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Larry Balch v. Brambles Equipment Services

Decision date: May 17, 201023 pages

Summary

The Labor and Industrial Relations Commission affirmed the administrative law judge's award of workers' compensation benefits to Larry D. Balch for a low back injury sustained on March 20, 2001, while lifting hoses for an air compressor. The employee was awarded 120 weeks of permanent partial disability compensation totaling $37,711.20, with medical benefits of $247,719.45 already paid by the insurer.

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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 ALLOWING COMPENSATION

(Affirming Award and Decision of Administrative Law Judge)

Injury No.: 01-025382

Employee: Larry D. Balch

Employer: Brambles Equipment Services

Insurer: Insurance Company of the State of Pennsylvania

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 Law. Pursuant to section 286.090 RSMo, the Commission affirms the award and decision of the administrative law judge dated October 21, 2009. The award and decision of Administrative Law Judge Margaret D. Landolt, issued October 21, 2009, is attached and incorporated by this reference.

The Commission further approves and affirms the administrative law judge's allowance of attorney's fee herein as being fair and reasonable.

Any past due compensation shall bear interest as provided by law.

Given at Jefferson City, State of Missouri, this $17^{\text {th }}$ day of May 2010.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

NOT SITTING

William F. Ringer, Chairman

Alice A. Bartlett, Member

John J. Hickey, Member

Attest:

AWARD

Employee: Larry D. Balch

Departments: N/A

Employer: Brambles Equipment Services

Additional Party: Second Injury Fund

Insurer: Insurance Co. of the State of Pennsylvania

Hearing Date August 3, 2009

Injury No.: 01-025382

Before the

Division of Workers'

Compensation

Department of Labor and Industrial

Relations of Missouri

Jefferson City, Missouri

Checked by: MDL

FINDINGS OF FACT AND RULINGS OF LAW

  1. Are any benefits awarded herein? Yes
  2. Was the injury or occupational disease compensable under Chapter 287? Yes
  3. Was there an accident or incident of occupational disease under the Law? Yes
  4. Date of accident or onset of occupational disease: March 20, 2001
  5. State location where accident occurred or occupational disease was contracted: New Madrid, 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? Yes
  8. Did accident or occupational disease arise out of and in the course of the employment? Yes
  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 was lifting hoses for air compressor and felt a pop in his back
  12. Did accident or occupational disease cause death? No
  13. Part(s) of body injured by accident or occupational disease: Low back
  14. Nature and extent of any permanent disability: 30 % of the body as a whole
  15. Compensation paid to-date for temporary disability: 257 and $1 / 7 weeks for \ 147,769.63
  16. Value necessary medical aid paid to date by employer/insurer? \$247,719.45
  1. Value necessary medical aid not furnished by employer/insurer? N/A
  2. Employee's average weekly wages: $\ 861.99
  3. Weekly compensation rate: $\$ 574.66 / \ 314.26
  4. Method wages computation: agreement

COMPENSATION PAYABLE

  1. Amount of compensation payable:

120 weeks of permanent partial disability from Employer \37,711.20

  1. Second Injury Fund liability: No

TOTAL: \quad \ 37,711.20

  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 25 % of all payments hereunder in favor of the following attorney for necessary legal services rendered to the claimant: Mr. Christopher A. Wagner

FINDINGS OF FACT and RULINGS OF LAW:

Employee: Larry D. Balch

Departments: N/A

Employer: Brambles Equipment Services

Additional Party: Second Injury Fund

Insurer: Insurance Co. of the State of Pennsylvania

Injury No.: 01-025382

Before the

Division of Workers'

Compensation

Department of Labor and Industrial

Relations of Missouri

Jefferson City, Missouri

Checked by: MDL

PRELIMINARIES

A hearing was held on August 3, 2009, at the Division of Workers' Compensation in the City of St. Louis, Missouri. Larry Balch ("Claimant") was represented by Mr. Christopher A. Wagner. Brambles Equipment Company ("Employer"), and its insurer Insurance Company of the State of Pennsylvania, were represented by Mr. Jay C. Lory. The Second Injury Fund was represented by Assistant Attorney General Kay A. Osborne. Mr. Wagner requested a fee of 25\% of Claimant's award. This case was consolidated for hearing with Injury No. 04-067519, which is the subject of a separate award.

The parties stipulated that on or about March 20, 2001, Claimant sustained an accidental injury arising out of and in the course of employment; Claimant was an employee of Employer; venue is proper in the City of St. Louis, Missouri; Employer received proper notice of the injury; and the claim was timely filed. The parties further stipulated Claimant was earning an average weekly wage of $\ 861.99 resulting in applicable compensation rates of $\ 574.66 for total disability benefits and $\ 314.26 for permanent partial disability benefits. Employer paid TTD benefits of $\ 147,769.63 for periods of time from August 5, 2001 to May 8, 2001; from July 24, 2001 to August 5, 2001; from February 21, 2002 to March 11, 2002; from June 12, 2002 to May 24, 2004; from June 26, 2004 through August 17, 2004; and from October 28, 2004 through July 5, 2007. Employer also paid medical benefits of $\ 247,719.45.

The issues for determination by hearing are: nature and extent of permanent partial disability; whether Claimant is permanently and totally disabled; liability of the Second Injury Fund ("SIF"); whether Employer is entitled to a credit of $\ 85,378.06 for payment of temporary total disability ("TTD") benefits; and liability of Employer for future medical care.

FINDINGS OF FACT

Based upon the competent and substantial evidence, I find:

Claimant is a 56 year old man who did not complete high school. During the eleventh grade he dropped out of school and began working for his father in the construction business.

He worked as a machinist for Emerson Electric in the early 1980s. Starting in the 1980s, he began working as a truck driver hauling equipment, and has worked in that job ever since.

During his youth, Claimant performed auto work with his father. In the early 1980s, he opened his own body shop. This business lasted only a few months, because there was not enough work. Claimant maintained a great passion and hobby for working on cars. He has purchased, built, and repaired multiple cars including some rare or classic automobiles.

Claimant sustained injuries to his right knee in the early 1980s and to his right elbow in the early 1990s. Claimant testified he underwent surgeries for both, but stated he has no ongoing complaints regarding either his right knee or right elbow.

Claimant had several heart attacks. In 1996, he underwent a coronary angioplasty for treatment of an inferior myocardial infarction. He was hospitalized again in 2002 for acute inferior wall myocardial infarction. He underwent surgery for placement of aortic stents and regularly takes heart medications. Claimant testified that since his heart attacks he has been on daily medication. Claimant testified leading up to March 20, 2001, his heart attacks did not affect his work performance in any way, it just slowed him down a little bit.

On March 20, 2001, while working for Employer, Claimant picked up an air compressor. While twisting hoses from the compressor he felt a pop in his low back. He reported the injury to Employer, and was referred to BJC Corporate Health the next day for evaluation and treatment. The initial diagnosis was lumbar strain and right mild trapezius strain. After a couple of weeks of physical therapy, Claimant underwent an MRI of his lumbar spine on April 9, 2001. The MRI revealed disc dessication and a loss in height at the L5-S1 levels and subligamentous disc bulge at L5-S1. Claimant was referred to Dr. Sandra Tate for further evaluation.

Dr. Tate recommended additional physical therapy and epidural steroid injections, and continued Claimant's Vicodin prescription. Dr. Tate initially discharged Claimant from treatment on June 5, 2001. Claimant returned to Dr. Tate on July 23, 2001, because the pain in his left lower lumbar region had returned. Claimant underwent trigger point injections but experienced minimal resolution. On August 27, 2001, Dr. Tate referred Claimant for a surgical consultation.

Claimant was referred to Dr. Philip George on September 11, 2001, who recommended ongoing conservative treatment. Claimant was instructed to perform home therapy, to quit smoking and lose weight, and Dr. George prescribed Vicodin for pain management. Another MRI was performed on March 1, 2002, which was essentially unchanged. On June 12, 2002, Dr. George noted Claimant failed conservative treatment and stated Claimant could either seek another line of work or consider lumbar spine surgery.

Claimant was referred to Dr Robert Bernardi on April 10, 2002 for a second opinion. Dr. Bernardi concluded ongoing conservative measures would not likely benefit Claimant and recommended Claimant consider an anterior fusion at L5-S1. Dr. Bernardi stated Claimant would need to decide whether his current pain had persisted long enough and adversely affected his daily activities that he would be willing to accept the risks of surgery. Dr. Bernardi told Claimant he would need to quit smoking before surgery.

Claimant continued to receive prescriptions for Vicodin from Dr. George, and was referred by Employer to Dr. David Kennedy on June 20, 2002. Dr. Kennedy found Claimant's studies showed a fairly large significant disc abnormality at L5-S1 and pain which was substantially caused by his injury. Dr. Kennedy concurred with Dr. Bernardi and recommended surgery. Dr. Kennedy advised Claimant to stop smoking. On April 18, 2003, Dr. Kennedy and Dr. Robson performed a bilateral lumbar laminectomy from L4 to S1 with a posterior fusion utilizing cages, pedicle screw fixation and an iliac crest bone graft. Following his surgery, Claimant underwent physical therapy and pain management including trigger point injections.

After surgery, Claimant testified he was feeling pretty good. He received physical therapy and the notes showed he was improving. The physical therapy records reflect Claimant was able to work on cars, go to auto shows and do social activities. They reveal Claimant removed a dashboard from a car, played pool for three hours, attended a family reunion, was doing yard work, and took a vacation to Florida.

Dr. Mishkin performed an IME on behalf of Employer on October 29, 2003. Dr. Mishkin found Claimant to be at MMI, and found Claimant's subjective complaints did not correlate with his lack of objective findings. Dr. Mishkin opined Claimant was employable, and could perform occupational duties that did not involve lifting more than 10 pounds, and allowed him to sit, stand and/or walk intermittently as desired. Dr. Mishkin did not find Claimant's incident of March 20, 2001 caused his physical findings. Employer also referred Claimant to Dr. Yadava for another IME on January 29, 2004. Dr. Yadava recommended work hardening, followed by a Functional Capacity Evaluation.

On May 11, 2004, Dr. Kennedy released Claimant to full duty without restrictions. Dr. Kennedy found Claimant to be at maximum medical improvement on May 25, 2004. Employer discontinued TTD benefits on May 25, 2004. Claimant returned to full duty work on June 21, 2004. By the time he returned to full duty, Claimant's employment with Employer was taken over by NES Equipment Services, Inc. AIG Domestic Claims represented the third party administrator for Insurance Co. of the State of Pen

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

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