DAVID M. HOWARD V. ARCH OF KENTUCKY, INC., DIVISION OF APOGEE COAL; HON. RICHARD L. WHITTAKER, DIRECTOR OF SPECIAL FUND; HON. RICHARD H. CAMPBELL, ADMINISTRATIVE LAW JUDGE; AND WORKERS' COMPENSATION BOARD
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RENDERED: MAY 12, 2000; 10:00 a.m.
NOT TO BE PUBLISHED
C ommonwealth O f K entucky
C ourt O f A ppeals
NO.
1999-CA-001486-WC
DAVID M. HOWARD
v.
APPELLANT
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS' COMPENSATION BOARD
ACTION NO. WC-97-93414
ARCH OF KENTUCKY, INC.,
DIVISION OF APOGEE COAL;
HON. RICHARD L. WHITTAKER,
DIRECTOR OF SPECIAL FUND;
HON. RICHARD H. CAMPBELL,
ADMINISTRATIVE LAW JUDGE;
AND WORKERS’ COMPENSATION
BOARD
APPELLEES
OPINION
AFFIRMING
** ** ** ** **
BEFORE:
GUIDUGLI, JOHNSON AND KNOPF, JUDGES.
GUIDUGLI, JUDGE.
David M. Howard (Howard) appeals from an
opinion of the Workers’ Compensation Board (the Board) entered
May 28, 1999 affirming an opinion and award of the Administrative
Law judge (ALJ) which found him to have a 10% permanent
occupational disability rating as a result of injuries sustained
on January 27, 1996 and December 3, 1996 (the 1996 injuries), and
a permanent partial disability rating of 2.25% for an injury
which occurred on February 12, 1997 (the 1997 injury).
We
affirm.
Howard, who is 41 years of age, has a high school
education and a two-year associate degree in mining technology.
He has been employed as an underground miner for Arch of
Kentucky, Inc./Division of Apogee Coal Company (Arch) and/or its
predecessor since May 1977.
He has no other employment
experience.
Howard alleges that he sustained three separate
injuries in the course of his employment with Arch which led to
his claim for benefits.
On January 27, 1996, he allegedly fell
and struck his head on a monorail bracket and over-extended his
arms when he tried to break his fall by grabbing a beltline.
Howard reported experiencing some head and neck pain following
this accident for which he sought medical treatment from Dr.
Schecker and Dr. Holt.
It appears that Howard’s main complaint
following this injury was constant wrist pain and fingertip
numbness.
Despite these complaints, Howard returned to work at
the same position.
It appears that Howard missed a minimal
amount of work following this accident, but the exact amount of
time missed is not clear.
It appears that Howard underwent a
right carpal tunnel release in April 1997.
Howard alleges that his second injury occurred on
December 3, 1996, when he twisted
machinery pieces through a door.
his lower back while carrying
Howard sought no medical
treatment for this injury aside from a visit to the emergency
room, and was able to continue working without missing any time.
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The third injury allegedly occurred on February 2, 1997
when a vehicle he was riding in struck an object and caused him
to fall on the floor of the vehicle and strike his right knee on
a metal plate.
Following this accident Howard continued to work
until February 28, 1997, at which time he left work due to neck,
back and knee pain.
After a course of conservative treatment he
returned to work on July 21, 1997.
He continued to work until
February 28, 1998, when he alleged that his neck, back and knee
pain became totally disabling.
He has continued a course of
conservative treatment, but still complains of neck, back, and
knee pain as well as left arm pain and numbness in both hands.
The medical evidence submitted before the ALJ was
conflicting.
Howard presented the records of Dr. Neal Jewell
(Dr. Jewell) and Dr. Gary McAllister (Dr. McAllister), while Arch
and the Special Fund relied on the records and/or depositions of
Dr. Robert Goodman (Dr. Goodman), Dr. Kenneth Graulich (Dr.
Graulich), Dr. Ben Kibler (Dr. Kibler), and Dr. William Brooks
(Dr. Brooks).
Dr. Jewell saw Howard for an independent medical
evaluation on August 30, 1996.
Howard related the details of the
January 27, 1996 accident, and complained of arm pain, fingertip
numbness, gripping problems, and neck pain.
Dr. Jewell diagnosed
mild cervical strain, mild right upper extremity radicular
syndrome, a C6-7 degenerative cervical disc with slight bulging,
and mild bilateral carpal tunnel syndrome.
Dr. Jewell gave a 6%
impairment rating for carpal tunnel syndrome only, and indicated
that there were “[i]nsignificant findings to qualify for a rating
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of the cervical level.”
Dr. Jewell found “no evidence of
disability from pre-existing condition.”
Dr. Jewell did not give
any restrictions.
Dr. McAllister saw Howard for an orthopedic evaluation
on January 21, 1998.
Howard gave a history of three separate
injuries and complained of severe lower back and left leg pain,
numbness in the toes of his left foot, cervical pain radiating
into both arms, and left wrist pain.
Dr. McAllister diagnosed:
(1) chronic musculoligamentous cervical spine injury with
neuroforaminal encroachment at C3-4 and a bulging disc at C6-7;
(2) chronic musculoligamentous lower back injury; (3)
chondromalacia of the right knee; and (4) post carpal tunnel
release of the right wrist.
Dr. McAllister gave a total
impairment rating of 31%, which was apportioned 20% to the lumbar
spine injury, 8% to the cervical spine injury, and 3% for the
knee injury.
Dr. McAllister apportioned each equally between the
individual injuries and arousal of a dormant pre-existing
condition.
Dr. McAllister also indicated relatively severe
limitations and restrictions in regard to future activity.
In
Dr. McAllister’s opinion, Howard lacks the physical capacity to
return to his prior employment.
Dr. Goodman saw Howard on January 20, 1998 for an
independent medical evaluation.
Howard related the occurrence of
the three accidents and complained of constant back pain and
problems with dropping things.
Dr. Goodman noted that Howard had
a low back brace, a right knee brace, and walked with a cane.
Based on his physical examination and review of x-ray and other
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diagnostic films, Dr. Goodman diagnosed pre-existing degenerative
changes in the cervical and lumbar spine and right knee.
Goodman also found evidence of symptom magnification.
Dr.
In Dr.
Goodman’s opinion, Howard had reached maximum medical improvement
and could best improve his condition through exercise and
conditioning.
Dr. Goodman indicated that the degenerative
changes were normal for a man Howard’s age.
Dr. Goodman assigned
a total impairment rating of 5%, apportioning 3% to the lumbar
spine injury and 2% to the cervical spine injury.
Half of the
cervical and lumbar impairments were apportioned to “arousal.”
Dr. Goodman stated that Howard’s wrist complaints were related to
the cervical spine injury.
He found no impairment resulting from
Howard’s knee injury.
Dr. Graulich also saw Howard for an independent medical
evaluation on January 20, 1998.
Howard gave Dr. Graulich
basically the same history given to Dr. Goodman, and stated that
his most severe problem was lower back pain.
Howard also
complained of neck pain radiating into his left arm accompanied
by numbness as well as popping and cracking in his right knee.
Howard stated that his right knee problems cause him to fall
frequently.
Based on his review of past medical records and a
physical examination, Dr. Graulich diagnosed chronic pain
syndrome in the cervical and lumbar spine and gave a 10%
impairment rating in regard to this area.
In regard to Howard’s
knee complaints, Dr. Graulich stated that he would defer an
impairment rating to Dr. Kibler, but at any rate would not assign
a rating greater than 5%.
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Dr. Kibler saw Howard for an evaluation of his right
knee.
Howard complained of pain with any motion of the knee
along with locking and giving way.
An examination showed
tenderness and “herky jerky movements of catching as the knee is
both actively and passively moved.”
nothing of note.
A review of x-rays showed
Dr. Kibler diagnosed mild traumatic
chondromalacia and some synovitis, but found no internal
derangement.
exercises.
Dr. Kibler recommended a course of range motion
No impairment rating was given.
Dr. Brooks saw Howard on April 17, 1997.
Howard
complained of back pain radiating into the right leg which he
related
to the December 3, 1996 accident.
Howard also stated
that his leg had given way several times, causing him to fall.
Based on a physical examination
and review of an MRI, Dr. Brooks
diagnosed a “ligamentous injury in and around the left sacral
iliac joint” which he felt would resolve with physical therapy.
Dr. Brooks found no evidence of a neurological condition, and
stated that Howard had reached maximum medical improvement and
could return to work.
In an opinion and award entered February 16, 1999, the
ALJ found that Howard sustained a 10% permanent occupational
disability rating for the 1996 injuries and a permanent partial
disability rating of 2.25% for the 1997 injury.1
Liability for
the 1996 injuries was apportioned equally between Arch and the
Special Fund.
In reaching his conclusion, the ALJ stated:
1
The disability rating for the 1997 injury was calculated
based on the provisions of KRS 342.730(1)(b) as amended effective
December 12, 1996.
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[the] proof when considered in its entirety
established that the work injuries of January
27 and December 3, 1996, involved strain- or
sprain-type trauma to petitioner’s cervical
and lumbar spine; that the February 12, 1997,
injury to petitioner’s right knee produced
“some mild traumatic chondromalacia and a
little bit of synovitis,” but did not result
in any internal derangement; that, in large
part, petitioner’s upper extremity complaints
stem from carpal tunnel syndrome, an ailment
unrelated to the work injuries that are the
subject matter of this claim, notwithstanding
Dr. Jewell’s conclusion to the contrary; and
that petitioner’s ongoing complaints involved
a substantial degree of symptom
magnification.
After considering the findings of Dr. McAllister, the ALJ found
that:
the more convincing and probative proof from
Drs. Goodman and Graulich indicated that
petitioner’s back and neck impairment is
minimal, no more than 5% or so in the
aggregate, and unaccompanied by any
significant limitations.
Finally, the ALJ stated:
[The] injuries have produced just a modicum
of functional impairment that, in all
likelihood, would preclude petitioner from
only the heaviest or most strenuous forms of
work activity; and while petitioner would
have it believed that his symptoms are so
severe and debilitating that he is limited to
a sedentary lifestyle, his testimony and
demeanor at hearing indicated that he was
exaggerating, either consciously or not, his
symptomatology and the effects thereof.
Furthermore, his symptom magnification was
confirmed by the bulk of the medical
evidence.
The Board affirmed that ALJ’s opinion and award in an
opinion rendered May 28, 1999, finding it to be supported by
substantial evidence.
This appeal followed.
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We agree with the Board that the decision of the ALJ is
supported by substantial evidence and therefore adopt the
following portion of the Board’s opinion as our own:
Howard had the burden of proving each of the
essential elements of his claim. Snawder vs.
Stice, Ky.App., 576 SW2d 276 (1979). Since
he was unsuccessful before the ALJ, the
question on appeal is whether the evidence is
so overwhelming as to compel a contrary
result. Wolf Creek Collieries vs. Crum,
Ky.App., 673 SW2d 735 (1984). Compelling
evidence is defined as evidence that is so
overwhelming that no reasonable person could
reach the same conclusion as the ALJ. Reo
Mechanical vs. Barnes, Ky.App., 691 SW2d 224
(1985). It is not enough to show that there
is merely some evidence which would support a
contrary conclusion. McCloud vs. BethElkhorn Corp., Ky., 514 SW2d 46 (1974). As
long as the ALJ’s decision is supported by
evidence of substance, we are without
authority to reverse. Special Fund vs.
Francis, Ky., 708 SW2d 641 (1986). The ALJ,
as fact finder, has the sole authority to
determine the weight, credibility, substance
and inferences to drawn [sic] from the
evidence. Paramount Foods, Inc. vs.
Burkhardt, Ky., 695 SW2d 418 (1985). Where
the evidence is conflicting, the ALJ may
choose whom and what to believe. Pruitt vs.
Bugg Brothers, Ky., 547 SW2d 123 (1977). The
ALJ may choose to believe parts of the
evidence and disbelieve other parts, even
when it comes from the same witness or the
same party’s total proof. Caudill vs.
Maloney’s Discount Stores, Ky., 560 SW2d 15
(1977). Further, this Board may not
substitute its judgment for that of the ALJ
in matters involving the weight to be
accorded the evidence in questions of fact.
KRS 342.285(2).
Here, the ALJ was faced with conflicting
evidence and, as was his right, found the
evidence from Drs. Goodman and Graulich to be
more persuasive. The evidence from Drs.
Goodman and Graulich is substantial evidence
which supports the ALJ’s findings regarding
Howard’s back and neck condition. Evidence
from Dr. Goodman would support a finding of 0
to 5% functional impairment while evidence
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from Dr. Graulich would support a finding of
0 to 10% functional impairment. For the 1996
injuries, it is the exclusive function of the
ALJ to determine occupational disability.
The ALJ is required to translate functional
impairment ratings into occupational
disability, utilizing the principles and
factors enumerated in KRS 342.0011(11) and
Osborne vs. Johnson, Ky., 432 SW2d 800
(1968). The ALJ is given great leeway in
making this determination. Seventh Street
Road Tobacco Warehouse vs. Stillwell, Ky.,
550 SW2d 469 (1976). While a different ALJ
may have reached a different conclusion as to
Howard’s degree of occupational disability,
the law does not mandate that a greater or
lesser degree of occupational disability be
found. Millers Lane Concrete Co., Inc. vs.
Dennis, Ky.App., 599 SW2d 464 (1980). The
ALJ’s finding of a 10% occupational
disability is supported by substantial
evidence. Further, the ALJ was not required
to accept Howard’s testimony concerning his
restrictions, especially where the ALJ found
his testimony was not credible. Further, we
find the ALJ correctly determined Howard’s
entitlement to benefits for his 1997 injury.
The ALJ concluded that the record, when taken
as a whole, failed to indicate that Howard’s
1997 knee injury would prevent him from
returning to the type of work which he was
engaged in when injured. In our opinion,
there is substantial evidence of record to
support this finding and we, therefore,
affirm.
Howard also contends on appeal that if a physician such
as Dr. McAllister:
states (either along with or without a
disability percentage estimate) that the
claimant cannot perform certain kinds of
physical functions such opinion is an opinion
on a medical question, but if the kinds of
physical functions which the physician says
the claimant cannot perform are such as are
essential in the performance of the only
occupation the claimant is qualified by
training and experience to perform, the
Workman’s Compensation Board is required as a
matter of logical deduction to find that the
claimant’s occupational disability is total.
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Whitis v. Southern Belle Dairy, Inc., Ky., 434 S.W.2d 645, 647
(1968).
However, the Whitis decision further provides:
This last rule has been modified somewhat in
[Osborne], but since the instant claim was
filed before the effective date of that
decision the [pre-Osborne] rules apply.
Whitis, 434 S.W.2d at 647.
In Osborne, the Court set forth the following factors
which are to be considered in assigning occupational disability:
(1) What kind of work normally available on
the local labor market was the man capable,
by qualifications or training, of performing
prior to injury; (2) what were the normal
wages in such employment; (3) what kind of
work normally available on the local labor
market is the man capable of performing since
his injury; and (4) what are the normal wages
in such employment?
Osborne, 432 S.W.2d at 803.
Here, aside from Howard’s own
testimony that he is unable to work and Dr. McAllister’s opinion
regarding restrictions and Howard’s inability to return to his
previous job, there was no other evidence offered in regard as to
whether Howard would be unable to work at any job.
In
particular, there was no evidence offered in regard to the third
factor set forth in Osborne.
In light of the foregoing, the
evidence presented might support a finding that Howard cannot
return to his previous job as a coal miner, but it does not
compel a finding that Howard is totally disabled from an
occupational standpoint.
Having considered the parties’ arguments on appeal, the
opinion of the Workers’ Compensation Board is affirmed.
ALL CONCUR.
BRIEF FOR APPELLANT:
BRIEF FOR APPELLEE, ARCH OF
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Otis Doan, Jr.
Harlan, KY
KENTUCKY, INC.:
Ralph D. Carter
Hazard, KY
BRIEF FOR SPECIAL FUND:
Joel D. Zakem
Frankfort, KY
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