Savarese v. Pearl River Navigation, Inc., No. 2:2009cv00129 - Document 108 (E.D. La. 2010)

Court Description: ORDER & REASONS: for the reasons stated, after considering evidence and testimony presented by the parties re 105 106 Bench Trial, the Court concludes that Savarese is not entitled to any damages from Pearl River.The parties shall bear their own costs. Signed by Chief Judge Sarah S. Vance on 9/14/2010.(rll, ) Modified on 9/14/2010 to edit doc type (rll, ).

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Savarese v. Pearl River Navigation, Inc. Doc. 108 UNITED STATES DISTRICT COURT EASTERN DISTRICT OF LOUISIANA JASON SAVARESE CIVIL ACTION VERSUS NO: 09-129 PEARL RIVER NAVIGATION, LLC SECTION: R(5)) ORDER AND REASONS From August 2-3, 2010, the Court conducted a bench trial in this maritime personal injury action. After considering all of the evidence presented at trial, the Court finds that Savarese has received the full amount of maintenance and cure to which he is entitled, and that Pearl River is not liable for damages because Savarese has failed to prove that Pearl River’s negligence or the unseaworthy condition of the vessel caused his injuries. The Court makes the following findings of fact and conclusions of law. To the extent a conclusion of law constitutes a finding of fact, the Court adopts it as such. Dockets.Justia.com I. FINDINGS OF FACT AND CONCLUSIONS OF LAW A. Procedural and Factual Background 1. Savarese’s Pre-employment Representations Savarese was hired as a deck hand by Pearl River through the St. Tammany Parish jail work release program on April 1, 2008.1 Saverese previously had been sentenced to probation on felony convictions,2 and his parole was revoked on November 17, 2005 after testing positive for drugs.3 In connection with the work release program, Savarese completed a pre-employment medical evaluation at Pelican Urgent Care on March 21, 2008.4 Savarese indicated on the evaluation form that he did not have and never did have back trouble or a neck, head, or spinal injury.5 Savarese also indicated that he had never been limited or restricted for health reasons, never had a back injury, and had never been in the hospital.6 Deborah Warriner, Pearl River’s former secretary-treasurer and current office manager, testified that Pearl River reviewed and relied on Savarese’s representations in deciding to hire him and in determining his 1 (Trial Tr. (Day I) at 78, 145-47; Pl.’s Ex. 2.) 2 (Def.’s Ex. 45.) 3 (Trial Tr. (Day I) at 147, 175-76; Def.’s Ex. 45.) 4 (Trial Tr. (Day I) at 229-30; Pl.’s Ex. 2.) 5 (Trial Tr. (Day I) at 229-30; Pl.’s Ex. 2.) 6 (Trial Tr. (Day I) at 229-30; Pl.’s Ex. 2.) 2 physical condition to perform the demanding manual labor involved in working as a deck hand.7 She also testified that, had Savarese disclosed a history of neck and back injuries, Pearl River would have requested medical records verifying the circumstances of the earlier injuries and asked for reliances from doctors allowing Savarese to work without limitations before it would have hired him.8 An X-ray report attached to Savarese’s medical disclosures revealed a limbus body at level L4 of his lumbar spine,9 but Warriner stated that she did not investigate it because it appeared to be “just a spot” in light of Savarese’s statements that he had not had past neck and back injuries.10 As it turns out, Savarese has suffered a number of neck and back injuries in the past. Savarese went to the emergency room on September 12, 1996 for a whiplash injury in connection with a garbage truck rollover accident.11 cervical strain.12 He was diagnosed with acute Savarese went to the emergency room again on July 17, 1999 for low back pain and numbness in connection with a 7 (Trial Tr. (Day I) at 79-80, 98-100.) 8 (Id. at 100-01.) 9 (Pl.’s Ex. 2.) 10 (Trial Tr. (Day I) at 101.) 11 (Id. at 167-68; Def.’s Ex. 35.) 12 (Def.’s Ex. 35.) 3 bush hogging incident.13 He was diagnosed with “lumbar strain,”14 and an X-ray revealed “a triangular bony fragment separated from the anterior superior corner of L4 compatible with an unfused apophysis.”15 On November 29, 2000, Savarese was diagnosed with sciatica after complaining of a “knot” in his low back and pain radiating down his leg.16 Savarese again went to the emergency room on June 16, 2001 for neck pain in connection with a car accident,17 and yet again on January 14, 2002 for neck pain in connection with another car accident.18 Savarese was diagnosed with neck strain on January 14, 2002.19 On February 25, 2003, Savarese went to the emergency room complaining of low back pain for two days with pain radiating through his buttocks.20 An X- ray revealed “fragmentation along the anterior-superior border of L4 which is felt to be the so-called limbus vertebral body.”21 On August 26, 2003, Savarese went to the emergency room 13 (Trial Tr. (Day I) at 191, 222; Def’s Ex. 35.) 14 (Def.’s Ex. 35.) 15 (Id.) 16 (Trial Tr. (Day I) at 222-23; Def.’s Ex. 35.) 17 (Trial Tr. (Day I) at 169, 223; Def.’s Ex. 35.) 18 (Trial Tr. (Day I) at 170; Def.’s Ex. 35.) 19 (Def.’s Ex. 35.) 20 (Id.) 21 (Id.) 4 complaining that “my sciatic nerve is killing me,” and “I can’t sit down.”22 Savarese was diagnosed with sciatica.23 Finally, on July 21, 2004, Savarese visited Lakeview Regional Medical Center and complained that he was “unable to move his neck back to its normal position.”24 At trial, Savarese testified that he exaggerated these past injuries because he was addicted to prescription pain medication and was trying to obtain more medication.25 Savarese stated in his deposition, however, that if he told a doctor that he had a problem in the past, he really did have that problem.26 2. The Incident On November 16, 2008 On November 16, 2008, a crane at the stern of the TLC 15 was used to lift a wrecked barge from a river.27 The wrecked barge and the 120-foot crane boom were each astern of the TLC when a shackle tore, causing the boom to release, rise aloft, arc and crash toward the bow.28 The parties agree that the crane was 22 (Trial Tr. (Day I) at 220; Def.’s Ex. 35.) 23 (Def.’s Ex. 35.) 24 (Trial Tr. (Day I) at 215; Def.’s Ex. 48.) 25 (Trial Tr. (Day I) at 171, 174.) 26 (Def.’s Ex. 5 at 83.) 27 (Trial Tr. (Day I) at 10, 13, 48.) 28 (Id. at 13, 18, 20, 48.) 5 owned and operated by Pearl River, and that Pearl River is legally responsible for its failure.29 They also agree that Savarese was without fault for the crane’s failure.30 They do not agree that Savarese was injured as a result of the crane’s failure. At the time of the November 16, 2008 crane incident, Savarese was preparing food in the galley at the bow of the vessel.31 cab.32 Bryan Williams, a crew member, was alone in the crane Lance Poche, a barge superintendant and crane operator,33 was standing with Jeffrey Dark, a work release crew member,34 approximately 10 to 12 feet from Williams.35 All of the relevant witnesses agree that when the crane boom crashed, it did not hit Savarese or the crew quarters.36 Instead, the crane boom landed 10 to 15 feet away from the crew 29 (Id. at 2.) 30 (Id.) 31 (Id. at 14, 152.) 32 (Id. at 11, 17-19; Pl.’s Ex. 15.) 33 (Id. at 47.) 34 (Id. at 17, 50, 52; Pl.’s Ex. 15.) 35 (Id. at 19; Dark Dep. Tr. at 9.) 36 (Trial Tr. (Day I) at 26-28, 34, 48-49, 57, 71; Dark Dep. Tr. at 15-19, 44, 55.) 6 quarters.37 A photograph taken shortly after the accident indicates that the crane boom came to rest on top of a generator, with its extremity continuing off the bow and into the water.38 Both Williams and Poche testified that the TLC did not rock when the crane boom fell.39 Williams explained that there were “spud[s] spudded down into the ground.”40 More specifically, there were two hydraulic spuds, one on either side of the vessel, that went “into the ground to make the barge stay in a certain spot.”41 The spuds were approximately 18 inches square, four to five feet long, and descended approximately 20-30 feet into the mud below.42 At trial, Saverese testified that the TLC was in shallow water and was actually sitting on bottom.43 Poche has unrelated injuries that cause him to walk with a limp, and he did not lose his footing at any time during the incident.44 37 For his (Trial Tr. (Day I) at 34, 48-49, 71; Dark Dep. Tr. at 44, 55; Pl.’s Ex. 1a.) 38 (Pl.’s Ex. 1c.) 39 (Trial Tr. (Day I) at 20-21, 43-44, 64.) 40 (Id. at 21.) 41 (Id. at 36-37.) 42 (Id.) 43 (Id. at 201.) 44 (Id. at 72; Dark Dep. Tr. at 26-27.) 7 part, Dark asserts that the TLC rocked when the crane cable gave way.45 No evidence was submitted about the weight of the crane. Some time after the crash,46 Williams, Poche, and Dark congregated by a yellow toolbox close to the crew quarters.47 Williams testified that he saw Savarese “right in front” of the galley door limping toward the toolbox.48 When Savarese arrived, Williams observed an injury to Savarese’s knee.49 Williams reported that Savarese said he saw “the crane falling or something and he jumped out the way and he fell on the ground.” Savarese told Williams that he hurt his leg when he jumped out the way.50 Williams testified that over the next hour and 45 minutes, Savarese complained only about his knee and did not report trauma to his head, loss of consciousness, neck pain, back pain, or being doused with diesel fuel.51 Williams also did not 45 (Dark Dep. Tr. at 13.) 46 (Trial Tr. (Day I) at 22, 25, 58; Dark Dep. Tr. at 57- 47 (Trial Tr. (Day I) at 25; Pl.’s Ex. 1j.) 48 (Trial Tr. (Day I) at 22, 35; Pl.’s Ex. 1e.) 49 (Trial Tr. (Day I) at 25-26, 28.) 50 (Id. at 27.) 51 (Id. at 38-39, 45.) 59.) 8 smell diesel fuel on Savarese,52 although he acknowledged that there was fuel on the deck after the accident.53 Poche confirms this sequence of events. Poche testified that, a few minutes after the accident, he was with Williams and Dark at the yellow toolbox when he observed Savarese at the galley door walking to meet them.54 Poche observed an injury to Savarese’s leg and heard Savarese state that “when he heard a crash he ran out the galley and he seen the boom falling and he ran around the corner and dove between the living quarters and the water tank.”55 Poche testified that, over the next hour and 30 minutes, Savarese complained only about his knee and never reported trauma to his head, loss of consciousness, neck injuries, back injuries, or being doused with diesel fuel.56 Poche did not smell diesel fuel on Savarese.57 Savarese tells a different story. Savarese testified that he was cooking in the galley when he heard a terrible noise.58 He states that he went outside, saw the crane boom falling toward 52 (Id. at 38.) 53 (Id. at 45.) 54 (Id. at 58-60, 72.) 55 (Id. at 60-62, 70.) 56 (Id. at 73-74.) 57 (Id.) 58 (Id. at 153.) 9 the galley, and began to run.59 Savarese states that he tripped on the galley step and: fell flat on my face by taking the left out of the galley. As I hit the ground right there, the boom it [hit], and the barge rocked some and I came back up and hit my knees. I had landed on my stomach, but I was all the way back up to on all fours trying to scramble, but the barge rocked some and it came up and hit me in my knees which I didn’t kind of feel at the moment.60 Savarese said that the barge bounced him like a trampoline and that “I’m not going to say came up off the ground high, but it rocked enough to make the barge come up and hit the bottom of my knees and the palms of my hands which I continued to run on all fours.”61 Savarese asserts that he got to his feet and ran between the water tank and the rear wall of the crew quarters, continued along the port wall, and finally met Williams, Poche, and Dark at the yellow toolbox.62 Savarese noticed that he had a cut on his right knee when he arrived at the toolbox.63 Savarese testified that he did not remember losing consciousness or hitting his head during the accident.64 59 (Id.) 60 (Id.) 61 (Id. at 156, 201.) 62 (Id.) 63 (Id. at 158.) 64 (Id. at 206.) 10 Dark testified that, as the crane boom was falling toward the bow, Savarese jumped out of the galley door and “ran, skipped, you know, he started moving sporadically, moving, you know, to get out of the way. And I seen him run between the living quarters and the water tank.”65 Dark saw Savarese begin to run before the crane boom actually crashed, and Dark did not see Savarese fall or crawl; Dark saw Savarese “running upright.”66 Dark asserts that he saw Savarese again 10 to 12 seconds later by the yellow toolbox.67 Dark testified that whatever happened to Savarese happened during the time it took him to circle the crew quarters.68 a cut on Savarese’s knee.69 fell with a pickle jar. that in his hand. At the toolbox, Dark observed Dark heard Savarese say that “he He was getting pickles out and he had He said he fell with that.”70 hear Savarese complain about hitting his head.71 Dark did not Dark also did not see diesel fuel on Savarese,72 although Dark acknowledged 65 (Dark Dep. Tr. at 16, 57.) 66 (Id. at 17, 33.) 67 (Id. at 18-20.) 68 (Id. at 28-29.) 69 (Id. at 20, 31.) 70 (Id. at 21.) 71 (Id. at 35.) 72 (Id. at 64.) 11 that fuel had puddled in one spot on the deck.73 Like Savarase, Dark was hired by Pearl River through the St. Tammany Parish work release program.74 3. Visits To Physicians Shortly after the accident, Savarese was taken to Pelican Urgent Care complaining of pain to his low back, right hip, right knee, and left shin.75 Contemporaneous notes reflect that Savarese reported being “thrown against [the] cabin.”76 Savarese received an X-ray of his lumbar spine on November 17, 2008. The X-ray revealed “no acute fractures” and “an old fracture involving the anterior superior corner of the body of L4.”77 The X-ray also revealed “normal radiographs” of both knees.78 The old fracture was “possibly from adolescence.”79 On November 19, 2008, Savarese visited Dr. Mark Hontas, his personal physician.80 Savarese complained of right hip, right 73 (Id. at 55-56.) 74 (Id. at 7.) 75 (Trial Tr. (Day I) at 104-05, 159; Def.’s Ex. 31.) 76 (Def.’s Ex. 31.) 77 (Id.) 78 (Id.) 79 (Id.) 80 (Trial Tr. (Day II) at 2.) 12 knee, right foot and low back pain,81 but did not complain of cervical pain.82 Savarese told Hontas that the crane boom caused him to hit the water cooler and the living quarters.83 Savarese later told his physical therapist on December 1, 2008 that “he had to jump out of the way from part of the crane falling and . . . that he was bounced on the platform as a load fell onto the platform.”84 Hontas diagnosed a contusion to Savarese’s right hip and right knee and prescribed non-narcotic pain medication.85 Hontas believed that Savarese’s hip pain was caused by a contusion and not a herniated disc in his back.86 Surgery was performed on Savarese’s knee on January 20, 2009 and revealed a surface fissure where the femur meets the kneecap.87 Savarese recovered progressively through January and early February but complained of pain and popping in his knee on February 10, 2009. Although Hontas did not observe swelling or popping, nor any objective difference from Saverese’s last visit on February 4, 2009, Hontas 81 (Id. at 3, 19.) 82 (Id. at 30.) 83 (Id. at 21; see also Def.’s Ex. 22 at 939.) 84 (Def.’s Ex. 23 at 392.) 85 (Trial Tr. (Day II) at 5.) 86 (Id. at 29.) 87 (Id. at 11-12.) 13 prescribed Percocet as a pain reliever.88 Hontas cancelled the prescription on or about February 19, 2009, however, after learning that Savarese was attempting to refill the prescription.89 On March 6, 2009, Savarese informed Hontas that he was seeing Dr. Morteza Shamsnia but did not state why.90 Hontas testified that Savarese’s knee did not prevent him from working as of March 6, 2009, and that Savarese’s knee reached maximum medical improvement on June 1, 2009.91 Meanwhile, on December 6, 2008, Savarese was referred by his attorneys to Shamsnia.92 Savarese reported to Shamsnia that “he was pushed against the wall and sustained trauma to the right side of his body, including his head.”93 “apparently lost his consciousness.”94 Savarese said he Savarese also complained of pain in his neck for the first time.95 Shamsnia ordered tests on Savarese’s neck and back, which were conducted in January and 88 (Id. at 14, 23.) 89 (Id. at 24-25, 32.) 90 (Id. at 15, 25, 27.) 91 (Id. at 15, 25-26.) 92 (Trial Tr. (Day I) at 162; Shamsnia Dep. Tr. at 27.) 93 (Def.’s Ex. 24 at 522.) 94 (Id.) 95 (Id.) 14 February 2008.96 Shamsnia testified that Savarese’s test results were “significant” and causally related to the accident in November 2008.97 Shamsnia also testified, however, that his conclusion of causation was “based on what [Savarese] told me,”98 and “[i]f this is inaccurate, the conclusion is not exactly what it should be.”99 Shamsnia acknowledged that it was important for him to have an accurate patient history in order to form an accurate opinion on medical causation, but that Savarese never told him about his past neck and back problems.100 Shamsnia also acknowledged that he never reviewed Savarese’s medical records from other treating physicians.101 When confronted with Savarese’s full medical history, Shamsnia stated that Savarese had “probably a chronic back condition exacerbated by the trauma.”102 Shamsnia further testified that “falling down, tripping forward, falling on [one’s] hands and knees” would not “jar the cervical spine and result in a ruptured disc.”103 96 (Shamsnia Dep. Tr. at 10-14.) 97 (Id. at 10, 21, 25.) 98 (Id. at 21.) 99 (Id. at 58.) 100 (Id. at 26, 29.) 101 (Id. at 28-29, 32-33.) 102 (Id. at 23-24, 26.) 103 (Id. at 59.) 15 Between January 31 and August 12, 2009, Shamsnia prescribed Savarese a three-month supply of Lortab on January 31, 2009; renewed the three-month prescription twice on March 18 and April 22, 2009; prescribed a three-month supply of Vicodin on June 17, 2009; prescribed a one-month supply of Percocet on July 1, 2009; and renewed the Percocet prescription in early August.104 Separately, Dr. J. Kevin Jackson, Shamsnia’s associate, prescribed Savarese a four-month supply of Lortab on April 1, 2009 after Savarese asserted that his medication was stolen.105 Savarese told Jackson that the crane bounced him “up in the air,” “sprayed him with diesel fuel,” and “broke both of his knees.”106 Between Hontas, Shamsnia, and, later, Dr. Bradley Bartholomew, Savarese received prescriptions for approximately sixteen months of pain medication over a seven-month period. Shamsnia thought it was “fair to say this patient probably has drug-seeking behavior and he did get it.”107 Savarese’s attorneys made arrangements for Savarese to see Bartholomew on March 12, 2009.108 The same day, Bartholomew 104 (Id. at 40-45.) 105 (Id. at 47-48.) 106 (Def.’s Ex. 24 at 542.) 107 (Shamsnia Dep. Tr. at 53.) 108 (Bartholomew Dep. Tr. at 56-57.) 16 reviewed Savarese’s test results and recommended neck surgery.109 Bartholomew testified that he thought Savarese’s fall in November 2008 caused a ruptured disc at his C5-6 level.110 Bartholomew’s conclusion was based on the history related to him by Savarese and on the assumption that Savarese did not have “ongoing neck pain” before the accident.111 Bartholomew acknowledged that it was important for him to have an accurate patient history in order to form an accurate opinion on medical causation, but that he did not have a “completely accurate” history for Savarese.112 Indeed, Bartholomew was not aware until the day before he testified that Savarese had any history of neck and back pain.113 Bartholomew was unable to causally relate Savarese’s back injuries to the crane accident in November 2008.114 Savarese received artificial disc replacement surgery at the C5-6 level on May 20, 2009.115 Bartholomew prescribed Savarese 45 tablets of Percocet after his surgery.116 109 (Id. at 11.) 110 (Id. at 9, 17-19.) 111 (Id. at 19.) 112 (Id. 69, 73-74.) 113 (Id. at 37-39.) 114 (Id. at 39-40, 47, 56, 75-76, 85.) 115 (Id. at 14.) 116 (Id. at 41.) 17 It is not disputed that Pearl River paid Savarese maintenance and cure for his knee injury at a daily rate of $31.50 from November 2008 through mid-July 2009.117 Pearl River also paid approximately $15,000 in medical bills associated with Savarese’s knee treatment.118 Pearl River did not, however, pay maintenance and cure for Savarese’s alleged neck and back injuries.119 Pearl River began investigating Savarese’s claims for maintenance and cure in March 2009 after receiving bills for prescription medication unrelated to Hontas’s treatment.120 Warriner testified that she was not aware at the time that Savarese was consulting the doctors (Shamsnia and Bartholomew) who prescribed the medication.121 B. Maintenance and Cure 1. Applicable Law The duty of maintenance and cure obligates a maritime employer to pay for the lost wages, medical care, food, lodging, and other incidental expenses of a mariner who falls ill or is 117 (Trial Tr. (Day I) at 85, 107-08.) 118 (Id. at 86, 91, 107.) 119 (Id. at 88.) 120 (Id. at 90, 108.) 121 (Id. at 108.) 18 injured while in the service of a vessel.122 practically absolute. The duty is Unlike an employer’s duties under the Jones Act, liability for maintenance and cure is not predicated on fault or negligence.123 Because the duty is so broad, maintenance and cure has been compared to mandatory employer-provided health and accident insurance.124 In keeping with the absolute nature of the right, a plaintiff’s burden of proof on a maintenance and cure claim is slight: he need establish only that he was injured or became ill while “subject to the call of duty as a seaman.”125 It is not necessary for the plaintiff to show that his injury or ailment originated during the term of his employment. The employer may be liable even for pre-existing conditions that manifest themselves during the voyage.126 Generally, the maritime 122 See Aguilar v. Standard Oil Co. of N.J., 318 U.S. 724, 730 (1943); The Osceola, 189 U.S. 158, 175 (1903). 123 Aguilar, 318 U.S. at 730. 124 See Lindquist v. Dilkes, 127 F.2d 21, 23-24 (3d Cir. 1941) (“Both the shipowner and the insurer assume an obligation whose burden may depend upon the physical condition of the assured and the seaman. The company gets a cash consideration; the shipowner only a contented mariner.”); G. Gilmore & C. Black, The Law of Admiralty 281-82 (2d ed. 1975). 125 Aguilar, 318 U.S. at 732; see also 1 Thomas J. Schoenbaum, Admiralty and Maritime Law § 6-28 (4th ed. 2004); Fifth Circuit Pattern Jury Instructions: Civil § 4.11 (2006 ed.). 126 See Jauch v. Nautical Servs., Inc., 470 F.3d 207, 212 (5th Cir. 2006) (per curiam) (“A seaman may recover maintenance and cure even for injuries or illnesses pre-existing the seaman’s 19 employer’s obligation to provide maintenance and cure ends when a doctor provides a qualified medical opinion that plaintiff has reached maximum medical improvement.127 A seaman reaches maximum medical improvement when it appears “probable that further treatment will result in no betterment in the claimant's condition.”128 “[A]mbiguities or doubts in the application of the law of maintenance and cure are resolved in favor of the seaman.”129 There are defenses to a claim for maintenance and cure, but they “are few and narrowly applied.”130 First, a seaman who causes his own injury through “some wilful misbehavior or deliberate act of indiscretion” is not entitled to receive maintenance and cure.131 As the Supreme Court has emphasized, employment unless that seaman knowingly or fraudulently concealed his condition from the vessel owner at the time he was employed.”). 127 See, e.g., Breese v. AWI, Inc., 823 F.2d 100, 104 (5th Cir. 1987) (explaining that the question of whether a seaman is entitled to continued maintenance turns on whether the individual seaman has reached maximum cure). 128 Rashidi v. Am. President Lines, 96 F.3d 124, 128 (5th Cir. 1996). 129 Gaspard v. Taylor Diving & Salvage Co., 649 F.2d 372, 374 n.2 (5th Cir. 1981). 130 Silmon v. Can Do II, Inc., 89 F.3d 240, 242 (5th Cir. 1996). 131 Aguilar, 318 U.S. at 731; see also Rules of Oleron, art. 6, reprinted in 2 The Black Book of the Admiralty 217 (Sir Travers Twiss ed. & trans., London, Longman & Co. 1873); Abbott 20 however, the seaman’s behavior must be “positively vicious” before he will be denied maintenance and cure.132 Negligence or contributory negligence will not itself qualify as misconduct and forfeit the right.133 Second, under McCorpen v. Central Gulf S.S. Corporation,134 a seaman who willfully conceals a pre-existing injury from his employer may not recover damages for maintenance and cure if that injury is reactivated or aggravated during a later voyage.135 A maritime employer who seeks to invoke the McCorpen defense must prove that: (1) the claimant intentionally misrepresented or concealed medical facts; (2) the non-disclosed facts were on Shipping 258-59 (J.C. Perkins ed., Boston, Little & Brown 1846). 132 Warren v. United States, 340 U.S. 523, 528 (1951). 133 See Farrell v. United States, 336 U.S. 511, 517 (1949) (holding that seaman whose injury was “due to no negligence but his own” was nevertheless “entitled to the usual measure of maintenance and cure at the ship's expense”); Aguilar, 318 U.S. at 731 (“Conceptions of contributory negligence, the fellow-servant doctrine, and assumption of risk have no place in the liability or defense against [a claim for maintenance and cure]. Only some wilful misbehavior or deliberate act of indiscretion suffices to deprive the seaman of his protection.”). 134 396 F.2d 547 (5th Cir. 1968). 135 See id. at 549; see also Brown v. Parker Drilling Offshore Corp., 410 F.3d 166, 171 (5th Cir. 2005) (“An employer is allowed to rely on certain legal defenses to deny [maintenance and cure] claims. One such defense is that the injured seaman willfully concealed from his employer a preexisting medical condition.”); 1B Michael F. Sturley, Benedict on Admiralty § 46 (2008). 21 material to the employer’s decision to hire the claimant; and (3) a connection exists between the withheld information and the injury complained of in the lawsuit.136 2. Findings Because Savarese injured his knee while in the service of a vessel, he was entitled to maintenance and cure until the point of maximum medical cure for that injury.137 The point at which a seaman has reached maximum medical cure is a medical determination, not a judicial one.138 Hontas, the physician responsible for treating Savarese’s knee, testified that Savarese’s knee reached maximum medical cure as of June 1, 2009 at the latest.139 Pearl River paid Savarese maintenance from 136 McCorpen, 396 F.2d at 548-49; Johnson v. Cenac Towing, Inc., 544 F.3d 296, 301 (5th Cir. 2008); Brown, 410 F.3d at 171; Jenkins v. Aries Marine Corp., 590 F. Supp. 2d 807, 812-14 (E.D. La. 2008); Parker v. Jackup Boat Serv., LLC, 542 F. Supp. 2d 481, 493-95 (E.D. La. 2008). 137 See Aguilar, 318 U.S. at 730 (explaining that a shipowner’s responsibility for maintenance and cure is in no way predicated on fault or negligence); Springborn v. Am. Commer. Barge Lines, Inc., 767 F.2d 89, 95 (5th Cir. 1985) (noting that the cut-off date for maintenance and cure is not the point at which a seamen recovers sufficiently to return to work, but, rather, the date of maximum possible cure). 138 Rashidi, 96 F.3d at 128 (“Whether a seaman has reached maximum medical cure is a medical question, and thus we review the district court’s findings for clear error.”) (internal citation omitted). 139 (Trial Tr. (Day II) at 15, 25-26.) 22 November 2008 through mid-July 2009,140 and also paid medical bills associated with Savarese’s knee treatment.141 As such, the Court finds that Pearl River satisfied its maintenance and cure obligation with respect to Saverese’s knee.142 At trial, Savarese suggested that Pearl River had not yet paid a $1,760 anesthesia bill in connection with Savarese’s knee surgery.143 Savarese presented no competent evidence, however, that the bill was in fact unpaid or that it had been presented for payment. Warriner testified that “there’s no reason that it would not have been paid,” and she was not aware of such an unpaid invoice.144 The Court finds that Savarese has not demonstrated by a preponderance of evidence that Pearl River failed to pay the $1,760 anesthesia bill. With respect to Savarese’s neck and back conditions, the Court finds that Pearl River has proved the three elements of the McCorpen defense.145 First, there is no question that Savarese intentionally misrepresented or concealed medical facts. 140 (Trial Tr. (Day I) at 85, 107-08.) 141 The (Id. at 86, 91, 107.) 142 Breese, 823 F.2d at 104 (“The question of whether a seaman is entitled to maintenance turns on whether the individual seaman has reached maximum cure.”). 143 (Id. at 87; Pl.’s Ex. 6.13.) 144 (Trial Tr. (Day I) at 87, 107.) 145 Brown, 410 F.3d at 171. 23 intentional concealment prong of the McCorpen test does not require a finding of subjective intent.146 “Failure to disclose medical information in an interview or questionnaire that is obviously designed to elicit such information [ ] satisfies the ‘intentional concealment’ requirement.”147 Savarese has a documented history of problems at level L4 of his lumbar spine, low back pain, and neck problems resulting from earlier accidents. He complained to doctors of radiating pain from his back down his leg and said that he could not sit down.148 At one point Savarese was “unable to move his neck back to its normal position.”149 These past injuries affected the same body parts that Savarese now claims he injured, namely, his neck and back. Yet Savarese stated on his medical evaluation form that he did not have and never did have back trouble or a neck, head, or spinal injury.150 Savarese acknowledged at trial that these responses were untrue.151 Thus, the Court concludes that the intentional concealment prong of the McCorpen test has been met. 146 Id. at 174. 147 Id. (citation omitted). 148 (Trial Tr. (Day I) at 220, 222-23; Def.’s Ex. 35.) 149 (Id. at 215; Def.’s Ex. 48.) 150 (Trial Tr. (Day I at 229-30; Pl’s Ex. 2.) 151 (Trial Tr. (Day I) at 232.) 24 Second, the Court finds that Saverese’s undisclosed injuries were material to Pearl River’s decision to hire him. “The fact that an employer asks a specific medical question on an application, and that the inquiry is rationally related to the applicant’s physical ability to perform his job duties, renders the information material for the purposes [of the McCorpen defense].”152 Savarese indicated on his pre-employment medical evaluation form that he did not have and never did have back trouble or a neck, head, or spinal injury.153 While the evaluation was administered by Pelican Urgent Care, Warriner testified that the form was the same as the one Pearl River would have given Savarese had he not already undergone a physical several days before.154 Warriner further testified that Pearl River reviewed and relied on Savarese’s representations in hiring him and in determining that Savarese was capable of performing heavy manual labor.155 Because the non-disclosed facts were 152 Brown, 410 F.3d at 175; Jenkins, 590 F. Supp. 2d at 812 (citing Brown); see also Jauch, 470 F.3d at 212-13 (holding that the shipowner had “clearly met” the McCorpen test, in part, because plaintiff was required to complete a medical questionnaire specifically designed to elicit information about past injuries or health problems and plaintiff concealed instances of back injury and mental health problems, which would have either prevented or delayed his employment). 153 (Trial Tr. (Day I) at 229-30; Pl.’s Ex. 2.) 154 (Trial Tr. (Day I) at 97-98; Pl’s Ex. 2.) 155 (Trial Tr. (Day I) at 98-99.) 25 rationally related to determining whether Savarese had the physical capacity to perform the job, and Pearl River based its hiring decision, at least in part, on Savarese’s misrepresentations, Pearl River has established that Savarese’s non-disclosed injuries were material for the purposes of McCorpen.156 Finally, the Court finds that a “connection” exists between the non-disclosed information and the injury complained of in the lawsuit.157 The Fifth Circuit has “routinely found” that a causal link exists where the plaintiff claims an injury “to the exact same [sic] area . . . as was previously injured.”158 Savarese 156 Jauch, 470 F.3d at 213 (“Past instances of back injury, some severe enough to require extensive treatment, are certainly facts material to Nautical’s decision to hire Jauch as a deckhand.”); Brown, 410 F.3d at 175 (noting that the shipowner based its hiring decision, at least in part, on whether the plaintiff had past or present injuries); Jenkins, 590 F. Supp 2d at 813 (same); Parker, 542 F. Supp. 2d at 494 (finding nondisclosure material because the shipowner “arguably based its hiring decision, at least in part, upon whether the applicant had a prior neck injury”). 157 Brown, 410 F.3d at 171. 158 Id. at 176-66 (holding that employer had established a “causal relationship” between the plaintiff’s prior back injuries and the herniated disc injury that was at issue in the litigation because the old and new injuries “were to the same location of the [plaintiff’s] lumbar spine”); see also Jauch, 470 F.3d at 212-13 (finding the requisite connection where the new back injury was “virtually identical” to previous back injury); Johnson v. Cenac Towing, Inc., 599 F. Supp. 2d 721, 728-29 (E.D. La. 2009) (explaining that the “same body part” test is not a causation analysis); Jenkins, F. Supp. 2d at 813 (“To find a requisite ‘connection,’ courts have looked to whether the injuries were identical or produced identical or substantially 26 withheld information that he had suffered a number of neck and back injuries in the past,159 and he now seeks maintenance and cure for injuries to his neck and back. Accordingly, Savarese is not entitled to maintenance and cure for those conditions. C. Negligence and Unseaworthiness The Court addresses Savarese’s Jones Act negligence and unseaworthiness claims together because they each fail for a similar reason. 1. Applicable Law The Jones Act “provides a cause of action in negligence for ‘any seaman’ injured ‘in the course of his employment.’”160 A maritime negligence action has essentially the same elements as common law negligence: a plaintiff must “demonstrate that there was a duty owed by the defendant to the plaintiff, breach of that duty, injury sustained by [the] plaintiff, and a causal connection between the defendant’s conduct and the plaintiff’s injury.”161 The causation requirement under the Jones Act is similar symptoms in the same part of the body.”). 159 (Trial Tr. (Day I) at 229-30; Pl’s Ex. 2.) 160 Chandris, Inc. v. Latsis, 515 U.S. 347, 354 (1995) (quoting 46 U.S.C. § 30104)). 161 See Canal Barge Co., Inc. v. Torco Oil Co., 220 F.3d 370, 376 (5th Cir. 2000). 27 liberal. “If the defendant’s negligence played any part, however small, in producing the seaman’s injury, it results in liability.”162 Even under this standard, however, “cause, in fact, is still a necessary ingredient of liability.”163 The duty of seaworthiness requires a shipowner “to furnish a vessel and appurtenances reasonably fit for their intended use.”164 A shipowner’s duty to provide a seaworthy vessel is absolute and nondelegable.165 Liability for an unseaworthy condition “does not in any way depend upon negligence or fault or blame,”166 although a plaintiff must demonstrate that the unseaworthy condition “played a substantial part in bringing about or actually causing the injury and that the injury was either a direct result or a reasonably probable consequence of 162 Brister v. A.W.I., Inc., 946 F.2d 1991); see also Chisholm v. Sabine Towing & 679 F.2d 60, 62 (5th Cir. 1982) (“Defendant responsibility if his negligence played any slightest, in producing the injury.”). 163 350, 354 (5th Cir. Transp. Co., Inc., must bear part, even the Chisholm, 679 F.2d at 62. 164 Mitchell v. Trawler Racer, Inc., 362 U.S. 539, 550 (1960) (explaining that the standard “is not perfection, but reasonable fitness; not a ship that will weather every conceivable storm or withstand every imaginable peril of the sea, but a vessel reasonably suitable for her intended service”) (citing Boudoin v. Lykes Bros. S.S. Co., 348 U.S. 336 (1955)). 165 Brister, 946 F.2d at 355. 166 Bommarito v. Penrod Drilling Corp., 929 F.2d 186, 189 n.2 (5th Cir. 1991). 28 the unseaworthiness.”167 The standard of causation for unseaworthiness is somewhat “more demanding” than for Jones Act negligence “and requires proof of proximate cause.”168 2. Findings Under any applicable standard of causation, Savarese has not demonstrated that Pearl River’s negligence or the unseaworthy condition of the TLC caused his injuries. As a preliminary matter, Savarese is not a credible witness. Savarese has a “bad memory,” which he attributes to his history of drug use.169 He said he did not remember “most of his life.”170 Savarese was addicted to “all drugs” from at least 1999-2004,171 and his drug addiction has repeatedly caused him to lie about his medical conditions.172 Savarese would exaggerate his medical complaints “as much as [he] could to get as much pain medicine as [he] could.”173 Savarese “relapsed” after his accident in 167 Brister, 946 F.2d at 355 (quoting Johnson v. Offshore Express, Inc., 845 F.2d 1347, 1354 (5th Cir. 1988)). 168 Chisholm, 679 F.2d at 62. 169 (Trial Tr. (Day I) at 180-81, 191-92.) 170 (Id. at 192.) 171 (Id. at 148, 170, 177, 208.) 172 (Id. at 171, 183-85, 229, 231-32.) 173 (Id. at 171.) 29 November 2008 and is currently addicted to Lortab.174 Savarese testified that his drug problem “needs some serious attention at this point in time.”175 Savarese’s history of exaggerating injuries to receive pain medication is evidence of a drug seeking motive for asserting injuries in this case. Moreover, Savarese has offered widely different stories of how he was injured. Immediately after the accident, Williams and Poche each heard Savarese say that he jumped or dove away from the crane.176 At the emergency room shortly after the accident, Savarese stated that he was thrown against the cabin.177 In a visit with Dr. Hontas on November 19, 2008, Savarese stated that the crane boom caused him to hit a water cooler and the living quarters.178 At a visit with a physical therapist on December 1, 2008, Savarese stated that he jumped out of the way and was bounced as the load fell onto the platform.179 At a visit with Dr. Shamsnia on December 6, 2008, Savarese reported that he was pushed against a wall and lost consciousness.180 174 (Id. at 172, 176-78.) 175 (Id. at 172.) 176 (Id. at 27, 60-62, 70.) 177 (Def.’s Ex. 31.) 178 (Trial Tr. (Day II) at 21.) 179 (Def.’s Ex. 23 at 392.) 180 (Def.’s Ex. 24 at 522.) 30 At a visit with Dr. Jackson on April 1, 2009, Savarese reported that he was bounced up in the air, broke both his knees, and was sprayed with diesel fuel.181 In short, these stories are inconsistent with each other, and they are also inconsistent with Savarese’s testimony at trial that he tripped and fell on his way out of the galley door.182 As a matter of fact, the Court specifically finds that Savarese did not fall, as he testified. Dark, the only eyewitness, contradicted Savarese’s account. Dark saw Savarese run out of the galley and go between the living quarters and the water tank without falling.183 The Court disbelieves Savarese’s testimony that he fell as he was exiting the galley door. It is possible that Savarese injured himself in some way as a result of this incident, but the Court need not speculate about that. The falling boom did not hit Savarese or the galley, and it fell 10 to 15 feet away. The standard of causation may be light for Jones Act negligence claims, but it is the plaintiff’s burden to show how he was injured and relate the injury to the defendant’s negligence or the unseaworthy condition of the vessel, and Savarese has not met this burden. 181 (Id. at 542.) 182 (Trial Tr. (Day I) at 153.) 183 (Dark Dep. Tr. at 16-17, 33, 57.) 31 Finally, the Court notes that its decision is not inconsistent with its conclusion that Savarese is entitled to maintenance and cure for his knee injury. Although Savarese has failed to demonstrate what caused his knee injury, the evidence demonstrates that his knee was in fact injured while he was on the TLC. Savarese had a bloody knee shortly after the accident and complained of pain contemporaneously. For maintenance and cure, it does not matter whether Pearl River caused Savarese’s injury; it matters only that Savarese was injured while “subject to the call of duty as a seaman.”184 Because Savarese injured his knee while he was on the TLC, he is entitled to maintenance and cure. But because Savarese failed to demonstrate how his knee was injured, he is not entitled to recover under theories of negligence and unseaworthiness. II. CONCLUSION For the reasons stated, after considering the evidence and testimony presented by the parties at trial, the Court concludes that Savarese is not entitled to any damages from Pearl River. The parties shall bear their own costs. IT IS SO ORDERED. 184 Aguilar, 318 U.S. at 732. 32 New Orleans, Louisiana, this 14th day of September, 2010. __ _________________________________ SARAH S. VANCE UNITED STATES DISTRICT JUDGE 33

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