Jeffrey Ross v. Mike Brooke Drywall, Inc.
Decision date: October 28, 201031 pages
Summary
The Commission affirmed the Administrative Law Judge's award finding that Jeffrey Ross was rendered permanently and totally disabled by his April 17, 2000 work injury alone. Medical restrictions including the need to elevate his leg and avoid trauma to his left lower extremity, combined with vocational expert testimony, established that Ross could not compete in the open labor market.
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Caption
| FINAL AWARD ALLOWING COMPENSATION (Affirming Award and Decision of Administrative Law Judge by Supplemental Opinion) | |
| Injury No.: 00-039698 | |
| Employee: | Jeffrey Ross |
| Employer: | Mike Brooke Drywall, Inc. |
| Insurer: | Truck Insurance Exchange |
| 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 January 14, 2010, as supplemented herein. The award and decision of Administrative Law Judge David L. Zerrer is attached and incorporated by this reference to the extent it is not inconsistent with our findings, conclusions, decision and award.We adopt the administrative law judge’s conclusions regarding medical causation and future medical care. We also agree with administrative law judge’s conclusion regarding the nature and extent of employee’s permanent disability; specifically, the administrative law judge’s conclusion that employee was rendered permanently and totally disabled by the April 17, 2000, work injury alone. We supplement the administrative law judge’s award to fully articulate the findings underlying our conclusion that employee was rendered permanently and totally disabled as a result of the work injury.As accurately summarized by the administrative law judge, Dr. Koprivica recommended that employee observe several physical restrictions as a result of the April 17, 2000, work injury and its sequela. Of particular note, Dr. Koprivica believes employee should avoid any activity that risks trauma to his left lower extremity due to employee’s heightened risk of developing blood clots. In addition, Dr. Koprivica believes employee needs the freedom to alternate between standing and sitting and the ability to elevate his leg. Dr. Koprivica deferred to a vocational expert on the issue of permanent total disability. He noted that if a vocational expert found employee to be unemployable in light of the restrictions Dr. Koprivica recommended as a result of the work injury, then it would be his opinion that the permanent total disability is the result of the April 17, 2000, work injury in isolation. On cross-examination by the Second Injury Fund, Dr. Koprivica reaffirmed his opinion that if a vocational expert finds employee is unemployable, Dr. Koprivica believes his unemployability is due to the disability and restrictions from the April 17, 2000, injury alone, without consideration of any prior conditions. |
Mary Titterington is a vocational expert. Ms. Titterington carefully considered the restrictions imposed upon employee by the physicians who have treated and evaluated employee. Ms. Titterington believes that employee is not employable in the open labor market because there are no jobs that fit within the physical restrictions recommended as a result of the work injury. Ms. Titterington singled out employee's need to elevate his leg as a restriction an employer would not reasonably be expected to accommodate. We find the testimony of Ms. Titterington the most credible and persuasive testimony on the issue of employee's ability to compete in the open labor market.
We believe employee is unable to compete in the open labor market due to the restrictions imposed due to the April 17, 2000, work injury. We conclude that employee was rendered permanently and totally disabled by the last injury alone. Accordingly, we affirm the award and decision of the administrative law judge, as supplemented herein.
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 $28^{\text {th }}$ day of October 2010.
LABOR AND INDUSTRIAL RELATIONS COMMISSION
William F. Ringer, Chairman
Alice A. Bartlett, Member
John J. Hickey, Member
Attest:
Secretary
AWARD
Employee: Jeffery Ross
Injury No. 00-039698
Dependents:
Before the
Employer: Mike Brooke Drywall, Inc.
DIVISION OF WORKERS' COMPENSATION
Additional Party: Second Injury Fund
Department of Labor and Industrial
Relations of Missouri
Insurer: Truck Insurance Exchange
Jefferson City, Missouri
Hearing Date: October 13, 2009
Checked by: DLZ
FINDINGS OF FACT AND RULINGS OF LAW
- Are any benefits awarded herein? Yes
- Was the injury or occupational disease compensable under Chapter 287? Yes
- Was there an accident or incident of occupational disease under the Law? Yes
- Date of accident or onset of occupational disease: April 17, 2000
- State location where accident occurred or occupational disease was contracted: Chillicothe, Livingston County, Missouri
- Was above employee in employ of above employer at time of alleged accident or occupational disease? Yes
- Did employer receive proper notice? Yes
- 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
- Was employer insured by above insurer? Yes
- Describe work employee was doing and how accident occurred or occupational disease contracted: Claimant slipped from scaffolding causing knee to twist
- Did accident or occupational disease cause death? No Date of death? N/a
- Part(s) of body injured by accident or occupational disease: Left lower extremity at the knee
- Nature and extent of any permanent disability: Permanent total disability
- Compensation paid to-date for temporary disability: $\ 27,932.32
- Value necessary medical aid paid to date by employer/insurer? $\ 68,456.14
- Value necessary medical aid not furnished by employer/insurer? None
- Employee's average weekly wages: $\ 883.20
- Weekly compensation rate: $\$ 578.48 / 303.01$
- Method wages computation: Stipulated
COMPENSATION PAYABLE
- Amount of compensation payable:
Unpaid medical expenses: -0 -
-0- weeks of temporary total disability (or temporary partial disability)
Permanent total disability benefits from Employer beginning March 22, 2001, for Claimant's lifetime
- Second Injury Fund liability: Yes No X Open
TOTAL: $\ 258,415.23
- Future requirements awarded: As provided for in this award
Said payments to begin immediately 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: Michael Knepper
Employee: Jeffery Ross
FINDINGS OF FACT and RULINGS OF LAW:
Employee: Jeffery Ross
Injury No: 00-039698
Dependents:
Employment: Mike Brooke Drywall, Inc.
Additional Party Second Injury Fund
Insurer: Truck Insurance Exchange
Before the <br> DIVISION OF WORKERS' COMPENSATION <br> Department of Labor and Industrial <br> Relations of Missouri <br> Jefferson City, Missouri
Checked by: DLZ
On October 13, 2009, the parties appeared before the undersigned Administrative Law Judge for final hearing. The Claimant appeared in person and by his attorney, Michael Knepper. The Employer appeared by attorney, Catherine Salmon. The Treasurer of the State of Missouri, as Custodian of the Second Injury Fund, appeared by Assistant Attorney General Jacinda Thudium.
The parties stipulated to certain facts which are not at issue in the claim as follows, to wit: On or about the $17^{\text {th }}$ day of April, 2000, Mike Brooke Drywall, Inc. was an employer, operating subject to the Workers' Compensation Law; the Employer's liability was fully insured by Truck Insurance Exchange; on the alleged injury date of April 17, 2000, Jeffery Ross was an employee of the Employer; the Claimant was working subject to the Workers' Compensation Law; the parties agree that on or about April 17, 2000, Claimant sustained an accident which arose out of the course of and scope of employment; the employment occurred in Boone County, Missouri, and the parties agree that Boone County, Missouri, is the proper venue for this hearing; the Claimant notified the Employer of the injury as required by Section 287.420; the Claimant's claim was filed within the time prescribed by Section 287.430; at the time of the claimed accident, Claimant's average weekly wage was $\ 883.20, sufficient to allow the following compensation rates: $\ 578.48 for temporary total disability and permanent total disability and
Employee: Jeffery Ross
Injury No. 00-039698
$\ 303.01 for permanent partial disability; temporary disability benefits have been paid in the amount of $\ 27,932.32 prior to the date of this hearing, which represents $48-2 / 7 weeks of benefits; the Employer has paid medical benefits in the amount of \ 68,456.14 prior to the date of this hearing; Claimant's attorney seeks approval of an attorney fee of 25 % of the amount of any award.
ISSUES
Whether the accident caused the injuries and disabilities for which benefits are now being claimed.
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.
The nature and extent of any permanent disabilities.
The liability of the Second Injury Fund for permanent total disability or permanent partial disability.
DISCUSSION
A legal file was established for this hearing consisting of the following documents, to wit: Claim for Compensation filed by the Claimant with the Division; Answer to Claim for Compensation filed by the Employer with the Division; Answer to Claim for Compensation filed by the Treasurer of the State of Missouri, as Custodian of the Second Injury Fund, with the Division; Amended Claim for Compensation filed by the Claimant with the Division; Answer to Amended Claim for Compensation filed by the Employer with the Division; Answer to Amended
Claim for Compensation filed by the Treasurer with the Division; Request for Final Hearing filed by the Claimant with the Division.
Claimant offered into evidence, and there were admitted, Claimant's Exhibits A, B, C, D, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W, X, Y, and Z. Employer offered, and there were admitted, Employer's Exhibits 1 and 2.
Jeffery Ross, claimant herein, testified on his own behalf. Claimant testified that he was 48 years of age at the date of hearing. Claimant lives in Callao, Missouri, where he has lived for about 16 years. Claimant attended 12 years of school and received a high school diploma.
Claimant testified that he was working in Chillicothe, Missouri, at the high school installing ceiling grids as part of an acoustical ceiling installation on April 17, 2000, when he inadvertently stepped off of scaffolding which was about two and one-half feet off the floor of the room where he was working. Claimant's left foot hit the floor while his right leg stayed on the scaffolding. The scaffolding was a platform on wheels. Claimant testified that he did not fall all the way to the floor, but when his left leg hit the floor, Claimant felt immediate pain in the left knee and he felt a "pop." The incident occurred about 3:20 in the afternoon near the end of the workday.
Claimant testified that the pain did not let up and that he hobbled around on the floor trying to walk off the pain but nothing worked, so Claimant then left the workplace and went to his home. Claimant testified that several other people were working in the same area when the incident occurred. Claimant testified that people came into the room where the incident occurred to see what the matter was. When Claimant left the job site, he was with Larry Close, a friend and co-worker. Claimant further testified t
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