COMMONWEALTH ALUMINUM CORPORATION v. THOMAS SCOTT ROBERTS; HON. JOHN B. COLEMAN, ADMINISTRATIVE LAW JUDGE; AND WORKERS' COMPENSATION BOARD
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RENDERED:
OCTOBER 15, 2004; 10:00 a.m.
NOT TO BE PUBLISHED
Commonwealth Of Kentucky
Court of Appeals
NO. 2003-CA-001244-WC
COMMONWEALTH ALUMINUM CORPORATION
APPELLANT
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS’ COMPENSATION BOARD
ACTION NO. WC-90-31276
v.
THOMAS SCOTT ROBERTS; HON. JOHN B.
COLEMAN, ADMINISTRATIVE LAW JUDGE; AND
WORKERS' COMPENSATION BOARD
APPELLEES
OPINION
AFFIRMING
** ** ** ** **
BEFORE:
BUCKINGHAM, JOHNSON, AND KNOPF, JUDGES.
JOHNSON, JUDGE:
Commonwealth Aluminum Corporation has
petitioned for review of an opinion of the Workers’ Compensation
Board entered on May 14, 2003, which affirmed an opinion and
award of the Administrative Law Judge entered on December 16,
2002.
The Board determined that the ALJ’s finding that Thomas
Scott Roberts1 had suffered an increase in occupational
1
Roberts, one of the appellees herein, did not file a brief with this Court.
disability from 40% to 100% was supported by substantial
evidence in the record.
The Board further determined that in
arriving at Roberts’s 100% occupational disability rating, the
ALJ did not err by considering evidence related to Roberts’s
ocular2 condition.
Having concluded that the Board did not err
by affirming the ALJ’s award which considered Roberts’s ocular
condition in determining that Robert’s occupational disability
had increased to a total disability, we affirm.
Roberts was born on January 14, 1957, and has a ninth
grade education with no specialized or vocational training.
In
approximately 1976, Roberts began his employment as a furnace
operator with Commonwealth Aluminum in Lewisport, Hancock
County, Kentucky.
In August 1990 Roberts was driving a forklift
in between melters when a pipe burst resulted in his being
exposed to chlorine gas.
As a result of this exposure, Roberts
began to experience various lung problems.
Roberts attempted to
return to work at Commonwealth Aluminum in a janitorial
position, but was unable to continue with his employment at the
plant because of the hot temperatures and the various chemicals
used inside the building.
Roberts filed a claim with the
Department of Workers’ Claims shortly after the chlorine gas
exposure.
2
Ocular conditions refer to problems associated with the eye or eyes.
2
In an opinion and award entered on December 31, 1991,
Roberts was assigned a 40% occupational disability rating, with
80% of that attributed to his chlorine gas exposure, and the
remaining 20% attributed to the arousal of a pre-existing
condition.
Medical evidence presented before the ALJ suggested
that Roberts suffered from asthmatic bronchitis as a result of
the chlorine gas exposure.
The ALJ ordered that Commonwealth
Aluminum and/or its insurer pay Roberts permanent partial
disability benefits, vocational rehabilitation benefits, and
that Roberts be compensated for his medical expenses.
In January 1996 Roberts filed a motion to reopen,3
alleging that his pulmonary condition had worsened, and that he
had developed osteoporosis due to the steroid medication he was
taking as a result of his breathing problems.
Roberts’s motion
to reopen was granted, and both Roberts and Commonwealth
Aluminum introduced medical evidence in support of their
respective positions.
On October 11, 1996, after considering
all of the lay and medical evidence presented, the ALJ found
that Roberts had failed to show an increase in occupational
disability and denied his request for increased benefits.
Board affirmed the ALJ’s findings in an opinion entered on
3
See Kentucky Revised Statutes (KRS) 342.125.
3
The
February 14, 1997, and this Court affirmed the Board’s opinion
in an unpublished decision rendered on June 18, 1998.4
On December 11, 2000, Roberts filed a second motion to
reopen, once again alleging that he had experienced an increase
in occupational disability since the entry of his original
award.
Roberts’s motion to reopen was granted in an order
entered on April 12, 2001, and both Roberts and Commonwealth
Aluminum introduced evidence in support of their respective
positions.
In addition to alleging that his pulmonary condition
and osteoporosis had worsened, Roberts for the first time
asserted that his long-term use of steroid medication had
resulted in vision problems.
Roberts introduced the medical
opinion of Dr. Garry Binegar, an ophthalmologist who had treated
Roberts since 1977.
Dr. Binegar diagnosed Roberts as having
glaucoma and subscapular cataracts in both eyes and a central
retinal vein occlusion in his left eye, all of which he
attributed to Roberts’s long-term use of steroid medication.
After the bulk of the parties’ evidence had been
submitted, Commonwealth Aluminum filed a brief before the ALJ
arguing that Roberts had failed to show an increase in his
occupational disability.
In addition to arguing that Roberts’s
evidence did not support a finding that he had suffered an
increase in occupational disability, Commonwealth Aluminum
4
97-CA-000641-WC.
4
contended that Roberts was precluded from presenting evidence
related to his ocular condition.
Specifically, Commonwealth
Aluminum claimed that Roberts knew his ocular condition was
work-related when his first motion to reopen was litigated, but
that he nevertheless failed to raise that issue before the ALJ
at that time.
Hence, Commonwealth Aluminum argued that
Roberts’s ocular condition could not be considered as a basis
for finding that Roberts had suffered an increase in
occupational disability.
On December 16, 2002, the ALJ entered an opinion and
award on Roberts’s motion to reopen.
The ALJ stated that since
Roberts’s vision was “correctable to 20/20” during the
proceedings related to his first motion to reopen, and that
since Roberts’s retinal visional occlusion, glaucoma, and
cataracts were not diagnosed until after Roberts’s first request
for increased benefits was denied on October 11, 1996, Roberts
was not sufficiently aware of his ocular condition during the
litigation of his first motion for increased benefits to have
been required to have raised the issue at that time.
Thus, the
ALJ ruled that Roberts’s ocular condition could be considered
when determining his total occupational disability rating.
The ALJ further found that “the combined effects of
[Roberts’s] breathing and visionary problems now cause a total
and permanent inability for [Roberts] to be employed on a
5
regular and sustained basis.”
Consequently, the ALJ determined
that Roberts had met his burden of proving an increase in
occupational disability, and assigned him a 100% occupational
disability rating.
The ALJ ordered that Commonwealth Aluminum
and/or its insurer would be responsible for paying Roberts
$282.67 per week beginning on December 11, 2000, and continuing
for so long as Roberts remained permanently disabled.
In
addition, the ALJ ordered that Commonwealth Aluminum was liable
for “all reasonable and necessary medical expenses for the cure
and relief of [Roberts’s] work-related lung condition[.]”
On May 14, 2003, the Board entered an opinion
affirming the ALJ’s order.
The Board held that there was
substantial evidence before the ALJ to support a finding that
Roberts had suffered an increase in occupational disability from
40% to 100%, and that the ALJ did not err by considering
evidence related to Roberts’s ocular condition.
This petition
for review followed.
Commonwealth Aluminum raises two primary arguments in
its petition.
First, it claims that when determining whether
Roberts had suffered an increase in occupational disability, the
ALJ erred by considering evidence related to Roberts’s ocular
condition.
In particular, Commonwealth Aluminum argues that the
6
ALJ incorrectly determined that Slone v. Jason Coal Co.,5 was not
controlling, and that Roberts’s ocular condition could be
considered when determining Roberts’s occupational disability
rating.
We disagree.
In Slone, our Supreme Court held that where an injured
worker knows that an injurious condition is work-related at the
time an action is pending before the ALJ, the failure of the
worker to raise that condition during those proceedings
precludes the worker from subsequently raising that condition in
a motion to reopen:
The testimony in the record from the
physician expert used by the claimant
indicates that the mental condition was
sufficiently known [to the claimant such
that he raised that condition during] a
proceeding [to collect] Federal social
security benefits. For some unknown reason,
the claimant did not choose to pursue a
similar complaint in the State workers’
compensation proceeding. Accordingly, the
present appeal which attempts to raise these
issues by means of the reopening procedure
cannot really be distinguished from the
prohibition against piecemeal litigation.
. . . The failure of the claimant to
present any evidence regarding his mental
condition in the original workers’
compensation claim cannot be cured by a
motion to reopen more than two years later.
KRS 342.125 provides that an award may
be reopened upon a showing of “change of
occupational disability, mistake or fraud or
newly discovered evidence.” A motion to
reopen cannot be based on a condition known
5
Ky., 902 S.W.2d 820 (1995).
7
to the claimant during the pendency of his
original action, but which for some reason,
he did not choose to litigate.6
In his order addressing Roberts’s ocular condition,
the ALJ stated:
[Commonwealth Aluminum] further argued
that [Roberts’s] visionary problems should
not be considered as that condition was
present at the time of the decision in his
first motion to reopen. . . . [Commonwealth
Aluminum] relies upon the letter to
[Roberts’s] counsel dated August 1996 in
making this assumption. However, Dr.
Binegar’s testimony clearly indicates that
[Roberts’s] vision was correctable to 20/20
at the time of that letter and further
indicates that the retinal visionary
occlusion was not diagnosed until November
1996 which is after the [ALJ’s final order
in Roberts’s first motion to reopen]. It is
further noted that the glaucoma and
cataracts were not diagnosed until even
later and these are noted to be reasons for
[Roberts’s] decreasing vision. As such, I
do not find Slone[ ] to be controlling.
Hence, the ALJ determined that since Roberts’s vision
was “correctable” at the time of the proceedings related to his
first motion to reopen, and since his glaucoma and cataracts
were not diagnosed until after those initial proceedings had
concluded, Roberts’s ocular condition could be considered in his
second motion to reopen.
The Board affirmed the ALJ on similar
grounds, stating that “there may have been evidence that Roberts
was becoming aware of his ocular condition at about the same
6
Id. at 821-22.
8
time his first motion to reopen was being litigated, but there
is nothing to indicate the condition was occupationally
disabling at that time.”
We agree with the Board because we likewise conclude
that Slone, is distinguishable from this case.
The claimant in
Slone was not only aware of his mental condition at the time of
his original claim, but he also had filed a claim for social
security benefits based on that condition at the same time he
had filed his original workers’ compensation claim.
Our Supreme
Court concluded that the claimant’s attempt to raise the
condition in a motion to reopen violated the prohibition against
piecemeal litigation.7
In contrast, Roberts’s ocular impairment did not arise
directly from his work-related injury, but occurred as a sideeffect of the steroid medications which he was taking due to his
breathing problems.
At the time of the first motion to reopen,
Dr. Brinegar was aware that Roberts was suffering from increased
intraocular pressure due to his use of steroid medication.
However, he added that any vision impairment was fully
correctable to 20/20 at that time.
Moreover, Dr. Brinegar did
not observe any permanent or disabling effects from this
condition until after the first motion to reopen was denied.
Indeed, Dr. Brinegar did not diagnose the ocular occlusion until
7
Id. at 822.
9
November, 1996, and the glaucoma and cataracts were not
diagnosed until 1998.
KRS 342.125 provides that an award may be reopened
upon a showing of “change in occupational disability, mistake or
fraud or newly discovered evidence”.
Even if Roberts had been
aware of his ocular condition in time to raise it in his first
motion to reopen, there is no indication that the condition
caused any change in his occupational disability at that time.
Thus, the ocular condition could not have been the subject of a
motion to reopen in 1996.
Unlike the claimant in Slone, Roberts
could not have pursued a claim for his ocular condition at the
time of his first motion to reopen.
Therefore, he should not be
barred from raising the claim once it has become permanent and
occupationally disabling.
Commonwealth Aluminum’s only remaining argument is
that the Board erred by determining that there was substantial
evidence before the ALJ to support a finding that Roberts
suffered from a 100% occupational disability.
The burden of
proof was with Roberts to show that his occupational disability
had increased.8
The ALJ’s function is to weigh the conflicting
evidence and to decide which is more persuasive.9
8
As fact-
Beale v. Rolley, Ky., 777 S.W.2d 921 (1989).
9
Paramount Foods, Inc. v. Burkhardt, Ky., 695 S.W.2d 418, 419 (1985)(holding
that the fact-finder “has the authority to determine the quality, character and
substance of the evidence presented”).
10
finder, the ALJ “has the sole authority to judge the weight to
be afforded the testimony of a particular witness,”10 and “may
reject any testimony and believe or disbelieve various parts of
the evidence, regardless of whether it comes from the same
witness or the same adversary party’s total proof.”11
When an ALJ’s decision is appealed to the Board, KRS
342.285(2) mandates that “[t]he board shall not substitute its
judgment for that of the [ALJ] as to the weight of evidence on
questions of fact. . . .”
Where the ALJ has made a factual
finding, the Board is limited to determining whether there is
substantial evidence in the record supporting the ALJ’s
finding.12
Substantial evidence has been defined as “evidence of
substance and relevant consequence having the fitness to induce
conviction in the minds of reasonable men.”13
It is well-established that the function of this Court
in reviewing the Board “is to correct the Board only where the
[ ] Court perceives the Board has overlooked or misconstrued
controlling statutes or precedent, or committed an error in
assessing the evidence so flagrant as to cause gross
10
Magic Coal Co. v. Fox, Ky., 19 S.W.3d 88, 96 (2000)(citing McCloud v. BethElkhorn Corp., Ky., 514 S.W.2d 46 (1974)).
11
Id. (citing Caudill v. Maloney's Discount Stores, Ky., 560 S.W.2d 15, 16
(1977)).
12
Addington Resources, Inc. v. Perkins, Ky.App., 947 S.W.2d 421, 423 (1997).
13
Smyzer v. B.F. Goodrich Chemical Co., Ky., 474 S.W.2d 367, 369 (1971).
11
injustice.”14 We find no error in the Board’s assessment of the
evidence and accept its summary of the evidence which supports
the ALJ’s award, as follows:
Clearly, Dr. Pope testified concerning
Roberts’ deteriorating condition and
believed he was no longer capable of any
employment. The claimant’s treating
physician explained in detail how Roberts’
condition was worse than indicated by his
pulmonary function studies. Further, though
Dr. Binegar did not state specific
restrictions due to Roberts’ ocular
condition, the claimant’s own testimony
supports a finding of decrease in
occupational ability. Hush v. Abrams, Ky.,
584 S.W.2d 48 (1979).
Based on the foregoing reasons, the opinion of the
Board is affirmed.
ALL CONCUR.
BRIEF FOR APPELLANT:
BRIEF FOR APPELLEES:
John C. Morton
Samuel J. Bach
Henderson, Kentucky
No brief filed.
14
Western Baptist Hospital v. Kelly, Ky., 827 S.W.2d 685, 687-88 (1992).
12
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