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Mulija Kadric v. Centaur Building Services, Inc.

Decision date: June 28, 201312 pages

Summary

The Labor and Industrial Relations Commission affirmed the administrative law judge's denial of workers' compensation benefits for an employee's claimed occupational disease low back injury, finding the employer's medical expert credible and persuasive. The Commission clarified that while traumatic events are not required to prove causation in occupational disease low back claims, the evidence in this case did not support the employee's claim for compensable injury.

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Caption

FINAL AWARD DENYING COMPENSATION

(Affirming Award and Decision of Administrative Law Judge with Supplemental Opinion)

Injury No.: 05-139987

Employee: Mulija Kadric

Employer: Centaur Building Services, Inc.

Insurer: North River Insurance Company

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 $\S 287.480$ RSMo. Having read the briefs, reviewed the evidence, heard the parties' arguments, and considered the whole record, we find that the award of the administrative law judge denying 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.

The administrative law judge concluded that employee did not suffer a compensable injury by occupational disease premised on her finding that the opinions from employer's medical expert, Dr. Lange, were credible and persuasive.

We wish to make clear that we do not adopt a position that one must demonstrate a particular traumatic event in order to prove causation where the claim for low back injury is premised on an occupational disease theory. Such a view departs from a long history of Missouri decisions recognizing that an employee can suffer a compensable low back injury owing to cumulative or gradual trauma. See, e.g., Higgins v. Quaker Oats Co., 183 S.W.3d 264, 267 (Mo. App. 2005).

We affirm and adopt the award of the administrative law judge as supplemented herein.

The award and decision of Administrative Law Judge Linda J. Wenman, issued June 21, 2012, is attached and incorporated by this reference.

Given at Jefferson City, State of Missouri, this $28^{\text {th }}$ day of June 2013.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

John J. Larsen, Jr., Chairman

James G. Avery, Jr., Member

DISSENTING OPINION FILED

Curtis E. Chick, Jr., Member

Attest:

DISSENTING OPINION

Based on my review of the evidence as well as my consideration of the relevant provisions of the Missouri Workers' Compensation Law, I am convinced that the decision of the administrative law judge denying benefits is in error, and should be reversed.

Employee worked for employer for about three and a half years. Employee worked in two different locations. Her duties at the first location, known as the "Westport location," included collecting trash, vacuuming, and general housekeeping. Employee cleaned 26 bathrooms in a 12 level building. Employee picked up trash, vacuumed, mopped the floors, wiped down mirrors, sinks, faucets, and dusted. Her duties required her to constantly bend, lift heavy trash bins, put trash into dumpsters, and mop floors. Employee collected trash from several restrooms into a barrel, then tied the trash into a large bag. Employee then had to lift the bag out of the barrel. The bags weighed between 30 and 35 pounds. Employee also daily lifted 6-7 bags of trash overhead into a dumpster.

Employee worked at the Westport location for about 2 years until employer assigned her to work at the "Delmar location." Employee's duties at the Delmar location included vacuuming, emptying trash, wiping the restrooms down, dusting, and taking out the trash. The work at the Delmar location was even heavier; for instance, the trash weighed more, and the vacuum cleaner was heavier than the one at the Westport location.

The foregoing duties caused employee to suffer symptoms of low back pain. Employee never had back problems before she worked for employer. Employee went to see her doctor, who prescribed medications, injections, pain patches, and a back brace. Employee left her employment with employer owing to the severity of her symptoms; she also had to leave a subsequent job owing to pain and problems with depression.

Section 287.067.2 RSMo provides, as follows:

An injury by occupational disease is compensable only if the occupational exposure was the prevailing factor in causing both the resulting medical condition and disability. The "prevailing factor" is defined to be the primary factor, in relation to any other factor, causing both the resulting medical condition and disability. Ordinary, gradual deterioration, or progressive degeneration of the body caused by aging or by the normal activities of day-to-day living shall not be compensable.

In the context of occupational disease, the courts have clarified that:

A claimant must submit medical evidence establishing a probability that working conditions caused the disease, although they need not be the sole cause. Even where the causes of the disease are indeterminate, a single medical opinion relating the disease to the job is sufficient to support a decision for the employee.

Vickers v. Mo. Dep't of Pub. Safety, 283 S.W.3d 287, 292 (Mo. App. 2009)(citations omitted)(emphasis in original).

Employee presented expert medical testimony from Dr. Thomas Musich. Dr. Musich opined that employee suffered an occupational disease affecting her low back and both of her lower extremities. Dr. Musich opined that employee's work for employer is the prevailing factor in the development of acute and severe low back pain and radiculopathy which has resulted from multilevel lumbar disk bulging, bilateral sacroiliac joint dysfunction, and bilateral pyriformis syndromes. Dr. Musich rated employee's permanent partial disability at 25% of the body as a whole referable to her lumbosacral symptomatic pathology.

Employer presented expert medical testimony from Dr. David Lange. Dr. Lange opined that employee's work was not the prevailing factor causing her low back complaints. Dr. Lange premised his opinion on the facts that employee did not suffer any particular traumatic event, and because her MRI was not "particularly exciting." Transcript, page 536. Dr. Lange explained that all adults have degenerative changes, and employee's MRI appeared to show degenerative changes. Dr. Lange does not believe that employee's experiencing the onset of symptoms for the first time during her back-intensive work for employer is important. In other words, Dr. Lange wrote off employee's symptoms in favor of his view that employee must either experience a specific accident, or provide an MRI showing something other than degenerative changes. I strongly disagree with this view because I believe it finds no support in the Missouri Workers' Compensation Law.

First, as the majority has noted, there is no requirement that employee identify a particular traumatic event because this is an occupational disease case. Second, Dr. Lange's opinion requiring a change on MRI and discounting employee's pain complaints misconstrues employee's burden of proof. The version of § 287.800 RSMo applicable to this case requires that we strictly construe the provisions of the Missouri Workers' Compensation Law. Strictly construing the language of § 287.067.2 set forth above, I find no requirement that employee prove that her occupational exposure is the prevailing factor in causing a change on her MRI. Dr. Lange would discount employee's pain complaints because her MRI reveals the type of degenerative changes that he says every adult has in their spine. But pain is unquestionably a "medical condition," and as the circumstances of this case make abundantly clear, pain can result in "disability."

Dr. Musich, on the other hand, provided a medical opinion that meets employee's burden of establishing a probability that working conditions caused her low back pain. I do not find that his factual errors materially detract from the logic and good sense of his causation opinion. I find Dr. Musich's opinions in this matter to be credible.

In sum, I would reverse the award of the administrative law judge and award employee the temporary total disability benefits, past medical expenses, future medical expenses, and permanent disability benefits to which she is entitled. Because the majority has determined otherwise, I respectfully dissent.

Curtis E. Chick, Jr., Member

AWARD

Employee:Mulija KadricInjury No.: 05-139987
Dependents:N/ABefore the <br> Division of Workers' <br> Compensation
Employer:Centaur Building Services, Inc.Department of Labor and Industrial
Additional Party:Second Injury FundRelations of Missouri
Jefferson City, Missouri
Insurer:North River Insurance Co.
Hearing Date:May 23, 2012Checked by: LJW

FINDINGS OF FACT AND RULINGS OF LAW

  1. Are any benefits awarded herein? No
  2. Was the injury or occupational disease compensable under Chapter 287? No
  3. Was there an accident or incident of occupational disease under the Law? No
  4. Date of accident or onset of occupational disease: Alleged as November 16, 2005
  5. State location where accident occurred or occupational disease was contracted: St. Louis County, MO
  6. Was above employee in employ of above employer at time of alleged accident or occupational disease? Yes
  7. Did employer receive proper notice? No
  8. Did accident or occupational disease arise out of and in the course of the employment? No
  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 alleges while performing her job duties she developed low back pain.
  12. Did accident or occupational disease cause death? No
  13. Part(s) of body injured by accident or occupational disease: Alleged low back.
  14. Nature and extent of any permanent disability: None
  15. Compensation paid to-date for temporary disability: None
  16. Value necessary medical aid paid to date by employer/insurer? None
  1. Value necessary medical aid not furnished by employer/insurer? None
  2. Employee's average weekly wages: $\ 310.00
  3. Weekly compensation rate: $\$ 206.67 / \ 206.67
  4. Method wages computation: Stipulated

COMPENSATION PAYABLE

  1. Amount of compensation payable: None
  2. Second Injury Fund liability: No

TOTAL:

-0-

  1. Future requirements awarded: None

FINDINGS OF FACT and RULINGS OF LAW:

Employee: Mulija Kadric

Injury No.: 05-139987

Dependents: N/A

Employer: Centaur Building Services, Inc.

Additional Party: Second Injury Fund

Insurer: North River Insurance Co.

Before the

Division of Workers'

Compensation

Department of Labor and Industrial

Relations of Missouri

Jefferson City, Missouri

Checked by: LJW

PRELIMINARIES

The above referenced Workers' Compensation claim was heard for final award by the undersigned Administrative Law Judge on May 23, 2012. Post-trial briefs were received on June 13, 2012. Attorney Frank Niesen represented Mulija Kadric (Claimant). Centaur Building Services, Inc., (Employer) is insured by North River Insurance Company, and represented by Attorney John Mohan. Assistant Attorney General Rodney Campbell represented the Second Injury Fund (SIF).

Prior to the start of the hearing, the parties identified the issues for disposition in this case: occupational disease; notice; medical causation; liability of Employer for past medical expenses; liability of Employer for future medical care; liability of Employer for past temporary total disability (TTD) benefits; liability of Employer or SIF for permanent total disability (PTD) benefits; and liability of Employer or SIF for permanent partial disability (PPD) benefits. Hearing venue is correct, and jurisdiction properly lies with the Missouri Division of Workers' Compensation.

Claimant offered Exhibits B-P, Employer offered Exhibits 2-3, and Claimant and Employer offered Joint Exhibit A-1. SIF offered no exhibits. All exhibits were admitted. Any markings contained within any exhibit were present when received, and the markings did not influence the evidentiary weight given the exhibit. Any objections not expressly ruled on in this award are overruled. Claimant's testimony was re

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

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