- On or about October 6, 2004, Beverly Fredericks (Claimant) sustained an accidental injury arising out of and in the course of employment that resulted in injury to Claimant.
- Claimant was an employee of United Parcel Service (Employer).
- Venue is proper in the City of St Louis.
| 4) | Employer received proper notice. |
| 5) | The Claim was filed within the time prescribed by the law. |
| 6) | At the relevant time, Claimant earned an average weekly wage of 181.45, resulting in applicable rates of compensation of 120.97 for total disability benefits and $120.97 for permanentpartial disability (PPD) benefits. |
| 7) | Employer has paid medical benefits totaling $10,069.92. |
| 8) | The Second Injury Fund is being left open. |
| ISSUES: |
| 1) | Are Claimant’s injuries and continuing complaints medically causally connected to her accident at work on or about October 6,2004? |
| 2) | What is Employer’s liability for past medical expenses for the treatment covered by the lien from the Department of VeteransAffairs? |
| 3) | Is Claimant entitled to past TTD benefits from December 1, 2004 until May 16, 2006? |
| 4) | What is the nature and extent of Claimant’s permanent partial disability attributable to this accident? |
| EXHIBITS: |
| The following exhibits were admitted into evidence: |
| *Employee Exhibits:* |
| A. | Certified medical treatment records from St. Joseph Health Center |
| B. | Metro Imaging CT of the brain report dated October 15, 2004 |
| C. | Certified medical treatment records from Dr. Cynthia Byler |
| D. | Medical treatment records from The Work Center, Inc. |
| E. | Medical treatment records from the Department of Veterans Affairs |
| F. | Deposition of Dr. Frank J. Niesen, with attachments, dated September 6, 2006 |
| G. | Certified medical treatment records from Tesson Ferry Spine & Orthopedic Center |
| H. | Certified medical bills and records from the Department of Veterans Affairs totaling $3,132.34 |
| I. | Correspondence from Joseph Robbins dated December 16, 2004 |
| J. | Correspondence from Maureen Cary dated December 22, 2004 |
| K. | Correspondence from Joseph Robbins dated December 23, 2004 |
| L. | Correspondence from Joseph Robbins dated March 23, 2005 |
| *Employer/Insurer Exhibits:* |
| 1. | Deposition of Dr. R. Peter Mirkin, with attachments, dated June 12, 2006 |
| 2. | Copy of payroll for Claimant from May 17, 2006 to present |
| 3. | Excerpts from Claimant’s deposition dated June 14, 2006 |
| *Notes:* | *1) Exhibits F and 1 were admitted subject to the objections contained in the records. Unless otherwise specifically noted below, the objections are overruled and the testimony fully admitted into evidence.* |
| *2) Some of the records submitted at hearing contain handwritten comments or other marks. All of these marks were on these records at the time they were admitted into evidence and no other marks have been added since their admission on September 12, 2006.* |
Based on a comprehensive review of the substantial and competent evidence, including Claimant's testimony, the expert medical opinions and depositions, the medical records and bills, and the testimony of the other witness, as well as my personal observations of Claimant and the other witness at hearing, I find:
1) Claimant has been an employee of United Parcel Service since January 2002. She is employed in the position of revenue recovery auditor. She checks packages for weight and in doing so, often lifts oversized packages and moves them back and forth from the scale to the conveyer. Often she picks up packages that are mismarked as to weight by the customer. Leading up to October 6, 2004, she denied any problems with, or injuries on, the job.
2) Claimant testified she did have problems with her low back before October 6, 2004. She characterized the problems as musculoskeletal pain. She said she had this pain on and off for years. Claimant testified initially she had no prior missed work because of it. She also denied any prior problems with her head, neck or shoulder before October 6, 2004. She testified that she had no treatment for the low back for 2 years prior to her injury on October 6, 2004.
3) Medical treatment records from The Department of Veterans Affairs (Exhibit E) document treatment Claimant had to multiple body parts for various conditions prior to October 6, 2004. There are numerous hand-written notes going back to 1988 with descriptions of chronic back pain and sciatica for which she is treated and given Xrays. In a typed-written entry dated October 31, 1997 there is a history indicating that in May 1997 Claimant had documented low back pain radiating into the left leg for the last three weeks. She was prescribed medication. She also had complaints of low back pain in September 1997 and shoulder bursitis. Claimant provided a history, at that time, of back pain beginning in 1983 to 1984. She thought it was related to chronic lifting, although she could not recall any specific automobile accident, fall or specific incident related to the injury. She went to the aidstation repeatedly because of the back pain. She saw a chiropractor in the St. Louis area in 1987 and 1988, who she saw several months and had some relief. Most interestingly, on April 28, 1998, there is a social work note indicating Claimant has had to quit jobs because of back problems.
4) An MRI of the lumbar spine was taken at the VA Hospital on January 3, 2002. (Exhibit E) The reason for the exam was chronic persisting low back pain for over three months with numbness to both legs. The impression was moderate degenerative disc disease at L4-5 with mild disc bulge and severe degenerativ