- Whether the claimant sustained an accident which arose out of and in the course and scope of employment.
- Whether the accident caused the injuries and disabilities for which benefits are being claimed.
- Whether the employer is obligated to pay past medical expenses.
- Whether the claimant has sustained injuries that will require future medical care in order to cure and relieve the claimant of the effects of the injuries.
- Any temporary total benefits owed to the claimant.
- The nature and extent of permanent disabilities.
- The liability of the Second Injury Fund for enhanced permanent partial disability.
FINDINGS OF FACT AND CONCLUSIONS OF LAW:
The claimant is 50 years old. She has a high school degree and attended college, earning an Associates of Arts in Business. She worked in clerical positions from 1986 - 1992. She has also
worked as a jewelry designer, with handicapped children, in factories, Wal-Mart, and McDonalds. Prior to 2003 she had no health problems that prevented her from working.
The employer operates a poultry processing plant. Claimant went to work for the employer in 2003. She worked in various areas of the plant including production line, boxing and wrapping, scanning and bar-coding.
On June 16, 2003, the claimant was putting blue booties over her shoes. She was required to put these on to walk through the raw side area of the plant to get to the cook side of the plant. The bench that was ordinarily in the area had been removed so the claimant was required to stand on one foot to put these on. She had put the first one on, and when she rose up to put the second one on she lost her balance and began to fall. In an attempt to keep her balance, she stumbled approximately 8-10 feet backwards before falling through two steel doors. When she fell she landed on her buttocks and hit the doors. The doors swung back and struck her head. She testified that she would not have fallen if she had not had to put on the booties and if she had the bench to sit on while putting them on.
As a result she suffered a laceration to the back of her head. She testified that she was definitely dizzy after the fall. Her head was bleeding. Someone called her daughter, and the employer sent them both by taxi to Concentra Medical Centers.
The records from Concentra Medical Centers state the claimant gave a history of "bent over to put on bootie and felt a little dizzy. Then bent over again and when standing, again got light-headed and fell backward hitting left side of head." This had not happened before. She was diagnosed with syncope and a head laceration with sutures.
She had migraines prior to a hysterectomy in 2000, which resolved after this surgery. She had no other headaches until hitting her head June 16, 2003. Claimant testified that since this time she has had pressure headaches at the temples that spread to the back of her neck. Claimant said that she can't
function or work with these headaches unless she takes medications. She would take medication for these headaches after the injury when she worked.
Claimant also testified that the day after this injury she had back pain. The employer denied the back injury. Claimant testified that this pain was across the low back. She did not have radicular pain at this time. She went to Dusty Campbell, the employer's nurse, and Kathy Best. The employer denied the back injury and did not provide her with treatment for it. In 2004 she started to develop pain in her leg. This was approximately 2 months before she saw Dr. Kyle Smith on July 15, 2004.
Dr. Smith took a history of low back problems with pain in her left leg for one month. He ordered a lumbar spine series which showed decreased disc space at L5-S1. Dr. Smith ordered medications and noted he wanted to take her off work under the Family Medical Leave Act, and that paper work was filled out accordingly. He returned her to work on August 11, 2004, without restriction. He referred her to Dr. Lee, a neurosurgeon.
An MRI was performed on July 26, 2004. This showed a mild disc bulge at L5-S1 with mass effect on the S1 nerve root as well as degenerative changes at L3-4, L4-5 and L5-S1.
Dr. Lee saw her on August 23, 2004. She gave a history of left leg pain and low back pain for a year. She had positive straight leg raising. Dr. Lee prescribed physical therapy and epidural steroid injections. At some point she took four weeks off under the Family Medical Leave Act. Claimant had physical therapy and three injections. Claimant testified that she had more relief after the third shot. She was working during this time in the stripping room.
She was released from treatment in September 2004. She said at hearing that after these shots she was 90 % symptom free. She had no limitation on her ability to work. She had headaches but could take medication and work.
On May 13, 2005, claimant was working in the box room. She bent to pick up some unmade boxes. These were approximately 3' by 4'. When she bent over to pick them up and twisted, she fel