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Glenn Fernau v. City of Florissant

Decision date: December 15, 20068 pages

Summary

The Commission affirmed the administrative law judge's award of workers' compensation for Glenn Fernau's March 22, 2003 workplace injury, but modified the disability rating for low back and hip injuries from 15% to 5% of the body as a whole based on evidence of walking and sleeping difficulties. The employee was awarded 392 weeks of permanent partial disability with benefits including compensation for shoulder, back, hip, psychiatric, and facial injuries.

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Caption

Issued by THE LABOR AND INDUSTRIAL RELATIONS COMMISSION
FINAL AWARD ALLOWING COMPENSATION
(Affirming Award of Administrative Law Judge by Modified Decision)
Injury No.: 03-027182
Employee:Glenn Fernau
Employer:City of Florissant
Insurer:Missouri Rural Services Workers’ Compensation Ins. Trust
Self-Insured c/o CCMSI
Additional Party:Treasurer of Missouri as Custodian
of Second Injury Fund
Date of Accident:March 22, 2003
Place and County of Accident:St. Louis 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. We have heard the arguments of the parties, reviewed the evidence and considered the whole record. We find that the award of the administrative law judge is supported by competent and substantial evidence and was made in accordance with theMissouri Workers’ Compensation Act. Pursuant to section 286.090 RSMo, the Commission affirms the award of the administrative law judge dated April 14, 2006, by modified decision.The administrative law judge found, “that the Employee, as a result of the primary injury of March 22, 2003, sustained permanent partial disability in the following amounts: 100% of the right upper extremity at the shoulder, 15% of the low back and hip, 25% of the body as a whole referable to the psychiatric mental condition, and a 10% of the body as a whole referable to the facial fractures and injuries.” Based upon the evidence regarding employee’s low back and hip problems, in particular employee’s testimony regarding his difficulties walking and sleeping, we believe the disability is properly rated in relation to the body as a whole. Accordingly, we find the permanent partial disability attributable to employee’s low back and hip is 5% of the body as a whole. The award of 392 weeks of permanent partial disability against employer remains unchanged. In all other respects, the decision of the administrative law judge is affirmed.The award and decision of Administrative Law Judge Cornelius T. Lane, issued April 14, 2006, is attached and incorporated by this reference, to the extent it is not inconsistent with our modification herein.The Commission further approves and affirms the administrative law judge’s allowance of attorney’s fee herein as being fair and reasonable.Any past due compensation shall bear interest as provided by law.Given at Jefferson City, State of Missouri, this ___ 15th __ day of December 2006.LABOR AND INDUSTRIAL RELATIONS COMMISSION
William F. Ringer, Chairman
Alice A. Bartlett, Member
John J. Hickey, Member
Attest:
Secretary
AWARD
Employee:Glenn FernauInjury No.: 03-027182
Dependents:N/ABefore the
Division of Workers’
Employer:City of FlorissantCompensation
Department of Labor and Industrial
Additional Party:Second Injury FundRelations of Missouri
Jefferson City, Missouri
Insurer:Missouri Rural Services Workers’ Compensation Insurance Trust, Self-Insured, c/o CCMSI
Hearing Date:March 1, 2006Checked by: CTL:tr

FINDINGS OF FACT AND RULINGS OF LAW

  1. Are any benefits awarded herein? Yes
  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 22, 2003
  5. State location where accident occurred or occupational disease was contracted: St. Louis County
  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? Yes
  11. Describe work employee was doing and how accident occurred or occupational disease contracted:

Claimant, a police officer, was checking a building at night when he fell down concrete steps. 12. Did accident or occupational disease cause death? No Date of death? N/A 13. Part(s) of body injured by accident or occupational disease: Right arm at shoulder level, low back and hip, mental and facial fractures 14. Nature and extent of any permanent disability: Claimant is permanently and totally disabled 15. Compensation paid to-date for temporary disability: 34 weeks ( 33.7 weeks) at $\ 648.67 for a total of $\ 21,870.84 16. Value necessary medical aid paid to date by employer/insurer? \$102,944.63

Employee: Glenn Fernau Injury No.: 03-027182 17. Value necessary medical aid not furnished by employer/insurer? \25,223.65 18. Employee's average weekly wages: \ 973.00 19. Weekly compensation rate: $\$ 648.67 / \ 340.12 20. Method wages computation: By agreement

COMPENSATION PAYABLE

  1. Amount of compensation payable:
Unpaid medical expenses:$25,223.65
392 weeks of permanent partial disability from Employer at $340.12 per week$133,327.04
Employer to provide future psychiatric care for Claimant resultant from
Claimant’s injury of March 22, 2003, as well as future medical care for
injuries Claimant sustained on March 23, 2003
22. Second Injury Fund liability: Yes
Permanent total disability benefits from Second Injury Fund:
weekly differential ($308.55) payable by SIF for 392 weeks beginning
May 21, 2004, and thereafter $648.67 for Claimant's lifetime$ *
(* denotes an uncertain contingent future benefit)
TOTAL:$158,550.69*
23. Future requirements awarded:
Said payments to begin immediately and to be payable and be subject to modification and review as provided by law.
The compensation awarded to the claimant shall be subject to a lien in the amount of 25% of all payments hereunder in favor of the following attorney for
necessary legal services rendered to the claimant:
Cynthia Hennessey

FINDINGS OF FACT and RULINGS OF LAW:

Employee:Glenn FernauInjury No.: 03-027182
Dependents:N/ABefore the <br> Division of Workers’
Employer:City of FlorissantCompensation
Additional Party:Second Injury FundDepartment of Labor and Industrial <br> Relations of Missouri
Jefferson City, Missouri
Insurer:Missouri Rural Services Workers’ CompensationChecked by: CTL:tr
Insurance Trust, Self-Insured, c/o CCMSI

PREFACE

On March 1, 2006, a hearing was held in the above-mentioned matter. The Claimant was represented by Attorney Cynthia Hennessey. The Employer/Insurer was represented by Attorney Paul Huck. The Second Injury Fund was represented by Assistant Attorney General Da-Niel Cunningham.

1.Employee, Glenn Fernau, on March 22, 2003, was a city police officer for the City of Florissant and sustained an accident arising out of and in the course of his employment.
2.Employer had notice of the Employee’s accident and the Claim for Compensation was filed within the time allowed by law.
3.Employee’s average weekly wage was 973.00 per week with a compensation rate of 648.67 TTD/PTD and $340.12 for PPD.
4.Employer paid $102,944.63 for medical for the Employee.
5.Employer paid TTD in the amount of $21,870.84 for a healing period of 34 weeks from March 23, 2003 through November 16, 2003.
ISSUES
1.Liability of the Employer for past medical bills of Employee;
2.Liability for TTD/PPD/PTD;
3.Liability of the Second Injury Fund, if any;
4.Employer’s liability for future medical treatment for Employee; and
5.Attorney’s lien of J. Patrick Chassaing and Pleban and Associates.
-
-
EXHIBITS
The following exhibits were offered and admitted into evidence.
Claimant’s Exhibits:
A.Letter from Injury Specialists.
B.Deposition of Rachel Feinberg, M.D. (Volume I).
C.Deposition of Rachel Feinberg, M.D. (Volume II).
D.Deposition of Wayne Stillings, M.D.
E.Deposition of James England.
F.Deposition of Robert Margolis, M.D.
G.Patient history.
H.Customer history.
I.Records of Dr. Glogovac.
J.Florissant Police Department police report.
K.Photographs.
Employer’s Exhibits:
1.Copy of Division of Workers’ Compensation file (Injury No. 97-428707).
2.W. Stephen Knapp, D.O. office notes dated 7/17/02-8/20/02.
3.Christian Hospital Northeast admission dated 3/22/03-3/28/03.
4.W. Stephen Knapp, D.O. (primary care physician) records dated 3/22/03-4/7/03.
5.Martin B. Wice, M.D. (physiatrist) records dated 4/25/03-12/10/03.
6.Morris E. Hartstein, M.D. (oculoplastic surgeon) report dated 4/15/03.
7.Patrick Morris, D.D.S. (oral facial surgeon) records dated 4/25/03-7/22/03.
8.Laura L. Nieder, Ph.D./St. John’s Mercy Medical Center Neuropsychology Department neuropsychological evaluation dated 5/8/03.
9.John J. Purcell, Jr., M.D. (ophthalmology surgeon) report dated 5/17/04.
10.G. Robert Kletzker, M.D./Ear Care & Skull Base Surgery, Inc. records dated 6/16/03-9/11/03.
11.William M. Hart, Jr., M.D./Washington University Eye Center report dated 8/4/03.
12.Michael P. Nogalski, M.D./Orthopedic Associates, L.L.C. records dated 5/16/03-10/3/03.
13.Gary W. Farley, D.O./Northland Mid America Orthopedics records dated 4/4/03-4/23/03.
14.Robert E. Tucker, M.D./St. Louis Orthopedic Institute records dated 4/17/03-4/21/04.
15.Rachel Feinberg, M.D./Injury Specialists records dated 6/15/05-10/8/05.
16.S. Vic Glogovac, M.D. record dated 8/12/05.
17.Michael P. Nogalski, M.D. dated 2/6/06.
18.Robert E. Tucker, M.D. dated 2/1/06.
19.John A. Gragnani, M.D. dated 2/2/06.
20.Patrick A. Hogan, M.D. dated 12/9/05.
  1. Statement of Dr. Feinberg showing charges and payments.
  2. Certified records of Division of Employment Security.
  3. Certified records of Missouri Department of Conservation.* (Exhibit 23 was taken under submission

and offered by Employer pursuant to $\S 490.180$ R.S.Mo.)

  1. Certified Transcript of Glennon R. Fernau from Lindenwood University for 2004-2005.
  2. Private disability claim records of Prudential Insurance.

26.SSDI claim record.

FINDINGS OF FACT

  1. At the time of the hearing, the Claimant, Mr. Fernau, was 41 years of age and a right-hand dominant individual who was a police officer for approximately 14 years prior to his injury. On March 22, 2003, he fell down a flight of concrete stairs resulting in his injuries. Employee lost consciousness and eventually was taken from the scene of the fall by ambulance to Christian Hospital Northeast where he was diagnosed as having a jaw fracture, right orbital fracture, fifth cranial nerve injury, and seventh cranial nerve injury resulting in facial weakness and hypersensitivity, right upper extremity injuries including fracture of the right elbow, carpal tunnel syndrome, right wrist fracture and adhesive capsulitis of the right shoulder as well as hip and low back injuries. Claimant was further diagnosed with having mental/emotional trauma.
  2. Employee was in the hospital for six days and remained off work until November 2003 when his Employer allowed him to return to work at light duty capacity. The Employer, City of Florissant, terminated the Employee's employment on May 21, 2004 because of the permanent restrictions that he had.
  3. Employee's medical treatment terminated in May of 2004 and since that time to the date of the hearing his physical a

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