Ware v. Allen Parish School Bd.

854 So. 2d 374, 2 La.App. 3 Cir. 1011, 2003 La. App. LEXIS 2588, 2003 WL 21179853
CourtLouisiana Court of Appeal
DecidedSeptember 24, 2003
Docket02-1011
StatusPublished
Cited by10 cases

This text of 854 So. 2d 374 (Ware v. Allen Parish School Bd.) 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
Ware v. Allen Parish School Bd., 854 So. 2d 374, 2 La.App. 3 Cir. 1011, 2003 La. App. LEXIS 2588, 2003 WL 21179853 (La. Ct. App. 2003).

Opinion

854 So.2d 374 (2003)

Vicky WARE
v.
ALLEN PARISH SCHOOL BOARD.

No. 02-1011.

Court of Appeal of Louisiana, Third Circuit.

May 21, 2003.
Order Granting Rehearing September 24, 2003.

*375 Maria Anna Losavio, Flournoy, Doggett & Losavio, Alexandria, LA, for Plaintiff/Appellant, Vicky Ware.

Samuel Newman Poole Jr., Gold, Weems, Bruser, Sues & Rundell, Alexandria, LA, for Defendant/Appellee, Allen Parish School Board.

Court composed of SYLVIA R. COOKS, JIMMIE C. PETERS, and GLENN B. GREMILLION, Judges.

GREMILLION, Judge.

The plaintiff, Vicky Ware, appeals portions of the judgment by the workers' compensation judge denying her temporary total disability benefits, supplemental earnings benefits, medical treatment, and penalties and attorney's fees for certain acts of the defendant, Allen Parish School *376 Board. For the following reasons, we affirm in part, reverse in part, and render.

FACTS

On November 29, 1999, Ware fell while working as a cafeteria worker at Oakdale Elementary School in Oakdale, Louisiana. She was treated that same day by her family practitioner, Dr. George Mowad, for complaints of pain in her shoulders, lower back, hips, and legs. She was treated with injections and pain medication for her lower back and left thigh on December 3 and 10, 1999, and was referred to physical therapy on January 3, 2000. On January 20 and February 8, 2000, she complained of pain in her left knee and her pelvis; she received steroid injections and was referred for physical therapy.

Ware was referred to Dr. Elemer Raffai, an orthopedic surgeon, on March 29, 2000, and was seen by him a total of eighteen times through January 9, 2002. At her initial visit, she indicated that she was seeing Dr. Raffai for her pelvic, hip, "butt bone," and knee. Over that period of time, Ware consistently complained of pain and stiffness in her lower back, while Dr. Raffai nearly always noted point tenderness at L5-S1, along with stiffness in her back, and a negative straight leg raise and a negative tripod. A March 30, 2000 MRI revealed disc dehydration at L4-5 and L5-S1, accentuated at L5-S1; however, there was no evidence of disc herniation. Over the course of this time, Dr. Raffai treated Ware with injections and physical therapy. On May 10, 2000, Dr. Raffai continued Ware on light duty.

Dr. Raffai's notes first indicate left knee complaints by Ware on June 14, 2000, with further complaints made on November 14, 2000. At that time, she also made her first complaints of pain in her left upper extremity or shoulder. Dr. Raffai initially indicated the possibility of carpel tunnel syndrome, for which he prescribed a tens unit and a nerve conduction study, which was denied by Mor-Tem Risk Management Services, the third party administrator for Allen Parish. He later changed the diagnosis to rotator cuff tendinitis and recommended x-rays and an MRI to rule out a rotator cuff tear. These tests were not approved.

Dr. Gerald Leglue, a physiatrist, evaluated Ware on October 23, 2000, determining that she was suffering from left iliolumbar dysfunction, left piriformis syndrome, and possible left hip bursitis. He recommended acupuncture but, if not approved, then four weeks of physician-directed therapy with emphasis in the left piriformis muscle and the left iliolumbar ligament region. Dr. Raffai did not approve the acupuncture, opining that physical therapy and conservative management would benefit Ware most.

During the course of his treatment, Dr. Raffai referred Ware to Dr. Charles Bramlet, a psychiatrist, for treatment of depression, to a Dr. Lorio, a spine specialist, for an opinion on her chronic lower back pain, to Dr. Troy Vaughn, a neurosurgeon, for a second opinion on her lower back condition, and a Dr. Lazaro, a rheumatologist. Mor-Tem did not approve these referrals.

A functional capacity evaluation (FCE) was scheduled with Alexandria Physical Therapist on December 28, 2000. However, this appointment was later canceled at the request of Andy Storer, the case manager for Mor-Tem, who scheduled an FCE with Dr. Phillip Osborne, a neurosurgeon, on December 22, 2000. This appointment was changed to April 9, 2001, at which time an examination and FCE were performed by Dr. Donald Smith, a neurosurgeon. He noted Ware's complaints of aching across her lower back, and a burning in the middle of her back, that radiated to *377 the coccyx, aching, burning, and pins and needles down her left lower extremity, occasional numbness in her left foot, shooting pains in her left knee, with burning on the outside of her knee, and occasional knots in her left leg. He further noted that Ware was a depressed lady, whose movements were slow but otherwise normal. Her range of movement in her lower back was mildly restricted to anterior flexion and to hyperextension, with complaints of pain when attempting the extremes of these motions. Pain was also produced ipsilaterally at approximately sixty to seventy degrees during the straight leg raise test, bilaterally. Flexion of the thigh on the abdomen and rotation of the hip bilaterally produced equal degrees of low back pain. Despite Ware's complaints of pain, Dr. Smith noted that she was able to sit completely upright on the examination table with her legs extended to ninety degrees, with no visible discomfort. He further indicated that her MRI was normal for someone of her age and general status.

With regard to the FCE, Dr. Smith opined that the test was invalid due to her refusal to perform any of the lifting procedures, including the isometric onetime strength testing and the lumbar protocols of repetitive testing. Thus, he felt that the test was not useful in measuring her physical capabilities. After the FCE was performed, Dr. Raffai deferred to Dr. Smith's opinion and discharged Ware from his care. She returned to him on May 16, 2001, with continued complaints of pain in her lower back, right hip, and leg. Noting that there was nothing he could do for her, he suggested a referral to Dr. Lazaro, a rheumatologist. On July 3, 2001, he recommended injections and physical therapy. Neither the referral nor the physical therapy was approved.

On July 24, 2001, Dr. Raffai met with Anna Esterak, the nurse case manager assigned to Ware's file by Storer, and Ware's attorney. He opined that Ware was at maximum medical improvement, but that she would benefit from pain management treatment for her chronic lower back pain. He suggested discharging her from his care and transferring her to a pain management specialist. He noted that this was done at the suggestion of Ware's attorney. Ware returned to Dr. Raffai three more times, but he stated that there was nothing more he could do for her. On January 9, 2002, Dr. Raffai noted that Ware would suffer from chronic lower back pain for an undetermined time. He repeated his request that she see a pain management specialist and prescribed her a back brace.

On November 15, 2000, Ware filed a disputed claim for compensation seeking workers' compensation benefits, penalties, and attorney's fees due to the arbitrary actions of the School Board in failing to provide compensation benefits and in authorizing medical treatment. After Dr. Raffai found that she had reached medical maximum improvement, the School Board terminated her temporary total disability benefits on May 24, 2001. Following a trial on the merits on February 20, 2002, the workers' compensation judge took the matter under advisement.

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Bluebook (online)
854 So. 2d 374, 2 La.App. 3 Cir. 1011, 2003 La. App. LEXIS 2588, 2003 WL 21179853, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ware-v-allen-parish-school-bd-lactapp-2003.