Donna E. Todd, the employee, was the only person to testify live at trial. All other evidence was presented in the form of written reports, medical records or by deposition testimony.
Donna Todd was sixty-three years of age at the time of the hearing. She is now a single person and has two children who are grown and not dependent upon her. She attended school in Rector, Arkansas and attended through the ninth grade. She did not receive any further education or training following that.
The employee began work following her divorce in 1984. She worked a variety of retail positions with various companies and then began work for Wal Mart in Cape Girardeau in 1990 and eventually moved to the Jackson area. At Wal-Mart she worked as a cashier, worked at the service desk, stocked shelves and worked security. Her normal week was full time at forty hours per week with some overtime. She testified that $\ 433.42 was correct for her average weekly wage. Her duties included stocking shelves, breaking packs and sometimes doing security work.
Ms. Todd testified that in 1990 she injured her back while working at Wal Mart. She sought chiropractic treatment for many years and finally was referred to Dr. Park in Cape Girardeau and underwent a two-level low back fusion involving the placement of a metal bar with six screws in her low back on August 1, 2001. Even though she felt this surgery was due to a work related injury there was no settlement involving that injury. Following the surgery, Dr. Park gave her some restrictions including avoiding ladders, not driving long distances because of numbness in her leg, not lifting over ten to fifteen pounds and avoid being a cashier because of the twisting and turning at the waist area. She returned to work at Wal Mart and first worked with electronics during the night shift because of the lighter lifting. She also would stand at the door as a greeter. She sought and received help in lifting heavier items at Wal Mart. She testified that she would get injections for her low back occasionally at lunch and return to work. She took Advil and Tylenol Extra for her low back pain. She testified that she did return to full time work but did not receive as much overtime because of her back condition. She testified that her family doctor,
Dr. Siemer, or her nurse practitioner gave her hydrocodone and Lidocaine patches for her low back pain. She testified that following the low back surgery she could not go out in the yard and play with the kids, go to games or go to graduations. She testified that her right leg was approximately one-half inch shorter after the surgery and that this affected her when she walked. She stated that the low back continued to hurt with a burning sensation and that she would develop numbness into her right thigh.
In general, Ms. Todd testified that the low back injury was a significant injury in that she had restrictions at work, it affected her family duties, she continued to take over-the-counter pain medications following her surgery and it affected her level of income in that she was not able to work as many hours overtime at her job.
On October 4, 2005, the employee was pulling a pallet of cookbooks to put on a pallet jack. The box tore and she fell backwards striking her tailbone, back and left wrist. She was referred to Dr. Ritter of Orthopaedic Associates and underwent surgery on her wrist. No surgery was provided for the broken tailbone. She was referred to Dr. Park for treatment of the mid-back. Surgery on that was delayed because she needed to recover from a broken arm and also suffered a stroke on March 15, 2007 brought on by a prescription for Percocet that was given to her by the pain clinic. Dr. Park performed surgery on May 14, 2007 on the mid-back and did a three-level fusion involving rods and bolts. The employee testified that there was not any improvement following the surgery because there was "not enough room" for the rod along her spine. She was told by the doctors that they had to wait one year after that surgery for another back surgery and on May 20, 2008, Dr. Fonn removed the hardware. There was still not much improvement and she sought treatment for pain with the pain clinic and received Lidocaine patches, prescription pain medications and a dorsal column stimulator for pain that was first implanted, removed and then re-implanted. The employee estimated that she had approximately eight separate surgeries on her back over the years. She tried to return to her job at Wal Mart after the back surgery where she was placed at the service desk. She had to have a chair to sit when doing that work. She was given two months off work and given Percocet as a pain medication and was unable to return to work. She applied for and received Social Security disability without the services of an attorney and without a hearing.
The employee testified that her wrist bothers her in cold weather, it hurts up into the forearm and th