LL CHARLES CLEARING CONTRACTORS V HANSEL WEBB ; HON . DONNA H . TERRY, ADMINISTRATIVE LAW JUDGE ; AND WORKERS' COMPENSATION BOARD
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IMPORTANT NOTICE
NOT TO BE PUBLISHED OPINION
THIS OPINION IS DESIGNA TED "NOT TO BE
PUBLISHED." PURSUANT TO THE RULES OF
CI VIL PROCED URE PROMUL GA TED B Y THE
SUPREME COURT, CR 76.28 (4) (c), THIS OPINION
IS NOT TO BE PUBLISHED AND SHALL NOT BE
CITED OR USED AS A UTHORITY IN ANY OTHER
CASE INANY CO UR T OF THIS STA TE.
RENDERED : October 23, 2003
NOT TO BE PUBLISHED
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2003-SC-0074-WC
CHARLES CLEARING CONTRACTORS
V
LL
APPELLANT
APPEAL FROM COURT OF APPEALS
2002-CA-0644-WC
WORKERS' COMPENSATION BOARD NOS . 92-24202 & 92-24206
HANSEL WEBB; HON. DONNA H . TERRY,
ADMINISTRATIVE LAW JUDGE ; AND
WORKERS' COMPENSATION BOARD
APPELLEES
MEMORANDUM OPINION OF THE COURT
AFFIRMING
An Administrative Law Judge (ALJ) determined that a 1992 settlement accurately
reflected the claimant's occupational disability at that time and awarded him a
permanent total disability at reopening. The Workers' Compensation Board (Board)
and the Court of Appeals affirmed . Appealing, the employer continues to maintain that
the claimant's actual disability at settlement was total and, therefore, that there could be
no greater disability at reopening . We affirm .
The claimant was born in 1959 and had a ninth-grade education with no
specialized or vocational training. His work experience was as a heavy equipment
operator in the surface mining industry. After falling from an end loader and injuring his
low back on June 11, 1990, he filed applications for both the back injury and a workrelated hearing loss.
A myelogram revealed a herniated disc, but Dr. Dempsey, a University of
Kentucky neurosurgeon, did not recommend surgery at that time . Likewise, Dr. Rapier
diagnosed degenerative disc disease and possible nerve root irritation . He reported
that an MRI revealed a disc herniation at L5-S1 without definite nerve root compression,
and he assigned a15% impairment . Dr. Parr's diagnosis was similar, but he thought
that the claimant's disability was total and only temporary. He recommended surgery,
after which he thought the claimant would be able return to work as a heavy equipment
operator . On October 22, 1992, the claimant, his employer, and the Special Fund
agreed to settle the claims for a 62 .5% occupational disability, and the agreement was
approved by an ALJ .
The claimant's back condition deteriorated after the settlement.
In 1999, he was
referred to Dr. Mortara, a neurosurgeon . At that time, MRI revealed an L5-S1 disc
herniation with moderate encroachment of the thecal sac, left nerve root sheath, and
left neural foramen . Dr. Mortara indicated that this was a significant change from 1991,
and he recommended and performed an L5-S1 discectomy . Although surgery relieved
some of the claimant's left leg symptoms, it did not alleviate his back pain . Dr. Scott,
Dr. Mortara's partner, ordered epidural steroid injections to mitigate the symptoms of S1
radiculopathy, but they were not performed because the workers' compensation carrier
refused to cover them . Dr. Scott's notes indicated that the claimant's complaints of pain
returned to pre-surgical levels and that by October, 2000, he walked with an antalgic
gait, favoring his left leg .
On December 8, 2000, the claimant moved to reopen, alleging an increase in
occupational disability due to a worsening of his back condition and the development of
a resulting psychiatric condition. The claimant admitted that he thought he was totally
disabled in 1992 and that he had not worked since then . He testified, however, that he
was in more severe pain than in 1992, that he had numbness on his right side and foot,
and that he presently had a nervous condition that interfered with his sleep and caused
episodes of panic.
In 2000, Dr. Rapier diagnosed a herniated disc at L5-S1 that resulted in a
discectomy and chronic radicular symptoms. Using the same edition of the AMA
Guides as in 1991, Dr. Rapier indicated that the condition now warranted a 23%
impairment . Furthermore, he restricted the claimant from occasionally lifting more than
20 pounds, from regularly lifting more than 10 pounds, and from bending, lifting, turning,
or twisting .
Dr. Travis, a neurosurgeon, examined the claimant in January, 2000 and
reviewed his medical records . He recommended three to four weeks of work hardening
and conditioning, followed by a return to work . He reported that MRI revealed no
evidence of recurrent disc herniation or nerve root compression and, therefore, saw no
reason that the claimant's symptoms were worse than before surgery .
Dr. Patrick, a general surgeon, evaluated the claimant and assigned a 26%
impairment to the back condition.
Dr. Cooke, a clinical and forensic psychologist, evaluated the claimant and
diagnosed atypical anxiety disorder and adjustment disorder with depressed mood . He
assigned a 20% psychiatric impairment of which 15% was work-related and 5% was
not. He reported that the claimant could read at the seventh grade level and was below
average to very below average in intellectual functioning .
Testing performed by Dr. Granacher, a psychiatrist, revealed a fifth-grade
reading level and below average intellectual functioning . He diagnosed pain disorder
due to a worsening of the L5-S1 disc. In his opinion, the condition warranted a 5%
AMA impairment .
Dr. Weikel, a vocational expert, reported that the claimant was totally disabled
and that, if Dr. Parr's opinions were believed, the claimant had no permanent
occupational disability in 1991 .
Based upon Dr. Rapier's findings, Dr. Weikel
determined that the claimant lost at least 45% of his prior access to the labor market.
Whereas, based upon Dr. Patrick's findings, he lost 80% .
After reviewing the lay and medical evidence, the ALJ determined that the
settlement accurately reflected the claimant's occupational disability in 1992 and that
his present disability was total. In doing so, the ALJ pointed to the deterioration of his
physical condition since the settlement, his increased physical impairment, and the
development of the psychiatric impairment . Although the Board and the Court of
Appeals affirmed, the employer continues to maintain that the decision was erroneous.
Asserting that the claimant was totally disabled at settlement, the employer
emphasizes his failure to return to work . The employer also points to Dr. Parr's 1991
testimony that the claimant was totally disabled but that the condition was only
temporary because he would be able to return to work after surgery .
Its argument is
that because the claimant did not undergo surgery until 1999, Dr. Pares testimony
supports the view that he was totally disabled in 1992. The employer concludes that it
is not material that the claimant's physical condition worsened after the settlement
because he was totally disabled at that time and, therefore, could become no more
disabled .
At reopening, the claimant was seeking an award of permanent total disability.
Therefore, he had the burden to show that his permanent occupational disability was
greater than it had been at settlement and that it had become total . It is among the
functions of the ALJ to decide which evidence to rely upon and to translate the lay and
medical evidence into a finding of occupational disability. In doing so, the ALJ is bound
by neither the worker's perception of the extent to which he is disabled, the vocational
evidence, nor a physician's opinion in that regard . Eaton Axle Corp . v. Nally, Ky., 688
S .W .2d 334 (1985). Here, the ALJ determined that the claimant's occupational
disability at settlement was 62 .5% considering his age, education, and work experience .
The finding was reasonable under the evidence as a whole and, therefore, it was
properly affirmed on appeal. Special Fund v. Francis , Ky., 708 S .W .2d 641, 643
(1986).
The decision of the Court of Appeals is affirmed .
All concur.
COUNSEL FOR APPELLANT :
Thomas L . Ferreri
Kamp T. Purdy
Ferreri & Fogle
203 Speed Building
333 Guthrie Green
Louisville, KY 40202
COUNSEL FOR APPELLEE :
Jeffery Hinkle
Anderson, Hinkle, Keenan & Childers, P .S .C .
P .O. Box 1704
Inez, KY 41224
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