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124 So. 3d 36
La. Ct. App.
2013
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Background

  • James Dow, a UPS driver of 33+ years, struck his head on a loading-dock door on April 14, 2009; parties stipulated the accident was work-related.
  • Initial imaging (CT, MRI) showed no acute brain injury; treating physicians diagnosed concussion/contusion and later post-concussion syndrome and occipital neuralgia; imaging showed cervical degenerative changes and a C6-7 disc protrusion.
  • Claimant retired May 29, 2009, then received and later had workers’ compensation benefits terminated March 31, 2010; he sought supplemental earnings benefits (SEB) alleging inability to earn 90% of pre-injury wage due to persistent pain and medication effects.
  • Medical opinions conflicted: treating pain specialists (Drs. McLeod, Holaday, Odenheimer) found occipital neuralgia and chronic symptoms with varying work restrictions; UPS’s IME neurologist (Dr. McWilliams) attributed most symptoms to preexisting degenerative spine disease and other non-work causes, concluding the on-the-job bump was minor.
  • WCJ credited the evidence that the work injury was minor and that claimant failed to prove his ongoing disability and medication dependence were caused by the work accident; claim for SEB was denied and termination of benefits upheld.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Causation of ongoing neck/head/back disability Dow: post-accident symptoms began with the accident and continued; treating doctors link pain to the accident UPS: medical evidence shows degenerative cervical disease, other conditions, and that the bump was trivial; ongoing symptoms not causally related Held for defendant: claimant failed to prove work injury caused disabling condition
Entitlement to Supplemental Earnings Benefits (SEB) Dow: cannot earn ≥90% pre-injury wage due to pain/medication; SEB should apply UPS: claimant did not prove the inability to earn 90% is due to the work injury; medical evidence shows recoverable or non-work causes Held for defendant: claimant not entitled to SEB
Necessity of pain medication as work-related treatment Dow: medications are necessary to control work-related pain and limit his ability to work UPS: medications are tied to non-work conditions or inappropriate dosing; treating notes indicate issues unrelated to the work event Held for defendant: WCJ found lack of evidence meds were required due to work injury
Standard of review on appeal Dow: WCJ erred in credibility/causation findings UPS: WCJ’s factual credibility determinations entitled to deference Held: appellate court applied manifest-error standard and found WCJ’s factual findings reasonable

Key Cases Cited

  • McLin v. Industrial Specialty Contractors, Inc., 851 So.2d 1135 (La. 2003) (worker must prove injury arose out of employment to recover)
  • Modicue v. Graphic Packaging, 4 So.3d 968 (La. App. 2009) (claimant bears burden to show disability is related to on-the-job injury)
  • Taylor v. Columbian Chemicals, 744 So.2d 704 (La. App. 1999) (causal connection requirement for compensable disability)
  • Scott v. Super 1 Foods, 48 So.3d 1133 (La. App. 2010) (prima facie proof may be shown by demonstrating good pre-accident health and onset of symptoms at accident)
  • Poissenot v. St. Bernard Parish Sheriff’s Office, 56 So.3d 170 (La. 2011) (purpose of SEB is to compensate lost wage-earning capacity)
  • Roach v. Libbey Glass, Inc., 107 So.3d 759 (La. App. 2012) (employee must prove inability to earn 90% of pre-injury wages to obtain SEB)
  • Fuentes v. Cellxion, Inc., 27 So.3d 1045 (La. App. 2009) (appellate review of WCJ factual findings governed by manifest-error standard)
  • Gilbert v. Willis-Knighton Workkare Clinic, 20 So.3d 1149 (La. App. 2009) (credibility and factual determinations rest with WCJ)
  • Winford v. Conerly Corp., 897 So.2d 560 (La. 2005) (when two permissible views exist, appellate court must defer to factfinder)
  • Stobart v. State, 617 So.2d 880 (La. 1993) (standard for reviewing manifest error in factual findings)
  • Sheppard v. Isle of Capri, 909 So.2d 699 (La. App. 2005) (conflicting testimony resolved by WCJ and not disturbed absent manifest error)
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Case Details

Case Name: Dow v. United Parcel Service
Court Name: Louisiana Court of Appeal
Date Published: Sep 18, 2013
Citations: 124 So. 3d 36; 2013 La. App. LEXIS 1872; 2013 WL 5229793; No. 48,310-WCA
Docket Number: No. 48,310-WCA
Court Abbreviation: La. Ct. App.
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    Dow v. United Parcel Service, 124 So. 3d 36