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Wolfgang Kaschner v. Schlueter Painting Co.

Decision date: March 17, 201415 pages

Summary

The Commission modified the Administrative Law Judge's award regarding the nature and extent of disability resulting from a work injury where the employee suffered a severe comminuted fracture to his dominant right shoulder requiring three surgeries including partial shoulder replacement after falling off a work bench and down a staircase. The Commission disagreed with the ALJ's finding that the employee did not suffer permanent total disability, citing significant injuries and complications from the July 2010 accident.

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Caption

FINAL AWARD ALLOWING COMPENSATION (Modifying Award and Decision of Administrative Law Judge)
Employee:Wolfgang Kaschner
Employer:Schlueter Painting Co.
Insurer:Acuity Mutual Insurance Company
This workers’ compensation case is submitted to the Labor and Industrial Relations Commission (Commission) for review as provided by § 287.480 RSMo. We have reviewed the evidence, read the parties’ briefs, heard the parties’ arguments, and considered the whole record. Pursuant to § 286.090 RSMo, we modify the award and decision of the administrative law judge. We adopt the findings, conclusions, decision, and award of the administrative law judge to the extent that they are not inconsistent with the findings, conclusions, decision, and modifications set forth below.
Preliminaries
The parties asked the administrative law judge to resolve the following issues: (1) whether employer is liable for temporary total disability and temporary partial disability benefits from October 1, 2011, through February 29, 2012; (2) whether employer is liable for permanent partial disability benefits; and (3) whether employer is liable for permanent total disability benefits.The administrative law judge rendered the following findings and conclusions: (1) employer is not liable for permanent total disability benefits; (2) employer is liable for 139.2 weeks of permanent partial disability benefits; and (3) employee did not prove entitlement to temporary total or temporary partial disability benefits.Employee filed a timely Application for Review with the Commission alleging the administrative law judge erred: (1) in finding employer is not liable for permanent total disability benefits; and (2) in applying § 490.065 RSMo as to the issue whether employee’s witness, Michael Wilcox, should be considered an expert witness.On October 14, 2013, the Commission received a Motion to Submit Additional Evidence filed by employee. On December 17, 2013, the Commission denied employee’s Motion to Submit Additional Evidence.For the reasons stated below, we modify the award of the administrative law judge as to the issue of the nature and extent of disability employee suffered as a result of the work injury.
Discussion
Nature and extent of disability resulting from the work injury
The administrative law judge found that, as a result of the work injury, employee sustained a 60% permanent partial disability of the right shoulder, and did not suffer permanent total disability. In so finding, the administrative law judge speculated that employee may be permanently and totally disabled owing to a combination of the effects of the work injury with employee’s preexisting conditions of ill-being, or possibly

Owing to post-accident worsening of employee's condition. For the following reasons, we disagree with the administrative law judge's determinations as to this issue.

While this case has been marked by significant confusion and errors on the part of rating and evaluating experts for both parties (such as Dr. Pelikan's report incorrectly suggesting employee's injury affected his left upper extremity and Mr. Dolan's report referencing an individual named Mr. Butler rather than the employee in this matter) there is no confusion or dispute with regard to the following facts.

As of July 31, 2010, the date of the work injury, employee was a 56-year-old high school graduate with some experience as a tile setter's helper but with a vocational history otherwise limited entirely to work as a painter. As a result of the July 2010 accident, wherein employee fell off a work bench and down a staircase, employee suffered a severe comminuted bone fracture injury to his dominant right upper extremity which ultimately necessitated three surgeries, including a partial shoulder replacement. The course of employee's treatment also required the removal of all of his teeth, because the authorized treating surgeon, Dr. Nogalski, determined that employee's dental issues posed an increased risk of infection. Upon releasing employee from his care, Dr. Nogalski identified a severely reduced range of motion of the right shoulder, and opined that employee is permanently restricted from lifting more than 5 pounds and cannot use his right arm at all above chest height as a result of the work injury. Employee requires the use of pain medications to relieve ongoing pain in his shoulder, and must take antibiotics three times a day for the rest of his life in order to prevent further infections.

Employee credibly testified regarding the effects of the work injury; from this evidence we find as follows. Employee has tried to learn to use his non-dominant left hand to perform the tasks of everyday life, but has experienced considerable difficulty with activities such as shaving. Employee is unable to drive because he can't use his right arm to operate even an automatic transmission. As a result of the removal of all of his teeth, employee must now wear dentures, but employee prefers not to wear them because he is unable to get used to having them in his mouth. As of September 30, 2011, the date employee reached maximum medical improvement, he was 57 years of age. After his release from medical treatment for the work injury, employee attempted to return to work performing light duty tasks on a part-time basis for his former employer, but was unable to continue owing to an inability to use his right upper extremity effectively, and he has never returned to full-duty work. Employee believes no other employer would have hired him to perform such work, because he worked so slowly owing to his right shoulder injury. Employee feels that the right shoulder injury has rendered him unable to perform any work. Employee receives Social Security disability payments as his sole source of income.

The test for permanent total disability is whether the worker is able to compete in the open labor market. The critical question is whether, in the ordinary course of business, any employer reasonably would be expected to hire the injured worker, given his present physical condition.

Molder v. Mo. State Treasurer, 342 S.W.3d 406, 411 (Mo. App. 2011)(citation omitted).

The question presently before us is whether a 57-year-old man with little effective use of his dominant upper extremity can secure and maintain substantial and gainful employment on the open labor market. Employer's vocational expert, J. Stephen Dolan, answers that question in the affirmative, opining that employee could find work as a fast food counter worker or a pizza delivery person. We are not persuaded, and find this opinion so completely unrealistic as to undermine Mr. Dolan's credibility generally.

In light of the foregoing considerations, we are persuaded that employer has failed to present any credible evidence to rebut the opinion from employee's vocational expert, Timothy Kaver, that employee is currently unable to work, and that his reemployment possibilities are poor given his skills, disabilities, and physical restrictions. After careful consideration, we find most persuasive Mr. Kaver's opinion on this issue.

We find that employee is permanently and totally disabled as a result of the July 2010 work injury. Employer is liable for permanent total disability benefits.

Conclusion

We modify the award of the administrative law judge as to the issue of the nature and extent of permanent disability resulting from the work injury. Beginning September 30, 2011, employer is liable for weekly payments of permanent total disability benefits at the stipulated rate of $\ 404.51. The weekly payments shall continue thereafter for employee's lifetime, or until modified by law.

The Commission approves and affirms the administrative law judge's allowance of an attorney's fee herein as being fair and reasonable.

Any past due compensation shall bear interest as provided by law.

The award and decision of Administrative Law Judge Suzette Carlisle, issued August 20, 2013, is attached hereto and incorporated herein to the extent not inconsistent with this decision and award.

Given at Jefferson City, State of Missouri, this $17^{\text {th }}$ day of March 2014.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

John J. Larsen, Jr., Chairman

James G. Avery, Jr., Member

Curtis E. Chick, Jr., Member

Attest:

AWARD

Employee:Wolfgang KaschnerInjury No.: 10-060756
Dependents:N/ABefore the <br> Division of Workers' <br> Compensation
Employer:Schlueter Painting Co.Department of Labor and Industrial
Additional Party:N/ARelations of Missouri
Jefferson City, Missouri
Insurer:Acuity Mutual Insurance Company
Hearing Date:May 20, 2013Checked by: SC

FINDINGS OF FACT AND RULINGS OF LAW

  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: July 31, 2010
  5. State location where accident occurred or occupational disease was contracted: St. Louis County
  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 occurred or occupational disease contracted: Claimant fell from a work bench and injured his right shoulder.
  12. Did accident or occupational disease cause death? No
  13. Part(s) of body injured by accident or occupational disease: Right shoulder
  14. Nature and extent of any permanent disability: 60 % permanent partial disability of the right shoulder
  15. Compensation paid to-date for temporary disability: $\ 27,588.57
  16. Value necessary medical aid paid to date by employer/insurer? $\ 89,933.61
  1. Value necessary medical aid not furnished by employer/insurer? N/A
  2. Employee's average weekly wages: $\ 606.77
  3. Weekly compensation rate: $\ 404.51
  4. Method wages computation: Stipulated

COMPENSATION PAYABLE

  1. Amount of compensation payable:

139.2 weeks of permanent partial disability from Employer \$56, 307.79

TTD underpayment \ 1,646.40

  1. Second Injury Fund liability: No

TOTAL: \quad \ 57,954.19

  1. Future requirements awarded: As stated in this award

Said payments to begin and to be payable and be subject to modification and review as provided by law.

The compensation awarded to the claimant 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 claimant: Jeffrey Atkinson

FINDINGS OF FACT and RULINGS OF LAW:

Employee: Wolfgang Kaschner

Injury No.: 10-060756

Dependents: N/A

Employer: Schlueter Painting Company

Additional Party: N/A

PRELIMINARIES

The parties appeared before the undersigned administrative law judge on May 20, 2013, for a final hearing at the Missouri Division of Workers' Compensation ("Division") to determine the liability of Schlueter Painting Company, ("Employer") and Acuity Mutual Insurance Company ("Insurer"), ${ }^{1}$ at the request of Wolfgang Kaschner ("Claimant"). Attorney Jeffrey Atkinson represented Claimant. Attorney Dennis Lassa represented Employer. The Second Injury Fund is not a party to this case. Jurisdiction lies with the Division of Workers' Compensation. Venue is proper in St. Louis. The record closed after presentation of the evidence. The court reporter was Maria Krawat.

The parties stipulated that on or about July 31, 2010: ${ }^{2}$

  1. Claimant was employed by Employer in St. Louis County.
  2. Claimant sustained an accident which arose out of and in the course of employment.
  3. The Employer and Claimant opera

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

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