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Jeffrey Taylor v. Corporate Interiors, Inc.

Decision date: December 14, 20129 pages

Summary

The Missouri LIRC affirmed the Administrative Law Judge's award granting workers' compensation to Jeffrey Taylor, finding him permanently and totally disabled due to lower extremity injuries combined with preexisting conditions. The Commission clarified that credible expert testimony established employee's sedentary work limitations from the primary injury, combined with preexisting upper extremity disabilities, rendered him unable to compete for employment.

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Caption

FINAL AWARD ALLOWING COMPENSATION (Affirming Award and Decision of Administrative Law Judge with Supplemental Opinion)
Injury No.: 07-084243
Employee:Jeffrey Taylor
Employer:Corporate Interiors, Inc.
Insurer:State Automobile Mutual Insurance Co.
Additional Party:Treasurer of Missouri as Custodian of Second Injury Fund
This workers' compensation case is submitted to the Labor and Industrial Relations Commission (Commission) for review as provided by § 287.480 RSMo. Having read the briefs, reviewed the evidence, and considered the whole record, we find that the award of the administrative law judge allowing compensation is supported by competent and substantial evidence and was made in accordance with the Missouri Workers' Compensation Law. Pursuant to § 286.090 RSMo, we affirm the award and decision of the administrative law judge with this supplemental opinion.
Discussion
Although it can be implied from the result reached by the administrative law judge, her award is silent with regard to which experts she found to be credible. We write to make clear that we find the opinions of Dr. Volarich and James England to be credible on the issue whether employee is permanently and totally disabled owing to a combination of his primary injury and preexisting conditions of ill. Specifically, we credit Mr. England’s testimony (and so find) that employee is permanently and totally disabled because his lower extremity problems referable to the primary injury limit him to sedentary work, and because Dr. Volarich’s restrictions referable to employee’s preexisting upper extremity disabilities will prevent employee from successfully competing for even most sedentary jobs. We further credit Mr. England’s testimony (and so find) that “[t]here is simply no reason for an employer to pick [employee] over virtually any other candidate” given employee’s presentation, which includes a pronounced limp.Second, we note that the administrative law judge failed to resolve the question whether employee’s preexisting right knee condition constituted a hindrance or obstacle to employment or reemployment. We conclude that it did. The very facts of this case demonstrate that employee’s preexisting right knee condition had the potential to combine with future work-related injuries so as to cause a greater degree of disability than would have resulted in the absence of the condition.Finally, we note that the administrative law judge left open the question whether she took into account post-accident worsening of employee’s preexisting conditions when she stated that employee’s chronic obstructive pulmonary disease (COPD) factored into her finding of permanent total disability. The evidence on record is unclear as to when employee was first diagnosed with COPD, and demonstrates that his use of an oxygen machine referable to this condition arose after the primary injury.

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Injury No.: 07-084243

We wish to make clear that we believe employee is permanently and totally disabled owing to the effects of the primary injury combined with his preexisting conditions of ill as they existed on the date of injury, without regard to any subsequent worsening. As noted above, Mr. England did not factor COPD into his analysis of employee's permanent total disability. Relying on his testimony, nor do we.

**Conclusion**

The Commission affirms and adopts the findings, conclusions, decision, and award of the administrative law judge to the extent they are not inconsistent with this supplemental opinion.

The award and decision of Administrative Law Judge Margaret D. Landolt, issued May 4, 2012, is attached and incorporated by this reference.

We approve and affirm the administrative law judge's allowance of attorney's fee herein as being fair and reasonable.

Any past due compensation shall bear interest as provided by law.

Given at Jefferson City, State of Missouri, this 14th day of December 2012.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

V A C A N T

Chairman

James Avery, Member

Curtis E. Chick, Jr., Member

Attest:

Secretary

AWARD

Employee: Jeffrey Taylor

Injury No.: 07-084243

Dependents: N/A

Employer: Corporate Interiors, Inc.

Additional Party: Second Injury Fund

Insurer: State Automobile Mutual Insurance Co.

Hearing Date: February 29, 2012

Before the

Division of Workers'

Compensation

Department of Labor and Industrial

Relations of Missouri

Jefferson City, Missouri

FINDINGS OF FACT AND RULINGS OF LAW

  1. Are any benefits awarded herein? Yes
  2. Was the injury or occupational disease compensable under Chapter 287? Yes
  3. Was there an accident or incident of occupational disease under the Law? Yes
  4. Date of accident or onset of occupational disease: August 23, 2007
  5. State location where accident occurred or occupational disease was contracted: St. Louis, Missouri
  6. Was above employee in employ of above employer at time of alleged accident or occupational disease? Yes
  7. Did employer receive proper notice? Yes
  8. Did accident or occupational disease arise out of and in the course of the employment? Yes
  9. Was claim for compensation filed within time required by Law? Yes
  10. Was employer insured by above insurer? Yes
  11. Describe work employee was doing and how accident occurred or occupational disease contracted: Employee was operating a floor sander.
  12. Did accident or occupational disease cause death? No
  13. Part(s) of body injured by accident or occupational disease: Right knee
  14. Nature and extent of any permanent disability: 27.5 % PPD of the right knee for which Employer is liable, and permanent total disability due to combination of primary and preexisting injuries for which SIF is liable
  15. Compensation paid to-date for temporary disability: $\ 18,135.00
  16. Value necessary medical aid paid to date by employer/insurer? $\ 10,009.00
Employee: Jeffrey TaylorInjury No.: 07-084243
  1. Value necessary medical aid not furnished by employer/insurer: 22,734.02
  2. Employee's average weekly wages: 1,002.24
  3. Weekly compensation rate: $668.16/$389.04
  4. Method wages computation: By stipulation

**COMPENSATION PAYABLE**

  1. Amount of compensation payable:
Unpaid medical expenses:$22,734.02
4 weeks of temporary total disability$2,672.64
44 weeks of permanent partial disability from Employer$17,117.76
Total from Employer$42,524.42
  1. Second Injury Fund liability: Yes
Permanent total disability benefits from Second Injury Fund:INDETERMINATE
weekly differential ($279.12) payable by SIF for 44 weeks beginning November 3, 2008, and, thereafter, $668.16 for Claimant's lifetime

**TOTAL:** INDETERMINATE

  1. Future requirements awarded: None

Said payments to begin and to be payable and be subject to modification and review as provided by law.

The compensation awarded to the claimant shall be subject to a lien in the amount of 20% of all payments hereunder in favor of the following attorney for necessary legal services rendered to the claimant: Ms. Ann Dalton

FINDINGS OF FACT and RULINGS OF LAW:

Employee: Jeffrey Taylor

Departments: N/A

Employer: Corporate Interiors

Additional Party: Second Injury Fund

Insurer: State Automobile Mutual Insurance Co.

Injury No.: 07-084243

Before the

Division of Workers'

Compensation

Department of Labor and Industrial

Relations of Missouri

Jefferson City, Missouri

Checked by: MDL

PRELIMINARIES

A hearing was held on February 29, 2012 at the Division of Workers' Compensation in the City of St. Louis, Missouri. Jeffrey Taylor ("Claimant") was represented by Ms. Ann Dalton. Corporate Interiors, Inc. ("Employer") and its insurer, State Automobile Mutual Insurance Co. ("Insurer"), were represented by Randall W. Schroer. The Second Injury Fund, ("SIF") was represented by Assistant Attorney General Kristen Frazier. Ms. Dalton requested a fee of 20\% of Claimant's award.

The parties stipulated that on or about August 23, 2007, Claimant sustained an accidental injury arising out of and in the scope of employment; Claimant was an employee of Employer; venue is proper in the city of St. Louis, Missouri; Employer received proper notice of the injury; the claim was timely filed; Employer paid medical benefits of $\ 10,009.00 and temporary total disability benefits in the amount of $\ 18,135.00; and the rates of compensation are $\ 668.16 for Permanent Total Disability ("PTD") and Temporary Total Disability ("TTD") benefits, and $\ 389.04 for Permanent Partial Disability ("PPD") benefits. The parties further stipulated if Claimant is found to be permanently and totally disabled, PTD benefits should commence on November 3, 2008 if the total knee replacement is found to be causally related to Claimant's work, and if it is found the total knee replacement is not causally related to Claimant's work, the PTD benefits should commence on February 28, 2008.

The issues for resolution are: medical causation with respect to Claimant's need for a total knee replacement; liability of Employer for past medical benefits in the amount of $\ 22,734.02; whether Claimant is entitled to four weeks of past Temporary Total Disability ("TTD") benefits; nature and extent of permanent disability sustained by Claimant; and the liability of the SIF.

SUMMARY OF EVIDENCE

Claimant is a fifty four year old man who graduated from high school in 1975. He has no other formal education. He worked his entire career in the flooring industry. Claimant began work for Employer as an installer/floor man in 2000 and worked until August 23, 2007. His work

involved installing all types of flooring, primarily in commercial settings. The physical requirements of his job required Claimant to stand, walk, squat and kneel constantly, lift and carry.

PRIMARY INJURY

On August 23, 2007, Claimant was working with a large sander at Children's Hospital when it started bouncing out of control. As he attempted to stabilize the sander, his right knee snapped and buckled under him causing him to fall. Employer authorized treatment through Dr. Keohane who diagnosed internal derangement of the right knee, aspirated and injected it, and referred him for an MRI. Following the MRI, Dr. Keohane recommended arthroscopic surgery which was performed on October 9, 2007. The surgery involved an arthroscopy of the right knee with a tear of the medical meniscus and degenerative changes in the medial femoral chondyle. Surgery failed to provide significant relief and Dr. Keohane recommended a total knee replacement which was ultimately performed on June 20, 2008. Treatment leading up to the knee replacement was provided by Employer and its workers' compensation carrier. The knee replacement was denied under workers' compensation and paid by Claimant's Health and Welfare benefits through the Carpenters' Union. The Carpenters' union is seeking reimbursement of this expense if the replacement is found to be compensable under the workers' compensation statute.

PRIOR INJURIES

Claimant has a history of difficulties with his right knee dating back to 2006. At that time, he was diagnosed with degenerative joint disease of the medial compartment of the right knee. Dr. Henderson performed surgery involving arthroscopic partial medial meniscectomy, and chondroplasty of the medial femoral chondyle. Post operatively, Claimant continued to have significant problems with his right knee and remained off work and in physical therapy. A cortisone injection was administered on February 14, 2006, without significant relief. Claimant continued physical therapy and a total joint replacement were discussed. Rather than the knee replacement, Claimant underwent Synvisc injections on three occasions in October 2006 and was under no further medical care leading up to his work-related injury on August 23, 2007.

Claimant characterized the pain following the primary injury as worse than the pain prior to the work-related injury. Prior to the work incident on August 23, 2007, Claimant still had some pain, clickin

Full decision text continues in the plain-text archive copy.

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