The claimant, Mr. J.T. Clark is a 70 year-old retiree from General Motors (GM), where he performed assembly work for thirty years, beginning in 1970.
Mr. Clark was born in Tennessee, and provided a history of having attended some school as a child, but of working more often on a farm with the rest of his family as a sharecropper. Mr. Clark recalled at hearing that he attended seven grades of school, and alleges that he is incapable of reading or writing, and that he is also incapable of basic mathematics such as adding, subtracting, multiplying, and dividing.
Mr. Clark came to St. Louis in 1957 or '58, and recalls that prior to joining General Motors, he worked as a laborer for a cab company, washing cabs and fixing tires; as a forklift driver; and as a porter at Lambert Airport.
While with GM, Mr. Clark has worked the Union/Natural Bridge plant; at a plant in Bowling Green, Kentucky; and most recently at the Wentzville plant. Claimant recalls injuring his back at the Natural Bridge location; suffering a subsequent injury to his back while working at the Bowling Green location; and returning to St. Louis to be near family while having a back surgery performed by Dr. David Lange on or about 1/31/95. The operative report (See Claimant's Exhibit D) indicates that Dr. Lange performed a laminotomy and removal of disc material at L4-5, freeing up the L5 nerve root. Mr. Clark had follow up treatment with Dr. Lange for several months, before returning to Bowling Green, Kentucky. Thereafter the claimant received evaluation as to his low back from Dr. Frank L. Buono in January of 1996. Claimant had a prior history with Dr. Buono, who had been seeing Mr. Clark on occasion in 1994 for low back complaints leading up to the surgery by Dr. Lange. Dr. Buono treated the claimant for what he diagnosed as an acute lumbosacral sprain, and released Mr. Clark to return to work without restrictions on 1/31/96 (See Claimant's Exhibit C).
Medical records from the GM plant dispensary, Claimant's Exhibit F, suggest that the claimant was transferred to the Wentzville Plant at some point in 1996. The only records in evidence that document any ongoing treatment for low back complaints from 1996 to the date of hearing in the matter are the GM plant records.
Mr. Clark testified that for the first two or three years at the Wentzville plant his back continued to bother him while performing a job that involved pulling covers over seats used in vans. Claimant notes that for those first several years he would use his hands to staple the cloth to the seats. Claimant's next job was "building vans up", which required Mr. Clark to affix rubber weather stripping around doors. Claimant recalls that he would use his hands all day, twisting and pushing weather stripping into seams.
The GM dispensary records indicate that from time to time Mr. Clark would seek treatment for what was noted to be sprain/strain injuries to his low back. Claimant received heat packs, analgesics, and ibuprofen for back complaints on 12/8/97; similar treatment for complaints on 1/26/98; in March and April of 1998; on one occasion in January of 1999; on several occasions in October and November of 1999; and again as to the low back in March and in September of 2000.
Mr. Clark testified that he began to suffer pain in to both hands from the weather stripping job; plant dispensary records indicate that Mr. Clark made many visits to the dispensary in June of 2000, complaining as to his pain into his forearms, hands, and wrists.
On 9/28/00 Dr. Wilfrido C. Feliciano performed a left carpal tunnel release, followed by a right carpal tunnel release on 10/12/00. Dr. Feliciano released Mr. Clark for a return to light duty effective 12/12/00, and recommended that Mr. Clark wear padded gloves at work.
Mr. Clark recalls that he did return to a light duty job, putting "dum dum" (a substance like silly putty) into cracks. Claimant recalls that he couldn't perform the job, as pushing the putty into place hurt his hands, and bending and stooping hurt his back. Mr. Clark was then referred to "final line", where his job was to drive the finished cars off the line, park the vehicles, then walk back to the line. Claimant testified that walking on concrete hurt his back, and that driving the cars hurt his hands. Claimant recalls working perhaps as much as a week or so prior to the plant shutting down for the holidays in mid-December of 2000.
Claimant testified that inasmuch as he was hurting, he chose to check on the status of his retirement, and was advised he could retire with 30 years of service. Mr. Clark testified that he had not been contemplating retirement before, inasmuch as he believed he would make more working than retired.
Mr. Clark retired after the Christmas break, and has not been employed at General Motors or with any other employer since December of 2000.
Mr. Clark currently complains of back, with pain and numbness that goes down his leg into his calf. The claimant complains of stiffness and pain that inhibits his efforts to bend and stoop, and notes that his back will hurt if he sits in one place too long. Mr. Clark exhibited at hearing a back brace given to him by Dr. Buono, which the claimant alleges to have worn every day while on the job at GM.
Mr. Clark also notes that he suffers from numbness and tingling every day in the first three fingers of each hand. Mr. Clark notes a loss of grip strength in both hands, noting that he can lift a gallon of milk, but could not hold it out from his body. Claimant notes that from time to time he will wear either the gloves or the splints that he was given for his hand complaints, and that on occasion his hand complaints will awaken him from his sleep. Mr. Clark noted that he has given up activities such as hunting and fishing on account of his back and upper extremity complaints.
Mr. Clark relates that he is unable to keep his own checkbook, given his difficulty with writing and math, and states that certain of his children living in the St. Louis area will take care of managing his finances.
On cross-examination by the Second Injury Fund, Mr. Clark acknowledged that he had not received any complaints about his performance in his job reviews; that he had been working 40 hours a week,