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John Bartley v. Hawthorne Inn

Decision date: February 10, 200910 pages

Summary

The Commission affirmed the Administrative Law Judge's decision denying workers' compensation benefits for an employee's alleged lower back injury from slipping on a wet surface at work. The claim against the Second Injury Fund was denied, and no compensation was awarded.

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Caption

FINAL AWARD DENYING COMPENSATION (Affirming Award and Decision of Administrative Law Judge)Injury No.: 05-099198
Employee:John Bartley
Employer:Hawthorne Inn (Settled)
Insurer:Zenith Insurance Company (Settled)
Additional Party:Treasurer of Missouri as Custodian of Second Injury Fund

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 September 5, 2008, and awards no compensation in the above-captioned case.

The award and decision of Administrative Law Judge Kevin Dinwiddie, issued September 5, 2008, is attached and incorporated by this reference.

Given at Jefferson City, State of Missouri, this 10th day of February 2009.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

William F. Ringer, Chairman

Alice A. Bartlett, Member

John J. Hickey, Member

Attest:

Secretary

Employee:John BartleyInjury No.05-099198
Dependents: theN/ABefore <br> DIVISION OF WORKERS' <br> COMPENSATION <br> Department of Labor and Industrial <br> Relations of Missouri <br> Jefferson City, Missouri
Employer:Hawthorne Inn (previously settled)
Additional Party:State Treasurer as custodian of the Second Injury Fund
Insurer:Zenith Insurance Company (previously settled)Checked by: $\mathrm{KD} / \mathrm{cmh}$
Hearing Date:Tuesday, June 3, 2008

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? No
  3. Was there an accident or incident of occupational disease under the Law? See award
  4. Date of accident or onset of occupational disease: alleged April 30, 2005
  5. State location where accident occurred or occupational disease was contracted: Franklin County, Missouri
  6. Was above employee in employ of above employer at time of alleged accident or occupational disease? Yes
  7. Did employer receive proper notice? See award
  8. Did accident or occupational disease arise out of and in the course of the employment? See award
  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:

Employee alleges to have suffered lower back injury by slipping on wet surface at work

  1. Did accident or occupational disease cause death? No Date of death: N/A
  2. Part(s) of body injured by accident or occupational disease: alleged low back
  3. Nature and extent of any permanent disability: See award
  4. Compensation paid to-date for temporary disability: None
  5. Value necessary medical aid paid to date by employer/insurer? None
  6. Value necessary medical aid not furnished by employer/insurer? None
  7. Employee's average weekly wages: maximum rate
  8. Weekly compensation rate: $\ 675.90 for ttd and ptd; $\ 354.05 for ppd
  9. Method wages computation: by agreement of the parties
  1. Amount of compensation payable: The issues as to medical causation and compensability are found in favor the Second Injury Fund. The claim as against the Second Injury Fund is denied. All other issues are rendered moot.

Total: N/A

  1. Future requirements awarded: N/A

FINDINGS OF FACT and RULINGS OF LAW:

Employee:John BartleyInjury No.05-099198
Dependents: <br> theN/ABefore <br> DIVISION OF WORKERS' <br> COMPENSATION <br> Department of Labor and Industrial
Employer:Hawthorne Inn (previously settled)Relations of Missouri
Additional Party:State Treasurer as custodian of the Second Injury FundJefferson City, Missouri
Insurer:Zenith Insurance Company (previously settled)Checked by: $\mathrm{KD} / \mathrm{cmh}$

The claimant, Mr. John Bartley, and the State Treasurer, as Custodian of The Second Injury Fund, appeared at hearing by and through the following Attorneys; Kevin Dolley for the employee; Assistant Attorney General Jennifer Sommers for the Second Injury Fund. The claim as against the employer/insurer, Hawthorne Inn/Zenith Insurance Company, was previously settled. Mr. Bartley appeared at hearing, testified on his own behalf, and was the only witness to testify in person. The parties agreed that the issues to be resolved at hearing are:

Injury by accident arising out of and in the course of employment;

Notice;

Medical causation;

Nature and extent of permanent disability; and

Liability of the Second Injury Fund

The parties were able to agree that the claimant reached maximum medical improvement on February 1, 2007.

EXHIBITS

The following exhibits were received in evidence at hearing:

A. Claim for Compensation form

B. Stipulation for Compromise Settlement between employee and employer/insurer in Injury Number 05-099198

C. IME Report of Dr. Barry Feinberg

D. IME report of Dr. Michael Chabot

E. Vocational evaluation of Delores E. Gonzalez

F. Medical records of Dr. David Robson, St. Louis Spine Care Alliance

G. Medical records of Dr. Barry Feinberg

H. Medical records of Dr. James Jansen

I. Medical records of Des Peres Square Imaging Center

J. Medical records of Des Peres Square Surgery Center

K. Medical records of Missouri Baptist (Operative report dated 11/25/96 and MRI)

L. not offered

M. Deposition of Barry Feinberg, M.D. taken 10/12/07

N. Deposition of Barry Feinberg, M.D. taken by telephone on 10/26/07

O. Deposition of Delores Gonzalez taken on 11/14/07

P. Withdrawn

Q. Withdrawn

Second Injury Fund Exhibits

  1. Deposition of Dr. David Robson taken on 4/30/08
  2. Deposition of Dr. Michael C. Chabot taken on 6/8/07
  3. Deposition of John Bartley taken on 12/8/05
  4. Deposition of John Bartley taken on 9/21/07

FINDINGS OF FACT AND RULINGS OF LAW

On 4/30/05 Mr. John Bartley was a Vice President and working manager of the Hawthorne Inn, a restaurant located in Labadie, Missouri. Mr. Bartley worked "the front of the house", and his duties included making reservations; scheduling larger parties; getting guests to their proper seating; coordinating bussers; ensuring food got to the correct tables; assisting bartenders; carrying trays of food from the kitchen weighing as much as to 30 to 35 pounds; manage the storing of beer, wine, and liquor in the kitchen; ensure proper storage of meat in a walk in refrigerator; carry up to 150 pounds of meat from cold storage to the meat table, and such items as cases of sour cream and butter weighing 30 to 40 pounds.

The claimant is 50 years old; is married to his current wife, Jane Marie; has three children for whom he no longer is providing support; is a high school graduate with some college credits; and has taken instruction and gotten certification in food safety, food handling, food temperatures, and so on, and also manages kitchen cooking, food preparation, and is responsible for all maintenance of the building and grounds.

The first thing the claimant was to do on the day of his accident was to count the money drawer at the back of the kitchen, carry it to the bar, then to the hostess stand to work on charts.

Claimant recalls that as he pushed open the swinging doors from the kitchen he slipped on ceramic tile that had been previously washed, with his left leg sliding out, resulting in an audible snap. Mr. Bartley recalls that he continued to slip, and was able to catch himself on a stack of highchairs.

Claimant recalls that he slid 10 feet; that he continued on to the bar to get the money drawer to the register; and that he felt really bad pain, like an instant jab. Claimant recalls that the onset of pain in his back and buttock was immediate and constant, and that left and right steps each caused pain in the opposing sides of the buttock muscles.

Mr. Bartley recalls that he took pain medication, as pain began to radiate into his legs. Mr. Bartley recalls that the injury occurred around 10:00 a.m. that morning, and that by 3:00 p.m., near the end of the work day, he was feeling incapable of the car ride home as he got up from sitting at a bar stool for over an hour and suffered severe pain.

Claimant recalls lying on a heating pad in bed all that night with the pain getting worse and worse. Mr. Bartley acknowledged a prior history of back pain in 1998 that came and went in the area just above the area of the more current injury at issue. Claimant recalls seeing Dr. Robson; being diagnosed as having a broken facet joint; having a fusion surgery performed in October of 1998; feeling a "pop" in the back 6 months after physical therapy; and having corrective surgery to the fusion in March of 1999.

The claimant recalls that on 5/1/05 he had a meeting with his three partners as to the feasibility of opening a second restaurant; that he attended that meeting; that he was asked why he was hobbling about; advised the partners as to where and when he slipped on the flooring; and was advised to use Blue CrossBlue Shield insurance. Mr. Bartley recalls that he requested a partner to file a report of the injury, and after the employer declined to file a report the claimant chose to file a claim for compensation on 9/19/05, roughly one month after he received no cooperation from the owners. Claimant acknowledges that he ultimately resolved his claim as against Hawthorne Inn for 12 and 1 / 2 % permanent partial disability as to the low back, with an addendum to amortize the settlement amount.

Claimant recalls seeking medical treatment by telephone call to Dr. Robson on 5/1/05, the physician who provided the prior treatment to the low back. Claimant acknowledges he gave no comment as to the nature of the injury alleged, and spoke to Dr. Robson again on 5/4/05 to complain of further pain radiating down the legs from center of the back pain at the mid buttock, feeling like an electric shock down the left leg in particular. Claimant recalls seeing Dr. Hurford on 5/09/05 and receiving an epidural injection to the sacroiliac for inflammation. Mr. Bartley notes he received some relief, with the pain returning that same evening, and returning all together the next day. Claimant recalls returning to Dr. Robson on 5/17/05, having x-rays, and was to have another injection to see if the problem was just inflammation. Mr. Bartley alleges to have had some occasional muscle spasm prior to his 4/30/05 injury, aggravating his pain but not preventing him from doing his work. Claimant relates that he had no formal weight restrictions, other than to lift only to his comfort level.

Claimant complains that after his 4/30/05 injury he suffered new symptoms of pain constant and severe, down his legs and making his toes numb. Claimant notes that he suffered more new complaints from constipation, and eventually from erectile dysfunction. Mr. Bartley alleges that pain and numbness radiating into the legs is a new complaint, and that prior to his slip a bad pain day was at level 2 or 3 with muscle spasm.

Claimant further alleges that prior to 4/30/05 his pain was higher up in the back, with leg pain and numbness relieved by surgery. Claimant alleges that after his slip his pain level reaches 8 for days, a deep and constant pain whether standing or walking. He recalls that after 5/17/05 the pain returned within hours, and he refused another pain injection until returning to see Dr. Robson on 5/24/05. Claimant relates that he had increasing pain; leg weakness; onset of severe constipation, and was obliged to walk with a cane.

Claimant recalls that in August of 2005 Dr. Robson recommended a surgery to locate nerve impingement in the back. Mr. Bartley recalls that on 10/28/05 he had s

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

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