2005 Workers’ Compensation Case Law Summary

                             
1. Tommy Boykin v. Sanderson Farms, Inc., 2005 WL 43476 (Miss.Ct.App. 1/11/05).

FACTS:. Claimant began working for employer in April 1987 as the plant’s millwright. It was undisputed that he worked in an area that required him to wear ear protection for the high levels of noise and undergo periodic hearing exams. Three months after his hire claimant had his first, hearing test. Although claimant never received written notice that he was experiencing hearing loss at each testing period he admits he was verbally informed by the company nurse that his hearing was getting worse. The company nurse eventually referred claimant to Dr. Michael Brooks for further testing. Dr. Brooks first examined claimant on October 8, 1993. It was determined that Mr. Boykin suffered hearing loss in both ears. Dr. Brooks said that in 90% of cases with the degree of bilateral hearing loss similar to claimant’s, it is due to noise exposure. Claimant admitted sometimes he worked without protective ear gear when the company ran out and had to order more. Although other possible reasons were given for the hearing loss, Dr. Brooks sent a letter to Sanderson Farms with the precautionary language that further hearing loss could be prevented by use of protective ear gear. After this 1993 examination he also told claimant that noise exposure was the primary source of his hearing loss. No restrictions were placed on claimant’s ability to work. In October 1995 Boykin retired, citing problems with his hearing as the primary cause. In July 1998 Claimant again went to Dr. Brooks who then treated claimant with hearing aids as his hearing had deteriorated substantially in both ears.

In November 1999 Boykin filed a “Petition to Controvert” with the Workers’ Compensation Commission for his hearing loss. Boykin characterized his injury as a latent injury. Employer, Sanderson Farms, raised the statute of limitations as an affirmative defense. The Commission found that the statute of limitations had indeed run in that Boykin’s results on the many periodic tests and medical examinations serve to render notice of a work related hearing loss to him.

ISSUE: Whether claimant suffered from a latent injury and whether the two year statute of limitation expired. The Court noted that Boykin had indeed improperly characterized his hearing loss as a latent, injury citing J. H. Moon & Sons, Inc. v. Johnson, 753 Co.2d 445, 448 (Miss.1999) and Georgia Pacific Corp. v. Taplin, 586 So. 2d 823, 827 ( Miss. 1991) wherein the Supreme Court has held that in workers’ compensation cases, “a latent injury is an injury that the reasonable prudent person would not be aware of at the moment it was sustained.” In affirming the Commission, the Court noted that by Boykin’s own testimony he was made aware after each company examination as early as 1993 that he was experiencing hearing loss and offered no rebuttal to Dr. Brooks testimony that he informed Boykin his hearing loss was due primarily to noise exposure. Therefore, there is substantial evidence in the record to conclude that claimant knew or should have known at the time of his retirement, at the latest, that his hearing loss was due to noise exposure at Sanderson Farms.

2. Eubanks v. Professional Building Services, 2005 WL 89402 ( Miss.Ct.App. 1/18/05).
FACTS: Claimant, Dwight Eubanks, suffered two slip and falls at work in October and November of 1997. Evidence was submitted that Mr. Eubanks was no stranger to the workers’ compensation process; having recovered significant benefits in an unrelated claim through a different employer as early as 1989 for a back related injury. It was revealed from the medical records that in June 1997, four months prior to the alleged work related injuries, the claimant had also sought treatment for severe back pain in the emergency room and was in need of replenishing pain medication for his back because the medication given him by the V. A. Hospital had run out. Later in December 1997 claimant again arrived at the hospital’s emergency room complaining of pain and swelling in his left knee with no mention of a back injury. The record shows claimant was involved in other incidents concerning job related injuries and a non job related automobile accident where he recovered compensation from the responsible driver’s insurance company for a back injury. The record is clear that neither of the two doctors who treated Mr. Eubanks for a significant period of time connected any of his complaints to the October or November 1997 falls. Mr. Eubanks filed an incident report on the slip and falls in the instant case only after he was informed in November 1997 that the contract with Professional Building Services has ended. Compensability was denied and claimant filed four petitions to controvert at that time. The Commission found the emergency room visits were compensable for October and November 1997 but denied compensability for the remaining treatments for his alleged back problems. Claimant appealed alleging the commission failed to consider that aggravation of his pre-existing injuries rendered his resulting disability compensable.
ISSUE: Whether claimant’s slip and fall incidents at work aggravated a pre-existing condition that resulted in a compensable disability. The Commission, as finder of fact, determines the weight and credibility to be accorded the evidence. The Court upheld the Commission’s finding because there was substantial evidence to support its decision to deny benefits.

3. Sanderson Farms, Inc. v. Deering, 2005 WL 147724 (Miss. Ct. App. 1/25/05)

FACTS:. Claimant injured his left hand while loading plastic foil in a machine used to wrap cellophane film around packages of corn dogs. Although he usually worked in refrigeration he had other responsibilities. After treatment for his injuries he tested positive for blood alcohol and tested above the legal limit. Upon commencement of a workers’ compensation claim by the claimant Sanderson Farms denied compensability under Mississippi Code Annotated Section 71-3-7 (Rev. 2000). The Commission found the claim to be compensable and the Circuit Court affirmed. Sanderson Farms appealed claiming that claimant’s intoxication impaired his critical judgment and ultimately was the proximate cause of the injury. Employer/ carrier relied on the Court’s ruling in Edwards v. World Wide Personnel Services, Inc. ,843 So. 2d 730 (Miss. Ct. App. 2002), where claimant was injured where performing his job in a manner not consistent with normal procedure. Claimant here testified that he received very little training on the proper operation of the Allpac machine in question. However , by nature of his position as a master skill maintenance operator claimant admitted that he knew that it should have been turned off at the time he began working on it and he failed to do this. Employer /carrier then produced the testimony of a toxicologist as to the effect claimant’s blood alcohol content would have on his judgment. At the time of the accident his blood alcohol level was estimated to be .160 percent based on his having tested at a level of .129 percent two hours after the accident.

ISSUE: Whether the claimant’s intoxication was the proximate cause of his injury. The toxicologist , Dr. William J. George, opined that a person begins to see significant and progressive impairment to judgment and coordination to the point of double vision at the level claimant tested positive for blood alcohol. Claimant admitted he circumvented the safety guards and failed to turn the machine off before he began working on it. The Court found that claimant’s injury was proximately caused by his intoxication thus denying benefits.

4. Ford v. KLLM, Inc. 2005 WL 147735 (Miss. Ct. App. 1/25/05)

FACTS: Claimant, Mattie Ford, filed a Petition for Review with the Full Commission. twenty one days after a denial from the administrative law judge. The Commission dismissed the appeal for lack of timeliness. Claimant asserts her failure to file the appeal timely constituted excusable neglect pursuant to Mississippi Rule of Appellate Procedure 4(g). Additionally, claimant contends that the accompanying motion to admit additional evidence tolled the twenty day appeal period.

ISSUE: Whether the filing of a motion to admit additional evidence tolled the twenty day appeal period. Claimant relied on the ruling of Johnston v. Hattiesburg Clinic, P. A., 423 So. 2d 114 (Miss. 1982), for the proposition that a motion requesting a review of evidence by the Commission filed within the statutory period tolled the time for appeal until an order is entered by the Commission on the motion. However, in the instant case the appeal itself was untimely therefore the accompanying motion to admit additional evidence would not toll the time. The dismissal was affirmed.

5. University of Mississippi Medical Center v. Smith , 2005 WL 225331 (Miss.Ct.App. 2/01/05)

FACTS: Claimant, David Smith, sustained a compensable injury as a carpenter at UMC. In the process of carrying a steel door up a flight of stairs in March of 1993 he began to experience pain in his neck and back. This incident was immediately reported and he was sent to physical therapy which failed to alleviate the problem. He was then referred to Dr. McGuire who provided conservative treatment until November 1996 ,when Dr. McGuire performed surgery. Dr. McGuire kept claimant off work for six weeks after surgery. Upon his return to work the claimant continued to have neck pain. Although he resumed his regular duties his neck and back pain gradually increased in intensity and began to progress down into his shoulders. Dr. McGuire opined that the claimant reached MMI on December 16, 1996. In February 1997 claimant developed carpel tunnel syndrome and headaches; both of which Dr. McGuire associated with the 1993 workers’ compensation injury. Dr. McGuire then referred claimant to a neurologist, Dr. Corbett, and ultimately to a pain management specialist, Dr. Strong, who prescribed medication for the pain which limited the claimant’s ability to perform the essentials of his pre-injury duties. Dr. Corbett opined that Smith’s cervicogenic headaches were related to Smith’s injury itself or from the injury’s aggravation of a pre-existing condition. On September 29, 1997 an MRI revealed degenerative changes above the site of the fusion surgery. Dr. McGuire opined that the degeneration was related to the March 1993 injury to a reasonable degree of medical probability. Denial of workers’ compensation benefits by the Commission was based on finding that claimant had failed prove loss of wage earning capacity because he maintained. The same position since the 1996 surgery. Upon suggestion of Dr. McGuire, claimant applied and received approval for disability retirement from PERS and his last day at work at UMC was August 29, 1998.

ISSUE: Whether the presumption of no loss of a wage earning capacity in this case was properly applied or successfully rebutted by claimant. The Court said the facts bore a similarity to those in J. H. Moon & Son, Inc. v. Johnson, 753 So. 2d 445 (Miss. 1999). Factually in Moon, claimant was injured at work, had a cervical disc fusion in 1981, continued to work despite the pain, had additional surgery , continued to work until 1993,when he was declared disabled as a result of the progressive worsening of the 1981 injury. The court found the injury was not complete until it was determined that he was disabled or had a permanent injury and therefore should base his disability payment rate at the date (1993) the disability becomes permanent in nature. The reasoning being..... to hold otherwise would punish Johnson economically for his ever worsening physical condition. In the instant case, despite the fact Smith suffered no loss of wages initially, and in fact experienced increases in income with the same employer, it was established Smith only grew worse, he could no longer perform his former job and could not likely secure steady work in other jobs, and the willingness of his supervisors to accommodate his neck injury does not prove he suffered no post-injury loss of wage earning capacity. Benefits were awarded for permanent total disability.

6. Mississippi Employment Security Com'n. v. Parker, 2005 WL 171407 (Miss. 1/27/05)

FACTS: In this case, the attorney for the unemployment compensation claimant attempted to appeal an MESC Appeals Referee's decision denying Parker benefits. The Appeals Referee's decision was mailed to Parker on July 1, 2002, and the appeal was filed on July 16, 2002. The Board of Review dismissed this appeal as untimely because it was not filed within "fourteen (14) days after the date of notification or mailing" of the Claims Examiner's decision, as required by Miss. Code Ann. §71-5-519 (Rev. 2000).

Parker argues that Rule 6(e) of the Miss. Rules of Civil Procedure should apply and allow him three extra days in which to file his appeal. Rule 6(e) states that whenever a party is required to take some action withing a prescribed period of time after being served notice by mail, "three days shall be added to the prescribed period."

ISSUE: Does Rule 6(e) in particular, and the Rules of Civil Procedure in general, apply to the proceeding of the Employment Security Commission? The Supreme Court held that the Rules of Civil Procedure are inapplicable to administrative procedures and appeals, and apply instead only to proceedings in circuit, chancery or county court, as stated in Rule 1. Because the MESC is a State administrative agency, these rules do not apply. The Court has reached like conclusions with regard to proceedings before the State Oil & Gas Board and the Department of Health. The Court applied the applicable statute and affirmed the dismissal of Parker's appeal even though it was but one day late.

COMMENT: We can readily conclude that the Rules of Civil Procedure likewise have no application to proceedings before the Commission, except to the extent the Commission has specifically adopted these rules or parts thereof.



7. Levy v. Mississippi Uniforms, 2005 WL 351345 (Miss. Ct. App. 2/15/05)

FACTS:. Claimant initiated a claim for an alleged April 26, 1994 injury by filing a petition to controvert on October 17, 1994. It was noted by the Commission that two days prior to the alleged injury date the claimant had received her tenth reprimand . On April 29, 1994 claimant saw the company doctor, Dr. Gilliland, who found that the cyst was not related to claimant’s work activities. Later, on August 12, 1994 Dr. McWillie Robinson , an orthopaedic surgeon, issued a report which failed to address whether claimant’s employment in any way caused or contributed to the formation of her ganglion cyst. Claimant later sought treatment for the cyst from her family doctor, Dr. John Downer, on May 12 and May 26, 1994, two weeks after she reported the cyst as a work connected injury to the employer, but failed to give a history of being injured at work. In summary, the Commission fund that claimant did not complain of any problem with her left upper extremity at the time of her last reprimand although she later testified that she was experiencing pain and a burning sensation in her left arm at that time. However, in an interview concerning her low production, claimant expressed her belief that her low production was due to lack of work and never mentioned pain or an alleged injury. Claimant was terminated on May 31, 1994, without any complaint of pain due to a job related injury. Other than her ganglion cyst, claimant did not complain again of right or left upper extremity symptoms until some 13 months after her termination when she saw Dr. Geissler on July 13, 1995. The Commission found that claimant did not prove her claim of compensability.

ISSUE: Whether claimant met her burden of proof in establishing a compensable injury and, if so, the extent of the employer’s liability for the alleged injury. The only medical opinion that would tend to support claim for job relatedness falls short of clear medical proof in that the medical opinion rests upon a disputed factual history . The court found in reviewing the medical proof and the record as a whole that substantial evidence was lacking to resolve the claim in the claimant’s favor. The denial of benefits was affirmed.
8. Lynch vs. Liberty Mut. Ins. Co., 2005 WL 407168 (Miss.Ct.App. 2/22/2005) Bad Faith Issue

FACTS:. This is a non workers’s compensation case. Factually ,Ms. Lynch filed a claim for injuries allegedly suffered in an automobile accident covered by the Insurer, Liberty Mutual. The investigator , Brett Pendleton, followed and recorded her actions. Lynch alleges she became aware of the investigator shortly after he began following her sometime around March 11, 2000. She filed a complaint with the local Sheriff Department. Mr. Pendleton followed her to her place of employment and was arrested and charged with stalking. He was found not guilty in Municipal Court some three months later in June 2000. During that trial Lynch discovered he had been hired by Liberty Mutual to investigate and record her actions. A little over three years later, on April 10, 2003 Lynch filed suit against Liberty Mutual and Pendleton. Lynch alleged bad faith, slander, right to privacy, negligence and various and sundry boiler plate intentional tort actions. The defendants filed responses. Pendleton, as basis for his motion to dismiss, alleged that the negligence claim was barred by the three year statute of limitation and her intentional tort claim was barred by the one year statute of limitations. The trial court ruled that notwithstanding the language in Lynch’s complaint, all of the claims appeared to be intentional torts and were barred by the one year statute of limitations. The Court further ruled that the negligence claim was subject to the three year statute of limitations and more than three years had elapsed between the time Lynch became aware of the injury the, “ alleged stalking”, and the filing of the complaint. The motion to dismiss was granted with prejudice. Lynch appealed.

ISSUE: Whether Lynch’s intentional torts claims were subject to the one year statute of limitations? The Court is not bound by the parties’ characterization of the act but determines the nature of the act based on the facts. In the instant case the acts complained of were intentional rather than negligent. The deliberate acts in investigating the claim by way of surveillance were intentional, thus falling under the one year statute of limitation for intentional torts. Lynch testified to being unaware of any such investigative surveillance until after the arrest on March 11, 2000. The trial judge thus ruled the one year statute for the intentional tort ran from March 11, 2000 the last known act thus the claim was barred. The trial court further ruled that any negligence claims were subject to the three year statute of limitation. It further held that the time began to run from the time when she should have been reasonably aware that a tort had been committed. Therefore the negligence claim was barred -by the three year statute of limitation because her action was filed in excess of three years from the date of the arrest of the investigator. Determined, Lynch suggests that the statute of limitations as to Liberty Mutual should have commenced only after the identity of Liberty Mutual was established at the June 2000 trial. The Court rejected this argument because Liberty Mutual took no separate action and thus could be liable only if Pendleton was liable. The Statute of Limitation runs from the same date. Note: On one hand in the broad complaint, Lynch alleges respondeat superior/vicarious liability, and would later appear to abandon this argument in an unsuccessful attempt to avoid having the statute of limitation defeat her claim against Liberty Mutual.
9. Cives Steel Co. v. Williams, 2005 WL 427192 (Miss. 2/24/05 ) ON WRIT OF CERTIORARI

FACTS:. Claimant suffered a compensable injury and was awarded permanent partial disability to the body as a whole by the Commission. Employer/carrier appealed to the Circuit Court and the Circuit Court in turn affirmed three awards contained in the Commission Order, more specifically a period of temporary total disability, permanent partial disability for 450 weeks and medical services and supplies as required by law, together with a ten percent penalty on all untimely paid installments and interest at the legal rate. The Circuit Court, however, found that the Commission erred in awarding total disability benefits for the period claimant actually worked with a partial disability and ordered a remand for the Commission to reopen the case for additional testimony necessary to make the Howard Industries determination. In Howard Industries, Inc. v. Robinson, 846 So. 2d 245 ( Miss. Ct. App. 2002) a determination was necessary to distinguish the periods of temporary total disability from temporary partial disability for the purpose of determining credit for periods the employer earned reduced wages because of his injuries. The Court in Howard made it clear that a worker is not entitled to temporary total disability benefits if the worker is not totally disabled. Calculations based upon reduced earnings at two thirds of reduced earnings for that period of temporary partial disability must be made.

ISSUE: Whether the appeal to the Appeals Court was interlocutory and thus unauthorized as the dissent suggested in the case below. Procedurally, the Circuit Court affirmed a portion of the award but remanded to the Commission for further evidentiary proceedings for a determination of partial disability earnings. The law requires an order of the Commission to be final to be appealable. Southern Natural Resources, Inc. v. Polk, 388 So. 2d, 494, 495 (Miss. 1980).Once the Circuit Court issued an Order remanding the case for additional testimony, despite the fact it affirmed a portion of the Commission’s award, this was not a final order from which an appeal could be perfected. Therefore, the Appeals Court erred in considering the matter on the merits. The Court of Appeals’s judgment was vacated, the appeal was dismissed and the cause is remanded to the Commission.
10. Renfroe v. Berryhill, 2005 WL 468392 (Miss.Ct.App. 3/01/05).

FACTS: A personal injury claim was brought in Madison County Circuit Court. Factually, during horseplay Renfroe suffered a severe injury to his ankle. A motion in limine was filed as well as a motion for a partial summary judgment on the issue of Renfroe’s employment status with Brad Berryhill owner of J & B Mill Store. Both motions were denied and the case went to trial. The jury returned a verdict in favor of Renfroe in the amount of $20,0000 but found Renfroe to be contributory negligent, there reducing the award by $1,000.00. Renfroe filed a post-trial motion for a new trial on the issue of damages or in the alternative for an additur, both motions were also denied. Renfroe then appealed to the Court of Appeals.

ISSUE: Whether the trial court erred in failing to instruct the jury that contributory negligence could not be assigned if Renfroe was found to be an employee? In denying Renfroe’s motion for a partial summary judgment, the court concluded that the question of Renfroe’s employment status was a fact issue that should be decided by the jury. Later, however, when the employment issue came up in the court’s consideration of proposed jury instructions, the trial judge refused, for fear of confusing the jury , to give any instruction specifically on the issue of employment status and its relationship to the issue of contributory negligence. Strangely enough the court allowed an instruction to the effect that employers with five or more employees are required to maintain workers’ compensation coverage. This instruction was given with no other instruction concerning the workers’ compensation issue and therefore lacked relevance. The jury was sent into deliberations without having been instructed on how the question of Renfroe’s employment status could affect their verdict. Pursuant to Miss. Code Ann. Sec. 71-3-9 Berryhill’s failure to maintain workers’ compensation coverage would preclude the common law defenses of contributory negligence. The issue of the employment status of Renfroe bore directly on the issue of contributory negligence, and the jury was not instructed on the relationship between these two issues. Berryhill argues the employment status issue was not raised in the initial pleadings and was not being tried by express or implied consent. The Court rejects this argument, finding that the issue was, in fact, tried by implied consent. The Court found: When the parties were selecting and examining jury instructions Berryhill’s counsel made arguments relating the issue of Renfroe’s employment status without objection; during the trial Berryhill’s counsel not only failed to object to questions on the employment status but counsel asked questions of Renfroe and his witnesses relating the Renfroe’s employment status. Therefore the Court held Berryhill cannot legitimately claim that he did not recognize Renfroe’s employment status was a very relevant issue at the time of the trial. The issue of employment status was tried by implied consent and the Circuit Court’s judgment is reversed as to the finding of contributory negligence and rendered as to the full award.
11. Pike County Board of Supervisors v. Otis Varnado, 2005 WL 704207 (Miss.Ct.App. 3/29/ 2005)

FACTS: Claimant, 61 year old Otis Varnado, controverted his claim for a work related injury to his back . The facts established that Varnado had a history of 27 years as a heavy equipment operator for the employer. The claimant was awarded permanent total disability by the Commission. Pike County appealed to the Pike County Circuit Court which affirmed the decision of the Full Commission. Employer appealed alleging lack of substantial evidence to support the permanent total disability award. The allegations were based partially on the fact the claimant’s treating physician, Dr. Senter made notations to the fact claimant had “ marked stenosis at the second to the last and third to last disc”, but he did not state the stenosis was cause by the occupational injury. However, he does state that the seven per cent impairment rating was being given “ due to his back from his injury”. Dr. Westbrook, however, opined that the claimant was one hundred percent disabled because of “recurrent back pain and spinal stenosis.” It is not totally clear from the medical record of Dr. Westbrook whether there is a causal connection between Varnado’s stenosis and the occupational injury which he suffered.
ISSUE: Whether the decision of the Full Commission for permanent total disability is supported by substantial evidence. The Appeals Court made it clear once again its function is to determine whether there is substantial credible evidence which would support the factual determination made by the Commission. Furthermore, if there be substantial credible evidence to support the decision, they are without authority to disturb the Commission findings even though the evidence would not be sufficient to convince them were they the fact finders. Considering the evidence as a whole the Court affirmed the judgment of the Circuit Court affirming the decision of the Commission.
12. Hensarling v. Casablanca Construction Co.,, 2005 WL 757305 (Miss.Ct.App. 4/5/2005)

FACTS: Claimant, Stewart Hensarling, filed a petition to controvert March 12, 1998 after he was diagnosed with moderate anemia and significant neutropenia as well as leucopenia. He alleges this was a result of exposure to toxic chemicals on his job. The Full Commission conducted a hearing on December 10, 2001 and concluded that the preponderance of proof did not support a finding that claimant’s illness resulted from his work environment and denied benefits. Claimant appealed to the Circuit Court of Forrest Count and the Circuit Court affirmed the Full Commission’s denial. Claimant then appealed to the Court of Appeals alleging the denial was not supported by substantial evidence.

ISSUE: Whether the denial of the award was clearly erroneous and contrary to the weight of the credible evidence. The claimant has the burden of proving disability, and that the disability has a casual relationship to an injury suffered on the job. The Commission relied on the medical proof presented on Claimant’s behalf from his treating physician, an expert in hematology and oncology, and a board certified physician in emergency medicine and toxicology. The Claimant's treating physician, an internist, stated that he "had no idea” whether there was a causal relationship between the work environment and the Claimant’s illness. The internist deferred to the hematologist/oncologist who stated “nowhere can I tell you with certainty at all about what is the definite etiology of this.” Injuries such as this must be proven by credible medical evidence rather than by mere speculation. Hensarling did not prove the causal relationship between his injury and the employment. In fact, the toxicologist opined that the condition of neutropenia was likely an adverse reaction to certain medication the Claimant had taken previously for sinus and urinary tract infections. The Court, in affirming the Commission and Circuit Court, found the Claimant failed to meet the burden of proof.


13. Bryan Foods, Inc. v. James David White, 2005- WL-894864, ( Miss. Ct.App., 4/19/05)

FACTS: Claimant, James White worked for employer as a diesel mechanic. Claimant’s initial injury to his elbow occurred on May 30, 1995 during the course and scope of his employment. He was treated for this injury from November 1995 through January 1996. He had flare ups from that injury in June and July of 1996 and was restricted to light duty for six weeks. He was returned to full responsibilities in September of 1996. Claimant suffered another injury on November 27, 1996 when he attempted to remove a large tire from an eighteen-wheeler and felt immediate pain in his neck. The injury was not immediately reported due to the fact that claimant though it to be merely a “crick”. While applying medicated cream to his neck in the presence of the supervisor he told that supervisor it was a “crick’. Several days later claimant went to the company nurse complaining of the problem. The nurse responded that the problem with his neck could not be compensated by the company as it was not related to his work. Relying on the opinion of the company nurse that it was not a work related injury he did not report the incident of the tire removal with the onset of pain on November 27, 1996 to the doctors he saw for the problem with his neck. Claimant went to his family physician on December 5, 1996 giving a month long history of neck and shoulder pain. His family doctor referred him to Dr. Simmons who diagnosed the condition as cervical radiculopathy and referred him to a neurosurgeon, Dr. Thomas McDonald. Dr. McDonald first treated claimant on December 27, 1996. Claimant again never included in his history the incident of the tire removal and the immediate onset of pain, relying on the nurse’s assertions that is was not work related and therefore not a compensable injury. Dr. McDonald diagnosed a ruptured C-4 disc and a bulging disc at C6-7. He immediately performed surgery. Upon his return to work claimant again approached the company nurse about the work relatedness of the injury and she again discouraged his filing a claim. A second surgery was performed on March 10, 1998. However, despite the fact he was released to full duty on July 27, 1998, claimant’s condition failed to improve. Based on the opinion of a second neurosurgeon, and upon completion of a FCE, claimant was put on a lifting restriction and assessed a twenty percent medical impairment. The Commission awarded the claimant benefits for a 50% loss of wage earning capacity based on his failed efforts to secure a position at the same rate of his pre-injury income, and his inability to perform the duties of his usual occupation.

ISSUE: Whether commission based its Order on substantial evidence ? The Commission found that claimant did present substantial medical and lay testimony to support his claim for the 50% loss of wage earning capacity awarded. The Commission is affirmed.

14. Delores Lee v. Singing River Hospital, Self Insured, 2005-WL-1021177, Miss. App., May 3, 2005

FACTS: Claimant filed an appeal from a denial of permanent disability benefits. The claimant suffered a compensable injury on May 25, 1998 from a strained back. She was treated and returned to work on or about July 21, 1998. The return to work was a light duty assignment requiring her to work only four hours per day four days each week. Claimant continued in this light duty status until March 1999 when she was required to increase her hours to six hours per day. During both periods of light duty claimant was paid for a full eight hour day. Dr. Winters treated claimant until May 18, 1999. Dr. Winters refused to see her again after viewing a videotape of claimant engaging in activities indicating she had not been truthful with him about her limitations. She was shown engaging in strenuous activities with ease and without any assistance while lifting. Other activities involved climbing, and carrying cumbersome objects weighing in excess of 100 pounds. When confronted by her employer with the videotape on June 4, 1999 claimant offered no explanation for her insistence that she was unable to resume her duties at work. She was immediately terminated. Claimant was awarded temporary disability from May 25, 1998 until July 21, 1998 but was denied permanent disability. Claimant appealed.

ISSUE: Whether claimant proved her claim for permanent disability notwithstanding the videotapes that captured her engaging in activities that she allegedly was unable to perform based on her assertions to her physicians? Although medical proof was presented in this claim to show there was some degenerative and chronic disc changes, the videos show that any injury claimant sustained was obviously not as symptomatic and painful as she had indicated. Claimant failed to meet her burden of proof that her job related injury caused permanent disability. The Commission had substantial evidence to award only temporary benefits.


15. Lillian Goodlow v. Marietta-American and Employers Insurance of Wausau, 2005- WL-1384317, ( Miss. Ct. App., 5/31/05)

FACTS: Claimant, Lillian Goodlow, appealed from a Full Commission Order awarding her seventeen and one-half weeks of permanent partial disability benefits arising out of a work-related injury to her leg. Factually, following an operation to repair a fractured fibula and tibia in her left leg on March 23, 2000 Claimant was allowed to return to work on September 13, 2000 at a sedentary job for four hours per day. Goodlow was subsequently released on January 17, 2001 to full duty with no restrictions and given a permanent partial impairment rating of ten percent to her left, lower extremity. She returned to her position with the same number of hours and at the same rate of pay she earned prior to her injury. The claimant voluntarily terminated her employment and testified that she had held at least four other jobs since her injury but could not continue to work due to problems with her leg. Claimant filed a petition to controvert on July 6, 2001. The Employer /carrier agreed she sustained a compensable injury but denied that she suffered a loss of wage earning capacity. The Commission ordered employer/carrier to pay permanent partial disability for a period of seventeen and one-half weeks with credit for any benefits already paid. The Commission’s decision , having been affirmed by the Circuit Court, gave rise to an appeal by the claimant.

ISSUE: Whether the Commission’s decision was supported by substantial evidence ? In affirming the Commission the Court of Appeals made it clear that the claimant bears the burden of presenting to the Commission sufficient evidence to establish entitlement to compensation. The question of the existence and extent of any permanent disability arising out of a work-related injury is a question of fact and the Commission as fact finder makes a determination as to the sufficiency of proof. Further, under the present law where there exists a permanent functional impairment to a scheduled member the proper measure of compensation is dependant upon two factors: the degree of functional loss of use as demonstrated by medical evidence and the impact that the loss of function of the scheduled member has on the worker’s ability to perform the normal and customary duties associated with their usual occupation. The claimant failed to present medical evidence that her loss went beyond the permanent functional impairment of ten percent to her leg. Claimant, although not now working in the per-injury occupation, left the job voluntarily as well as other subsequent positions she held and presented no evidence that she was unable to perform those subsequent jobs due to the injury to her leg. The Court affirmed the Commission.


16. Lane Furniture Industries, Inc. V. Barbara J. Essary, 2005 -WL- 1384320 ( Miss. Ct. App., 5/31/05)

FACTS: Employer/ carrier appeals form an award of Permanent Total Disability by the Commission and affirmed by the Circuit Court.
ISSUE: The primary issue is whether the claimant proved or sustained her burden for an award of permanent total disability based on employer/ carrier’s failure to rehire claimant? The claimant was admittedly injured in a compensable accident. The parties stipulated to the wages, temporary benefits and the date of maximum medical recovery. The controversy began at MMI with the impairment rating of sixteen percent to the body as a whole resulting in a total permanent disability award. The Commission , considering the claimant’s age, (sixty-two), limited education, history of manual labor, two back surgeries and work restrictions, approved for social security benefits, coupled with the fact employer had not offered to rehire or reinstate her, found she was entitled to permanent total disability benefits.
The company’s action gave rise to the question of what was their responsibility when the claimant was released from her doctor. Factually, employer asserts that claimant failed to establish that she attempted to return to work and was refused reinstatement or employment and therefore, she was not entitled to total disability by law. Although the company was aware she had been released from the doctor, the claimant never indicated that she was desirous of returning to work nor did she attempt to meet with the employer for the purpose of being considered for a position to accommodate her restrictions. Mere statements directed to her supervisor that she had been released does not mean that she was refused reinstatement or employment with the company. In addition, claimant alleged she made many attempts to find work but admitted in all instances she made the prospective employers aware she had back problems and back surgeries which prevented her from lifting anything. In any event, the Court ultimately reversed the award based on the fact that claimant did not meet her burden of showing the employer refused to rehire or reinstate her, making it clear that the burden rests with the injured worker to pursue re- employment. This award was reversed and remanded to the Commission to determine 1)whether claimant was medically unable to return to work for employer so as not to require her to seek re-employment, and 2) whether or not any restrictions placed on claimant’s employment were subject to accommodation at Lane, and 3) whether considering any restrictions placed upon claimant’s employment, she made reasonable effort to seek similar or other employment.


17. Tupelo Public School District And Mississippi School Board Association Worker’s Compensation Trust v. Karen King Parker , 2005-WL-1389579, (Miss. Ct. App., 6/7/05)

FACTS: Claimant collapsed while at work on September 21, 1998 and was treated overnight at the hospital. The claimant missed four days of work, and although covered by workers’ compensation insurance, she took sick leave and was given full pay for the time off. The employer filed a B-3 First Report of injury with the Commission on or about June 13, 2000. On June 30, 2000 the employer/carrier filed a B-52, Notice of Controversion stating they were investigation the claim. Parker filed a B5-11 Petition to Controvert on February 28, 2001, approximately two years and five months after the date of her alleged injury. It was stipulated no settlement discussions regarding the claim were ongoing or ever initiated. The employer/carrier argued that claim was time barred by the two year statute of limitation pursuant to Mississippi Code Annotated Section 71-3-35(1) ( Rev. 2000). The Commission denied the claim on that basis and the claimant contends that the commission was in error, advancing the argument that the Form B-52 filed by the employer/carrier was enough to toll the two year statute of limitation. The Circuit Court reversed and remanded the case, basing its decision, in part, on its finding that the employer/carrier’s filing the form B-52 was an acknowledgment of the pending claim and thus tolled the two year statute of limitation.

ISSUE: Whether the employer’s filing form B-52 tolled the two year statute of limitation pursuant to Mississippi Code Annotated Section 71-3-35 (1) (Rev. 2000)? The relevant part of this statute provides, “ regardless of whether notice was received, if no payment of compensation other than medical treatment of burial expense is made and no application for benefits filed with the commission within two years from the date of the injury or death, the right to compensation therefore shall be barred.” The Commission took the position, and rightly so, That “application for benefits” means a petition to controvert , or some variation of a petition or motion, filed with the Commission by the claimant, not the employer or carrier. The claimant advanced the argument that McCrary v. City of Biloxi, 757 So.2d 978 (Miss. 2000) applied. In McCrary, the employer told claimant that he would file his claim for him and engaged in settlement negotiations with the claimant for a substantial period of time. Claimant relied on this misrepresentations to his detriment. In the instant case neither the employer nor the carrier made any misrepresentations to claimant that they would file a claim on her behalf nor was claimant induced to not file an applications for benefits, thus McCrary would not apply. The Court of Appeals made it clear in affirming the Commission that an application for benefits ( the filing of a “B5-ll” ) within the two year period as required by law was not done in a timely fashion; thus the claim was time barred.


18. Ada Boyd v. Mississippi Workers’ Compensation Commission Self-Insurer Guaranty Association, 2005 -WL-1384345 (Miss Ct. App., 6/07/05)

FACTS: Claimant filed an appeal from a denial of permanent partial disability benefits for a compensable injury she suffered on September 14, 1995. In an unsuccessful appeal to the Circuit Court of Leflore County, which affirmed the decision of the Commission, claimant appealed to the Court of Appeals. Factually, claimant worked for the employer since 1976 and was terminated in May 1996 after roughly twenty years for failure to report to work after being released to return to work from a compensable injury. Claimant denies having been informed by her treating physician that she was released to return to work. Claimant was injured on or about September 14, 1995 and received temporary total disability from that date until May 23, 1996. Her treating physician Dr. Dowen Snyder, determined her date of maximum medical improvement was in fact, May 23, 1996. Dr. Snyder notified employer that claimant was released to return to work. Claimant never contacted the employer about returning to work nor did she make any attempt to return to work within three days, as required by company policy. Claimant was terminated. Almost one year later, March 21, 1997, claimant filed a petition to controvert, alleging permanent disability due to the September 14, 1995 injury. Historically, claimant had two attorneys to withdraw and her claim eventually was dismissed for failure to prosecute in 1998. Roughly , a year later on January 14, 1999 her claim was reinstated after she secured another attorney. A second petition to controvert was filed with additional information. During the time in which Claimant received benefits for temporary disability, she received ongoing treatment from Drs. Costilow, Snyder and Stringer. Claimant worked briefly as a sitter for an elderly couple and made one inquiry about employment at Wal-Mart with some substitute teaching. There were no other attempts for securing employment.

ISSUE: Whether the Commission’s findings that claimant failed to present a prima facie case for loss of wage earning capacity is supported, and whether claimant presented substantial evidence that she is temporarily totally disabled or in the alternative permanently partially disabled ? In affirming the Commission’s decision the Court found that claimant failed to produce medical evidence to support her claim for temporary total disability, and she was not she able to supply substantial evidence to support an award for permanent partial disability. In addition, claimant made no reasonable attempt to secure employment as required to establish a prima facie case of permanent disability and resulting loss of wage earning capacity. Claimant’s misplaced attempt to Jordan v. Hercules, Inc., 600 So. 2d 179 (Miss. 1992) was rejected. The court made it clear that the Jordan rule creates a presumption that a permanent injury is totally disabling; it does not create a presumption that someone who had a temporary injury has a permanent one.

 

 

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