BARBARA CRAWFORD V. UNIVERSITY OF LOUISVILLE; HONORABLE IRENE STEEN, ADMINISTRATIVE LAW JUDGE; AND WORKERS' COMPENSATION BOARD
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RENDERED:
AUGUST 26, 2005; 2:00 P.M.
NOT TO BE PUBLISHED
Commonwealth Of Kentucky
Court of Appeals
NO. 2005-CA-000138-WC
BARBARA CRAWFORD
APPELLANT
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS’ COMPENSATION BOARD
CLAIM NO. 03-WC-98980
V.
UNIVERSITY OF LOUISVILLE;
HONORABLE IRENE STEEN,
ADMINISTRATIVE LAW JUDGE;
AND WORKERS' COMPENSATION BOARD
APPELLEES
OPINION
AFFIRMING
** ** ** ** **
BEFORE:
HENRY, McANULTY, AND MINTON, JUDGES.
MINTON, JUDGE:
Barbara Crawford seeks review of an opinion of
the Workers’ Compensation Board affirming, in part, and
reversing and remanding, in part, a decision of an
administrative law judge (ALJ) awarding Crawford permanent
partial disability benefits based upon an eight percent
functional impairment rating.
Finding no error in the Board’s
analysis or legal conclusions, we affirm.
On September 18, 2001, Crawford, who was employed by
the University of Louisville as a library assistant, experienced
pain and numbness in her right hand, arm and shoulder, as well
as her neck, while she was at work preparing an exhibit for
showing.
Crawford reported her injury to her supervisor but
missed only one day of work before returning with restrictions.
She continued to work for the University, while simultaneously
obtaining medical care, until October 2002.
According to
Crawford, the University would not let her return to work with
her physician-imposed restrictions after October 1, 2002.
And
she has not worked in any capacity since that date.
Crawford submitted her application for Workers’
Compensation benefits in September 2003.
After each party had
submitted evidence, a hearing on Crawford’s claim was held
before an ALJ in February 2004.
The ALJ issued her opinion in
April 2004 and denied Crawford’s request for reconsideration in
July 2004, whereupon Crawford appealed to the Board.
Crawford made the same arguments to the Board that she
makes to this court.
Namely, she contended that the ALJ erred
in assigning only an eight percent functional impairment rating;
erred in not applying the “3 multiplier” to her benefits; and
erred in determining the date upon which she reached maximum
medical improvement (MMI).
In an opinion rendered in December
2004, the Board affirmed the ALJ’s findings as to the date
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Crawford reached MMI and the eight percent impairment rating.
But the Board reversed and remanded the case to the ALJ for
additional findings concerning the application of the correct
multiplier.
More specifically, the Board held that the ALJ
failed to make a clear finding as to whether Crawford retained
the physical capacity to perform the work she performed at the
time of her injury. 1
Dissatisfied with the Board’s opinion,
Crawford filed the petition for review at hand.
Before the merits of Crawford’s specific arguments are
addressed, it is necessary to recite the permissible scope of
this Court’s review of a decision of the Board.
It is well-
established that our function “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.” 2
Furthermore, Crawford, as the claimant, has the
burden of proof and must prove every element of her claim. 3
1
The Board’s opinion states in relevant part that “[i]t is,
therefore, necessary on remand for the ALJ to specifically find
whether Crawford retains the physical capacity to return to the type
of work she was performing at the time of injury. If the ALJ finds
that Crawford lacks the physical capacity to return to that job, the
ALJ must engage in an analysis pursuant to Fawbush v. Gwinn,
103 S.W.3d 5 ([Ky.] 2003) and Kentucky River Enterprises, Inc. v.
Elkins, 107 S.W.3d 206 ([Ky.] 2003).” Board’s Opinion, p. 23.
2
Western Baptist Hospital v. Kelly, 827 S.W.2d 685, 687-88 (Ky.
1992).
Magic Coal Co. v. Fox, 19 S.W.3d 88, 96 (Ky. 2000).
3
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Because the ALJ’s decision was not in Crawford’s favor, the
issue on appeal is “whether the evidence was so overwhelming,
upon consideration of the entire record, as to have compelled a
finding in [Crawford’s] favor.” 4
In order to be compelling,
evidence must be “so overwhelming that no reasonable person
would fail to be persuaded by it . . . .” 5
It must also be noted that the ALJ is the finder of
fact in workers’ compensation cases, meaning that the ALJ alone
“has the authority to determine the quality, character . . .
substance” 6 and weight of the evidence presented, as well as the
inferences to be drawn from the evidence. 7
Thus, the ALJ “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.” 8
Accordingly, given our limited scope of review, this Court may
not “substitute its judgment” for that of the ALJ, nor may we
render our own findings or direct the findings or conclusions
the ALJ shall make. 9
4
Wolf Creek Collieries v. Crum, 673 S.W.2d 735, 736 (Ky.App. 1984).
5
Magic Coal Co., 19 S.W.3d at 96.
6
Paramount Foods, Inc. v. Burkhardt, 695 S.W.2d 418, 419 (Ky. 1985).
7
Miller v. East Kentucky Beverage/Pepsico., Inc., 951 S.W.2d 329, 331
(Ky. 1997).
8
Magic Coal Co., 19 S.W.3d at 96.
Wolf Creek Collieries, 673 S.W.2d at 736.
9
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Bearing those principles in mind, we now turn to
Crawford’s arguments.
Crawford first contends that the ALJ
erred in determining the date Crawford reached MMI.
The date a
claimant reaches MMI is important because a claimant ceases to
be entitled to Temporary Total Disability (TTD) payments once he
or she has reached MMI. 10
Thus, although she does not couch it
in such explicit terms, Crawford is actually arguing that she
was entitled to TTD payments for a longer period of time than
that found by the ALJ because, according to Crawford, the ALJ
found that Crawford had reached MMI on a date earlier than that
supported by the medical evidence.
The ALJ found that Crawford reached MMI on March 6,
2003, based upon office notes from Dr. Richard Holt, an
orthopedic surgeon.
its entirety:
Dr. Holt’s March 6 office note states in
Ms. Crawford is feeling better.
She has refused
to have her MRI scan for a variety of reasons⎯claustrophobia,
etc.
Plan
Return to work with restrictions of no overhead work
and no heavy lifting.” 11
Based upon that note, the ALJ found
that “it appears from the record that Dr. Holt felt the
Plaintiff [Crawford] would have reached MMI around 3/6/03 when
10
Kentucky Revised Statute 342.0011(11)(a) defines TTD as “the
condition of an employee who has not reached maximum medical
improvement from an injury and has not reached a level of
improvement that would permit a return to employment.”
11
Administrative Record, p. 171.
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she returned to his office feeling better and having refused the
MRI scan and he returned her to work with restrictions of no
overhead work and no heavy lifting.” 12
Crawford contends that nothing in Dr. Holt’s office
notes contains a definitive opinion as to the date when she
reached MMI.
In addition, Crawford notes that she did undergo
an MRI in April 2003, meaning that Dr. Holt’s office note was
based on incomplete medical evidence.
Finally, Crawford notes
that Dr. Holt was not deposed so that he could elaborate on his
office notes.
Thus, according to Crawford, she did not reach
MMI until at least May 19, 2003, the date which the University
terminated her TTD benefits.
First, Crawford points to nothing that prevented her
from deposing Dr. Holt, had she deemed such a deposition to be
necessary.
Thus, any error in not deposing Dr. Holt would lie
with Crawford’s own strategic decision, not with the ALJ.
Next,
the law is clear that the ALJ, as the finder of fact, may make
reasonable inferences from the evidence. 13
Based upon the fact
that Crawford felt better, had refused further treatment (i.e.,
an MRI), and had been released to work with restrictions on
overhead work and heavy lifting, the ALJ’s inference based upon
Dr. Holt’s notes that Crawford reached MMI on March 6, 2003, is
12
Administrative Record, p. 391.
13
Miller, 951 S.W.2d at 331.
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reasonable. 14
Finally, Crawford points to nothing in the record
which links her undergoing an MRI to her reaching MMI.
Thus,
the fact that she had an MRI after the date when the ALJ found
her to have reached MMI is irrelevant to a determination of the
date she reached MMI.
Accordingly, as the ALJ’s decision
regarding the date Crawford reached MMI is supported by
substantial evidence, it must be affirmed.
Crawford next argues that the ALJ erred by assessing
only an eight percent impairment rating based on findings of
Dr. Mark Schuler, a chiropractor.
According to Crawford, the
ALJ should have found her to be fifteen percent disabled based
upon findings of Drs. Scheker and Wood, who made their findings
after Dr. Schuler offered his opinions and after her MRI.
Furthermore, Crawford argues that the ALJ’s assessed impairment
14
The record would also support a finding that Crawford reached MMI
prior to March 2003, or that she did not reach MMI until later in
2003. For example, Dr. Frank Wood found that Crawford reached MMI
in November 2001. Administrative Record, p. 183. Conversely,
Dr. Luis Scheker noted Crawford’s permanent work restrictions on
July 14, 2003. Administrative Record, p. 138. However, like
Dr. Holt’s office notes, Dr. Scheker’s July 14, 2003, written work
restrictions, do not specifically mention any date at which Crawford
reached MMI. Regardless, even if an inference could be drawn that
Dr. Scheker believed Crawford did not reach MMI until July 14, 2003,
the ALJ’s decision would be affirmed because the ALJ has the sole
discretion to determine which testimony to credit and what
inferences to draw from the record. In other words, the fact that
some evidence supports Crawford’s contention that she did not reach
MMI until after March 6, 2003, is insufficient to merit reversal of
the Board and ALJ’s decisions. See e.g., Burton v. Foster Wheeler
Corp., 72 S.W.3d 925, 929 (Ky. 2002) (“Although 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.”).
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rating is inconsistent with her finding that Crawford’s injuries
caused a herniated disc and radiculopathy. 15
First, as noted by the University, the ALJ never
expressly found Crawford to be suffering from radiculopathy.
Second, as noted by the Board and the ALJ, Dr. Schuler treated
Crawford both before and after her September 2001 work injury,
meaning that he was quite familiar with the changes in
Crawford’s condition attributable to the September 2001 injury.
Dr. Scheker, on the other hand, was apparently unaware that
Crawford had been receiving treatment for neck and shoulder pain
since 1996, well before the injury in question occurred.
However, Dr. Wood was provided copies of Crawford’s medical
history pertaining to her neck and shoulder pain, which caused
him to opine that Crawford was fifteen percent disabled but that
all of that disability was due to her pre-existing cervical
spondylosis and the natural aging process and that none of her
impairment was caused by the September 2001 work injury. 16
As with many cases, the medical experts offered
divergent views of the extent and cause of Crawford’s
disability.
The ALJ looked at all the evidence and chose to
accept Dr. Schuler’s impairment rating as it pertains to
15
Radiculopathy is defined as “disease of the nerve roots.”
POCKET MEDICAL DICTIONARY, p. 583 (23rd Ed. 1982).
16
Administrative Record, p. 183.
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DORLAND’S
Crawford’s cervical problems and to reject the remainder of
Dr. Schuler’s impairment rating, 17 as well as the impairment
ratings assigned by other physicians.
As noted previously, an
ALJ is permitted to choose which evidence to believe. 18
As the
ALJ’s impairment rating is based on substantial evidence, it may
not be disturbed by this Court.
Finally, Crawford contends that this Court should
order the ALJ on remand to use the “3 multiplier” found in
KRS 342.750(1)(c)(2), rather than the “2 multiplier” found in
KRS 342.730(1)(c)(1) and used by the ALJ. 19
Instead of arguing
17
Dr. Schuler’s handwritten impairment rating assesses Crawford as
having a nineteen percent impairment, apportioned among several
different factors, one of which (the cervical problem) was relied
upon by the ALJ. Administrative Record, p. 55.
18
Magic Coal Co., 19 S.W.3d at 96.
19
KRS 342.730(1)(c) provides, in relevant part:
1.
If, due to an injury, an employee does not retain the physical
capacity to return to the type of work that the employee
performed at the time of injury, the benefit for permanent
partial disability shall be multiplied by three (3) times the
amount otherwise determined under paragraph (b) of this
subsection, but this provision shall not be construed so as to
extend the duration of payments; or
2.
If an employee returns to work at a weekly wage equal to or
greater than the average weekly wage at the time of injury, the
weekly benefit for permanent partial disability shall be
determined under paragraph (b) of this subsection for each week
during which that employment is sustained. During any period
of cessation of that employment, temporary or permanent, for
any reason, with or without cause, payment of weekly benefits
for permanent partial disability during the period of cessation
shall be two (2) times the amount otherwise payable under
paragraph (b) of this subsection. This provision shall not be
construed so as to extend the duration of payments.
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the merits of Crawford’s contention, the University contends
that the Board’s decision in this area is interlocutory because
it does not meet the definition of a final and appealable order
found in Kentucky Rule of Civil Procedure (CR) 54.01. 20
The University’s argument regarding finality is
unfounded, however, as CR 54 clearly does not apply to decisions
of the Board. 21
Rather, the Kentucky Supreme Court has stated
that an opinion of the Board is final only if it “sets aside an
ALJ’s decision and either directs or authorizes the ALJ to enter
a different award upon remand[.]” 22
In contrast, a Board’s
opinion is interlocutory only if it remands the case to the ALJ
“with directions to comply with statutory requirements without
authorizing the taking of additional proof or the entry of a
different award[.]” 23
In the case at hand, the Board remanded the matter to
the ALJ to determine whether Crawford retained the physical
capacity to perform her past work after the date she reached
20
CR 54.01 provides in relevant part that “[a] final or appealable
judgment is a final order adjudicating all the rights of all the
parties in an action or proceeding, or a judgment made final under
Rule 54.02.”
21
See Davis v. Island Creek Coal Co., 969 S.W.2d 712, 713 (Ky. 1998);
Whittaker v. Morgan, 52 S.W.3d 567, 569 (Ky. 2001).
22
Whittaker, 52 S.W.3d at 569.
23
Davis, 969 S.W.2d at 714.
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MMI. 24
The Board further noted that if the ALJ found that
Crawford lacked the physical capacity to return to her prior
job, then the ALJ must decide which multiplier found in
KRS 342.730(1)(c) to utilize, in accordance with the principles
announced in Fawbush v. Gwinn, supra. 25
Thus, the Board set
aside the ALJ’s decision to apply the “2 multiplier” and
authorized the ALJ on remand, after making additional findings,
to apply the “3 multiplier” if she believed it to be
appropriate.
So the Board’s opinion was final and appealable as
it expressly authorized the ALJ to make a different monetary
award to Crawford on remand. 26
But Crawford seeks to take the Board’s opinion one
step further by asking this Court to direct the ALJ to apply the
“3 multiplier.”
As stated before, this Court is not authorized
to act as a finder of fact, nor can it properly direct the ALJ
to make any specific factual findings. 27
Thus, we affirm the
24
Board’s Opinion, p. 22.
25
103 S.W.3d 5. Fawbush and its progeny provide that where the
evidence in a case supports applying both the “2 multiplier” and the
“3 multiplier” found in KRS 342.730(1)(c), an ALJ has the authority
to determine which multiplier is more appropriate. The
“3 multiplier” found in section (c)1 is appropriate only if the
evidence shows that the claimant is unlikely to be able to earn a
salary in the future equal to or greater than the salary the
claimant earned at the time of the injury. See Kentucky River
Enterprises, 107 S.W.3d at 211; Adkins v. Pike County Bd. Of Educ.,
141 S.W.3d 387, 389 (Ky.App. 2004).
26
Whittaker, 52 S.W.3d at 569.
See, e.g., Yocom v. Conley, 554 S.W.2d 416, 417 (Ky.App. 1977); Wolf
Creek Collieries, 673 S.W.2d at 736.
27
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Board’s decision to remand the matter to the ALJ for a
determination of whether Crawford can return to her former
employment and, assuming that the ALJ finds that she cannot,
which multiplier is most appropriate.
For the foregoing reasons, the opinion of the Workers’
Compensation Board is affirmed.
ALL CONCUR.
BRIEF FOR APPELLANT:
David L. Sage
Louisville, Kentucky
BRIEF FOR APPELLEE UNIVERSITY
OF LOUISVILLE:
James G. Fogle
Jane Ann Pancake
Louisville, Kentucky
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