SELLERS ENGINEERING, INC., AS INSURED BY MIDWESTERN INSURANCE ALLIANCE v. BOBBY ROACH, SELLERS ENGINEERING, INC., AS INSURED BY AMERICAN INTERSTATE INSURANCE COMPANY, WORKERS' COMPENSATION BOARD AND HON. LLOYD R. EDENS, ALJ
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RENDERED: October 31, 2003; 10:00 a.m.
NOT TO BE PUBLISHED
Commonwealth Of Kentucky
Court of Appeals
NO. 2003-CA-000310-WC
SELLERS ENGINEERING, INC., AS INSURED BY
MIDWESTERN INSURANCE ALLIANCE
v.
APPELLANT
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS’ COMPENSATION BOARD
ACTION NO. WC-96-84715
BOBBY ROACH, SELLERS ENGINEERING,
INC., AS INSURED BY AMERICAN
INTERSTATE INSURANCE COMPANY,
WORKERS' COMPENSATION BOARD AND
HON. LLOYD R. EDENS, ALJ
APPELLEES
OPINION
AFFIRMING
** ** ** ** **
BEFORE:
BUCKINGHAM, COMBS, AND TACKETT, JUDGES.
TACKETT, JUDGE. Appellant, Sellers Engineering, Inc., (Sellers
Engineering), as insured by Midwestern Insurance Alliance,
petitions for review from a January 15, 2003 opinion of the
Workers’ Compensation Board (Board) that affirmed a July 31,
2002 opinion, order and award entered by the Honorable Lloyd R.
Edens, Administrative Law Judge (ALJ).
In the July 31, 2002
opinion, the ALJ found that appellee, Bobby Roach (Roach),
suffered from a seventy-five percent (75%) permanent partial
disability and awarded him the sum of $175.13 per week for 520
weeks.
The ALJ found that Roach’s disability had resulted from
a 1996 injury that was aggravated by a subsequent incident in
1999.
At the time of the 1996 injury, Midwestern Insurance
Company insured Sellers Engineering.
By 1999, American
Interstate Insurance Company insured Sellers Engineering.
In
Roach’s application for resolution of injury, he alleged two
injuries, one sustained in 1996 and the other sustained in 1999.
In its opinion, the ALJ concluded that Sellers Engineering,
Inc., as insured by Midwestern Insurance Alliance (Sellers/
Midwestern) was solely liable for the entirety of Roach’s
disability and would be solely responsible for all of Roach’s
future medical expenses.
Sellers/Midwestern appealed to the
Board, which affirmed the ALJ’s opinion.
On April 3, 1996, Roach climbed a ladder, which had
been placed in mud, to attach a piece of metal to the eave of a
building by driving a nail through the metal.
While attempting
this, the ladder sunk into the mud causing Roach to nearly fall.
In desperation, Roach dropped the hammer and with his left hand
grabbed the eave of the building.
While momentarily hanging
from the roof, Roach twisted around and placed all of his weight
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on his left arm.
Roach immediately experienced pain in his left
elbow and shoulder.
A co-worker quickly replaced the ladder and
Roach climbed down.
Shortly after the accident, Roach found
that the pain had subsided.
However, on that same day, Roach
attempted to remove a nut from a bolt.
The nut broke free with
a jerk, and Roach again experienced immediate and intense pain
in his left elbow and left shoulder.
As Roach testified, he has
experienced pain to some degree in his left arm ever since.
On April 12, 1999, Roach experienced a second incident
with his left arm.
While attempting to pull a pipe wrench
toward himself, he realized that he could not and, in his own
words, “realized my arm was going to still be hurting[.]”
reported this incidence to Sellers Engineering.
Roach
Despite Roach’s
protests to the contrary, Sellers Engineering decided to treat
this 1999 incident as a second work-related injury, instead of
an aggravation of the 1996 injury.
On May 22, 2000, Roach left Sellers Engineering
because he could no longer bear the pain in his left arm.
By
that time, Roach had been examined and treated by various
physicians and had undergone two surgeries to relieve the pain
in his left shoulder.
Later, after he filed his workers’
compensation claim, Roach endured yet another surgery, at the
time to repair his left elbow.
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On April 20, 2000, Roach filed his workers’
compensation claim.
He alleged two work-related injuries, the
ladder incident from April 3, 1996, and the pipe wrench incident
from April 12, 1999.
At a hearing on September 28, 2000, Roach
disavowed any second injury.
He testified that he had
experienced pain constantly from April 3, 1996 and that the
April 12, 1999 incident was merely part of the original 1996
injury.
Various physicians, including Sellers/Midwestern’s own
medical expert opined that the 1999 incident had aggravated
Roach’s 1996 injury.
On July 31, 2002, the ALJ rendered a final
opinion, order and award in Roach’s favor and, as previously
stated, held Sellers/Midwestern solely liable.
The Board
affirmed the ALJ’s opinion, and this appeal followed.
Sellers/Midwestern argues that the Board misapplied
the holding of Calloway County Fiscal Court v. Winchester, Ky.
App., 557 S.W.2d 216 (1977); and that the evidence compels that
at least some portion of Roach’s disability should be attributed
to Roach’s work activity at Sellers Engineering, Inc., as
insured by American Interstate Insurance Company.
According to Calloway County Fiscal Court, in Kentucky, a
second, subsequent employer is liable for the subsequent
exacerbation of an employee’s prior work-related injury, unless
the exacerbation was temporary in nature and/or of no
consequence.
Id. at 218.
According to Sellers/Midwestern, the
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1999 incident aggravated Roach’s prior 1996 injury to such an
extent that it permanently worsened his condition.
Since Roach
was permanently affected, Sellers/Midwestern concludes that
Sellers/American was, at the very least, partially liable for
Roach’s disability.
Citing Old King Mining Co. v. Mullins, Ky.,
252 S.W.2d 871 (1952), Sellers/Midwestern argues that an
exacerbation is a compensable event in and of itself.
Sellers/Midwestern claims that, since the 1999 incident was an
exacerbation, it was a compensable event by itself, and
Sellers/American should be, at least, partially liable for
Roach’s disability.
Finding that the Board did not misapply
Calloway County Fiscal Court and finding that the ALJ’s
conclusion that Sellers/Midwestern was solely liable for Roach’s
disability was supported by substantial evidence, we affirm.
The standard in reviewing decisions of the Worker’s
Compensation Board is to reverse the Board only when we
determine that it has overlooked or misconstrued the controlling
law or so flagrantly erred in evaluating the evidence that it
has caused gross injustice.
Daniel v. Armco Steel Company, Ky.
App., 913 S.W.2d 797, 798 (1995).
decision must also be reviwed.
Consequently, the ALJ’s
Where the ALJ has found in favor
of the claimant who had the burden of proof, we must determine
whether the ALJ’s findings were supported by substantial
evidence. Special Fund v. Francis, Ky., 708 S.W.2d 641, 643
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(1986); See also Wolf Creek Collieries v. Crum, Ky., 673 S.W.2d
735 (1984).
The Kentucky Supreme Court has defined substantial
evidence as, “some evidence of substance and relevant
consequence, having the fitness to induce conviction in the
minds of reasonable people.”
Smyzer v. B.F. Goodrich Chemical
Co., Ky., 474 S.W.2d 367, 369 (1971).
Stated more simply,
substantial evidence is, “evidence which would permit a factfinder to reasonably find as it did.”
supra at 643.
Special Fund v. Francis,
The ALJ, not this Court nor the Board, has sole
discretion to determine the quality, character and substance of
the evidence presented before it.
Whittaker v. Rowland, Ky.,
998 S.W.2d 479, 481 (1999), quoting Paramount Foods, Inc. v.
Burkhardt, Ky., 695 S.W.2d 418 (1985); See also Snawder v.
Stice, Ky. App., 576 S.W.2d 276 (1979).
Furthermore, as the
fact-finder, the ALJ may choose to believe or disbelieve any
part of the evidence presented, regardless of its source.
Whittaker v. Rowland, supra at 481, quoting Caudill v. Maloney’s
Discount Stores, Ky., 560 S.W.2d 15, 16 (1977).
Upon review of the Board’s analysis on the issue of
liability, we have determined that its reasoning cannot be
improved upon and, therefore, we adopt the following portion of
the Board’s opinion:
We likewise affirm the ALJ in his placement
of the entire liability upon
Sellers/Midwestern and his reliance upon
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Calloway County Fiscal Court vs. Winchester,
Ky., 557 SW2d 216 (1977). The initial claim
as filed by Roach alleged two specific work
events, one in April 1996 and a second in
April 1999. In challenging the ALJ’s
conclusion, Sellers/Midwestern apparently
believes this should be treated as a
cumulative trauma injury. It is
Sellers/Midwestern’s belief and argument
that no reasonable person could view the
evidence and reach the conclusion that the
subsequent working activities did not
contribute to Roach’s overall problems. The
medical evidence is diverse and would have
supported a variety of conclusions.
However, that statement in and of itself
clearly supports the ALJ’s conclusion and a
contrary conclusion was not compelled. Wolf
Creek Collieries vs. Crum, Ky.App., 673 SW2d
735 (1984); Paramount Foods, Inc., vs.
Burkhardt, Ky., 695 SW2d 418 (1985) and
Special Fund vs. Francis, Ky., 708 SW2d 641
(1986).
Dr. Frank Burke, who initially saw Roach
shortly after the April 1996 injury, and
subsequently after fully reviewing all of
the medical treatment and receiving a
complete history, concluded the entirety of
Roach’s problems related to the April 1996
injury. Contrary to the arguments of
Sellers/Midwestern, we do not believe that
in order for Calloway County Fiscal Court
vs. Winchester, supra, to be applicable
subsequent activities may only be temporary
aggravations or exacerbations. Here, as in
Calloway County Fiscal Court vs. Winchester,
the individual had an injury which created
the ultimate weakened physiological
condition such that subsequent activities
created a more serious physiological
condition than would have occurred absent
that initial event. It is not dissimilar to
the “but for” test that existed in
addressing Special Fund liability in the
mid-1980s. Dr. Burke, within a reasonable
degree of medical probability, opined the
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entirety of the disability and impairment
related to the original event. Dr. Primm,
upon whom Sellers/Midwestern relied,
acknowledged this event set in motion the
physiological stage upon which further
disability developed. The reports of Drs.
Scott Scutchfield and Martin Favetto reflect
treatment diagnoses and opinions supporting
the ALJ’s conclusion. The testimony of
Roach himself confirmed ongoing problems and
symptomatology [sic] from 1996 to present.
That the entirety of this work was at
Sellers and that Roach was motivated to
continue to work in spite of restrictions
and continued to work at the same location
does not provide a sound basis for reaching
a contrary conclusion. In our opinion,
there was more than ample evidence for the
ALJ to find all subsequent work activities
were merely aggravations of an already
existing condition and were therefore
proximately and casually related to the 1996
event, both in terms of disability and
medical treatment. As we noted, while the
evidence would have supported some other
conclusion, the existence of contrary
evidence is not a basis for altering the
ALJ’s opinion on appeal. McCloud vs. BethElkhorn Corp., Ky., 514 SW2d 46 (1974).
Ultimately, it became a question of the ALJ
analyzing the medical testimony and
determining whom and what to believe based
upon his assessment of weight and
credibility. Codell Construction Co. vs.
Dixon, Ky., 478 SW2d 703 (1972). Such
authority, of course, rests solely with the
ALJ. Smyzer vs. B.F. Goodrich Chemical Co.,
Ky., 474 SW2d 367 (1971).
Even a cursory examination of Calloway County Fiscal Court
reveals this Court did not hold that a subsequent employer would
be liable for the subsequent aggravation of an employee’s prior
work-related injury, unless such aggravation was temporary in
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nature.
Sellers/Midwestern has misconstrued the holding of
Calloway County Fiscal Court and has read into the opinion a
legal conclusion that simply does not exist.
The Board
correctly applied the holding of the case.
Accordingly, the Board’s opinion of January 15, 2003,
and the ALJ’s opinion, order and award of July 31, 2002, are
affirmed.
ALL CONCUR.
BRIEF FOR APPELLANT, SELLERS
ENGINEERING, INC., AS INSURED
BY MIDWESTERN INSURANCE
ALLIANCE:
John S. Harrison
Louisville, Kentucky
BRIEF FOR APPELLEE, BOBBY
ROACH:
John W. Morgan
Denney, Morgan, Rather &
Gilbert
Lexington, Kentucky
BRIEF FOR APPELLEE, SELLERS
ENGINEERING, INC., AS INSURED
BY AMERICAN INTERSTATE
INSURANCE COMPANY:
Mark J. Hinkel
Landrum & Shouse, LLP
Lexington, Kentucky
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