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Gary Portwood v. Golden Valley Memorial

Decision date: June 7, 20066 pages

Summary

The Labor and Industrial Relations Commission affirmed the Administrative Law Judge's decision denying workers' compensation benefits for a right shoulder injury sustained on March 26, 2002, while loading linen bags. Although the injury was found to be compensable and arose out of employment, no permanent partial disability was determined and all temporary disability and medical benefits had already been paid or provided.

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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.: 02-144485
Employee:Gary Portwood
Employer:Golden Valley Memorial (Settled)
Insurer:Safety National Casualty (Settled)
Additional Party:Treasurer of Missouri as Custodian of Second Injury Fund
Date of Accident:March 26, 2002
Place and County of Accident:Clinton, Henry County, Missouri
The above-entitled workers' compensation case is submitted to the Labor and Industrial Relations 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 October 19, 2005, and awards no compensation in the above-captioned case.The award and decision of Administrative Law Judge Mark S. Siedlik, issued October 19, 2005, is attached and incorporated by this reference.Given at Jefferson City, State of Missouri, this ___7th _ day of June 2006.LABOR AND INDUSTRIAL RELATIONS COMMISSION
William F. Ringer, Chairman
Alice A. Bartlett, Member
John J. Hickey, Member
Attest:
Secretary
AWARD
Employee:Gary Portwood
Injury No. 02-144485
Employer:Golden Valley Memorial
Additional Party:Treasurer of the State of Missouri, as Custodian of the Second Injury Fund
Insurer:Safety National Casualty
Hearing Date:September 13, 2005

FINDINGS OF FACTS AND RULINGS OF LAW

  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: March 26, 2002
  5. State location where accident occurred or occupational disease was contracted: Clinton, Henry

County, Missouri. 6. Was above employee in employ of above employer at the 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? Yes. 11. Describe work employee was doing and how accident occurred or occupational disease was contracted: Employee sustained a right shoulder injury when loading linen bags arising out of and in the course of his employment. 12. Did accident or occupational disease cause death? No. 13. Part(s) of body injured by accident or occupational disease: Right shoulder 14. Nature and extent of any permanent disability: No Permanent Partial Disability 15. Compensation paid to-date for temporary disability: $\ 13,760.01 16. Value necessary medical aid paid to date by employer/insurer? \$19,938.18 17. Value necessary medical aid not furnished by employer/insurer? N/A 18. Employee's average weekly wages: $\ 293.00 19. Weekly compensation rate: $\$ 190.45 / \ 190.45 20. Method wages computation: Comparable employee - RSMo. §287.250.1(5).

  1. Benefits Currently Due Medical Expenses Medical Already Incurred............................................................................................................$19938.18 Less credit for expenses already paid...............................................................................................19938.18 Total Medical Owing............................................................................................................................0.00

Temporary Disability Total TTD Owing...........................................................................................................................0.00

Costs of Recovery Employee's Attorney's Fees (25% of .................................................................................................N/A Total Costs of Recovery..........................................................................................................................N/A

Ongoing Benefits Medical Care............................................................................................................................................N/A Temporary Disability until employee reaches MMI................................................................................N/A Total Ongoing Benefits..........................................................................................................................N/A

Total Award..........................................................................................................................................................N/A

  1. Second Injury Fund liability:............................................................................................................................................... None 0 weeks of permanent partial disability from Second Injury Fund................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

On September 13, 2005, the employee and the Second Injury Fund appeared for a final hearing. The Division had jurisdiction to hear this case pursuant to Section 287.110, RSMo. 2000. The employee, Gary Portwood, did not appear in person, but was represented by counsel, Jerry Kenter. The Second Injury Fund appeared by Assistant Attorney General M. Shannon Schulte. The evidence consisted of stipulated facts, between the parties. Medical records, deposition testimony and other documents were offered and admitted into evidence.

STIPULATIONS

The parties stipulated to the following facts:

  1. On March 26, 2002 Gary Portwood sustained an accident arising out of and in the course of his employment at the Golden Valley Hospital in Clinton, Henry County, Missouri.
  2. That as a result of said accident he sustained an injury to the right shoulder resulting in a 25% permanent partial disability to the right upper extremity at the shoulder.
  3. That his average weekly wage was $293.00 resulting in a compensation rate of 190.45/190.45.
  4. That prior to March 26, 2002 Gary Portwood had a pre-existing condition in his cervical spine called a Klippel Feil deformity. This condition caused him no lost time from work and did not constitute a hindrance or obstacle to his employment or re-employment.
  5. This pre-existing condition was unknown to Gary Portwood and was not diagnosed until the shoulder injury of March 26, 2002.
  6. This condition was not symptomatic until the accident of March 26, 2002.
  7. This pre-existing condition is rated at 15% to the body as a whole referencing the cervical spine.
  8. That if there is a Second Injury Fund Liability it is to be calculated as follows:

- 15% to the Right Shoulder at the 232 level which is 58 weeks of compensation.

- 15% to the cervical spine for the prior condition which is 60 weeks of compensation

- 3 a 10% load factor

The following exhibits were offered by employee:

A. Medical records of Gary Portwood

B. Deposition of Dr. James Stuckmeyer

C. Independent Medical Evaluation of Dr. James Stuckmeyer

The Second Injury Fund did not offer any exhibits.

DISCUSSION OF EVIDENCE

Based upon the evidence and stipulated facts, I find the following:

The only issue to be answered before this Court is whether claimant's alleged neck condition meets the threshold of a pre-existing disability necessitating Second Injury Fund liability. Based upon the facts as presented, case law and statutory authority, this Court finds claimant's alleged pre-existing disability is not compensable.

Claimant must initially establish he had a compensable work injury against the

Second Injury Fund. Section 287.220.1 RSMo states in order to assess Second Injury Fund liability, claimant must prove "that he or she has permanent disability resulting from a compensable work-related injury." Parties stipulated that claimant did sustain an injury to his right shoulder on March 26, 2002 arising out of and in the course of his employment at Golden Valley Hospital in Clinton, Henry County, Missouri. Further, parties agreed the primary injury of March 26, 2002 to claimant's right shoulder was compensable at 25% permanent partial disability at the 232-week level. Therefore, claimant has proven a compensable work-related injury.

In order to calculate Fund liability, the Commission must determine the percentage of the disability that can be attributed solely to the preexisting condition at the time of the last injury. Gassen v. Liebengood, 134 S.W.3d 75,81 (Mo

Full decision text continues in the plain-text archive copy.

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