Claimant testified at hearing. His testimony was credible. He testified he slipped and fell while trying to tighten a fitting on a screw machine. The floor was oily and slippery, and because he has trouble with his hands, he lost his grip on the wrench and slipped and fell onto the concrete floor. As a result of the fall, Claimant broke his hip, requiring surgical placement of hardware to repair. He also suffered injuries to his right knee and ankle.
After he completed treatment for these injuries, he continued to have problems with his right lower extremity. As a result of the injury of November 1, 2005, Claimant can't squat or kneel. He can't sit or stand for very long; he has to move around at times to keep his leg comfortable. He walks more carefully. He has limited use of the right leg.
Claimant testified he was in a serious car accident in October or November 2004. As a result of this accident, he suffered some broken bones in his neck. He described the surgery as having donor bones fused in his neck and held in place with hardware. The hardware made it hard to swallow and he lost a significant amount of weight. He returned to work in January of 2005. He needed some help at work because after the neck injury he had numbness in some of the fingers in both hands which affected his ability to work. He also had pain in his neck, and he lost significant range of motion in his neck.
Claimant also testified that prior to the November 1, 2005 injury he had bronchitis and emphysema. Claimant testified that he sometimes becomes tired and has coughing spells as a result of his pulmonary disease. He testified the pulmonary disease affected him at work because he would at times have to take breaks due to fatigue and coughing spells.
Dr. David Volarich conducted a medical examination of Claimant. Dr. Volarich performed a physical examination, obtained a medical history, and reviewed medical records. Dr. Volarich gave the following opinions regarding permanent partial disability of Claimant from the work injury of November 1, 2005:
1 There is a 65 % permanent partial disability of the right lower extremity rated at the hip due to the comminuted intertrochanteric fracture that required open reduction internal fixation. The rating accounts for ongoing pain, lost motion, atrophy, weakness, and limp involving the right lower extremity.
- There is a 20 % permanent partial disability of the right lower extremity rated at the knee due to the strain injury and aggravation of degenerative arthritis with symptoms of pes anserine bursa irritation. The rating accounts for lost motion and weakness as well as crepitus in this joint.
- There is a 20 % permanent partial disability of the right lower extremity rated at the ankle due to the strain injury and aggravation of underlying arthritis. The rating accounts for pain, lost motion, and swelling in this joint.
Dr. Volarich's opinions regarding Claimant's pre-existing disabilities are as follows:
- With regard to pre-existing disabilities referable to the cervical spine pre-existing his November 1, 2005 work accident, it is my opinion that there should be a 27.5 % permanent partial disability of the body as a whole rated at the cervical spine due to the anterior and posterior fusions required at the C6-7 level that continue to cause ongoing neck stiffness, lost motion, and difficulty with swallowing.
- There is a 20 % permanent partial disability of the body as a whole rated at the pulmonary system due to his COPD causing some intermittent fatigue and occasional shortness of breath as well as recurrent cough.
Dr. Volarich further opines Claimant is permanently and totally disabled as a direct result of the work related injury of November 1, 2005 in combination with his pre-existing medical conditions.
Claimant was evaluated by Mr. James England, a vocational counselor. Mr. England found Claimant was permanently and totally disabled due to the combination of his injuries. Mr. England testified that based o