The administrative law judge determined that employee failed to meet his burden of proving that his primary injury combined with his preexisting conditions of ill-being to result in permanent total disability for purposes of § 287.220.1 RSMo. After careful consideration, we agree. Employee alleges that he is permanently and totally disabled, in part, because of significant limitations in his ability to endure prolonged sitting or standing as of December 1, 2008, the date of the primary injury. We are not persuaded. The record contains a November 4, 2008, treatment note memorializing an annual checkup with employee's primary care physician, Dr. Kevin Smith. On that date, Dr. Smith found that employee was a healthy adult male, noted employee was doing well following carpal tunnel surgery, did not identify (or even mention) any sitting or standing restrictions or limitations, and noted that employee wanted to canoe the Mississippi river after his retirement in December. Especially in light of this evidence, we are not persuaded by the opinions from employee's experts on the subject of permanent total disability, at least with regard to any Second Injury Fund liability.
We note, however, that despite finding and rating preexisting permanent partial disability referable to employee's cervical spine, lumbar spine, and left shoulder, the administrative law judge left these disabilities out of her calculation of Second Injury Fund liability based on a finding that these "were insufficient to trigger SIF liability." *Award*, page 14. But in the case of *Treasurer of Missouri-Custodian of the Second Injury Fund v. Witte*, 414 S.W.3d 455 (Mo. 2013), the Supreme Court of Missouri held that only one of employee's preexisting conditions of ill-being must satisfy the statutory thresholds under § 287.220.1 to trigger Second Injury Fund liability, and that once an employee makes such a showing, all disability referable to preexisting conditions must be included in calculating Second Injury Fund liability. *Id.* at 467. Accordingly, in order to give effect to this relevant and controlling case law, we must modify the administrative law judge's award with respect to her calculation of Second Injury Fund liability.
We defer to and adopt the administrative law judge's findings as to the extent of permanent partial disability referable to employee's cervical and lumbar spines, left shoulder, bilateral knees, and bilateral wrists, as well as her choice to assign a 15% loading factor. We additionally find employee's preexisting permanent partial disability referable to the left hip equal to 5% permanent partial disability of the body as a whole, and find that this condition was serious enough to amount to a hindrance or obstacle to employment or reemployment. Consequently, applying *Witte*, we calculate Second Injury Fund liability, as follows:
26.26 weeks (15% of the right wrist) + 8.75 weeks (5% of the left wrist) + 72 weeks (45% of the right knee) + 48 weeks (30% of the left knee) + 23.2 weeks (10% of the left shoulder) + 20 weeks (5% of the body as a whole referable to the cervical spine) + 20 weeks (5% of the body as a whole referable to the lumbar spine) + 20 weeks (5% of the body as a whole referable to the left hip) = 238.21 weeks x 15% loading factor = 35.73