{
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  "name": "Nestor PROVENCIO, Appellee, v. NEW JERSEY ZINC CO., Appellant",
  "name_abbreviation": "Provencio v. New Jersey Zinc Co.",
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    "judges": [
      "WOOD, C. J., and HERNANDEZ, J., concur."
    ],
    "parties": [
      "Nestor PROVENCIO, Appellee, v. NEW JERSEY ZINC CO., Appellant."
    ],
    "opinions": [
      {
        "text": "OPINION\nLOPEZ, Judge.\nOn April 4, 1969, the claimant was involved in an accident arising out of and in the course of his employment. He fell fifteen feet, landed on his back and rolled another seventy-five feet down a slope. The defendant-employer paid workmen\u2019s compensation disability benefits and supplied medical services until December 11, 1969, when further assistance was terminated. Claimant commenced this action on January 15, 1970, and was awarded total permanent disability and attorney\u2019s fees. The New Mexico Health and Social Services Department had intervened pursuant to \u00a7 13-1-20.1, N.M.S.A.1953 (Repl.Vol. 3, Supp.1973). The Department was awarded judgment for certain expenses incurred by providing medical assistance to the claimant.\nThe employer\u2019s appeal requires discussion of four issues: (1) causation; (2) liability for medical services; (3) due process; and (4) attorney\u2019s fees. We affirm the awards.\nCausation\nDr. Emmett Altman, an orthopedic surgeon, testified that as a medical probability, claimant\u2019s disability resulted from the accident. The employer contends that Dr. Altman\u2019s opinion was speculative, based merely upon a history of subjective complaints and inherently improbable. The claim is that such an opinion, merely reciting \u201cmagic words,\u201d cannot support an award.\nDr. Altman\u2019s testimony reveals a sufficient basis for his conclusion. He testified that he received from the claimant a history of the accident and a history of pain since the accident. He concluded that the conservative therapy employed by other physicians for over one year had not improved the claimant\u2019s condition. Therefore, he undertook surgery. He removed, \u201c . . . a very positive necrotic big bulging disc at L5 SI. . . . [I]t was pressing against the nerve root, causing pain, muscle spasm and limitation of motion and these paresthesias. . . . \u201d The post-operative pathology report confirmed that abnormal intervertebral disc tissue from the L5-S1 interspace was removed from the claimant. After surgery Dr. Altman testified that the claimaint\u2019s prognosis had improved considerably.\nThe employer makes a number of attacks upon the causal chain outlined above. It contends that the testimony of Dr. Altman is inherently improbable because it contradicts known physical facts. The employer points to undisputed evidence that there were no objective signs of pathology involving the lumbosacral region found by any of the physicians who examined the claimant in the year following the accident. We are asked to adopt Dr. Max Gingrich\u2019s conclusion that given this lack of early clinical findings, a disc herniation could not have been produced at the time of Dr. Altman\u2019s diagnosis without additional trauma. To do so would ignore conflicting evidence. Dr. Altman testified that the late discovery of clinical findings about the disc herniation is due to the fact that it is a progressively developing condition. These conflicts between the experts must be resolved by the trial court. Wood v. Citizens Standard Life Insurance Company, 82 N.M. 271, 480 P.2d 161 (1971); Gallegos v. Kennedy, 79 N.M. 590, 446 P. 2d 642 (1968) ; Torres v. Kennecott Copper Corporation, 76 N.M. 623, 417 P.2d 435 (1966).\nThe employer also questions the necessity for the surgery and the conclusion that the disc was herniated. The necessity or lack of necessity for surgery should have been apparent after the operation was completed. If there is sufficient evidence to support the postoperative conclusion that claimant had suffered a herniated disc, we believe the trial court was justified in finding that surgery was necessary.\nDr. Altman interpreted the pathology report as supporting his conclusion that the claimant had suffered an operable herniated disc. The employer challenges Dr. Altman\u2019s interpretation on the grounds that the pathologist\u2019s diagnosis was \u201clumbosacral disc disease,\u201d not a herniated disc. A major difficulty with this argument is that \u201clumbosacral disc disease\u201d was the preoperative diagnosis. The pathologist made no conclusions apparent from this record as to whether or not the disc was herniated. It merely confirmed that the tissues removed were abnormal. This conclusion is certainly not inconsistent with either the preoperative diagnosis or the observations of Dr. Altman that the disc was indeed herniated. The need for surgery and the conclusion of a herniated disc is substantially supported by Dr. Altman\u2019s testimony. The doctor\u2019s credibility was a matter to be determined by the trial court.\nThe employer finally argues that Dr. Altman\u2019s testimony should be disregarded because it was vague, evasive and inconsistent. The employer does not support the first two of these allegations by references to the record. We do not feel that Dr. Altman\u2019s testimony was contradictory in any material respect. Even if it was, conflicts in the testimony are to be resolved by the trial court. Hughes v. Walker, 78 N.M. 63, 428 P.2d 37 (1967); Payne v. Tuozzoli, 80 N.M. 214, 453 P.2d 384 (Ct. App.1969).\nLiability for medical treatment\nThe employer argues that there is insufficient evidence to support the trial court\u2019s FINDINGS OF FACT NO. 4 and 6, set out below:\n\u201c4. The defendant did terminate plaintiff\u2019s compensation benefits and medical services in December, 1969. Thereafter defendant did not offer nor [sic] provide medical services during a period medical and hospital services were necessary.\n\u201c6. The Intervenor should have judgment herein for the sum of $1,721.54 for the [medical and hospital] services paid for by Intervenor. The Court does find these services were necessary, essential, reasonable and relevant herein.\u201d\nThe employer claims that it is not liable for Dr. Altman\u2019s services since it provided adequate services and since no demand was made for them.\nThe issue is governed by \u00a7 59-10-19.1, N.M.S.A.1953 (Vol. 9, pt. 1, Supp.1965), which states:\n\u201c * * * A. After injury, and continuing as long as medical or surgical attention is reasonably necessary . . . , the employer shall furnish all reasonable surgical, medical . . . and hospital services and medicine, not to exceed the sum of five thousand dollars ($5,000), unless the workman refuses to allow them to be so furnished. * * *\n\u201c * * *\n\u201cD. In case the employer has made provisions for, and has at the service of the workman at the time of the accident, adequate surgical, hospital and medical facilities and attention, and offers to furnish these services during the period necessary, then the employer shall be under no obligation to furnish additional surgical, medical or hospital services or medicine than those so provided. * * * \u201d\nThe trial court\u2019s finding that the employer terminated claimant\u2019s medical services in December, 1969, is supported by substantial evidence. The amount awarded the intervenor for medical and hospital services is for costs incurred in the treatment of claimant subsequent to his termination.\nWe do not have a situation where the employer is offering medical services and the claimant refuses the services offered. Accordingly, the following cases are inapplicable: Valdez v. McKee, 76 N.M. 340, 414 P.2d 852 (1966); Beckwith v. Cactus Drilling Corporation, 84 N.M. 565, 505 P. 2d 1241 (Ct.App.1972); Wuenschel v. New Mexico Broadcasting Corp., 84 N.M. 109, 500 P.2d 194 (Ct.App.1972); Gregory v. Eastern New Mexico University, 81 N.M. 236] 465 P.2d 515 (Ct.App.1970).\nWe recognize that Dudley v. Ferguson Trucking Company, 61 N.M. 166, 297 P.2d 313 (1956), refers to a \u201crequest or demand\u201d for medical services before the employer can be held liable for those services. However, Dudley does not discuss the demand requirement in the factual context of this case. Here the employer terminated medical treatment prior to the time when the claimant obtained the services for which he seeks to hold the employer liable.\nAs we understand \u00a7 59-10-19.1(D), supra, once the employer provides for medical services and offers those services to a workman, the employer is not liable for services other than those offered absent a demand or request for the additional services. But where the employer terminates the services previously offered, the employer at that point, \u201c * * * has failed to provide such services. * * * \u201d Valdez v. McKee, supra. Thereafter, no request or demand for further services is necessary.\nThis view is supported by the following cases: Atlantic & Gulf Stevedores, Inc. v. Neuman, 440 F.2d 908 (5th Cir. 1971); McCoy v. Industrial Accident Commission, 64 Cal.2d 82, 48 Cal.Rptr. 858, 410 P.2d 362 (1966); Finn v. Harrison, 255 S.W.2d 93 (Mo.App.1953). Accordingly, we hold that the employer cannot avoid liability for the medical expenses in this case on the basis that claimant failed to request or demand that medical services be provided by the employer after it declared that it would provide no additional services.\nClaimant\u2019s comments to his foreman in the conversation at which medical services were terminated would, in our opinion, be a sufficient demand if a demand were required. However, no demand was required under the facts of this case.\nApart from the \u201cdemand\u201d question, the employer is not liable for the medical services unless they were reasonably necessary. Section 59-10-19.1(A) and (D), supra. Dr. Altman\u2019s testimony is substantial evidence that the services were reasonably necessary.\nDue Process\nThe employer raises certain questions concerning the conduct of claimant\u2019s counsel during this litigation. It claims that the actions of counsel amount to a denial of due process. No claim of denial of due process was made to the trial court. Accordingly, we do not review the issues presented by the employer\u2019s contention. See Gurule v. Albuquerque-Bernalillo Co. Economic Op. Bd., 84 N.M. 196, 500 P.2d 1319 (Ct.App.1972).\nA ttorney\u2019s fees\nThe attorney\u2019s fee claim has two parts. First, the employer claims an award of attorney\u2019s fees in this case violates due process because the fees amount to \u201cextra compensation to assistant district attorney for services otherwise required by official duties.\u201d The employer\u2019s theory is that counsel\u2019s activities in getting claimant to welfare officials, and his advice to those officials to refer claimant to Dr. Altman, were no more than the performance of his official duties as assistant district attorney. Nothing shows attorney\u2019s fees were awarded for these activities.\nThe employer\u2019s second attack on the attorney\u2019s fee award is directed to the amount awarded\u2014$4,500.00. The employer asserts the award was an abuse of discretion because, \u201c . . . other than accomplishing the referral ... to Dr. Emmett Altman . . . there is no evidence of any benefit inuring to the claimant by the services of plaintiff\u2019s counsel.\u201d This is factually erroneous. The employer had terminated compensation and medical services. Both were obtained through court proceedings at which counsel represented claimant.\nWe find nothing indicating the trial court failed to follow the requirements of \u00a7 59-10-23(D), N.M.S.A.1953 (Repl.Vol. 9, pt. 1), in fixing the amount of the attorney\u2019s fee in this case. See Keyser v. Research Cottrell Company, 84 N.M. 173, 500 P.2d 997 (Ct.App.1972). Even when made pursuant to the statute, the attorney\u2019s fee award is reviewable for abuse of discretion. See Adams v. Loffland Brothers Drilling Company, 82 N.M. 72, 475 P.2d 466 (Ct.App.1970). The employer points to nothing amounting to an abuse of discretion. Cf. Salazar v. Kaiser Steel Corporation, 85 N.M. 254, 511 P.2d 580 (Ct.App.1973).\nClaimant is awarded $1,750.00 for the services of his attorney in this appeal. There being no error, the judgment is affirmed.\nIt is so ordered.\nWOOD, C. J., and HERNANDEZ, J., concur.",
        "type": "majority",
        "author": "LOPEZ, Judge."
      }
    ],
    "attorneys": [
      "Edward E. Triviz, Las Cruces, for appellant.",
      "Patricio S. Sanchez, Serna & Sanchez, Silver City, for appellee."
    ],
    "corrections": "",
    "head_matter": "525 P.2d 898\nNestor PROVENCIO, Appellee, v. NEW JERSEY ZINC CO., Appellant.\nNo. 1204.\nCourt of Appeals of Now Mexico.\nJune 5, 1974.\nRehearing Denied June 17, 1974.\nCertiorari Denied July 18, 1974.\nEdward E. Triviz, Las Cruces, for appellant.\nPatricio S. Sanchez, Serna & Sanchez, Silver City, for appellee."
  },
  "file_name": "0538-01",
  "first_page_order": 568,
  "last_page_order": 573
}
