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Janie Wilson v. Golden Business Forms

Decision date: January 3, 200716 pages

Summary

The Commission affirmed the Administrative Law Judge's award finding the employee's shoulder and upper extremity injury compensable, modifying only the allocation of past medical expenses between insurers. The case was determined to be a temporary or partial award with proceedings kept open for potential further orders.

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This archive contains published Missouri Labor and Industrial Relations Commission workers' compensation decisions reproduced for research convenience. Official source links remain authoritative where provided. Joseph Ott, Attorney 67889, Ott Law Firm - Constant Victory - Personal Injury and Litigation maintains these public legal archives to support Missouri case research and to help prospective clients connect that research to the firm's courtroom practice.

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Caption

Issued by THE LABOR AND INDUSTRIAL RELATIONS COMMISSION
TEMPORARY OR PARTIAL AWARD (Modifying Award and Decision of Administrative Law Judge)
Injury No.: 01-041808
Employee:Janie Wilson
Employer:Golden Business Forms
Insurer:American Manufacturer’s Mutual
Additional Party:Treasurer of Missouri as Custodian of Second Injury Fund
Date of Accident:May 4, 2001
Place and County of Accident:Jasper 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, which provides for review concerning the issue of liability only. Having reviewed the evidence and considered the whole record concerning the issue of liability, the Commission finds that the award of the administrative law judge in this regard is supported by competent andsubstantial evidence and was made in accordance with the Missouri Workers’ Compensation Act. Pursuant to section 286.090 RSMo, the Commission affirms and adopts the award and decision of the administrative law judge dated June 26, 2006, asmodified herein.
We modify the award of past medical expense to reflect the stipulation of the parties that American Manufacturer’s Mutual is responsible for the payment of two expenses appearing onExhibit O; the $64.00 bill related to the March 9, 2004, treatment with Dr. Grantham and the Golden City Clinic bill. Hartford Casualty Insurance Company shall paythe remaining expenses reflected in Exhibit O.
This award is only temporary or partial, is subject to further order and the proceedings are hereby continued and kept open until a final award can be made. All parties should be aware of theprovisions of section 287.510 RSMo.
The award and decision of Administrative Law Judge Karen Wells Fisher, issued June 26, 2006, is attached and incorporated by this reference.
Given at Jefferson City, State of Missouri, this 3rd day of January 2007.
LABOR AND INDUSTRIAL RELATIONS COMMISSION
William F. Ringer, Chairman
Alice A. Bartlett, Member
John J. Hickey, Member
Attest:
Secretary

TEMPORARY OR PARTIAL AWARD

Employee: Janie Wilson

Injury No. 01-041808 / 02-039990

Before the

DIVISION OF WORKERS'

COMPENSATION

Department of Labor and Industrial Relations of Missouri

Jefferson City, Missouri

Dependents: $\quad \mathrm{n} / \mathrm{a}$

Employer: Golden Business Forms

Additional Party: n/a

Insurer: Hartford Casualty / American Manufacturer's Mutual

Hearing Date: March 27, 2006

Checked by:

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: MAY 4, 2001 AND APRIL 17, 2002
  5. State location where accident occurred or occupational disease contracted: JASPER COUNTY, MO
  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 happened or occupational disease contracted: AND PULLING
  12. Did accident or occupational disease cause death? NO
  13. Parts of body injured by accident or occupational disease: SHOULDERS AND UPPER EXTREMITIES
  14. Compensation paid to-date for temporary disability: UNKNOWN
  15. Value necessary medical aid paid to date by employer/insurer? UNKNOWN
  16. Value necessary medical aid not furnished by employer/insurer? UNKNOWN
  1. Employee's average weekly wages: $\ 390.17
  2. Weekly compensation rate: $\ 260.11
  3. Method wages computation: AGREED

COMPENSATION PAYABLE

  1. Amount of compensation payable:

Unpaid medical expenses: $\ 1,354.64

126 weeks of temporary total disability to the date of hearing (April 12, 2006) (11-22-02 through 07-25-03 and 07-07-04 through date of hearing and ordered to continue)

Future Medical: $\mathrm{n} / \mathrm{a}$

TOTAL: UNDETERMINED

Each of said payments to begin IMMEDIATELY and be subject to modification and review as provided by law. This award is only temporary or partial, is subject to further order, and the proceedings are hereby continued and the case kept open until a final award can be made.

IF THIS AWARD IS NOT COMPLIED WITH, THE AMOUNT AWARDED HEREIN MAY BE DOUBLED IN THE FINAL AWARD, IF SUCH FINAL AWARD IS IN ACCORDANCE WITH THIS TEMPORARY AWARD.

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:

MATTHEW WEBSTER

MORRISON \& WEBSTER

Employee:Janie WilsonInjury No: 01-041808 / 02-039990 Before the DIVISION OF WORKERS' COMPENSATION Department of Labor and Industrial Relations of Missouri Jefferson City, Missouri
Dependents:n/a
Employer:Golden Business Forms
Additional Partyn/a
Insurer:Hartford Casualty / American Manufacturer's MutualChecked by:

AWARD

A hearing was held in the above matter before the undersigned Administrative Law Judge on April 12, 2006. The employee appeared in person and by attorney, Matt Webster. Hartford Casualty Insurance Company was represented by, attorney, Tom Billam and American Manufacturer's Mutual was represented by, attorney, Ray Whitaker. Cara Harris, Assistant Attorney General, appeared on behalf of the Second Injury Fund.

The parties stipulated that the employee's average weekly wage was $\ 390.17 and that the workers' compensation rate was $\ 260.11. The parties further stipulated that American Manufacturer's Mutual had the workers' compensation coverage for the employer, Golden Business Forms, through July 31, 2001, and that Hartford Casualty Insurance Company had the insurance coverage beginning August 1, 2001. Additionally, at the time of hearing Hartford Casualty Insurance Company agreed to pay Dr. Grantham's bill of $\ 64.00 from March 9, 2004.

The parties indicated that the issues to be determined at this temporary hearing were: (1) Whether the alleged incident of occupational disease is causally related to the employment? (2) Whether the claimant has reached maximum medical improvement or is in need of medical treatment necessary to cure and relieve her of the symptoms of the occupational disease? (3) Whether the employee is entitled to temporary total disability benefits for the periods of November 22, 2002, through July 25, 2003 and July 7, 2004, to the present for a total of 126 weeks? (4) Whether the employer and insurer are obligated to pay for certain past medical care and expenses? (5) Upon a finding that the claimant has reached maximum medical improvement whether the employee sustained any permanent disability as a consequence of the alleged occupational disease, and if so, the nature and extent of the disability? (6) Whether American Manufacturer's Mutual or Hartford Casualty Insurance Company is responsible for the payment of the additional medical treatment and any additional unpaid benefits.

FINDINGS OF FACT

The employee testified on her own behalf at the hearing. Janie Wilson is 46 years old and lives in Lamar, Missouri. She was a long-term employee of Golden Business Forms. She began work there on May 10, 1988, and worked until she was terminated on November 22, 2002. She worked various positions with the employer over the years. Her last position being that of a "stripper." This job involved taking negatives, finding the center, then cutting them out on a slanted drafting table. The employee had reach "way up" to get orange vinyl required in this process. She testified that this job was very repetitive and hand intensive and required turning and twisting. As a part of this job she was physically flipping plates that were four feet in width. The employee indicated that she had no prior problems with her shoulders, arms, or hands. She began to have problems in both shoulder, but did not seek treatment in 2000 although she discussed it with the company nurse.

On May 3, 2001, she was required to move and work on the "jitter-johns." Her shoulders were burning, popping, and catching and she had tingling and burning in her hands. She went to Barton County Memorial Hospital emergency room on May 4, 2001. The emergency room diagnosis was of left knee and leg pain, left shoulder pain, and bilateral wrist pain. The emergency room gave her a shot and prescribed medicine and sent her to Dr. Christiansen. He indicated she was to wear braces on her wrists at all time. The employee treated with Dr. Christiansen from May 14, 2001, until July 20, 2001, without resolution of her symptoms.

She was then sent to Dr. Sprenkle in November of 2001. She was having problems with popping, catching, tingling, and swelling. She was diagnosed with bilateral carpal tunnel syndrome and left shoulder bursitis. He sent her to Dr. Duffield. Dr. Duffield performed electrodiagnostic studies which were negative on both upper extremities. Dr. Sprenkle ordered an MRI scan of the left shoulder which revealed an inferior labral irregularity. That MRI was performed on December 4, 2001. An x-ray of the left shoulder from that same date was negative. Dr. Sprenkle then referred the employee to Dr. Ogden. This, however, was not authorized. At that point in time there was a delay in care and treatment.

Employee was eventually seen by Dr. Sprenkle on January 3, 2002, for follow-up. There was no additional care and treatment until she was seen by Dr. Estep on January 6, 2003. This was after her termination date. At that point she was having shoulder pains, catching, popping, her hands were numb and swelling and she was not sleeping well due to pain in her hands. A CT arthrogram was done on the left shoulder on January 10, 2003. Therevealed a superior and posterior labral tear of the left shoulder.

The employee was sent to Dr. Esch February 3, 2003. Dr. Esch's opinion was that she had electrodiagnostically negative bilateral carpal tunnel syndromes with the left being worse than the right. She thencontinued to treat with Dr. Estep. In April 2003 Dr. Estep prescribed cortisone shots in her arms and shoulders, anti-inflammatories, and physical therapy. The employee was referred from Dr. Estep to Dr. Grantham on July 15, 2003. Dr. Grantham performed a left distal clavicle excision and left subacromial decompression on July 25, 2003. Then on September 19, 2003, he performed a right distal clavicle resection and right subacromial decompression. The employee continued therapy at Barton County Memorial Hospital.

On February 24, 2004, Dr. Grantham indicated that employee was at maximum medical improvement and that she had no restrictions and gave a two percent whole person impairment at that time. The employee went back to Dr. Grantham on March 9, 2004, at which time he diagnosed bilateral carpal tunnel syndromes. He later indicated she was having right upper extremity radicular pain and in May of 2004 noted that there was bilateral scapular dyssynchrony. She followed up with Dr. Grantham through June of 2004 when he again released her without restrictions. Dr. Grantham then lowered her rating to one percent whole person on July 8, 2004.

Dr. Koprivica evaluated the employee on September 11, 2004, for the second time. At that time he indicated that the employee was continuing to have swelling in her fingers bilaterally and that she had greater symptoms on the right than the left. She was having tingling in her fingertips and was using cervical traction at home as provide

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

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