topgroove
12-17-2009, 10:43 PM
VIRGINIA: 08/25/98
IN THE WORKERS’ COMPENSATION COMMISSION
Affirmed by the Court of Appeals in
Record No. 2193-98-3 (February 23, 1999)(unpublished)
DANNY D. MULLINS, Claimant
Opinion by the
FULL COMMISSION
v. VWC File No. 183-35-97
FLOYD S. PIKE ELECTRICAL CONTRACTORS, INC., Employer
LIBERTY MUTUAL INSURANCE COMPANY, Insurer
Paul Phipps, Esquire
Lee & Phipps, P.C.
Post Office Drawer 4030
Wise, Virginia 24293
For the Claimant.
Deborah W. Dobbins, Esquire
Gilmer, Sadler, Ingram,
Sutherland & Hutton, L.L.P.
Post Office Box 878
Pulaski, Virginia 24301
For the Defendants.
REVIEW on the record by Commissioner Diamond, Commissioner Tarr, and Commissioner Dudley at Richmond, Virginia.
The claimant requests review of the deputy commissioner’s November 18, 1997, Opinion terminating his benefits. In his Opinion the deputy commissioner thoroughly recited the salient facts, which we adopt, except as otherwise or additionally set forth herein.
The record reflects that the claimant injured his back, hip, and legs in an accident on June 3, 1996. The injury was accepted as compensable and on April 23, 1997, the claimant was awarded temporary total benefits beginning December 16, 1996. The claimant was initially seen by Dr. Klock in early December 1996. At that time x-rays were taken and an MRI ordered for December 20, 1996. On December 26, 1996, Dr. Klock examined the claimant and reviewed the MRI results with him. Dr. Klock noted "L1,L2 disc degeneration with broad base annular bulge and a small right paracentral L4,L5 annual and /or disc bulge." Dr. Klock restricted the claimant to lifting up to fifteen pounds. The claimant was also to avoid repetitive bending, twisting, stooping, and sitting or standing for more than thirty minutes without a change of position. Dr. Klock also referred the claimant to physical therapy and to Abingdon Orthopedics, where the claimant was seen by Dr. McKain.
Dr. McKain examined the claimant on January 14, 1997, and noted little objective abnormality on the clinical evaluation. He noted that the claimant's x-rays showed some minimal early lipping of the L1-2 intervertebral disc; however, he did not comment on the MRI results. Dr. McKain prescribed another course of physical therapy. The claimant attended this second course of physical therapy from March 10, 1997, though April 2, 1997. On April 4, 1997, the physical therapist wrote in a progress report to Dr. McKain that the claimant's "reported high pain rating does not correspond with observed behavior and movement patterns during treatment sessions."
Dr. McKain examined the claimant again on April 7, 1997. The claimant reported that he felt worse after starting physical therapy than before. Dr. McKain reported he could find "no objective abnormality to explain on an ortho/neurologic basis Mr. Mullins [sic] continuing pain complaints . . . . I have no explanation for this, his pain, nor explanation for the etiology of such. It is my opinion that from a medical standpoint he can return to work." The claimant testified in his deposition that Dr. McKain attempted to refer him either for a second opinion or a functional capacity evaluation, but was unable to secure approval after contacting the insurer. On April 9, 1997, the employer/insurer filed an Application to terminate benefits based on the April 7, 1997, report of Dr. McKain.
On June 6, 1997, the claimant's deposition was taken, during which he was examined concerning a job description of a "Class A Lineman." The claimant had seen this document only for approximately ten minutes before the deposition. He explained that he did not agree with all of the description. Specifically, he testified that while the job description disclosed that a Class A Lineman would reach overhead between one and five percent of his or her shift, the claimant estimated he spent at least fifty percent of his time reaching overhead. The claimant also disputed many of the statements on the description as being inaccurate, given the demands of the particular job. For example, the description allocates six to twenty-five percent of the employee's time being spent "pushing and pulling." The claimant testified that, depending on the job, he spent between twenty-five and forty percent of his time pushing and pulling. Finally, when asked whether he thought he could perform his pre-injury job, the claimant responded "no." He explained, "I don't think I could put a belt around me and climb poles. I don't think I could even get up on a bucket truck to get in the bucket."
At the June 18, 1997, hearing on the employer/insurer's Application, it was raised before the deputy commissioner that the employer/insurer had failed to pay benefits under the Award through the date of filing. Accordingly, the deputy commissioner dismissed the Application in a letter Opinion dated June 25, 1997.
The employer/insurer then filed a second Application on July 8, 1997, making the same allegation that the claimant had been released to pre-injury work on April 9, 1997, in accordance with Dr. McKain's April 7, 1997, report. Attached to the Application was a work release from Dr. McKain and a copy of a job description of the duties of a Class A Lineman. This release, attached to the bottom of a letter from the insurer to Dr. McKain dated April 18, 1997, was signed by Dr. McKain on April 22, 1997 and acknowledged that “I have reviewed the attached job description and believe that Danny Mullins is able to return to full duty work as described.” Dr. McKain never discussed the job description with the claimant.
The claimant was then treated by Dr. Hines, a neurosurgeon. On July 10, 1997, Dr. Hines examined the claimant and noted that the claimant's job of "climbing poles and carrying a tool belt weighing up to 24 pounds . . . certainly adds insult to injury." Dr. Hines indicates he reviewed the MRI scan and noticed a small paracentral disc at the 4-5 level "toward the right," as well as some "desiccation particularly at the last two interspaces." Dr. Hines prescribed another MRI before commencing any epidural steroid injections.
Following the second MRI, Dr. Hines examined the claimant on July 15, 1997. He stated that he was "convinced that [the claimant] has mechanical back pain secondary to discogenic difficulty." He reported that the MRI showed degenerative changes "at the lower two segments." He also noted that the "herniation" at the L4-5 level was "not quite as prominent" as in December 1996. The radiologist reviewing the MRI results recognized a "moderate central bulge at the L4-5 level," though not a "discrete disc herniation."
Dr. Hines referred the claimant to Dr. Williams for epidural steroid injections, which he underwent on two occasions, along with a round of trigger point injections, on July 25, August 6, and August 20, 1997. The record from Dr. Williams noted that "[w]hether all of this pain is discogenic in nature, possibly facet related or strictly myofascial is not completely clear." Dr. Williams then suggested a course of treatment involving anesthetizing the facet points as well as additional radiology "as we have seen moderately unimpressive MRI's to be more apparent when studied further."
IN THE WORKERS’ COMPENSATION COMMISSION
Affirmed by the Court of Appeals in
Record No. 2193-98-3 (February 23, 1999)(unpublished)
DANNY D. MULLINS, Claimant
Opinion by the
FULL COMMISSION
v. VWC File No. 183-35-97
FLOYD S. PIKE ELECTRICAL CONTRACTORS, INC., Employer
LIBERTY MUTUAL INSURANCE COMPANY, Insurer
Paul Phipps, Esquire
Lee & Phipps, P.C.
Post Office Drawer 4030
Wise, Virginia 24293
For the Claimant.
Deborah W. Dobbins, Esquire
Gilmer, Sadler, Ingram,
Sutherland & Hutton, L.L.P.
Post Office Box 878
Pulaski, Virginia 24301
For the Defendants.
REVIEW on the record by Commissioner Diamond, Commissioner Tarr, and Commissioner Dudley at Richmond, Virginia.
The claimant requests review of the deputy commissioner’s November 18, 1997, Opinion terminating his benefits. In his Opinion the deputy commissioner thoroughly recited the salient facts, which we adopt, except as otherwise or additionally set forth herein.
The record reflects that the claimant injured his back, hip, and legs in an accident on June 3, 1996. The injury was accepted as compensable and on April 23, 1997, the claimant was awarded temporary total benefits beginning December 16, 1996. The claimant was initially seen by Dr. Klock in early December 1996. At that time x-rays were taken and an MRI ordered for December 20, 1996. On December 26, 1996, Dr. Klock examined the claimant and reviewed the MRI results with him. Dr. Klock noted "L1,L2 disc degeneration with broad base annular bulge and a small right paracentral L4,L5 annual and /or disc bulge." Dr. Klock restricted the claimant to lifting up to fifteen pounds. The claimant was also to avoid repetitive bending, twisting, stooping, and sitting or standing for more than thirty minutes without a change of position. Dr. Klock also referred the claimant to physical therapy and to Abingdon Orthopedics, where the claimant was seen by Dr. McKain.
Dr. McKain examined the claimant on January 14, 1997, and noted little objective abnormality on the clinical evaluation. He noted that the claimant's x-rays showed some minimal early lipping of the L1-2 intervertebral disc; however, he did not comment on the MRI results. Dr. McKain prescribed another course of physical therapy. The claimant attended this second course of physical therapy from March 10, 1997, though April 2, 1997. On April 4, 1997, the physical therapist wrote in a progress report to Dr. McKain that the claimant's "reported high pain rating does not correspond with observed behavior and movement patterns during treatment sessions."
Dr. McKain examined the claimant again on April 7, 1997. The claimant reported that he felt worse after starting physical therapy than before. Dr. McKain reported he could find "no objective abnormality to explain on an ortho/neurologic basis Mr. Mullins [sic] continuing pain complaints . . . . I have no explanation for this, his pain, nor explanation for the etiology of such. It is my opinion that from a medical standpoint he can return to work." The claimant testified in his deposition that Dr. McKain attempted to refer him either for a second opinion or a functional capacity evaluation, but was unable to secure approval after contacting the insurer. On April 9, 1997, the employer/insurer filed an Application to terminate benefits based on the April 7, 1997, report of Dr. McKain.
On June 6, 1997, the claimant's deposition was taken, during which he was examined concerning a job description of a "Class A Lineman." The claimant had seen this document only for approximately ten minutes before the deposition. He explained that he did not agree with all of the description. Specifically, he testified that while the job description disclosed that a Class A Lineman would reach overhead between one and five percent of his or her shift, the claimant estimated he spent at least fifty percent of his time reaching overhead. The claimant also disputed many of the statements on the description as being inaccurate, given the demands of the particular job. For example, the description allocates six to twenty-five percent of the employee's time being spent "pushing and pulling." The claimant testified that, depending on the job, he spent between twenty-five and forty percent of his time pushing and pulling. Finally, when asked whether he thought he could perform his pre-injury job, the claimant responded "no." He explained, "I don't think I could put a belt around me and climb poles. I don't think I could even get up on a bucket truck to get in the bucket."
At the June 18, 1997, hearing on the employer/insurer's Application, it was raised before the deputy commissioner that the employer/insurer had failed to pay benefits under the Award through the date of filing. Accordingly, the deputy commissioner dismissed the Application in a letter Opinion dated June 25, 1997.
The employer/insurer then filed a second Application on July 8, 1997, making the same allegation that the claimant had been released to pre-injury work on April 9, 1997, in accordance with Dr. McKain's April 7, 1997, report. Attached to the Application was a work release from Dr. McKain and a copy of a job description of the duties of a Class A Lineman. This release, attached to the bottom of a letter from the insurer to Dr. McKain dated April 18, 1997, was signed by Dr. McKain on April 22, 1997 and acknowledged that “I have reviewed the attached job description and believe that Danny Mullins is able to return to full duty work as described.” Dr. McKain never discussed the job description with the claimant.
The claimant was then treated by Dr. Hines, a neurosurgeon. On July 10, 1997, Dr. Hines examined the claimant and noted that the claimant's job of "climbing poles and carrying a tool belt weighing up to 24 pounds . . . certainly adds insult to injury." Dr. Hines indicates he reviewed the MRI scan and noticed a small paracentral disc at the 4-5 level "toward the right," as well as some "desiccation particularly at the last two interspaces." Dr. Hines prescribed another MRI before commencing any epidural steroid injections.
Following the second MRI, Dr. Hines examined the claimant on July 15, 1997. He stated that he was "convinced that [the claimant] has mechanical back pain secondary to discogenic difficulty." He reported that the MRI showed degenerative changes "at the lower two segments." He also noted that the "herniation" at the L4-5 level was "not quite as prominent" as in December 1996. The radiologist reviewing the MRI results recognized a "moderate central bulge at the L4-5 level," though not a "discrete disc herniation."
Dr. Hines referred the claimant to Dr. Williams for epidural steroid injections, which he underwent on two occasions, along with a round of trigger point injections, on July 25, August 6, and August 20, 1997. The record from Dr. Williams noted that "[w]hether all of this pain is discogenic in nature, possibly facet related or strictly myofascial is not completely clear." Dr. Williams then suggested a course of treatment involving anesthetizing the facet points as well as additional radiology "as we have seen moderately unimpressive MRI's to be more apparent when studied further."