Articles Posted in Pain And Suffering Claims

yellow-bicycle-1494018-1-1024x768When one is injured by the actions of another, it is hard to consider all of the moving parts inside and outside of a lawsuit designed to make the injured person whole again. Past medical bills after an accident may come back to haunt someone who has been injured after they have won their personal injury lawsuit.

On February 22, 2013, Hiram Lawrence Armstrong was injured riding his bicycle on D’Abadie Street in New Orleans, Louisiana. He was struck by a car and taken to a Louisiana State University Hospital (LSU) and to University Medical Center Management Company (University). At the time of Mr. Armstrong’s treatment, LSU was a public hospital and University was a private hospital- the distinction is important and will become clear later.

Mr. Armstrong had some disputes regarding payment of his medical bills with the insurance companies involved, but worked out those disputes outside of this case. This case involves Mr. Armstrongís dispute with LSU and University of the amount of the medical bill and how those relative amounts are determined.

operating-room-1442366-1024x683With all of the advances in the field of medicine these days most people would probably think that a surgery to remove a person’s gallbladder would be considered fairly routine. However, when it comes to surgery, nothing can be taken for granted. A Louisiana resident, Richard Logan, and his doctor found this out the hard way during a surgery that was performed in August of 2010. That was when Mr. Logan underwent surgery to have his gallbladder removed, but the surgery was anything but routine.

During the surgery, the doctor, Dr. Donald Schwab, cut the wrong “duct,” believing it to be the correct one. However, the correct duct had been “obliterated” due to Mr. Logan’s medical condition. As soon as the mistake became evident, the doctor, who was a general surgeon, consulted with a specialist. It was then determined that Mr. Logan needed to be transferred, and subsequently the problem was corrected. A Medical Review Panel investigated the issue and determined that Dr. Schwab did not breach the appropriate standard of care. That, however, did not deter Mr. Logan, and he filed a lawsuit against Dr. Schwab in state court.

The case went all the way to a jury trial, which lasted for three days. In the end, the jury determined that Mr. Logan had failed to establish the appropriate standard of care for the surgery in question. On March 15, 2013, the trial court dismissed Mr. Logan’s claims. He appealed, claiming three sources of error. First, Mr. Logan claimed that the trial court judge had improperly influenced the jury. Second, he claimed that the testimony of a certain expert witness, as well as the admission of the opinion of the Medical Review Panel, were both in err. Lastly, Mr. Logan claimed that the jury’s finding was in err.

waiting-room-1631142-1024x765People trust doctors and hospitals to take care of their health issues.  When someone in the medical community makes a mistake, it can seriously affect a person’s quality of life.  In Louisiana, in order to sue for medical malpractice, a plaintiff must prove what standard of care should have been provided, that the doctor somehow violated that standard, and that by doing so, the doctor caused the plaintiff’s injuries. La.R.S.9:2794.  If the problem with the doctor’s care would not be obvious to the average person, the plaintiff must use an expert witness to prove the claim.  See Pfiffner v. Correa , 643 So.2d 1228

In order to prove a claim of medical malpractice, one generally needs the help of an expert.  A recent decision by the First Circuit Court of Appeals  provides some insight on how this should be done.  In late October 2010, Danny Penn went to a Dr. Luikart at Our Lady of the Lake Regional Medical Center to deal with fevers and other medical problems after a colonoscopy.  He was admitted to the hospital and sent home a few days later.  He was treated with strong antibiotics such as Gentamicin, and this treatment was to continue while he was at home.  A few weeks later he began to experience lengthy periods of dizziness and nausea.  Because of these issues, Mr. Penn was taken off the antibiotic.  Eventually he was diagnosed with Dandy’s Syndrome, a condition of the ear that causes severe issues with balance and often dizziness to the point of disability.   In 2011, Mr. Penn sued the medical services company that had provided the prescribed antibiotics through infusion at his home.  Around that time, a medical review board found no evidence that the doctor or the hospital had failed to provide the necessary care.

In 2013, Mr. Penn filled a petition adding the doctor and hospital to the lawsuit while alleging that he had been prescribed an overdose of the Gentamicin, causing his illness.  In response, the defendants filed a motion for summary judgment to end the case, arguing that Mr. Penn had failed to provide enough evidence to prove his claims.  In response, Mr. Penn argued that the doctors had indeed failed to provide the correct care, including as evidence affidavits from a different doctor and a pharmacist.  In opposition, defendants filed to have the court strike, or remove from the evidence, the affidavits, on the basis that the doctor that had made these claims was not qualified in that particular standard of care, being a cardiologist and not a hospital doctor.  They also argued that this was an argument not brought before the medical board and thus expanding the original claim.  The trial court agreed and struck out this evidence, thus making it impossible to carry on with this argument. As such, the defendants were awarded the summary judgment.  Mr. Penn appealed to the First Circuit Court of Appeals.

adam-s-apple-1161808-1024x575Plaintiff Richard Reynolds sustained injuries in a multi-vehicle accident on March 15, 2008, in St. Tammany Parish. Reynolds alleged, amongst other counts, that his insurer, Automobile Club Inter-Insurance Exchange (ACE) and Insurance Auto Auctions Corporation (IA) failed to preserve Reynolds’ vehicle for inspection purposes to determine whether any defects existed, despite being put on notice of the need for preservation. ACE and IA defended themselves by stating there was “no cause of action” for what Reynolds was attempting to sue for, and the Supreme Court of Louisiana granted certiorari, or an order to review the decision of the lower court, to definitively rule on the viability of negligent spoliation of evidence as a cause of action in Louisiana.

Reynolds claimed that both ACE and IA did not preserve Plaintiff’s car despite the fact that they knew of the lawsuit.  Reynolds stated that the defendants knew a lawsuit was going to be filed and therefore had a duty to retain the vehicle in the condition in which they received it.

Negligent Spoliation of evidence, as argued by the Plaintiff, Richard Reynolds, is a claim for recovery due to defendants owing the plaintiff a duty to preserve, maintain, and to refrain from any alienation or destruction of Plaintiff’s vehicle for purposes of his litigation.

IMG_0844-e1471794219886-768x1024When a person dies due to the fault of another, such as in a car accident, the surviving family may seek compensation for their loss by filing a wrongful death claim in civil court. A wrongful death claim is similar to a personal injury claim in which the injured person is no longer available to bring his own case to court. However, if a judge decides that no real facts or evidence support the all the claims within a wrongful death lawsuit, certain claims can be dismissed early on saving both parties and the court from incurring litigation costs for meritless claims. This is what happened to Nancy and Zachary Miller when they filed a wrongful death claim after their son was killed in a tragic accident.

In July 2012, Lafource Parish bicyclist, Ethan Miller, was struck and killed by a vehicle driven by Brent Tauzin. The circumstances surrounding Ethan’s untimely death are undisputed. After spending all day drinking at Lake Verret, Brent and Monica Tauzin (his wife) returned to their home. Upon arriving at their home, Brent told his wife that he was hungry, and she agreed to get him food after she had taken a bath. However, while she was bathing, Brent grew impatient to eat fast food and took the keys to their car from the kitchen counter to go to Burger King. On the way to Burger King, Brent was involved in Ethan’s fatal accident. Brent was arrested the same night for driving while intoxicated, and subsequently pled guilty to negligent homicide.

Ethan’s parents, Nancy and Zachary Miller (the Millers), decided to pursue a claim in civil court and filed a wrongful death suit, naming several defendants: Brent and Monica Tauzin, as well as their car insurer, Allstate Insurance Company, and their home insurer, ASI Lloyds. The Millers argued that Monica had assumed responsibility of her husband by driving him home and failing to secure the car keys when they had arrived home constituted a breach of her duty to prevent her intoxicated husband from driving. In response, Monica filed a motion for summary judgment, stating that she did not breach a legal duty owed to the Millers’ son, nor did she contribute to her husband’s accident. The lower court dismissed the case against Monica, granting Monica’s motion for summary judgment, and the Millers appealed the decision.

medical-1420768-1024x768Karen and Joe LeBlanc brought a medical malpractice action against Dr. Rezaul Islam. A medical malpractice claim is a specific type of negligence claim in which the plaintiff alleges that a doctor or medical professional failed to act with the level of care they are duty-bound to provide, and that the plaintiff was harmed by the failure.

In July 2007, Karen told Dr. Islam of intermittent pain in her chest, progressively spreading down her arms. Dr. Islam ordered blood work and various tests, which indicated that Karen had a heart attack in the last two years. Dr. Islam recommended a surgical procedure on her left heart, as well as some exploratory surgery: a carotid angiogram and vertebral angiogram. He explained this to Karen, who agreed and signed the consent form. The consent form listed the carotid angiogram, but did not mention the vertebral angiogram. The form explained possible risks of the procedures, including stroke in rare cases.

After the carotid angiogram, Karen was nauseous and vomited. She said that she was alert, and she appeared to have full control over her limbs. Dr. Islam administered a drug for the vomiting. By 1:00 p.m., Karen said she felt better and was no longer nauseous. Her neurological exam indicated that she was normal. Dr. Islam declared her stable and sent her home, telling to return in the morning for follow-up, and to call anytime if there was a problem.

oak-logs-1511548-1-1024x768In Louisiana as in other U.S. states, the doctrine of res judicata – literally “a matter judged” – prevents parties from re-litigating a matter once it has been adjudicated on the merits by a competent tribunal. This prevents prolonged litigation of cases which have been purportedly concluded, thus avoiding an unnecessary waste of time and money. Although for res judicata to apply a judgment must be “final” and adjudged “on the merits,” a settlement agreement in Louisiana is res judicata between the parties and is accorded the same effect as a final judgment. (See Louisiana Workers’ Comp. Corp. v. Betz, 792 So.2d 763, 766 (La. Ct. App. 2001)). In other words, the signing of a settlement agreement can preclude parties from litigating matters specified as settled in the settlement. It goes without saying that parties should be cautious when signing settlement agreements. Illustrative is a case from the Louisiana First Circuit Court of Appeal.

On October 10, 2005, Joseph Brown was injured in a logging accident while in the course and scope of his employment with AM Logging in Tanigipahoa Parish.  Mr. Brown filed a disputed claim for compensation on October 19, 2005 against the appellees in this case, AM logging and its claims administrator, Alternative Service Concepts, L.L.C. On July 14, 2006, AM Logging submitted a report to the Office of Workers’ Compensation (“OWC”), listing injuries to Mr. Brown’s collar bone, left ribs, and back. On July 24, 2009 – almost four years after his original disputed claim – Mr. Brown filed a second disputed claim listing injuries to his shoulder, ribs, back, chest, and neck.

After a hearing on Mr. Brown’s first disputed claim for compensation, the OWC held that Brown sustained a compensable work-related injury in the course and scope of his employment with AM Logging. It also found that Mr. Brown was permanently disabled with no reasonable possibility of rehabilitation through training or education, such that he could attain suitable and gainful employment. In its judgment of March 29, 2010, the OWC ordered AM Logging to pay Brown permanent total disability benefits of $121.00 per week, retroactive to December, 7, 2008 and continuing. It also ordered AM Logging to pay Brown $5,000.00 in penalties and attorney fees.

golden-coins-1426194-1024x768In Louisiana the owners of motor vehicles are required by law to maintain a minimum amount of insurance in case of a collision.  That’s the law and there is no getting around it.  The rational behind it is simple, if you crash your car into someone else there needs to be at least a minimum amount that can be recovered by the other person.  The consequences of not following that law is a bar from recovering the first $15,000 for your injuries and the first $25,000 of any property damage that you incur if you are in a wreck and it’s not your fault.  Those penalties are harsh,  but what happens if you fail to maintain insurance and you still have a note on your vehicle?  Is the note holder left out in the cold for that first $25,000 to repair the car as well?  The following case out of Baton Rouge Louisiana demonstrates what happens in those circumstances.

M&M Financial Services, Inc. held a security interest in Sheilda Hayes’ vehicle and was owed a balance of $11,446.80 on its promissory note.   Unfortunately for Ms. Hayes while driving her that vehicle without insurance Jerry Richard collided with her. Richard was insured by National Automotive Insurance Company, so M&M filed a lawsuit in Baton Rouge seeking to recover the remaining balance on the Hayes’ destroyed vehicle, plus legal interest and attorney fees. Both parties filed motions for summary judgment. In those motions the litigants sought to narrow the issues before the trial court. The defendants, Richard and National, argued that M&M was not entitled to the remaining balance on its note because of Louisiana’s “No Pay, No Play” law which bars recovery for the first $25,000 in property damages sustained by an owner or operator of an uninsured vehicle involved in an accident.  Louisiana Revised Statute 32:866.  However, the trial court didn’t buy that argument and ruled in favor of M&M and granted them their balance of $11,446.80, plus legal interest and attorney fees.

The case was appealed before the 1st Circuit Court of Appeal in Baton Rouge.  The appellate court reversed the judgment in favor of M&M and instead granted the defendants’ motion dismissing the case with prejudice. The appellate court ruled that no issues of material fact are present in this case because all of the parties agree that M&M held a security interest in Hayes’ vehicle and that the vehicle was uninsured at the time of the accident. Therefore, M&M’s financial right is a question of law turning on the interpretation of Louisiana statutes.  The appeals court then went on to evaluate those statutes and discussed how they applied to this facts of this case.

labourer-1436010-1024x762Louisiana worker’s compensation laws allow for injuries to only be charged at the usual cost for treatment. When a worker suffers an injury on the job the amount a hospital receives to pay for treatment may not always cover the cost of the treatment, but the hospital may not be able to recover for these losses.

While working at Beverly Industries, L.L.C. Byron Mitchell Suffered an injury to his back. The treatment for Mitchell’s back required the surgical fusion of three of the disks in his back. The surgery took place at Crescent City Surgical Centre in Metairie, Louisiana. Beverly Industries had worker’s compensation insurance through The Gray Insurance Company.

While Gray made all per diem payments to Crescent City for the surgery, the insurer denied coverage for special reimbursement for the surgery. Mr. Mitchell’s Surgical Procedure cost almost $180,000, and Crescent City sought reimbursement for the full cost of the procedure. The Surgical Center filed a claim for compensation, and a trial was held on December 19th 2012.

the-workers-1500355-1024x683If your hurt on the job your recourse will typically be through the workers compensation system.  Once you are in that system you must play by the rules and follow all orders of the court.  If you don’t your employer does have recourse to seek to limit your benefits.  Such a situation is demonstrated below wherein Mr. Sims refusal to attend adult education lead to a lesson learned in reduction of workers compensation benefits 101.

On October 17th, 2006, Preston Sims, an employee at Willis-Knighton Health System (WK) in Shreveport, Louisiana, sustained a back injury while at work resulting in a herniated disk at L5-S1. His doctor recommended lumbar surgery but his employer refused to pay the cost of the surgery. In September 2011, the Workers’ Compensation Judge (WCJ) ordered WK to approve and pay for the surgery, as well as continue to pay benefits to Mr. Sims. The Judge also signed an order of rehabilitation naming Lenora Maatouk as Mr. Sims’ vocational rehabilitation specialist. Sims was further ordered to participate in an adult education program to obtain his GED, with approval from his treating physician. In March 2012, Mr. Sims underwent a L4-5 and L5-S1 360-degree lumbar fusion, with placement of pedicle screws, followed by a right L5-S1 micro lumbar decompression.

As required by rehabilitation order, Mr. Sims took the adult educational program placement test on October 10, 2011 and on February 4th, 2013 and took the GED exam on January 27th, 2012 and November 8th, 2013 – to no avail. Mr. Sims’ rehabilitation specialist, Ms. Maatouk, informed him that he would need to take the placement exam again before being able to take the GED exam for a third time and additionally recommended that he take remedial classes for approximately six to nine months prior to the GED exam to better prepare himself. Mr. Sims did not enroll in any remedial courses.

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