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Gustave Bopp v. Fisher & Frichtel

Decision date: April 29, 200910 pages

Summary

The Commission affirmed the Administrative Law Judge's award denying workers' compensation benefits to Gustave Bopp for a cervical spine injury sustained on August 13, 2004, while hammering fence posts. Although the injury was deemed compensable and work-related, no compensation was awarded despite prior temporary disability and medical payments totaling over $142,000.

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This workers' comp decision may point to a separate injury claim.

  • A driver, contractor, property owner, or equipment company may share fault.
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Caption

FINAL AWARD DENYING COMPENSATION

(Affirming Award and Decision of Administrative Law Judge)

Injury No.: 04-141651

Employee: Gustave Bopp

Employer: Fisher \& Frichtel (Settled)

Insurer: Auto Owners 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 November 3, 2008, and awards no compensation in the above-captioned case.

The award and decision of Administrative Law Judge Suzette Carlisle, issued November 3, 2008, is attached and incorporated by this reference.

Given at Jefferson City, State of Missouri, this 29th day of April 2009.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

William F. Ringer, Chairman

Alice A. Bartlett, Member

John J. Hickey, Member

Attest:

AWARD

Employee:Gustave BoppInjury No.: 04-141651
Dependents:N/ABefore the <br> Division of Workers'
Employer:Fisher \& Frichtel (Settled)Compensation
Additional Party:Second Injury FundDepartment of Labor and Industrial <br> Relations of Missouri
Jefferson City, Missouri
Insurer:Auto Owners Insurance Company (Settled)
Hearing Date:August 6, 2008Checked by: SC:ml

FINDINGS OF FACT AND RULINGS OF LAW

  1. Are any benefits awarded herein? No

- Was the injury or occupational disease compensable under Chapter 287? Yes

  1. Was there an accident or incident of occupational disease under the Law? Yes

- Date of accident or onset of occupational disease: August 13, 2004

- State location where accident occurred or occupational disease was contracted: St. Louis, County

  1. Was above employee in employ of above employer at time of alleged accident or occupational disease? Yes
  2. Did employer receive proper notice? Yes
  3. 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

  1. Was employer insured by above insurer? Yes
  2. Describe work employee was doing and how accident occurred or occupational disease contracted: Claimant injured his cervical spine while hammering fence posts into the ground.
  3. Did accident or occupational disease cause death? No Date of death? N/A
  4. Part(s) of body injured by accident or occupational disease: Cervical spine

- Nature and extent of any permanent disability: 12.5\% PPD of the cervical spine paid by Employer

  1. Compensation paid to-date for temporary disability: $\ 20,119.93
  2. Value necessary medical aid paid to date by employer/insurer? $\ 122,564.77
  3. Value necessary medical aid not furnished by employer/insurer? N/A

- Employee's average weekly wages: $\ 736.10

  1. Weekly compensation rate: $\$ 490.73 / \ 354.05
  2. Method wages computation: Stipulation

COMPENSATION PAYABLE

  1. Second Injury Fund liability Dismissed

Total: NONE

  1. Future requirements awarded: None

Said payments to begin and to be payable and be subject to modification and review as provided by law.

The compensation awarded to the claimant shall be subject to a lien in the amount of N/A of all payments hereunder in favor of the following attorney for necessary legal services rendered to the claimant: Geoffrey Meyerkord

FINDINGS OF FACT and RULINGS OF LAW:

Employee: Gustave Bopp

Dependents: N/A

Employer: Fisher \& Frichtel (Settled)

Additional Party: Second Injury Fund

Insurer: Auto Owners Insurance Company (Settled)

Injury No.: 04-141651

Before the

Division of Workers'

Compensation

Department of Labor and Industrial

Relations of Missouri

Jefferson City, Missouri

Checked by: SC:ml

STATEMENT OF THE CASE

A hearing was held for a final award at the Missouri Division of Workers’ Compensation (“DWC)” St. Louis office at the request of Gustave Bopp (“Claimant”), on August 6, 2008, pursuant to Section 287.450 RSMo (2000).

Attorney Geoffrey Meyerkord represented Claimant and Assistant Attorney General Kareitha Osborne represented the Second Injury Fund (“SIF”).

Prior to hearing, Fischer & Frichtel (“Employer”) and Auto Owners Insurance Company (“Insurer”) settled their case with Claimant for 12.5 % of the whole person. At the hearing, Claimant submitted injury numbers 04-030630 and 04-141651 for resolution. Although separate awards were issued, the body of each award contains similar issues and facts. The record closed after presentation of evidence. Hearing venue is correct and jurisdiction properly lies with DWC.

Claimant’s Exhibits A-U are admitted over SIF’s objection to Exhibit E, based on relevance. SIF’s Exhibit I is admitted over Claimant’s objection, based on relevance. Any notations contained in the records were present when admitted into evidence.

**STIPULATIONS**

The parties stipulated that on or about August 13, 2004:

- Claimant was employed by Employer and sustained an accident which arose out of and in the course of employment in St. Louis County;

- Employer and Claimant were operating under the Missouri Workers’ Compensation Law;

- Employer’s liability was fully insured by Insurer;

- Employer had notice of the injury;

- A claim for compensation was timely filed;

- Claimant’s average weekly wage is $736.10;

- Claimant’s rate for temporary total disability (“TTD”) and permanent total disability(“PTD”) is 490.73 and 354.05 for PPD;

- Employer paid 20,119.93 in TTD benefits for 41 weeks;

- Employer paid 122,564.77 in medical benefits for injury numbers 04-141651 and 04-030630; and

- Claimant achieved maximum medical improvement (“MMI”) on August 3, 2005.

The sole issue to be decided is the nature and extent of SIF liability, if any, for PPD or PTD benefits?

**SUMMARY OF DECISION**

The entire record, including Claimant’s testimony, appearance, demeanor, medical reports, and applicable law establish SIF is not liable to Claimant for PPD or PTD benefits.

**FINDINGS OF FACT**

All evidence was reviewed, but only evidence supporting this award is referenced below. Any objections not expressly ruled upon in the award are overruled. Based upon competent and substantial evidence contained in the record, I find the following facts:

**Background Facts**

  1. Claimant was 38 years old when he sustained a cervical injury while working on August 13, 2004. He is divorced with a 6 year old child. Claimant graduated high school and attended college for one semester.

**Employment Facts**

  1. In 1992, Claimant worked as a package sorter for UPS. He worked as a laborer for Luth \& Sons, performing heavy work. Claimant was a self-employed painter for five years. He lifted ladders, paint buckets, painted over head, and maintained business records. Claimant worked for St. Joseph's Hospital as a carpenter and painter for ten years.
  2. Claimant worked as a laborer for Employer from 2000 to 2004. He supervised subcontractors in erosion control, cleaned debris from new construction, inspected and cleaned sewers and man holes, shoveled, and lifted debris, buckets and tools weighing up to 50 pounds.
  3. On or about August 12, 2004, Claimant returned to work after recovering from an earlier neck surgery. He began to construct a fence. On August 13, 2004, Claimant re-injured his neck while driving fence posts into the ground with a sixty pound cylinder. Claimant felt pain in the neck, shoulder, and arm similar to pain from the earlier injury. He completed his shift but sought medical treatment when he could not return to work the next day. After conservative treatment was unsuccessful, Dr. Bernardi performed neck surgery on January 3, 2005. This was Claimant's fifth cervical spine surgery.
  4. On October 27, 2004, Employer terminated Claimant due to a workload reduction, and Claimant received unemployment benefits in 2005. He has not worked since that time. Claimant applied for a job with Whelan Security as a driver, but failed the physical examination. Claimant testified he can no longer work, but no has doctor recommended he stop working.
  5. Complaints include pain in the neck, arms, right thigh, and occasional groin and hand numbness, and a pain level of seven to eight out of ten. He testified he takes eight-five-hundred milligrams of Vicodin per day, prescribed by his primary physician. Claimant testified he takes medication to sleep because of neck pain. He compensates by sleeping during the day. Medication affects his ability to concentrate. On a typical day, Claimant takes medication, feeds the dogs, and watches television. Claimant has gained weight due to inactivity.
  6. Claimant holds current hunting and fishing licenses, but has not hunted since July 2007. Most of his hunting time was spent socializing with friends. Claimant drives a manual shift pick up truck with a Class E drivers' license and no restrictions. He can drive seventy-nine miles one way.
  7. Mrs. Betty Jane Bopp, Claimant's mother, is a nurse and testified on his behalf. In 2006, Claimant moved in with Mrs. Bopp and Claimant's father so they could assist him. After Claimant injured his neck, Mrs. Bopp noticed he gained weight and has trouble sleeping, memory lapses, headaches, and inability to work around the house. Mrs. Bopp cooks, washes laundry, feeds the dogs, and cares for Claimant's daughter when she visits. She observed Claimant take two Vicodin pills every four hours for pain and medicine to sleep.

Pre-existing Medical Facts

  1. 10) In April 1993, Dr. Robert Bernardi revised the C6-7 fusion with a posterior fusion, C7-T1 hemilaminotomy and foraminotomy and iliac crest bone graft. Rods and bolts were placed between C6-7 and C7-8.
  2. On August 4, 2005, Dr. Bernardi placed Claimant at MMI and returned him to work with no repetitive lifting over twenty-five pounds, no intermittent lifting over fifty pounds, and no repetitive bending, neck twisting or overhead work. Dr. Bernardi noted Claimant took Flexeril and Vicodin intermittently, wrote a final prescription, and referred Claimant to his primary physician for refills.
12.Dr. Jerome Levy (retired), is a board certified surgeon, and examined Claimant onSeptember 27, 2005,
at the request of his attorney.Dr. Levy diagnosed post multiple
cervical spine, post non union at C6-7, re-fusion at C6-7extending to C7-8, and chronic cervical strain.
13.On examination, Dr. Levy found limited range of motion of the cervical spine, positiveTinel’s on the right,
and decreased sensation of the right index finger.
14.Dr. Levy rated 20% PPD of the whole person for the January 2004 accident, 20% PPD ofthe whole
person for the August 2004 accident, and 10%PPD of the whole person for
three neck injuries prior to January 2004. Dr. Levy opined the pre-existing disability wasa hindrance and obstacle to employment or re-employment
despite the absence ofsymptoms.
15.Dr. Levy restricted lifting to twentypounds, no hammering or heavy work,
recommended vocational
assessment, and deferred to a vocational specialist aboutClaimant’s ability to work.
16.Dr. Levy opined surgeries after the January and August 2004 accidents were not related tothe first three
neck surgeries.
17.Dr. Jeffrey F. Magrowski, Ph.D., is a certified vocational rehabilitation counselor. OnFebruary 7,
2008, he interviewed Claimant for three and a half hours, at his attorney’srequest. Dr. Magrowski reviewed Dr.
Levy’s report and summaries of treatment providedby Drs. Bernardi, Fisher, Tucker, and Kitchens.
18.Dr. Magrowski performed the following tests

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

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