Skip to content
Ott Law Firm

Daryl Majors v. City of Marshall

Decision date: February 17, 2016Injury #12-02321616 pages

Summary

The Commission modified the administrative law judge's award, determining that the Second Injury Fund is liable for permanent total disability benefits based on persuasive expert medical and vocational testimony, rather than requiring physician certification of permanent total disability status. The employee, who suffered a primary right knee injury combined with a preexisting left knee condition, was found to be unable to compete in the open labor market based on documented physical restrictions and limitations.

Archive Notice

This archive contains published Missouri Labor and Industrial Relations Commission workers' compensation decisions reproduced for research convenience. Official source links remain authoritative where provided. Joseph Ott, Attorney 67889, Ott Law Firm - Constant Victory - Personal Injury and Litigation maintains these public legal archives to support Missouri case research and to help prospective clients connect that research to the firm's courtroom practice.

Related Legal Help

Practical guidance for this decision

Third-Party Injury Check

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

  • A driver, contractor, property owner, or equipment company may share fault.
  • The injury involved a vehicle, unsafe premises, defective equipment, or a non-employer vendor.
  • A serious injury or death may need both benefits review and civil-claim analysis.

Caption

FINAL AWARD ALLOWING COMPENSATION (Modifying Award and Decision of Administrative Law Judge)
Employee:Daryl Majors
Employer:City of Marshall (Settled)
Insurer:Self-Insured (Settled)
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. We have reviewed the evidence, read the parties’ briefs, heard the parties’ arguments, and considered the whole record. Pursuant to § 286.090 RSMo, we modify the award and decision of the administrative law judge. We adopt the findings, conclusions, decision, and award of the administrative law judge to the extent that they are not inconsistent with the findings, conclusions, decision, and modifications set forth below.
Preliminaries
The parties asked the administrative law judge to determine the sole issue of the liability, if any, of the Second Injury Fund for permanent partial disability benefits or permanent total disability benefits.The administrative law judge rendered the following determinations: (1) although employee’s vocational expert persuasively testified that employee is permanently and totally disabled, under § 287.190.6(2) RSMo, no award of permanent total disability benefits can be made because employee did not provide a physician’s certification that he is permanently and totally disabled; and (2) employee is entitled to 24 weeks of enhanced permanent partial disability benefits from the Second Injury Fund.Employee filed a timely application for review with the Commission alleging the administrative law judge erred: (1) in finding that a medical doctor had to certify that employee is permanently and totally disabled; and (2) in denying permanent total disability benefits from the Second Injury Fund.For the reasons stated below, we modify the award of the administrative law judge as to the issue of Second Injury Fund liability.
Discussion Section 287.190.6(2) RSMoEmployee presents expert medical testimony from Dr. James Stuckmeyer that he has significant and permanent disability referable to both of his knees as a result of his primary right knee injury and preexisting conditions of ill-being affecting the left knee, and that employee has a number of permanent restrictions in his physical functioning resulting from these injuries and conditions. Dr. Stuckmeyer reached his conclusions based on a history taken from employee, a physical examination, and a review of relevant medical records,

and he rendered his opinions within a reasonable degree of medical certainty. With regard to employee's ability to compete for work in the open labor market, Dr. Stuckmeyer recommended employee proceed with a vocational assessment.

To that end, employee procured the expert vocational assessment of Terry Cordray, who believes that employee is unable to compete for work in the open labor market as a result of the primary right knee injury in combination with the previous left knee condition. Mr. Cordray explained that he reached this conclusion by relying upon the physical restrictions and limitations identified by Dr. Stuckmeyer and also the treating surgeon Dr. Daniel Stechschulte, as well as his own expertise regarding the positions in the open labor market that might be available to someone with employee's restrictions and limitations.

There is no contrary expert vocational or medical opinion evidence on this record. The administrative law judge indicated that he found the opinions from Mr. Cordray to be persuasive; after careful consideration, we agree. Nevertheless, the Second Injury Fund argues that we are prevented, as a matter of law, from finding, as a factual matter, that employee is permanently and totally disabled, because § 287.190.6(2) RSMo provides, in relevant part, that "[p]ermanent partial disability or permanent total disability shall be demonstrated and certified by a physician."

We disagree for a number of reasons. First, we note that the terms "demonstrated" and "certified," as set forth in § 287.190.6(2), are not defined anywhere in Chapter 287. The Second Injury Fund's argument asks us to construe both terms as if the legislature meant to require a medical expert to use the exact, specific phrase "permanent total disability" when assessing and describing an employee's level of functioning. Turning to our dictionary, however, we find the following definitions, set forth in relevant part:

Certify

1 : to attest especially authoritatively or formally: CONFIRM

2 : to inform with certainty : ASSURE

Demonstrate

1 a : INDICATE : point out b : to manifest clearly, certainly, or unmistakably : show clearly the existence of

2 a : to make evident or reveal as true by reasoning processes, concrete facts and evidence, experimentation, operation, or repeated examples b : to illustrate or explain in an orderly and detailed way especially with many examples, specimens, and particulars[.]

Webster's Third New International Dictionary 367, 600 (2002).

The foregoing does not, in our view, imply or mandate any requirement that a medical expert in a workers' compensation case employ specific language in order to make a certification or demonstration of an employee's physical functioning. Rather, it would appear that so long as the medical expert is able to "attest authoritatively," "confirm," "manifest clearly," or "make evident or reveal" the extent of an employee's physical

Improve: Daryl Majors

-3-

functioning by making findings on examination, rendering diagnoses as to the employee's medical conditions, and rendering restrictions on the employee's physical activities referable to those diagnoses, the medical expert may thereby "demonstrate" or "certify" an employee's permanent and totally disabled status, without using the exact phrase "permanent total disability."

The Second Injury Fund's argument to the contrary would require that medical experts use "magic language," without which their opinions (however persuasive) may never be relied upon by the fact-finder. The Missouri courts have never embraced this view, nor will we:

[Parties are] mistaken when [they] insist that "the substantial contribution factor" evidence requirement is not met unless a medical expert testifies in those exact words. There is nothing talismanic about the phrase in question. The words a medical expert uses when testifying are often important, not so much in and of themselves, but as a reflection of what impressions such witness wishes to impart.

Mayfield v. Brown Shoe Co., 941 S.W.2d 31, 36 (Mo. App. 1997)(citations omitted).

Whether or not the employment is a substantial factor in causing the injury is a question of fact. The Commission, and not the physician, is the trier of fact in workers' compensation cases. Therefore, even if a testifying physician fails to use the exact words of Section 287.020.3, we will affirm the Commission's award if the substance of the physician's testimony establishes that there is substantial evidence upon which to base the award.

Sanderson v. Porta-Fab Corp., 989 S.W.2d 599, 603 (Mo. App. 1999)(citations omitted).

In the words of the Mayfield court, there is nothing "talismanic" about the specific phrase "permanent total disability." Consequently, we read § 287.190.6(2) as permitting us to do as we have always done: consider the actual substance of the opinions from the testifying experts, weigh the persuasive value of those opinions, and then fulfill our factfinding duty to determine the nature and extent of an employee's disability. Here, we deem Dr. Stuckmeyer's expert medical findings on examination, his diagnoses, and his identification of permanent physical restrictions as amounting to a "certification" or "demonstration" of employee's permanent and totally disabled status as fully as if he had used those specific words in describing employee's condition.

Second, we note that § 287.020.6 RSMo provides, as follows: "The 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." The Missouri courts have identified the following test for permanent total disability:

The test for permanent total disability is whether the worker is able to compete in the open labor market. The critical question is whether, in the

ordinary course of business, any employer reasonably would be expected to hire the injured worker, given his present physical condition.

Molder v. Mo. State Treasurer, 342 S.W.3d 406, 411 (Mo. App. 2011)(citation omitted).

When the question is the nature and extent of permanent disability, the courts have consistently stated that the "degree of disability is not solely a medical question." ABB Power T \& D Co. v. Kempker, 236 S.W.3d 43, 52 (Mo. App. 2007).

The Commission may consider all the evidence, including the testimony of the employee, and draw all reasonable inferences in arriving at the percentage of disability. This is a determination within the special province of the Commission. The Commission is also not bound by the percentage estimates of the medical experts and is free to find a disability rating higher or lower than that expressed in medical testimony. This is due to the fact that determination of the degree of disability is not solely a medical question. The nature and permanence of the injury is a medical question, however, the impact of that injury upon the employee's ability to work involves considerations which are not exclusively medical in nature.

Elliott v. Kan. City School Dist., 71 S.W.3d 652, 657 (Mo. App. 2002)(citation omitted).

We note that the legislature, in 2005, did not abrogate the foregoing case law principles setting forth the test for permanent total disability and making clear that the question of employability is not solely a medical question. Consistent with the well-established test for permanent total disability in Missouri set forth above, a proper analysis of employability requires not only the expert medical identification of physical limitations but also consideration of issues such as job requirements, job availability, transferable skills, and prospects for retraining. In many (and perhaps most) cases, physicians do not possess the training, experience, or access to information necessary to render competent opinions regarding an injured worker's prospects for returning to any employment.

While we agree that $\S 287.190 .6(2)$ requires (at least in cases involving medical issues beyond the realm of lay understanding) that expert vocational opinions-as well as decisions from administrative law judges and this Commission-be fully supported by credible, competent, expert medical testimony, we do not believe the legislature intended, nor do we believe it would be reasonable to conclude, that expert medical testimony, particularly with regard to the issue of an injured worker's employability, cannot be supplemented (or refuted) by other expert testimony. We believe, and so hold, that the Commission maintains the authority to review evidence in the record in its entirety and to draw reasonable inferences therefrom. This position finds support in the recent case of Patterson v. Cent. Freight Lines, 452 S.W.3d 759 (Mo. App. 2015), wherein the court provided the following comments:

[T]he record need not contain a single expert opinion addressing the entirety of a claimant's conditions. Rather, the Commission may consider the opinions of multiple experts of differing specialties to arrive at its factual determination as to the parts and sum of a claimant's conditions.

Id. at 767 .

Third, assuming for the sake of argument that Dr. Stuckmeyer's opinions are deemed to fall below the threshold of "certifying" or "

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

Related Decisions

affirmed

The Labor and Industrial Relations Commission affirmed the administrative law judge's award allowing workers' compensation benefits for an employee's left knee injury, including approval for total knee replacement and related medical care. One dissenting member argued the knee replacement did not flow from the work injury and that employer liability should be limited to the successful meniscectomies already performed.

knee5,412 words

The Commission reversed the ALJ's award granting workers' compensation benefits to a certified nursing assistant who injured her left knee while backing out of a narrow space between a bed and wall at a nursing home on March 5, 2015. The ALJ had found the injury work-related and awarded medical expenses, temporary total disability, mileage reimbursement, and permanent partial disability benefits, but the Commission determined this award was erroneous.

knee12,845 words
affirmed

The Labor and Industrial Relations Commission affirmed the Administrative Law Judge's award denying workers' compensation benefits to Jamie E. Overstreet for a knee injury sustained on February 12, 2018. A dissenting opinion argued the injury arose out of employment and that the employee was entitled to temporary total disability, permanent partial disability, and future medical benefits.

knee6,228 words
affirmed

The Labor and Industrial Relations Commission affirmed the administrative law judge's award of workers' compensation benefits for Jackie W. Hooper's work-related knee injuries involving two tears to the medical meniscus. The commission found the award was supported by competent and substantial evidence and in accordance with Missouri Workers' Compensation Law, though one member filed a dissenting opinion regarding the scope of future medical treatment responsibility.

knee5,575 words

Davis v. Negri Plumbing(2020)

January 14, 2020#10-069808

reversed

The Commission reversed the administrative law judge's decision and found the Second Injury Fund (SIF) liable for compensation in this case involving a preexisting condition of osteogenesis imperfecta. The employee sustained a compensable right knee injury on September 1, 2010, and the Commission determined that the preexisting condition constituted a hindrance or obstacle to employment for purposes of SIF liability.

knee10,924 words