We disagree with the administrative law judge's finding that employee was not permanently and totally disabled before he died. This is because we do not believe employee's work activities following the primary injury amounted to reasonable employment in the open labor market.
The courts have stated there is no hard-and-fast rule regarding an employee's performing some work after the last injury while also pursuing a claim for permanent total disability. *Molder v. Mo. State Treasurer*, 342 S.W.3d 406, 414 (Mo. App. 2011). Instead, the courts have indicated that we should look at the specific facts surrounding the post-injury work to see whether it amounts to actual competitive employment in the open labor market, as opposed to sporadic, irregular work such as short-term or part-time jobs arranged through family, friends, or an especially accommodating employer. *Id.* The latter circumstances are not preclusive of a finding that the employee is permanently and totally disabled, as they do nothing to demonstrate the employee can compete in the open labor market. In the end, "whether a particular employee is permanently and totally disabled is a factual,
Injury No.: 03-064982
Employee: William Russell, deceased
not a legal, question. Our inquiry into permanent-total disability is a factual one: whether [employee] is employable." Id. at 409.
Here, both of employee's attempts at working were short-term. The first was installing HVAC controls at a residential hall at the University of Missouri for Controlco. This amounted to a month or two of on-and-off work; employee described his activities during this time period as follows: "I helped put conduit on the air handlers, pulled the wire and landed the panels." Employee also credibly testified (and we so find) that he was in a lot of pain at that time and was trying to do as little physical work as he possibly could. Notably, employee did this work in mid-to-late summer 2003, before Dr. Coyle's revision discectomy at L5-S1 in February 2004. Employee credibly testified that his pain got worse after this surgery. Consequently, the Controlco work is not especially relevant to the issue of permanent total disability, because employee's medical condition changed afterward.
The other work employee performed was to organize an LLC with his son and operate it for six months. Employee's physical duties with the company included overseeing work and doing some panel landing, which employee described as "just sitting on a stool and putting wires in and landing them." Employee testified the company closed its doors because he was in too much pain; employee's wife testified it was a combination of factors including the son's interest in becoming a firefighter and the doctors telling employee he was not going to get any better. We find that employee stopped working for the LLC due to a combination of his doctors telling him his pain would not get any better and because his son wanted to pursue other interests. The courts have addressed the question whether helping to run a small family business amounts to competitive employment. See Minnick v. South Metro Fire Protection Dist., 926 S.W.2d 906, 911 (Mo. App. 1996). In finding an employee's work helping his wife with a property management business did not preclude a finding employee was totally disabled, the Minnick court reasoned as follows: "[Employee's] performance of sporadic, low-stress work after his injury thus does not show that he was necessarily capable of competing on a steady basis outside of the protected environment of a small-scale husband-wife business venture where one can often work at his or her own pace and rely upon the assistance of family members." Id. We believe the same reasoning applies here.
We also disagree with the administrative law judge's concerns related to some potential inconsistencies between employee's subjective complaints and the objective medical findings by treating physicians. Employee's debilitating levels of low back and left leg pain are well documented and Dr. Farid, the treating pain management specialist, credibly testified that he believed employee's pain complaints were genuine. Dr. Farid saw employee numerous times from May 7, 2004, until December 27, 2004, and thus had a unique vantage point to evaluate employee's presentation and subjective complaints during the course of employee's post-surgery treatment. Crediting Dr. Farid on this point, we do not perceive a credibility problem requiring some (now impossible) explanation from employee.
Ultimately, we find Dr. Volarich's testimony that employee was permanently and totally disabled most credible. We find employee reached maximum medical improvement following the work injury on December 28, 2004. We find Dr. Volarich's rating of
preexisting permanent partial disability of the low back somewhat high in light of employee's testimony that he had a good result following the 1982 or 1987 low back surgery such that he "completely forgot about it" for a number of years. However, we are convinced employee suffered some permanent partial disability referable to that injury and surgery. Employee and his wife both consistently and credibly testified (and we so find) that employee guarded his back following that surgery by self-limiting his lifting to 20 pounds and also took aspirin for pain when he worked too hard. We find that employee suffered a preexisting 10 % permanent partial disability of the body as a whole referable to the 1982 or 1987 low back injury and surgery. We find credible Dr. Volarich's testimony that this condition amounted to a hindrance to employee's employment or reemployment.