COSTAIN COAL, INC. v. DENNIS H. SWORD; SPECIAL FUND; HON. DENIS S. KLINE, Administrative Law Judge; and WORKERS' COMPENSATION BOARD
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RENDERED: July 2, 1998; 10:00 a.m.
NOT TO BE PUBLISHED
NO. 97-CA-2897-WC
COSTAIN COAL, INC.
v.
APPELLANT
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS’ COMPENSATION BOARD
ACTION NO. WC-90-03194
DENNIS H. SWORD;
SPECIAL FUND;
HON. DENIS S. KLINE,
Administrative Law Judge;
and WORKERS’ COMPENSATION BOARD
APPELLEES
OPINION
AFFIRMING
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BEFORE: EMBERTON, GARDNER, and MILLER, Judges.
MILLER, JUDGE.
Costain Coal, Inc. (Costain), asks us to review an
opinion of the Workers' Compensation Board (board) rendered October
17, 1997.
Ky. Rev. Stat. (KRS) 342.290.
We affirm.
On December 19, 1989, Dennis H. Sword (Sword) injured his
left foot while in the employ of Costain.
He filed for benefits
under the Kentucky Workers' Compensation Act (KRS Chapter 342) and
eventually entered into a settlement agreement with Costain and the
Special Fund.
This agreement was approved by the administrative
law judge (ALJ) on May 6, 1992.
Pursuant to the agreement, Sword
received temporary total disability benefits from December 21,
1989, through August 22, 1991, and, thereafter, benefits based upon
a 50% permanent partial disability, apportioned equally between
Costain and the Special Fund.
On August 7, 1996, alleging an increase in occupational
disability, Sword moved to reopen his claim.
KRS 342.125.
The
motion was supported by Sword's own affidavit, and testimony from
Drs. Panos Ignatiadis and L. Douglas Kennedy.
The ALJ granted the
motion and found that, since March 13, 1992, Sword's occupational
disability had increased to 100%.
Noting insufficient evidence of
Special Fund liability, the increase in the award was apportioned
entirely to Costain.
Costain appealed to the board, which, in
turn, affirmed the ALJ's decision.
This petition followed.
Costain first argues that because Sword failed to meet
his burden of proof, the ALJ erred when he found Sword to be
totally disabled. Specifically, it maintains Sword failed to prove
an "objective change in [his] physical condition" as required by
KRS 342.125.
In cases such as this, where the party bearing the
burden of proof is successful before the ALJ, the question on
appeal is whether the ALJ's decision is supported by substantial
evidence.
Wolf Creek Collieries v. Crum, Ky. App., 673 S.W.2d 735
(1984).
Having reviewed the record, we are of the opinion that
the ALJ's decision was, indeed, supported by substantial evidence.
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See Smyzer v. B.F. Goodrich Chemical Co., Ky. 474 S.W.2d 367
(1971).
Dr. Ignatiadis testified prior to the 1992 hearing and on
December 20, 1996.
In his initial deposition, he diagnosed Sword
with reflex sympathetic dystrophy (RSD) and specifically noted that
there was no evidence of wasting of the muscles.
At that time he
diagnosed a 15% functional impairment and concluded that Sword
could not return to his previous employment of a heavy manual
laborer.
On December 20, 1996, Dr. Ignatiadis testified that
Sword's condition had deteriorated to a marked degree. Although he
indicated that Sword's functional impairment had not changed1, he
testified that Sword was basically unemployable as a result of
increased pain, swelling, and the need to continually alter his
position.
Dr. Kennedy testified that Sword's left foot was swollen
and cooler than the right.
thigh and calf
He noted distinct wasting of the left
and that Sword walked with a limp, which allowed
for minimal weight bearing on the left lower limb.
Dr. Kennedy
also diagnosed RSD and indicated that Sword had a demineralized
foot and ankle as a result thereof.
It was Dr. Kennedy's opinion
that Sword was 100% occupationally disabled and suffered a whole
body functional impairment of 15-20%.
In sum, we believe the
aforementioned evidence as a whole is evidence of substance and
supports the ALJ's decision.
1
Dr. Ignatiadis testified in 1996 that Sword's functional
impairment was the same as it was in 1992.
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Costain complains that the ALJ ignored medical evidence,
presented by it, that indicates Sword's condition has not worsened.
It is not enough to show that there is merely some evidence that
would support a contrary conclusion. Special Fund v. Francis, Ky.,
708 S.W.2d 641 (1986).
Hence, as the ALJ's decision is supported
by substantial evidence, we will not reverse.
Id.
Costain next maintains that the ALJ erred by failing to
apportion 50% of the liability to the Special Fund.
Costain
presented evidence from Dr. Daniel D. Primm, Jr., who examined
Sword in 1992 and assigned 75% of Sword's functional impairment
rating to an "arousal of a pre-existing condition or predisposition
to develop RSD." Costain maintains that because this testimony was
uncontradicted, the Special Fund should have been apportioned some
liability.
We disagree and adopt the portion of the board's
opinion addressing this argument.
The ALJ, as fact finder, may reject even
uncontradicted evidence if he explains why he
did so. Commonwealth of Kentucky v. Workers'
Compensation Board, Ky. Ap., 697 S.W.2d 540
(1985). . . . the ALJ explained in his order
on petition for reconsideration that he did
not find Dr. Primm to be credible. Further, a
mere predisposition is not enough to compel
apportionment. Newberg v. Sleets, Ky. App.,
899 S.W.2d 495 (1995).
Having rejected the
opinion of Dr. Primm, the ALJ was left with no
evidence to support an assessment of liability
to the [Special Fund].
Finally,
Costain
complains
that
the
ALJ
erroneously
failed to apply the reopening standard under the 1996 amendment to
KRS 432.125 which requires the claimant to prove a change of
condition based on objective medical evidence.
We agree with the
board that the 1996 amendment cannot be applied retroactively, but
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are of the opinion that Sword, nevertheless, met his burden under
either the 1994 or 1996 standard.
Because we believe the board committed no error in
construing the law or assessing the evidence, we will not disturb
its opinion.
See Western Baptist Hospital v. Kelly, Ky., 827
S.W.2d 685 (1992).
For the foregoing reasons, the decision of the Workers'
Compensation Board is affirmed.
ALL CONCUR.
BRIEF FOR APPELLANT:
BRIEF FOR APPELLEE/SWORD:
Paul E. Jones
Pikeville, KY
Randy G. Clark
Pikeville, KY
BRIEF FOR APPELLEE/FUND:
David R. Allen
Louisville, KY
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