The parties agreed that on February 4, 2002, Scott Curran was an employee of Johnson Controls, Inc. The employer was operating under and subject to the provisions of the Missouri Workers' Compensation law and the employer was an authorized self-insurer.
The parties also agreed that the claimant sustained an injury by accident or occupational disease arising out of and in the course of his employment on February 4, 2002.
The employer admitted that it had proper notice of claimant's injury and a timely Claim for Compensation was filed. The parties agreed that the correct rate of compensation is $\ 517.89 per week for temporary total disability and $\ 329.42 per week for permanent partial disability. No compensation has been provided. Medical aid has been furnished in the amount of $\ 11,825.42. The claimant is asking for past medical expenses in the amount of $\ 7,084.23.
The parties agreed that the liability of the Second Injury Fund would be determined at a later date.
The claimant testified in person. He is 45 years old. I found him to be a believable witness. He worked at Johnson Controls for over 16 years. He started at Johnson Controls on August 26, 1987 and his employment was terminated on April 5, 2004.
His position was that of a "caster", which is a welder. He was required to grip and move heavy objects in a repetitive manner. In January, 2002 he started to have pain in both of his wrists and later in his right shoulder.
The claimant went first to his personal physician, Dr. Susan Vega. The employer then sent Mr. Curran to OHS Comp Care on February 5, 2002. He was referred to Dr. John Moore, who performed an open carpal tunnel release on claimant's right wrist on April 10, 2002 and then on July 24, 2002 performed an endoscopic release in his left wrist.
Dr. Moore noted that the claimant had complaints of right shoulder pain and said it was unrelated to his bilateral carpal tunnel syndrome. He rated the claimant at 2 % body as a whole.
The employer had an MRI taken of claimant's right shoulder. The claimant was sent to Dr. C. Dan Smith. Dr. Smith noted the MRI showed some subtle degenerative change of the A.C. joint but otherwise noted that the study was unimpressive. Dr. Olson gave the claimant an MRI of his neck. The neck MRI was normal. Dr. Smith was unable to offer any surgical treatment.
The employer then released the employee and no further treatment was ordered.
The employer did have the claimant examined by Dr. Charles E. Rhoades, M.D. on March 7, 2011. Dr. Rhoades, when asked if Mr. Curran's job duties for Johnson Controls were the substantial factor in the creation of claimant's problems with his right shoulder answered, "It is my opinion to a reasonable degree of medical certainty that the work at Johnson Controls is NOT the prevailing cause for patient's current condition."
Dr. Rhoades then provided a rating based on the AMA Guide of 5\% of each upper extremity for the carpal tunnel release or 6 % of the whole body.
When the claimant was released from medical care on February 5, 2004, he went to Dr. Mary Jo Middleton on his own. A dispute occurred between the claimant and Mr. Herm Baur, the personnel manager. The claimant was suspended and then missed additional time for not contacting the employer. He was terminated on April 5, 2004. The claimant is requesting temporary total disability for this period of time.
The claimant said he was having pain in his right shoulder and severe headaches. He said he went to Dr. Middleton because Dr. Middleton had released the claimant with no further treatment ordered and the employer would not authorize any additional treatment. The claimant said he needed additional medical treatment.
The claimant received three weeks of physical therapy and trigger-point injections from Dr. Middleton in 2004. He continued to treat with Dr. Middleton as he worked elsewhere. He received four trigger-point injections in 2005, four more in 2006, two sets in 2007, three in 2008, and two each in 2009 and 2010, and one on March 14 of this year.
Dr. Middleton diagnosed the claimant as having myofascial pain of the right shoulder girdle and neck covered by his overuse syndrome. This was caused by his repetitive work at Johnson Controls where he was required to turn left to right frequently. She said his shoulder pain caused his migraine headaches. The headaches have diminished in frequency and severity with time.
On September 21, 2005, Dr. Fernando M. Egea found that the claimant had developed bilateral carpal tunnel syndrome and right shoulder overuse syndrome. At that time, he ruled the claimant as having a 20 % permanent partial disability of the right shoulder and 10 % of the left wrist.
On February 7, 2007, Dr. Fernando M. Egea rated the claimant at 10\% of each upper extremity at the 222 -week level for his bilateral carpal tunnel syndrome. He also rated the claimant as having a 10 % permanent partial disability of the right upper extremity of the 232 -week level.
I believe Doctors Egea and Middleton.
I find and believe as a result of claimant's repetitive injury at Johnson Controls, the claimant sustained a 10 % permanent partial disability to both of his wrists at the 175 week level plus a 10 % loading factor for the bilateral multiplicity. I also find that as a result of claimant's repetitive work, he sustained a 7-1 / 2 % permanent partial disability to his right shoulder at the 232-week level.
For permanent partial disability, I order and direct the employer to pay to the claimant the sum of $\ 329.42 per week for 55.9 weeks for a total of $\ 18,414.58.
I also assess three weeks for disfigurement allowance for scars on both of claimant's wrists. I order the employer to pay to the claimant the sum of $\ 329.42 per week for three weeks for a total of $\ 988.26.
Mr. Curran seeks reimbursement for medical expenses incurred with Dr. Middleton in the amount of $\ 7,084.23. The employer terminated medical treatment after receiving Dr. Smith's report. The claimant testified that he was still in pain and needed further medical treatment. He requested the employer furnish him with medical treatment and was refused by the employer.
I find and believe from the evidence that the claimant incurred additional medical treatment that was reasonable and necessary to cure and relieve him from the condition caused by his repetitive injuries at Johnson Controls. I order and direct the employer to pay to the claimant the sum of $\ 7,084.23 for past medical expenses.
The claimant has been receiving medical treatment from Dr. Middleton for more than six years. The treatment appears to have brought the claimant some relief from this pain. He has a strong doctor patient relationship with Dr. Middleton. He has never been required to see her over four times a year. I believe this treatment to be reasonable and necessary to cure and relieve the claimant from the condition of his repetitive injury.
I order and direct the employer to provide non-surgical medical treatment by Dr. Middleton for up to four visits per calendar year.
The claimant has requested past temporary total disability from February 4, 2004 through April 5, 2004. I find and believe from the evidence that the claimant could have followed the required procedures but elected not to because he was angry at the employer. Claimant's request for past temporary total disability is hereby denied.
Mr. David W. Whipple is hereby assigned a lien in the amount of 25 % of this award for necessary legal services rendered 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 $\underline{23 r d} day of \underline{\text { June, } 2011 .}$
/s/ Naomi Pearson
Naomi Pearson
Division of Workers' Compensation