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Lieutenant Carter v. Lemay Concrete Block Co.

Decision date: July 31, 200715 pages

Summary

The Labor and Industrial Relations Commission affirmed the Administrative Law Judge's decision denying workers' compensation benefits despite finding the injury compensable under Chapter 287. Although the claimant sustained a right shoulder injury when his jacket became caught in machinery on March 11, 2005, no compensation was awarded in the final determination.

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This workers' comp decision may point to a separate injury claim.

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Caption

Issued by THE LABOR AND INDUSTRIAL RELATIONS COMMISSION
FINAL AWARD DENYING COMPENSATION (Affirming Award and Decision of Administrative Law Judge)
Injury No.: 05-019476
Employee:Lieutenant Carter
Employer:Lemay Concrete Block Co. (Settled)
Insurer:Missouri Employers Mutual Insurance Co. (Settled)
Additional Party:Treasurer of Missouri as Custodian of Second Injury Fund
Date of Accident:March 11, 2005
Place and County of Accident:St. Louis, Missouri
The above-entitled workers' compensation case is submitted to the Labor and Industrial Relations Commission (Commission) for review as provided by section 287.480 RSMo. Having reviewed the evidence and considered the whole record, the Commission finds that the award of the administrative law judge is supported by competent and substantial evidence and was made in accordance with the Missouri Workers' Compensation Act. Pursuant to section 286.090 RSMo, the Commission affirms the award and decision of the administrative law judge dated March 29, 2007, and awards no compensation in the above-captioned case.
On June 27, 2007, the Second Injury Fund filed a Motion for Sanctions for Filing Frivolous Appeal. On July 2, 2007 the employee filed a Motion for Sanctions. All motions are denied.
The award and decision of Administrative Law Judge Suzette Carlisle, issued March 29, 2007, is attached and incorporated by this reference.
Given at Jefferson City, State of Missouri, this ___ 31st__ day of July 2007.
LABOR AND INDUSTRIAL RELATIONS COMMISSION
William F. Ringer, Chairman
Alice A. Bartlett, Member
Attest:John J. Hickey, Member
Secretary
AWARD
Employee:Lieutenant Carter
Dependents:N/ABefore the
Division of Workers’
Employer:Lemay Concrete Block Co. (Settled)Compensation
Department of Labor and Industrial
Additional Party:Second Injury FundRelations of Missouri
Jefferson City, Missouri
Insurer:Missouri Employers Mutual Insurance (Settled)
Hearing Date:January 16, 2007Checked by: SC:tr

FINDINGS OF FACT AND RULINGS OF LAW

  1. Are any benefits awarded herein? No
  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 11, 2005
  5. State location where accident occurred or occupational disease was contracted: St. Louis, 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 occurred or occupational disease contracted:

While working, Claimant's jacket became caught in a machine injuring his right shoulder. 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 shoulder 14. Nature and extent of any permanent disability: 20 % of the right shoulder at the 232 week level 15. Compensation paid to-date for temporary disability: $\ 2,894.62 16. Value necessary medical aid paid to date by employer/insurer? $\ 4,693.68

Employee: Lieutenant Carter Injury No.: 05-019476 17. Value necessary medical aid not furnished by employer/insurer? N/A 18. Employee's average weekly wages: $\ 400.00 19. Weekly compensation rate: $\quad \$ 266.67 / \ 266.67 20. Method wages computation: Section 287.250.1.5

COMPENSATION PAYABLE

  1. Amount of compensation payable:
22. Second Injury Fund liability:No
TOTAL:-0-
  1. Future requirements awarded: None

Said payments to begin 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 N/A of all payments hereunder in favor of the following attorney for necessary legal services rendered to the claimant:

Ray Gerritzen

FINDINGS OF FACT and RULINGS OF LAW:

Employee:Lieutenant CarterInjury No.: 05-019476
Dependents:N/ABefore the
Division of Workers'
Employer:Lemay Concrete Block Co.(Settled)Compensation
Department of Labor and Industrial
Additional Party:Second Injury FundRelations of Missouri
Jefferson City, Missouri
Insurer:Missouri Employers Mutual Insurance (Settled)Checked by: SC:tr

PRELIMINARY MATTERS

A hearing was held at the Missouri Division of Workers’ Compensation, St. Louis office, on January 16, 2007 at the request of Lieutenant Carter ("Claimant"). Attorney Ray Gerritzen represented Claimant. The Second Injury Fund ("SIF") appeared represented by Assistant Attorney General Kevin Nelson. Prior to hearing, Claimant settled the claim with Lemay Concrete Block Co. ("Employer") and Missouri Employers Mutual Insurance ("Insurer"). The record closed after presentation of all the evidence. Hearing venue is correct and jurisdiction properly lies with the Missouri Division of Workers’ Compensation.

ISSUES

The parties have agreed the issues for disposition are:

  1. Accident;
  2. Rate; and
  3. Nature and extent of SIF liability, if any, for permanent partial disability (PPD) or permanent total disability (PTD).

EXHIBITS

Claimant offered Exhibits A through L, which were admitted over SIF objection to Exhibit A. ${ }^{[1]}$ The SIF offered Exhibits I through IX. Exhibits I -VI were admitted over Claimant's objection to Exhibits II through VI. ${ }^{[2]} Exhibits VII and VIII are inadmissible hearsay and not admitted. { }^{[3]}$ SIF motion to clarify the record by adding evidence after the record closed is denied. ${ }^{[4]}$ Any objections not expressly ruled on in this award are overruled. Any notations contained in the records were present when admitted into evidence.

SUMMARY OF EVIDENCE <br> Live Testimony <br> Claimant

  1. Claimant was 40 years old in March, 2005. He quit school in $9^{\text {th }}$ grade at age 18 and did not obtain a GED.
  2. After leaving school, Claimant worked "odd jobs", planting trees, mowing lawns, working in a car wash, kitchen, restaurant, hotels, and a warehouse, and through temporary agencies.
  3. Claimant testified he aspired to be a 'top chef'; so most of his work was performed in the kitchen. He cooked for week long parties at Henry the VIII Hotel and for the Canteen Corporation at the Chrysler Corporation plant.
  4. Claimant testified he was often paid in cash and the income was not reported to the IRS or the Missouri Department of Revenue.
  5. Claimant is right handed and denied any right-shoulder problems prior to March 11, 2005.
  6. Claimant was hired March 5, 2005 and began working full time March $7^{\text {th }} earning \ 10.00 an hour for eight hours a day. Some days he worked more than eight hours. Claimant described the work as "strong hard labor," lifting 50 to 90 pound blocks, moving skids, sweeping, and driving a forklift.
  7. On March 11, 2005 shortly after arriving at work, Claimant testified he cleaned a machine by bending and "going into the machine and pulling" gravel from underneath using a hoe. The machine ran constantly and contained 9 huge blocks used to move pallets electronically.
  8. While bending over the machine, Claimant's jacket became caught for 20 minutes, as his life flashed before his eyes.
  9. The same day, Claimant treated at St. Louis University Hospital (SLU) where he was hospitalized, received medication, x-rays, and bed rest until March $13^{\text {th }}$. Claimant denied giving a history of crawling under the machine, calling the SLU intake information a lie. Claimant testified he gave the best history he could give as he was alone and in pain.
  10. Claimant testified that Dr. Nogalski placed Claimant's arm in a sling and ordered physical therapy at ProRehab and limited Claimant's lifting to ten pounds.
  11. Claimant returned to work on May the $10^{\text {th }} and only worked 51 / 2 hours due to pain. On May 11^{\text {th }}, Claimant worked 11 / 2 hours with a pain level of 8 out of 10 . Claimant's last day at work was May 16^{\text {th }}$ when he worked 6 hours and asked Dr. Nogalski to keep him off work until he completed therapy. He did not call or report to work again.
  12. Claimant testified he injured his right shoulder, punctured his lung, fractured a rib and has a protruding right scapular bone. He complained of great pain and nightmares from the injury.
  13. Claimant described his typical day as being stuck in the house, and that he might as well be in jail. He can perform light housework but not heavy work in the kitchen or yard. Claimant cannot play baseball, swim, or play football to the extent he once did. Claimant uses his left arm for many activities. Claimant plays set shots in basketball and shoots with his left arm. Claimant has problems sleeping on his right side or lifting overhead.
  14. Before March 11, 2005, Claimant testified he had no problems doing anything he wanted to do, including working a physical job. Claimant testified he lifted weights up to approximately 475 pounds before the injury, but now he cannot. Now he feels stuck and unable to deal with "things."
  15. Claimant testified that because of the injury, his dream of becoming a top chef has gone to "crap." Claimant believes his life is a "done deal." Claimant would like to write a book but cannot, due to his right hand problems and inability to use a computer.
  16. Claimant does not believe he can work because he uses his right hand for everything.
  17. He believes his life is "through" due to the March injury; and that working "ain't gonna happen." Claimant attributed his inability to work to the March 2005 injury.
  18. Later in the hearing, Claimant could not remember what year his work-related injury occurred; but was certain it happened by 2000. Claimant was uncertain where and when he received treatment for his right shoulder injury. Claimant testified he has difficulty remembering details, which was supported by the medical records.
19. Claimant testified he was dropped on his head at birth. There is no evidence in the record to support Claimant’s testimony. Before March 2005, Claimant testified to having preexisting paranoid schizophrenia and “grand mal seizures caused by heat.” Claimant has suffered from mental illness all of his life. Claimant testified his recall is inaccurate and he is prone to hallucinations such as being a top chef, murderer, or cutting people for money.20. Claimant testified he was hospitalized at Alexian Brothers Hospital for a left-sided stroke prior to March 11, 2005. Later, Claimant testified he was hallucinating about having a stroke.21. Claimant refused to testify whether he told Dr. Mangelsdorf he was incarcerated for 14 years or shot and cut people for money; stating it was “none of the SIF’s business.”22. Claimant testified he has been admitted to a number of psychiatric facilities during his lifetime; including Malcolm Bliss, Barnes, and Alexian Brothers Hospital. Claimant testified his preexisting mental condition did not prevent him from living a normal life.
*Work History*
23. Claimant described himself as a hard worker who loved to work and did so when not hospitalized.
24. On cross examination, Claimant denied using other names with the Social Security Administration (SSA) but admitted working under the following names because the employer either used a nickname or made a mistake: 1) 1985-87 - “R. Carter” - a sports service company, 2) 1990 - “LT Carter,” - Goodwill Industries, 3) 1994 - “LL Carter” – Catering St. Louis, Inc., and 4) 1995 - “LC Ca

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

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