Danny E. Bell, the employee, was the only witness to provide live testimony in this case. All other evidence was presented in the form of written reports, medical records or deposition testimony.
This is another case where the Second Injury Fund presented absolutely no evidence or exhibits. Specifically they offered no evidence to question, challenge or confirm, or attack the credibility of the medical/professional opinions presented by Dr. Musich, Dr. Stillings or Delores Gonzalez. They chose not to retain a physician to conduct a "records review" which is allowed by statute.
The employee testified that he was forty-nine years of age and that his last employer was Stanley Muffler. He began working there in May of 2000. He worked initially as a painter and later as a machine operator.
The employee testified that he sustained an injury to his left thumb and hand on May 30, 2006. He was operating a machine when it apparently malfunctioned, causing severe injury to his
thumb. He was seen by a physician in East Prairie, Missouri and then by Dr. Trueblood in Cape Girardeau, Missouri. The initial diagnosis was a comminuted fracture of the proximal phalanx of the thumb with vascular insufficiency. According to the employee, Dr. Trueblood recommended that he travel to St. Louis to be seen by Dr. Boyer, a hand specialist.
The employee underwent his first surgery on May 31, 2006 at Barnes Hospital. Dr. Boyer performed a closed reduction and percutaneous pinning of the left thumb relative to a proximal phalanx fracture with irrigation and debridement. The employee continued to treat with Dr. Boyer and on January 31, 2007 underwent additional surgery. Dr. Boyer performed a bone grafting of the left thumb proximal phalanx nonunion. The employee underwent a functional capacity evaluation/FCE at Mid America Rehab on April 19, 2007.
The employee settled his claim against the employer-insurer on February 19, 2008 for 20\% permanent partial disability of the left hand.
The employee had long standing, pre-existing physical and psychiatric injuries/conditions. On November 19, 2001, the employee sustained an injury to his right shoulder while working for Stanley Muffler. He was working at that time as a painter. He was pushing a 55 gallon drum off a paint pallet when he felt a sudden onset of pain is his right shoulder. He treated with Dr. Ritter at Orthopaedic Associates in Cape Girardeau, Missouri. The employee underwent an MRI and injection into the shoulder in January of 2002. When his symptoms failed to improve, he underwent surgery on March 1, 2002 at Southeast Missouri Hospital.
The employee settled his right shoulder claim with the employer-insurer on December 7, 2002 for 20 % permanent partial disability of the right shoulder. The employee testified that after he was released by Dr. Ritter, he did not go back to the painting department at Stanley Muffler. He indicated that he became a machine operator because painting with his right arm was too painful due to the injuries to his right shoulder in 2001.
The employee testified that he had a heart condition and other cardiovascular issues which predated the primary injury of May 30, 2006. Treatment records were submitted into evidence from Dr. Spitler, the employee's cardiologist. The employee testified that he began seeing Dr. Spitler in 1997. Treatment records from Dr. Spitler from 1998 revealed physical complaints of sharp chest pain, mid sternal, non-radiating. Dr. Spitler treated the symptoms with medication. On September 2002, the claimant underwent a quadruple bypass at Southeast Missouri Hospital. Dr. Spitler's office records of January 6, 2003 states in part: "Mr. Bell is a patient of Dr. Douglas who was seen for a follow-up stress echo. Interestingly, he had mild disease five or six years ago. February of last year he had a negative stress echo, but in September underwent CABG including LIMA to LAD/LADD, vein graft to marginal and vein graft to right by Dr. Ramsey because of multi-vessel disease with increasing chest pain".
The employee testified that since the primary injury, he underwent additional heart surgery in 2008 and 2009. Mr. Bell takes a number of medications for coronary artery disease and complains of regular chest pain.
The employee testified that he has had a long history of depression. Treatment records were submitted from Community Counseling Center corroborating his testimony. He has treated since 1996 with Dr. Rohatgi. A report from Dr. Rohatgi dated November 4, 1996 diagnosed major depressive disorder recurrent, moderate, partner relations problems, alcohol dependency by history. The employee testified that he has treated at Community Counseling Center three or four times a year since the 1990s. He has taken medication for depression and anxiety since the mid 1990s.
The employee also testified that in the 1980s he underwent inpatient treatment for alcoholism.
The employee has a high school education. His employment history dating back to the early 1980s is limited to machine operator, assistant pressman and some construction. He testified that he has not worked since