LINDA SIZEMORE v. UNITED PARCEL SERVICE; IRENE STEEN, ALJ; WORKERS' COMPENSATION BOARD
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RENDERED: MAY 3, 2002; 2:00 p.m.
NOT TO BE PUBLISHED
C ommonwealth O f K entucky
C ourt O f A ppeals
NO.
2001-CA-002679-WC
LINDA SIZEMORE
APPELLANT
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS' COMPENSATION BOARD
ACTION NO. WC-97-96402
v.
UNITED PARCEL SERVICE; IRENE
STEEN, ALJ; WORKERS' COMPENSATION
BOARD
APPELLEES
OPINION
AFFIRMING
** ** ** ** **
BEFORE:
DYCHE, EMBERTON, MILLER, JUDGES.
DYCHE, JUDGE:
The Administrative Law Judge (ALJ) determined that
Linda Sizemore suffered work-related injuries and that, as a
result, she sustained a 60 percent occupational disability.
Sizemore appealed to the Workers’ Compensation Board (Board),
arguing, among other things, that she was totally occupationally
disabled as a result of the work-related injuries, and that the
ALJ erred in failing to find that she suffered a work-related
injury to her right elbow.
As to the issues relevant in this
appeal, the Board affirmed the ALJ’s decision,1 and we now affirm
the Board.
In 1996, Sizemore was employed as an air package
handler by United Parcel Service (UPS).
On March 30, 1996, while
in the course of her employment, Sizemore was injured when, while
engaged in loading packages onto an airplane, a tug of dollys
rolled over her.
As a result of the accident, Sizemore incurred
various injuries.
According to the hospital records, Sizemore
suffered, in addition to other minor injuries, a comminuted
fracture of the left tibia and fibula; a comminuted fracture of
the right ankle with slight displacement of fragments; and an
injury to the pelvis.
Sizemore’s
right elbow was also injured
as she was being pulled from the accident scene by co-workers.
Sizemore reinjured her right elbow in the summer of 1998 in a
bicycle accident.
On May 4, 1999, Sizemore filed an Application for
Resolution of Injury Claim with the Department of Workers Claims.
Following a hearing, on April 30, 2001, the ALJ issued an opinion
and award determining that Sizemore had an occupational
disability of 60 percent.
The opinion and order awarded Sizemore
benefits of $72.71 per week for a period not to exceed 520 weeks.
Sizemore subsequently appealed the ALJ’s decision to the Board;
on November 14, 2001, the Board entered a decision affirming the
ALJ’s decision as to the issues relevant in this appeal.
1
The Board remanded the case to the ALJ on the issue of
whether Sizemore was entitled to additional temporary total
disability benefits.
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First, Sizemore contends that the ALJ erred in
determining that she was not entitled to occupational disability
benefits as a result of the injuries she sustained to her right
elbow in conjunction with the March 30, 1996, accident.
It is uncontroverted that Sizemore suffered a
dislocated right elbow while she was being pulled from the
accident scene by her coworkers.
The X-rays at the initial
intake indicated that Sizemore suffered a dislocation of the
elbow, but there appeared to be no definite fractures at that
time.
The preliminary radiology report indicated right elbow
posterior dislocation of the radius/ulna with respect to the
humerus, and that a fracture was suspected but not identified.
The dislocation was reduced, and a good alignment was obtained.
X-rays subsequent to the reduction of the posterior dislocation
indicated that no definite fracture was identified.
In October 1998, Sizemore was bicycling for exercise
purposes and sustained a fall, landing on her outstretched right
hand and reinjuring her right elbow.
Medical examinations of the
elbow subsequent to the bicycle accident disclosed a fracture and
post-traumatic arthritis of the radial head.
The radial head
fracture of Sizemore’s right elbow was first documented by
treating physician Dr. Arthur L. Malkani subsequent to the
bicycle fall.
The ALJ addressed the issue as follows:
Based upon the record herein, . . . it is the
finding of this ALJ that Plaintiff has failed
in her burden of proof and risk of nonpersuasion to show that the current right
elbow problems are indeed work-related as it
relates to the radial head fracture.
Although, admittedly, Plaintiff did have a
dislocated elbow at the time of the injury by
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having her co-workers pull her by the right
arm from under the wagons, there is no
indication of a definite diagnosis of a
fracture of her elbow at that time. It
appears that Plaintiff was not complaining of
right elbow problems during the time she
sought treatment of her right ankle and left
tib/fib fracture, and it was not until she
had the accident with the bicycle in late
1998 that she started complaining of right
elbow problems. Plaintiff takes the position
that if the radial head was not fractured at
the time of the 1996 accident, it should
still be covered because she was exercising
on a bicycle in 1998 and as a sequela of the
1996 accident, the right elbow should,
therefore, be covered. I do not find this
position to be tenable inasmuch as I find no
directives which clearly establish that
Plaintiff was to engage in bicycle riding on
the streets as a form of physical therapy for
her injuries. Even Dr. Malkani’s office
initially did not consider the right elbow
injury to have been caused by the 1996 injury
herein as is evidenced by correspondence from
his office. I find persuasive Dr. Gleis’
statement which indicates that just because
Plaintiff had a dislocated elbow at the time
of the 1996 injury, it in and of itself would
not render her elbow more susceptible to a
subsequent radial head fracture. Thus,
Plaintiff’s elbow problems are found to be
unrelated to her initial elbow injury.
The fact-finder, the ALJ, rather than the reviewing
court, has the sole discretion to determine the weight,
credibility, quality, character, and substance of evidence and
the inference to be drawn from the evidence.
Paramount Foods,
Inc. v. Burkhardt, Ky., 695 S.W.2d 418, 419 (1985).
the discretion to choose whom and what to believe.
The ALJ has
Addington
Resources, Inc. v. Perkins, Ky. App., 947 S.W.2d 421, 422 (1997).
The ALJ may reject any testimony and believe or disbelieve
various parts of the evidence, regardless of whether it came from
the same witness or the same adversary party's total proof.
-4-
Caudill v. Maloney's Discount Stores, Ky., 560 S.W.2d 15, 16
(1977) .
Although a party may note evidence which would have
supported a conclusion contrary to the ALJ's decision, such
evidence is not an adequate basis for reversal on appeal.
McCloud v. Beth-Elkhorn Corp., Ky., 514 S.W.2d 46 (1974).
There was conflicting evidence regarding whether the
elbow fracture was related to the March 1996 work-related
accident, or the October 1998 bicycle accident.
In instances
where the medical evidence is conflicting, the sole authority to
determine which witness to believe resides with the ALJ.
v. Bugg Brothers, Ky., 547 S.W.2d 123, 124 (1977).
Pruitt
The ALJ
resolved the issue against Sizemore, who had the burden of proof
on the issue.
Where, as here, the party with the burden of proof
was unsuccessful before the ALJ, the issue on appeal is whether
the evidence compels a finding in his favor.
Inc. v. Burkhardt,
Paramount Foods,
Ky., 695 S.W.2d 418, 419 (1985); Daniel v.
Armco Steel Co., L.P., Ky. App., 913 S.W.2d 797, 800 (1995).
To
be compelling, evidence must be so overwhelming that no
reasonable person could reach the same conclusion as the ALJ.
REO Mechanical v. Barnes, Ky. App., 691 S.W.2d 224, 226 (1985).
In light of the October 1998 bicycle accident and the initial Xrays, the evidence is not so overwhelming that the elbow fracture
was a result of the work-related accident so as to compel a
finding in favor of appellant.
Second, Sizemore contends that the ALJ erroneously
concluded that she is 60 percent occupationally disabled and
-5-
should have, instead, determined that she is 100 percent
occupationally disabled.
Again, there was a conflict in the medical evidence
regarding the impairment suffered by Sizemore as a result of the
accident.
Sizemore’s treating physician, Dr. Malkani, assessed
Sizemore with an overall bodily impairment of 27 percent based
upon the AMA Guidelines.
Certified Independent Medical Examiner
Dr. Daniel Wolens, on the other hand, assessed a 6 percent whole
body rating and made specific criticisms of Dr. Malkani’s
conclusions.
The ALJ accepted Dr. Wolens’s testimony and rating
over Dr. Malkani’s.
Again, it was within the sole province of
the ALJ to resolve this conflict, and we are without authority to
disregard the ALJ’s determination and substitute our own.
Having accepted Dr. Wolens’s impairment rating, it was
then the ALJ’s responsibility to translate the rating into an
occupational disability rating.
at 124.
Pruitt v. Bugg Brothers, supra,
Permanent partial disability is to be assessed on the
basis of the probability of future impairment of earning capacity
as indicated by the nature of the injury, the age of the workman,
and other relevant factors.
800, 804 (1968).
Osborne v. Johnson, Ky., 432 S.W.2d
The ALJ is granted considerable discretion in
translating functional disability into occupational disability.
Seventh St. Road Tobacco Warehouse v. Stillwell, Ky., 550 S.W.2d
469, 471 (1976).
In so doing, the ALJ has the discretion to rely
on a claimant’s lay testimony regarding the extent of the
disability.
Hush v. Abrams, Ky., 584 S.W.2d 48, 50 (1979).
-6-
In light of the ALJ’s considerable discretion in the
matter, we cannot say that the evidence compels a conclusion that
the ALJ’s 60 percent occupational disability rating was
erroneous.
Although the evidence concerning the severity and
permanency of Sizemore’s injuries was subject to a different
interpretation, we cannot say that the evidence was so
overwhelmingly contrary that no reasonable person could reach the
same conclusion as the ALJ.
As the medical evidence does not
compel a finding contrary to the decision of the ALJ, the
decision will not be disturbed on appeal.
Moreover, the Board
has not “overlooked or misconstrued controlling statutes or
precedent, or committed an error in assessing the evidence so
flagrant as to cause gross injustice."
Western Baptist Hospital
v. Kelly, Ky., 827 S.W.2d 685, 687-88 (1992).
The decision of the Board is affirmed.
ALL CONCUR.
BRIEF FOR APPELLANT:
BRIEF FOR APPELLEE:
Tamara Todd Cotton
Rodney J. Mayer
Louisville, Kentucky
Thomas L. Ferreri
Ferreri & Fogle
Louisville, Kentucky
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