Kenneth Buhman v. Johnson Controls Battery Group

(Modifying Award and Decision of Administrative Law Judge)

Injury No.: 05-073767

Employee: Kenneth Buhman

Employer: Johnson Controls Battery Group

Insurer: Self-Insurer

Additional Party: Treasurer of Missouri as Custodian of Second Injury Fund

This cause has been submitted to the Labor and Industrial Relations Commission (Commission) for review as provided by $\S 287.480 RSMo. { }^{1}$ We have reviewed the evidence and briefs and considered the whole record. Pursuant to § 286.090 RSMo, we issue this final award and decision modifying the April 18, 2011, award and decision of the administrative law judge (ALJ). We adopt the findings, conclusions, decision, and award of the ALJ to the extent that they are not inconsistent with the findings, conclusions, decision, and modifications set forth below.

The ALJ heard this matter on January 25, 2011, and found that employee is permanently and totally disabled as a result of his primary injury combining with his preexisting disabilities.

Employer filed an Application for Review with the Commission and alleges that the ALJ erred in finding that employee met his burden of establishing that he sustained an accidental injury arising out of his employment.

The Second Injury Fund also filed an Application for Review with the Commission and alleges that the ALJ erred in finding that employee is permanently and totally disabled as a result of his primary injury combining with his preexisting disabilities. The Second Injury Fund argues that employee is permanently and totally disabled solely as a result of the primary injury and, therefore, there should be no Second Injury Fund liability.

With regard to employer's Application for Review, we find that the substantial and competent evidence supports the ALJ's finding that employee sustained an injury due to an accident arising out of and in the course of his employment. Therefore, we affirm the ALJ's decision with respect to this issue.

We find that the primary issue currently before the Commission is the nature and extent of any Second Injury Fund liability.

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[^0]: ${ }^{1}$ Statutory references are to the Revised Statutes of Missouri 2004 unless otherwise indicated.

The findings of fact and stipulations of the parties were accurately recounted in the award of the ALJ and, to the extent they are not inconsistent with the facts and stipulations listed below, they are incorporated and adopted by the Commission herein.

Employee testified that since the July 25, 2005, injury he has constant low back pain and has to lie down approximately 4-8 hours per day. He testified that lying down during the day takes the pressure off his back and that if he does not lie down, his back pain gets worse. Employee testified that he never had to lie down during the day prior to the July 25, 2005, work injury. He also stated that lifting anything hurts his back. Since the work injury, he can only stand for 30 minutes at a time. Employee is also unable to sit for long periods and must stand up to relieve the pressure and pain in his back.

Dr. Peterson, the operating surgeon who performed employee's spinal fusion at L5-S1, released employee from his treatment on January 11, 2007. Dr. Peterson stated in said medical note that "[i]t is [his] opinion that [employee] is unable to return to gainful employment at this time due to [employee's] symptoms." The only symptoms Dr. Peterson discussed in that medical note concerned employee's lumbar spine. Therefore, we find that Dr. Peterson's use of "symptoms" in the aforementioned sentence is strictly relegated to the symptoms associated with employee's lumbar spine, or the July 25, 2005, work injury.

Dr. Egea, employee's medical expert, testified that employee's need to lie down during the day is likely attributable to the July 25, 2005, work injury.

Mr. Dreiling, employee's vocational expert, concurred with Dr. Egea's opinion that employee's need to lie down is likely attributable to the July 25, 2005, work injury. Mr. Dreiling opined that employee's constant low back pain, standing and sitting limitations, and need for medication to sleep all appear to be due to the July 25, 2005, work injury. Mr. Dreiling concluded that, considering only the restrictions imposed for the July 25, 2005, lumbar spine injury, employee is unemployable.

Ms. Bankowski, employer's vocational expert, testified that employee is unemployable due to the restrictions imposed as a result of the July 25, 2005, injury coupled with his age. When asked if she considered employee's preexisting conditions in concluding that employee is unemployable, Ms. Bankowski stated, "I guess I was just basing it on the July 2005 injury."

Ms. Bankowski testified that it is reasonable to assume that employee's need to lie down is due to the July 25, 2005, injury. She opined that employee's need to lie down would make it hard for him to have a job unless he was looking for a part-time position.

While we agree with the ALJ's conclusion that employee is permanently and totally disabled, we disagree with the ALJ's determination that employee is permanently and totally disabled as a result of the primary injury combining with employee's preexisting disabilities. We find that employee is permanently and totally disabled solely as a result of the primary injury.

We do not dispute the fact that employee had some preexisting disabilities. However, in evaluating cases involving preexisting disabilities, the employer's liability must first be considered in isolation before determining Second Injury Fund liability. 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.

There is no dispute that employee's lumbar spine problems are attributable to the July 25, 2005, work injury. Further, there is no dispute that employee's need to lie down for several hours during the day is attributable to the primary injury.

Dr. Peterson concluded that employee is unable to return to gainful employment due to his lumbar spine symptoms. Mr. Dreiling concluded that, considering only the restrictions imposed for the July 25, 2005, lumbar spine injury, employee is unemployable. Ms. Bankowski stops short of affirmatively stating that the primary injury, considered in isolation, renders employee unemployable, but does state that it is unlikely that he would be able to find any full-time employment with his need to lie down for several hours during the day.

Employee's primary limitation with respect to his employability concerns his need to lie down for several hours during the day. Because this limitation is solely due to his July 25, 2005, injury, we find that the weight of the evidence establishes that employee is permanently and totally disabled solely as a result of the July 25, 2005, injury. For this reason, we find that the aforementioned analysis stops at step (1) and there is no Second Injury Fund liability.

We find that employee achieved maximum medical improvement on January 11, 2007 (in accordance with Dr. Peterson's release). Therefore, beginning January 12, 2007, we find employer liable for employee's weekly permanent total disability benefit of $\ 696.97 for the remainder of employee's life, or until modified by law.

The award and decision of Chief Administrative Law Judge Nelson G. Allen, issued April 18, 2011, is attached hereto and incorporated herein to the extent it is not inconsistent with this decision and award.

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 $9^{\text {th }}$ day of December 2011.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

William F. Ringer, Chairman

Alice A. Bartlett, Member

Curtis E. Chick, Jr., Member

Attest:

Secretary

Employee: KENNETH BUHMAN

Injury No. 05-073767

Employer: JOHNSON CONTROLS

Additional Party: TREASURER OF THE STATE OF MISSOURI AS CUSTODIAN OF THE SECOND INJURY FUND

Insurer: AUTHORIZED SELF-INSURER

Hearing Date: JANUARY 25, 2011

Checked by: NGA

1. Are any benefits awarded herein? Yes.
2. Was the injury or occupational disease compensable under Chapter 287? Yes.
3. Was there an accident or incident of occupational disease under the Law? Yes.
4. Date of accident or onset of occupational disease: July 25, 2005
5. State location where accident occurred or occupational disease was contracted: Buchanan County, Missouri.
6. Was above employee in employ of above employer at time of alleged accident or occupational disease? Yes.
7. Did employer receive proper notice? Yes.
8. Did accident or occupational disease arise out of and in the course of the employment? Yes.
9. Was claim for compensation filed within time required by Law? Yes.
10. Was employer insured by above insurer? Yes.
11. Describe work employee was doing and how accident occurred or occupational disease contracted: Employee was at work changing into his uniform when he bent over to pick up his safety glasses and injured his back.
12. Did accident or occupational disease cause death? No Date of death? N/A
13. Part(s) of body injured by accident or occupational disease: Back and body as a whole.

1. Nature and extent of any permanent disability: $\mathbf{3 0 \%}$ permanent partial disability to body as a whole combining with a pre-existing partial disability of $\mathbf{3 0 \%}$ to body as a whole to render the claimant permanently and totally disabled.
2. Compensation paid to-date for temporary disability: None
3. Value necessary medical aid paid to date by employer/insurer? None
4. Value necessary medical aid not furnished by employer/insurer? None
5. Employee's average weekly wages: N/A
6. Weekly compensation rate: $\$ 696.97 / \ 365.08
7. Method wages computation: By Stipulation.

1. Amount of compensation payable:

39-3/7 weeks of temporary total disability (or temporary partial disability) x $\$ 696.97=

\ 27,480.55

120 weeks of permanent partial disability from Employer $\mathbf{x} \$ \mathbf{3 6 5 . 0 8}=

\ 43,809.60

1. Second Injury Fund liability:

Permanent total disability benefits from Second Injury Fund:

weekly differential $\mathbf{\$ 3 3 1 . 8 9} payable by SIF for \mathbf{1 2 0} weeks

beginning January 12, 2007 and \mathbf{\$ 6 9 6 . 9 7}$ thereafter for claimant's lifetime.

TOTAL:

1. Future requirements awarded: Such medications as may be necessary to cure and relieve the conditions caused by claimant's injury of July 25, 2005.

Said payments to begin July 26, 2005 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 $\mathbf{2 5 \%}$ of all payments hereunder in favor of the following attorney for necessary legal services rendered to the claimant: David W. Wh