BIG FIST COAL COMPANY V. FERRELL O'QUINN; DIVISION OF WORKERS' COMPENSATION FUNDS (SUCCESSOR TO SPECIAL FUND); HON . JOHN B. COLEMAN, ADMINISTRATIVE LAW JUDGE; AND WORKERS' COMPENSATION BOARD
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NOT TO BE PUBLISHED OPINION
THIS OPINION IS DESIGNA TED "NOT TO BE
PUBLISHED." PURSUANT TO THE RULES OF
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SUPREME COURT, CR 76.28 (4) (c), THIS OPINION
IS NOT TO BE PUBLISHED AND SHALL NOT BE
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RENDERED : JUNE 17, 2004
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2003-SC-0480-WC
BIG FIST COAL COMPANY
V
APPEAL FROM COURT OF APPEALS
NO. 2002-CA-2512-WC
WORKERS' COMPENSATION BOARD NO . 93-21986
FERRELL O'QUINN; DIVISION OF
WORKERS' COMPENSATION FUNDS
(SUCCESSOR TO SPECIAL FUND);
HON . JOHN B. COLEMAN,
ADMINISTRATIVE LAW JUDGE; AND
WORKERS' COMPENSATION BOARD
APPELLEES
MEMORANDUM OPINION OF THE COURT
AFFIRMING
Big Fist Coal Company appeals from an opinion of the Court of Appeals affirming
a decision of the Workers' Compensation Board affirming an award of the
Administrative Law Judge of increased benefits to O'Quinn granted on petition to
reopen a previous award.
Big Fist argues that the ALJ improperly ordered greater benefits because there
was not substantial evidence to support either the award or a causal relation to the
original injury and such a decision was clearly erroneous.
O'Quinn originally injured his low back on January 23, 1988, while installing a
beltline structure when he was employed by Big Fist. On April 19, 1989, an ALJ
awarded benefits based on 60% permanent partial disability .
In 1991, O'Quinn attempted to work again, this time at Eastern Coal Company as
a shuttle car operator . This type of employment exacerbated his previous injury,
though, resulting in injuries on September 7, 1991, and October 23, 1992 . While he
was still on total temporary disability from these injuries, Eastern Coal closed and laid
off its employees . O'Quinn filed a consolidated claim for these two injuries together
with a petition to reopen the 1988 claim against Big Fist. The resulting decision
rendered September 30, 1994 was that there was no new injury from the work at
Eastern, but rather exacerbations of the original injury to the low back attributable to Big
Fist. Subsequently, the award granted temporary total disability benefits for those
exacerbations experienced at Eastern . After being permanently laid off by Eastern on
October 23, 1992, O'Quinn never returned to the workforce except for some light
carpentry and electrical work on a temporary basis. His last work was in 1996 .
In 1998, O'Quinn received Social Security disability benefits back-dated to
August 1996. Since then he has not looked for permanent work. His lower extremities
now have more symptoms and the pain in his low back has increased . He has also
experienced psychiatric difficulties associated with the realization that he is unable to
work as he once did . These psychiatric symptoms are being treated with Zoloft .
Among the physical symptoms, O'Quinn had experienced an acute exacerbation
of his low back pain while helping his wife plant flowers in their garden in 1998 . This
event is referred to as the "flower bed incident" throughout the appeals and decisions
below and it is this event that was the straw that "broke the camel's back" as the ALJ
called it . The findings of the ALJ as to whether this incident could be attributed to the
original work injury at Big Fist are the critical findings for this appeal.
After the "flower bed incident," O'Quinn's physical examinations revealed
diminished Achilles reflex on the right . An MRI performed on September 3, 1998
revealed a large herniated disc at L5-S1 on the right side . This diagnosis was the first
time a herniated disc was found . Despite a motion by Big Fist to reopen and contest
the charges, a March 7, 2000 ALJ decision ordered that the MRI expenses be covered.
Later that year on December 11, 2000, O'Quinn filed a motion to reopen in order
to increase the income benefits, and later on March 16, 2001, he amended the claim to
include an alleged psychiatric condition arising out of the work injury . On June 11,
2001, the claim was reassigned and a hearing was held March 4, 2002 . The parties
submitted medical proof from VA hospital records ; several doctors' reports; a
psychologist, Phil Pack; a neuropsychiatrist, Dr. David Shraberg ; and, a vocational
evaluator, Dr. Ralph Crystal . From all of this evidence, plus O'Quinn's deposition, the
ALJ issued an award on May 3, 2002 that found O'Quinn to be permanently and totally
occupationally disabled . The ALJ attributed the increased disability to a worsening of
the original injury rather than the flower bed incident.
The ALJ had several factors supporting the decision including the facts that
O'Quinn had a history of exacerbations of this injury, that two doctors attributed the
current condition to the original injury and another doctor that believed the condition to
be related to the disc bulging from the first injury, that O'Quinn was credible in
explaining increased pain and an onset of depression being treated . In addition to
those points, the ALJ took into account O'Quinn's age, injury, impairment, medical
restrictions, prior training and experience, and the area where he resides. The ALJ
concluded that the original injury contributed to the later onset of the psychiatric illness
as well as the 1998 physical injury . Finally, relying on Osborne v . Johnson , Ky ., 432
S .W .2d 800 (1968), the AU added coverage for the reasonable and necessary medical
treatment of O'Quinn's depression and anxiety as well .
Big Fist appealed this order to the Board and the Court of Appeals and each
affirmed . Big Fist now appeals to this Court arguing that the ALJ's decision was clearly
erroneous and lacked substantial evidence to support the award .
Big Fist contends that there was no substantial evidence to support the ALJ's
findings of a worsened condition and increasing the occupational disability causally
related to the original injury . Further, they assert that the ALJ's award was clearly
erroneous . Our task in reviewing the award is to determine whether substantial
evidence of probative value supported the ALJ's conclusions . Wolf Creek Collieries v.
Crum , Ky. App., 673 S .W.2d 735 (1984). Substantial evidence is defined as evidence
of relevant consequence, having fitness to induce conviction in the minds of reasonable
people. Smyzer v. B .F. Goodrich Chem . Co. , Ky., 474 S .W .2d 367 (1971). Neither the
Board nor the Court of Appeals found Big Fist's argument to be persuasive, and after
our careful review, we must agree .
O'Quinn was seen by several doctors, but Big Fist relies mostly upon attacking
the testimony of Dr. Patrick . While Dr. Patrick agreed that the 1998 incident was "the
straw that broke the camel's back", Big Fist argues that his testimony does not support
a causal connection between the 1998 herniation incident and the original 1988 injury
while employed at Big Fist. Dr. Patrick was only one of the doctors among many. A
review of the record reveals that Big Fist has found one statement of Dr. Patrick's and
magnified it to be the total conclusion . The AU did not need to rely solely on Dr.
Patrick because there were several doctors who reported treating O'Quinn. The AU
saw that within Dr. Patrick's own conclusions, he agreed with Drs. Rapier and Lyons
who each saw the herniation as causally related to the original injury at Big Fist, and
those conclusions were supported by the physical evidence that the injury occurred at
the same disc in the back, namely, the L5-S1 .
In regard to liability for psychiatric treatment, the ALJ carefully considered the
reports from the psychologist and the neuropsychiatrist and correctly determined that
the claimant had developed symptoms of depression and anxiety related to his
increased pain for which he was entitled to reasonable and necessary medical care for
the condition . The medical evidence was present to support the ALJ's conclusion on
causality. The AU also found O'Quinn's own testimony to be credible on the matter.
Big Fist is arguing that it is possible to draw conflicting conclusions from the medical
evidence, but selecting from among such evidence is the function of the ALJ . See
Pruitt v. Bugg Bros . , Ky., 547 S .W.2d 123 (1977).
The purpose of this Court's review is not to substitute our judgment for that of the
ALJ, but rather to see if there was substantial evidence of probative value to support
the award below. See Wolf Creek Collieries v. Crum , supra . ; see also Square D
Company v. Tipton , Ky., 862 S.W .2d 308 (1993). Finding such evidence in the record,
specifically in the reports and testimony of Drs . Rapier, Lyons, and Patrick, we must
affirm .
The opinion of the Court of Appeals is affirmed .
All concur.
COUNSEL FOR APPELLANT :
A. Stuart Bennett
Jackson Kelly PLLC
175 East Main Street
P.O. Box 2150
Lexington, KY 40588-9945
COUNSEL FOR APPELLEE :
Miller Kent Carter
Miller Kent Carter & Michael Lucas, PLLC
P.O . Box 852
Pikeville, KY 41502
Joel D. Zakem and
David W . Barr
Division of Special Fund
1047 US Hwy 127 South,Suite 4
Frankfort, KY 40601
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