At the time of the hearing claimant was 70 years of age and married, had completed the $11^{\text {th }}$ grade in high school. Claimant worked for Paramount Jewelers after school, where she waited on customers and did some engraving work.
Claimant became employed with Vikings where she worked for six years where she did bar tending and booking entertainment for the bar.
Claimant left Viking and became part of the Elks Club where she worked for 20 years as a property manager. Claimant oversaw private parties and help set up, and organized parties as well as cleaning up.
Claimant in 1998 went to work for Schnucks as an Assistant Bakery Manager. Claimant did baking, cleaning ovens and handling frozen loads and orders.
Claimant developed exposure to mold and a degreaser compound while working for the employer Schnucks. Claimant developed shortness of breath. Claimant was sent because of shortness of breath to Acute Care. Claimant was diagnosed with occupational asthma. Because of Claimant's shortness of breath, Claimant left her employer Schnucks in April 2008.
Claimant result of her asthma filed a Workers' Compensation case against the employer which was settled for 13.5 % permanent partial disability of the body as a whole.
Claimant had the following pre existing injuries and disabilities before the primary injury of August 27, 2007:
a. In the mid 1980's while Claimant was working at the restaurant The Viking a customer who was intoxicated picked her up and suddenly dropped her, resulting in compressions at fractures T6 and T7. At the time of the hearing Claimant still had back pain, soreness, and tightness across the chest.
b. August 1, 2000, Claimant dislocated her right elbow when she stepped off a step stool injuring her right elbow when she was working as a volunteer at a retirement home. Claimant testified that as a result of the injury she still has problems lifting and doing other types of work that involves her elbow.
c. In 2001 Claimant stated that she developed bunions and hammertoes on her left foot which required three different surgeries. On the day of the hearing, as a result of the problems with Claimant's foot she has difficulty standing, squatting, and bending.
d. In the year 2004, Claimant went to see Dr. Buckley for depression and the doctor prescribed various medications and advised her to go and see a counselor. Claimant at the time of the hearing stated she continues to have psychological problems with family problems.
Dr. Volarich saw the Claimant for an IME on behalf of Claimant's attorney it was his opinion that Claimant had 15 % permanent partial disability body as a whole with regard of the pulmonary problem sustained leading up to August 27, 2007. Dr. Volarich also the opinion Claimant had 20 % permanent partial disability of the thoracic spine pre existing injury date of August 27, 2007 as well as 35 % permanent partial disability of the right foot, 35 % permanent partial disability of the left foot and 15 % permanent partial disability of the right elbow. Dr. Volarich was of the opinion that Claimant was permanently and totally disabled as a result of the combination of her work injury of August 27, 2007 and her pre existing disabilities.
Dr. Stillings, a psychiatrist, saw the Claimant of behalf of the Claimant's attorney and Dr. Stillings was of the opinion that Claimant's pre existing psychiatric conditions combined synergistically with the conditions and disabilities as a result of the August 27, 2007 rendering Claimant permanently and totally disabled from gainful employment.