Articles Posted in Pain And Suffering Claims

new_zealand_accident_insurance_0-1024x768If you are injured on the job, you might be entitled to compensation through the workers’ compensation system. What happens if your employer denies your claims for treatment recommended by your treating physicians? Can your employer be required to pay you penalties and fees?

Betty Citizen hurt her back while she was trying to move a bike while working at Wal-Mart. Wal-Mart denied her physical therapy that her treating neurosurgeon recommended. She filed a 1009 Form, which the Medical Director denied for being untimely. Citizen then filed a 1008 Form, claiming she was entitled to receive attorney fees and penalties because Wal-Mart had arbitrarily and capriciously handled her claims. 

Once Wal-Mart formally denied her physical therapy, Citizen filed another 1009 Form. The Medical Director denied that request as well, finding there was no required documentation about the results of prior therapy. On the day of the hearing, Wal-Mart approved the recommended physical therapy. Therefore, the only issue was whether Wal-Mart had acted arbitrarily and capriciously in denying Citizen’s physical therapy. 

worker_masonry_concrete_stones-1024x691While involved in a legal dispute, there are strict timelines that must be followed, not only for filing an initial lawsuit, but also for filing any subsequent appeals. However, arguments can arise about what timeline applies to a certain factual situation. 

Angela Jackson was injured while working at Family Dollar. Jackson filed a claim against Family Dollar. The Office of Workers’ Compensation awarded her medical expenses, disability, and supplemental earnings benefits. It also awarded her attorney’s fees and penalties against Family Dollar. 

Family Dollar filed an appeal about a month and a half after the Office of Workers’ Compensation issued the judgment in Jackson’s favor. However, Family Dollar did not indicate if it was a devolutive or suspensive appeal. 

surgery_eye_health_operation-1-1024x681“Causation is an issue of fact.” “It is the test for determining the causal relationship between an accident and an ensuing injury.” D’Angelo v. Guarino. This definition was vital in the following case.

In this case, court records revealed that Dwayne Levine (Plaintiff) was involved in an accident in 2012 that required two surgeries to his right ankle: one to help stabilize it and the other to fuse his bones to his ankle. In early 2013, the Plaintiff was recovering and about to transition from a boot to a shoe, though he still reported faint pains. 

However, on July 26, 2013, before the Plaintiff’s six-month follow-up, he re-injured his right foot when he slammed on his car brake to avoid a road collision. Soon after the incident, the Plaintiff experienced pain and went to the hospital. There, he received a splint and medication. At his follow-up visit, he did physical therapy and was given more pain medication. When his pain continued, a CT scan revealed the sub-talar joint had not fused since his initial surgery. As a result, a revision surgery was done in October 2013 to fuse the joint and remove the metal implant. A skin graft procedure was also done to stop an infection and care for the injury. 

surgery_eye_health_operation-1024x681Undergoing a surgery is always a nerve-wracking experience. You want to be able to trust that your surgeon conducted and reviewed the appropriate pre-operative tests. Can a surgeon be held liable if he or she fails to review the results of the pre-operative tests before performing the surgery? 

Roger Burchfield was admitted to Willis-Knighton Medical Center to receive non-emergency surgery on his gallbladder. Before the surgery, Burchfield’s surgeon, Forrest Wright, ordered a chest x-ray and EKG. However, Wright did not review the results prior to performing the surgery. If Wright had reviewed the tests, he would have seen Burchfield had congestive heart failure and multiple other possible heart issues. Burchfield himself did not know he had these heart issues. 

The surgery was successful, and Burchfield went home. However, about a day later, Burchfield started experiencing swelling. He went to the emergency room and was admitted into the hospital. The hospital found Burchfield had suffered a heart infection, respiratory failure, heart failure, and other issues. He was put in a medically induced coma before undergoing a heart transplant. Although Burchfield recovered from the transplant, he was no longer able to work as a mechanic and requires medical care for the transplant for the rest of his life. 

accident_auto_crash_car-1024x768Why would you appeal a judgment when the jury ruled in your favor? The following case involves a situation where the jury ruled in favor of an injured person, and he was awarded substantial damages. Still, instead of basking in the glow of victory, he chose to appeal the judgment. Why would anyone appeal when the scales of justice have tilted in their favor? The answer to this question lies in the intricate dance of legal strategy, discretion, and the quest for justice. Let’s delve into Kupke’s case to unravel why one would appeal a judgment even when the jury ruled in their favor.

Walter Kupke was rear-ended by a truck Jorge Silva was driving. Rader’s Insulation owned the truck. After Kupke’s vehicle was first hit, it got pushed into an intersection, and another car hit it. Kupke suffered various injuries, including back pain, and complained of hearing loss. He filed a lawsuit against Silva, Rader’s Insulation, and Rader’s insurer, Shelter Mutual Insurance Company. Kupke settled with all the defendants besides Shelter Insurance. At trial, the jury awarded Kupke $79,455.80. Despite prevailing at trial, Kupke filed an appeal claiming the jury had not awarded him sufficient damages based on the evidence presented. 

A jury has wide discretion in awarding both general and special damages. See La. C.C. art. 2324.1.  The appellate court cannot determine what it thinks is the appropriate award only if the trial court abused its discretion when it awarded the plaintiff damages. See Guillory v. Lee

calculator_calculation_insurance_1680905-1024x683Although money can never replace a loved one, if you find yourself in the tragic aftermath of a loved one’s death, you might be looking to recover damages from the responsible parties. However, the process of recovering damages can be difficult and emotionally charged. This is especially true if an insurance policy is involved and the insurer argues it is not required to provide coverage. 

Austin Trombley died while working at Rowdy Adventures, a zipline park owned by Howard Prince Jr. and located in Arkansas. While working during the summer at Rowdy Adventures, Trombley was living at a nearby camp, which Prince also owned. On the night he died, Trombley got drunk and was killed in a one-car accident while driving in a car owned by Abigale Williams. Williams was also in the car at the time of the accident, but she survived. 

Trombley’s parents filed a lawsuit against Prince, Rowdy Adventures and the owner of the camp’s land, which was owned by Prince. His parents accused Prince of negligent supervision. ASI Lloyds was Prince’s homeowners’ insurance carrier. ASI claimed its policy did not cover Prince because of the business pursuit and motor vehicle exclusions in his insurance policy. 

construction_worker_work_worker-1024x683When receiving medical care, the choice of medical professional can influence your treatment. If you have been injured on the job, you might not be sure if you can pick your own doctor or if you have to use a doctor your employer selects. Under the Louisiana Workers’ Compensation Act, an injured worker is entitled to select a physician in any specialty for an initial visit. The employer is not required to approve the employee’s choice of physician. What happens if the employer claims the employee was not injured on the job? 

Blann Kyle filed a workers’ compensation claim against Boise Cascade Company (“Boise”), claiming he had lost his hearing as a result of his employment at a paper mill located in DeRidder, Louisiana. He filed the claim seven years after he retired. Kyle then filed a motion for an expedited hearing, under La. R.S. 23:1121. Kyle claimed Boise had not authorized his initial visit with his choice of physician. Kyle wanted the workers’ compensation judge to order Boise to authorize his initial visit to the physician he had selected, reimburse him for the medical expenses resulting from the testing and treatment by that physician, and pay penalties and attorneys’ fees. Boise countered that Kyle’s claims were prescribed, meaning he had waited too long to bring his workers’ compensation claim. Boise also claimed it was not proper for Kyle to request penalties and attorneys’ fees with his motion for an expedited hearing. The workers’ compensation judge denied Kyle’s motion, holding there was a “tenuous link” between Kyle’s alleged hearing loss and his employment. Therefore, Boise had acted properly in refusing him the choice of a physician. Kyle filed an appeal. 

Louisiana courts have recognized that hearing loss can be caused by occupational exposure and can be an occupational disease where an injured worker is entitled to workers’ compensation. See Arrant v. Graphic Packaging International, Inc. Under La. R.S. 23:1121, an injured worker is entitled to select a physician in any specialty without his employer’s approval. If the employer denies that, the employee has the right to request an expedited proceeding. The employee can also receive attorney’s fees and penalties. 

time_tiempo_count_day_0-1024x683If the trial court does not rule in your favor, you might find yourself considering filing an appeal. However, just like filing an initial lawsuit, there are strict time limits for filing an appeal. If you do not comply with these time limits, the appellate court will be unable to consider the merits of your appeal, and you will be stuck with the trial court’s ruling. 

Aimee Lasseigne filed a lawsuit against Eastern Jefferson General Hospital and two doctors for damages that resulted from a spinal tap and related medical treatment she received at the hospital. The hospital and doctors filed exceptions of prescription, arguing Lasseigne did not file her request for a medical review panel until over a year from when the alleged medical malpractice occurred. The trial court granted the hospital and doctor’s exceptions of prescriptions and dismissed Lasseigne’s lawsuit on January 29, 2018. That same day, the clerk mailed a notice of the judgment’s signing to all the parties’ attorneys. 

On April 16, 2018, the trial court issued its written reasons for judgment. Lasseigne filed her appeal on May 11, 2018, seeking review of the trial court’s January 29, 2018, judgment, with the reasons issued on April 16, 2018. The hospital and doctors filed a motion to dismiss, claiming Lasseigne’s appeal was untimely.

fire_firefighters_fire_truck-1024x683If you and your family members are injured in an apartment fire, you might think you would be able to recover for your injuries from the apartment owners.  However, the law may only allow you to recover for your damages with sufficient evidence to support your claim. 

Afrah Qasem and her daughter, Asary Shotah, tried to escape from a fire in their apartment by jumping out of the window of their apartment on the second floor. They filed a lawsuit against Acadian Apartments for the injuries they suffered.  Qasem and her daughter claimed they had been injured due to Acadian’s negligence.  They claimed Acadian did not have sufficient policies and procedures in place, did not have working fire alarms or fire extinguishers, and had insufficiently marked emergency exits.  

Acadian responded, claiming that Qasem and her daughter had caused the fire by using a candle or other similar device and did not extinguish the fire.  Acadian wanted $50,000 in damages for the fire. Acadian filed a summary judgment motion under La. C.C.P. 966, claiming Qasem and her daughter could not prove Acadian had caused the fire and was liable for their damages. The trial court granted Acadian’s summary judgment motion. Qasem and her daughter appealed, claiming the trial court erred in granting Acadian’s summary judgment motion. 

2015_garage_sale_002-1024x683Depending on the outcome of a trial, when the jury renders its verdict, you might be excited or sad. No matter how you feel, you must review the trial court’s judgment to ensure it is sufficiently precise and definite to meet the requirements for a final judgment.  

Charmane Manchester was injured while attending a garage sale held on property owned by Michael and Heather Watson. She claimed a wood post supporting the carport fell and hit her. She filed a lawsuit against the Watsons and their homeowners’ insurer, ANPAC Louisiana. 

In her lawsuit, Manchester claimed the Watsons maintained an unreasonably dangerous condition on their property, had not adequately warned people of the condition, did not properly inspect the wood posts, and held a garage sale in an unsafe area. The lawsuit proceeded to a jury trial. At trial, the jury found the Watsons owned and had custody of the wooden post that fell on Manchester at the garage sale. However, the jury did not find sufficient evidence that the wooden post was defective and an unreasonable risk of harm when the accident occurred. 

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