The employee lives in Bixby Missouri. He operated Dotson Trucking LLC for about 15 years, and stopped operating the business in December of 2007. He was the owner/operator of a dump truck. He maintained the truck which included changing tires, motor, transmission, rear end, greasing, and oil changes. With heavy maintenance, his son George Dodson helped him. Over time, he needed more and more help from his son working on his truck due to his medical conditions and injuries prior to December 28, 2007.
The employee testified that he had injured his right arm while operating a saw mill. He cut it open from his elbow to his wrist, and has a surgical scar. His right arm, which is his dominate arm, is sensitive to cold, it falls asleep, and is weak. After the right arm injury, he changed the way he did maintenance and used his left arm most of the time. He had no strength in his right hand, loss of feeling and had problems with fine finger manipulation.
Approximately 8-10 years ago, Dr. VanNess performed left knee surgery. After the surgery, his knee was weak, he had pain, and it locked up. He had knee stiffness if he used it and it hurt to stretch it out all the way. His knee affected his lifting, and he put more weight on his right side. He had problems with squatting due to his knee not straightening up. His knee affected his ability to do his job.
The employee testified that in 2006, he had left arm pain which went up to his head and neck. He had a heart attack and was air evacuated to Cape Girardeau. He had two stents placed. Prior to December of 2007, he was weak and was tired all of the time. He had trouble working in the heat. Especially in hot weather, his son started helping more with truck maintenance including putting brakes on, changing tires, greasing and changing oil. Physically, the employee was not doing as much in hot weather like he used to. Since he was self employed, he worked
his own schedule. After his heart problems, he changed his schedule. When he got tired he would stop working and if he was driving, he would pull over, rest and take naps.
Prior to December 28, 2007, the employee had chronic obstructive pulmonary disease, and had problems with his lungs and ability to breath. The employee had shortness of breath and was short of wind if he did anything. He was on inhalers and a BiPap breathing machine that was prescribed by his family doctor. He used Albuterol an inhaler four times a day. Lifting a tire or motor caused him shortness of breath. The shortness of breath slowed him down at work, and caused him to take breaks and rely on his son for maintenance work. Since he was selfemployed, he could take longer to do something and could slow down,
Prior to the December of 2007, accident, he worked 8-12 hours which depended on how he felt each day. He drove five days a week and sometimes on Saturday. On Sunday, he did maintenance on his truck. His body was going downhill including his breathing and his heart. He slept a couple of hours around noon about three to four times a week. He started working around 4-5 a.m. and stopped working usually around 4 p.m. He made sure he was home at lunch to sleep. In his deposition, the employee stated that prior to December of 2007 he never had to take a nap a lot in the daytime. At the hearing, the employee testified that he could not remember that he said that in his deposition.
The employee had low back surgery about 20-25 years ago. After that he continued to have low back pain, and his back was never right. His back and ankle were weak which affected how many truck loads he did.
On December 28, 2007, the employee had an accident at work. He was greasing his truck and changing the oil. He slipped, fell and hit the ground and injured his lower back. He had pain and discomfort to the left side of the low back which radiated into the left leg to his foot.
The employee saw Dr. Trone on December 28, 2007 for an emergency room follow-up. The employee had gone to the emergency room and had a negative EKG and cardiac enzymes. He was treated for bronchitis and prescribed a Z-Pak but was no better. The employee had chest pain/discomfort and was feeling chest congestion. On examination, his lungs had wheezing with decreased breath sounds. Dr. Trone diagnosed acute bronchitis, lumbago, and disc degeneration.
On January 4, 2008 a lumbar MRI showed a disc herniation on the left at L4-5 and L5-S1 and also disc desiccation at L4-5 and L5-S1.
The employee saw Dr. Bernardi on January 15, 2008. In the medical information intake sheet, it was noted that the employee had prior surgeries on his left foot, right arm, back and heart. The employee had heart disease, arthritis, and asthma. With regard to present or past cardiac/pulmonary symptoms, the employee had chest pain, shortness of breath, wheezing and cough. Dr. Bernardi noted that the employee had two prior lumbar spine procedures about twenty five years ago; and was getting along very well with his back until December 28, 2007. On that date, the employee was coming down from the cab of his truck, lost his balance and lande