FRITO LAY (RSKCO) v. JAMES RATLIFF; HON. ROBERT WHITAKER, DIRECTOR OF SPECIAL FUND; HON. JOHN B. COLEMAN, ALJ; FRITO LAY (CRAWFORD & CO.); FRITO LAY (TRAVELERS INSURANCE); and KENTUCKY WORKERS' COMPENSATION BOARD
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RENDERED:
AUGUST 30, 2002; 10:00 a.m.
NOT TO BE PUBLISHED
C ommonwealth O f K entucky
C ourt O f A ppeals
NO.
2002-CA-000235-WC
FRITO LAY (RSKCO)
v.
APPELLANT
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS' COMPENSATION BOARD
ACTION NOS. WC-89-30116, WC-95-11954,
WC-98-80322, and WC-99-00924
JAMES RATLIFF;
HON. ROBERT WHITAKER,
DIRECTOR OF SPECIAL FUND;
HON. JOHN B. COLEMAN, ALJ;
FRITO LAY (CRAWFORD & CO.);
FRITO LAY (TRAVELERS INSURANCE); and
KENTUCKY WORKERS’ COMPENSATION BOARD
APPELLEES
OPINION
AFFIRMING
** ** ** ** **
BEFORE:
BARBER, BUCKINGHAM, AND COMBS, JUDGES.
BUCKINGHAM, JUDGE: Frito Lay, as insured by RSKCo (RSK),
petitions for our review of an opinion of the Workers’
Compensation Board which affirmed an opinion and award by an
administrative law judge (ALJ).
The ALJ had found that James
Ratliff was totally occupationally disabled and that the primary
cause of that disability resulted from an injury in 1998 while
working for Frito Lay who was then insured by RSK.
We affirm.
Ratliff began working with Frito Lay during 1985.
He
was a route salesman who traveled to various grocery stores and
gas stations selling and delivering Frito Lay products.
Ratliff
suffered his first workplace injury to his low back on November
1, 1987.
L5-S1.
In 1988, Dr. Henry Tutt performed a discectomy of the
Crawford & Company insured Frito Lay for this injury, and
Ratliff’s claim resulted in a settlement for the equivalent of a
sixteen percent permanent partial disability which was paid
equally between the employer and the Special Fund.
On February 10, 1995, Ratliff suffered another
workplace injury to his low back.
A second discectomy was
performed on Ratliff following that injury.
Frito Lay was
insured by Travelers’ Insurance Company for this injury, and
Ratliff’s claim was settled for the equivalent of a five percent
permanent partial disability.
Ratliff’s third injury occurred on January 7, 1998, and
was again to Ratliff’s low back.
for this injury.
Frito Lay was insured by RSK
Ratliff asserted that this injury occurred
while lifting boxes of chips.
He continued working through May
1998 until he underwent a third surgery which included a fusion
at the L5-S1 level.
Because he maintains that his pain is too
great, he has not worked since that time.
The ALJ entered an opinion and award on July 20, 2001.
First, the ALJ stated that he was unconvinced that Ratliff’s
current condition was caused by a worsening attributable to his
prior work-related injuries.
Next, relying on the testimony of
Dr. Daniel Primm, the ALJ found that the January 1998 event was
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the proximate cause of Ratliff’s condition which ultimately led
to his spinal fusion.
Further, citing the medical evidence as
well as Ratliff’s testimony, the ALJ found that Ratliff met the
definition of permanent total disability and that Ratliff had a
complete and permanent inability to perform any type of work on a
regular and sustained basis.
The ALJ determined that Ratliff’s disability from the
1987 injury was no greater than the sixteen percent for which it
was settled.
Therefore, Frito Lay was given credit for that
sixteen percent prior active disability which was noncompensable.
In addition, the ALJ held that Frito Lay should be given credit
for a five percent occupational disability based on the
settlement of Ratliff’s claim for the 1995 injury.
Thus, the ALJ
determined that immediately before the 1998 injury, Ratliff had a
twenty-one percent prior occupational disability.
The ALJ then determined that Ratliff’s condition was
caused in part by the arousal of pre-existing degenerative
changes.
Citing McNutt Constr./First General Servs. v. Scott,
Ky., 40 S.W.3d 854 (2001), the ALJ noted that when a work-related
trauma causes a dormant degenerative condition to become
disabling, the trauma is the proximate cause of the harmful
change.
Id. at 859.
The ALJ concluded that Ratliff was totally
occupationally disabled and entitled to benefits for seventy-nine
percent of the total amount.
The ALJ stated that the amount was
directly attributable to the 1998 injury and was payable by RSK
as the insurer for Frito Lay on that date.
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The Board affirmed
the ALJ’s opinion and award, and this petition for review by
Frito Lay (RSK) followed.
RSK’s first argument in its petition is that there was
not substantial evidence to support the ALJ’s finding that the
1998 event was the proximate cause for Ratliff’s condition which
ultimately led to his spinal fusion.
RSK asserts that the
proximate cause of Ratliff’s condition was the fact that he had a
pre-existing congenital condition of segmental instability and
had also undergone two prior surgeries for his 1987 and 1995
injuries.
Relying on the medical testimony submitted in the
case, RSK argues that there was a lack of substantial evidence to
support the ALJ’s award.1
In addition, RSK asserts that Ratliff was not actually
injured in 1998 and that he did not give a history of having
experienced a traumatic incident to the physicians who examined
him.
We have examined the evidence and disagree with RSK’s
assertion.
Ratliff specifically testified that on January 7,
1998, while lifting boxes of chips, he felt a pain in his low
back extending down his right leg.
He reported the injury to the
employer and related the injury to the examining physicians who
noted it in Ratliff’s medical history.
Further, there was additional evidence upon which the
ALJ relied in determining that the workplace event was the
proximate cause of Ratliff’s condition.
Dr. Primm, who examined
Ratliff at the referral of RSK, assessed Ratliff with a twelve
1
If there is substantial evidence of probative value to
support the ALJ’s decision, it should be affirmed. Wolf Creek
Collieries v. Crum, Ky. App., 673 S.W.2d 735, 736 (1984).
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percent impairment with one-half being attributable to the
arousal or aggravation of degenerative conditions by a workrelated event in January 1998.
Relying on this testimony, the
ALJ determined that the January 1998 event was the proximate
cause of Ratliff’s condition which led to the spinal fusion.
Further, the ALJ noted that Ratliff had continued to work after
the surgeries following his two prior injuries and that he was
now no longer able to return to regular employment.
In short, we
conclude that there was substantial evidence to support the ALJ’s
determination that the January 1998 event was an injury which was
the proximate cause of Ratliff’s condition.
RSK’s second argument is that there is not substantial
evidence to support the ALJ’s finding that Ratliff is totally
occupationally disabled.
It is an ALJ’s function to determine
occupational disability,2 and “[t]he crux of the inquiry on
appeal is whether the finding which was made is so unreasonable
under the evidence that it must be viewed as erroneous as a
matter of law.”
Ira A. Watson Dept. Store v. Hamilton, Ky., 34
S.W.3d 48, 52 (2000).
Based upon the testimony of Ratliff3 and
the medical restrictions placed upon him, the ALJ concluded that
Ratliff met the definition of permanent total disability.
The
ALJ noted Ratliff’s age, education, and past work experience
2
“It is among the functions of the ALJ to translate the lay
and medical evidence into a finding of occupational disability.”
McNutt, 40 S.W.3d at 860.
3
“A worker’s testimony is competent evidence of his
physical condition and of his ability to perform various
activities both before and after being injured.” McNutt, 40
S.W.3d at 860.
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along with his medical impairment, restrictions, and his
complaints of pain.
We conclude that the evidence supporting the
ALJ’s finding of total occupational disability was substantial.
The Board’s opinion affirming the ALJ’s opinion and
award is affirmed.
ALL CONCUR.
BRIEF FOR APPELLANT:
BRIEF FOR APPELLEE, JAMES
RATLIFF:
Walter E. Harding
Boehl, Stopher & Graves, LLP
Louisville, Kentucky
Thomas G. Polites
Lexington, Kentucky
BRIEF FOR APPELLEE, FRITO LAY
(TRAVELERS)
Michael P. Neal
Louisville, Kentucky
BRIEF FOR APPELLEE, FRITO LAY
(CRAWFORD & CO.)
Walter A. Ward
Gregory L. Little
Lexington, Kentucky
BRIEF FOR APPELLEE, WORKERS’
COMPENSATION FUND,
David Allen
Frankfort, Kentucky
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