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Timothy Pannell v. Missouri Department of Corrections

Decision date: February 5, 201513 pages

Summary

The Commission affirmed the administrative law judge's award of permanent partial disability benefits for Timothy Pannell's November 24, 2009 work injury, finding that the employee failed to prove the left knee injury was caused by the accident and did not meet the burden for permanent total disability. The Commission also approved payment of attorney's fees under a joint motion between the employee's former and current legal representatives.

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Caption

FINAL AWARD ALLOWING COMPENSATION (Affirming Award and Decision of Administrative Law Judge with Supplemental Opinion)
Injury No. 09-095168
Employee:Timothy Pannell
Employer:Missouri Department of Corrections
Insurer:C A R O
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, heard the parties’ arguments, 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
Joint motion for payment of attorney’s fees and expenses
We take administrative notice of the records of the Division of Workers’ Compensation (Division) in this matter. Those records reveal the following circumstances with respect to employee’s legal representation in this matter.On or about July 8, 2011, employee’s (then) counsel of record, Douglas L. Van Camp filed with the Division a “Motion to Withdraw at Request of Client.” Therein, Mr. Van Camp indicated that employee had discharged Van Camp Law Firm, LLC, and Mr. Van Camp as his attorney in the case. Mr. Van Camp asserted a lien on past and unpaid attorney’s fees in the amount of 11,075.00 and for expenses in the amount of 1,092.24.On July 11, 2011, Ronald L. Edelman of Edelman & Thompson, LLC, filed his entry of appearance on behalf of employee.On November 17, 2014, the Commission received from Edelman & Thompson, LLC, a “Joint Motion for the Payment of Attorney’s Fees and Expenses” (Joint Motion). Therein, Van Camp Law Firm, LLC, and Edelman and Thompson, LLC, request that the Commission honor an agreement between the two firms that Edelman and Thompson, LLC, will pay Van Camp Law Firm, LLC, $1,100.00 in attorney’s fees and expenses at the conclusion of this matter.We hereby recognize the Joint Motion. We approve payment of the attorney’s fee awarded herein subject to the terms of the Joint Motion.

Permanent total disability

We defer to and adopt as our own the administrative law judge's determinations as to the relative persuasive value of the expert medical opinions on the topic whether employee's accident of November 24, 2009, is the prevailing factor causing any resulting medical condition or disability of the left knee. Absent any medical expert opinion that the immobilization and subsequent return to activity in connection with employee's June 2010 back surgery was the prevailing factor causing any identifiable pathology and associated disability of the left knee, we agree with the administrative law judge's finding that employee failed to meet his burden of proof with respect to the claimed left knee injury.

And, where both Dr. Stuckmeyer and Michael Dreiling included employee's current left knee disability and symptoms in their opinions regarding permanent total disability, we agree with the administrative law judge's (implied) finding that their opinions do not persuasively support a determination that employee is permanently and totally disabled as a result of the primary injury in combination with his preexisting conditions of ill-being. For this reason, we affirm the administrative law judge's award of permanent partial rather than permanent total disability benefits from the Second Injury Fund.

Conclusion

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

The award and decision of Administrative Law Judge Hannelore D. Fischer, issued February 28, 2014, 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. We further approve payment of $\ 1,100.00 in attorney's fees and expenses from Edelman and Thompson, LLC, to Van Camp Law Firm, LLC, consistent with the terms of the Joint Motion for the Payment of Attorney's Fees and Expenses referenced in the body of this award.

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

Given at Jefferson City, State of Missouri, this $5^{\text {th }}$ day of February 2015.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

John J. Larsen, Jr., Chairman

James G. Avery, Jr., Member

DISSENTING OPINION FILED

Curtis E. Chick, Jr., Member

Attest:

I have reviewed and considered all of the competent and substantial evidence on the whole record. 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 that the decision of the administrative law judge should be modified to award permanent total disability benefits from the Second Injury Fund.

Setting aside, for the moment, employee's post-injury complaints referable to the left knee, let us consider the physical condition and employment prospects of this individual. Employee was 55 years of age at the time of the hearing before the administrative law judge; he graduated high school 39 years ago and has no further academic or vocational training; he has no typing or computer skills; he has a work history of performing basically unskilled labor jobs plus some supervisory work in food plants; he suffered a work injury on November 24, 2009, resulting in a low back injury requiring surgery that left him with a 20\% permanent partial disability of the body as a whole; at the time of the November 2009 work injury, employee suffered from several seriously disabling preexisting conditions of ill-being including a prior low back work injury that settled for 5\% permanent partial disability of the body as a whole but which, according to the administrative law judge, constituted a 10\% permanent partial disability of the body as a whole, and which left employee with a chronic pain condition requiring the use of narcotic medication including Percocet, a left knee surgery for osteoarthritis and degenerative meniscal tears resulting in a 20\% permanent partial disability of the left knee, a total right hip replacement resulting in a 35\% permanent partial disability of the body as a whole, osteoarthritis affecting the left hip amounting to a 30 % permanent partial disability of the body as a whole, and an anxiety condition dating back to the 1990s requiring medication and occasionally requiring employee to take as much as a week off work; he was terminated from his last employment in August or September 2010 owing to his physical inability to perform his normal duties, and hasn't worked anywhere since; he is receiving Social Security Disability and long term disability benefits as his sole source of income; he uses a sock-aid to put on his socks and wears moccasins because he can't reach his feet owing to pain in his back and hips; he has occasionally required the assistance of a cane for walking since a 2002 hip replacement; and he can only stand or sit for about 20 to 30 minutes at maximum before experiencing severe low back pain.

I tend to agree with the Commission majority that employee failed to meet his burden of proving that the primary work injury of November 2009 involved any injury to his left knee. But I disagree with the majority's determination that, even in light of the essentially uncontested facts I have just relayed, the record contains insufficient evidence to support a finding employee is permanently and totally disabled regardless of his left knee condition.

The primary confusion in this case appears to stem from the conflation of the related but separate issues of medical causation of employee's left knee condition on the one hand, and the nature and extent of permanent disability from which employee suffers on the other. As to the former issue, it is well-settled in Missouri that we are not permitted to substitute our lay opinions for those of the qualified medical experts on complicated issues of medical causation. Wright v. Sports Associated, Inc., 887 S.W.2d 596, 600

(mo. banc 1994). But as to the latter, we have always been permitted wide discretion to determine whether an employee is permanently and totally disabled. Brashers v. Treasurer of the State as Custodian of the Second Injury Fund, 442 S.W.3d 152, 155 (Mo. App. 2014).

As noted by the majority, both Dr. Stuckmeyer and Mr. Dreiling included employee's left knee condition in their opinions that employee is permanently and totally disabled. And why wouldn't they? Employee pursued his claim for compensation, in part, on a theory that he suffered a left knee injury as a result of the November 2009 accident. But the majority assumes that such inclusion by Dr. Stuckmeyer and Mr. Dreiling necessarily implies an unstated conclusion from these experts that employee is capable of competing for work in the open labor market if the work injury did not cause any injury to his left knee. I disagree with such a reading of the opinions from Dr. Stuckmeyer and Mr. Dreiling, as neither provided any indication that consideration of employee's left knee condition was necessary to their opinions regarding employability, and the Missouri courts have made clear that we are not permitted to make inferences from the silence of expert witnesses upon a particular topic. Clark v. FAG Bearings Corp., 134 S.W.3d 730, 735 (Mo. App. 2004).

Even if Dr. Stuckmeyer and Michael Dreiling had suggested the left knee condition was essential to their opinions regarding permanent total disability, we would still be entitled to find differently, because "[e]mployability is a matter within the Commission's expertise," Stewart v. Zwiefel, 419 S.W.3d 915, 918 (Mo. App. 2014), and "[t]he fact finder may reject all or part of an expert's testimony." Bennett v. Columbia Health Care, 134 S.W.3d 84, 92 (Mo. App. 2004).

It appears to me that the Commission majority, while sympathetic to the plight of this seriously disabled individual, is operating under the mistaken impression that expert testimony is needed to establish that employee is permanently and totally disabled even if his left knee complaints are set aside. I disagree with such a proposition because, as I have demonstrated, it finds no support in the Missouri Workers' Compensation Law.

After resolving the issue of medical causation of employee's left knee complaints, the Commission majority should have separately considered the issue whether, given employee's condition as of the date he reached maximum medical improvement from the primary low back work injury, he was capable of competing for work in the open labor market. Because I am convinced that the answer to that question is no, and that employee was instead rendered permanently and totally disabled owing to the effects of the primary injury in combination with his preexisting conditions of ill-being, I respectfully dissent.

AWARD

Employee:Timothy PannellInjury No.: 09-095168
Dependents:N/ABefore the <br> DIVISION OF WORKERS' <br> COMPENSATION
Employer:Missouri Department of CorrectionsDepartment of Labor and Industrial <br> Relations of Missouri <br> Jefferson City, Missouri
Additional Party:Treasurer of the State of Missouri, <br> Custodian of the Second Injury Fund
Insurer:Central Accident Reporting Office
Hearing Date:December 12, 2013Checked by: HDF/scb

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: November 24, 2009
  5. State location where accident occ

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

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