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Meredith Smith v. W. W. Wood Products, Inc.

Decision date: October 14, 201114 pages

Summary

The Commission affirmed the administrative law judge's award allowing compensation for an occupational disease to the employee's low back arising from repetitive lifting of plywood at a banding machine. The employee was found to be permanently and totally disabled as a result of the primary back injury combining with preexisting disabilities to the knee, shoulder, ankles, and hearing.

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Caption

FINAL AWARD ALLOWING COMPENSATION
Injury No.: 05-011999
Employee:Meredith Smith
Employer:W. W. Wood Products, Inc. (settled)
Insurer:Indiana Lumbermens Mutual Insurance Company (settled)
Additional Party:Treasurer of Missouri as Custodian of the Second Injury Fund
The above-entitled workers' compensation case is submitted to the Labor and Industrial Relations Commission (Commission) for review as provided by § 287.480 RSMo. ${ }^{1}$ Having reviewed the evidence, read the briefs, 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 § 286.090 RSMo, the Commission affirms the award of the administrative law judge dated January 24, 2011, by issuing a separate opinion allowing compensation in the above-captioned case.
Preliminaries
Meredith Smith, employee, settled his claim against employer for roughly 39% permanent partial disability of the body as a whole referable to the lumbosacral spine. Employee proceeded to final hearing against the Second Injury Fund. The administrative law judge heard this matter to consider: 1) whether employee sustained an accident or occupational disease arising out of and in the course of his employment; 2) the nature and extent of any disability resulting from the alleged accident or occupational disease; and 3) the nature and extent of any Second Injury Fund liability.
The administrative law judge found that employee sustained an occupational disease to his low back, which arose out of and in the course of his employment. The administrative law judge did not address the nature and extent of employee’s disability resulting solely from the occupational disease, but concluded that employee is permanently and totally disabled as a result of the primary injury combining with his preexisting disabilities.
The Second Injury Fund appealed to the Commission alleging that the administrative law judge erred in ruling that employee is permanently and totally disabled as a result of his primary injury combining with his preexisting disabilities.
The only issue currently before the Commission is the nature and extent of Second Injury Fund liability.

Findings of Fact

Employee began working for employer in February 2004. In January 2005 employee began operating an edge banding machine for employer.

On February 7, 2005, employee was repetitively lifting heavy pieces of plywood and inserting them into a banding machine when he injured his lumbar spine. He was eventually diagnosed with a disc bulge at L4-5 as well as degenerative disc disease and degenerative joint disease.

On June 15, 2005, employee underwent an L5-S1 posterior laminectomy performed by Dr. Gibbs. Employee treated with Dr. Gibbs postoperatively. On December 1, 2005, Dr. Gibbs found that employee had reached maximum medical improvement and released him to work.

Employee attempted to return to work following the surgery, but was only able to work two days. Employee has not worked since this failed attempt to return to work.

Employee testified that standing for long periods of time causes pain in his low back, which requires him to sit or lay down to relieve the pain. Conversely, employee also testified that sitting for long periods of time causes pain in his low back, which requires him to stand or lay down to relieve the pain

Employee testified regarding preexisting injuries to his left knee, left shoulder, and bilateral ankles. Employee also testified that he had been diagnosed with bilateral hearing loss.

With respect to his left knee, employee indicated that he is unable to stand for long periods of time in one place and has to frequently shift weight due to left knee discomfort. Employee noted that his left knee swells and he has problems walking long distances due to knee pain. Employee's left knee also causes him problems with kneeling and going up ladders and stairs.

With respect to his left shoulder, employee noted pain, popping, and difficulty working with his arm raised overhead. He also noted problems pulling, pushing, and reaching with his left arm.

Employee testified that his bilateral ankle problems cause him pain and require him to shift his weight between his ankles when standing for long periods of time. Employee also experiences popping in both ankles and has difficulty walking long distances due to the pain.

Employee testified that the totality of his conditions make it difficult for him to perform any type of work. Employee stated that he is no longer able to shift weight from his left knee onto the right leg due to back and right leg pain. Likewise, he is unable to shift weight onto the left leg when experiencing radiating right leg pain due to his left knee problems.

Employee was seen by Dr. Volarich for purposes of an independent medical evaluation (IME). Dr. Volarich reviewed employee's medical records from the Brain and Neuro Spine Clinic of Missouri and the VA Medical Center. Dr. Volarich took employee's history and also performed a general physical examination of employee.

Dr. Volarich noted that employee suffers from low back pain radiating down his right leg greater than his left leg to knee level. He experiences sharp pains in the right heel. He has a hard time climbing stairs. He cannot stand on his tiptoes. He is only able to maintain a fixed position for about 20 minutes and can comfortably lift about 15 pounds, but not repetitively. Employee had none of these back difficulties prior to the development of his symptoms leading up to February 7, 2005, and he reported none of these symptoms to any doctors.

Dr. Volarich's IME also contains employee's detailed history regarding his preexisting conditions. Dr. Volarich also noted evidence of some of employee's preexisting conditions in his medical records review and physical examination.

Ultimately, Dr. Volarich opined that as a result of the primary injury, employee is 35\% permanently partially disabled of the body as a whole referable to the lumbosacral spine. With respect to employee's preexisting conditions, Dr. Volarich provided the following ratings: 1) 15 % permanent partial disability of the body as a whole rated at the lumbosacral spine due to the underlying degenerative disc disease and degenerative joint disease; 2) 20\% permanent partial disability of the left upper extremity rated at the shoulder; 3) 15 % permanent partial disability of the left lower extremity rated at the knee; 4) 25 % permanent partial disability of the right lower extremity rated at the ankle; and 5) 20 % permanent partial disability of the left lower extremity rated at the ankle.

Dr. Volarich opined that the combination of his disabilities creates a substantially greater disability than the simple sum or total of each separate injury. However, Dr. Volarich deferred to a vocational expert as to whether employee could compete in the open labor market.

Mr. England provided the only vocational expert opinion in this case. Mr. England reviewed employee's medical records and evaluated him in person on April 16, 2007.

Mr. England noted that employee was 51 years old when he evaluated him and stated that "[s]omeone his age who moves about with obvious physical problems and who has difficulty sitting or standing long would not be a very attractive potential employee to employers hiring people for entry-level service jobs." Mr. England was asked whether or not employee would be able to compete for employment in the open labor market to which he responded, "I think that if he can't function any better than he was at the time that I saw him, then I would think from a vocational standpoint he is going to be hard-pressed to maintain himself in a work setting." Finally, Mr. England concluded that "[i]f employee is not able to tolerate a regular, 40 -hour work week without lying down then I do not believe that he will ultimately be competitively employable."

Conclusions of Law

While we agree with the administrative law judge's ultimate conclusion that employee is permanently and totally disabled as a result of his primary injuries combining with his preexisting disabilities, we issue this separate opinion to provide a more thorough Second Injury Fund liability analysis.

Section 287.220 RSMo. creates the Second Injury Fund and provides when and what compensation shall be paid from the fund in "all cases of permanent disability where there has been previous disability." Before determining Second Injury Fund liability, the employer's liability must first be considered in isolation. Kizior v. Trans World Airlines, 5 S.W.3d 195 (Mo. App. W.D. 1999), overruled on other grounds, Hampton v. Big Boy Steel Erection, 121 S.W.3d 220 (Mo. banc 2003). In Kizior, the Court set out a step-by-step test for determining Second Injury Fund liability:

Section 287.220.1 contains four distinct steps in calculating the compensation due an employee, and from what source, in cases involving permanent disability: (1) the employer's liability is considered in isolation - 'the employer at the time of the last injury shall be liable only for the degree or percentage of disability which would have resulted from the last injury had there been no preexisting disability'; (2) Next, the degree or percentage of the employee's disability attributable to all injuries existing at the time of the accident is considered; (3) The degree or percentage of disability existing prior to the last injury, combined with the disability resulting from the last injury, considered alone, is deducted from the combined disability; and (4) The balance becomes the responsibility of the Second Injury Fund.

Kizior, 5 S.W.3d at 200.

1. Primary Injury

Employee credibly testified that he did not have problems with his back prior to the February 7, 2005, injury. Following the injury and surgery to his lumbar spine, employee experiences pain in his low back if he stands or sits for long periods of time and often has to lie down during the course of a week to relieve said pain.

Dr. Volarich reviewed employee's medical records, performed a physical examination of employee, and provided the only permanent partial disability rating for employee's primary injury. Dr. Volarich opined that as a result of employee's primary injury he is 35 % permanently partially disabled of the body as a whole rated at his lumbosacral spine.

We find that Dr. Volarich's permanent partial disability rating is fully supported by the evidence. Therefore, we find that the primary injury resulted in employee sustaining 35\% permanent partial disability of the body as a whole referable to his lumbosacral spine.

2. Preexisting Disabilities

With respect to employee's preexisting disabilities, employee credibly testified as to the limiting nature of his left knee, left shoulder, and bilateral ankle conditions.

Dr. Volarich was the only medical expert that provided permanent partial disability ratings for employee's preexisting conditions. In fact, Dr. Volarich is the only medical expert that even addressed employee's preexisting conditions.

- 5 -

**Injury No. 05-011999**

Based upon the record as a whole, we find that Dr. Volarich's preexisting permanent partial disability ratings are fully supported by the evidence. Therefore, we find that at the time of the February 7, 2005, injury, employee suffered from:

  1. 15% permanent partial disability of the body as a whole rated at the lumbosacral spine due to the underlying degenerative disc disease and degenerative joint disease.
  2. 20% permanent partial disability of the left upper extremity rated at the shoulder.
  3. 15% permanent partial disability of the left lower extremity rated at the knee.
  4. 25% permanent partial disability of the right lower extremity rated at the ankle.
  5. 20% permanent part

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

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