Claimant has not established that he has a combination of injuries which is greater than their simple sum total. There is no doubt Claimant experienced a serious foot injury. There is no doubt that he also has asthma. The severity of the asthma, however, would not meet the 12.5 / 15 % threshold necessary to qualify for Second Injury Fund benefits. But, more importantly, assuming that the asthma was severe enough to qualify as a threshold permanent partial disability, I cannot to see where there is any synergistic effect between the foot injury and the asthma. §287.200 RSMo No doctor has testified to the synergistic effect and, as a matter of logic, I do not see how the two could work in tandem to create a disability greater than their simple sum total. Permanent partial disability based on synergy has been awarded in the past without a doctor's testimony as in the case of Walter Bell v. Apostles of the Sacred Heart, No. 99-148465 (LIRC March 4, 2004), but the synergistic effect in that case was rather obvious. See also, Bock v. City of Columbia, slip op, Case No. W.D. December 30, 2008 (Mo. App. W.D. December 30, 2008)
Unlike Bell, Id., I cannot find where Claimant is deprived of the ability to perform any physical tasks by reason of the combination of these two conditions. Perhaps difficulty in walking makes him breathe harder, but I am not comfortable in awarding synergy in this case without expert testimony.
Claimant is an extremely pleasant individual. He is somewhat stoic and is definitely not given to complaining. He has suffered some serious tragedies in his life, but the fact remains I simply cannot find the requisite evidence to support an award of synergistic permanent partial disability.
I only see the sum total of two injuries.
| Date: | Made by: |
| Matthew D. Vacca |
| Administrative Law Judge |
| Division of Workers' Compensation |
A true copy: Attest:
Division of Workers' Compensation