Jeannine Reed worked for W. W. Grainger, Inc., an industrial warehouse, from 1994 through October 7, 2002. Her job title was order filler, and her duties included repetitive use of her hands, wrists and arms in taking items from shelves, placing them in boxes and carrying the boxes (weighing up to 50 pounds each) to a conveyor belt. She generally did this 8 hours per day, 5 days per week. On occasion, she would fill orders for 5 to 6 hours per day and would spend the rest of the day cleaning and stocking shelves.
In 1997, Ms. Reed started experiencing numbness in her hands. She reported this as a work-related condition to Employer and received authorized medical care. Specifically, between October of 1997 and October of 1999, she underwent surgery on three occasions which included bilateral carpal tunnel releases, bilateral trigger thumb release and excision of a cyst of the right wrist. Dr. Harris performed all of the procedures. He released Ms. Reed to full duty and from medical care on December 6, 1999.
Upon returning to work in 1999 as an order filler, Ms. Reed's job duties and work schedule were the same as they had been prior to 1997 when she first developed the numbness in her hands. Although she did not seek further treatment for the hands, she continued to have problems with them. She also experienced problems with her vision, knees and feet. Reed stopped working on October 7, 2002 due to all of these conditions but particularly for her foot condition.
Ms. Reed has a number of significant disabilities. Ms. Reed claims she is permanently totally disabled. Dr. Koprivica opines Reed is permanently totally disabled. Mary Titterington, vocational expert, believes Reed is permanently totally disabled and unemployable in the open labor market. I find based on her testimony, medical records and reports and credible expert testimony that Jeannine Reed is permanently totally disabled and unemployable in the open labor market.
Reed asserts that she is permanently totally disabled as a result of her current disability in combination with her pre-existing disabilities. She seeks an award of permanent total disability benefits from the Second Injury Fund.
Ms. Reed must prove the following: (1) that she has permanent disability as a result of a compensable workrelated injury; and (2) that she has permanent disability predating the compensable work-related injury which is of "such seriousness as to constitute a hindrance or obstacle to employment or to obtain reemployment if employee becomes unemployable," Section 287.220.1 RSMo 1994; Garribay v. Treasurer, 930 S.W.2d 57 (Mo.App. 1996); Rose v. Treasurer, 899 S.W.2d 563 (Mo.App. 1995); Leutzinger v. Treasurer, 895 S.W.2d 591 (Mo.App. 1995); and Wuebbeling v. West County Drywall, 898 S.W.2d 615 (Mo.App. 1995); and (3) that the combined effect of the disability resulting from the work-related injury and the disability that is attributable to all conditions existing at the time the last injury was sustained results in permanent total disability.
In this claim, there is no dispute that Ms. Reed sustained bilateral carpal tunnel syndrome and trigger finger in the course and scope of her employment with W. W. Grainger. The issue is whether Reed's disability became permanent on December 6, 1999 when released by Dr. Harris or whether she continued to be injured throughout her employment ending October 7, 2002. If Reed is not continuously injured following her release from medical treatment through her last date of employment, then the vision, knee and foot injuries which combined with her hands to render Reed permanently totally disabled do not predate her primary claim and, therefore, cannot