Williams v. Hospital Service, Inc.

663 So. 2d 749, 1995 WL 553351
CourtLouisiana Court of Appeal
DecidedSeptember 20, 1995
Docket95-CA-214
StatusPublished
Cited by11 cases

This text of 663 So. 2d 749 (Williams v. Hospital 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
Williams v. Hospital Service, Inc., 663 So. 2d 749, 1995 WL 553351 (La. Ct. App. 1995).

Opinion

663 So.2d 749 (1995)

Louis WILLIAMS
v.
HOSPITAL SERVICE, INC., d/b/a West Jefferson Hospital.

No. 95-CA-214.

Court of Appeal of Louisiana, Fifth Circuit.

September 20, 1995.
Rehearing Denied December 18, 1995.

*751 Melvin Ripp, Jr., Gretna, for defendant/appellant.

Joseph G. Albe, New Orleans, for plaintiff/appellee.

Before GOTHARD and CANNELLA, JJ., and CHEHARDY, J., Pro Tem.

CANNELLA, Judge.

Both parties appeal from the judgment rendered in this worker's compensation action between the plaintiff/employee, Louis Williams (Williams), and the defendant/employer, Hospital Service District No. 1 of Jefferson Parish d/b/a West Jefferson Medical Center (West Jefferson). For the reasons which follow, we amend the penalty award and affirm the Office of Workers' Compensation (OWC) judgment, as amended.

Williams was hired by West Jefferson on or about September 1, 1989. In his employment he worked in the linen department. Williams contends that on November 8, 1989, during the course of his employment, he was pulling a linen cart that weighed about one hundred (100) pounds, when he felt a pulling sensation and pain in his lower back. The accident was unwitnessed. He immediately reported the incident to his supervisor, who sent him to the company physician to be examined. Essentially, West Jefferson paid for Williams' medical treatment and expenses and paid compensation benefits to him from the date of the accident through April 1, 1990. Then, upon receiving what they considered to be negative findings of objective evidence of a physical injury, compensation payments were terminated.

On May 1, 1990, Williams filed this claim against his employer with OWC. After additional medical treatment and tests were authorized, ordered paid by the court and conducted, trial was held in this matter.

Following trial on December 8, 1993, judgment was rendered on March 25, 1994. It was determined that Williams did suffer a work related injury on November 8, 1989 and that he was entitled to temporary total disability benefits from November 8, 1989 through April 2, 1990. However, Williams failed to meet his burden of proving, by clear and convincing evidence or by a preponderance of the evidence, that the November 8, 1990 injury caused him any period of disability after April 2, 1990. Thus any further benefits were denied. The judgment held that West Jefferson was not arbitrary and capricious in its termination of benefits after April 2, 1990, but that they were arbitrary and capricious in their refusal to pay certain medical expenses that had been previously ordered by OWC. Accordingly, penalties were assessed of $1,000 and attorney's fees of $1,000. Finally, the judgment held that West Jefferson must pay all medical expenses incurred between November 8, 1989 and April 2, 1990 together with those additional medical expenses for treatment and diagnostic testing ordered by previous OWC court orders. It is from this judgment that both parties appealed.

West Jefferson presents two main arguments on appeal. First it argues that the administrative court erred in ruling that *752 Williams was entitled to $1,000 in penalties and $1,000 in attorney's fees upon finding that West Jefferson was arbitrary and capricious in its refusal to pay for Williams' medical treatment by a doctor of his choice and to pay for that doctor's recommended diagnostic tests. West Jefferson also argues that the administrative court erred in not assessing costs, sanctions and attorney's fees against Williams for filing false or fraudulent claims.

Williams argues to the contrary that the only error in the administrative court's assessment of penalties and attorney's fees against West Jefferson is that the assessment is too low. Williams notes that under the Workers' Compensation Act, La.R.S. 23:1203, an employer is required to furnish all necessary and reasonable medical treatment and expenses that arise from an employee's work related injury. Further, under La.R.S. 23:1121(B), the Act gives the employee the right to choose one physician of his own without the approval of the employer. Thus, Williams contends that the administrative court was correct in finding that West Jefferson was arbitrary and capricious in its refusal to pay for the medical treatment by Williams' chosen physician and in refusing to pay for the diagnostic tests that the physician deemed necessary for an accurate assessment of the patient's condition. Williams argues further that the assessment of penalties and attorney's fees was deficient in view of the evidence submitted which shows over one hundred ninety-three (193) hours of legal work. Williams denies any liability for costs, sanctions and attorney's fees by pointing out that the sanction provision, La.R.S. 23:1208 was enacted subsequently to his injury and is not applicable to his case. Finally, Williams argues that the administrative court erred in holding that the November 8, 1989 injury did not cause him any disability beyond April 2, 1990.

After reviewing the records, exhibits and arguments of both parties, we find no error in the administrative court judgment and affirm it.

First, it must be noted that the administrative court finding of a work related injury and disability from November 8, 1989 to April 2, 1990 has not been contested and is, therefore, final. The only issue before this court concerning Williams' disability is whether the administrative court erred in concluding that Williams did not meet his burden of proving disability beyond the April 2, 1990 date.

It is well settled that, on appellate review of a factual determination, the reviewing court may not set aside a trial court's or a jury's finding of fact in the absence of manifest error or unless it is clearly wrong. Also, where there is a conflict in the testimony, 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. Rosell v. ESCO, 549 So.2d 840 (La.1989); Arceneaux v. Domingue, 365 So.2d 1330 (La. 1978); Canter v. Koehring, 283 So.2d 716 (La.1973). The issue to be resolved by the reviewing court is not whether the trier of fact was right or wrong, but whether the factfinder's conclusion was a reasonable one. Stobart v. State Through DOTD, 617 So.2d 880 (La.1993). Thus, where two permissible views of the evidence exist, the factfinder's choice between them cannot be manifestly erroneous or clearly wrong. Stobart, supra.

The hearing officer was called upon to make credibility determinations and was influenced by certain medical findings in concluding that Williams had suffered a work related injury that resulted in his temporary disability that lasted only through April 2, 1990. This determination is supported by the record and we find no manifest error in the judgment in that regard.

Williams was first examined by Dr. Howard Nelson, who found that Williams had a pulled muscle in his back and put him on light duty. By April 2, 1990, Dr. Nelson released Williams to return to work on full duty since Williams had reached maximum medical improvement. Williams next went to an orthopedic specialist, Dr. Chris J. DiGrado. Williams had a Magnetic Resonance Imaging Test (MRI) on January 5, 1990 and a Bone Scan on January 9, 1990. The MRI results were negative or normal. The results *753

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Bluebook (online)
663 So. 2d 749, 1995 WL 553351, Counsel Stack Legal Research, https://law.counselstack.com/opinion/williams-v-hospital-service-inc-lactapp-1995.