Claimant is a 55 year old woman who worked for Employer primarily as a Gas Supply Control Laborer for over 20 years. She graduated from Soldan High School in 1980 and was Homecoming Queen. As a talented athlete, she had the opportunity to attend college, but her lifelong dyslexia prevented her from succeeding in school, being able to read or having any computer skills. She trained for the heavy work she performed and worked in the highly physical job of Gas Supply Control Laborer until the end of 2006. Away from work, she enjoyed many activities such as playing basket ball and softball, skating and bike riding.
Prior to 2004, Claimant had some injuries that did not cause lasting problems, such as right shoulder dislocations and a back strain. She had some complaints of neck pain beginning in 2000, which started with an altercation with the police and worsened with time. In mid-June 2004, Claimant had an accident that forms the basis of the 2004 Case, Injury No. 04-148423. As a result, Claimant had the treatment and suffered the disability detailed in the Award for the 2004 Case. She was also diagnosed with and was conservatively treated for carpal tunnel syndrome.
Claimant has a significant family history of hypertension. In April 2000, Claimant's primary care physician ("PCP") noted borderline hypertension and gave Claimant information on a low sodium diet and exercise, which helped control her blood pressure for several years. On March 11, 2005, the PCP records note a sitting blood pressure of 160/100, and the practitioner notes contain six or seven documented office visits with elevated blood pressure. Claimant received a prescription for blood pressure medication in March, but on May 2 she called the office indicating she lost the prescription and needed samples.
On or about June 15, 2005, Claimant was at work digging a hole when she turned and felt pain in her neck and shoulder. This is the event which forms the basis of this 2005 Case. Employer sent her to Concentra, where her blood pressure was 200/90. Regarding her neck, Concentra doctors diagnosed cervical strain, with the only positive finding being "mild tenderness to direct palpation of right anterior cervical region." After she was released from Concentra, Claimant presented to Christian Hospital, where the following history was recorded:
Back pain; pt complained of right sided neck pain that started 24 hours ago when she woke up yesterday am. Complains of numbness in right arm and hand. She does labor intensive work, digging, etc and pain worsened throughout the day. No direct injury to neck.
Her blood pressure was as high as 189/107. Claimant reported relief with medication and was discharged.
Her PCP's records of June 16 note Claimant developed right sided neck pain at work, had a blood pressure of 210/90, and complained of stress. Her home blood pressure readings had been "high normal." On June 20, 2005, in follow up for her chronic high blood pressure, Claimant's PCP notes indicate she is going better with the medication change and had no complications.
When she followed at Concentra on June 21, 2005, the diagnosis for the event was hypertension/stress. The Concentra note for that visit indicated:
She feels the pattern of symptoms is better with no pain; Pt. states ...after receiving medication for her blood pressure...her neck pain resolved completely. Pt states that she was told that her pain was most likely a stress reaction or related to HNT; Pt denies any radicular pain...is ready to be released to regular duty
Claimant indicated that she thought this event was related to her hypertension, and the pain she experienced dissipated when her blood pressure was brought under control. She returned to her job.
Later in 2005, Claimant started complaining of problems with her legs, and she ultimately underwent neck surgery as described in the Award in the 2004 Case.