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Lawana Rowland v. Presbyterian Children Services

Decision date: February 22, 20067 pages

Summary

The Labor and Industrial Relations Commission affirmed the administrative law judge's award denying workers' compensation benefits to employee Lawana F. Rowland for a left knee injury sustained on February 5, 2002 at Presbyterian Children Services. Although the Commission found the injury arose out of and in the course of employment, no compensation was awarded due to lack of permanent disability or other compensable consequences.

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Caption

Issued by THE LABOR AND INDUSTRIAL RELATIONS COMMISSION
FINAL AWARD DENYING COMPENSATION (Affirming Award and Decision of Administrative Law Judge)
Injury No.: 02-014219
Employee:Lawana F. Rowland
Employer:Presbyterian Children Services
Insurer:Missouri Rural Services Workers’ Compensation Insurance Trust (self insured trust)
Additional Party:Treasurer of Missouri as Custodian of Second Injury Fund
Date of Accident:Alleged February 5, 2002
Place and County of Accident:Alleged Saint Francois County, Missouri
The above-entitled workers' compensation case is submitted to the Labor and Industrial Relations Commission (Commission) for review as provided bysection 287.480 RSMo.
On October 17, 2005, the administrative law judge issued an award in this matter. On November 5, 2005, employee filed an Application for Review. On January 4, 2006, employee filed her brief. On January 20, 2006, employer filed its brief and its motion to strike employee’s brief or, alternatively, to dismiss employee’s appeal. We deny employer’s motion. We have considered employee’s brief to the extent it pertains to matters of record. We have disregarded matters not of record as is our custom.
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 October 17, 2005, and awards no compensation in the above-captioned case.
The award and decision of Chief Administrative Law Judge Jack H. Knowlan, Jr., issued October 17, 2005, is attached and incorporated by this reference.
Given at Jefferson City, State of Missouri, this 22nd day of February 2006.
LABOR AND INDUSTRIAL RELATIONS COMMISSION
William F. Ringer, Chairman
Alice A. Bartlett, Member
John J. Hickey, Member
Attest:
Secretary
ISSUED BY DIVISION OF WORKERS’ COMPENSATION
AWARD
Employee:Lawana F. Rowland Injury No. 02-014219
Dependents:N/A
Employer:Presbyterian Children Services
Additional Party:Second Injury Fund
Insurer:Missouri Rural Services Workers’ Compensation Insurance Trust (self insured trust)
Hearing Date:August 5, 2005 Checked by: JK/kh
SUMMARY OF FINDINGS
1.Are any benefits awarded herein? No
2.Was the injury or occupational disease compensable under Chapter 287? Yes
3.Was there an accident or incident of occupational disease under the Law? Yes
4.Date of accident or onset of occupational disease? February 5, 2002
5.State location where accident occurred or occupational disease contracted: Saint Francis 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? Yes
9.Was claim for compensation filed within time required by law? Yes
10.Was employer insured by above insurer? Self Insured Trust
11.Describe work employee was doing and how accident happened or occupational disease contracted:
Employee was attempted to control a resident of the Farmington Children’s Home, when the resident kicked
the employee on the back of her left leg slightly above the knee.
12.Did accident or occupational disease cause death? No
13.Parts of body injured by accident or occupational disease: left knee
14.Nature and extent of any permanent disability: none
15.Compensation paid to date for temporary total disability: $1,349.70
16.Value necessary medical aid paid to date by employer-insurer: $12,052.26
17.Value necessary medical aid not furnished by employer-insurer: None
18.Employee’s average weekly wage: $472.39
  1. Weekly compensation rate: $\ 314.93

20.Method wages computation: By agreement

21.Amount of compensation payable: None

  1. Second Injury Fund liability: claim dismissed
  2. Future requirements awarded: None

FINDINGS OF FACT AND RULINGS OF LAW

On August 2, 2005, the employee, Lawana F. Rowland, appeared in person and by her attorney, Gary Sanquinet, for a hearing for a final award. The employer-insurer was represented at the hearing by its attorney, Paul Huck. At the time of the hearing, the parties agreed on certain undisputed facts and identified the issues that were in dispute. These undisputed facts and issues, together with a summary of the evidence and the findings of fact and rulings of law, are set forth below as follows.

UNDISPUTED FACTS:

  1. On or about February 5, 2002, the Presbyterian Children Services, doing business as Farmington Children's Home, was a covered employer operating under and subject to the provisions of the Missouri Workers' Compensation Act, and was duly qualified as a self-insured employer through the Missouri Rural Services Workers' Compensation Insurance Trust.
  2. The employer had notice of the employee's accident.
  3. The employee's claim for compensation was filed within the time allowed by law.
  4. The employee's average weekly wage was $\ 472.39 and her rate of compensation is $\ 314.93.
  5. The employer furnished medical aid in the amount of $\ 12,052.26.
  6. The employer paid temporary total disability benefits totaling $\ 1,349.70. These payments covered $42 / 7$ weeks from August 26, 2002 through September 24, 2002.

ISSUES:

  1. Accident
  2. Medical causation
  3. Additional medical aid
  4. Nature and extent of permanent partial disability

SUMMARY OF THE EVIDENCE:

At the time of her accident, the employee, Lawana Fay Rowland, was employed as a childcare worker by Farmington Children's Home. The employee's accident occurred when she was kicked by a female resident in the lock down unit. The medical records indicate the employee was kicked in the back of her leg slightly above her left knee.

Both the employee's testimony and the medical records confirm the employee had a significant history for bilateral knee complaints and treatment. Dr. John Wagner performed a lateral release on both of the employee's knees sometime in the mid 1980's. On December 18, 2001 the employee saw Dr. Wagner with complaints of pain and swelling in her left knee. The employee advised Dr. Wagner that she had tripped over a piece of carpet at work. She told Dr. Wagner that after a few weeks, she discussed her injury with her employer, and they indicated since there was no sign of trauma, they would not accept it as a workers' compensation case. The employee did not file any claim for the 2001 incident (Employer's Exhibit 1.

Dr. Wagner's records from December 18, 2001, indicate the employee was experiencing swelling in her left knee every evening, and this had been going on for a long time. The employee also told Dr. Wagner that she had previously been advised that she had evidence of osteoarthritis. An MRI taken on November 7, 2001 showed scelerosis of the medial tibial plateau. Dr. Wagner concluded that the employee had chondromalaciathat "may have been triggered a bit by her incident at work, and then will resolve". Dr. Wagner prescribed Naprosyn, and scheduled the employee for a two-month follow up (Employer's Exhibit 1).

Prior to her return visit with Dr. Wagner, the employee had her accident on February 5, 2002, that is the subject of this claim. Following the kicking incident, the employee emphasized that this time, she reported her accident.

The employer initially authorized treatment with Nurse Practitioner Susan Nesbit and Dr. Edward Dumontier at the Parkland Health Clinic in Farmington. The medical records from Parkland Health Clinic dated February 8, 2002 indicated that the employee gave a history of being kicked in the knee, and complained of "continued edema and pain of knee" (Employer's Exhibit 4).

The employee told Nurse Nesbit about her October accident in which she had tripped on the carpet, but stated that "overall she was starting to do better until the recent episode" (Employer's Exhibit 4). The employee also reported that she had tried someone else's Vioxx, and it worked better than Naprosyn. The employee was diagnosed as having a left knee contusion and treated with a knee immobilizer and a prescription for Vioxx. The employee was allowed to return to work, but was advised not to work in the lock down unit. (Employer's Exhibit 4).

In a follow up visit on February 15, 2002, the employee stated she was feeling better. Nurse Nesbit encouraged the employee to attend her physical therapy sessions, and recommended that she continue to use the immobilizer and Vioxx (Employer's Exhibit 4).

Records from Farmington Sports and Rehabilitation Center indicate the employee had physical therapy for her left knee on February 18, 2002, February 28, 2002 and March 7, 2002. The employee was then referred to Dr. William Harris, who is an orthopedic surgeon in Farmington Missouri. Dr. Harris treated the employee conservatively for several months prior to recommending surgery. During this time the employee continued to complain of pain and swelling in her left knee. Dr. Harris diagnosed the employee has having chondromalicia and synovitis of the left knee (Employer's Exhibit 6and 7).

The operative report dated August 26, 2002 indicates a post-operative diagnosis of grade IV chondromalicia changes of the femoral groove and medial tibial plateau with grade III chondromalicia changes of the under surface of the a patella with anterior patellofemoral synovitis with interarticular loose body (Employer's Exhibit 7). Dr. Harris' medical record of August 27, 2002 notes the employee had grade IV osteoarthritic changes and erosion down to the bone of the tibial plateau. Although the employee had synovitis, she did not have a meniscus tear (Employer's Exhibit 6).

After her surgery, the employee continued to see Dr. Harris on a periodic basis until April 8, 2003. During this time period, the employee continued to complain of pain and swelling in her left knee. Dr. Harris recommended a series of synvisc injections, but the employee showed only limited improvement (Employer's Exhibit 6).

On April 10, 2003, the employee was examined by Dr. Richard Rende, who is an orthopedic surgeon in St. Louis Missouri. Based on his examination and the x-rays taken of the employee's left knee, Dr. Rende concluded that the employee was suffering from "advanced degenerative arthritis with bone against bone in the medial joint space and significant narrowing of the patellofemoral joint space (Employer's Exhibit 8). Dr. Rende felt that the employee's degenerative arthritis was "of long standing duration". Although Dr. Rende agreed that the employee needed a knee replacement, he did not feel her need for a knee replacement was "in any way work related" (Employer's Exhibit 8). He added "it is my opinion that any aggravation of it by this kick clearly has come and gone, and I believe she is at her maximum medical improvement" (Employer's Exhibit 8). Dr. Rende gave the employee several permanent restrictions, but did not believe her restrictions "were the result of an on the job injury" (Employer's Exhibit 8).

During Dr. Rende's deposition testimony, he restated his conclusion that the employee's current complaints were caused by her osteoarthritis (Employer's Exhibit 9, page 6) and confirmed that he did not believe that her February 5, 2002 work incident was a substantial factor in causing the employee's need for a total knee replacement (Employer's Exhibit 9, page 7). Dr. Rende also noted that during the arthroscopic surgery there were no s

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