Arthur Skidmore v. Gilster Mary Lee Corporation
Decision date: November 26, 200816 pages
Summary
The Commission affirmed the Administrative Law Judge's decision denying workers' compensation benefits to Arthur Skidmore for an injury sustained on July 22, 2005, at Gilster Mary Lee Corporation. Although an accident occurred when the employee pulled a pin to release a trailer, it was determined not to constitute a compensable injury under Missouri law.
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Caption
FINAL AWARD DENYING COMPENSATION
(Affirming Award and Decision of Administrative Law Judge)
Injury No.: 05-141652
Employee: Arthur Skidmore
Employer: Gilster Mary Lee Corporation
Insurer: Self c/o Gallagher Bassett
Additional Party: Treasurer of Missouri as Custodian of Second Injury Fund (Open)
Date of Accident: July 22, 2005
Place and County of Accident: Perry County, 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 May 14, 2008, and awards no compensation in the above-captioned case.
The award and decision of Administrative Law Judge Lawrence C. Kasten, issued May 14, 2008, is attached and incorporated by this reference.
Given at Jefferson City, State of Missouri, this 26th day of November 2008.
LABOR AND INDUSTRIAL RELATIONS COMMISSION
William F. Ringer, Chairman
Alice A. Bartlett, Member
John J. Hickey, Member
Attest:
FINAL AWARD
Employee: Arthur Skidmore
Injury No. 05-141652
Employer: Gilster Mary Lee Corporation
Additional Party: Second Injury Fund
Insurer: Self c/o Gallagher Bassett
Appearances: Aaron Lefton for the employee. David Remley for the employer.
Hearing Date: February 11, 2008
Checked by: LK:kh
SUMMARY OF FINDINGS
- Are any benefits awarded herein? No.
- Was the injury or occupational disease compensable under Chapter 287? No.
- Was there an accident or incident of occupational disease under the Law? There was an accident but not a compensable injury.
- Date of accident or onset of occupational disease? July 22, 2005
- State location where accident occurred or occupational disease contracted: Perry County, Missouri.
- Was above employee in employ of above employer at time of alleged accident or occupational disease? Yes.
- Did employer receive proper notice? Undetermined
- Did accident or occupational disease arise out of and in the course of the employment? Yes.
- Was claim for compensation filed within time required by law? Yes.
- Was employer insured by above insurer? Yes.
- Describe work employee was doing and how accident happened or occupational disease contracted: The employee pulled a pin to release a trailer.
- Did accident or occupational disease cause death? No.
- Parts of body injured by accident or occupational disease: None.
- Nature and extent of any permanent disability: None.
| 15. | Compensation paid to date for temporary total disability: None. Value necessary medical aid paid to date by employer-insurer: $9,105.02. Value necessary medical aid not furnished by employer-insurer: None. Employee's average weekly wage: Undetermined. Weekly compensation rate: $696.97/$365.08 Method wages computation: By agreement. Amount of compensation payable: None. Second Injury Fund liability: None. Future requirements awarded: None. |
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| Said payments shall be payable as provided in the findings of fact and rulings of law, and shall be subject to modification and review as provided bylaw. | |
| The Compensation awarded to the claimant shall be subject to a lien in the amount of 25% of all payments hereunder in favor of thefollowing attorney for necessary legal services rendered to the claimant: N/A | |
| FINDINGS OF FACT AND RULINGS OF LAW | |
| On February 11, 2008, the employee, Arthur Skidmore, appeared in person and by his attorney, Aaron Lefton, for a temporary orpartial award. The employer was represented at the hearing by its attorney, David Remley. The Second Injury Fund claim was left open by agreement of the parties. At the time of the hearing, the parties agreed on certain undisputed facts and identified the issues that were in dispute. These undisputed facts and issues, together with a summary of the evidence and the findings of fact and rulings of law, are set forth below as follows: | |
| UNDISPUTED FACTS: | |
| 1. | Gilster-Mary Lee Corporation was operating under and subject to the provisions of the Missouri Workers’ Compensation Act and was duly qualified as a self-insured employer through their third party administrator, GallagherBassett. |
| 2. | On July 22, 2005, Arthur Skidmore was an employee of Gilster-Mary Lee Corporation and was working under the Workers’ Compensation Act. |
| 3. | On July 22, 2005, the employee sustained an accident arising out of and in the course of his employment. |
| 4. | The employee’s claim was filed within the time allowed by law. |
| 5. | The employee’s rate of compensation for temporary total disability is 696.97 per week and for permanent partial disability is 365.08 per week. |
| 6. | The employer has paid $9,105.02 in medical aid. |
| 7. | The employer has not paid any temporary disability benefits. |
| ISSUES: | |
| 1. | Notice |
| 2. | Medical causation |
| 3. | Claim for previously incurred medical |
| 4. | Claim for additional medical aid. |
| 5. | Temporary total disability |
| Judicial notice of the contents of the Division’s file for the employee were taken. | |
| EXHIBITS: | |
| The following exhibits were offered and admitted into evidence: | |
| Employee’s Exhibits | |
| A. | Medical record of Dr. Murry |
| B. | Medical records of Dr. Walls |
| C. | Medical bill of Dr. Walls |
| D. | Medical record and bill from HealthSouth Diagnostic Center |
| E. | Certified medical records of Dr. Schultz |
| F. | Bill from Dr. Schultz and Radiology Consultants of Mid-America |
| G. | Deposition of Dr. Simowitz including exhibits |
| H. | Medical records of VA Hospital |
| I. | Medical records of VA Hospital |
| J. | Certified copy of the Division of Workers’ Compensation file. |
| K. | Correspondence pertaining to the claim for compensation |
| Employer-Insurer’s Exhibits | |
| 1. | CV of Dr. Chabot |
| 2. | Medical report of Dr. Chabot dated February 1, 2007 |
| 3. | Medical report of Dr. Chabot dated May 1, 2007 |
| 4. | Medical report of Dr. Chabot dated November 30, 2007 |
| 5. | Medical record of Dr. Murry |
| 6. | Medical record of Redbud Regional Hospital |
| 7. | Deposition of Dr. Chabot |
| WITNESS: Arthur Skidmore, the employee | |
| BRIEFS: The employee’s brief was received on February 26, 2008. The employer’s brief was received on February 27, 2008. | |
| FINDINGS OF FACT: | |
| Testimony of the employee: | |
| The employee is 61-years-old and has been an over the road truck driver for forty years. Prior to working at Gilster-Mary Lee, he worked for Hoosier Air Transport. He started working for Gilster-Mary Lee on April 15, 2005, and worked for them through August of 2005. He had no problems with the DOT physicals. | |
| On March 8 or 9 of 2005, the employee slipped and fell on ice and hurt his left shoulder. He was treated at the VA Clinic and was diagnosed with a worn out rotator cuff. He had therapy. Prior to July 22, 2005, he did not take medicine for arthritis but did for his left shoulder. | |
| Prior to July 22, 2005 he had no problems, no injury and no treatment to his neck. On July 22, 2005, he hurt his neck when pulling a fifth wheel pin. He thought he had pulled a muscle in his neck and went to a chiropractor, Dr. |
Murry, the next day. The employee did not think he told Dr. Murry about pulling the pin. The employee testified that the injury was to his neck and has always been to his neck. Dr. Murry asked him what was wrong. The employee told Dr. Murry what was wrong and why he was there. Dr. Murry did not physically examine or touch his low back and did not do any range of motion testing. The employee testified that Dr. Murry did not tell him to contact his office as needed. The employee did not go back to see Dr. Murry because Dr. Murry told him he would have to see another doctor.
Between the time he saw Dr. Murry and when he saw Dr. Walls on August 18, he did not go to any other healthcare provider. He continued to work and drive a truck including continuing to pull fifth wheel pins. He was able to do everything he did prior to the accident. He waited the approximate three weeks between Dr. Murry and Dr. Walls because he thought he had just pulled a neck muscle and thought he would get over it. It was during their busy season and he was waiting for a break to get in to a doctor. He took a lot of Aleve. He told Dr. Walls how he hurt himself pulling the fifth wheel. Dr. Walls thought he had a herniated disc and ordered an MRI. The employee then thought he might have more than a pulled muscle, and the day after his first visit with Dr. Walls, he called Russell Reinhart, the outgoing dispatch person and reported it. Dr. Walls referred the employee to Dr. Schultz, a neurosurgeon. Dr. Schultz performed injections, physical therapy, muscle relaxers and a discogram.
He worked for Hoosier Air until June 16, 2006 when Dr. Walls took him off work. On August 20, 2007, Dr. Walls put him back to work because he needed money. He worked for Hoosier until September 23, 2007. On September 23, the employee thought that the back of his head was going to blow out and he could not continue to work. Since then he has been unable to work and is on disability. As of the date of the hearing, he was still under active medical care.
Medical Records Prior to July 22, 2005:
On July 6, 2004 the employee saw a VA nurse for shooting pain in the upper right arm and X-rays were ordered. On July 7, the employee went to the VA clinic for pain in the right upper extremity between the shoulder and the elbow. The nurse practitioner noted that the x-rays were essentially normal. She did not believe it involved the joint and did not believe it to be neurological in nature. He was prescribed Etodolac for pain. On July16, x-rays of the right humerus showed degenerative changes.
On March 11, 2005 the employee went to the VA emergency room after falling on ice and landing on the left shoulder. The employee had severe pain and loss of use of his left arm and shoulder. He had restricted range of motion and was unable to sleep. The doctor prescribed ibuprofen and a Toradol injection for pain. The employee went to the VA emergency room on March 12 with a tender left shoulder in the dorsal left rotator cuff and decreased range of motion. The x-ray of the left shoulder showed degenerative changes of the acromioclavicular joint. The doctor diagnosed a rotator cuff strain, prescribed ibuprofen and referred the employee for an orthopedic consultation.
On March 25, 2005 the employee saw the doctor at the VA with a shoulder sprain/strain and chronic left shoulder pain with limitations of motion. The employee had ten out of ten pain with movement; tightness along the left upper trapezius; and tightness and tenderness in the left pectoralis minor muscle. The employee had limitation of motion secondary to pain. The employee was prescribed therapy for pain and lost motion. At the initial therapy consultation on March 25, it was noted that employee had limitation of motion; and tightness along the left upper trapezius and tightness and tenderness along the left pectoralis minor muscle. The employee had physical therapy several times in March and April. On April 7, the employee had chronic left shoulder pain with limitation of motion with spasms in the left upper arm.
Records after July 22, 2005:
The employee saw Dr. Murry, a chiropractor on July 23, 2005, and reported moderate pain between the shoulder blades, moderate low back pain, moderate low back muscle spasms and moderate restricted motion
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