Articles Posted in Pain And Suffering Claims

chest-xray-1526779-1024x1004If you are injured at work, it is imperative that you follow the appropriate procedures under workers’ compensation law to ensure that you are fully and fairly compensated for your injuries. A failure to properly report or address your injuries can result in a lesser payment or no payment at all. It is also important to keep your place of employment apprised of your injuries and treatment, and written records of your contact, so that if it becomes necessary to bring an action against your employer you have sufficient evidence to support your position. A recent case of the Louisiana Third Circuit Court of Appeal is illustrative.

On November 2010, Plaintiff Jason Montou was injured in Calcasieu Parish while employed with Boise, the Defendant. He immediately made a report of his injuries to his supervisor per company policy but referred originally only to a shoulder injury. He was sent home and told to follow up with a doctor if necessary. He went through with a doctor’s appointment a few days later and was treated for his shoulder. He was also referred to a separate doctor for treatment of a back injury. The medical records indicate that Plaintiff complained of arm, shoulder, and back pain as early as December of 2010 and March of 2011. Plaintiff’s doctors disagreed about when it was appropriate for him to return to work. He eventually stopped treatment with one of the doctors because his employer would not approve his MRI tests. In October of 2013, Defendant sent Plaintiff to a different doctor, who determined that Plaintiff could return to work immediately and that there was no connection between his neck and back injuries and the work accident. The company then immediately terminated Plaintiff’s benefits.

Worker’s compensation cases are unique because those with claims against their employer must file a claim with the Office of Workers’ Compensation before proceeding to court. In this case, the Office determined the Plaintiff was still injured and needed benefits. It ordered the Defendant to accept Plaintiff’s injuries as compensable, approve the MRIs requested by his doctors, and reimburse him for existing treatment. The Plaintiff proceeded to court because the Office of Workers’ Compensation chose not to award him penalties and attorney fees.

green-hospital-1200005-768x1024In Louisiana, when an employee suffers an on-the-job injury, the employer may be held liable. This can easily end the initial romantic period of the employment, now that the employee’s interests are at odds with the employer’s. The employer considers that it now has to take care of a non-productive employee, hurting the business’s bottom line. On the other hand, the employee argues that she should be compensated for her work-related injuries considering all the labor she put into the company, contributing to its profits. The law takes into account and draws a delicate balance between these varying interests. It goes without saying that it is important for both employees and employers to be aware of their rights under workers’ compensation law. Illustrating this point, the Louisiana Third Circuit Court of Appeal was recently called upon to decide whether a potentially expensive surgical procedure made necessary by a work-related injury should or should not be granted.

Jacquenette Guidry, a registered nurse, injured her back on June 12, 2012, in the while on the job at American Legion Hospital. The injury occurred while she transferred a patient to the bed. She developed low back pain within fifteen to twenty minutes of the transfer and American Legion sent her to the emergency room. Novare, American Legion’s workers’ compensation carrier denied Ms. Guidry coverage for a posterior lumbar decompression and fusion at L4-S1 with post-operative bracing. She then sought approval for those procedures from the Louisiana Medical Director of the Office of Worker’s Compensation. The Medical Director also denied Ms. Guidry’s requested medical procedure in a Medical Guidelines Dispute Decision dated May 27, 2014 (the “MGD”).

Ms. Guidry appealed the MGD by filing a disputed claim for compensation (Form 1008) with the Workers’ Compensation Judge (“WCJ”). The WCJ held in open court that she found clear and convincing evidence that the MGD was flawed because the Medical Director erroneously failed to consider the guidelines under which Ms. Guidry’s request was made. Ms. Guidry’s employer filed a suspensive appeal of the decision. A suspensive appeal “suspends” or delays the execution of the WCJ’s judgment until an outcome is reached on appeal.

grey-old-tractor-1450078-1024x768When an accident occurs, it’s often difficult to determine what actually happened until the aftermath, but in the justice system, piecing a puzzle together and drawing conclusions based on little remaining evidence rarely constitutes enough of a basis to file a lawsuit. As the court said in the case of Benjamin Tomaso when he attempted to file a lawsuit against Home Depot, “[s]peculation as to what caused an accident cannot supply the factual support necessary to show that a plaintiff would be able to meet his evidentiary burden of proof at trial.”

On April 18, 2012, Mr. Tomaso visited a Home Depot Store in Slidell, Louisiana. As Mr. Tomaso waited in the parking lot for his fiancé to return an item, he noticed lawn tractors on display and sat on one to “check it out.” A Home Depot employee who was returning a line of shopping carts asked Mr. Tomaso to get down from the tractor so he could move it and push the carts through. Mr. Tomaso attempted to get down from the vehicle and fell. At the time of the incident, Mr. Tomaso was unaware of what caused him to fall, but immediately after he noticed a zip tie on the step of the tractor and reasoned that it was the “only thing” that could have caused his fall.

Mr. Tomaso filed a lawsuit against Home Depot, Inc. on April 17, 2013. Mr. Tomaso alleged that his injury resulted from “a hazard that had negligently not been removed from the subject lawnmower” which caught his foot. Home Depot filed a motion for summary judgment which asserted that the zip tie was not a defective condition and Mr. Tomaso presented no evidence that his injury was foreseeable or that the Home Depot should have known the injury would occur.

police-car-1515955-1024x768Do you know your constitutional rights? In 2014 one-third of Americans were unaware of their First Amendment rights according to a Newseum Institute survey. This is an alarming truth that we, as citizens, must face. Here are some questions I pose to you: Do you know your Fourth Amendment rights? Can a law enforcement officer arrest someone without probable cause? What is probable cause? What is qualified immunity? A recent lawsuit filed against the Shreveport Police Department can help settle some of these questions.

This lawsuit originates from a verbal disagreement at a college football game between Joseph Barber Jr. and concessions stand employee. Officer Mogavero of the Shreveport Police Department arrived on the scene, which is when the situation became physical. Officer Mogavero struck Barber and left him with broken facial bones, nerve damage and rendered him unconscious. Officer Mogavero arrested Barber for public drunkenness and simple assault.

Barber filed a lawsuit against Officer Mogavero in his individual capacity. Barber alleged in his complaint that Mogavero falsely arrested him and subjected him to excessive force. In response, Officer Mogavero filed a motion for summary judgment in District Court. A motion for summary judgment is filed when there are no disagreements over the facts of the case; this is left up to the court’s discretion. Office Mogavero also argued that he was entitled to qualified immunity, which is given to government officials for the purpose of protecting them from liability for any actions when their conduct does not violate an individual’s constitutional rights. Qualified immunity as shields government officials from lawsuits while performing their job.  

supreme-court-of-canada-1551191-1-683x1024When asserting a claim under constitutional law, the moving party must meet a specific standard that is easily navigated by an attorney. As one Louisiana man recently learned, without the help of a lawyer, navigating these pleading standards can be difficult and detrimental to the outcome of your case.

In this case, Ms. Young, a health care provider, picked up Mr. Wright, a patient, from a doctor’s appointment. In the course of dropping Mr. Wright off at his house, Ms. Young noticed he escaped from her car. Following her company’s protocol, Ms. Young called the police hoping for help in locating Mr. Wright. When police located Mr. Wright, he assaulted one of the police officers and the officers subsequently criminally charged him.

Mr. Wright believed Ms. Young and her employer, Superior Options, were at fault for the incident leading to the officer’s assault. Mr. Wright filed claims against the parties under the premise of  42 U.S.C. § 1983 which imposes liability on anyone who impedes upon someone else’s rights provided by the Constitution. He claimed that his constitutional right barring cruel and unusual punishment was violated by the health care providers. Mr. Wright also claimed that, under Louisiana law, Ms. Young was negligent and intentionally caused him emotional distress. The Trial Court denied Mr. Wright’s federal claims because his case was not supported by evidence, but Mr. Wright was not satisfied with the Trial Court’s decision and appealed.

toxic-1189855-1024x681A unique feature of our American federal system is the separate yet intertwined system of state and federal courts. Sometimes a dispute may begin in a state court and end up in federal court. And sometimes, there may end up being parallel proceedings in both the state and federal systems. There are limits, however. A federal court can decline to hear an action if there is a parallel proceeding in the state court system. Recently, the Fifth Circuit Court of appeal was called upon to determine whether a district court erred when it declined to hear a declaratory action and related counterclaims.

In May 2012, Jeffrey Dugas II purchased an Icee cup drink from the Regency Inn in Lafayette, Louisiana. Dugas sustained injuries from the Icee cup, which was found to contain toxic chemicals; specifically sodium hydroxide, a chemical found in the hotel’s laundry facility. Sohum LLC, the owners of the Regency Inn, filed a lawsuit against their insurance provider, Century Surety Company after the insurer declined to defend Sohum in a court case brought by Dugas. Century then filed a declaratory action in federal court asking for a declaratory judgment stating that the insurance policy Sohum had in force at the time of Dugas’ injuries excluded coverage for injuries caused by harmful materials. Since Dugas’ injuries were the result of laundry chemicals, Century claimed that Sohum’s insurance policy did not cover the injuries.

Sohum brought counterclaims against Century, alleging that the insurer breached their contract by refusing to defend them in court and provide coverage for the injuries Dugas sustained. Further, Sohum claimed Century refused coverage in bad faith; that the insurer was reliable through the doctrine of estoppel based on “unspecified prior representations”; vicarious liability based on misrepresentation by the insurance company’s agents; and, lastly, unfair business practices based on the insurer’s failure to reveal material facts to Sohum. Century filed a motion to dismiss based on Sohum’s counterclaims of bad faith and unfair commercial practices.

broken-glass-1221856-1024x769Filing and pursuing a lawsuit is no small task.  Besides the often-significant monetary aspect, a plaintiff (the party filing the lawsuit) should be prepared for a large time commitment and effort in providing the necessary evidence to support their case.  Good lawyers know how to aid their clients in gathering evidence and navigating the logistical aspects of a lawsuit as efficiently as possible.  Litigation can sometimes take years, but a seasoned lawyer will know how to provide the motivation clients need to successfully pursue their claims and reach recovery. In a recent case out of Zachary Louisiana, the plaintiff filed a lawsuit he was simply not prepared to effectively maintain.

Wayne Boyd was driving past a Regions Bank in Zachary, Louisiana when suddenly a rock flew through his window, breaking the glass and hitting him in the face.  Allegedly, the rock was thrown by a lawnmower operated on Regions Bank property by a landscaping service. Boyd filed his lawsuit in 2010 and, after some confusion over the right person to sue, BNL Enterprises, LLC – the landscaping service – was added as the defendant in 2011.  In October 2013, the District Court set a trial date of May 20, 2014.  Despite the immense amount of time to prepare, on the date of the trial, Boyd requested a continuance of the trial because he felt he was emotionally unprepared.  BNL was prepared for trial and opposed the continuance.

The District Court Judge orally denied the request for a continuance.  The Judge gave the parties ten days to attempt to resolve the case themselves.  After the ten days was up, the Judge stated he would entertain defendant’s motion to dismiss the case for plaintiff’s failure to prosecute.

compensation-1444901-1024x798Accidents occur everywhere including the workplace. Are you entitled to any benefits if injured while on the job? One common benefit of employment is the availability of worker’s compensation when injured on the job. Worker’s compensation is a type of insurance that grants wage replacement and medical benefits to employees injured in the course of employment. This in exchange relinquishes the right to sue the employer for negligence. Does it matter if you have been recently promoted or demoted? Calculating wage replacement benefits can often not be as clear-cut as it may appear. The following case describes the standards in Louisiana for calculating a salaried employee’s average weekly wage (AWW) for workers’ compensation benefits.

Jerome Augusta was injured in November of 2013 in a work-related accident while employed by Audubon. When Augusta began working for Audubon in November 2012, Augusta’s salary was $43,769.00. But in July 2013, he was demoted and his salary was lowered to $33,000.00. Audubon granted workers’ compensation benefits based on Augusta’s $33,000.00 salary at the time of the accident.

In March of the next year, Augusta filed a disputed workers compensation claim (Form-1008). He claimed that Audubon incorrectly calculated his benefits. This case went to trial before the Office of Worker’s Compensation (“OWC”). During the year before the accident, Augusta’s yearly salary was $42,824.76, factoring in his demotion., Augusta argued that his AWW should have been $823.55. Audubon argued it correctly calculated his AWW.

scalpel-1316221-1024x768Professionals in various fields whose work greatly impacts the lives of others may find themselves accused of malpractice. Especially in medicine where a seemingly simple mistake can end one’s life, the lawsuits that stem from malpractice can bring large awards to plaintiffs. This is where malpractice insurance comes in, to make sure these amounts are paid without completely destroying the livelihood of that professional. The Fifth Circuit Court of Appeal discussed malpractice insurance issues in a recent ruling.

Dr. Eileen Lunch-Ballard was an employee of Correct Care, Inc. and working in a hospital in 2008 when her treatment of a patient left that person with an amputated leg and later dead. As a result, she was sued for medical malpractice. The Louisiana Medical Mutual Insurance Company (LAMMICO) provided Correct Care with medical malpractice coverage. In 2009, Dr. Lynch-Ballard had her medical license suspended. The attorney appointed by LAMMICO urged that the lawsuit against her and her employer be settled. Despite her objections and apparently without her knowledge, LAMMICO settled the medical malpractice lawsuit in December 2009 for a total of $90,000.

When she discovered this, Dr. Lynch-Ballard demanded that her name is removed from the settlement documents. Although it was briefly removed, the documents were ultimately not changed. Dr. Lynch-Ballard sued LAMMICO as well as its appointed attorney for the settlement without her consent and the refusal to remove her name from the documents. She claimed tort damages of a damaged reputation as well as mental anguish. She also claimed LAMMICO had breached the contract by failing to advise her to seek outside counsel. In response, LAMMICO filed a motion to dismiss her tort claims on the basis that since she was no longer working for Correct Care, they were not required to obtain her consent to settle. They also argued that her contractual claim should be considered prescribed and no longer valid. The Trial Court eventually ruled in favor of LAMMICO, dismissing the claims. Dr. Lunch-Ballard appealed to the Fifth Circuit.

oil-1441845-1-768x1024It’s a common scenario: someone is injured or property is damaged because another party failed to use reasonable care. This situation is far from rare in the legal profession, and the responsible party is usually held accountable for their negligence with civil lawsuits. But what happens when the injured person attempts to hold the wrong party responsible? It seems unlikely, but as James Johnson discovered, it is possible and the consequences can alter the course of a lawsuit’s final outcome.

James Johnson was shot in the leg while working as a superintendent on a drilling rig located near the coast of Nigeria. On November 8, 2010, Nigerian gunmen invaded Johnson’s rig and an attacker shot him, causing a severe injury that triggered months of complications. The night before the incident, rig hands moved a piece of equipment in front of the stairs that connected the rig to the platform in order to work on a device connected to the moving equipment. When rig hands noticed the assailants’ boat approaching the next day, they attempted to raise the stairs from the platform but were unable to do so because the equipment blocked the stairs. The gunmen used the lowered stairs to board the rig.

Johnson attempted to hold the rig hands’ employers responsible. Under the concept of vicarious liability, an employer can be held responsible for employees’ wrongful actions if those actions took place during the course of employment. Stoot v. D & D Catering Serv., Inc., 807 F.2d 1197, 1199 (5th Cir. 1987). Johnson brought multiple claims for negligence under maritime law and the Jones Act against many parties, one of which was GlobalSantaFe Corporation (GSF). Each of the companies Johnson named related to one another through a complex corporate structure.

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