Hearing on the above styled Claim was held on August 23, 2006 at the Division of Workers' Compensation in St. Charles County. Claimant was present and was represented by Burton A. Librach. Patrick N. McHugh represented McBaine Contracting Co. (Employer) and Missouri Employers Mutual Insurance Co. (Insurer).
The parties entered into the following stipulations:
- That Claimant was employed by McBaine Contracting Company at the time of the alleged date of accident.
- That on January 24, 2001, claimant sustained an accident arising out of and in the course of his
| employment with McBaine Contracting Company. |
| 3. | That venue is proper in St. Charles County, Missouri. |
| 4. | That timely notice of the injury was provided to Employer and a claim for compensation was filed within the time prescribed by statute. |
| 5. | That Claimant's average weekly wage was 537.60, resulting in applicable compensation rates of 358.40 for temporary total and permanent total disability benefits and $314.26 for permanentpartial disability benefits. |
| 6. | That Employer has provided temporary total disability benefits in the amount of $15,052.80 for two periods of time from February 20, 2001 through September 28, 2001 and November 10,2001 through January 21, 2002. Employer has also provided temporary partial disability benefits in the amount of $10,038.40 for the period of time of September 29, 2001 through November 9,2001. |
| 7. | That Employer has provided medical treatment in the amount of $43,917.18. |
| The issues to be determined at hearing are: |
| 1. | Medical causation of Claimant’s Depression. |
| 2. | The nature and extent of Claimant’s permanent disability, whether the disability is permanent partial or permanent total. |
| Due to the complexity of the issues presented, the amount of expert testimony presented through deposition transcripts, and the nature of the case, this award was issued by the undersignedAdministrative Law Judge in a time period that exceeded ninety days pursuant to §287.460.1 RSMo. |
| SUMMARY OF THE EVIDENCE |
| The following exhibits were offered into evidence: |
| A. | Employee’s Exhibits |
| A. | Deposition of David T. Volarich, D.O. |
| B. | Deposition of Wayne A. Stillings, M.D. |
| B1. | Supplemental report of Wayne A. Stillings, M.D. |
| C. | Deposition of James England |
| D. | Dr. Suren Chaganti-medical records |
| E. | St. Louis Connect Care-medical records (30 pages) |
| F. | St. Louis Connect Care-medical records (79 pages) |
| G. | St. Louis University Hospital-medical records |
| H. | James E. Walentynowicz, M.D.-medical report of 10/19/01 |
| B. | Employer/Insurer’s Exhibits |
| 1. | Deposition of Frank Petkovich, M.D. |
- Deposition of Stacey Smith, M.D.
- Deposition of Donna Abram
- Russell C. Cantrell, M.D.-medical report of 2/26/02
- James J. Coyle, M.D.-medical report of 12/5/01
- John D. Graham, M.D.-medical reports of 9/14/01 and 11/19/01
- PRORehab-functional capacity evaluations of 10/13/01 and 1/14/02-1/17/02; work hardening reports of 9/24/01, 10/18/01, 10/25/01-10/26/01
- Missouri Baptist Medical Center-radiology reports of 4/16/01; 9/17/01
- Claim for Compensation
- Amended Claim for Compensation-filed 9/12/05
- Claims Payments-medical and TTD benefits.
Certain Exhibits offered into evidence contained additional handwritten markings, underlining and/or highlighting on portions of the documents. Any extraneous markings on the exhibits were present when they were offered by the parties. Further, any such notes, markings and/or highlights were ignored by the undersigned ALJ in reaching any decisions made in this case.
Each exhibit was received into evidence without objection, with the exception of Exhibit B1. Employer objected to Exhibit B1 at hearing, and at the deposition of Dr. Wayne Stillings taken on November 23, 2005. The undersigned ALJ took the objection made at hearing under advisement, and the deposition transcript (Exhibit B) was offered into evidence subject to objections made at the time of the deposition.
At hearing, Employer made the following objection at the time Exhibit B1 was offered:
I have an objection to Exhibit B-1 which is the supplemental report of Dr. Stillings on the basis that its hearsay and Dr. Stillings was not a treating physician in this case. He was hired as an independent examiner on behalf of the claimant and as such, the report is not admissible under - as a treatment record. Also I believe it was raised at his deposition. It was produced at that time and the Seven-Day Rule objection was made then and that's contained in his deposition and I don't believe it was admitted at that time. Other than that I have no objections.
The deposition transcript (Exhibit B) on page 15 records the following objection to Dr. Stillings' testimony about the supplemental report, which was made after Dr. Stillings' testimony about the first conclusion in the report. "I just want to object at this point to the next conclusion that is in the report as it invades the province of the trier of fact. It calls for a legal conclusion and improper foundation for such an opinion." This same objection was again made on page 27 of Exhibit B.
At the deposition, the "seven day rule" from $\S 287.210 .3$ was not given as a basis for the objection made to the testimony (p. 15) or the admission of the report (p.27). In fact, no objection was made to the entire supplemental report, but only to the second conclusion contained in the report, regarding Dr. Stillings' opinion of Claimant's permanent disability. Therefore, the record indicates that the first time the "seven day rule" was raised was at hearing on August 23, 2006.
Dr. Stillings is a licensed medical doctor and is board certified in Psychiatry and Neurology, and competent to form an opinion regarding the alleged permanent disability of Claimant based on physical and psychiatric conditions. Further, it is necessary for Claimant to provide such evidence in order to prove his case to the trier of fact. In cases involving medical causation, which is not within the common knowledge or experience, he must present medical or scientific evidence showing the cause and effect relationship between the complained-of condition and the asserted cause. McGrath v. Satellite Sprinkler Systems, Inc. 877 S.W.2d 704, 708 (Mo.App. E.D. 1994). Employer's objection to the opinion evidence presented in Dr. Stillings' testimony at deposition on the basis that it calls for a legal conclusion, invades the province of the
trier of fact, and that an improper foundation has been laid, is overruled.
Regarding Exhibit B1, and the "seven day rule" objection made at hearing, the testimony from the deposition has been admitted, which would effectively render the objection to Exhibit B1 itself moot. Further, the deposition was held in November 2005, since Employer did not make the "seven day rule" objection until the hearing, Employer had possession of the exhibit for more than seven days prior to its introduction. The objection is overruled, and Exhibit B1 is received into evidence.