BRENDA COUCH v. BOARD OF TRUSTEES, KENTUCKY RETIREMENT SYSTEM
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RENDERED: DECEMBER 13, 2002; 2:00 p.m.
NOT TO BE PUBLISHED
C ommonwealth O f K entucky
C ourt O f A ppeals
NO.
2001-CA-002536-MR
BRENDA COUCH
APPELLANT
APPEAL FROM FRANKLIN CIRCUIT COURT
HONORABLE ROGER L. CRITTENDEN, JUDGE
ACTION NO. 01-CI-00179
v.
BOARD OF TRUSTEES,
KENTUCKY RETIREMENT SYSTEM
APPELLEE
OPINION
AFFIRMING
** ** ** ** **
BEFORE:
EMBERTON, CHIEF JUDGE; SCHRODER, AND TACKETT, JUDGES.
SCHRODER, JUDGE:
This is an appeal from a judgment affirming a
decision of the Board of Trustees of the Kentucky Retirement
Systems denying disability retirement benefits to appellant.
Appellant argues that the Board did not provide her an unbiased
hearing and the Board’s decision was not supported by substantial
evidence.
We disagree on both counts and, thus, affirm.
Appellant, Brenda Couch, was employed by the Boone
County Board of Education as a school bus driver for nearly
fourteen years.
In the last few years of her employment, she
drove a bus for special needs children.
In addition to driving
the bus, her job duties included inspecting and performing
maintenance on the bus and assisting with the lifting, carrying,
boarding, and restraining of children with disabilities.
However, Couch was provided with two assistants on the bus who
helped with the loading and unloading of the children.
On
February 25, 1999, Couch slipped and fell on ice and snow that
had been tracked onto the stairs of her bus.
She fell onto her
hip, banging down on each step and finally landing on the ground.
She was thereupon taken by ambulance to the emergency room at St.
Luke Hospital.
After receiving medical treatment, including
physical therapy, for her injuries, Couch was released to go back
to work.
Couch then worked for three weeks, but had to stop
working again because of pain.
Couch returned to work once more
for five weeks, but again claimed she could not perform her job
because of severe pain.
Couch’s employer offered her a job as a
transportation aide, but Couch declined the offer due to the
physical restrictions placed on her.
Couch’s last date of paid
employment was May 31, 1999.
Couch applied for disability retirement benefits
pursuant to KRS 61.600 on October 20, 1999.
After the third
denial of her claim by the Retirement System’s Medical Review
Board, Couch sought an administrative hearing.
After a hearing
on the matter, the hearing officer recommended that the claim be
denied, finding that:
The preponderance of the objective medical
evidence contained in the record indicates
that Claimant, since the date of last paid
employment, the same being May 31, 1999, has
not been physically or mentally incapacitated
to perform the job, or jobs of like duties,
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from which she received her last paid
employment as a result of her low back pain
and her depression and anxiety. KRS
61.600(2)(a).
The Board adopted the hearing officer’s decision and denied Couch
disability retirement benefits.
Couch then appealed to the
Franklin Circuit Court which affirmed the Board.
This appeal by
Couch followed.
In order to qualify for disability retirement benefits
pursuant to KRS 61.600:
(2)Upon examination by licensed physicians
pursuant to KRS 61.665, it shall be
determined that:
(a) The person, since his last day of
paid employment, has been mentally or
physically incapacitated to perform the job,
or jobs of like duties, from which he
received his last paid employment;
(b) The incapacity is a result of bodily
injury, mental illness, or disease;
(c) The incapacity is deemed to be
permanent; and
(d) The incapacity does not result
directly or indirectly from bodily injury,
mental illness, disease, or condition which
pre-existed membership in the system or
reemployment, whichever is most recent.
(3) Paragraph (d) of subsection (2) shall not
apply if:
(a) The incapacity is a result of
bodily injury, mental illness, disease, or
condition which has been substantially
aggravated by an injury or accident arising
out of or in the course of employment; or
. . .
(4) An incapacity shall be deemed to be
permanent if it is expected to result in
death or can be expected to last for a
continuous period of not less than twelve
(12) months from the person’s last day of
paid employment in a regular full-time
position. . . .
In reviewing an agency’s decision, this Court can
overturn that decision only if the agency acted arbitrarily or
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outside the scope of its authority, if the agency applied the
incorrect rule of law, or if the decision is not supported by
substantial evidence in the record.
Kentucky State Racing
Commission v. Fuller, Ky., 481 S.W.2d 298 (1972).
Substantial
evidence is “evidence of substance and relevant consequence
having the fitness to induce conviction in the minds of
reasonable men.”
Owens-Corning Fiberglas Corp. v. Golightly,
Ky., 976 S.W.2d 409, 414 (1998).
We shall first address Couch’s argument that the
Board’s findings were not supported by substantial evidence.
The
evidence in the case consisted of the medical records from St.
Luke Hospital, the reports and/or opinions of six physicians, the
testimony of Couch, and a functional capacity evaluation (FCE).
The records from St. Luke Hospital indicate that when
Couch was taken to the emergency room, she had tenderness in the
sacral region, S1 to S3 with no bruising noted, no deformity
palpable, and a negative straight leg raising bilaterally.
x-rays were unremarkable.
Her
Couch was diagnosed with a sacral
contusion and strain and a right wrist contusion and strain.
Couch’s rehabilitation potential was described as “good.”
Couch
subsequently presented for physical therapy at St. Luke Hospital
from June 2, 1999 to June 10, 1999 and in September, 1999.
A CT
scan of the lumbosacral spine dated July 1, 1999 showed minimal
discogenic changes and no evidence of herniation, spinal
stenosis, or other significant abnormality.
scan performed on July 1, 1999 was normal.
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A whole body bone
On an RS-22 form completed by Dr. William Putnam on
October 20, 1999, Dr. Putnam notes that Couch’s CT scan of her
lumbar spine showed no disc herniation and that her right
sciatica is new in nature.
Dr. Putnam diagnosed Couch with lower
back pain with radiculopathy.
Dr. Putnam stated that Couch was
mentally or physically incapacitated to engage in her present job
or a job of like duties and that such incapacity was expected to
continue for not less than twelve months from her last date of
paid employment.
Dr. Bradley Mullen, a neurologist, examined Couch on
December 30, 1999, and found that there was no abnormality of her
lumbar spine and that the EMG was normal in terms of any
radicular peripheral nerve or lumbar plexus lesion.
He further
stated:
She continues to complain of back, leg, and
hip pain. There is some possibility that she
has a problem with the right hip and it may
be in her best interest to have her evaluated
by an orthopedist from a neurologic
perspective though I cannot find any
abnormality to explain her current
symptomatology. (emphasis added.)
A report from Dr. John Larkin, an orthopedist, dated
February 17, 2000, indicates that Couch’s hip films were normal
and that a physical examination of Couch revealed no focally
localized radiculopathy.
Dr. Larkin opined that Couch suffers
from low back pain that is not of neurologic or peripheral
neuropathy etiology.
Based on a functional capacity evaluation
(FCE) ordered by Dr. Larkin, Dr. Larkin subsequently stated:
Ms. Couch . . . [has a] permanent functional
capacity capability of 10 pounds in all
planes. In regard to specifically lower
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range of motion, she is limited and does not
meet the adequacy of her job requirements for
kneeling, squatting, stooping, bending,
crouching, or work on ladders, etc. . . .
These restrictions based upon the functional
capacity evaluation represent a permanent
basis and permanent limitations for her
regarding her employment.
The report from Dr. Reutman, Couch’s primary care
physician, states that Couch’s bone scan was negative and her CT
scan showed mild discogenic changes.
His examination of her back
revealed paraspinal muscle spasms in the mid and lower lumbar
region bilaterally.
He reports that he has prescribed various
medication and physical therapy for Couch from which Couch has
experienced no relief.
He notes her continued reports of pain in
her lumbar region, radiating into her legs and right thigh.
As to her mental state, one report of Dr. Gregory Rohs,
who treated Couch for depression and anxiety attacks from 1997 2000, stated that her depression and anxiety were manageable with
medication.
Dr. Rohs later stated that he was unable to contrast
Couch’s pre-injury and post-injury status because of the overlap
of her symptoms.
A psychological evaluation performed by Dr. Norman Berg
revealed that Couch was moderately anxious and depressed.
Dr.
Berg reported that there appeared to be no organic brain
dysfunction, psychosis or underlying decompensation processes and
that her memory processes appeared fair with perhaps mild
impairment related to anxiety and depression.
He opined that her
ability to maintain her attention and concentration while doing
simple routine tasks appeared to be moderately impaired, which
difficulty appears directly related to her complaint of physical
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pain and discomfort, as well as her anxiety and depressive
features.
Dr. Berg felt that psychologically, Couch would have
significant difficulty sustaining her level of activity because
of her reported pain, her preoccupation with her injuries, and
her anxiety and depression.
Couch testified that she hurt her right shoulder in
1996 or 1997 and, after that surgery and treatment, had no
further problems at work until her 1999 injury.
She claims she
never had any problems with her back until the 1999 injury.
She
states that since the 1999 accident, she has pain in her lower
back and in her right leg to her knee and from the inside of her
leg to her big toe.
She maintains that she needs help getting
into the shower and doing her housework.
Couch insisted that she
can no longer perform her job duties as a bus driver because of
the constant pain and because she can no longer lift the bus hood
to inspect the engine, climb the bus stairs, and open or shut the
bus doors.
The hearing officer found that based on objective
medical evidence, Couch was not permanently physically or
mentally incapacitated from performing her job.
Couch contends
that the hearing officer erred in forming his own medical opinion
on whether she was incapacitated based on the various medical
tests, and ignored the conclusions of the doctors who ordered
these tests.
It is true that the hearing officer based much of
his opinion on the results of certain medical tests (CT scans,
bone scan, X-rays, MRI, and EMG study) which, for the most part,
showed no abnormality, and disregarded the opinions of some of
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the doctors who also looked at these test results and
nevertheless found her to be permanently incapacitated.
However,
it has been well established that the hearing officer “may
consider all of the evidence and choose the evidence which he
believes.”
Bowling v. Natural Resources & Environmental
Protection Cabinet, Ky. App., 891 S.W.2d 406, 410 (1994) (quoting
Commonwealth Transportation Cabinet Dept. of Vehicle Regulation
v. Cornell, Ky. App., 796 S.W.2d 591, 594 (1990)).
Further, the
trier of fact in an administrative matter has great latitude in
evaluating the evidence and the credibility of the witnesses.
Kentucky State Racing Commission v. Fuller, 481 S.W.2d at 308.
The doctors who found Couch to be incapacitated despite
no abnormality being shown on her medical tests (Dr. Putnam, Dr.
Reutman, and Dr. Larkin) based their opinions primarily on
Couch’s subjective complaints of pain.
The hearing officer
apparently did not believe Couch’s reports of pain or did not
believe that said pain was incapacitating, which would also
account for the hearing officer’s failure to find her
incapacitated due to her narcotics prescriptions.1
prerogative of the hearing officer.
Such was the
Aside from the medical
tests, the hearing officer also relied on the opinion of Dr.
Mullen who stated that he could find no abnormality to explain
her pain.
Accordingly, we believe there was substantial evidence
to support the hearing officer’s finding that Couch was not
1
There was also evidence that suggested Couch was abusing
her painkillers, as Dr. Putnam noted in his report that Couch was
taking her pain pills too frequently and warned her that she
would get no more prescriptions for the pain pills from him if
she did not take them according to the prescription.
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physically incapacitated.
As to Couch’s claim that she was
mentally incapacitated, the reports from Dr. Rohs that Couch’s
condition was manageable with medication and that her condition
was preexisting were substantial evidence to support the hearing
officer’s finding that she was not mentally incapacitated.
In a related argument, Couch asserts that the Board
acted in excess of its statutory authority by failing to confine
its deliberations to the evidence presented.
Couch maintains
that if the Board had considered the evidence presented, it would
have had to find in favor of her.
We disagree.
As we previously
discussed above, the Board/hearing officer did consider all of
the evidence presented and was justified in finding that Couch
was not permanently incapacitated.
Finally, Couch argues that she was denied due process
when the Board/hearing officer failed to afford her an unbiased
and fair hearing.
Couch insists the hearing officer was biased
when he disregarded the evidence of her narcotics prescriptions,
the opinions of the doctors who found her incapacitated, her
testimony, and the results of the FCE.
As we have already
recognized, the hearing officer was free to believe certain
evidence and disregard other evidence.
The hearing officer was
not biased simply because he did not accept certain evidence
favorable to Couch.
For the reasons stated above, the judgment of the
Franklin Circuit Court is affirmed.
ALL CONCUR.
BRIEF FOR APPELLANT:
James B. Galbreath
Newport, Kentucky
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BRIEF FOR APPELLEE:
Jennifer A. Jones
Frankfort, Kentucky
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