The claimant, Cathy MacFedries, was born in 1954, and graduated from high school in 1972. Ms. MacFedries received no additional education or training after high school graduation. Ms. MacFedries testified that Alcan and General Cable Corporation are the same entity and that Alcan was sold to General Cable Corporation. Ms. MacFedries began working for Alcan in 1999, and is still employed with General Cable Corporation as of the date of hearing. Ms. MacFedries said that Alcan makes wire in a wide variety of sizes. Ms. MacFedries testified that while she worked in different positions for Alcan and General Cable Corporation, both the June 4, 2014 and May 21, 2015 accidents, respectively, allegedly occurred while she was employed as a recorder.
On June 4, 2014, Ms. MacFedries was working for Alcan and was rushed because she "had a lot of wire coming at her" and she stepped up into a sit down forklift by kicking her leg out and onto the machine when she heard a pop in her right knee accompanied by tremendous pain. The forklift was about 18 inches from the ground. When Ms. MacFedries reported her injury, her supervisor took her to the emergency room at Bothwell Hospital. Ms. MacFedries saw
Issued by DIVISION OF WORKERS' COMPENSATION
Employee: Cathy MacFedries
Injury No. 15-034728
Dr. Eldenburg and was then transferred to the care of Dr. White. Ms. MacFedries said that she started limping after the accident which caused her to have low back pain. Ms. MacFedries testified that she also received medical treatment for her right knee and back from Dr. Reinsel at the Missouri Orthopedic Institute, Dr. Drymalski, Dr. Komes, also of the Missouri Orthopedic Institute, Dr. Choma and Dr. Aggarwal.
Ms. MacFedries testified that she was injured at work again, this time while with General Cable Corporation, on May 21, 2015. Ms. MacFedries testified that she injured her right knee as she swung her right leg up onto a concrete step when she had popping in the right knee accompanied by pain. (The brief of the claimant, on page 16, refers to "the steps [Ms. MacFedries] fell on"; there is no evidence that Ms. MacFedries fell on any steps.) Ms. MacFedries described the step as 18 inches from front to back or horizontally; there is no evidence indicating the height or rise of the step. The step is depicted in Claimant's Exhibit C as part of a safety warning advising people to act safely and to use hand rails and grab bars as part of an effort to use all available safeguards. Ms. MacFedries described the right knee pain as worse and accompanied by shooting pain and numbness and tingling in her legs after the 2015 alleged accident in comparison to after the 2014 accident. The following day, Ms. MacFedries' sister-in-law took her to Boone Hospital in Columbia, Missouri. Ms. MacFedries was treated with her right knee in a boot for about six weeks after the alleged 2015 accident. Ms. MacFedries testified to the physicians and treatment she received after May of 2015 for the right knee and low back.
After the May 21, 2015 alleged accident Ms. MacFedries changed her work hours to an eight-hour day rather than working the 12-hour day shift she had up until that time.
Ms. MacFedries testified that her right knee and back problems have gotten worse in the last six months, with the knee problems worse than the low back.
Ms. MacFedries testified that she had back pain as early as 2008 and again in 2010. Medical records reflect that Ms. MacFedries complained of low back pain to her family physician, Dr. Eldenburg, as early as 2008, and that in 2010 she again complained to Dr. Eldenburg of low back pain which was then followed by an MRI reflecting mild lumbar scoliosis with a grade I spondylolisthesis of L4 on L5, with foraminal encroachment due to bony changes bilaterally at L4-5, as well as multiple degenerative disc changes.
Dr. Richard White saw Ms. MacFedries as a referral from Dr. Eldenburg from August of 2014 through June of 2015. In his final report of June 24, 2015, Dr. White notes that Ms. MacFedries said that with regard to the alleged May 21, 2015 accident Ms. MacFedries said that "she reinjured her knee. [Ms. MacFedries] states that she really wasn't doing anything and did not have a fall. [Ms. MacFedries] states she was simply going up the stairs and felt something and had pain." (Dr. White, Exh 3) Dr. White concludes that Ms. MacFedries' "knee issues are related to degenerative change. ...she would not have the same knee issues, if she did not have issues going on with radicular symptoms into her leg. ...getting a good result in her knee would rely on having musculature to rehabilitation. This is difficult wi