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Thomas Wann v. The Lawrence Group

Decision date: October 11, 2017Injury #12-09060814 pages

Summary

The Commission modified the administrative law judge's award regarding the nature and extent of permanent disability and liability for future medical treatment in this shoulder and wrist injury case. The employee (Thomas Wann) was found to have sustained permanent partial disabilities of both shoulders and wrists, with the Commission reviewing disputed issues of permanent total disability, future medical care, and disfigurement.

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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:Thomas Wann
Employer:The Lawrence Group
Insurer:Travelers Indemnity Company
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 following issues:(1) future medical care; (2) nature and extent of permanent disability; and (3) liability fordisfigurement.
The administrative law judge determined as follows:(1) no liability is found for future medical treatments as a result of the work injury; (2) employee is found to have sustained a 30% permanent partial disability of the right shoulder, 20% permanent partial disability of the left shoulder, 10% permanent partial disability of the right wrist, and 10% permanent partial disability of the left wrist as a result of the reported injury for a total of 151 weeks ofdisability; (3) employee is entitled to $65,470.58 in compensation from employer/insurer; and (4) employee is not entitled to disfigurement.
Employee filed a timely application for review with the Commission alleging that the administrative law judge erred:(1) in finding that employee is not permanently and totally disabled as a result of the work injury; (2) in finding that employee’s sleep issues were not substantiated in the treatment record and were found only in expert reports; (3) in finding that Dr. Ritchie and Dr. Volarich did not find that employee is in need of future medical treatment; (4) in finding that the vocational evidence did not establish that employee is unable to go back to work; (5) in accepting the restrictions set forth by Dr. Ritchie in 2013, dealing with the right shoulder; (6) in finding that employee was doing better and not in need of much medicine by reason of his inert and sedentary lifestyle; and (7) in finding that there was no disfigurement for which compensation is due.
For the reasons stated below, we modify the award and decision of the administrative law judge referable to the issues of (1) nature and extent of permanent disability and (2) liability for future medical treatment. We affirm the administrative law judge’s award on the issue of disfigurement.

Nature and extent of permanent disability

The parties disputed the issue of whether the nature and extent of the work injury rendered employee permanently and totally disabled. The administrative law judge entered an award of permanent partial disability benefits suggesting she believed that employee did not prove that he is permanently and totally disabled or unable to compete in the open labor market, because the medical evidence did not characterize ambulation deficits, narcotic pain regimens, inability to perform self-care, or marked sleep deficits. The administrative law judge noted that employee made no demonstrable attempt to alleviate his purported sleep issues and that the treatment records did not substantiate such issues. Although the medical expert reports documented employee's alleged sleep issues, the administrative law judge found those reports unpersuasive given that such reports relied upon employee's assertion of sleep difficulties.

Clearly, the administrative law judge did not credit employee's testimony regarding sleep disturbance and fatigue. Ordinarily, we defer to the credibility determinations made by an administrative law judge with respect to live witnesses. In this case, however, we believe that the validity of employee's subjective complaints must be evaluated with reference to expert medical evidence and opinion.

First, we note that from a lay perspective it seems entirely plausible that someone with significant, bilateral shoulder injuries would experience difficulty finding and maintaining a comfortable sleeping posture. We note too that employee's physical therapy records do, in fact, make references to sleep disturbance related to his shoulder problems. Most importantly, we find that employee's complaints of sleep disturbances are endorsed by Dr. Volarich, attributed by Dr. Volarich to employee's work injury, and that there is no medical evidence or testimony to the contrary.

We find the following facts. Employee did not experience sleep disruptions prior to the November 15, 2012, work injury. Although employee sleeps for about eight hours each night, and gets more sleep than before the work injury, employee wakes up several times throughout the night to reposition himself due to pain caused by sleeping on either shoulder. As a result, employee has difficulty staying awake and needs to take several naps throughout the day. In the morning, employee feels about as tired as he did before going to bed the night before. Employee testified, and we so find, that both of his shoulders feel stiff after getting out of bed in the morning and that it takes about two and a half hours for his shoulders to feel better.

Employee presented the deposition and medical reports of his medical expert, Dr. Volarich. Therein, Dr. Volarich imposed significant and permanent restrictions upon employee's ability to work. Dr. Volarich opined that employee is permanently and totally disabled by reason of his November 15, 2012, work injury, in the event that a vocational expert was unable to find a suitable job for employee.

Employee presented the deposition and report of his vocational expert, James England. Therein, Mr. England stated, based upon the physical limitations imposed by Dr. Volarich, that it was his opinion that employee was unable to perform sedentary work on a consistent

basis because such work would involve the repetitive use of employee's upper extremities. In addition, Mr. England explained that employee's disrupted sleep was another factor contributing to employee's inability to perform sedentary work. Mr. England described sedentary work as being the lowest level of competitive employment. Accordingly, Mr. England concluded that employee is unable to compete in the open labor market due to the issues with employee's bilateral upper extremities, age, and sleep difficulties.

During his deposition, Dr. Volarich stated that he reviewed Mr. England's vocational report and opined that it verified his medical opinion that employee was permanently and totally disabled by reason of the work injury. To the extent that the medical evidence presented by the parties conflicts as to the nature and extent of employee's disability, we credit the medical opinion of Dr. Volarich as set forth in the preceding paragraphs.

Employer/insurer presented the deposition of its vocational expert, Donna Abrams. Therein, Ms. Abrams disagreed with Mr. England's conclusions as set forth in his vocational report. Ms. Abrams stated that, based on the physical limitations imposed upon employee by Dr. Volarich, she determined that employee was able to compete in the open labor market. However, Ms. Abrams conceded that her analysis did not account for employee's disrupted sleep. Ms. Abrams agreed that if employee indeed has to take several naps during the day, he "may not be able to obtain and maintain a job."1 To the extent that the vocational evidence presented by the parties conflicts as to whether employee is able to compete in the open labor market, we credit the vocational opinion of Mr. England as set forth in the preceding paragraphs.

The Missouri Workers' Compensation Law defines "total disability" as the "inability to return to any employment." "The test for permanent total disability is whether the worker is able to compete in the open labor market." ${ }^{3}$ We find that employee is unable to compete for work in the open labor market owing to the effects of the work injury. As such, we conclude that employee is entitled to compensation for his permanent and total disability resulting from the November 15, 2012, work injury.

Future medical care

Section 287.140.1 RSMo provides for an award of future medical care where the employee can prove that there is a reasonable probability of a need for future medical care that flows from the work injury. ${ }^{4}$ In his deposition, Dr. Volarich stated that he believed employee will need pain management when his symptoms flare up. In a medical report dated October 8, 2014, Dr. Volarich noted that employee had reached maximum medical improvement and, as to the future medical care, wrote the following:

In order to maintain his current state, he will require ongoing care for his pain syndrome using modalities including but not limited to narcotics and nonnarcotic medications (NSAID's), muscle relaxants, physical therapy, and

[^0]

[^0]: ${ }^{1} Transcript at 449.

{ }^{2} Section 287.020.6 RSMo.

{ }^{3} Molder v. Mo. State Treasurer, 342 S.W.3d 406, 411 (Mo. App. 2011).

{ }^{4}$ Conrad v. Jack Cooper Transp. Co., 273 S.W.3d 49, 51-54 (Mo. App. 2008).

Employee: Thomas Wann

similar treatments as directed by the current standard of medical practice for symptomatic relief of his complaints.

Transcript at 79.

We credit the medical opinion of Dr. Volarich, as set forth above, as to the issue of future medical care. Any evidence to the contrary is unpersuasive. In addition, we disagree with and disavow any implication or opinion expressed by the administrative law judge that an employee's desire to avoid narcotic pain medications negates the probability that he will need future medical care. Here, the fact that employee does not currently want to take narcotic pain medications to alleviate the symptoms of his work injury does not mean that there is no reasonable probability that he may need such treatments in the future. We find employee has established that there is a reasonable probability of a need for future medical care flowing from the injury.

We conclude that employee is entitled to, and employer/insurer is liable to provide, that future medical care that may reasonably be required to cure and relieve the effects of the work injury, including such care and treatments as recommended by Dr. Volarich.

Disfigurement

By his application, employee contests the administrative law judge's finding that he was not entitled to disfigurement compensation. Employee neither briefed nor provided oral argument on this issue before the Commission. As such, we decline to disturb the award of the administrative law judge on the issue of disfigurement.

Correction

During the hearing, the administrative law judge recited her understanding that "[i]n the event an award is written of favor [sic] of claimant, counsel for claimant is requesting a fee of $121 / 2 percent." { }^{5}$ No other mention of the fee requested by employee's attorney appears on the record. In her award, however, the administrative law judge ordered that the compensation awarded to employee therein was subject to an attorney's fee of twenty-five percent. This appears to have been the result of clerical error.

Accordingly, we correct the award of the administrative law judge to reflect the request by employee's attorney for a twelve and one half percent fee lien on the compensation awarded herein.

Conclusion

We modify the award of the administrative law judge as to the issues of: (1) nature and extent of permanent disability and (2) liability for future medical treatment. We do not disturb the award of the administrative law judge on the issue of disfigurement.

Employee is entitled to, and employer/insurer is hereby ordered to provide, that future medical care that

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