Claimant offered the following exhibits which were received into evidence without objection:
A. Stipulation for Compromise Settlement (02-155280) for 9\% permanent partial disability of the left hand and wrist paid by Employer
B. Stipulation for Compromise Settlement (03-101665) for 19\% permanent partial disability of the right knee paid by Employer
C. Medical records of Mineral Area Regional Medical Center
D. Medical records of Dr. Glen Sherrod
E. Medical records of Dr. Gregory Terpstra
F. Medical records of Mineral Area Regional Hospital
G. Medical records of Dr. Bharathi Raju
H. Medical records of Dr. Jose Jimenes
I. Medical records of Dr. H. Gunawardhana
J. Stipulation for Compromise Settlement (89-064363) for 11.25\% permanent partial disability of the BAW/Neck paid by Employer and 10 % of the ankle, 10 % of the wrist and 35 % BAW low back and hip paid by the Second Injury Fund
K. General Motors Plant Dispensary Records
L. Deposition of Dr. David Volarich
M. Deposition of Delores Gonzalez
N. Deposition of Dr. Richard Anderson
The Second Injury Fund offered the following exhibits which were received into evidence without objection:
I. Deposition of James England
II. Deposition of John Matthews
III. Social Security psychological report prepared by Dr. Toll
Claimant was born on January 28, 1961 and therefore at the time of the hearing was 52 years of age. He has been married for 31 years and has four children, all of which are emancipated. Until last year, he lived in a $16 \times 80$ trailer in Park Hills, Missouri but the trailer burned down last year and he now lives with his wife in a camper on his wife's cousin's property. Prior to the burning of the trailer, the trailer did provide handicap access for the last eight years with no steps and a railing on a ramp. The trailer also had a railing in the shower and
hallway. Claimant was not responsible for any maintenance on the property. Claimant has a high school education which included two years of technical school while in high school concentrating in electrical. Claimant was never employed as an Electrician. Claimant's wife takes care of all household chores, grocery shopping, as well as, their finances.
Claimant was awarded Social Security Disability in 2004 and was also granted disability retirement from General Motors in 2004. His total income is approximately $\ 2600 a month. Claimant takes Percocet for pain eight times a day. Claimant's employment history includes performing odd jobs after high school. Following this for two or three years he worked at a Thoroughbred Farm as an assistant trainer. Claimant began work at General Motors on the assembly line in 1985 until his last date of employment in 2004. He worked in most areas of the plant including trim, body, finish and chassis. Claimant did not have any supervisory duties over other employees while at General Motors. He never worked nor does he have any experience with computers. He does not even own a cell phone. Claimant has not had any additional education.
Claimant's first significant injury was in 1976 while playing football when he fractured his left hip requiring surgery. For the next 18 months, he was non-weight bearing, in a wheel chair for four to six months and then crutches and a cane for the remainder of the time. From that point forward until the last injury, Claimant was in constant pain in his hip worsened with standing, walking, descending and ascending stairs, as well as, riding in a car. He stated his pain levels were between a 6 to $8 / 9$. Up through the date of the last injury, he continued to take up to four or more Motrin or Ibuprofen a day. Every job at General Motors made his symptoms worse including turning left, walking up and down the line or standing on the concrete floor. Stooping and kneeling would also aggravate his symptoms. He had problems keeping up with the line and it slowed him down. The problems in the hip eventually created problems with his back. As a result of the hip and other physical problems prior to the last injury which resulted in his missing time from work, he was disciplined on several occasions and lost several jobs while at General Motors to the point of being suspended for weeks at a time. This happened on multiple occasions. His current symptoms in his hip are similar to what they were on the last date of injury on March, 2003 including a sharp and throbbing pain, as well as, an achy pain in his hip which is made worse by certain movements. Claimant continues to walk with a limp and the left leg is approximately 2 inches shorter as a result of the surgery. His symptoms are also aggravated by weather. As a result of his hip condition along with other physical problems over the years, he has taken Darvocet, Demerol and Percocet whenever possible.
In 1987, Claimant injured his left ankle. He was diagnosed with a sprain and treated with an air cast and kept off work. On February 24, 1987 it was noted that there was pain at the insertion at the plantar fascia onto the calcaneus and he was placed into a soft heel cup. On July 14, 1987 he had tenderness laterally below the malleolus and pain on resisted dorsiflexion and diagnosed status post ankle strain. Up to the date of the last injury, Claimant continued to be in constant pain which was worsened with activity including walking and standing. The ankle would give way with normal walking, especially on inclines. Pr