ROBERT L. WHITTAKER, DIRECTOR OF SPECIAL FUND v. DONNA CRICK GROVES; HON. THOMAS A. DOCKTER, ADMINISTRATIVE LAW JUDGE; AND WORKERS' COMPENSATION BOARD
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RENDERED:
November 16, 2001; 2:00 p.m.
NOT TO BE PUBLISHED
C ommonwealth O f K entucky
C ourt O f A ppeals
NO.
2000-CA-002832-WC
ROBERT L. WHITTAKER, DIRECTOR
OF SPECIAL FUND
v.
APPELLANT
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS’ COMPENSATION BOARD
ACTION NO. WC-95-29220
DONNA CRICK GROVES; HON. THOMAS A.
DOCKTER, ADMINISTRATIVE LAW JUDGE;
AND WORKERS’ COMPENSATION BOARD
APPELLEES
OPINION
AFFIRMING
** ** ** ** **
BEFORE:
JOHNSON, MILLER, AND SCHRODER, JUDGES.
SCHRODER, JUDGE.
The Special Fund petitions for review of a
Workers’ Compensation Board (Board) opinion that reversed a
decision by the Administrative Law Judge (ALJ) finding no
liability on the part of the Special Fund for Donna Crick
Groves’s psychiatric condition following a work-related injury,
and remanding the case to the ALJ for a finding of apportionment
between Clays Trucking and the Special Fund.
After reviewing the
record and the arguments of counsel, we affirm.
Donna Groves suffered a severe head injury on July 14,
1995, when the truck she was driving for her employer, Clays
Trucking, overturned on a highway ramp.
She settled her workers’
compensation claim with Clays for a lump sum payment of $8,000,
plus weekly payments of $225, reserving her right to proceed with
a claim against the Special Fund.
Shortly after the accident in August 1995, Groves saw
Dr. Carla Brandt, a neurologist, for her injury.
She diagnosed
Groves as suffering from seizure disorder, hearing loss, right
side facial numbness, and post-concussion syndrome.
In June
1996, Dr. Brandt reported that Groves’s seizures had been
controlled with medication, her hearing loss problem continued to
deteriorate, she had signs of depression, and she experienced
some headaches consistent with post-traumatic vascular pressure.
Groves had experienced hearing loss since her late
teens and was wearing a hearing aid at the time of the accident.
In July and September 1995, she was examined and fitted for new
hearing aids after reporting that her hearing problems had
increased since the accident.
In January 1996, Groves began treatment with Dr.
Oluwole Olusola, a psychiatrist, for depression and anxiety.
He
diagnosed her as suffering from acute onset of post-traumatic
stress disorder resulting from the July 1995 accident.
He stated
that her case was extreme, evidenced by symptoms such as crying
spells, nightmares, lack of concentration, avoidance of social
interaction, anxiety attacks, and irritability.
Dr. Olusola
attributed all of her psychiatric problems to her work accident.
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In March 1997, Dr. James Naas, a speech pathologist,
who had been seeing Groves since November 1995, reported that she
had a congenital, bilateral, sensorineural hearing loss that
affected her speaking ability.
He attributed her speech
characteristics to her congenital hearing condition, rather than
the work accident.
Dr. John Ebert, a neurologist, examined Groves on
February 24, 1997.
Groves indicated that she experienced
headaches, an unusual burning smell, low back pain, irritability,
a fear of driving, worsened hearing loss, and a lack of balance.
He was unable to discover objective evidence of neurologic
disease relating to the work accident.
He stated the medical
reports and his examination indicated a closed head injury,
obesity, and bilateral sensorineural hearing loss.
In March 1997, Dr. Joel Dill, a clinical psychologist
and vocational expert, tested Groves.
He found she had severe
problems with concentration, anxiety, and perceptual sensitivity.
Based on the tests and restrictions identified by Dr. Olusola,
Dr. Dill stated that Groves was unable to perform any work
activity.
On October 7 and 8, 1996, Dr. Robert Granacher, Jr., a
forensic psychiatrist, performed both a mental and physical
examination of Groves.
In his 18-page report, Dr. Granacher
indicated that he found some positive post-concussive brain
damage and a dependant personality disorder.
His diagnosis was
(1) mild neurocognitive disorder secondary to a closed head
injury; (2) dormant dependent personality disorder; (3) status-
-3-
post closed head injury with resulting post-traumatic seizure;
and (4) moderate external stress due to unemployment.
He felt
that her dormant personality disorder was a condition outside the
normal state of health for a person of her age and experience and
had been aroused by her work injury.
He assessed a 10%
neuropsychiatric whole body impairment based on the American
Medical Association (AMA) Guides, 5% or half of which was due to
the July 1995 accident, and the other 5% due to arousal of her
pre-existing, dormant dependent personality.
Dr. Granacher
believed that she was at maximum medical improvement from a
neuropsychiatric point and she had the ability to engage in any
work she was trained to perform.
He attributed Groves’s speech
problems to her hereditary bilateral hearing loss, rather than
the work injury.
On June 4, 1997, the ALJ conducted a hearing at which
Groves testified.
Before the ALJ issued a decision, Groves and
Clay Trucking reached a settlement, leaving an issue of the
liability of the Special Fund.
On August 29, 1997, the ALJ
issued an opinion and order finding that Groves had suffered a
work-related injury that resulted in a 100% occupational
disability.
He credited the medical opinions of Dr. Olusola and
Dr. Brandt, and Groves’s testimony in finding that she suffered
from post-traumatic stress syndrome, depression, seizure
disorder, hearing loss, and post-concussion syndrome.
The ALJ
noted Dr. Granacher’s assessment of a permanent partial
disability with a 10% functional impairment, apportioned half to
the physical injury and half to arousal of a pre-existing,
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dormant condition, but he stated that the latter was based solely
on a psychological condition unrelated to a physical condition.
Relying on Fischer Packing Co. v. Lanham, Ky., 804 S.W.2d 4
(1991), the ALJ believed that because the only apportionment
opinion (i.e., Dr. Granacher) references Groves’s psychiatric
disorder and no pre-existing condition that was aroused into
disabling reality related to Groves’s physical problems, the
Special Fund was not liable for any psychiatric conditions
related to her physical problems.
He thus dismissed the claim
against the Special Fund.
While an appeal was pending before the Board, the
Kentucky Supreme Court rendered its opinion in Whittaker v.
Troutman, Ky., 7 S.W.3d 363 (1999), wherein a unanimous court
held that apportionment and liability of the Special Fund under
KRS 342.120 applies to a psychological impairment resulting from
the arousal by a work-related injury of a pre-existing dormant,
non-disabling condition into disabling reality.
The Court
rejected the view that Fischer Packing Co. tied liability of the
Special Fund for an aroused psychiatric condition to
apportionment based on a physical disability.
Relying on
Troutman, the Board reversed the ALJ’s decision and remanded the
case to the ALJ for a finding of apportionment.
This appeal
followed.
The Special Fund argues that the Board erred in
remanding the case for a finding of apportionment.
While the
Special Fund concedes a remand is appropriate in light of
Troutman, it contends the ALJ must make three determinations:
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(1) whether Groves’s physical condition renders her 100%
occupationally disabled; (2) if her physical condition does not
render her 100% disabled, the proportion of disability due to her
physical condition and to her psychiatric or mental condition;
and (3) if a portion of her disability is due to her psychiatric
condition, what portion or percentage is due to the arousal into
disabling reality of a pre-existing, dormant, non-disabling
condition.
After reviewing the record and the ALJ’s opinion, we
believe the Board acted appropriately in remanding the case for a
finding of apportionment.
While the Special Fund continues to
argue that Groves’s occupational disability is related solely to
her physical condition or physical impairment, the ALJ clearly
rejected this position.
In his opinion, the ALJ noted and
credited the evidence of a psychiatric component to Groves’s
disability offered by Drs. Olusola, Brandt, and Granacher, as
well as Groves herself.
Since this finding is supported by
substantial evidence, it may not be disturbed on appeal.
See,
e.g., Whittaker v. Rowland, Ky., 998 S.W.2d 479, 481-82 (1999);
Western Baptist Hospital v. Kelly, Ky., 827 S.W.2d 685, 687
(1992).
Having found a psychiatric component, the Special Fund
correctly identifies the need for a further inquiry on
apportionment based on arousal of a pre-existing dormant, nondisabling condition.
The only evidence in the record on this
issue is that of Dr. Granacher, who apportioned half of his
assessment of a 10% whole body functional impairment to the
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arousal of a pre-existing dormant, non-disabling dependent
personality disorder.
Given this state of the evidence and the
ALJ’s recognition of Dr. Granacher’s opinion, we believe the
Board’s remand for a finding of apportionment was proper.
The opinion of the Workers’ Compensation Board is
affirmed.
ALL CONCUR.
BRIEF FOR APPELLANT:
BRIEF FOR APPELLEE, DONNA
CRICK GROVES:
John Burrell
Frankfort, Kentucky
Thomas M. Rhoads
Madisonville, Kentucky
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