DOUGLAS E. WILLIAMS JR. v. NORTH AMERICAN REFRACTORIES COMPANY; HON. J. KEVIN KING, ADMINISTRATIVE LAW JUDGE; AND WORKERS' COMPENSATION BOARD
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RENDERED:
December 31, 2003; 2:00 p.m.
NOT TO BE PUBLISHED
Commonwealth Of Kentucky
Court of Appeals
NO. 2003-CA-001272-WC
DOUGLAS E. WILLIAMS JR.
v.
APPELLANT
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS’COMPENSATION BOARD
ACTION NO. 99-WC-90561
NORTH AMERICAN REFRACTORIES COMPANY;
HON. J. KEVIN KING,
ADMINISTRATIVE LAW JUDGE;
AND
WORKERS’ COMPENSATION BOARD
APPELLEE
OPINION
AFFIRMING
** ** ** ** **
BEFORE:
JUDGES.
EMBERTON, CHIEF JUDGE; BARBER AND BUCKINGHAM,
BUCKINGHAM, JUDGE.
Douglas E. Williams Jr. petitions for
review of an opinion of the Kentucky Workers’ Compensation
Board which affirmed the opinion and order of an
administrative law judge dismissing Williams’ claim for
benefits relating to back pain he alleges stemmed from a
workplace altercation that occurred in 1999 when he was
employed by North American Refractories Company.
We affirm.
Williams had been employed by North American as a
process operator since 1995.
On February 22, 1999, he was
involved in a fight with a co-worker.
The co-worker struck
Williams several times with a broom handle and with his
fists, knocked him to the floor, kicked him in the head,
side, neck, and back, and attempted to choke him.
Williams
consulted a chiropractor, Dr. Shannon Johnson, for neck,
arm, and back pain that he experienced following the fight.
His treatments with Dr. Johnson continued until May or July
1999.
Meanwhile, after a thirty-day suspension, Williams
returned to work.
His duties included lifting bags and
buckets weighing between fifty and one hundred pounds.
He
testified that he lifted a total of approximately three
thousand pounds per shift.
On August 4, 2000, about seventeen months after
the fight, Williams reported to a hospital emergency room
complaining of acute back pain.
The hospital record
described his condition as “acute lumbar strain.”
He
stopped working a few days later and applied for short-term
disability benefits through North American.
On the
application form, he indicated that he had suffered a nonwork related injury and that he would not be filing a
workers’ compensation claim.
Included with the application
form was a report from Dr. Johnson stating that Williams had
suffered neck, upper back, and lower back pain in February
1999, but that this had “resolved” by July 30, 1999.
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Williams received short-term disability benefits from North
American for one year.
Then, on January 16, 2001, Williams filed an
application for workers’ compensation benefits, claiming
that his severe back pain was work-related because it was
triggered by the fight with his co-worker in February 1999.
Following a hearing, the ALJ dismissed his claim in an
opinion and order.
The ruling was largely based on a
determination that Williams’ current medical condition is
not related to the injuries he sustained in the fight at
work. The ALJ concluded in part as follows:
[T]he Administrative Law Judge
initially believed that Williams’
current and ongoing complaints/symptoms
were related to the February 1999
altercation. However, now that the
picture is complete, the Administrative
Law Judge must find otherwise. In
doing so, the Administrative Law Judge
notes that Williams showed no
reluctance to seek medical care in the
three to four months following the
altercation; however, he did not seek
any medical care in the year before he
stopped working. This supports Dr.
Johnson’s statement in August of 2000
that Williams had recovered from the
effects of the altercation rather than
Williams’ testimony that he had ongoing
complaints/symptoms. The absence of
ongoing complaints/symptoms in the year
before Williams last worked is also
supported by the emergency room record
that indicates an acute onset of
symptoms, not an exacerbation of an
ongoing condition. Furthermore, the
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Administrative Law Judge notes the
statements by both Williams and Dr.
Johnson in support of Williams’
application for short term disability
benefits. These statements, made
contemporaneously with the application,
belie the current statements from
Williams and Dr. Johnson that Williams’
condition has been ongoing and is
related to the February 1999
altercation.
The Board affirmed the ALJ’s ruling.
Williams argues that the ALJ and the Board relied
on insufficient or incorrect findings of fact in dismissing
his claim.
“When there is conflicting evidence regarding
questions of fact, the ALJ’s determination cannot be
disturbed.”
Addington Resources, Inc. v. Perkins, Ky. App.,
947 S.W.2d 421, 423 (1997).
This court may only reverse a
decision of the Board if the appellant demonstrates that the
Board has “committed an error in assessing the evidence so
flagrant as to cause gross injustice.”
Neace v. Adena
Processing, Ky. App., 7 S.W.3d 382, 385 (1999), quoting
Western Baptist Hosp. v. Kelly, Ky., 827 S.W.2d 685, 687-88
(1992).
The controversy at the heart of this case was
aptly summarized by the ALJ: “this claim boils down to
whether Williams has continued to suffer from the effects of
the February 1999 altercation at work or whether he suffered
a non-work related injury in August of 2000 [when he checked
into the hospital emergency room].”
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Williams’ first argument concerns an erroneous
date which was given for an automobile accident in which he
was involved as a passenger.
June 21, 2001.
The accident took place on
In his deposition, however, Williams
mistakenly agreed with North American’s counsel that the
accident occurred on June 21, 2000.
This incorrect date was
cited by both the ALJ and the Board in their opinions.
Williams claims that one of North American’s
medical experts, Dr. Malcolm A. Meyn, relied on this
incorrect date and changed his opinion regarding the cause
of Williams’ back pain solely based on the mistaken
assumption that the car accident had triggered the injury
leading to Williams’ hospital visit on August 4, 2000. In
other words, Williams asserts that the introduction of the
incorrect date caused Dr. Meyn to decide that his back
condition must have been caused by the car accident rather
than by the February 1999 fight.
Williams further maintains
that this incorrect date constituted an error so flagrant
that it meets the gross injustice standard of Western
Baptist Hospital and requires this court to reverse the
Board’s decision.
KRS1 342.281 requires an aggrieved party to file a
petition for rehearing to request correction of an error
patently appearing on the face of the opinion.
It must be
filed within fourteen days from the date of the ALJ’s
decision and “shall clearly set out the errors relied upon
1
Kentucky Revised Statutes.
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with the reasons and argument for reconsideration[.]”
342.281.
KRS
Williams failed to make such a petition to correct
the date in the ALJ’s opinion.
We have nonetheless reviewed Dr. Meyn’s testimony
and cannot agree with Williams’ interpretation.
Dr. Meyn
stated that the fact that Williams was able to return to
work after the fight and resume a job requiring heavy
lifting for seventeen months meant that some intervening
event must have caused him to experience severe lumbar
strain in August 2000.
There was no indication in Dr.
Meyn’s testimony that he believed this “event” to be the
automobile accident.
Similarly, neither the ALJ nor the Board
explicitly stated or even implied that the automobile
accident was the event which triggered Williams’ visit to
the emergency room. In his reference to the accident, the
ALJ merely noted that it had resulted in an increase in
Williams’ lower back pain.
Moreover, although the ALJ’s
opinion does cite the wrong date for the accident at one
point, the correct date is provided in his summary of the
testimony of Williams’ medical expert, Dr. Ahmet Ozturk.
Dr. Ozturk first saw Williams on June
29, 2001. Williams told Dr. Ozturk that
he was injured on February 22, 1999 as a
result of an altercation with a coworker. Williams also told Dr. Ozturk
that he had been involved in a motor
vehicle accident on June 22, 2001.
Williams related his low back pain to
the February 22, 1999 work injury and
his neck pain to the June of 2001 motor
vehicle accident.
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In short, we can find no indication that the erroneous date
influenced the testimony of Dr. Meyn or the decisions of the
ALJ and the Board in such a way as to cause gross injustice
to Williams.
Williams’ second argument concerns the statements
he made on his application for short-term disability
benefits in August 2000.
On that form he indicated that his
back injury was not work-related and that he was not
planning to apply for workers’ compensation benefits.
He
now claims that these statements may not have been true but
that he was forced to make them because he needed money and
North American was unwilling to give him workers’
compensation benefits.
He also argues that because he is
not a physician he was unable to determine with any medical
certainty if his August injury was related to the workplace
fight or not.
It was well within the ALJ’s discretion, however,
to find that the untruthful statements on the application
form (coupled with Dr. Johnson’s report that the pain from
the fight had “resolved” by July 1999) cast serious doubt
on Williams’ later claim that his back pain was caused by
the fight. “[T]he fact-finder, rather than the reviewing
court, has the sole discretion to determine the quality,
character, and substance of evidence.” Burton v. Foster
Wheeler Corp., Ky., 72 S.W.3d 925, 929 (2002).
Furthermore, “an ALJ, as fact-finder, may reject any
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testimony and believe or disbelieve various parts of the
evidence.” Id.
Williams also alludes to a two-month error in the
ALJ’s computation of the amount of time which passed between
the treatment he received for the fight in 1999 and his
hospital visit in August 2000.
The considerable length of
time which elapsed between these two events was one of the
factors which led the ALJ to conclude that Williams’ current
back problem is not related to the fight.
At one point in
the opinion, the ALJ states that Williams’ treatment with
Dr. Johnson continued until July 30, 1999, whereas he later
states that there was a gap in the treatment from May 1999
to August 9, 2000.
Upon reviewing Dr. Johnson’s records, we find that
Williams’ last visit was on April 27, 1999, at which time he
was referred to Dr. Philip T. Shields for a neurosurgical
examination.
Dr. Shields examined Williams on May 18, 1999.
Johnson’s record of his treatment of Williams does not
resume again until August 9, 2000.
The July date mentioned
by the ALJ is found on the form Dr. Johnson attached to
Williams’ disability benefits form in August 2000.
The
record contains no other evidence that Dr. Johnson saw
Williams in July 1999.
In any event, the difference between
these two dates is not so great as to require reversal
since, at the very least, one year elapsed between the end
of Johnson’s treatment of Williams for the February 1999
fight and the resumption of treatment in August 2000.
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Williams’ next argument concerns the emergency
room records, which state that he arrived suffering from
lower back pain and “acute lumbar strain.”
Williams
maintains that these statements do not prove that there was
a “second injury.”
The emergency room records were only one
piece of evidence, however, which combined with the medical
testimony, led the ALJ to conclude that the back pain
Williams is currently experiencing was not caused by the
fight in February 1999.
Williams also insists that the ALJ did not provide
sufficient facts to destroy his credibility, citing again
the error in the date of his automobile accident and his
prior argument regarding the emergency room records.
The
ALJ’s determination that the hospital visit was not
connected to the fight injuries is amply supported by the
medical testimony.
Furthermore, Williams’ credibility was
damaged far more by his admission that he may have lied on
the application form for disability benefits than by the
error in the date of his automobile accident.
Williams’ final argument concerns the testimony of
North American’s medical expert, Dr. Philip Tibbs.
Dr.
Tibbs agreed with the other medical experts that Williams
suffers from spondylolisthesis, a congenital spinal
condition which may never manifest itself.
Dr. Tibbs
acknowledged, under questioning by Williams’ attorney, that
the spondylolisthesis could have been brought “into
disabling reality by the work injury [in February 1999].”
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Williams insists that this portion of Dr. Tibbs’ testimony
was never controverted or explained and was thus an error
meriting reversal.
Dr. Tibbs also testified, however, that it was
highly unlikely that an event in February 1999 could have
caused the delayed pain Williams experienced in August of
2000.
Furthermore, he stated that, in his opinion,
Williams’ spondylolisthesis was “very, very chronic;” that
is, it was the product of long-term degenerative change
rather than the result of some particular injury.
Dr.
Tibbs’ testimony that it was possible that Williams’
condition was exacerbated by the fight was not “so
overwhelming as to compel a finding in [Williams’] favor.”
Mosely v. Ford Motor Co., Ky. App., 968 S.W.2d 675, 678
(1998).
Furthermore, “[a]lthough a party may note evidence
that would have supported a conclusion that is contrary to
the ALJ's decision, such evidence is not an adequate basis
for reversal on appeal.”
Burton at 929.
For the foregoing reasons, the Board’s opinion is
affirmed.
ALL CONCUR.
BRIEF FOR APPELLANT:
BRIEF FOR APPELLEE:
Dwight O. Bailey
Flatwoods, Kentucky
Robert B. Cetrulo
Edgewood, Kentucky
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