Daniel W. Mahoney is a fifty-one year old former employee of AOL Time Warner. He had been employed by AOL Time Warner since August 19, 1995 in various capacities. On February 27, 2004, Mahoney injured his right upper extremity while operating a wrap gun while in the course and scope of his employment at AOL Time Warner. Mahoney was seen by occupational doctors until his care was referred to Dr. Allen Guinn, III. Dr. Guinn diagnosed a right wrist TFCC tear and scapholuante tear and performed surgery on April 3, 2004 on Mahoney's right wrist at Lee's Summit Hospital. Following the surgery Mahoney had physical therapy and was released on October 28, 2004 with restrictions of modified duty, no lifting of 30 pounds, no climbing ladders and no limited repetitive motion. Mahoney settled his workers' compensation claim with AOL Time Warner for 15\% permanent partial disability to the right wrist at the 175 week level on January 21, 2005.
Following Mahoney's release from Dr. Guinn, he has continued to have sharp pains in his right upper extremity, swelling, joint pain, intolerance to cold, numbness in the tips of his fingers and the palms of his hand and decreased grip, grasp and pinching.
Mahoney attempted to return to work but was unable to do so and last worked on February 3, 2005.
Mahoney had numerous physical disabilities which pre-dated the February 27, 2004 injury. On February 22, 1988 Mahoney was employed at General/Jerrold Division, and injured his right and left upper extremities and cervical area. The injury resulted in Mahoney having surgery by Dr. Gerald R. McNamara on his right upper extremity. The diagnosis was that of tenosynovitis, dorsum right wrist; volar synovitis; lipoma volar right wrist; and ringer trigger finger. The surgery was that of aspiration dorsum of the right wrist with synovectomy; excision of lipoma and synovitis, volar wrist; release A-1 trigger finger, right hand. In addition to this surgery, Mahoney had physical therapy to his right and left upper extremities and cervical area. On February 17, 1999, Mahoney settled his workers' compensation claim for 17.5 % to the body as a whole referable to his left and right upper extremity and his neck. As a result of his February 22, 1998 injury, Mahoney continued to have problems in both upper extremities, with chronic soreness and pain and numbness and tingling in both hands. Mahoney also had pain radiating into the back of his head regarding his neck injury and pain radiating into the shoulders, arms and hands and limited motion of his neck.
Additionally, Mahoney developed bilateral carpal tunnel syndrome while employed at Guardian Alarm Company on February 21, 1992. . The carpal tunnel syndrome resulted in two carpal tunnel surgeries done by Dr. John B. Moore at Baptist Medical center, the first being on the right on July 29, 1992 and the second being on the left on August, 1992. Mahoney eventually settled his workers' compensation claim for 12.5 % permanent partial disability to the body as a whole on February 22, 1993.
Following the carpal tunnel surgery and his release from Dr. Moore, Mahoney continued to have chronic soreness and pain in both upper extremities, limited ability to raise his arms above his head, inability to lift heavy object due to his pain, numbness and tingling in both hands, burning pain radiating up both arms.
Mahoney testified to chronic low back problems between September 2, 1988 and
February 27, 2004. The medical records indicate that Mahoney saw two chiropractors, a Dr. Ritchie and a Dr. Beckley 140 times for back and neck complaints between September 2, 1998 and February 27, 2004. Additionally, Mahoney treated with Dr. Linda Dorzab, his family doctor, for cervical, left shoulder and thoracic pain
in January, 1999 and missed several weeks from work because of the pain in his back.
Further, Mahoney had two heart attacks which resulted in him having two stents implanted. He was seen from 2000 to 2003 for his cardiac events at Shawnee Mission Medical Center, Olathe Medical Center, Cardiology Services, St. Luke's, St. Luke's South, Cardiovascular Consultants, Dr. Linda Dorzab, St. Joseph's Hospital and Menorah Medical Center. On January 2, 2003, after Mahoney had been off work because of his heart attacks, Dr. Randall Thompson, his cardiologist at Cardiovascular Consultants, gave him a return to work slip requiring him to avoid extreme exertion and to avoid very hot or cold temperatures above 90 degrees or below 35 degrees.
In addition to his heart problems, Mahoney has been treated for obesity before February 27, 2004 at St. Joseph's Hospital and Truman Medical Center and was diagnosed with diabetes in 2001 by his family physician, Dr. Linda Dorzab. Dr. Dorzab on January 7, 2003 and January 28, 2003 gave Mahoney substantial work restrictions. These restrictions included restrictions on lifting, standing, sitting and environmental restrictions.
Mahoney testified that as he developed the above-mentioned pre-existing conditions, his work duties at AOL Time Warner changed because of his inability to perform the various tasks of his employment.
To Mahoney's credit he continued to work and AOL Time Warner was able to accommodate his restrictions until his last injury of February 27, 2004.
Dr. P. Brent Koprivica, an occupational physician, testified on behalf of Mahoney by deposition that the employee was, in his opinion, unable to