Employee testified to being 33 years of age on the date of the hearing. Employee graduated from high school in 1991 and has also obtained an Associates' Degree from Linn State Technical College.
The employee began working for the Employer in March or April 2006 as a "Man up operator" in the repack department. His job duties required operating a fork lift 50 % of the time and lifting, stooping and bending the other 50 % of the time. His schedule was Friday through Sunday reporting to work at 6:00 a.m. and working a 12 hour shift each day.
On Saturday, July 8, 2006, he was "farmed out" (a term used by the employer when an employee is sent to another department to help out) to the case pack department. The case pack department was running behind and not getting the production they needed so they needed more people to speed up the process. Employee testified that the work in the case pack department was very fast paced. His duties in case pack required lifting boxes or cases off a pallet, sometimes stacked as high as head height and sometimes as low as shin height, weighing anywhere from 1 to 60 pounds and then turning and placing the box on a conveyor belt. According to Ms. Carmen Tiffany, supervisor for the case pack department, 90 % of the job involves bending, lifting, and stooping (Employee's Exhibit C, p.16). When all the boxes had been taken off a pallet, the empty pallet was then to be picked up and taken to a designated area so that a new freshly stocked pallet could be brought in.
Employee testified that he was bending over to pick up an empty pallet off the floor when he felt immediate sharp pain in his lower middle back just above the belt line and slightly to the left. He set down on his heels for a few seconds because of the pain and then reported the incident to Ms. Tiffany, the department supervisor, and indicated that he believed he needed treatment. Ms. Tiffany began to complete an accident report as she and the employee were walking toward the front when she came upon Ms. Tracy Strange, the repack supervisor. Ms. Tiffany basically turned the matter over to Ms. Strange at that point.
Upon completing the necessary paperwork, Employee was taken to Urgent Care at University Hospital where he was examined, given medications and work restrictions. Because of the pain and work restrictions, Employee missed his next scheduled shift on Sunday.
On Monday, July 10, 2006, Employee called the Employer and left a message. A couple of days later, the Employee had a telephone conversation with David Steffes, claims representative for the Employer who is responsible for handling workers' compensation matters for the Employer. The Employee asked if the Employer had light duty work to accommodate the doctor's work restrictions and was informed that his case was being denied, no accommodations would be made for the restrictions and he would have to come back to work.
Over the next couple of weeks, the Employee spent most of his time in bed as a result of the pain. On July 26, 2006, Employee presented to the Columbia Orthopaedic Group for treatment and saw Dr. Randal Trecha. Employee reported low back and left leg pain. Dr. Trecha compiled a history, which included a description of the incident and also noted no prior back complaints. The doctor also performed a physical examination and found restriction with flexion; complaints of pain with attempts at flexion and extension; weakness in muscles to the left foot; and a tension sign indicating nerve root irritability on the left side. Dr. Trecha suspected a possible herniated nucleus pulposus, lumbar spine and ordered an MRI. The doctor placed the Employee on work restrictions of eight hours a day, no bending, no repetitive lifting, and a ten-pound lifting restriction. Employee testified his employment was terminated on August 4, 2006, because he was unable to work.
The MRI was performed on September 11, 2006. Dr. Trecha noted the MRI revealed desiccation of intervertebral disc and disc space collapse at L5-S1 with herniated nucleus pulposus and a large fragment on the left side, which was pushing on the nerves. The doctor recommended conservative care and ultimately administered a series of three epidural steroid injections on September 11, October 16, and November 10, 2006. Employee experienced some temporary relief after each injection. At the time of his deposition on December 15, 2006, the doctor had not seen the Employee since November 10, but noted he was scheduled to see the Employee the following month in January 2007. The doctor stated that if the Employee was doing fine when he saw him, there would be no need for further treatment, but if the symptoms were the same as when he first saw the Employee, he would likely recommend a microdiscectomy. At the time of his depositio