Claimant testified in person. He is 69 years old. He is employed as a corrections officer in the Buchanan County Sheriff's Department. He started his employment on September 1, 2002. I found claimant to be a believable witness.
The claimant normally works a shift from 3:00 p.m. to 11:00 p.m., Monday through Friday. He said he is on call 24 hours a day, seven days a week. His duties include overseeing the pods where the prisoners are located. Sometimes he is required to assist the Sheriff's Department in their tasks. He might be required to transport prisoners back and forth from the Law Enforcement Center across the street to the Buchanan County Courthouse. Mr. Wilson said that he is officially on duty from the time he enters the parking lot until he leaves the parking lot.
He is required to park his automobile in the Sheriff's parking lot. This lot adjoins the Law Enforcement Center and is directly west on the same block as the Law Enforcement Center. The lot is fenced and gated. It requires a special key in order to gain admittance. The parking lot is only used by law enforcement personnel and some employees of the Buchanan County Courthouse. The parking lot appears to be owned and operated by Buchanan County. Members of the public are not granted admission to the parking lot.
Mr. Wilson said that he was on the clock as soon as he entered the parking lot and remained on the clock until he left the parking lot. December 12, 2008 was a clear day although the previous day there had been an ice storm.
The claimant testified that he entered the parking lot his regularly scheduled time. He exited his vehicle and walked around the back of his vehicle and slipped on some black ice that was covering the parking lot. At the time of his fall, he was in the process of going to observe a vehicle that belonged to one of the Sheriff's detectives. The previous date the detective's vehicle had been involved in an accident. Apparently, a vehicle being driven by one of the Sheriff's detectives had been hit when it was in the parking lot. The claimant's car had been in the vicinity of the detective's car around the time it had been scarped or scratched.
The claimant had heard his license number being run by the dispatcher. He testified that at the time of the injury, he was walking over to investigate the detective's car damage. He was doing this so that if he was questioned by the Sheriff about the incident, he would be able to answer the Sheriff's questions.
When claimant fell, he sustained a right ankle fracture dislocation. While in the parking lot, claimant's ankle was braced and an ambulance was called. Claimant was transported to Heartland Regional Medical Center. Once at the hospital, claimant was taken to surgery and Dr. Trease performed an open reduction and internal fixation of the fibula. The surgery reduced the ankle mortise gap medially. This required that a lag screw and lateral plate be placed into claimant's fractured ankle.
Claimant did follow up care with Dr. Trease. Claimant testified that he had to have a second surgery to remove the hardware. The hardware was causing him significant pain. This procedure was also performed by Dr. Trease. Claimant's surgery and follow up care required that Mr. Wilson miss work. Claimant missed work from 12/12/08 to 2/24/09.
On July 2, 2009, client had to be readmitted to Heartland Regional Medical Center. Claimant had developed an infection near the site of his previous ankle surgery. Claimant had been dealing with swelling and discomfort for a period of two (2) weeks prior to his admission to Heartland Regional Medical Center. Claimant's primary care doctor, Dr. Kafka, had opened a small area near the scar site and drained frank pus. Dr. Kafka recommended that Mr. Wilson be admitted to the hospital. Based upon Dr. Kafka's recommendation, claimant was admitted to Heartland Regional Medical Center. Claimant was diagnosed with a staph infection and treated with Vancomycin IV and a PICC line was placed in claimant's arm.
Claimant testified that he then developed a fungal infection in his mouth. The fungal infection was the result of the medication that Mr. Wilson was required to take for the staph infection. Eventually, the staph infection and fungal infection resolved. Claimant was on IV antibiotics for approximately two (2) months.
As a result of this staph infection the claimant was unable to work from July 2, 2009 until July 22, 2009 .
The employer argues that the claimant's injury did not arise out of and in the course of his employment and is barred by Hager v. Syberg's Westport, 304 SW 3d 771 (Mo. App. E.D. 2010). In Hager's, the facts are very similar to the facts in this case with only two major distinctions.
The first disparity is that in Hager the employer leased the parking lot and did not control the maintenance of the parking lot and the parking lot was not in the control of the employer. Here, the employer owned and controlled the parking. It was an extension of the employer's premise.
The second distinction is that in Hager the claimant was simply leaving his place of employment after he had completed his work shift and checked out. In this case, the claimant was seeking information to inform his employer. He had clocked in when he passed through the gate and entered the parking lot.
I find Mr. Wilson did have an accident arising out of and in the course of his employment.
John A. Pazell, M.D., testified by deposition taken on August 19, 2010 and admitted into evidence as Claimant's Exhibit Number C. All objections thereto are hereby overruled.
Dr. Pazell examined the claimant on April 16, 2009 and January 4, 2010. He found the claimant had a fracture dislocation of his right ankle. Both the tibia and fibula were fractured and dislocated. Both were broken in inner and outer parts of the ankle. This required original surgical intervention. This required an open reduction and internal fixation and surgical intervention were preformed. Screws and a plate were inserted.
Unfortunately, Mr. Wilson developed a severe type of staff infection on his ankle. It was a Methicillin-resistant staph infection. The claimant was hospitalized because of this and this also caused a fungal infection in Mr. Wilson's mouth that had to be treated. The claimant has had the screws and plate removed from his ankle as part of the treatment for the staph infection.
Dr. Pazell said the infection was caused by his surgery as there was no other explanation as to why the infection would have developed.
Dr. Pazell noted the claimant suffers pain and loss of motion in his right ankle. He rated the claimant as having a 30 % permanent partial disability to his right ankle.
The report for Chris D. Fevurly, M.D., was admitted into evidence as Employer/Insurer's Exhibit Number 1. Dr. Fevurly examined the claimant on June 16, 2010. He medically causally related the claimant's fracture and resulting staph infection and his oral fungal infection to claimant's fall.
Dr. Fevurly rated the claimant as having a 15 % permanent partial disability to his right ankle as a result of his fall.
I find and believe from the evidence that as a result of the claimant's accident arising out of and in the course of his employment on December 12, 2008, the claimant has sustained a permanent partial disability of 25 % of his right ankle. I order and direct the employer to pay to the claimant $\ 363.71 for 38.75 weeks for a total of $\ 14,093.76.
As a result of his injury, the claimant was temporarily totally disabled and unable to compete in the open labor market for 13-2/7 weeks. I order and direct the employer to pay to the claimant the sum of $\ 363.71 per week for 13-2/7 weeks for a total of $\ 4,832.14.
The claimant was originally billed $\ 43,249.60 for his medical expenses but $\ 16,238.11 was written off by the medical provider. His actual medical expense was $\ 27,011.49. I find this amount was reasonable and necessary to cure and relieve the condition caused by his injury.
I order and direct the employer to pay to the claimant the sum of $\ 27,011.49 for his medical expenses.
The claimant states that he had strained the left knee because of the strain of putting additional weight on it. However there was no evidence that the accident was the prevailing factor as he had had prior surgery to the knee in 2007.
Dr. Fevurly found it was not the prevailing factor of his left knee problem. I agree. Any additional claim the claimant has for his left knee is denied.
Jay M. Allison is hereby assigned a lien in the amount of 25 % of this Award for necessary legal services provided claimant.
Made by: /s/ Nelson G. Allen
Nelson G. Allen
Chief Administrative Law Judge
Division of Workers' Compensation
This Award is dated and attested to this 18th day of November, 2010.
/s/ Naomi Pearson
Naomi Pearson
Division of Workers' Compensation