JUDY COX v. MARY BRECKINRIDGE HOSPITAL; HON. JAMES L. KERR, ADMINSTRATIVE LAW JUDGE; AND WORKERS' COMPENSATION BOARD
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RENDERED: March 7, 2003; 10:00 a.m.
NOT TO BE PUBLISHED
C ommonwealth O f K entucky
C ourt O f A ppeals
NO.
2002-CA-001820-WC
JUDY COX
v.
APPELLANT
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS’ COMPENSATION BOARD
CLAIM NO. WC-01-00630
MARY BRECKINRIDGE HOSPITAL;
HON. JAMES L. KERR,
ADMINSTRATIVE LAW JUDGE; AND
WORKERS’ COMPENSATION BOARD
APPELLEES
OPINION
AFFIRMING
** ** ** ** **
BEFORE:
BAKER, GUIDUGLI, AND SCHRODER, JUDGES.
SCHRODER, JUDGE:
Judy Cox (“Cox”) petitions for review of a
decision of the Workers’ Compensation Board (the “Board”) which
affirmed an order of the Administrative Law Judge (“ALJ”)
dismissing her claim for workers’ compensation benefits.
We
affirm.
Cox was employed by Mary Breckinridge Hospital as a
surgical technician.
Her duties as a surgical technician
included cleaning and sterilizing instruments, mopping, cleaning
lights and walls, and lifting items weighing no more than twelve
pounds.
Cox usually worked an average of 38 hours per week,
earning $9.70 per hour.
On June 2, 1999, Cox slipped on a wet floor and fell on
her left side while engaging in her normal employment duties.
At
the time of this accident, Cox claimed that she injured her neck,
left shoulder, and back.
She was taken to her employer’s
emergency room where x-rays were taken of her back, left
shoulder, and neck.
areas.
The x-rays revealed no injuries to these
Cox returned to work and did not seek any further medical
treatment concerning these injuries at this time, even though she
claimed to have taken over-the-counter medications to control the
pain.
Cox testified that, in December 1999, she felt extreme
pain in her left shoulder to her fingers, her neck, down her
back, into the left hip to the knee, and across the lower back.
This pain caused her to see an emergency room doctor during her
lunch break to receive a shot.
After receiving this shot, Cox
did not seek any further medical attention until February 2000,
when she sought treatment from doctors at Mary Breckinridge
Hospital for complaints of elbow and left shoulder pain.
In
April 2000, Cox sought treatment for muscle spasms and headaches.
While seeking such treatment, Cox continued her normal employment
duties.
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In November 2000, Cox was referred to Dr. Mukut Sharma
for treatment of her back, neck, and shoulder pain.
Dr. Sharma
recommended physical therapy as treatment for Cox’s complaints.
Cox did not avail herself of physical therapy treatments.
Based
upon Cox’s complaints of increased pain, Dr. Sharma excused Cox
from work on April 12, 2001.
This was the first time Cox missed
work due to the June 1999 accident.
After being excused from
work, Cox filed a workers’ compensation claim.
Dr. David Muffly evaluated Cox on June 28, 2001.
From
his evaluation, Dr. Muffly found that Cox’s cervical spine had
tenderness on the right side of the neck.
Further, Dr. Muffly
discovered tenderness in Cox’s left trapezius down to the
shoulder.
After reviewing x-rays of Cox’s back and an MRI of her
shoulder, Dr. Muffly diagnosed Cox with cervical disc herniation
C4-5 with spinal stenosis and radiculopathy, as well as lumbar
degenerative disc disease without disc herniation.
Dr. Muffly
assessed a 15% category DRE II cervical impairment related to the
neck condition and a 5% whole body DRE II lumbar impairment.
As
for restrictions, Dr. Muffly prohibited Cox from lifting over 20
pounds, repeated bending, stooping, reaching or turning of the
neck, as well as any type of left upper extremity work.
Dr.
Muffly also directed Cox to lie down for pain relief and
recommended that she alternate between standing and sitting each
hour.
Based upon his examination, Dr. Muffly believed the June
1999 injury aroused a degenerative disc condition of Cox’s lumbar
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spine that could be treated through physical therapy, medications
and, if necessary, surgery.
On July 5, 2001, even though Cox had not been cleared
to return to work, she was terminated from her employment after
her medical leave time expired.
After being terminated, Cox
became depressed and began taking Prozac.
Dr. Kathleen Riggs, a
psychiatrist, diagnosed Cox with major depression, generalized
anxiety disorder with panic attacks, and chronic pain caused by
both psychological factors and existing medical conditions.
Dr.
Riggs opined that Cox would not be able to perform daily work
activities due to her psychiatric condition and assessed a 45%
impairment rating.
In defense of Cox’s claim, Mary Breckinridge Hospital
submitted medical reports from Dr. Russell Travis and Dr. David
Shraberg.
Dr. Travis, a neurosurgeon, evaluated Cox on
September 18, 2001.
During his examination, Dr. Travis
discovered inconsistencies in Cox’s complaints and found nothing
significant from the MRI scans.
Dr. Travis did observe some mild
degenerative changes, but believed these changes did not cause
Cox’s complaints.
Based upon these findings, Dr. Travis assessed
a 0% impairment rating for both the lumbar and cervical spine.
However, Dr. Travis admitted that, due to Cox’s pre-existing
conditions, he could assign a 5% DRE II cervical impairment.
Travis opined that Cox could effectively complete daily workrelated activities and assigned no restrictions.
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Dr.
Dr. Shraberg, a psychiatrist, evaluated Cox on
November 1, 2001.
As part of his examination, Dr. Shraberg
reviewed Cox’s medical history, conducted a mental status
examination, and administered psychological testing.
Dr.
Shraberg found symptom magnification and determined that Cox did
not require Valium or Prozac.
Further, Cox’s consumption of five
Codeine tablets a day nullified the effect of Prozac or Valium
and reinforced her chemical dependency.
Based upon this
diagnosis, Dr. Shraberg assessed a 0% psychiatric impairment and
further opined that Cox was psychologically and physically
capable of returning to work as a surgical technician.
Further, Mary Breckinridge Hospital introduced Cox’s
medical records from its own files as well as from Harlan
Appalachian Regional Hospital.
These records show that,
throughout the years prior to the June 1999 accident, Cox was
seen for a variety of physical complaints.
Cox first complained
of lower back pain in 1982 and right shoulder pain in 1986.
In
the early 1990s, she was treated for pain in her neck and
shoulders.
She sustained an ankle injury in 1996 and suffered
headaches in 1997.
Her treatment for the June 2, 1999 work
injury indicated x-rays were taken of her left shoulder, left
elbow, and left hip with no fractures or dislocations present.
In February 2000, Cox complained of left shoulder and elbow pain
and was diagnosed with probable osteoarthritis of these areas.
In April 2000, she was seen for complaints of headaches and
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muscle spasms of her neck.
The medical records confirmed that
Cox suffered from muscle spasms from time to time. On
November 15, 2000, Cox reported left neck and left shoulder pain,
providing a history of the June 1999 accident.
However, in
December 2000, she again complained of lower back pain, but did
not relate this pain to the June 1999 incident.
The ALJ reviewed the evidence contained within the
record in considerable detail.
The ALJ noted that the parties
stipulated that Cox sustained an injury to her left shoulder on
June 2, 1999, but preserved the issue of causation.
The ALJ
found Cox’s testimony to be especially dispositive.
Cox
testified that while her injuries occurred in June 1999, she did
not obtain additional treatment until February 7, 2000, for her
left shoulder, elbow, and hip complaints.
Furthermore, Cox’s
first complaints of neck and back pain did not occur until
April 12, 2000.
Cox made no psychiatric complaints until after
her employment was terminated.
The ALJ also noted that, based
upon the medical records submitted by the employer, Cox possessed
a long history of multiple complaints for her neck, back, and hip
Based upon all of the evidence, the ALJ concluded that Cox failed
to meet her burden of proof that her neck, back, and psychiatric
problems were related to her June 2, 1999 fall.
Additionally,
since no physician assessed a permanent impairment rating for the
left shoulder and elbow problems, the ALJ held that Cox did not
sustain a harmful change to the human organism.
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The ALJ
dismissed her claim in its entirety and the Board affirmed that
decision.
This petition for review followed.
Kentucky law is extremely clear concerning the scope of
our review of decisions from the Workers’ Compensation Board.
The function of our review is to correct the Board only where it
has overlooked or misconstrued controlling statutes or precedent,
or committed an error in assessing the evidence so flagrant as to
cause injustice.
Western Baptist Hospital v. Kelly, Ky., 827
S.W.2d 685, 687-88 (1992).
In pursuing workers’ compensation
benefits, the claimant bears the burden of proof and risk of
nonpersuasion with regard to every element of the claim, with the
decision of the ALJ being conclusive and binding as to all
questions of fact.
KRS 342.285; Carnes v. Tremco Mfg. Co., Ky.,
30 S.W.3d 172, 175-176 (2000), citing Wolf Creek Collieries v.
Crum, Ky. App., 673 S.W.2d 735 (1984).
When the party with the
burden of proof is unsuccessful before the ALJ, the issue on
appeal is whether the evidence in that party’s favor is so
compelling that no reasonable person could have failed to be
persuaded by it.
Carnes, 30 S.W.3d at 176.
Where there exists
evidence of substance supporting the ALJ’s finding, the
conclusion cannot be labeled “clearly erroneous.”
Special Fund
v. Francis, Ky., 708 S.W.2d 641, 643 (1986).
Despite this high standard, Cox presents us with the
argument she unsuccessfully maintained before the Board.
Cox
argues that she sustained her burden of proving she suffered an
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injury of appreciable proportions as a result of the June 1999
accident, which rendered her totally occupationally disabled.
She argues that the reports submitted by Dr. Muffly and Dr. Riggs
support her claim.
Further, Cox characterizes her own testimony
as unrebutted that she did not seek formal treatment for these
alleged injuries for approximately nine months because she worked
with pain since the date of her fall.
We disagree.
The record contains substantial evidence to support the
ALJ’s conclusion that Cox’s alleged injuries were not workrelated.
The emergency room notes from June 2, 1999, only
revealed complaints relative to the left elbow and left shoulder.
Further, according to Cox’s own testimony and medical records,
she did not first complain of shoulder, elbow, and hip problems
until February 7, 2000, with her first complaints of back and
neck problems being made on April 12, 2000.
The record reveals
that Cox first associated these physical impairments with the
June 1999 incident during her visit to Dr. Sharma in November
2000.
Finally, Cox complained of lower back pain in December
2000, but never indicated that the June 1999 incident was the
source of this pain.
Despite all of these complaints, Cox
continued working without any restrictions until April 2001.
Finally, Cox did not complain of any psychiatric conditions until
after her employment with Mary Breckinridge Hospital was
terminated in July 2001.
Thus, when all of this medical evidence
is considered with the opinions of Dr. Travis and Dr. Shraberg,
8
which concluded that Cox’s injuries were not related to the June
1999 accident, we agree with the ALJ and the Board that Cox did
not carry her burden of proving that she was injured during the
course of her employment.
Cox contends that the ALJ placed too little emphasis on
the reports and findings of the physicians who supported her
claim, most notably Dr. Muffly and Dr. Riggs.
Cox argues that
the physical restrictions imposed by Dr. Muffly and the
psychological impairment rating assigned to her by Dr. Riggs
compel a finding that she is, in fact, totally occupationally
disabled.
We reject this contention.
The ALJ, as finder of fact, has the authority to
determine the quality, character, and substance of the evidence
presented.
Miller v. East Kentucky Beverage/Pepsico, Inc., Ky.
App., 951 S.W.2d 329 (1997).
The weight given to the evidence
and the credibility accorded to the witnesses are matters within
the sole province of the fact-finder.
Paramount Foods, Inc. v.
Burkhardt, Ky., 695 S.W.2d 418 (1985).
Likewise, the ALJ, as
finder of fact, has the right to believe part of the evidence and
disbelieve other parts of the evidence whether it came from the
same witness or the adversary party’s total proof.
Caudill v.
Maloney’s Discount Stores, Ky., 560 S.W.2d 15, 16 (1977).
Clearly, the ALJ acted within his discretion in placing
more weight on Cox’s own testimony and the medical records
submitted by the employer than on the reports submitted by Dr.
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Muffly and Dr. Riggs.
While Cox is free to point out evidence
that would have supported a conclusion contrary to the ALJ’s
decision, such evidence is not an adequate basis for reversal on
appeal.
Ira A. Watson Dept. Store v. Hamilton, Ky., 34 S.W.3d 48
(2000).
Therefore, we conclude that the ALJ’s findings were
supported by evidence of substance, and that the other evidence
of record did not compel a different result.
Accordingly, the decision of the Board upholding the
ALJ’s dismissal of Cox’s claim that she is entitled to workers’
compensation benefits is affirmed.
ALL CONCUR.
BRIEF FOR APPELLANT:
BRIEF FOR APPELLEE,
MARY BRECKINRIDGE HOSPITAL:
Ronald C. Cox
Harlan, Kentucky
Sherri P. Brown
Lexington, Kentucky
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