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George Sutton v. The Doe Run Company

Decision date: July 3, 2013Injury #99-17548820 pages

Summary

The LIRC affirmed the administrative law judge's award allowing permanent and total disability compensation for George Sutton's right knee injury, finding that Dr. Margolis's opinion that preexisting conditions (polio and degenerative disc disease) combine synergistically with the primary injury was persuasive. The Commission affirmed the decision while noting that Sutton failed to prove the Second Injury Fund's liability because the January 2001 subsequent injury was voluntarily dismissed as part of the settlement.

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Caption

FINAL AWARD ALLOWING COMPENSATION (Affirming Award and Decision of Administrative Law Judge with Supplemental Opinion)
Employee:George Sutton
Employer:The Doe Run Company (Settled)
Insurer:Pacific Employers Insurance Company (Settled)
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
Affirmative credibility findings
Employee, in his brief, notes that the administrative law judge summarized the evidence, but declined to state which (if any) medical or vocational opinions he found to be credible.Section 287.460.1 mandates that an award in a contested workers' compensation case be accompanied by findings of fact and conclusions of law. The Missouri Supreme Court has declared that such statutory requirements contemplate an unequivocal affirmative finding as to what the pertinent facts are.Stegman v. Grand River Reg'l Ambulance Dist., 274 S.W.3d 529, 533 (Mo. App. 2008) (citations omitted).
Dr. Margolis opined that employee’s preexisting conditions combine synergistically with the effects of the primary injury herein. We find persuasive this testimony from Dr. Margolis. For this reason, we affirm the administrative law judge’s finding that the effects of employee’s right knee injury combine with his preexisting limitations referable to polio and degenerative disc disease to result in a greater disability than the simple sum.We also find persuasive the opinions from Dr. Margolis and the vocational expert Timothy Lalk (and we so find) that employee’s permanent and total disability results from the effects of the injuries employee sustained on January 28, 2001, in combination with employee’s preexisting conditions of ill.
Permanent total disability – subsequent injury
We agree with the administrative law judge that, although employee is permanently and totally disabled, employee is unable to meet his burden in this case of proving the Second Injury Fund is liable for permanent total disability benefits. This is because

each of the experts to address the topic included the effects of a subsequent January 28, 2001, injury in their opinions finding employee to be permanently and totally disabled. As the administrative law judge noted, employee voluntarily dismissed his claim against the Second Injury Fund referable to the January 2001 injury as part of his settlement with employer in this case, and thus it cannot be considered now.

We note that certain aspects of the January 2001 accident and injury raise the question whether it was a "natural consequence" of employee's right knee injury. See Cahall v. Riddle Trucking, 956 S.W.2d 315, 322 (Mo. App. 1997)("Where an employee sustains an injury arising out of and in the course of his employment, every natural consequence that flows from the injury, including a distinct disability in another area of the body, is compensable as a direct and natural result of the primary or original injury").

Specifically, it appears that employee's fall in January 2001 was at least partially the product of his slipping off the crutches he was using during his treatment for the right knee injury claimed herein.

But employee, in his brief, does not argue or ask us to consider a "natural consequence" theory, and the experts who testified did not identify the January 2001 injury as a natural consequence of the right knee injury. Given these circumstances, and because we agree with the administrative law judge's analysis and reading of the expert opinions, we conclude employee has failed to meet his burden of proving his entitlement to permanent total disability benefits from the Second Injury Fund in this matter.

Conclusion

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

The award and decision of Administrative Law Judge Gary L. Robbins, issued October 22, 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 $3^{\text {rd }}$ day of July 2013.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

NOT SITTING

John J. Larsen, Jr., Chairman

James G. Avery, Jr., Member

Curtis E. Chick, Jr., Member

Attest:

FINAL AWARDS

Employee: | George T. Sutton |

Dependents:
N/A

Employer: The Doe Run Company

Additional Party: Second Injury Fund

Insurer: Pacific Employers Insurance Company

Appearances: Robert W. Meyers, attorney for employee.

Gregg N. Johnson, attorney for Second Injury Fund.

Hearing Date: July 18, 2012 Checked by: GLR/rm

SUMMARY OF FINDINGS IN 99-175488

  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? February 3, 1999.
  5. State location where accident occurred or occupational disease contracted: Iron County, 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.
Employee: George T. SuttonInjury No. 99-175488, 00-179497 and 01-167788
11. Describe work employee was doing and how accident happened or occupational disease contracted: The employee twisted his right knee as he was getting into a bobcat.
12. Did accident or occupational disease cause death? No.
13. Parts of body injured by accident or occupational disease: Right knee.
14. Nature and extent of any permanent disability: The employee settled his claim with the employer-insurer for 30% permanent partial disability of the right knee.
15. Compensation paid to date for temporary total disability: $0.
16. Value necessary medical aid paid to date by employer-insurer: $10,218.97.
17. Value necessary medical aid not furnished by employer-insurer: $0.
18. Employee's average weekly wage: $569.18.
19. Weekly compensation rate: The employee’s rate for temporary total and permanent total disability is 379.45 per week. His rate for permanent partial disability is 294.73 per week.
20. Method wages computation: By agreement.
21. Amount of compensation payable: See Award.
22. Second Injury Fund liability: See Award.
23. Future requirements awarded: None.
Said payments shall be payable as provided in the findings of fact and rulings of law, and shall be subject to modification and review as provided by law.
The Compensation awarded to the employee shall be subject to a lien in the amount of 25% of all payments hereunder in favor of the following attorney for necessary legal services rendered to the employee: Robert W. Meyers.
**SUMMARY OF FINDINGS IN 00-179497**
1. Are any benefits awarded herein? Yes.
2. Was the injury or occupational disease compensable under Chapter 287? Yes.
  1. Was there an accident or incident of occupational disease under the Law? Yes.
  2. Date of accident or onset of occupational disease? December 19, 2000.
  3. State location where accident occurred or occupational disease contracted: Iron County, Missouri.
  4. Was above employee in employ of above employer at time of alleged accident or occupational disease? Yes.
  5. Did employer receive proper notice? Yes.
  6. Did accident or occupational disease arise out of and in the course of the employment? Yes.
  7. Was claim for compensation filed within time required by law? Yes.
  8. Was employer insured by above insurer? Yes.
  9. Describe work employee was doing and how accident happened or occupational disease contracted: The employee developed bilateral wrist problems due to the requirements of his job.
  10. Did accident or occupational disease cause death? No.
  11. Parts of body injured by accident or occupational disease: Bilateral wrists.
  12. Nature and extent of any permanent disability: The employee settled his claim with the employer-insurer for 20 % permanent partial disability of each wrist.
  13. Compensation paid to date for temporary total disability: $\ 0.
  14. Value necessary medical aid paid to date by employer-insurer: $\ 0.
  15. Value necessary medical aid not furnished by employer-insurer: $\ 0.
  16. Employee's average weekly wage: $\ 569.18.
  17. Weekly compensation rate: The employee's rate for temporary total and permanent total disability is $\ 379.45 per week. His rate for permanent partial disability is $\ 314.26 per week.
  18. Method wages computation: By agreement.
  19. Amount of compensation payable: See Award.
  1. Second Injury Fund liability: See Award.
  2. Future requirements awarded: None.

Said payments shall be payable as provided in the findings of fact and rulings of law, and shall be subject to modification and review as provided by law.

The Compensation awarded to the employee shall be subject to a lien in the amount of 25 % of all payments hereunder in favor of the following attorney for necessary legal services rendered to the employee: Robert W. Meyers.

SUMMARY OF FINDINGS IN 01-167788

  1. Are any benefits awarded herein? No.
  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? January 28, 2001.
  5. State location where accident occurred or occupational disease contracted: Iron County, 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 happened or occupational disease contracted: The employee developed hearing loss due to noise exposure at his workplace.
  12. Did accident or occupational disease cause death? No.
  13. Parts of body injured by accident or occupational disease: Hearing loss.
Employee: George T. SuttonInjury No. 99-175488, 00-179497 and 01-167788
14. Nature and extent of any permanent disability: The employee settled his claim with the employer-insurer for 7.3 % of the body as a whole for hearing loss.
15. Compensation paid to date for temporary total disability: $0.
16. Value necessary medical aid paid to date by employer-insurer: $22.45.
17. Value necessary medical aid not furnished by employer-insurer: $0.
18. Employee's average weekly wage: $569.18.
19. Weekly compensation rate: The employee’s rate for temporary total and permanent total disability is 379.45 per week. His rate for permanent partial disability is 314.26 per week.
20. Method wages computation: By agreement.
21. Amount of compensation payable: $0. See Awa

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

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