Claimant is a 52 year old, currently unemployed individual, who last worked for Employer on January 28, 2010. Claimant began working for Employer in early 2000 as a floor manager. Her job duties included forwarding payroll information, trouble shooting equipment, interacting with employees, and running the day to day operation of the plant.
In 1986, Claimant injured her low back at work when she lifted a 50 pound sack of flour. She was diagnosed with spondylolisthesis at L5, scoliosis of the spine, and a possible herniated disc. A CT Scan showed evidence of a large disc herniation at L4-5. Claimant was treated conservatively for this injury, and although surgery was offered, she declined.
Leading up to 2008, Claimant continued to receive treatment for her low back by a number of doctors including Dr. Heidi Prather. Claimant underwent injections and physical therapy, and took medication. Claimant identified two off work slips from the Washington University Department of Orthopedic Surgery from August and December of 2006 in which Dr. Prather restricted Ms. Taylor to lifting no more than 25 pounds, no twisting and bending, no overheard lifting, limit sitting and standing to 30 minutes, and to avoid overhead work and outstretch motion. Leading up to and beyond 2008, Claimant's pain ranged from a 3 to a 7 on a one to 10 scale of severity. Claimant experienced burning pain, and numbness and tingling down her left leg. She was unable to stand, sit or walk for long periods. She had reduced range of motion and difficulty bending and squatting. She slept on a special bed.
Claimant settled her workers compensation claim for over 30\% PPD of the body as a whole.
In 1997, Claimant injured her left shoulder at work while lifting boxes of file folders. She was referred to an orthopedic specialist who diagnosed a labral tear, and performed surgery. Following surgery she went through rehabilitation with slow progress which led to a second surgery in January 1998 where she had an acromioplasty and open repair of a torn left rotator cuff. After her injury, Claimant had reduced range of motion, and could not work overhead. She left her job because of ongoing complaints, and an inability to lift as the job required.
Claimant settled the claim with her employer for 35\% PPD of her left shoulder. In addition, she settled her claim with SIF for 27.5 % PPD of the body as a whole for her low back.
In June 2006, Claimant was diagnosed with interstitial cystitis, and in June 2008, she was diagnosed with irritable bowel syndrome. Although she received treatment for these conditions, the irritable bowel syndrome and cystitis condition caused her to urgently need to go to the bathroom which required her to remain close to the bathroom at all times.
Prior to 2008, Claimant also suffered numbness and tingling in her hands. Claimant has received no treatment for this injury, but complained of dropping items and suffering numbness and tingling in her hands which woke her up at night.
In the years leading up to 2008, Claimant's ability to continue doing her job supervising the operations for Employer diminished. She was less able, as years went on, to make the rounds on the floor, because she was limited by back pain and her inability to be on her feet for the time it took to walk around the plant. In addition, the machines at the plant frequently broke down, and Claimant was unable to perform repairs because she was unable to get into the positions required underneath or over the top of the machines, and she could not reach, lift, pull and handle sufficient weights to make a number of these repairs. When that happened, Claimant stopped production, and asked her husband to come to the plant to make the repairs.
Claimant's medications for back and arm pain affected her comfort levels on the job, and her ability to concentrate. The condition of her back, neck and left arm continued to deteriorate and gradually got worse from 1999 to just before the work injury in August, 2008. This affected the pace at which she was able to perform her job duties, causing her to rely increasingly on coworkers to accomplish her duties.
On August 18, 2008, Claimant injured her left leg and right arm when she fell through a doorway. Initially, she was treated conservatively for her ankle, and attempted to work within restrictions while she underwent physical therapy, and took medicine. During most of 2009, Claimant relied more and more on an assistant to carry out her job duties. She spent most of her days in the office with her leg propped up and elevated, and sometimes she used ice to reduce swelling. When the pain in her back and ankle was too severe, Claimant worked from home.
Because of persistent complaints of pain and instability, Dr. Aubuchon recommended in late January 2010 that Claimant undergo an open tarsal release, and an arthroscopic synovectomy. On the eve of her ankle surgery in late January, 2010, Claimant was informed by Employer that the business was going to close over the next several months. Instead, the business closed within the next couple of weeks, and because she was just recovering from surgery, Claimant, though asked, was unable to help with the physical closing of the plant because of physical limitations caused by her ankle surgery.
Dr. Aubuchon continued treating Claimant until May 3, 2011, when he released her with permanent restrictions of no climbing, no ladders, and avoid uneven surfaces. When Claimant was released by Dr. Aubuchon in May 2011, Employer had been closed for more than a year. After she was released from treatment, she experienced pain every day in her left ankle, felt an increase in pain with any activity, took daily medication for pain, and experienced reduced range of motion in her left leg.
In addition to her left leg, Claimant injured her right elbow in the accident. She received treatment from Dr. Randolph who diagnosed her with a nondisplaced radial head fracture. The elbow healed with conservative treatment and did not require surgery. Nevertheless, Claimant experiences pain and weakness in her right arm which she attributes to the elbow injury. She is unable to fully extend her arm, and feels pain in her elbow with activity.
Claimant settled her workers' compensation claim with Employer for 20\% PPD of the left ankle, and 15 % PPD of the right elbow.
Following her release by Dr. Aubuchon, Claimant contacted over 100 employers who were advertising jobs. In no instance did