Ms. Grubbs testified on her own behalf and presented the following exhibits, which were admitted into evidence without objection:
| A | - | Liberty Hospital and Ford Medical Records |
| B | - | Medical Records |
| C | - | Medical Records, Drs. Weed, Reintjes, Zarr and St. Luke's Hospital |
| D | - | Report and CV, Theodore L. Sandow, M.D. |
| E | - | Amended Claim for Compensation |
Although the employer did not call any witnesses, it did present the following exhibits, all of which were admitted into evidence without objection:
1 - Daniel D. Weed, MD, Reports and CV
2 - Stephen Reintjes, MD, Report and CV
3 - Zarr, MD, Report and CV
Based on the above exhibits and the testimony of Ms. Grubbs, I make the following findings. Ms. Grubbs is a 65-year old female, who lives in Raytown, Missouri. She was employed 26 years by Ford Motor Company in the paint repair department.
On October 11, 2001 Ms. Grubbs was working at the Ford Motor Company assembly plant in Claycomo, Clay County, Missouri when a vehicle driven by a co-employee hit another vehicle on the assembly line, which, in turn, struck Ms. Grubbs. Ms. Grubbs immediately felt pain in her right knee and left shoulder. Ms. Grubbs was taken by ambulance to Liberty Hospital. The initial treatment records on the day of injury reflect that Ms. Grubbs complained that:
I was working and a car came across the line and hit my left side and kncoked [sic] me up against the table next to the wall. I have an old back injury at L4-5 bulging disc now my back and neck hurt and I think my right arm hur[ts].
See, Claimant's Exhibit A at 46
These initial treatment records - again, made the day of the injury - further reflect that:
Back as area of worst pain aslo [sic] reports some stiffness in the neck and some right arm pain.
Id. at 46 .
Ms. Grubbs underwent several X-rays. Robert A. MacNaughton, II, MD concluded that while Ms. Grubb did not have any fractures, she did have "left hip pain following trauma" and "left shoulder pain following trauma". Id. at 51-52. Ms. Grubbs underwent physical rehabilitation beginning October 15, 2001. Her "chief complaint" listed in the rehabilitation record is "left lower back stiffness . . . shoulder pain and stiffness . . . left neck pain and . . . left hip pain." Id. at 53. The "pain location" was identified as "middle lower back, left upper shoulder and neck." Id.
Ford referred Ms. Grubbs to Daniel D. Weed, M.D. on January 14, 2002. See, Employer's Exhibit 1 at 3. Dr. Weed examined the employee and recorded that her complaints were limited to her right knee and left shoulder. Id. at 6 . He commented that:
The patient is obese and it is very hard for her to get around. I almost find it hard to believe that she could work at the Ford Plant . . . Right knee paid and left shoulder pain. I think these are both just bruises. I don't think that this is significant. I don't think either one of these injuries is significant.
Id.
Dr. Weed's initial speculation that Ms. Grubb's injuries were "just bruises" proved to be grossly incorrect. Ultimately, Dr. Weed performed the following surgeries on Ms. Grubbs:
- February 28, 2002: right knee arthroscopy (medial and lateral meniscus tears)
- March 19, 2002: left shoulder rotator cuff
- October 8, 2002: right shoulder rotator cuff
- March 20, 2003: closed manipulation of the right shoulder
Id. at 3 .
Dr. Weed noted, on August 19, 2002 that "the patient states that her right rotator cuff is torn" (Id. at 10) and that this is the "First documented claim of right shoulder pain". Id at 3. Dr. Weed also noted that February 12, 2003 was the "first documented complaint of back pain since the injury of October 11. Id. at 3. Ford provided Ms. Grubbs with treatment costing $\ 56,152.52.
On May 30, 2003, Dr. Weed rated Ms. Grubb's "impairment" at thirteen percent (13\%) of the "left shoulder", ten percent ( 10 % ) of the right knee, and fifteen percent ( 15 % ) of the "right shoulder". Dr. Weed did not think the latter was attributable to her October 11, 2001 injury. Id. at 3. He did believe her back condition was at "MMI" (presumably maximum medical improvement) as she still has radiculopathy, but, also did not think it was related to her Ford injury. See, Claimant's Exhibit C at 7.
Ford authorized Ms. Grubbs on August 5, 2003 to receive treatment from James S. Zarr, M.D. for her back complaints. Id. at 22. Dr. Zarr prescribed a "trial with a TENS unit and then work hardening". Id. at 23. Dr. Zarr restricted Ms. Grubbs from working until his follow up examination of her on September 3, 2003 when he then opined that she had reached maximum medical improvement. See, Employer's Exhibit 3 at 3. Dr. Zarr opined that "I do feel she has suffered some permanent impairment from this work related condition and I am rendering a 5 % whole body permanent impairment rating for the low back part of her injury." Further, he gave her permanent restrictions of no lifting greater than five pounds, no work greater than eight