Bonnie Conner v. Bridgefield Casualty Insurance Company

STATE OF LOUISIANA
COURT OF APPEAL, THIRD CIRCUIT

15-621

BONNIE CONNER

VERSUS

BRIDGEFIELD CASUALTY INSURANCE COMPANY, ET AL.

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APPEAL FROM THE
OFFICE OF WORKERS’ COMPENSATION - DISTRICT 3
PARISH OF CALCASIEU, NO. 11-09743
CHARLOTTE L. BUSHNELL, WORKERS’ COMPENSATION JUDGE

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JIMMIE C. PETERS
JUDGE

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Court composed of Sylvia R. Cooks, Jimmie C. Peters, and Marc T. Amy, Judges.

AFFIRMED AS AMENDED AND RENDERED.

Michael B. Miller
Jacqueline B. Manecke
Miller & Associates
P. O. Drawer 1630
Crowley, LA 70527-1630
(337) 785-9500
COUNSEL FOR PLAINTIFF/APPELLEE:
Bonnie Conner

Matthew W. Tierney
Tierney and Smiley, LLC
3535 S. Sherwood Forest Boulevard, Suite 233
Baton Rouge, LA 70816
(225) 298-0770
COUNSEL FOR DEFENDANTS/APPELLANTS:
Jennings American Legion Hospital
Bridgefield Casualty Insurance Company

PETERS, Judge.

The defendants in this workers’ compensation matter are Jennings American

Legion Hospital (Jennings Hospital) and its workers’ compensation insurer,
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Bridgefield Casualty Insurance Company (Bridgefield Insurance). They appeal

the judgment of the workers’ compensation judge (WCJ) awarding the plaintiff,

Bonnie Conner, workers’ compensation benefits, penalties, attorney fees, and

expenses associated with a September 4, 2010 accident. For the following reasons,

we amend the WCJ judgment to decrease the expenses awarded to Ms. Conner

from $2,247.25 to $419.26; affirm the judgment as amended; and render judgment

awarding Ms. Conner $5,000.00 in attorney fees for work performed by her

counsel on appeal.

DISCUSSION OF THE RECORD

On Saturday, September 4, 2010, Ms. Conner slipped on a wet floor while

mopping an operating room. She immediately felt pain in her left leg from the

thigh to the knee, immediately reported the accident, and was provided immediate

medical attention by Jennings Hospital. The initial diagnosis was that Ms. Conner

sustained a strained left hamstring. However, when her symptoms persisted, she

was seen by Dr. Michael R. Holland, a Jennings, Louisiana orthopedic surgeon,

who subsequently performed a left total knee replacement. Thereafter, when Ms.

Conner later related her back and right knee pain to the accident, he refused to treat

her for those complaints on the basis that they were not related to the initial injury.

Finding that Ms. Conner had reached maximum medical improvement (MMI) for

the left knee injury, Dr. Holland discharged her as a patient on March 22, 2012. At

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In some documents in the appeal record, Jennings Hospital’s workers’ compensation
insurer is identified as “Summit.” However, other documents suggest that Bridgefield Insurance
is a Summit affiliate. Therefore, we will refer to the hospital’s compensation insurer as
Bridgefield Casualty Insurance Company or Bridgefield Insurance.

the time he discharged her from his care, he was of the opinion that she was

capable of returning to work, but only in a sedentary capacity.

Ms. Conner then came under the care of Dr. Louis Blanda, a Lafayette,

Louisiana orthopedic surgeon. Dr. Blanda concluded that Ms. Conner’s back and

right knee pain was caused by the accident of September 4, 2010, but Bridgefield

Insurance initially limited his treatment authorization to her left knee. In June of

2012, Dr. Blanda concluded that Ms. Conner had reached MMI for the left knee,

but that the knee replacement procedure resulted in a fifty percent impairment of

the left leg. This impairment by itself, according to Dr. Blanda, limited Ms.

Conner to sedentary work.

Dr. Blanda ultimately received authorization to evaluate and treat Ms.

Conner’s back and right knee complaints. X-rays of the right knee taken pursuant

to that authorization, revealed a moderate degree of arthritic change in her knee’s

three compartments; x-rays of her lower back demonstrated diffuse degenerative

changes, but no focal abnormalities. Dr. Blanda drained Ms. Conner’s right knee

and injected it with a steroid. At the time of trial, he had yet to obtain

authorization for a lumbar MRI.

Jennings Hospital and Bridgefield Insurance (sometimes collectively

referred to as “the defendants”) initially paid weekly compensation benefits to Ms.

Conner and paid for her medical treatment through Dr. Holland’s discharge of her

as a patient. However, once it became clear that the defendants were not going to

recognize her back and right knee complaints as compensable, Ms. Conner filed a

disputed claim for compensation asserting that they failed to authorize treatment by

her choice of orthopedic surgeon; and for that failure, she sought penalties and

attorney fees, together with legal interest on all amounts due. The defendants

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answered the claim, arguing that they had provided Ms. Conner with all of the

workers’ compensation benefits she was entitled to by law.

Subsequently, Ms. Conner filed a motion for partial summary judgment,

seeking recognition that she suffered injuries to both knees and her lower back as a

result of her September 4, 2010 work-related accident; and that she was entitled to

$8,000.00 in penalties pursuant to La.R.S. 23:1201(F) and an award of attorney

fees. The WCJ rendered a summary judgment finding that Ms. Conner sustained

an injury while in the course and scope of her employment with Jennings Hospital

on September 4, 2010, but denied summary judgment relief on the issues of

causation, penalties, and attorney fees.

At the beginning of the trial on the merits, Jennings Hospital acknowledged

its employer status; Bridgefield Insurance acknowledged its status as Jennings

Hospital’s workers’ compensation insurer; and Ms. Conner acknowledged that she

had received weekly compensation benefits at the rate of $204.83 per week since

the accident. Upon completion of the evidentiary phase of the trial, the WCJ took

the matter under advisement. On April 6, 2015, the WCJ rendered both a written

judgment and written reasons for judgment, finding that Ms. Conner was entitled

to supplemental earnings benefits (SEBs) calculated at zero earnings; her lower

back and right knee complaints were causally related to her September 4, 2010

work-related accident; and she was entitled to $8,000.00 in penalties based on the

defendants’ failure to timely reimburse her mileage on four separate occasions.

The WCJ also awarded Ms. Conner $22,925.00 in attorney fees and $2,247.25 in

expenses.

The defendants perfected this appeal from the judgment, raising three

assignments of error:

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1. The trial court was manifestly erroneous in finding that the
Appellee’s back condition and right knee are causally related to
the work accident and compensable;

2. The trial court abused its discretion in awarding excessive
attorney fees and costs; and

3. The trial court erred in relying on improper evidence and
refusing to allow counsel to question opposing counsel as to
attorney fee submission.

Ms. Conner answered the defendants’ appeal, arguing that the WCJ legally erred

by not awarding her legal interest on all amounts awarded by the judgment. She

further requested additional attorney fees for work performed by her counsel in

defending this appeal.

OPINION

It is well settled that the factual findings of a WCJ are reviewed pursuant to

the manifest error standard of review. Bourque v. Transit Mix/Trinity Ind., 13-

1390 (La.App. 3 Cir. 4/1/15), 162 So.3d 690.

In Tate v. Cabot Corp., 01-1652, pp. 5-6 (La.App. 3 Cir. 7/3/02), 824 So.2d

456, 461 (alteration in original), writ denied, 02-2150 (La. 11/22/02), 829 So.2d

1044, as recently quoted in Turner v. Lexington House, 14-1264, p. 5-6 (La.App. 3

Cir. 4/15/15), __ So.3d __, __, writ denied, 15-952 (La. 8/28/15), __ So.3d __, this

court stated:

Because an employer takes his employee as he finds him, a
preexisting condition does not prevent recovery through workers’
compensation. Curtis v. Wet Solutions, Inc., 98-789 (La.App. 3 Cir.
12/9/98); 722 So.2d 421. Aggravation of a preexisting injury may
constitute a disabling injury when, for example, the plaintiff begins to
suffer new symptoms after the second workplace accident. Howell v.
Service Merchandise Co., Inc., 95-79 (La.App. 3 Cir. 8/9/95); 663
So.2d 96. To be compensable, the aggravation of a preexisting injury
must result from an identifiable and discernable incident. City of
Eunice v. Credeur, 99-302 (La.App. 3 Cir. 10/13/99); 746 So.2d 146,
writ granted in part, judgment vacated in part, 99-3249 (La.1/28/00);
753 So.2d 226. Moreover, there must be a causal link between the

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aggravation and a work related incident. As we have recently
explained,

[a] pre-existing disease or infirmity does not disqualify
the claimant from receiving benefits if the workplace
accident aggravated, accelerated, or combined with the
disease to produce the disability for which compensation
is claimed. Thus, the element of causation is satisfied if
the employee’s work-related accident was a factor in
bringing about the employee’s disabled status. Whether
a causal relationship exists between the disability and the
employment is a question of fact. The hearing officer’s
determination in this regard cannot be reversed unless it
is manifestly erroneous based on examination of the
record as a whole.

The employee’s workplace accident is presumed to
have caused or aggravated her disability when she proves
that: (1) before the accident, she had not manifested
disabling symptoms; (2) commencing with the accident,
the disabling symptoms appeared; and (3) there is
medical or circumstantial evidence indicating a
reasonable possibility of causal connection between the
accident and activation of the disabling condition. Once
an employee establishes the presumption of a causal
relationship, the employer must produce evidence and
persuade the trier of fact that it is more probable than not
that the injury was not caused by the work accident.

Rideaux v. Franklin Nursing Home, 95-240, p. 5 (La.App. 3 Cir.
11/22/95); 664 So.2d 750, 755, writ denied, 95-3093 (La.2/16/96);
667 So.2d 1058 (citations omitted). In Rideaux, we went on to
explain that “[t]he presumption of causation may attach to a claimant
who exhibited symptoms of her allegedly disabling illness in the
distant past provided that she had suffered no such symptoms
immediately prior to her workplace accident.” Id. at 756.

This is an extremely fact intensive matter, but most of the facts are not in

dispute. The dispute is primarily over the interpretation of the medical evidence.

Post-Accident Factual and Medical History

After the accident occurred, Ms. Conner immediately reported it to her

supervisor and was escorted to Jennings Hospital’s emergency room for evaluation

and treatment. The physician on duty in the emergency room diagnosed her with a

strained left hamstring and instructed her to rest at home for four or five days, take

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ibuprofen as needed for pain, and follow up with her regular physician in the next

week.

On September 7, 2010, Ms. Conner sought treatment from Dr. Mark E.

Clawson, a Jennings, Louisiana family practitioner, who concluded that she had

probably torn her left hamstring in the accident. He prescribed muscle relaxers and

anti-inflammatory medications and released her to return to work two days later,

but only if she could do so without lifting, straining, or pulling. Otherwise, Dr.

Clawson instructed her to remain off work until her next appointment with him.

Jennings Hospital attempted to accommodate Ms. Conner by moving her to

medical record duty, and she continued in that position until Dr. Clawson restricted

her from performing any type of work in October of 2010.

When Dr. Clawson saw Ms. Conner on September 14, 2010, he began her on

a physical therapy program and continued her modified work status. She received

physical therapy treatment at the Therapy Center in Jennings, Louisiana, on twenty

occasions through December 23, 2010. In the discharge summary of that date, the

physical therapist asserted that Ms. Conner exhibited a forty-percent functional

impairment upon discharge, and that the physical therapy goals had not been met.

Even before Ms. Conner completed her series of physical therapy treatments,

Dr. Clawson ordered an MRI of her left knee and thigh. The MRI revealed no

abnormality in the left thigh, but did reveal the presence of a small to moderate

joint effusion associated with a tear of the posterior horn of the medial meniscus.

Based on this test result, Dr. Clawson referred Ms. Connor to Dr. Holland.

On November 12, 2010, Dr. Holland performed an arthroscopy to repair the

torn meniscus, but when Ms. Conner’s knee continued to deteriorate, he changed

his diagnosis to that of degenerative joint disease with progression. On January 31,

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2011, Dr. Holland recommended a left total knee replacement, but Bridgefield

Insurance initially refused to approve the procedure. Instead, it referred the request

to Dr. Robert Holladay IV, a Louisiana board-certified orthopedic surgeon, for a

peer review evaluation. On February 25, 2011, Dr. Holladay rejected the requested

procedure, concluding that the knee replacement was not medically necessary and

that the knee injury was not causally connected to Ms. Conner’s September 4, 2010

work-related accident. However, Dr. Holland resubmitted his request for the left

total knee replacement, and on April 25, 2011, Bridgewater Insurance approved it.

Dr. Holland performed the approved procedure on May 6, 2011. Initially,

Ms. Conner felt much improved, and she began her second course of therapy with

the Therapy Center on May 12, 2011. At that time, the physical therapist noted

that she ambulated slowly and cautiously and that she displayed a lean on the right

weight-bearing limb during ambulation. Over the first month of physical therapy,

Ms. Conner experienced relief from the pain and swelling associated with the

replacement surgery. However, on July 8, 2011, she voiced complaints to the

physical therapist of increased knee pain, burning, and sensitivity subsequent to her

previous day’s treatment. These complaints persisted over the next three

treatments, and at her last appointment with the Therapy Center, she did not

receive treatment due to her complaints of chest pain, left-side head pain, and light-

headedness. In the discharge report, the physical therapist indicated that Ms.

Conner still suffered from a fifty-percent functional impairment and that her

physical therapy goals had not been met.

One of the few areas of factual dispute concerns when Ms. Conner first

complained of back and right knee pain to Dr. Holland. In her trial testimony, Ms.

Conner claimed that her first complaints were made in December or January after

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her September 4, 2010 accident, and before the left total knee replacement surgery.

She asserted that her right knee began hurting because it was her main weight-

bearing limb during the eight month interval between her injury and her surgery.

Then, after her right knee began hurting, she had to put all of her weight on her left

knee. Both knee problems, according to Ms. Conner, led to her back hurting. On

the other hand, Dr. Holland’s records place the time closer to late summer or early

Fall of 2011, after the surgery.

Regardless of when her complaints began, both Ms. Conner and Dr. Holland

agree that when she did complain of back and right knee pain, Dr. Holland took the

unusual step of declining to address these complaints. In fact, on September 23,

2011, Dr. Holland’s office executed a letter to this effect, and Ms. Conner was

forced to seek treatment elsewhere for those complaints. Dr. Holland testified that

he did not recall Ms. Conner complaining of difficulties with her back and right

knee before this time, and he stated that he declined to evaluate and treat her lower

back complaints because he knew that “it would be a big, complicated, long,

drawn-out issue.” He went on to state that “[b]ecause I had seen her so many times

with no complaints of the back, and now the back thing comes in. I just didn’t

want to complicate my world more than it already is.” He acknowledged, during

his deposition, that if there was pre-existing osteoarthritis in Ms. Conner’s knees,

she might develop arthritis in the contralateral or right knee over time. However, if

that were to occur, he would not relate it back to the left knee treatment or surgery.

Moreover, he stated that he found no evidence to support a finding that Ms.

Conner’s back complaints resulted from her left knee complaints, the treatment she

received, or the alteration in her gait caused by her left knee injury.
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At that time, she had seen Dr. Young Hee Kang, a Welsh, Louisiana family practitioner,
three times: September 30, 2010, December 16, 2010, and December 22, 2010. His records
reflect that she only made complaints of left leg and left knee pain on those visits.
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Less than one month later, on October 12, 2011, Dr. Holland saw Ms.

Conner for the last time. At the time, she was complaining of “back pain with

trouble walking.” The day before this visit, Dr. Holland issued an opinion to

Bridgefield Insurance stating that Ms. Conner could not perform a clerk position

with Jennings Hospital, based on his review of the job description received by him

on September 22, 2011. That same day, he responded to a questionnaire from

Insurance Recovery Group concerning a Louisiana Second Injury Fund Medical

Merger Opinion, by stating that Ms. Conner had pre-existing osteoarthritis in her

left knee prior to her work-related accident; that the injury to her left knee merged

functionally with her preexisting condition to create a substantially greater

disability; and that the pre-existing osteoarthritis caused an increased likelihood

that an injury would lead to an earlier total-knee arthroplasty. A little over five

months later, on March 22, 2012, Dr. Holland approved a unit clerk job description

provided by Jennings Hospital, concluding that Ms. Conner was at MMI and could
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return to work in that position.

Three months after Dr. Holland stopped treating her, Ms. Conner began

treatment with Dr. Blanda. In her initial visit on January 10, 2012, Ms. Conner

complained of bilateral knee pain, headaches, pain in the spine from her neck to

her lower back, and bilateral shoulder pain. Bridgefield Insurance rejected Dr.

Blanda’s request for approval to pursue the investigation of her complaints.

Instead, it restricted Dr. Blanda’s treatment to the left knee.

Working within the parameters set by Bridgefield Insurance, Dr. Blanda

concluded that Ms. Conner had not yet reached MMI after her left total knee

3
There is no copy of a job description dated March 22, 2012. However, there is a
Medical Staff Memo, dated December 5, 2011, which was sent to Dr. Holland by Keith Simpson,
Jennings Hospital’s Chief Operating Officer, which includes a job description for a Unit Clerk,
twenty to thirty hours per week.
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replacement surgery and, therefore, she could not return to work. At the same time,

he continued to request that he be allowed to obtain x-rays of the neck and an MRI

of the cervical and lumbar spine.

When Dr. Blanda saw Ms. Conner on February 28, 2012, he noted positive

neck and back spasms, a positive straight-leg raising test on the right side, and

diffuse numbness in Ms. Conner’s hands and feet. He repeated his

recommendations for a cervical and lumbar MRI, concluded that she still was not

at MMI, and continued her restrictions with regard to working.

After examining Ms. Conner on June 19, 2012, Dr. Blanda concluded that

she was at MMI for her left knee, but with a fifty-percent impairment of that leg.

This impairment, according to Dr. Blanda, left Ms. Conner with the capability of

performing only sedentary work. He noted in his records that the recommended

testing for Ms. Conner’s other complaints was still being denied by Bridgefield

Insurance. In conjunction with an August 21, 2012 rehabilitation conference, Dr.

Blanda completed a causation-disability form wherein he repeated his conclusion

that Ms. Conner was capable of only sedentary work and that her left and right

knee and lower back complaints were caused or aggravated by her September 4,

2010 work accident.

At her November 29, 2012 visit, Ms. Conner complained of considerable

right knee pain and of her knee giving out. Dr. Blanda attributed these complaints

to osteoarthritis of the knees. On February 5, 2013, Ms. Conner complained of

mild left knee pain; pain in her right knee, which was positive for effusion and

crepitus; and neck and back pain. At that time, Dr. Blanda filled out a form

requesting that she be allowed a temporary handicapped parking permit. When he

saw her on August 6, 2013, Ms. Conner expressed a complaint of frequent burning

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in her lower back, and Dr. Blanda prescribed a single-tip cane for her. Because he

believed her weight was a problem with her recovery, Dr. Blanda counseled Ms.

Conner on the importance of weight loss. At her February 6, 2014 visit, Ms.

Conner complained that her back pain was worse and of a radicular nature. Dr.

Blanda noted that his patient had medial and lateral tenderness of her left knee;

negative five to seventy degrees range of motion; and marked difficulty walking.

He recommended an injection to relieve the distress. During all of this evaluation

and treatment process, he continued to restrict her from working.

On February 25, 2014, Dr. Blanda finally received permission from

Bridgefield Insurance to evaluate Ms. Conner’s right knee and lower back

complaints. On March 20, 2014, she presented herself to the emergency room of

the American Legion Hospital in Crowley, Louisiana, after she fell on her left

shoulder because her right knee gave out. On April 15, 2014, Ms. Conner reported

that incident to Dr. Blanda, informing him that her right leg gave way secondary to

pain. At that visit, Ms. Conner complained of back pain radiating down into both

legs, with the right leg worse than the left; and pain and swelling of her right knee.

In examining Ms. Conner, Dr. Blanda noted that she had difficulty rising from a

seated to a standing position, she exhibited an antalgic gait on the right, and the

range of motion of her lumbar spine was markedly diminished with dysrhythm.

Her straight-leg raise test was positive for back pain on the right and, to a lesser

degree, on the left. Dr. Blanda further noted diffuse swelling and moderate

effusion in the right knee, with reduced motion, especially on flexion. He

recommended an MRI and x-rays of the lumbar spine and x-rays and injections in

the right knee. The spinal x-rays revealed diffuse degenerative changes, but no

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focal abnormality. The right knee x-rays revealed a moderate degree of arthritic

change in all three of the knee’s compartments.

Ms. Conner testified at trial that her balance feels unstable when she stands

or walks too long, which led to her using a cane. She stated that, after learning of

her falls, Dr. Blanda prescribed her a walker with a seat. Ms. Conner also stated

that her ability to sleep is affected by her back pain, which requires her to either

stretch or ice her back.

Ms. Conner testified that she has received no treatment for her back or right

knee complaints from either Dr. Holland or Dr. Blanda because of Dr. Holland’s

and the defendants’ insistence that these complaints were not work related.

However, Ms. Conner testified that, before her work accident, she worked forty-

hour weeks for Jennings Hospital and that she was never unsteady on her feet,

never used a cane or a walker, or never had her right knee give out. She denied

suffering any other injuries and accidents since her work accident, other than when

her knee gave out and caused her to fall. She further stated that both Drs. Clawson

and Blanda restricted her from working.

Pre-Accident Factual and Medical History

Most of the medical records introduced by the defendants addressed Ms.

Conner’s medical history prior to the September 4, 2010 accident. Following a

February of 1998 motor vehicle accident, Dr. Robert Marshall, a Jennings,

Louisiana family practitioner, noted that both of Ms. Conner’s knees were tender,

with a slight amount of edema in the popliteal fossa of the right knee. The x-rays

of both knees were normal. Dr. Marshall again treated Ms. Conner for bilateral

knee pain following her May 12, 1999 work accident at ShopRite. A May 19,

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1999 MRI of the right knee revealed a partial tear of the medial meniscus and a

significant tear of the lateral meniscus.

In regard to this latter injury, Ms. Conner was treated by Dr. Holland, who

was unable to identify a significant injury in September of 1999. A functional

capacity evaluation ordered by him noted that she had a tendency to “self-limit,”

and that her work rehabilitation assessment revealed inconsistencies in her

complaints and limitations. A January 25, 2000 EMG-nerve conduction test of Ms.

Conner’s right leg was normal. On March 29, 2001, Dr. Holland found no

abnormality in her right knee and released her to full duty status with ShopRite. In

an internal April 25, 2001 investigation memorandum, Louisiana Workers’

Compensation Corporation (LWCC) indicated that Ms. Conner, who was receiving

monthly SEBs based on this work injury, was released by Dr. Holland to return to

work at full duty on March 29, 2001.

Other preexisting back and right knee complaints included Ms. Conner’s

May 9, 2001 complaint of lower back pain at a doctor’s appointment; a May 27,

2008 complaint of back and right knee pain to Dr. Kang, caused by moving

furniture; a March 6, 2009 diagnosis of lower back strain at the Crowley American

Legion Hospital emergency room, when, as an employee there, she was pulled on

by a patient and slipped; and an October 17, 2005 Jeff Davis Family Medicine

record of her complaints of several weeks of bilateral knee pain and x-rays

revealing osteoarthritis in both knees

Ms. Conner’s employment file reveals that she was hired by Jennings

Hospital on December 4, 2009. In addition to a housekeeping job description and

various signed employment forms, the file included a, “Louisiana Post Offer-Of-

Employment Medical Inquiry” form, in which Ms. Conner indicated that the only

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preexisting condition she suffered from was arthritis in her knees. In a separate

questionnaire, she indicated that she suffered from depression, was diagnosed with

arthritis in her knees by Dr. Marshall in 2002, and that she suffered a work-related

knee injury while working for ShopRite in 1999, for which she was off work for

one year. In a December 7, 2009 employer-provided insurance enrollment form,

Ms. Conner indicated that she had been diagnosed with arthritis within the last five

years.

Ms. Conner’s employment file further reflects that she was hired as a full-

time, permanent employee for Jennings Hospital, and her first day of work was on

December 9, 2009. During the nine months preceding her work accident, Ms.
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Conner averaged 76.80 hours per pay period. The day before her accident, she

worked 7.75 hours, and she worked five hours the day of her accident.

When questioned, Ms. Conner agreed that nothing was said in her accident

report, Jennings Hospital’s first report of injury, or the emergency room records

about her twisting or injuring her back or injuring her right knee. The emergency

room records indicate that her injury was caused by her twisting and falling.

Although she did not recall whether she told Dr. Blanda about this injury, his

records indicate that he was aware of her prior knee injury.

Ms. Conner admitted that she said nothing about her back or her right knee

to Dr. Clawson, and although her back was hurting when she first saw him, Ms.

Conner stated that she did not tell Dr. Holland because she thought her back pain

would go away. She testified that her right knee complaints began while she was

undergoing physical therapy for her left knee and that she reported her pain to the

therapist.

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Jennings Hospital paid its employees every two weeks.
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Ms. Conner testified that prior to her September 4, 2010 accident, she

experienced bilateral knee pain following her 1998 car accident and as a result of

her prior work accident at ShopRite; and although Dr. Blanda’s records indicate

that she related no previous neck, back, or left-knee injuries prior to September 4,

2010, Ms. Conner, when shown the medical records, recalled both instances of

lower back pain. She further testified that her upper back was adjusted several

times in February or March of 2010, by her brother, a chiropractor, to address the

symptoms she developed from moving the heavy linen carts required by her

housekeeping duties. While she could not recall whether she told Dr. Blanda about

these incidents, Ms. Conner stated that nothing prevented her from carrying out her

job duties prior to her work accident.

Action of the WCJ

In her April 6, 2015 written reasons, the WCJ made the following findings

of fact:

1. The undisputed facts are that the claimant, Bonnie Conner[,]
sustained an accident during the course and scope of her
employment with Jennings American Legion Hospital on
September 4, 2010.

2. Claimant’s compensation rate is $204.83.

3. Following the accident, Ms. Conner was treated at Jennings
American Legion Hospital and by Dr. Clawson.

4. Dr. Clawson referred the claimant to Dr. Michael Holland, an
Orthopaedic Surgeon[,] who performed an arthroscopic surgery
on the claimant’s left knee in November of 2010.

5. Dr. [Holland] performed a total knee replace[ment] on May of
2011 [sic] of claimant’s left knee.

6. Dr. [Holland] did not address claimant’s right knee and her low
back.

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7. Claimant sought treatment from her choice of doctor, Dr.
Blanda, who evaluated the claimant’s low back and right knee
complaints in January of 2012.

8. The defendants denied treatment of claimant’s back and right
knee. Defendant argues there is no causal connection between
the work accident and the low back and right knee complaints.

9. Dr. Holland did not evaluate claimant’s back or right knee.

10. Dr. Blanda opined that the claimant’s low back and right knee
are related to the work accident due to her altered gait.

11. The claimant has been released to sedentary work.

12. The claimant has had prior back and knee complaints.

Based on the above findings of fact, the WCJ made the following findings:

The third circuit court of appeals [sic] has previously held that
“[a] claimant’s recovery under Louisiana’s workers’ compensation
laws is not barred by a pre-existing condition because an employer
takes the employee as he finds him. Rivers v. Bo Ezernack Hauling
Contractor, Inc., 09-991, p. 4 (La.App. 3 Cir. 3/10/10), 32 So.3d 1091,
1095, writ denied, 10-807 (La. 6/4/10), 38 So.3d 309. Ms. [Conner’s]
previous back and knee complaints do not prohibit her from receiving
benefits when that condition was worsened by an otherwise
compensable work related accident. Id. See also, Fontenot v. Wal-
Mart Stores, Inc., 03-1570 (La.App. 3 Cir. 4/7/07), 870 So.2d 540,
writ denied, 04-1131 (La. 6/25/04), 876 So.2d 843; Bourgeois [v.
Seabright Ins. Co., 12-834 (La.App. 5 Cir. 4/10/13)], 115 So.3d 50.
In this case, the defendant only approved treatment of the left knee.
Claimant’s complaints of back pain and right knee pain were not
addressed by Dr. Holland. Ultimately, Dr. Blanda’s evaluation
concluded compensability. The request for an [i]ndependent medical
evaluation is not necessary since there is no real dispute between the
medical examiners. Dr. Holland did not evaluate, nor did he address
low back and right knee complaints.

(First alteration in original.)

Given the record before us, we find no error in the WCJ’s determination that

Ms. Conner’s September 4, 2010 work accident either caused or aggravated a

preexisting condition, such as the osteoarthritis in her right knee, to cause her

workers’ compensation claims relative to her lower back and right knee. The

evidence is clear that prior to her accident, Ms. Conner was performing her job
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duties with Jennings Hospital and was working a full schedule. Even Dr. Holland

acknowledged that Ms. Conner was fully employed and capable of performing her

job duties.

There is no dispute that commencing with her accident, Ms. Conner began

experiencing disabling symptoms. These symptoms were initially in her left knee,

and Jennings Hospital has not contested this injury. Additionally, although Ms.

Conner admitted that her first complaints involving her right knee and lower back

did not occur until three to four months after the accident, that failure, in and of

itself, does not preclude her from receiving workers’ compensation benefits. In J.P.

Morgan Chase v. Louis, 44,309, p. 6 (La.App. 2 Cir. 5/13/09), 12 So.3d 440, 445,

the court stated that “[l]ong delays may be excused when the claimant does not

initially appreciate the severity of her injury.”

Furthermore, Dr. Blanda’s medical records indicate that there is a reasonable

possibility of a causal connection between Ms. Conner’s work accident and the

aggravation or acceleration of her osteoarthritis, which led to her right knee injury.

His records further indicate that both the left and right knee injuries resulted in her

altered gait, which was the possible cause of her lower back issues.

Although Dr. Holland found no correlation between Ms. Conner’s right knee

and back complaints and her work accident, left knee injury, or treatment, he

refused to treat these complaints. However, in addressing her left knee injury, he

admitted that Ms. Conner had preexisting osteoarthritis in her left knee and that

this condition commonly attacks both knees. He further admitted that while

undergoing left-knee treatment, Ms. Conner could develop arthritis in her right

knee over time if osteoarthritis was present in that knee. Dr. Holland further

opined that the existence of osteoarthritis, increased the likelihood of Ms. Conner

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injuring her knee and requiring earlier treatment than if the condition had not

existed.

Applying these principles to the facts surrounding Ms. Conner’s right knee,

we find no error in the WCJ’s determination that Ms. Conner’s right knee

complaints were caused by the September 4, 2010 work accident or resulted from

the aggravation, acceleration, or combination of the accident with her preexisting

osteoarthritis. We also find no error in the WCJ’s finding that Ms. Conner’s lower

back pain resulted from her changed gait, which was caused by her left and right

knee issues. Although the defendants introduced evidence that Ms. Conner

experienced prior issues with both knees and her lower back, she was fully capable

of performing her job duties prior to her accident. Based on these findings, the

WCJ’s judgment on the issues of causation and compensation are affirmed.

ASSIGNMENTS OF ERROR NUMBER TWO AND THREE

In their remaining assignments of error, the defendants argue that the WCJ

abused her discretion by awarding excessive attorney fees and costs to Ms. Conner.

They further argue that they were denied the opportunity to cross examine Ms.

Conner’s counsel on a statement introduced into evidence, which broke down the

time expended and the expenses incurred by counsel in pursuing Ms. Conner’s

claim. The defendants claim that this statement was not in the form of an affidavit

and that the WCJ’s reliance on it was not reasonable and was clearly an abuse of

discretion.

The defendants further point to Weldon v. Holiday Inn-Jennings, 11-203

(La.App. 3 Cir. 10/5/11), 76 So.3d 115, writ denied, 11-2463 (La. 1/20/12), 78

So.3d 144, in which a separate panel of this court decreased an employee’s award

of attorney fees by the amount of time spent on unsuccessful or non-contested

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issues. Finally, they argue that Ms. Conner’s counsel has collected attorney fees

on a regular basis in this matter and that the award of attorney fees would, in effect,

allow counsel to collect attorney fees twice.

The statement by Ms. Conner’s counsel indicates that she worked 131 hours

in the pursuit of this claim and lists her contingent hourly fee as $175.00 per hour.

The $22,925.00 in attorney fees awarded to Ms. Conner equals the 131 hours

multiplied by the contingent hourly rate.

In Arretteig v. Our Lady of the Lake Hospital, Inc., 13-1603, pp. 15-16

(La.App. 1 Cir. 3/21/14), 142 So.3d 1048, 1057, the court discussed the intent

behind attorney-fee awards in workers’ compensation matters:

Pursuant to LSA-R.S. 23:1201(F), the failure to provide
payment of indemnity or medical benefits in accordance with LSA-
R.S. 23:1201 or the failure to consent to the employee’s request to
select a treating physician or change physicians when such consent is
required shall result in the assessment of a penalty “together with
reasonable attorney fees for each disputed claim.” Although the
primary consideration in the imposition of attorney’s fees is not to
compensate the employee, but rather to discourage certain offensive
behaviors on the part of the employer or insurer, the amount so
awarded is intended to fully compensate the employee’s attorney,
thereby benefitting the employee, for the attorney’s services rendered
in connection with the litigation. Langley v. Petro Star Corp. of La,
2001-0198 (La.6/29/01), 792 So.2d 721, 726-727. Factors to be
considered when fixing the amount of attorney’s fees to be awarded
include the degree of skill and ability exercised by the attorney, the
amount of the claim, the amount recovered by the employee, and the
amount of time the attorney devoted to the [c]ase. Davis v. Farm
Fresh Food Supplier, 2003-1381 (La.App. 1st Cir.5/14/04), 879 So.2d
215, 221. On review, the amount of attorney’s fees awarded by the
workers’ compensation judge will not be disturbed absent an abuse of
discretion. See Langley, 792 So.2d at 727.

In McCarroll v. Airport Shuttle, Inc., 00-1123, pp. 9-10 (La. 11/28/00), 773

So.2d 694, 700 (footnote omitted) (emphasis added), the supreme court held that

an award of statutory attorney fees is intended to fully reimburse the employee for

all amounts expended in their claim:

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In our determination of the respective rights of the employee
and the attorney to the statutory attorney fees, a persuasive factor is
the methodology used to calculate the amount of the statutory attorney
fees. The only limitation on the amount is the reasonableness of the
fee awarded by the judge. Cain [v. Employers Cas. Co., 236 La. 1085,
110 So.2d 108 (1959)]. The amount awarded rests within the
discretion of the workers’ compensation judge, as long as that amount
is supported by the record. Some of the factors taken into account by
the judge in fixing the amount of the fee are the degree of skill and
ability exercised by the attorney, the amount of the claim, the amount
recovered for the employee, and the amount of time the attorney
devoted to the case. [14] H. Alston Johnson, III, [Louisiana Civil Law
Treatise: Workers’ Compensation Law and Practice] § 389 [(3rd
ed.1994)]. The amount awarded is intended to provide full recovery,
without statutory limitation, for attorney’s services and expenses in
connection with the litigation. If the attorney were allowed to collect
the contractual attorney fees in addition to the full compensation
awarded in the statutory attorney fees, the attorney would get double
recovery (to the extent of the limited contractual fee) for his services,
at the expense of his client.

We therefore conclude that the statutory attorney fees, awarded
to the employee in cases of arbitrary behavior of the employer or the
insurer, were intended to benefit the employee, who would otherwise
have to pay the contractual attorney fees out of his or her benefits
recovered in the litigation, and were not intended to provide additional
fees to the employee’s attorney, who received the amount of the
statutory attorney fees as full compensation for legal services in the
litigation.

Based on the supreme court’s holding in McCarroll, this court in Magbee v.

Federal Express, 12-77 (La.App. 3 Cir. 12/12/12), 105 So.3d 1048, held that the

WCJ erred in awarding statutory attorney fees based only on those issues for which

penalties were awarded.

Based on the foregoing, we find no merit in the defendants’ argument that

Ms. Conner is only entitled to attorney fees for work performed by her counsel in

obtaining penalties on the mileage reimbursement issue. We further find no merit

in their argument that they were denied the right to cross examine Ms. Conner’s

counsel on the contents of the statement. In determining the amount of an attorney

fee award, a trial court has the discretion to set the amount based upon its own

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knowledge, the evidence, and its observation of the case and the record. Custom-

Bilt Cabinet & Supply, Inc. v. Quality Built Cabinets, Inc., 32,441 (La.App. 2 Cir.

12/8/99), 748 So.2d 594. Nor is it necessary for the trial court to hear or consider

evidence regarding the time spent or rate charged in order to make an award since

the record will reflect much of the services rendered. Burford v. Burford, 95-2318

(La.App. 1 Cir. 6/28/96), 677 So.2d 722. Thus, the WCJ was not required to hear

testimony from either party in determining the appropriate amount to award in

attorney fees.

Finally, we find no merit in the defendants’ argument that Ms. Conner’s

counsel will be paid twice if she collects this attorney fee. As stated in McCarroll,

the award of statutory attorney fees benefits the employee and does not provide the

employee’s attorney with additional attorney fees.

Accordingly, we find no abuse of discretion in the WCJ’s award of

$22,925.00 in attorney fees to Ms. Conner. However, we do find error in the

amount awarded as expenses. The list of expenses contained in the statement

included amounts for telephone calls, photocopies, postage, travel, court costs, and

a conference with Dr. Blanda. It also included amounts spent in obtaining the

records of Dr. Blanda, the Therapy Center, and Jennings American Legion

Hospital.

Louisiana Revised Statute 23:1317(B) provides, in part, “Costs may be

awarded by the workers’ compensation judge, in his discretion, and when so

awarded the same may be allowed, taxed, and collected as in other civil

proceedings.” With regard to those costs which may be taxed as court costs,

La.R.S. 13:4533 provides that “[t]he costs of the clerk, sheriff, witness’ fees, costs

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of taking depositions and copies of acts used on the trial, and all other costs

allowed by the court, shall be taxed as costs.”

Based on our review of the statement, we find that the WCJ erred in

awarding Ms. Conner the costs expended by her counsel for telephone calls,

photocopies, postage, travel, and for the conference with Dr. Blanda. Accordingly,

the WCJ’s judgment is amended to decrease the amount of expenses awarded to

Ms. Conner from $2,247.25 to $419.26 to exclude those amounts.

ANSWER TO APPEAL

In her answer to the defendants’ appeal, Ms. Conner argues that the WCJ

erred by failing to award her legal interest on all amounts awarded by the judgment.

She further requests additional attorney fees for the work her counsel performed on

appeal.

Pursuant to La.R.S. 23:1201.3(A), any amount of compensation awarded by

the WCJ bears judicial interest from the date it is due until satisfied. However,

because awards for penalties and attorney fees are not considered compensation,

judicial interest is only awarded on these amounts if such interest is prayed for.

Smith v. Quarles Drilling Co., 04-179 (La. 10/29/04), 885 So.2d 562; La.Code

Civ.P. art. 1921.

In this instance, although Ms. Conner did not specifically pray for an award

of judicial interest on any amount awarded as penalties or attorney fees, she did

pray for judicial interest on all amounts due. Thus, we find that the WCJ erred by

not awarding judicial interest on the amounts awarded as penalties and attorney

fees, and the judgment will be amended accordingly.

In the final issue before us, Ms. Conner requests that we award her

additional attorney fees for the work performed by her counsel in defending this

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appeal. Considering that she has been generally successful in the defense of her

judgment on appeal, we award her an additional $5,000.00 in attorney fees.

DISPOSITION

For the foregoing reasons, we amend the judgment of the workers’

compensation judge to decrease the expenses awarded to Ms. Conner from

$2,247.25 to $419.26, and to include the award of judicial interest on the penalty

and attorney fee awards; and affirm the judgment as amended. We further render

judgment to award Ms. Conner an additional $5,000.00 in attorney fees for work

performed by her counsel on appeal. We assess all costs of this to Jennings

American Legion Hospital and Bridgefield Casualty Insurance Company.

AFFIRMED AS AMENDED AND RENDERED.

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