WALLACE WALES v. SEVEN COUNTIES SERVICES; HON. JOHN B. COLEMAN, ADMINISTRATIVE LAW JUDGE; AND WORKERS' COMPENSATION BOARD
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RENDERED:
SEPTEMBER 21, 2001; 2:00 p.m.
NOT TO BE PUBLISHED
C ommonwealth O f K entucky
C ourt O f A ppeals
NO.
2001-CA-001019-WC
WALLACE WALES
APPELLANT
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS' COMPENSATION BOARD
ACTION NO. WC-99-00686
v.
SEVEN COUNTIES SERVICES;
HON. JOHN B. COLEMAN,
ADMINISTRATIVE LAW JUDGE; AND
WORKERS' COMPENSATION BOARD
APPELLEES
OPINION
AFFIRMING
** ** ** ** **
BEFORE:
DYCHE, GUIDUGLI AND KNOPF, JUDGES.
GUIDUGLI, JUDGE.
Wallace Wales (Wales) appeals from an order of
the Workers’ Compensation Board (the Board) entered April 11,
2000, which affirmed an opinion and award of Administrative Law
Judge John B. Coleman (the ALJ), which granted him benefits based
on a 9.75% permanent partial disability.
We affirm.
Wales contends that the ALJ erred in apportioning 75% of his
disability to a prior injury.
Having reviewed the record, we
agree with the Board’s opinion and adopt the following portion as
our own:
Wales was employed by Seven Counties as
a youth counselor. He was injured on August
3, 1998, when he was involved in a motor
vehicle accident. He began to suffer pain in
his neck and left shoulder following this
incident. He was eventually diagnosed as
suffering a left rotator cuff tear. Surgery
was performed on September 9, 1998 to repair
the tear. Wales remained off work until
March 1, 1999. While he was receiving
treatment for the left shoulder problems,
Wales began to complain of numbness in the
right hand and fingers. An MRI indicated a
herniated disc at C3-C4.
Wales had previously been treated for
neck and upper back injuries that he suffered
in an automobile accident in February 1997.
Wales stated that his neck problems cleared
up within a few weeks of the accident.
Medical records from Dr. Nehil’s
treatment of Wales in 1997 were introduced
into the record. His records indicate that
Wales initially complained of pain in the
neck and upper back. Wales was diagnosed as
suffering cervical and thoracic strain. In
an update of March 24, 1997, Dr. Nehil noted
that Wales complained of shooting pains in
both arms and from the shoulders to the
elbows. Dr. Nehil’s records indicate that
Wales continued to complain of pain in the
neck and upper back through his last visit on
February 20, 1998. As of August 1997, Dr.
Nehil stated that Wales’ primary problem was
in his upper back rather than in his neck.
Wales introduced records from Dr. Thomas
Lehmann, his treating orthopedic surgeon. He
noted that Wales had complaints of numbness
in the right hand on September 24, 1998. An
MRI of the cervical spine was performed in
November 1998. This indicated disc
protrusion at C3-C4 with moderate
encroachment of the left neural foramen. In
an updated November 30, 1998 report, Dr.
Lehmann stated that Wales was complaining of
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numbness and pain in both the left and right
arm. He stated Wales gave a history of
suffering neck and back pain following a
motor vehicle accident a couple of years
previous, but that these problems cleared up
after approximately three months. Wales also
repeated that his low back had bothered him
more than his neck following the previous
accident. Dr. Lehmann treated Wales’ neck
complaints with epidural injections, physical
therapy and medication.
Records from Dr. Richard Sweet, a
partner of Lehmann, were also introduced.
Dr. Sweet performed surgery to repair Wales’
rotator cuff tear on September 9, 1998. Dr.
Sweet assessed a 6% impairment under the AMA
Guides due to Wales’ shoulder condition. He
did not assign any permanent restriction.
Records from Dr. Lansing Cowles were
also introduced. Dr. Cowles apparently
performed a discectomy on Wales’ cervical
spine in January 2000. He was released to
return to work on March 16, 2000. In May
2000, Wales again reported pain in his neck
and left shoulder.
Seven Counties submitted records from
Dr. Eugene Giles, Wales’ family physician.
These records indicate that Wales was treated
for thoracic pain in 1994. Wales was also
seen for complaints of back pain in August
1996. Dr. Giles saw Wales following his 1997
automobile accident and Wales complained of
back and neck pain at that time. Following
the 1998 injury, Wales gave Dr. Giles
complaints of shoulder and back pain. In
April 1999, Dr. Giles referred Wales for a
cervical evaluation. Dr. Giles also had
Wales undergo physical therapy.
A report from Dr. John Guarnaschelli was
also introduced. Dr. Guarnaschelli felt that
Wales had no objective findings and there
were no true signs of radiculopathy. He did
not feel that Wales was a good candidate for
cervical surgery. Dr. Guarnaschelli believed
Wales’ complaints of neck pain were out of
proportion to any radicular or myleopathic
changes that he saw on clinical examination.
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Seven Counties also submitted a report
from Dr. Ellen Ballard, a specialist in
occupational medicine. Dr. Ballard stated
that electroneurodiagnostic testing indicated
a mild ulnar neuropathy bilaterally. She
felt this was an incidental finding and not
related to his work-related injury. Dr.
Ballard believed that Wales had no further
need of physical therapy as of her March 1999
examination. Dr. Ballard assessed a 6%
impairment under the AMA Guides for Wales’s
cervical problems. She felt that 90% of this
impairment was due to pre-existing
conditions.
A hearing was held on this claim on
September 28, 2000. In the hearing order,
the ALJ kept proof time open for two weeks
following that date, apparently so that Seven
Counties could submit testimony from Dr.
Gregory Gleis. Dr. Gleis’s report was not
submitted until October 26, 2000.
Dr. Gleis felt that Wales had a
preexisting cervical condition. He based
this opinion upon Dr. Nehil’s treatment for
neck problems for approximately a year
following the February 28, 1997 non-workrelated accident. In his report, Dr. Gleis
misidentified the date of a thoracic MRI
taken at Dr. Nehil’s request. Dr. Gleis
stated that the MRI was performed in July
1998, when in fact it was performed in July
1997. There is no indication in Dr. Gleis’s
report that the date of this thoracic MRI had
any bearing on his opinion regarding Wales’s
cervical condition. Dr. Gleis assessed a 15%
impairment under the AMA Guides for Wales’
cervical condition. He stated that he would
apportion at least 75% of this impairment to
a preexisting active condition.
On November 20, 2000, Wales filed a
motion to file a supplemental report from Dr.
Nehil. Wales stated that the report was
being filed in response to the report of Dr.
Gleis. In this report, Dr. Nehil stated that
during his treatment of Wales in 1997 and
early 1998, his primary complaints were of
upper back pain. He stated that Wales’
neurological examination was entirely normal.
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Dr. Nehil stated that during the time he saw
Wales, he did not see any signs of a
significant neck injury.
Although Dr. Nehil’s supplemental report
was submitted with a motion and outside of
proof time, the ALJ did not enter an order
admitting that report into the record. The
ALJ issued his opinion and award on November
28, 2000. In that opinion, the ALJ referred
to the previously filed records of Dr. Nehil,
but did not make reference to Dr. Nehil’s
November 15, 2000 report. The ALJ did refer
to Dr. Gleis’s report. After reviewing the
evidence, the ALJ concluded that Wales had a
6% impairment due to his rotator cuff injury,
relying upon the testimony of Dr. Lehmann.
Relying upon Dr. Gleis’s testimony, the ALJ
also found that Wales had a 15% impairment
due to his cervical condition, but that 75%
of the impairment was due to a preexisting
active condition. The ALJ therefore awarded
benefits based upon a 9.75% impairment for
the cervical spine and shoulder injuries. No
petition for reconsideration was filed
following the ALJ’s award.
Wales now appeals from the ALJ’s
opinion, arguing the ALJ’s opinion is in
error because there is no indication that he
considered Dr. Nehils’ report. Furthermore,
Wales argues it was error for the ALJ to rely
upon Dr. Gleis’s opinion, because Dr. Gleis
was under the mistaken impression that the
thoracic MRI was performed only a few weeks
before the August 1998 injury, when it was
actually performed more than a year prior to
that injury.
We must agree with Wales’s contention
that the ALJ apparently did not review Dr.
Nehil’s supplementary report. We note that
Wales filed a motion to admit Dr. Nehil’s
report only eight days before the ALJ issued
his opinion and award. It is unclear whether
the ALJ actually received the report from the
Department of Workers’ Claims prior to
issuing his opinion. Furthermore, we would
note that the report was submitted outside of
proof time, hence an order from the ALJ would
be required in order for the report to be
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admitted into the record. There is no
indication the ALJ considered Wales’ motion
to file the supplemental report.
Unfortunately, we believe this issue has
not been properly preserved. In Eaton Axle
Corp. v. Nally, Ky., 688 S.W.2d 334 (1985),
the Supreme Court held that when a party is
seeking an appeal on errors which are patent
upon the face of the award, it must first
file a petition for reconsideration in order
to preserve those errors for appeal. In
essence, where a patent error appears in an
order or award, the ALJ must be given an
opportunity to correct it before that error
may be raised on appeal. In 1994, KRS
342.281 was amended to include the statement
that “the failure to file a petition for
reconsideration shall not preclude an appeal
on any issue.” This language was essentially
a legislative repeal of the holding in Eaton
Axle. See Smith v. Dixie Fuel Co., KY., 900
S.W.2d 609 (1995).
In 1996, KRS 342.281 was again amended
and the above language omitted. The Court of
Appeals has held that the deletion of that
language reinstated the holding in Eaton
Axle. Hall’s Hardwood Floor Co. v.
Stapleton, Ky. App., 16 S.W.3d 327 (2000).
Thus, the law at present is that where patent
error or an omission of fact occurs in an
ALJ’s decision, it must be preserved for
appeal by filing a petition for
reconsideration with the ALJ. Smith v. Dixie
Fuel Co., supra.
We believe the ALJ’s failure to rule on
Wales’ motion to file Dr. Nehil’s report and
his omission of any mention of that
supplemental report in his opinion and award
are patent errors appearing upon the face of
the opinion. Since Wales did not file a
petition for reconsideration, we are
precluded from considering this issue on
appeal.
We would further point out that even if
Wales had properly preserved the issue, we
believe there is substantial evidence to
support the ALJ’s finding. The testimony of
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Dr. Ballard would clearly support an
apportionment of 75% of the impairment due to
the cervical condition to a preexisting
active condition. Furthermore, there is no
indication in Dr. Gleis’s report that his
mistaken date for the thoracic MRI affected
his opinion regarding a preexisting condition
in the cervical spine. While Dr. Nehil felt
there was no indication of a significant neck
injury during his treatment of Wales in 1997,
Dr. Gleis was of a different opinion. It is
well settled that the testimony of the
treating physician need not be afforded any
greater weight than that of an evaluating
physician. Wells v. Morris, Ky. App., 698
S.W.2d 321 (1985). The ALJ, as fact finder,
has the sole authority to determine the
weight, credibility, substance and inferences
to be drawn from the evidence. Paramount
Foods, Inc. v. Burkhardt, Ky., 695 S.W.2d 418
(1985). Where the evidence is conflicting,
the ALJ may choose whom and what to believe.
Pruitt v. Bugg Brothers, Ky., 547 S.W.2d 123
(1977). We believe it was well within the
ALJ’s prerogative to accept the testimony of
Dr. Gleis over that of Dr. Nehil.
Having considered the parties’ arguments on appeal, the
opinion of the Board is affirmed.
ALL CONCUR.
BRIEF FOR APPELLANT:
BRIEF FOR APPELLEE:
Edward A. Mayer
Louisville, KY
James G. Fogle
Louisville, KY
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