SHIRLEY VONSCHOECH V. FISHER PRICE; SPECIAL FUND; THOMAS A. NANNEY, ADMINISTRATIVE LAW JUDGE; and WORKERS' COMPENSATION BOARD
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RENDERED: December 23, 1998; 2:00 p.m.
NOT TO BE PUBLISHED
C ommonwealth O f K entucky
C ourt O f A ppeals
NO. 1998-CA-000457-WC
SHIRLEY VONSCHOECH
v.
APPELLANT
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS' COMPENSATION BOARD
ACTION NO. WC-92-004944
FISHER PRICE; SPECIAL FUND; THOMAS
A. NANNEY, ADMINISTRATIVE LAW
JUDGE; and WORKERS' COMPENSATION
BOARD
APPELLEES
OPINION
REVERSING AND REMANDING
** ** ** ** **
BEFORE:
HUDDLESTON, McANULTY, AND SCHRODER, JUDGES.
SCHRODER, JUDGE:
Shirley Vonschoech petitions for review of a
decision of the Workers’ Compensation Board (Board), affirming
the administrative law judge’s (ALJ) dismissal of her reopened
claim.
Appellant argues that the ALJ applied the wrong version
of KRS 342.125 to her claim, that certain medical evidence should
have been considered newly discovered, thus entitling her to
reopening, and that the evidence compels a finding of some
increase in disability.
we reverse and remand.
Having reviewed the record and the law,
Appellant suffered a work-related injury on July 17,
1991.
She was able to return to work, and on October 12, 1993, a
settlement agreement for 10% occupational disability was
approved.
Appellant worked until September 17, 1996 and moved to
reopen her claim on November 4, 1996.
Appellant testified that after her injury she was able
to return to her regular job of stocking cribs and assisting
customers needing parts but was assisted by other employees in
lifting heavy objects.
In 1996, a change in company procedure
resulted in an extreme increase in her workload.
longer able to sit and stand at her discretion.
She was no
She complained
of severe pain in her back and legs and inability to sleep
without medication.
She was also forced to take medication for
her nerves and pain.
While appellant did not feel she could
return to her most recent job duties, she believed she could
possibly perform the job she had between the date of injury and
1996.
The medical evidence relevant to this petition is that
of Dr. John Noonan.
He first examined appellant in August 1991
and treated her until May 1992.
At that time, she complained of
progressive and worsening pain in her back and legs, and he
diagnosed chronic low back pain with some bulging at L4-5.
He
imposed no restrictions and assessed a 5% functional impairment
rating.
He re-evaluated her in June 1997.
He found no
significant MRI changes and opined that she was still 5%
functionally impaired.
He found no reason to restrict her any
more than he did in 1992.
In conclusion, he stated that
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appellant was not currently any worse off than she was in 1992.
Dr. Noonan averred that he would restrict her from prolonged
sitting and standing but that he would probably have imposed the
same restrictions in 1992.
The ALJ reviewed the medical evidence to determine any
change in appellant’s symptoms since 1993.
He concluded:
I note from reviewing Dr. Meriwether’s office
notes that in February 1994, she was
complaining of severe pain with pain into her
legs. It is apparent from the reading of the
reports that plaintiff had been complaining
of this same pain for many years, dating all
the way back to the original injury. I
further note that Dr. Noonan had treated the
plaintiff from August 22, 1991 to May 8,
1992. He gave testimony which indicates that
plaintiff’s condition now is essentially the
same as it was in 1992. He did not believe
that her impairment rating had significantly
increased. However, he did state that he did
not believe she could return to work to do
any repetitive bending, stooping or lifting
of items over ten pounds. Dr. Gallo did not
see the plaintiff until his evaluation in
1997, nor did Dr. Love.
3. While the plaintiff’s subjective
complaints have somewhat increased, it
appears to me that the records reflect
complaints of severe pain in her back and
legs to Dr. Meriwether in 1994 going back to
the original date of injury. Dr. Noonan is
the only physician who saw the plaintiff both
at the time of the original injury and on
this reopening. He states that her condition
is essentially the same.
The burden of proof lies with the
plaintiff to establish an increase in
occupational disability. Under the
circumstances of this case as previously
outlined, I do not believe the medical
evidence clearly establishes that plaintiff’s
condition has grown worse and that her
occupational disability has increased since
her previous settlement.
(Emphasis added.)
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The Board affirmed, finding no error in the standard
used by the ALJ to determine whether appellant was entitled to an
increased award.
The Board concluded that the ALJ compared
appellant’s condition at the time of the settlement and the time
of reopening, which the Board felt was necessary to determine if
there had been a change in occupational disability:
The ALJ . . . addressed whether there had
been a change in occupational disability by
taking into account whether Von Schoech
suffered a decrease in wage earning capacity
due to her injury; or loss of ability to
complete to obtain the kind of work she had
customarily been able to do; and further,
taking into consideration her age, education,
occupation, effect upon Von Schoech’s general
health of continuing in the kind of work she
was customarily able to do, and impairment or
disfigurement. . . . [T]he ALJ clearly has
the duty to compare medical findings at the
time of settlement, and currently on
reopening, in order to assess whether a
change for the worse in occupational
disability has occurred.
The Board also determined that the opinions of Drs. Meriwether
and Noonan supported the ALJ’s conclusion and that the evidence
did not compel a contrary result.
Appellant’s first contention is that the ALJ applied
the wrong version of KRS 342.125.
She asserts that the ALJ
should have employed the version in effect at the time of her
injury, but seemed to use the 1994 version.
We disagree with
appellant’s interpretation but reverse for other reasons.
KRS 342.125, effective in 1991, permitted reopening
upon a showing of a change of occupational disability.
The 1994
amendment to KRS 342.125 required a showing of change of medical
condition and occupational disability if an award was ordered
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pursuant to KRS 342.730(1)(c).
The December 1996 version calls
for a “[c]hange of disability as shown by objective medical
evidence of worsening or improvement of impairment due to a
condition caused by the injury. . . .”
Generally, the law in effect on the date of injury
fixes the rights of the injured worker.
Maggard v. International
Harvester, Co., Ky., 508 S.W.2d 777 (1974).
Because the change
in the 1994 version of the statute affected substantive rights of
claimants, retroactive application of it would run afoul of KRS
446.080(3).
KRS 342.0015 sets forth that only subsection eight
of KRS 342.125 is remedial.
As that subsection pertains to time
limitations for moving to reopen, we can extrapolate that the
1996 amendment quoted above is substantive in nature and not
applicable to appellant’s motion to reopen.
Thus, we agree with
appellant that the version of KRS 342.125 in effect at the time
of her injury is applicable.
While we agree with the Board that there is no evidence
that the ALJ used either the 1994 or the 1996 version of KRS
342.125, we believe his interpretation of a “change of
occupational disability” was too narrow.
A change in
occupational disability allows the ALJ to consider both physical
and economic changes undergone by the claimant.
v. Gossett, Ky., 819 S.W.2d 33 (1991).
Peabody Coal Co.
The Gossett Court
specifically announced:
[A]n award may now be reopened upon a showing
of a change in occupational disability which
may be supported by evidence of both physical
changes and economic changes, when those
economic changes are not brought on by the
willful intent of the employee nor by mere
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changes in economic conditions such as a
recession or plant closing. Thus, a change
in claimant’s ability to get or hold
employment, or to maintain [her] earlier
earning level, could logically be considered
a change in occupational disability even
though claimant’s physical condition may have
remained unchanged. We stress, however, that
the claimant moving for reopening has the
burden of showing that the decrease of wageearning capacity, whether the result of
physical deterioration or subsequent
unemployability without a physical change, is
due to the effects of the injury in order for
an award to be increased.
Id. at 35.
Here, the ALJ appeared to base his decision only on
appellant’s physical condition.
He stressed that her complaints
remained the same and that Dr. Noonan found her physical
condition to be essentially the same over time.
He ignored,
however, appellant’s uncontradicted testimony that once her job
duties were increased, she was no longer capable, because of her
condition caused by the work-related injury, to complete her
tasks.
She went so far as to testify that she believed she could
still perform her job as it existed between the date of injury
and the 1996 changes but not thereafter.
Thus, appellant was
unable to sustain her earlier earning level not because of her
own willful intent or a recession, lay-off, or plant closing, but
because her employer increased her tasks.
For these reasons, we agree with appellant that the
evidence does compel a finding of an increase in occupational
disability from the time of the settlement.
Accordingly, the
case is remanded to the ALJ for further consideration consistent
with this opinion.
Moreover, because of the result we have
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reached, appellant’s argument about newly discovered evidence is
moot.
ALL CONCUR.
BRIEF FOR APPELLANT:
BRIEF FOR APPELLEE, FISHER
PRICE:
Jeffrey A. Roberts
Murray, Kentucky
Daniel S. Stratemeyer
Paducah, Kentucky
BRIEF FOR APPELLEE, SPECIAL
FUND:
Joel D. Zakem
Louisville, Kentucky
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