Williams v. Travelers Insurance Company

157 So. 2d 356, 1963 La. App. LEXIS 1996
CourtLouisiana Court of Appeal
DecidedOctober 30, 1963
Docket950
StatusPublished
Cited by20 cases

This text of 157 So. 2d 356 (Williams v. Travelers Insurance Company) 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. Travelers Insurance Company, 157 So. 2d 356, 1963 La. App. LEXIS 1996 (La. Ct. App. 1963).

Opinion

157 So.2d 356 (1963)

Willie WILLIAMS, Plaintiff-Appellee,
v.
The TRAVELERS INSURANCE COMPANY, Defendant-Appellant.

No. 950.

Court of Appeal of Louisiana, Third Circuit.

October 30, 1963.

*357 Dubuisson & Dubuisson, by William A. Brinkhaus, Opelousas, for defendant-appellant.

Fusilier, Pucheau & Soileau by L. O. Fusilier, Ville Platte, Preston N. Aucoin, Ville Platte, for plaintiff-appellee.

Before TATE, SAVOY, and CULPEPPER, JJ.

TATE, Judge.

This is a workmen's compensation suit. The employer's insurer appeals from an award to the claimant for total and permanent disability, together with penalties for the arbitrary non-payment of compensation due. By answer to the appeal, the plaintiff prays for an increase in the penalty attorney's fees awarded.

The issues of this appeal relate (1) to disability and (2) to penalties, if any, allowable because of the defendant's failure to pay workmen's compensation.

1. Disability.

The plaintiff was employed on a construction crew clearing a right of way. While he and several co-employees were pulling down a tree on September 7, 1962, he slipped, and a pole struck him in his right groin.

The accident caused continuing complaints of severe pain running from the groin through to the lower back. The initial attending physician found severe muscle contusions in the groin area.

The claimant was hospitalized from September 11th to September 16th. Because of the continued complaints of pain, the attending physician sent him for evaluation on September 24th to an orthopedic surgeon; this specialist found no mechanical explanation of the complaints of pain and felt that the plaintiff had recovered sufficiently from the contusion of the groin and back area to return to work.

The attending physician nevertheless felt that the claimant's continued complaints of pain were justified, and that the cause of these continued pains might be that the blow could have caused some injury to internal organs (Tr. 203) or the nerves (Tr. 205) in this area.

The lay evidence indicates that the claimant continued to complain of pain in the groin and back. However, on November 26th he returned to heavy work running a power saw, which he continued to do over a period of two months. The claimant explained that it was necessary for him to work in order to support his wife and three children. He stated that he worked with pain, and, while the defendant produced several witnesses who said that the claimant had performed this heavy work without complaint, one of the defendant's witnesses admitted that, although the claimant performed his duty satisfactorily, the claimant seemed to work as if something was wrong with him.

Just before the trial was held, some five months after the injury, the defendant procured the examination of a specialist in internal medicine. His examination excluded as a cause of the patient's complaints any injury to the internal organs. This specialist did, however, find that there was tenderness *358 in the groin area where the trauma had been sustained. He felt that the explanation, if any, of this tenderness was not in the field of internal medicine, his own specialty.

Also testifying was the orthopedist who had examined the claimant two weeks after the injury, and who also re-examined him just before the trial. This orthopedist testified that injuries in the groin area were within the field of orthopedics. He found no organic explanation for the patient's complaints of pain in the groin and back area, and he further felt that the claimant did not manifest any objective symptoms of pain in the manner in which he moved and held himself. While he had found the plaintiff's mobility slightly restricted on his first examination in September, just after the injury, he felt that the claimant's mobility had returned to normal by the time of his examination in January four months later, just before the trial. Tr. 44-45.

The trial court, admitting that the question was a perplexing one, held that the plaintiff had proved an indefinite total disability at the time of the trial, based on the testimony of the attending physician, which was to some extent corroborated by the testimony as to tenderness by the internal specialist testifying for the defendant, and which was also somewhat corroborated by the lay testimony. The trial court apparently felt that judgment should be rendered in favor of the plaintiff on that issue, even though the plaintiff had only barely proved his case, because the burden on the plaintiff in a compensation suit is only to prove his case by a preponderance of the evidence, not beyond a reasonable doubt. Webber v. Wofford-Brindley Lumber Co., La.App. 1 Cir., 113 So.2d 23, certiorari denied.

However, a majority of this court has ultimately concluded that the plaintiff did not sustain his burden of proving any residual disability beyond the initial period following the injury.

The compensation claimant has the burden of proving residual disability resulting from a compensable accident, Seals v. Potlatch Forests, Inc., La.App. 3 Cir., 151 So.2d 587, as well as of proving a causal relationship between the present complaints and the industrial accident upon which the claim for compensation is founded, Soileau v. Travelers Insurance Co., La.App. 3 Cir., 154 So.2d 463.

As to the causal relationship, the sparse medical evidence is vague and unsatisfactory.

The attending general practitioner felt that the persisting pain in question could have possibly resulted from nerve or organic injury in the area. However, both the orthopedic and the internal medicine specialists testifying, excluded any organic injury. The testimony of the orthopedic specialist further indicates that the injury in question fell within the field of his specialty, orthopedic surgery, and he felt that there was no residual disability.

On the other hand, neither specialist was questioned as to possible other causes of the pain outside the field of their specialties, such as nerve injury. The internal medicine specialist frankly felt that there was some tenderness indicating some residual pain in the area of the blow, some five months after the accident. If indeed the explanation for the residual pain really lies in the field of another medical specialty, then the burden is upon the plaintiff to produce such proof, Wade v. Calcasieu Paper Co., La.App. 1 Cir., 82 So.2d 117 (although the plaintiff may have an opportunity to so show, in the event of a belated discovery thereof, see Supreme Court opinion in the same case, 229 La. 702, 86 So.2d 540).

We recognize that the plaintiff is under a duty only to prove disability and does not have to show the precise medical cause thereof in order to be awarded compensation. Allen v. Coal Operators Cas. Co., La.App. 3 Cir., 124 So.2d 344; Bassemier v. W. S. Young Construction Co., La.App. 1 Cir., 110 So.2d 766, certiorari denied. We do not reverse on that ground the trial determination of residual disability. *359 Nevertheless, the lack of a real medical explanation for the continued complaints of pain as causally related to the industrial accident, is a factor in our eventual determination that the plaintiff did not bear his burden of proving residual disability.

We primarily base our reversal upon our conclusion that, ultimately, the claimant did not prove that the residual effects of the injury were disabling beyond the initial period.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

LaCalle v. Ashy Enterprises
353 So. 2d 439 (Louisiana Court of Appeal, 1978)
Delahoussaye v. Allen Action Agency, Inc.
300 So. 2d 575 (Louisiana Court of Appeal, 1974)
Deville v. Townsend Bros. Construction Company
284 So. 2d 110 (Louisiana Court of Appeal, 1973)
Trahan v. Rockwood Insurance Company
284 So. 2d 659 (Louisiana Court of Appeal, 1973)
Zeringue v. Fireman's Fund American Insurance Co.
271 So. 2d 613 (Louisiana Court of Appeal, 1972)
Bushnell v. Southern Farm Bureau Casualty Ins. Co.
271 So. 2d 267 (Louisiana Court of Appeal, 1972)
Smith v. Kelly Labor Service
239 So. 2d 685 (Louisiana Court of Appeal, 1970)
Thornton v. American Mutual Liability Insurance
216 So. 2d 910 (Louisiana Court of Appeal, 1968)
Tyler v. American Mutual Liability Insurance Co.
212 So. 2d 437 (Louisiana Court of Appeal, 1968)
Ranzino v. Allstate Insurance Company
210 So. 2d 907 (Louisiana Court of Appeal, 1968)
Ike v. Home Indemnity Co.
205 So. 2d 203 (Louisiana Court of Appeal, 1967)
Delafosse v. Industrial Painters, Inc.
199 So. 2d 559 (Louisiana Court of Appeal, 1967)
Milligan v. Fidelity & Casualty Co. of New York
200 So. 2d 104 (Louisiana Court of Appeal, 1967)
McGee v. Continental Casualty Co.
182 So. 2d 89 (Louisiana Court of Appeal, 1966)
Moreau v. Employers Liability Assurance Corp.
180 So. 2d 835 (Louisiana Court of Appeal, 1965)
Sensat v. State Farm Fire and Casualty Company
176 So. 2d 804 (Louisiana Court of Appeal, 1965)
Taylor v. Meeker Sugar Cooperative, Inc.
177 So. 2d 140 (Louisiana Court of Appeal, 1965)
Gates v. Ashy Construction Company
171 So. 2d 742 (Louisiana Court of Appeal, 1965)
Patin v. Coal Operators Casualty Co.
173 So. 2d 281 (Louisiana Court of Appeal, 1965)
Redding v. Cade
158 So. 2d 880 (Louisiana Court of Appeal, 1963)

Cite This Page — Counsel Stack

Bluebook (online)
157 So. 2d 356, 1963 La. App. LEXIS 1996, Counsel Stack Legal Research, https://law.counselstack.com/opinion/williams-v-travelers-insurance-company-lactapp-1963.