The issues to be determined by this award are:
1) Whether Claimant sustained any disability; and if so, the nature and extent of that disability;
2) Whether the Employer is liable to the Employee for past medical expenses in the amount of $\ 5,948.63;
3) Whether the Employer is liable to the Employee for future medical care that is reasonably required in order to cure and relieve the effects of the June 23, 2007 injury;
4) The liability of the Second Injury Fund; and
5) Future medical.
Issued by DIVISION OF WORKERS' COMPENSATION
Employee: Nancy McDonald
Injury No. 07-106174
As background information, the parties stipulated that the Claimant sustained two specific accidents: one on May 22, 2007 and one on June 23, 2007. On May 22, 2007, Claimant fell over a cart containing boxes. She landed on outstretched hands and tore her left pants leg. Claimant testified she felt pain in both shoulders, hands, pelvis, legs and toes. Claimant notified and requested medical care as a result of the fall but it was not provided until she sustained the second accident on June 23, 2007.
On June 23, 2007, Claimant felt increased pain and a pulling sensation of her left shoulder when she lifted two radios out of a box. The Employer at that time then sent Claimant to Concentra Medical Care where she was referred to an orthopaedic surgeon, Dr. Rhoades. Dr. Rhoades found Claimant sustained a partial rotator cuff tear of the left shoulder. Claimant underwent injections of the left shoulder as well without relief.
Claimant during this time period saw her own physician, Dr. Fox, for complaints relating to the neck and the lumbar spine. MRI scans revealed degenerative disc disease, annular tear and disc bulging of the low back. Claimant also saw Dr. Smith who diagnosed Claimant with significant psychological comorbidity that amplified Claimant's pain condition. Claimant received psychiatric treatment in January of 2008 by a Dr. Trombley. Dr. Trombley diagnosed Claimant with generalized anxiety disorder with moderate recurrent major depression. Another doctor who treated Claimant was Dr. Clinefelter. Dr. Clinefelter diagnosed Claimant with chronic myofascial pain syndrome and noted her anxiety and depression coincided with ongoing secondary gain from her workers' compensation case. Regardless, Dr. Clinefelter still recommended psychiatric treatment for depression and trigger injections for the myofascial pain.
Further medical records indicate Claimant received conservative care for chronic pain of the shoulders, back and neck. The majority of records described the accident of May 2007 as the mechanism of injury to her shoulders and back. These records coincide with the treatment she received for the chronic pain of the shoulders, back and neck. Eventually Claimant underwent a left shoulder acromioplasty on March 27, 2009. On July 1, 2009, Claimant was found to be at maximum medical improvement regarding her shoulder by Dr. Rhoades but he continued to administer steroid injections. Claimant then continued to treat at the Kansas Free Health Clinic for