louisiana Court of Appeal, 1984)
Ferro v. Green
394 So. 2d 824 (Louisiana Court of Appeal, 1981)
Wall v. New Orleans Public Service, Inc.
395 So. 2d 1353 (Supreme Court of Louisiana, 1980)

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Bluebook (online)
389 So. 2d 80, 1980 La. App. LEXIS 4491, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wall-v-new-orleans-public-service-inc-lactapp-1980.