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Gracie Stevenson v. Laclede Gas Company

Decision date: October 21, 2016Injury #06-07801516 pages

Summary

The Labor and Industrial Relations Commission affirmed the administrative law judge's award allowing compensation for a worker's neck injury sustained on August 15, 2006, while straining with a cheater wrench to change a frozen propane valve. The Commission awarded past medical expenses from the employer, finding that the employee's need for medical treatment flowed from the work-related accident, despite determining that no permanent disability resulted from the temporary increase in neck pain.

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Caption

FINAL AWARD ALLOWING COMPENSATION

(Affirming Award and Decision of Administrative Law Judge with Supplemental Opinion)

Injury No.: 06-078015

Employee: Gracie Stevenson

Employer: Laclede Gas Company

Insurer: Self-Insured

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 $\S 287.480$ RSMo. Having read the briefs, 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.

Medical causation

Section 287.020.3(1) RSMo sets forth the statutory test for medical causation applicable to this claim, and provides, in relevant part, as follows:

An injury by accident is compensable only if the accident was the prevailing factor in causing both the resulting medical condition and disability. "The prevailing factor" is defined to be the primary factor, in relation to any other factor, causing both the resulting medical condition and disability.

The parties dispute the particular medical condition(s) and disability that resulted from employee's accident of August 15, 2006, wherein she felt the sudden onset of increased neck pain while straining with a cheater wrench to change out a frozen propane valve. ${ }^{1}$ The administrative law judge found that employee met her burden of proving that the accident was the prevailing factor in causing a temporary increase in neck pain that resolved spontaneously with pain medication, but that employee did not ultimately suffer an "injury," because she did not suffer any "disability."

The administrative law judge did award past medical expenses from the employer, citing Tillotson v. St. Joseph Med. Ctr., 347 S.W.3d 511 (Mo. App. 2011), and finding that employee's need for medical treatment "flowed from" the work-related accident of August 15, 2006. We ultimately agree with the choice to award past medical expenses from the employer, but we wish to provide some clarification with regard to the issue of medical causation. ${ }^{2}$

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[^0]: ${ }^{1}$ The parties stipulated that "on or about August 15, 2006, [employee] sustained an accidental injury arising out of and in the course of her employment," Transcript, page 4, but did not stipulate the particular medical condition(s) or disability employee sustained in that accidental injury. Accordingly, we must resolve that issue herein.

${ }^{2}$ As an aside, we note that the administrative law judge might also have awarded employee's medical treatment following the August 15, 2006, accidental injury in her award in Injury No. 04-148423, as such treatment would seem to unquestionably flow both from the August 2006 accidental injury as well as from the effects of employee's prior June 2004 cervical spine injury.

A compensable injury is a prerequisite to the recovery of benefits under the Missouri Workers' Compensation Law, including disputed medical expenses. See § 287.120.1 RSMo and Armstrong v. Tetra Pak, Inc., 391 S.W.3d 466 (Mo. App. 2012). In the Armstrong case, the employee (relying on Tillotson) argued that the only prerequisite to an award of compensation was the existence of a work-related "accident." The Armstrong court rejected that argument as follows:

Based upon the plain language of [§ 287.020 RSMo], Claimant was not entitled to compensation unless he proved that: (1) he suffered an accidental workrelated injury; and (2) the accident was the prevailing factor in causing both the resulting medical condition and disability. ... [T]here is a material distinction between determining whether a compensable injury has occurred and determining what medical treatment is required to treat a compensable injury. Tillotson addressed the latter, while Claimant's case involves the former. Thus, Tillotson does not support Claimant's argument.

Armstrong, 391 S.W.3d at 472-73 (citations omitted).

Here, employee is not entitled to any compensation unless the accident of August 15, 2006, was the prevailing factor causing both a resulting medical condition and disability. ${ }^{3}$ It is not sufficient merely to show that employee suffered a work-related accident, or even that the accident was the prevailing factor causing employee to suffer a temporary neck strain (i.e. a resulting medical condition). Instead, a finding of resultant disability is a prerequisite to an award in favor of the employee.

Notably, however, the statute does not require that employee prove the accident was the prevailing factor causing any permanent disability. Instead, it is sufficient that some disabilityof whatever nature, duration, or extent-resulted from the accident. After careful consideration, we ultimately agree with the administrative law judge's finding that employee did not sustain any identifiable permanent disability as a result of the accident of August 15, 2006. This is largely because employee, in her testimony, failed to identify any new symptom, limitation, or other permanent disability specifically attributable to the accident of August 15, 2006. Absent supporting testimony from the employee, given the lack of any contemporaneous medical treatment record substantiating any permanent increase in her symptomatology or other limitation, and in view of the purely conclusory opinion from employee's medical expert, Dr. Robert Poetz, we are not persuaded that any permanent disability is attributable to the August 15, 2006, accident.

We do find, however, that employee suffered some temporary disability after and directly attributable to the accident, in that employee suffered a contemporaneous increase in pain so severe that she required immediate medical intervention. Employee first went to Concentra, but was referred to the emergency room owing to the severity of her symptoms. There, she received emergency pain control in the form of intravenous morphine. Employee then saw Dr. Barry Samson on August 18, 2006, for a follow-up evaluation.

The record reflects that employee missed some work in the course of receiving this medical treatment and evaluation, and she credibly testified (and we so find) that she had to expend

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[^0]: ${ }^{3}$ The 2005 amendments to Chapter 287 heightened the employee's burden of proof with regard to issues of medical causation from a showing that "work" was "a substantial factor in the cause of the resulting medical condition or disability" (pre-2005) to a showing that "the accident" was "the prevailing factor in causing both the resulting medical condition and disability" (post-2005).

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some vacation time accrued with the employer to cover her absence(s). Accordingly, we find that the accident of August 15, 2006, was the prevailing factor causing employee to suffer a neck strain/sprain and some temporary disability.4

With the foregoing clarifications, we affirm the administrative law judge's conclusion that employee met her burden of proof with regard to the issue of medical causation. Because we otherwise agree with the administrative law judge's determination that employer is liable for the disputed past medical expenses employee incurred for treatment reasonably required to cure and relieve the effects of her injury, we affirm the award without further supplementation.

Conclusion

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

The award and decision of Administrative Law Judge Karla Ogrodnik Boresi, issued October 6, 2015, is attached and incorporated herein to the extent not inconsistent with this supplemental decision.

We approve and affirm the administrative law judge's allowance of attorney's fee herein as being fair and reasonable.

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

Given at Jefferson City, State of Missouri, this **21st** day of October 2016.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

John J. Larsen, Jr., Chairman

James G. Avery, Jr., Member

DISSENTING OPINION FILED

Curtis E. Chick, Jr., Member

Attest:

Secretary

---

4 Employee did not ask the administrative law judge to consider whether employer is liable for any temporary total or temporary partial disability benefits in this case; instead, the parties only placed in dispute the issue of "the nature and extent of [employee's] permanent partial or permanent total disability." Transcript, page 5. As a result, any question of employer's liability under §§ 287.170 or 287.180 RSMo is beyond the scope of our authority herein, so we make no finding or conclusion referable to such. See *Boyer v. Nat'l Express Co.*, 49 S.W.3d 700 (Mo. App. 2001).

DISSENTING OPINION

I concur in the majority's finding that employee suffered a compensable injury as a result of the accident on August 15, 2006, but I disagree with their decision to incorporate the administrative law judge's denial of Second Injury Fund liability in this case. The administrative law judge concluded that employee is not entitled to any compensation from the Second Injury Fund based on findings that employee did not suffer any permanent disability as a result of the August 2006 work injury, and was in any event already rendered permanently and totally disabled by the effects of a 2004 accidental injury in combination with her preexisting dyslexia. ${ }^{1}$ I disagree. I find that employee was rendered permanently and totally disabled as a result of the effects of the August 2006 injury in combination with the 2004 injury, without regard to preexisting dyslexia.

Employee worked for employer for over 23 years as a gas supply laborer, performing very heavy physical work, such as digging ditches by hand, running a jackhammer to bust up concrete, balancing on scaffolding while working overhead, manually lifting and moving railroad ties, working with large wrenches and other hand tools, running a sandblaster, and regularly lifting over 100 pounds. Employee frequently worked at height over and under bridges, on lifts, and in swing seats. Employee went to work for employer straight out of Job Corps, where she received some instruction in cement masonry work; she has no other work history or vocational experience of any kind.

Although employee had some prior conservative medical treatment for low back and neck strains (as would be expected of anyone working such a heavy job), she was not under any medical restrictions, was not taking any prescription medications for pain, and was not missing work for any chronic medical condition as of June 2004. On or about June 16, 2004, employee was at work trimming tree branches for employer. While loading and securing trimmed branches in the bed of her work truck, employee's legs suddenly became tangled in the debris, and she fell out of the truck and onto the pavement below. Employee landed on her neck and left shoulder, and experienced immediate and severe pain in her neck, shoulder, and left wrist.

Employee received conservative treatment including medications, splints, and physical therapy, but continued to experience shooting pains going up and down her neck and shoulders, as well as neurological-type symptoms in her extremities, including numbness in both hands and difficulty controlling her legs. Notwithstanding these rather alarming symptoms, employee returned to her full duties for employer as early as October 2004, after employer's physicians decided she probably just had a temporary neck strain superimposed on preexisting carpal tunnel syndrome, unrelated in any way to falling out of a truck bed and onto her neck while working for employer. Employee refused the surgery for carpal tunnel syndrome, with the result that she was left to pursue treatment on her own.

Employee didn't even undergo an MRI

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

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