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Karen Ritchie v. Silgan Containers Manufacturing Corporation

Decision date: September 29, 2020Injury #14-10626520 pages

Summary

The Labor and Industrial Relations Commission modified the administrative law judge's award granting permanent total disability compensation to Karen Ritchie for an occupational disease, adjusting the benefit start date from her termination date to her date of maximum medical improvement (May 2, 2018). The Commission affirmed the underlying award of $861.04 per week for life but corrected the calculation methodology to comply with Missouri workers' compensation law.

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

  • A driver, contractor, property owner, or equipment company may share fault.
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  • A serious injury or death may need both benefits review and civil-claim analysis.

Caption

Issued by THE LABOR AND INDUSTRIAL RELATIONS COMMISSION

FINAL AWARD ALLOWING COMPENSATION

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

**Injury No. 14-106265**

**Employee:** Karen Ritchie

**Employer:** Silgan Containers Manufacturing Corporation

**Insurer:** Traveler Casualty Insurance of America

This workers' compensation case is submitted to the Labor and Industrial Relations Commission (Commission) for review as provided by § 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 granting 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 modify the award and decision of the administrative law judge with this supplemental opinion.

Discussion

On October 16, 2019, an administrative law judge issued an award granting compensation to employee in this workers' compensation claim. On November 1, 2019, employer filed a timely application for review with the Labor and Industrial Relations Commission (Commission).

The administrative law judge determined that employee was entitled to $861.04 per week from employer beginning on July 17, 2017, the date employee was terminated from employer, and for the rest of her life. The administrative law judge should have used employee's date of maximum medical improvement to determine when her permanent total disability benefits should commence.¹ Dr. James Zarr opined that employee's date of maximum medical improvement was May 2, 2018. Therefore, we modify the administrative law judge's award so that employee's permanent total disability benefits begin on May 2, 2018, in the amount of $861.04 per week and for the rest of her life. The weekly payments shall continue for employee's lifetime, or until modified by law.

Conclusion

We modify the award of the administrative law judge as supplemented herein. The award and decision of Administrative Law Judge Lawrence Rebman is attached hereto and incorporated herein to the extent not inconsistent with this decision and award.

¹ See *Lewis v. Treasurer of State*, 435 S.W.3d 144, 154 (Mo.App. E.D. 2014) (quoting *Cardwell v. Treas. of State of Missouri*, 249 S.W.3d 902, 910 (Mo. App. E.D. 2008): "Although the term maximum medical improvement is not included in the statute, the issue of whether any further medical progress can be reached is essential in determining when a disability becomes permanent and thus, when payments for permanent partial or permanent total disability should be calculated.")

MNKOI 0000714466

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The Commission approves and affirms the administrative law judge's allowance of an attorney's fee herein as being fair and reasonable.

Given at Jefferson City, State of Missouri, this **29th** day of September, 2020.

**LABOR AND INDUSTRIAL RELATIONS COMMISSION**

**Robert W. Cornejo, Chairman**

**SEPARATE OPINION FILED**

Reid K. Forrester, Member

**S. Wiki Curls**

Shalonn K. Curls, Member

Attest:

**Secretary**

Injury No. 14-106265

Employee: Karen Ritchie

DISSENTING OPINION

I have reviewed the evidence, read the briefs of the parties, and considered the whole record. Based on my review of the evidence as well as my consideration of the relevant provisions of the Missouri Workers' Compensation Law, I disagree with the majority's decision to affirm the administrative law judge's award with a modification so that employee's permanent and total disability benefits start at her date of maximum medical improvement. I do not believe that employee suffered a compensable occupational disease through her work activities at employer.

Employee's argument that she sustained an occupational disease on November 1, 2014 by repetitive trauma contradicts the evidence in the record. Dr. Ernest Neighbor never spoke to employee about her educational background, her prior jobs, or any other jobs she held at employer other than driving a forklift. Moreover, Dr. Neighbor did not ask which hand was employee's dominant hand and did not know the date when employee's left elbow symptoms began.

In regards to the issue of whether employer had timely notice of employee's alleged occupational disease under §287.420, Dr. Daniel Smith had numerous discussions with employee while treating her, and talked about the possibility of changing job positions on October 30, 2015 due to her left elbow complaints. On October 2, 2015, employee stated that her symptoms were especially severe when driving a forklift. On May 16, 2016, employee did in fact change positions from a forklift driver to an inspector at employer. I do not believe that Dr. Smith would have told employee she needed to change jobs if he thought that employee's job activities had no bearing on her current condition. Therefore, the "causal connection" was made by Dr. Smith on October 30, 2015 and the notice period began to run at that time. Employee's claim should be barred due to lack of timely written notice. Additionally, employee should not be entitled to an award for disfigurement under §287.190.4 RSMo due to her failure to provide timely notice to employer.

Vocational expert Mr. Terry Cordray opined that employee could still be employed as a cashier, bank teller, customer service representative, or a hostess and still work within those restrictions. Mr. Cordray also noted in his report that employee has a knowledge of ten key typing, keyboarding skills, telephone skills, and the ability to learn on the job. He also opined that she would be a good candidate for vocational rehabilitation or community college. The only restrictions from any doctor were to employee's non dominant hand. The only condition which could prevent employee from being employable is if she truly does need to lay down or change postures or nap during the day. Employee's alleged sleep issues are long standing and predate her alleged occupational disease. Even if employee is permanently and totally disabled, I believe that it should be due to a combination of the disabilities resulting from her alleged November 1, 2014 occupational disease and her preexisting disabilities, and should result in Second Injury Fund Liability. However, the Second Injury Fund was not a party to this case, and the statute of limitations has already run under §287.430 RSMo on the filing of a claim against the Second Injury Fund.

Employee also failed to prove that her bills for the treatment she sought after July 12, 2016 are related to treatment which were caused by her alleged occupational disease. All of the treatment employee sought after July 12, 2016 was either with Dr. Jeff Bradley or provided by employer. The purpose of employee's treatment with Dr. Bradley was to fix the issues which remained from her previous treatment with Dr. Smith. Since this treatment was reasonably necessary to cure and relieve the effects of her prior treatment and not to cure and relieve the effects of her alleged occupational disease, employer should not be held liable for these expenses.

Injury No. 14-106265

Employee: Karen Ritchie

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Because I find that there is no compensable occupational disease, the future medical treatment would be solely to treat employee's pre-existing condition. Therefore, any future medical care that employee might require is not employer's responsibility to provide.

To summarize, I believe that the administrative law judge's award should be reversed in its entirety. Because the majority has determined otherwise, I respectfully dissent.

Reid K. Forrester, Member

FINAL AWARD

Employee: Karen Ritchie

Injury Nos. 14-106265

Dependents: None

Employer: Silgan Containers Manufacturing

Insurer: Travelers Casualty Ins. Co.

Additional Party: None

Hearing Date: August 16, 2019

Briefs filed: September 16, 2019

Checked by: LR/drl

FINDINGS OF FACT AND RULINGS OF LAW

  1. Are any benefits awarded herein? Yes
  2. Was the injury or occupational disease compensable under Chapter 287? Yes
  3. Was there an accident or incident of occupational disease under the Law? Yes
  4. Date of accident or onset of occupational disease: November 1, 2014
  5. State location where accident occurred or occupational disease was contracted: St. Joseph, Buchanan County, Missouri
  6. Was above employee an employ of above employer at time of alleged accident or occupational disease? Yes
  7. Did employer receive proper notice? Yes
  8. Did accident or occupational disease arise out of and in the course of the employment? Yes
  9. Was claim for compensation filed within time required by law? Yes
  10. Was employer insured by above insurer? Yes
  11. Describe work employee was doing and how accident occurred or occupational disease contracted: Karen Ritchie was a forklift operator working 12-hour shifts 7 days a week, which resulted in her sustaining a repetitive motion to her left elbow and hand.
  12. Did accidents or occupational disease cause death? No Date of death? N/A

Issued by DIVISION OF WORKERS' COMPENSATION

Injury Nos. 14-106265

Employee: Karen Ritchie

  1. Part(s) of body injured by accident or occupational disease: Left elbow and left hand.
  1. Nature and extent of any permanent disability: Claimant is permanently totally disabled.
  1. Compensation paid to date for temporary disability? $0
  1. Value of TTD not furnished by employer/insurer? N/A
  1. Value of necessary medical aid paid to date by employer/insurer? $110.00
  1. Value of necessary medical aid not furnished by employer/insurer? $25,456.66
  1. Value of necessary medical mileage not furnished by employer/insurer? N/A
  1. Did accidents or occupational diseases cause a need for future medical treatment? Yes
  1. Weekly compensation rates: TTD: 861.04, and PPD: 451.02
  1. Method of wages computation: By Agreement

COMPENSATION PAYABLE

  1. Amount of compensation payable:

Permanent total disability benefits of $861.04 each week from July 17, 2017, the day Employer terminated her, and continuing for the remainder of Karen Ritchie's life or until she is not permanently and totally disabled.

Unpaid medical expenses in the amount of $25,456.66 for reasonable and necessary treatment of her November 1, 2014 injury.

Future medical to cure and relieve the claimant of the effects of the November 1, 2014 injury.

Disfigurement to the right elbow of 12 weeks at 451.02 in the amount of 5,412.24.

The compensation awarded to the Claimant shall be subject to a lien in the amount of 25 percent of all payments hereunder in favor of Mav Mirfasihi, Employee's attorney, for necessary legal services rendered. Said payments to begin upon receipt of this Award and to be payable and be subject to modification and review as provided by law.

  1. Second Injury Fund Liability: N/A

Issued by DIVISION OF WORKERS' COMPENSATION

Injury Nos. 14-106265

Employee: Karen Ritchie

Enployee: Karen Ritchie

Issued by DIVISION OF WORKERS' COMPENSATION

Injury Nos. 14-106265

Employee: Karen Ritchie

ISSUES

The parties agreed that the issues to be resolved by hearing include:

  1. Whether Karen Ritchie sustained an occupational disease in the course of employment.
  2. Whether Karen Ritchie gave timely notice of her injury to Employer.
  3. Whether Karen Ritchie's Claim for Compensation was filed within the statute of limitations.
  4. The nature and extent of Karen Ritchie's disability.
  5. Karen Ritchie's amount of disfigurement due to her work injury.
  6. Whether Employer is liable for past medical expenses in the amount of $25,456.66?
  7. Whether Employer is liable for future medical expenses?

EVIDENCE

Karen Ritchie offered the following exhibits into evidence without objection:

- Exhibit 1 - Mosaic Life Care records

- Exhibit 2 - St. Joseph Orthopedic & Sports Medicine Center records

- Exhibit 3 - North KC Hospital records

- Exhibit 4 - Drisko Fee & Parkins records

- Exhibit 5 - St. Joseph Center for Outpatient Surgery records

- Exhibit 6 - North KC Hospital/Pain Source records

- Ex

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