Two physicians and one vocational expert are of the opinion that employee cannot work in the open labor market. All three experts believe employee is unemployable due to a combination of her preexisting disabilities with her primary injuries. The Second Injury Fund offered no expert evidence to rebut employee's experts.
Dr. Koprivica testified that he believes employee cannot access the open labor market and that it is unrealistic to believe that any ordinary employer could accommodate the restrictions that are necessary from employee's numerous disabilities. Dr. Koprivica attributed employee's permanent total disability to a combination of her preexisting disabilities and her primary injuries. Dr. Koprivica was of the opinion that employee's primary injuries combined with her preexisting disabilities to result in a greater disability than their simple sum. Due to the primary injuries, Dr. Koprivica would restrict employee from repetitive hand use activities, including extensive typing, repetitive pinching, and repetitive grasping. He advised that employee should avoid repetitive wrist flexion/extension or ulnar deviation of the wrist, as well as exposure of her upper extremities to vibration. Dr. Koprivica specifically opined that he does not believe employee is permanently and totally disabled if he considers only the disability resultant from the primary injury.
Dr. Koprivica explained that at the time employee experienced the cumulative trauma to her wrists, she was operating under multiple physical restrictions due to her preexisting injuries. In particular, Dr. Koprivica would restrict employee from: constant bending at the waist, pushing, pulling, twisting, squatting, crawling, kneeling, climbing, sustained awkward postures of the lumbar spine, activities above the shoulder girdle, and repetitive pushing or pulling activities using her right shoulder. Further, Dr. Koprivica would limit employee to one hour or less of captive standing or walking with the option to sit. Those preexisting restrictions had already limited employee to performing seated work. After the primary injury limited employee's ability to use her hands, she could no longer perform even seated work.
Dr. Stuckmeyer examined employee. Based upon her global orthopedic problem, with cervical, right shoulder, lumbar, and bilateral wrists and elbows, Dr. Stuckmeyer recommended that employee observe the following limitations: no repetitive pushing, pulling, lifting or reaching with the upper extremities, no lifting greater than 5 to 10 pounds overhead on an occasional basis, no lifting greater than 5 to 10 pounds from waist to shoulder, no prolonged standing, no prolonged walking, no repetitive traversing of steps, no ladder climbing, no repetitive bending, and no repetitive torsional stresses. Dr. Stuckmeyer believed employee's primary injuries combined with her preexisting disabilities to result in a greater disability than the simple sum. Dr. Stuckmeyer testified he would defer to a vocational expert's opinion regarding whether there are employment opportunities for employee. If the vocational expert believes there are none, Dr. Stuckmeyer believes employee is permanently and totally disabled.
Mr. Bud Langston testified as a vocational expert for employee. Mr. Langston testified that employee is unemployable in the open labor market. In reaching his conclusion, Mr. Langston considered the physical restrictions imposed by Dr. Koprivica and Dr. Stuckmeyer, as well as, employee's age, education, training, and her capacity for rehabilitation and re-education. Based upon these considerations, Mr. Langston does
not believe that any reasonable employer in the usual course of business would hire employee in an open labor market position.