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Lois Dampier v. Curators of the University of Missouri

Decision date: April 10, 201420 pages

Summary

The Labor and Industrial Relations Commission affirmed the administrative law judge's award of permanent partial disability benefits to employee Lois Dampier for a work injury. The Commission found that the employer terminated the employee due to her inability to perform job duties under medical restrictions, and rejected the employee's claim of permanent total disability, finding insufficient evidence of psychiatric disability resulting from the work injury.

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This workers' comp decision may point to a separate injury claim.

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Caption

FINAL AWARD ALLOWING COMPENSATION (Affirming Award and Decision of Administrative Law Judge with Supplemental Opinion)
Injury No.: 05-105502
Employee:Lois Dampier
Employer:Curators of the University of Missouri
Insurer:Self-Insured
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 factual findings
The administrative law judge noted that the parties dispute whether employee voluntarily left her job with employer or whether employer fired her when she was unable to perform her duties under the restrictions imposed by the authorized treating physician, Dr. Hoerner. Employee correctly notes, in her brief, that she provided the only firsthand testimony on this issue when she described a conversation with a manager who informed her that she no longer had a job given the restrictions imposed by Dr. Hoerner. Given the uncontested testimony from employee, we find the greater weight of the evidence to support a finding that employee did not quit her job but instead that employer fired her because she was no longer able to perform the job given her permanent restrictions, and we so find.
Although employee was unable to return to her job with employer in light of her physical restrictions, this is not dispositive of the issue of total disability, as § 287.020.6 RSMo makes clear that “[t]he term ‘total disability’ as used in this chapter shall mean inability to return to any employment and not merely mean inability to return to the employment in which the employee was engaged at the time of the accident.” We turn now to the question whether the effects of the work injury rendered employee unable to return to any employment.
Permanent total disability
The administrative law judge entered an award of permanent partial disability benefits against the employer. Employee appeals, arguing the evidence shows that she is permanently and totally disabled as a result of the work injury. We agree with the administrative law judge’s determinations for the following reasons.
First, the administrative law judge had the opportunity to observe employee’s testimony and demeanor at the hearing. He rendered findings as to the nature and extent of employee’s permanent disability that were specifically based upon those observations. In her brief, employee provides no argument why we should disregard the administrative law judge’s personal observations at the hearing.
Second, we agree with the administrative law judge’s finding that employee failed to prove she sustained any psychiatric disability as a result of the work injury. Dr. Hughes testified that employee’s history of childhood abuse is likely the driving force behind the psychogenic portion of employee’s current pain complaints, and after careful consideration, we find this testimony to be

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reasonable and ultimately more persuasive than the competing expert testimony. With that said, we wish to make clear that we find wholly unpersuasive Dr. Hughes's position, expressed elsewhere in his testimony, that a physical or orthopedic injury falling short of direct trauma to the brain itself cannot cause any major psychiatric injury regardless of the sequelae that may be produced by such an injury. We affirm the administrative law judge on this point not because we accept this absolutist position from Dr. Hughes, but rather because we are simply not persuaded that the accident was the prevailing factor causing employee to sustain any psychiatric disability.

Finally, we note the evidence that employee has an I.Q. of 70 (a condition diagnosable under the DSM-IV as "borderline intellectual functioning") and that the vocational expert Wilbur Swearingen persuasively testified that this preexisting condition would prevent employee from vocational education or retraining. We also note the evidence of significant preexisting degenerative disc disease as demonstrated on the diagnostic studies, and that employee sought medical care for her neck, shoulder, and back prior to the work injury in the form of chiropractic treatment and treatment with Dr. Wallace at University Hospital Family Medicine Clinic. Especially in light of the effect that these preexisting conditions have on employee's overall vocational presentation, we are unable to reach a finding that employee is permanently and totally disabled as a result of the last injury considered alone.

Conclusion

We affirm and adopt the award of the administrative law judge with this supplemental opinion.

The award and decision of Administrative Law Judge Robert J. Dierkes, issued April 10, 2013, is attached and incorporated by this reference.

The Commission approves and affirms as fair and reasonable the administrative law judge's allowance of a 25% lien in favor of employee's attorney on compensation awarded herein.

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

Given at Jefferson City, State of Missouri, this 10th day of April 2014.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

John J. Larsen, Jr., Chairman

James G. Avery, Jr., Member

Curtis E. Chick, Jr., Member

Attest:

Secretary

AWARD

Employee: Lois Dampier

Injury No. 05-105502

Dependents:

Before the

Employer: Curators of the University of Missouri

DIVISION OF WORKERS' COMPENSATION

Additional Party: None.

Department of Labor and Industrial

Relations of Missouri

Insurer: Self-insured

Jefferson City, Missouri

Hearing Date: January 10, 2013

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: October 17, 2005.
  5. State location where accident occurred or occupational disease was contracted: Boone 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? Employer is self-insured.
  11. Describe work employee was doing and how accident occurred or occupational disease contracted: Employee was lifting and transferring a heavy bag of trash.
  12. Did accident or occupational disease cause death? No. Date of death? N/A.
  13. Part(s) of body injured by accident or occupational disease: neck and low back.
  14. Nature and extent of any permanent disability: 20 % permanent partial disability of the body as a whole.
  15. Compensation paid to-date for temporary disability: $\ 1,365.54.
  16. Value necessary medical aid paid to date by employer/insurer? $\ 4,419.56.
  17. Value necessary medical aid not furnished by employer/insurer? Unknown.

Employee: Lois Dampier

  1. Employee's average weekly wages: $\ 411.33.
  2. Weekly compensation rate: $\ 274.22.
  3. Method wages computation: Stipulation.

COMPENSATION PAYABLE

  1. From Employer:

80 weeks of permanent partial disability benefits:

$\ 21,937.60

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

Employee:Lois DampierInjury No. 05-105502

FINDINGS OF FACT AND RULINGS OF LAW:

Employee: Lois Dampier

Injury No. 05-105502

Dependents:

Employer: Curators of the University of Missouri

Additional Party: None.

Insurer: Self-insured

Hearing Date: January 10, 2013

ISSUES DECIDED

The evidentiary hearing in this case was held on January 10, 2013 in Columbia. The parties requested leave to file post-hearing briefs, which leave was granted, and the case was submitted on April 2, 2013. The hearing was held to determine the following issues:

  1. Whether the work-related accident of October 17, 2005 was the prevailing factor in the cause of any or all of the injuries and/or conditions alleged in the evidence;
  2. Whether the claim for psychiatric injury is barred by the statute of limitations;
  3. Whether the notice requirement of $\S 287.420$ serves as a bar to the claim for psychiatric injury;
  4. The nature and extent of disability, if any, attributable to the work related accident of October 17, 2005;
  5. Employer's liability, if any, for permanent partial disability benefits or permanent total disability benefits;
  6. Employer's liability, if any, for payment for Claimant's past medical treatment;
  7. Whether Employer shall be ordered to pay temporary total disability ("TTD") benefits, and, if so, for what period(s) of time; and
  8. The liability, if any, of Employer-Insurer for future medical benefits pursuant to Section 287.140, RSMo.

STIPULATIONS

The parties stipulated as follows:

  1. That the Missouri Division of Workers' Compensation has jurisdiction over this case;
  2. That venue for the evidentiary hearing is proper in Boone County;
  3. That both Employer and Employee were covered under the Missouri Workers' Compensation Law at all relevant times;
  4. That Claimant's average weekly wage is $\ 411.33, with compensation rates of $\ 274.22 for temporary total disability benefits and permanent total disability benefits and $\ 274.22 for permanent partial disability benefits;
  5. That Employer has paid $\ 4,419.56 in medical benefits and $\ 1,365.54 in temporary total disability benefits; and
  6. That the University of Missouri was an authorized self-insured for Missouri Workers' Compensation purposes at all relevant times.

EVIDENCE

The evidence consisted of the testimony of Claimant, Lois Dampier; the testimony of Wilbur Swearingin, a certified vocational rehabilitation counselor; the testimony of Thomas Dampier; and the exhibits listed below.

The following exhibits were admitted on behalf of claimant:

A - Curriculum Vitae of Dr. Koprivica;

B - Reports of Dr. Koprivica;

B1 - Report of August 19, 2006

B2 - Report of July 12, 2009

Employee:Lois DampierInjury No. 05-105502
B3 -Report of October 28, 2009
C -Medical Records Provided by the Employer and Insurer
D -Medical Records of the University Hospital & Clinics through 2/12/07
E -Medical Records of University Hospital & Clinics through 1/28/09
F -Medical Records of University of Missouri – Green Meadows Clinic/Dr. LeFevre
F1 -University Physicians Medical Bills with Affidavit
I -Dr. Joel Jeffries Medical Records
J -Columbia Public Schools Records
K -Report of Dr. John Pro
L -Reports of Wilbur Swearingin
L1 -Report of December 3, 2007
L2 -Report of April 2, 2010
L3 -Report of June 18, 2010
M-(Exhibit M was withdrawn.)
N -Deposition of Dr. Koprivica
O -Health South Medical Bills

**The following exhibits were admitted on behalf of the employer and insurer:**

1 - Original Claim for Compensation receipt of which was acknowledged by the Division of Workers' Compensation on May 25, 2006;

Employee:Lois DampierInjury No. 05-105502
2 -Original Answer to Claim for Compensation filed May 30, 2006, receipt of which was acknowledged by the Division of Workers’ Compensation on June 2, 2006;
3 -First Report of Injury filed October 19, 2005;
4 -Certified medical records of Green Meadows Clinic;
5 -Medical records of University Hospital and Clinics;
6 -Certified medical records of U

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