THOMAS E. WHITE v. PEABODY COAL COMPANY; HON. J. LANDON OVERFIELD, 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NOT TO BE PUBLISHED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. 2004-CA-000757-WC
THOMAS E. WHITE
v.
APPELLANT
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS’ COMPENSATION BOARD
ACTION NO. WC-01-70149
PEABODY COAL COMPANY;
HON. J. LANDON OVERFIELD,
ADMINISTRATIVE LAW JUDGE; AND
WORKERS' COMPENSATION BOARD
APPELLEES
OPINION
AFFIRMING
** ** ** ** **
BEFORE:
COMBS, CHIEF JUDGE; GUIDUGLI AND KNOPF, JUDGES.
GUIDUGLI, JUDGE:
Thomas A. White (hereinafter “White”) has
petitioned this Court for review of the Workers’ Compensation
Board’s (hereinafter “the Board”) opinion affirming the Opinion
and Award of the Administrative Law Judge (hereinafter “the
ALJ”).
We affirm.
White is currently a sixty-one year old resident of
Sturgis, Union County, Kentucky.
He completed high school, and
served in the United States Air Force from 1962 through 1966
when he was honorably discharged.
In the Air Force, White
received training as an aircraft mechanic, and has also received
vocational training as a welder.
Since 1970, White has worked
in the mining industry, the majority of the time for Peabody
Coal Company (hereinafter “Peabody”), the appellee herein.
He
worked as a utility man for Peabody from 1971 through 1996, when
he was laid off.
After briefly working for Andalex in 1996, he
was called back to Peabody where he worked as a roof bolter.
He
has not worked since being laid off on November 18, 2002.
On October 21, 2001, White sustained a work injury to
his low back while lifting a timber.
He finished his shift that
day, and then sought chiropractic treatment for pain down his
right hip and leg before seeking treatment from orthopedic
specialist Dr. Jacob O’Neill.
By the time Dr. O’Neill released
White to full duty work in January 2002, the mines were closed.
Because of continued problems, White contacted the workers’
compensation carrier for Peabody and was referred to Dr. Rick
Lee, who in turn referred White to orthopedic surgeon Dr. James
M. Donley (hereinafter “Dr. Donley”).
By May, the mines had
reopened, and White returned to his normal duties.
Dr. Donley
first saw White on April 29, 2002, for a complaint of tightness
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in the right thigh.
Dr. Donley ordered an MRI and diagnosed
degenerative disc disease of the lumbar spine and a herniated
disc at L2-3 on the right.
June 27, 2002.
White under went back surgery on
He was off work until Dr. Donley released him to
full duty work on September 23, 2002.
White returned to his
regular job as a roof bolter without missing work until being
laid off on November 18, 2002.
He drew unemployment benefits
for six months following the lay off.
White filed an Application for Resolution of Injury
Claim on March 3, 2003.1
White filed the records of Dr. Donley
in support of his claim.
As did the Board, we shall rely upon
the ALJ’s accurate summary of Dr. Donley’s records.
In
particular, we note that by January 3, 2003, White’s back showed
a full range of motion and that no treatment was performed.
By
letter dated February 5, 2003, Dr. Donley indicated that White
retained an 8% whole body impairment secondary to his disk
herniation and residual pain.
Dr. Donley also indicated that
White had returned to his regular job activities.
White did not
see Dr. Donley again until May 14, 2003, at which time the
office note reported that he had been laid off the previous
1
White also filed an Application for Resolution of Coal Workers’
Pneumoconiosis Claim on December 13, 2002. The two claims were consolidated
on his motion on June 23, 2003, and both claims were assigned to ALJ
Overfield. However, again on White’s motion, the two claims were bifurcated
and the pneumoconiosis claim was held in abeyance pending the resolution of
constitutional issues on October 2, 2003. Because this petition for review
only concerns the injury claim, we shall confine our summary and review to
that claim.
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November and that there was essentially no change in his
condition.
Both his straight leg test and his neurological
status were normal, although there was a slight reduction of
mobility.
Dr. Donley then completed a physical disability
assessment on June 9, 2003, in which he imposed restrictions on
standing, walking, bending and stooping and indicated that White
could not be expected to complete even light duty work over an
eight-hour day.
White also relied upon the July 8, 2003,
vocational evaluation of Dr. Tom L. Wagner, which was apparently
filed in rebuttal over the objection of Peabody, as Peabody had
not filed any proof.
Dr. Wagner relied upon Dr. Donley’s
physical disability assessment in reaching his opinion that
White was totally occupationally disabled.
The parties attended both a benefit review conference
and then a final hearing on August 18, 2003, after which they
discussed White’s upcoming office visit with Dr. Donley and the
possibility that White might have to undergo another surgery
based upon results from a recent MRI.
The hearing ended with
the indication that counsel for White would notify the ALJ if
surgery was required so that the claim could be placed into
abeyance.
No such notification took place.
The parties filed
briefs on the contested issue of the extent and duration of
White’s disability.
On October 7, 2003, the ALJ issued an
Opinion and Award, in which White was awarded temporary total
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disability benefits as well as permanent partial occupational
disability benefits.
The ALJ ruled that White had an 8% whole
body impairment, and that he was not totally occupationally
disabled:
4. I find that Plaintiff is not totally
occupationally disabled and in fact retains
the physical capacity to return to the type
of work he was performing at the time of his
injury. In making this finding, I have
relied on Plaintiff’s testimony and the
opinions of Dr. Donley in his office records
through May 14, 2003. Dr. Donley released
Plaintiff to return to work with no
restrictions. Through May 14, 2003, he was
of the opinion that Plaintiff was in
essentially the same condition as he was in
when he released him to return to
unrestricted work. Plaintiff returned to
work and worked for two months doing his
regular job, working overtime and missing no
time from work. He was laid off November
18, 2002. I find Dr. Donley’s physical
disability assessment to lack credibility.
The restrictions he places on Plaintiff in
that document are simply not consistent with
his opinions set forth in his office records
through May 14, 2003.
The ALJ awarded benefits accordingly.
On October 15, 2003, White filed a Petition for
Reconsideration, asserting that the ALJ failed to give any
explanation for disregarding uncontradicted medical evidence
that he was entitled to an award of total disability benefits.
Furthermore, White pointed out that the ALJ had omitted any
mention of Dr. Wagner’s vocational evaluation.
In the order
denying the Petition for Reconsideration entered October 31,
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2003, the ALJ addressed the issue regarding “uncontradicted”
medical evidence as follows:
First of all, the undersigned disagrees that
Dr. Donley’s June 8, 2003 report, which is
the basis for Plaintiff’s claim of total
occupational disability, is uncontradicted.
The report itself states that Dr. Donley had
last seen Plaintiff on May 14, 2003. The
report of May 14, 2003 stated Plaintiff was
in essentially the same condition he was in
when he returned to his regular duties
working for Defendant Employer. Even if Dr.
Donley’s latest report is considered to be
“uncontradicted medical evidence,” the
undersigned believes he has stated his
reasons for not accepting that opinion.
Just prior to the entry of the order denying the Petition for
Reconsideration, White filed a motion to supplement the record
with two new reports from Dr. Donley dated August 20 and
September 29, 2003.
Peabody objected to the motion, and the ALJ
denied the motion on November 14, 2003, indicating that the
motion to supplement should have been filed before the opinion
was rendered.
White appealed the rulings to the Board, which
affirmed the decision of the ALJ.
This Petition for Review
followed.
On appeal, White continues to argue that the ALJ
improperly ignored uncontradicted medical, lay and vocational
evidence without any explanation and erred in failing to admit
additional medical records from Dr. Donley.
On the other hand,
Peabody asserts that the ALJ’s decision was based upon
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substantial evidence of probative value and properly rejected
White’s attempt to introduce the medical reports once the
opinion and award was rendered.
Our standard of review in workers’ compensation cases
is well settled.
In Western Baptist Hospital v. Kelly, Ky., 827
S.W.2d 685 (1992), the Supreme Court of Kentucky addressed its
role and this Court’s role in reviewing these decisions:
“The
function of further review of the WCB in the Court of Appeals 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 injustice.”
Id., at 687-88.
With
this standard in mind, we shall review the matter before us.
In Snawder v. Stice, Ky.App., 576 S.W.2d 276, 279
(1979), this Court held, “[t]he claimant in a workman’s
compensation case has the burden of proof and the risk of
persuading the [ALJ] in his favor.”
Furthermore, “[i]f the
[ALJ] finds against the claimant who had the burden of proof and
the risk of persuasion, the court upon review is confined to
determining whether or not the total evidence was so strong as
to compel a finding in claimant’s favor.”
Id., at 280.
Later,
in Special Fund v. Francis, Ky., 708 S.W.2d 641 (1986), the
Supreme Court of Kentucky discussed “compelling evidence”:
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If the fact-finder finds against the
person with the burden of proof, his burden
on appeal is infinitely greater. It is of
no avail in such a case to show that there
was some evidence of substance which would
have justified a finding in his favor. He
must show that the evidence was such that
the finding against him was unreasonable
because the finding cannot be labeled
“clearly erroneous” if it reasonably could
have been made.
Thus, we have simply defined the term
“clearly erroneous” in cases where the
finding is against the person with the
burden of proof. We hold that a finding
which can reasonably be made is, perforce,
not clearly erroneous. A finding which is
unreasonable under the evidence presented is
“clearly erroneous” and, perforce, would
“compel” a different finding.
Id., at 643.
White contends that the ALJ erred in ignoring
uncontradicted evidence and for failing to explain the reason
for ignoring this evidence.
In Collins v. Castleton Farms,
Ky.App., 560 S.W.2d 830 (1977), this Court, in reliance upon
Larson, stated:
The Commission may even refuse to follow the
uncontradicted evidence in the record, but
when it does so, its reasons for rejecting
the only evidence in the record should
appear e.g., that the testimony was
inherently improbable, or so inconsistent as
to be incredible, that the witness was
interested, or that his testimony on the
point at issue was impeached by falsity in
his statements on other matters. Unless
some explanation is furnished for the
disregard of all uncontradicted testimony in
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the record, the Commission may find its
award reversed as arbitrary and unsupported.
Id., at 831 (citing 3 A. Larson, Workmen’s Compensation Law §
80.20 (9th ed. 1976)).
See also Commonwealth v. Workers’ Comp.
Bd. of Ky., Ky.App., 697 S.W.2d 540 (1985).
In Mengel v.
Hawaiian-Tropic Northwest & Central Distributors, Inc., Ky.App.,
618 S.W.2d 184, 187 (1981), this Court further held that, “when
the question is one properly within the province of medical
experts, the board is not justified in disregarding the medical
evidence.”
On the other hand, when the evidence is conflicting,
the ALJ has the sole authority to judge the weight, credibility,
substance, and inference to be drawn from it.
See Paramount
Foods, Inc. v. Burkhardt, Ky., 695 S.W.2d 418 (1985).
The ALJ
may also choose to believe part of the evidence and disbelieve
other parts of the evidence, even if the evidence came from the
same witness.
See Caudill v. Maloney’s Discount Stores, Ky.,
560 S.W.2d 15 (1977); Brockway v. Rockwell Internat’l, Ky.App.,
907 s.W.2d 166 (1995).
In the present case, it appears that the medical
evidence from Dr. Donley is actually conflicting, and there is
substantial evidence in the record to support this finding of
the ALJ as it appeared in the order denying the Petition for
Reconsideration.
The office notes up to and including the May
14, 2003, visit indicate that although he had continued to have
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some problems with his right leg and hip, White’s condition had
essentially stayed the same from the time he was released to
work.
It is clear in the record that White was able to work his
regular job duties and that the only reason he stopped working
was because he was laid off and the mines had been closed.
Additionally, in February 2003, Dr. Donley stated that White had
resumed his regular work duties.
As late as the May 14, 2003,
visit, Dr. Donley noted that there was no essential change in
his condition and no treatment was recommended.
Therefore, the
credibility of the physical disability assessment dated June 9,
2003, which included heavy restrictions, is suspect.
White’s
own testimony reveals that he was able to actually perform his
normal job duties, and that he only left the industry when the
mines closed.
Because it appears that the medical evidence of
record, even though it is from the same physician, is
contradictory, the ALJ was free to pick and choose what portions
of the testimony to rely upon.
Even if Dr. Donley’s records were to be considered
uncontraverted, we agree with the Board that the ALJ
sufficiently explained why he chose to ignore the portion of the
evidence imposing severe work restrictions in light of the prior
records.
As to Dr. Wagner’s vocational evaluation, we agree
with the Board that the ALJ should have at least mentioned its
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presence in the record.
However, in Eaton Axle Corp. v. Nally,
Ky., 688 S.W.2d 334, 337 (1985), the Supreme Court of Kentucky
stated:
Uncontradicted opinions by vocational
experts is not such evidence as compels any
specific findings by the [ALJ], which body
is the fact finder, with the right to
“believe part of the evidence and disbelieve
other parts of the evidence.” Caudill,
supra, p. 16. The opinions of the
vocational expert do not supplant medical
and other evidence but are merely a part of
the total evidence which is before the
Board. To hold otherwise would reduce
workers’ compensation hearings to a swearing
contest between vocational experts.
(Emphasis in original).
Accordingly, the ALJ was not required to place any weight upon
Dr. Wagner’s vocational evaluation.
This is especially true, as
the ALJ had already rejected Dr. Donley’s physical disability
assessment as not credible, which assessment Dr. Wagner
apparently relied upon in forming his opinion as to White’s
ability to work.
White next argues that the ALJ improperly denied his
motion to supplement the record with two reports from Dr. Donley
following the rendition of the Opinion and Award.
He argues
that these reports from August 20 and September 29, 2003, office
visits could not have been filed prior to the final hearing,
which took place on August 19, 2003, and that it was an abuse of
discretion to disallow the introduction of newly discovered
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evidence that could not have been discovered with the exercise
of due diligence.
In support of this argument, White relies
upon the decision of Durham v. Copley, Ky., 818 S.W.2d 610
(1991).
In Durham, the Supreme Court of Kentucky addressed a
situation in which the claimant’s counsel did not receive a
prior medical report regarding a torn rotator cuff until seven
weeks after the rendition of the opinion.
In that case, the
Supreme Court held that the ALJ’s refusal to allow the filing of
that report was in error and constituted a manifest injustice.
Herein, we note that although the reports were not
included in the brief to the Board, White attached copies of the
reports in question to his Petition for Review.
Although it
appears that the reports were transcribed on August 22 and
October 1, 2003, respectively, counsel has provided no
explanation as to why the reports could not have been obtained
prior to the rendition of the Opinion and Award on October 7,
2003.
Indeed, the parties discussed the upcoming office visit
scheduled for the next day at the August 19, 2003, final
hearing.
Furthermore, counsel was to notify the ALJ if the case
needed to be held in abeyance due to a possible need for further
surgery.
The record does not reveal that counsel filed any type
of appropriate motion until after he filed a Petition for
Reconsideration.
The ALJ was justified in denying the motion to
supplement as the Opinion and Award had already been rendered.
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Furthermore, it does not appear that the reports, if allowed in
the record, would have changed the outcome based upon the other
evidence of record, including White’s own testimony.
Because the Board did not misconstrue or overlook any
controlling precedent or commit any flagrant error in assessing
the evidence, we affirm the Board’s Opinion.
Western Baptist
Hospital v. Kelly, Ky., 827 S.W.2d 685 (1992).
ALL CONCUR.
BRIEF FOR APPELLANT:
Dick Adams
Madisonville, KY
BRIEF FOR APPELLEE, PEABODY
COAL COMPANY:
Peter J. Glauber
Louisville, KY
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