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 the administrative law judge erred in concluding that employee is permanently and totally disabled as a result of his 2006 work injury.
Employee was 56 years old at the time of the hearing before the administrative law judge. Employee has a robust work history which includes experience in meat cutting, carpentry, baking, and heavy labor jobs. In May 2006, employee developed dermatitis in his right hand as a result of his work for employer involving the use of sprayers to stain wood. Employee underwent surgery and suffered an infection while in the hospital. Employee continues to suffer from some pain, swelling, and loss of sensation in his right hand, and must avoid contact with any industrial chemicals.
In his testimony, employee admitted that he suffers from a number of other disabling conditions which are completely unrelated to the 2006 work injury. Employee has emphysema, which significantly limits his stamina and ability to perform physical tasks. Employee also suffers from congestive heart failure which makes him dizzy and leads to shortness of breath. Employee no longer does any yard work and will not even run a vacuum in his home because of his heart condition. Finally, employee has neuropathy in both feet which produces a constant burning sensation. Employee explained that this condition is so severe at times that he feels unable to walk.
The vocational expert, Terry Cordray, evaluated employee and opined that he is not permanently and totally disabled. Mr. Cordray explained that based on employee's work history and medical restrictions, there are a number of jobs employee can perform, and identified job listings in employee's area for such positions. Mr. Cordray credibly opined that employee could work in the food industry, as a cashier, in small engine repair, or provide locksmith services. Even employee's vocational expert, Wilbur Swearingin, admitted that there are a number of sedentary jobs which employee could perform. Mr. Swearingin did offer the ultimate opinion that employee is permanently and totally disabled, but unlike Mr. Cordray, who considered the restrictions imposed by all of the doctors, Mr. Swearingin wholly ignored the restrictions from Dr. Parmet. It should be noted that out of two evaluating doctors and two vocational experts, Mr. Swearingin provides the only expert opinion on this record that employee is permanently and totally disabled as a result of the work injury.
Employee's disability resulting from the work injury is solely limited to his right hand. I am convinced that Mr. Cordray offered the more credible and persuasive testimony in this matter when he opined that employee's work injury does not render him permanently and totally disabled. I believe the evidence best supports a finding that employee suffered 37.5 % permanent partial disability of the right upper extremity at the 175-week level, with an additional 10 weeks for disfigurement. If employee is permanently and totally disabled, it is only after factoring in the numerous other disabling conditions from which he suffers, including congestive heart failure, emphysema, and neuropathy of the lower extremities.
Enployee: Wayne Knepper
- 2 -
For the foregoing reasons, I would modify the award of the administrative law judge and award permanent partial rather than permanent total disability benefits to employee. Because the majority has determined otherwise, I respectfully dissent.
James G. Avery, Jr., Member
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: | Wayne Knepper |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
| Amendments: |
|
- Part(s) of body injured by accident or occupational disease: Bilateral upper extremities at the 175 -week level.
- Nature and extent of any permanent disability: Permanent Total Disability.
- Compensation paid to-date for temporary disability: $\ 20,675.04.
- Value necessary medical aid paid to date by employer/insurer? $\ 25,770.76.
- Value necessary medical aid not furnished by employer/insurer? None.
- Average Weekly Wage: $\ 727.52.
- Weekly Compensation Rate: $\ 485.01 (PTD) / \$365.08 (PPD)
- Method wages computation: Stipulation.