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Gary Shroder v. Clarkson Construction Company

Decision date: October 24, 20058 pages

Summary

The Missouri LIRC affirmed the Administrative Law Judge's decision denying workers' compensation benefits to Gary C. Shroder for a back injury allegedly sustained in June 2002 while placing baskets and steel forms at a construction site. Although a dissenting opinion argued the injury was compensable as an unexpected result of usual work duties, the majority found the evidence insufficient to support compensation despite the employee's testimony of acute onset symptoms and notification to his supervisor.

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Caption

FINAL AWARD DENYING COMPENSATION

(Affirming Award and Decision of Administrative Law Judge)

Injury No.: 02-148095

Employee: Gary C. Shroder

Employer: Clarkson Construction Company

Insurer: ACIG Insurance Company

Date of Accident: Alleged June 2002

Place and County of Accident: Alleged Kansas City, Jackson County, Missouri

The above-entitled workers' compensation case is submitted to the Labor and Industrial Relations Commission (Commission) for review as provided by section 287.480 RSMo. Having reviewed the evidence and considered the whole record, the Commission finds that the award of the administrative law judge is supported by competent and substantial evidence and was made in accordance with the Missouri Workers' Compensation Act. Pursuant to section 286.090 RSMo, the Commission affirms the award and decision of the administrative law judge dated May 13, 2005, and awards no compensation in the above-captioned case.

The award and decision of Administrative Law Judge R. Carl Mueller, Jr., issued May 13, 2005, is attached and incorporated by this reference.

Given at Jefferson City, State of Missouri, this $24^{\text {th }}$ day of October 2005.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

William F. Ringer, Chairman

Alice A. Bartlett, Member

DISSENTING OPINION FILED

Attest: John J. Hickey, Member

Secretary

DISSENTING OPINION

I have reviewed and considered all of the competent and substantial evidence on the whole record. Based on my review of the evidence as well as my consideration of the relevant provisions of the Missouri Workers' Compensation Law, I believe the decision of the administrative law judge should be reversed.

Employee testified that during the first week of June 2002, near the end of a work shift, he was placing baskets

and steel forms. After placing a basket, employee was unable to straighten up and experienced soreness in his back and numbness in his leg. Employee thought he had pulled a muscle and figured he would feel better by the next day. He did not. Employee informed his supervisor who failed to offer any medical attention. Instead, his supervisor encouraged employee to keep working. Employee worked with the back pain (and, subsequently, the pain from a shoulder injury suffered in October 2002) because his work stopped in the winter months and he wanted to earn as much money as he could before work ended for the winter.

The administrative law judge places undue emphasis on the entry in Dr. Wilt's records indicating that employee reported back pain of three months duration. Employee saw Dr. Wilt for his back and shoulder conditions in January 2003, after his winter layoff. Employee explained that he gave a three month history of shoulder pain but that he told the doctor he had been experiencing back pain since June 2002. I conclude the employee's physician confused the shoulder and back histories reported by employee. I find employee's testimony credible regarding when he began experiencing back and leg symptoms and what he was doing when the symptoms began. I also find credible employee's testimony that he informed his supervisor of the injury.

"[A]n injury is compensable when it is an unexpected result of the performance of the usual and customary duties of an employee which leads to physical breakdown or a change in pathology. Wolfgeher, 646 S.W.2d at 784; See also § 287.020.3." Smith v. Climate Engineering, 939 S.W.2d 429, 436 (Mo. App. 1996), overruled on other grounds by Hampton v. Big Boy Steel Erection, 121 S.W.3d 220, 224 (Mo. banc 2003) (citing Wolfgeher v. Wagner Cartage Service, Inc., 646 S.W.2d 781 (Mo. banc 1983)).

The medical evidence establishes that employee suffered from a preexisting degenerative condition in his lumbrosacral spine. However, before June 2002, employee suffered only the usual aches and pains associated with heavy manual labor but employee did not experience disabling symptoms. Since the June 2002 work incident, employee has experienced pain and numbness in his lower back and left leg. He has difficulty bending, lifting, and walking distances. Employee is unable to sleep for more than a couple hours at a time. Employee must alternate between sitting and standing. Employee has been unable to work since employer laid him off in December 2002.

It has long been the rule in Missouri that an inherent weakness or bodily defect, such as degenerative spine disease, occurring in conjunction with an abnormal strain will support a claim for compensation. See Johnson v. General Motors Assembly Division G.M.C., 605 S.W.2d 511, 513 (Mo. App. 1980). (citations omitted) (overturned on other grounds). To prove a compensable injury, employee must prove he experienced a change in pathology as a result of the work incident. "The worsening of a preexisting condition, i.e., an increase in the severity of the condition, or an intensification or aggravation thereof, is a 'change in pathology.'" Winsor v. Lee Johnson Construction Co., 950 S.W.2d 504, 509 (Mo. App. 1997), citing Rector v. City of Springfield, 820 S.W.2d 639, 643 (Mo. App. 1991).

Dr. Smith testified that the lifting and bending associated with employee's job duties were substantial contributing factors in causing his lumbrosacral spine problems. Although Dr. Chilton explained that employee's work duties did not cause the anatomical changes to employee's back, he testified within a reasonable degree of medical certainty that the heavy labor physical activity associated with employee's employment (highway paving work) aggravated employee's preexisting back condition. The medical evidence convinces me that employee's performance of his usual and customary work duties aggravated his preexisting back condition.

I find employee's work activities aggravated his pre-existing, asymptomatic, non-disabling back condition resulting in a symptomatic disabling back condition. I conclude employee sustained an injury by accident arising out of and in the course of employment in June 2002.

I would reverse the award of the administrative law judge denying compensation. I would award compensation including past medical expenses, further medical treatment, and temporary total disability benefits. For the foregoing reasons, I respectfully dissent from the decision of the majority of the Commission.

Employee:Gary C. ShroderInjury No. 02-148095
Dependants:N/A
Employer:Clarkson Construction Company
Additional Party:N/A
Insurer:ACIG Insurance Company
Hearing Date:April 5, 2005
Briefs Filed:April 26, 2005Checked by: RCM/rm

FINDINGS OF FACT AND RULINGS OF LAW

  1. Are any benefits awarded herein? No
  2. Was the injury or occupational disease compensable under Chapter 287? No
  3. Was there an accident or incident of occupational disease under the Law? No
  4. Date of accident or onset of occupational disease: alleged June, 2002
  5. State location where accident occurred or occupational disease was contracted: alleged Kansas City, Jackson County, Missouri
  6. Was above employee in employ of above employer at time of alleged accident or occupational disease? Yes
  7. Did employer receive proper notice? Yes
  8. Did accident or occupational disease arise out of and in the course of the employment? No
  9. Was claim for compensation filed within the time required by Law? Yes
  10. Was employer insured by the above insurer? Yes

11.Describe work employee was doing and how accident occurred or occupational disease contracted: Employee alleged he injured his back while carrying and setting steel rod baskets for concrete highway paving .

  1. Did accident or occupational disease cause death? No

13.Part(s) of body injured by accident or occupational disease: Alleged back, body as a whole.

  1. Nature and extent of any permanent disability: The parties requested that this not be addressed at this temporary hearing.
  2. Compensation paid to-date for temporary disability: None
  3. Value necessary medical aid paid to date by employer/insurer? None

17.Value necessary medical aid not furnished by employer/insurer? 1,517.00

  1. Employee's average weekly wages: Sufficient for maximum compensation rate.

19.Weekly compensation rate: $628.90 for temporary total disability

20.Method wages computation: By stipulation

  1. Compensation Payable

Benefits Currently Due:

Medical Expenses

Medical Already Incurred 0.00

Additional Medical 1,517.00 plus cost of August 30, 2004 myeolgram[1]

Total Medical Owing 1,517.00 plus cost of August 30, 2004 myeolgram

Total Benefits Due: 1,517.00 plus cost of August 30, 2004 myeolgram

Ongoing Benefits None

Total Ongoing Benefits 0

Total Award $1,517.00 plus cost of August 30, 2004 myeolgram

  1. Second Injury Fund liability: N/A
  2. Future requirements awarded: None

FINDINGS OF FACT and RULINGS OF LAW:

Employee: Gary C. Shroder Injury No. 02-148095

Dependants: N/A

Employer: Clarkson Construction Company

Additional Party: N/A

Insurer: ACIG Insurance Company

Hearing Date:April 5, 2005 Checked by: RCM/rm
Briefs Filed:
On April 5, 2005, the employee and employer appeared for a hardship hearing. The Division had jurisdiction to hear this case pursuant to §287.110. The employee, Mr. Gary C. Shroder,appeared in person and with counsel, Chris Brennan. The employer and insurer appeared through Paul D. Cowing. The Second Injury Fund was not a party to the case. The primary issue the parties requested the Division to determine was whether Mr. Shroder suffered an accident arising out of and in the course of hisemployment. For the reasons noted below, I find that Mr. Shroder’s back condition did not result from a work injury.
STIPULATIONS
The parties stipulated that:
1.During the first week of June 2002, Clarkson Construction Company(“Clarkson”) was an employer operating subject to Missouri’s Workers’Compensation law with its liability fully insured by ACIG Insurance Company;
2.Mr. Shroder was its employee working subject to the law in Kansas City, Jackson County, Missouri;
3.Mr. Shroder filed his claim within the time allowed by law;
4Mr. Shroder’s contract of employment was made in Missouri;
5The nature and extent of disability was not an issue to be considered at the hearing;
6.Mr. Shroder earned an average weekly wage sufficient to result in him qualifying for the maximum weekly compensation rate of 628.90 for temporary total and 329.42 for permanentpartial disability compensation;
7.The employer provided TTD through September 11, 2003 for a shoulder injury which was the subject of injury number 02-148094. The parties stipulate that if TTD is awarded for Injury No. 02-148095 - the subject of thisaward - then such benefits would begin no sooner than September 12, 2003.; and,
8.Clarkson has not provided Mr. Shroder with any medical care, but has agreed to pay for a myelogram taken on August 30, 2004 and $1,517.00 in expenses related to the neutral examinationagreed upon between the parties by Steven Reinjtes, M.D.
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ISSUES
The parties requested the Division to determine:
1.Whether Mr. Shroder sustained an accident arising out of and in the course of employment?
2.Whether Mr. Shroder notified Clarkson Construction Company of the injury as required by law?
3.Whether Mr. Shroder is entitled to temporary total disability benefits from September 12, 2003 through today and continuing until he reaches maximum medicalimprovement?
  1. Whether Clarkson Construction Company must reimburse the employee for medical expenses totaling $\ 1,517.00 ? And,
  2. Whether Clarkson Construction Company must provide the employee with additional medical care?

FINDINGS

The Claimant testified on h

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