Articles Posted in Pain And Suffering Claims

When accidents happen, especially at work, it is natural for us to want to be made whole again: put back together as much as possible so our lives can return to normal. Sometimes, recovery for these accidents only covers the harm we can see. A worker injured on the job may appear healed physically but have more internal healing that needs treatment. This issue was examined in a workers’ compensation case appealed to the Louisiana First Circuit Court of Appeal in 2016.

Gary Thompson worked as a program monitor for the Department of Health and Hospitals, Office of Public Health. On February 15, 2011, Thompson left work at the end of the day and took the elevator as his office was on the eighth floor. When the elevator descended past the third floor, it suddenly fell and hit the ground level with a strong impact. Thompson’s post-incident MRIs showed serious injuries to his knees, hip, and upper and lower lumbar spine. Thompson had to undergo bilateral knee arthroscopy and other procedures, but no procedures performed relieved him of his back pain and other symptoms. Thompson’s orthopedic surgeon, Dr. Jorge Isaza, recommended a discogram to determine whether Thompson was a surgical candidate and Dr. Allen Johnston, appointed by the Office of Workers’ Compensation (OWC), reported that he agreed with the recommendation.

The OWC medical director approved the discogram and it revealed pain generators in Thompson’s back at Ll-2, L2-3, and L5-S1 levels. Dr. Isaza performed surgery on the L5-S1 level in April of 2013, but this did nothing to relieve Thompson of pain. Dr. Isaza recommended post-surgery diagnostic tests. At this point, OWC refused approval to conduct those tests. Dr. Isaza recommended another lumbar fusion on the L2-3 and Ll-2 levels, to treat the upper lumbar injury, which a May 14, 2012, MRI report confirmed the need for. The OWC also denied coverage of this procedure.

Almost every adult American has thought about what would happen if they were injured at work. They ask would they receive enough to sustain their pre-injury lifestyle and if not, what remedies are available. Typically, employees are eligible for workers’ compensation, but the workers’ compensation system seems odd to some people. For example, if you lose a finger at work, you will get a set amount, but depending on what finger you may get more than someone else who also lost a finger. The question, in this case, is whether Terry Russell, who was injured on the job, is eligible for supplemental earning benefits (“SEBs”). A SEBs award is based on the difference between the claimant’s pre-injury average monthly wage, and the claimant’s proven post-injury monthly earning capacity. Seal v. Gaylord Container Corp., 704 So. 2d 1161 (La. 1997).

In 2009, Mr. Russell was employed by the Sewage & Water Board of New Orleans (“Sewage & Water Board”), when he was unfortunately injured while opening a manhole cover. The accident caused blood clotting in his upper arm and it was later found to have caused “thoracic outlet syndrome,” which injured a vein in his upper chest. To repair the damage, Mr. Russell underwent several surgeries and procedures, one of which was to remove one of his ribs to correct the thoracic outlet vein syndrome and repair the vein stint that was placed during an earlier surgery. By April of 2012, Dr. Torrence, Mr. Russell’s main doctor throughout the ordeal determined that Mr. Russell had reached maximum medical improvement, clearing him to return to work. However, he was only cleared for sedentary work, meaning he could not use his left arm, life more than five pounds, nor work more than four hours per day.

Due to Mr. Russell’s longtime employment and good work ethic, the Sewage & Water Board offered him part-time work as a mail courier, which he declined because he would not be making his pre-injury salary. After declining the position, the Sewage & Water Board stopped making disability payments to Mr. Russell, leading to the case in question. Mr. Russell asked the Louisiana Court of Appeals (the “Court”) to overturn the Office of Workers’ Compensation calculation of SEBs that Mr. Russell is entitled. To be entitled to SEBs one must not earn 90 percent of their pre-injury wages, which Mr. Russell would not had he accepted the part-time mail courier work. See La. R.S. § 23:1221. Thus, the Court correctly held that Mr. Russell was entitled to SEBs; however, they determined that the wages he would have earned as a mail courier must be imputed to him for the purposes of calculating his post-injury earnings. La. R.S. § 23:1221.

Disputes over injuries that occur on the job can be difficult to resolve for both employer and employee. Louisiana’s Third Circuit Court of Appeal addressed a common source of dispute — whether an employee’s medical condition was actually caused by his employment — in a case involving a welder who developed compartment syndrome.

Isiah Loucious began working as a welder apprentice for Crest Industries in February of 2014.  In September 2014, he filed a lawsuit against Crest alleging that beginning in April 2014, he developed an occupational disease of compartment syndrome as a result of his work activities. An occupational disease is any disease or illness that occurs due to the actions and conditions of a job. La. R.S. 23:1031.1(B). Loucious alleged that after he started working for Crest, he began to experience cramping and swelling in his right arm and hand. Crest filed a motion for summary judgment, asserting that Loucious had complained of having a weak hand grip, numbness, and tingling in both hands a number of years before the alleged the onset of compartment syndrome. A motion for summary judgment is made when a party believes that the adverse party has failed to provide evidence to show that there is a genuine issue of material fact in dispute. Loucious opposed Crest’s summary judgment motion, relying on a medical record wherein the physician, Dr. Raymond Beurlot, checked “yes” next to the statement:  “the compartment syndrome in the right hand/arm developed, more probably than not, during the course and scope of employment with Crest Industries, LLC.” The Workers’ Compensation Judge (WCJ) granted Crest’s summary judgment motion, explaining that nothing in the record showed that Dr. Beurlot knew the specific job functions and duties of Loucious when signing the medical record. Therefore, the record did not support Loucious’s contention that his medical condition was the result of his employment with Crest. Loucious appealed the WCJ’s ruling.

The issue for the Court of Appeal was whether the WCJ was correct in holding that the medical record signed by Dr. Beurlot did not create a genuine issue of material fact that should have precluded summary judgment. Under Louisiana law, an alleged occupational disease is presumed not to have occurred during the course of employment when the employee has performed the particular job duties for less than twelve months. La. R.S.23:1031.1(D). In order for the employee to controvert this presumption, he must provide evidence that contradicts the presumed fact. La. C.E. art. 305. That evidence should pertain to the employee’s work and life activities before the time of employment. See Davies v. Johnson Controls, Inc. A certified medical record can serve as this evidence, so long as it is prepared by the health care provider in his or her usual course of business. La. R.S.13:3715.1(E)(2).