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Terry Humphrey v. Ruan Logistics Corporation

Decision date: February 5, 2021Injury #12-07815321 pages

Summary

The Labor and Industrial Relations Commission modified the administrative law judge's award, increasing past medical expenses from $6,711.65 to $7,597.88 based on the parties' stipulation. The Commission affirmed the judge's conclusions on liability for the September 6, 2012 workplace injury and ordered payment of medical bills to Freeman Health System and the employee.

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

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Caption

Insued by THE LABOR AND INDUSTRIAL RELATIONS COMMISSION
FINAL AWARD ALLOWING COMPENSATION (Modifying Award and Decision of Administrative Law Judge)
Injury No.: 12-078153 Medical Fee Dispute No.1200284
Employee:Terry Humphrey
Employer:Ruan Logistics Corporation
Insurer:Indemnity Insurance Company of North America
Health Care Provider:Freeman Hospital
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, 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 administrative law judge made a determination on the following issue relevant to this modified award:
*Past medical care and expenses:*
The administrative law judge determined that employer must pay employee 6,711.65 in past medical bills. The parties, however, stipulated to 7,597.88 in past medical bills if employer was found liable. Of the 6,711.65, 4,028.25 is to be paid to Freeman Health System to satisfy the medical fee dispute in this matter.
Findings of Fact
The administrative law judge’s award sets forth the stipulations of the parties and the administrative law judge’s findings of fact as to the issues disputed at the hearing. We adopt and incorporate those findings to the extent that they are not inconsistent with the modifications set forth in our award. Consequently, we make only those findings of fact pertinent to our modifications herein.
Conclusions of Law
We adopt and affirm the administrative law judge’s conclusions on the issues of whether employee’s September 6, 2012 accident caused his injury and disability, temporary total disability, the nature and extent of employee’s disability, and past medical expenses.
Injury No.: 12-078153 Medical Fee Dispute No.1200284
Employee: Terry Humphrey-2-
Under § 287.140.1, "the employee shall receive and the employer shall provide such medical, surgical, chiropractic and hospital treatment ... as may reasonably be required after the injury or disability, to cure and relieve from the effects of the injury."§ 287.140.3 provides that "All fees and charges under this chapter shall be fair and reasonable..."
Employer and employee stipulated to $7,597.88 in past medical benefits if employer was found liable for the September 6, 2012 injury. Although the administrative law judge cited to this stipulation in her award, the administrative law judge found employer liable for $6,711.65 in past medical expenses. We therefore modify the original award, finding employee entitled to 7,597.88 (4,028.25 to be paid directly to Freeman Health System, and $3,569.63 to be paid directly to employee).
Motion to Strike
On August 18, 2020, employee e-mailed his reply brief to this commission and to employer. On August 27, 2020, employer filed a brief that included a motion to strike employee's August 18, 2020 brief, alleging that it should have been mailed or faxed to the commission, and that by filing it via email, it does not comply with the commission's regulations.
Pursuant to § 287.480.1 and 8 CSR 20-2.010(4), Any notice of appeal, application for review filed in a workers' compensation claim or other paper required by law to be filed with the commission can be mailed or faxed to this commission.
While the commission prefers that parties refrain from email filing and instead use the commission's Box system, the §287.550 mandate to provide the parties with a simple, informal, and summary proceeding is not consistent with striking filings for the sole purpose they were received initially via e-mail. We therefore accept employee's August 18, 2020 reply brief, and deny employer's motion to strike.
Conclusion
We modify the award of the administrative law judge as to the issue of past medical expenses.
We deny employer's motion to strike employee's August 18, 2020 reply brief. The award and decision of Administrative Law Judge Karen W. Fisher is attached hereto and incorporated herein to the extent not inconsistent with this decision and award.
The Commission approves and affirms the administrative law judge's allowance of an attorney's fee herein as being fair and reasonable.
Any past due compensation shall bear interest as provided by law.

Implovee: Terry Humphrey

Given at Jefferson City, State of Missouri, this $\qquad 5th \qquad$ day of February 2021.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

![img-0.jpeg](img-0.jpeg)

DISSENTING OPINION FILED

Reid K. Forrester, Member

Shalonn K. Curls

Shalonn K. Curls, Member

Attest:

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 minor modifications. I do not believe that employer is liable for employee's temporary total disability, past medical expenses, and 12.5 % permanent partial disability due to employee's September 6, 2012 primary work injury.

The administrative law judge should not have discredited the findings of Mr. Frank Stevens, and fail to consider the relevant investigative findings with the testimony of Ms. Rosie Garcia and Ms. Ruffett Yokley. The administrative law judge based his credibility determination of Mr. Stevens on the fact that he had no idea what kind of trailer employee was hooking up to at the time of the accident, he relied on old measurements, he did not record the inspections he performed at a truck stop, and that the safety mirror on employee's truck was adjustable. However, when viewing the measurements and specifications Mr. Stevens had pertaining to employee's truck, his opinion that the accident could not have occurred the way employee describes is credible. Ms. Yokley testified that it did not seem possible for employee to walk around the truck and hit the mirror with his head unless he was leaning into the truck while he was walking, given that she was able to walk right under the safety mirror and she is about the same height as employee. Furthermore, Ms. Yokley testified that at the time of her inspection of the truck employee was driving, the safety mirror was in line with the fender of the truck and was not extending outwards over the fender. Ms. Yokley also discredited Mr. Stevens' findings by noting he did not know what kind of trailer employee was hooking up to at the time of the accident. However, employee has not wavered in testimony that he was on the passenger side of the truck, and walked around the front of the truck towards the driver's side when he alleged striking his head on the driver's side front fender mirror.

I also believe that the administrative law judge erred by finding Mr. Stevens' testimony to be not credible due to the safety mirror being adjustable. Mr. Stevens testified that the only way the mirror would protrude outward from the vehicle to the point to allow for an individual walking around the truck to make contact with the mirror would be if that semi-truck was hauling a wide load. However, Mr. Stevens testified that employee was not hauling any wide loads, and Ms. Yokley also testified the Neosho facility did not haul wide loads and absent hauling wide loads, there was no reason for the safety mirror to not adhere to Interstate Commerce Commission regulations and extend beyond being flush with the outside edge of the fender. Ms. Yokley also testified the mirror was more into the truck and did not stand out such that she did not see how employee could walk around the semi-truck and hit the mirror without leaning into the truck. Further, Ms. Yokley examined employee's actual semi-truck with the hair still in the mirror at the time she made these findings.

I believe that employee was not a credible witness. During the time that employee worked for TransForce as a truck driver, he completed a driver physical qualification form on February 7, 2014. Employee did not mention anything about hitting his head on

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the mirror of the truck or any issues that stem from it. Employee also marked "no" on the question as to past history of head/brain injuries, disorders or illnesses. However, in noting medications on the form, he referenced being on an antibiotic for a sinus infection prescribed by Dr. Timothy Gabbert. Employee passed the United States Department of Transportation physical for commercial driving and continued driving.

I believe that Mr. Stevens is credible. He is an expert in traffic crash reconstruction and claims investigation and his testimony was not contradicted. In fact, his testimony employee could not have made contact with the driver's fender mirror behind his left ear while walking from the passenger side, around the front, toward the driver's door unless he contorted his body awkwardly is supported not only by his investigation and experience, but also by the testimony of Ms. Garcia and Ms. Yokley. Additionally, employee presented no evidence to contradict this opinion other than his own testimony.

I also believe that the administrative law judge erred by failing to rely on the objective medical evidence, and by choosing to rely upon employee's subjective complaints and testimony, and the opinion of Dr. Brent Koprivica. Dr. James S. Appelbaum is board certified in neurology, with qualifications in clinical neurophysiology and sleep medicine. He has been in practice as a general neurologist for 27 years. While he is a general neurologist, he testified that he analyzes and assesses primarily issues related to concussions, migraines, epilepsy, stroke and pinched nerves. After reviewing all medical records, United States Department of Transportation certifications and employee's deposition, Dr. Appelbaum opined in his addendum report of July 19, 2016, that employee did not have post-concussion syndrome as a result of the alleged injury on September 6, 2012, and found no ( 0 % ) permanent partial disability. Dr. Appelbaum noted that it was not until employee began to report striking his head on the mirror and memory loss that the medical providers went down the road of a post-concussion syndrome diagnosis. Dr. Appelbaum opined that employee suffered from a very mild concussion, did not believe employee's subjective complaints were related to his head injury. Dr. Appelbaum noted employee's lack of objective findings to correlate to his subjective complaints gave rise to his finding of no permanent partial disability.

To summarize, I find Mr. Stevens, Ms. Garcia and Ms. Yokley to be credible. I do not find employee to be a credible witness. Dr. Appelbaum was more credible and persuasive than Dr. Koprivica. Furthermore, 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

Issued by DIVISION OF WORKERS' COMPENSATION

Employee: Terry D. Humphrey

Injury No. 12-078153

AWARD

Employee: Terry D. Humphrey

Injury No. 12-078153

Dependents: N/A

Before the

DIVISION OF WORKERS'

COMPENSATION

Department of Labor and Industrial

Re

Department of

Department of Labor and Industrial

Ad

Additional Party: N/A

Relations of Missouri

Jefferson City, Missouri

Insurer: Indemnity Insurance Company of North America,

Helmsman Management Services

Insure

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