PINE MOUNTAIN LUMBER COMPANY, LLC v. CARLOS J. ADAMS; HON. HOWARD E. FRASIER, JR., ADMINISTRATIVE LAW JUDGE; AND WORKERS' COMPENSATION BOARD
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RENDERED:
SEPTEMBER 15, 2006; 10:00 A.M.
NOT TO BE PUBLISHED
Commonwealth Of Kentucky
Court of Appeals
NO. 2006-CA-000484-WC
PINE MOUNTAIN LUMBER COMPANY, LLC
APPELLANT
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS’ COMPENSATION BOARD
ACTION NOS. WC-03-74856
v.
CARLOS J. ADAMS; HON. HOWARD
E. FRASIER, JR., ADMINISTRATIVE
LAW JUDGE; AND WORKERS'
COMPENSATION BOARD
APPELLEES
OPINION
AFFIRMING
BEFORE:
JUDGE.
** ** ** ** **
COMBS, CHIEF JUDGE; TAYLOR, JUDGE; BUCKINGHAM, 1 SENIOR
TAYLOR, JUDGE:
Pine Mountain Lumber Company, LLC (Pine
Mountain) petitions this Court to review an opinion of the
Workers’ Compensation Board (the Board) rendered February 3,
2006, affirming the Administrative Law Judge’s (ALJ’s) award of
1
Senior Judge David C. Buckingham sitting as Special Judge by assignment of
the Chief Justice pursuant to Section 110(5)(b) of the Kentucky Constitution
and Kentucky Revised Statutes 21.580.
total occupational disability benefits to Carlos J. Adams.
We
affirm.
The record indicates that Adams was employed by Pine
Mountain and sustained a work-related injury on August 25, 2003.
Adams was allegedly injured when he and two other employees were
lifting a “cant” which weighed some 200 pounds.
Adams testified
that he felt a pulling sensation in his back when lifting the
cant.
He filed a claim for workers’ compensation benefits based
upon a physical back injury and psychological injury.
The ALJ determined that Adams suffered a 5% permanent
impairment rating due to his physical back injury and suffered a
35% psychological impairment rating as a result of the physical
injury.
The ALJ further concluded there was no possibility that
Adams could return to work based upon his current psychological
and mental instability.
As such, the ALJ awarded total
occupational disability benefits.
Being unsatisfied with the
award, Pine Mountain sought review with the Board.
By opinion
entered February 3, 2006, the Board affirmed the ALJ’s opinion.
This review follows.
Pine Mountain contends the ALJ’s finding that Adams
suffered a 5% permanent impairment rating to his lumbar spine
was clearly erroneous.
Pine Mountain alleges that there existed
no credible evidence in the record to support a 5% impairment
rating to the lumbar spine.
Specifically, Pine Mountain points
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out that Dr. Joseph Zerga initially assessed a 5% impairment
rating to Adams’ lumbar spine; however, Dr. Zerga filed an
amended report into the record.
In this amended report, Dr.
Zerga revised his opinion concerning the impairment rating and
opined that Adams suffered no permanent impairment.
Dr. Zerga
stated that the revised opinion was based upon a review of the
reports from Dr. Eric Johnson and Dr. David Shraberg.
Dr. Zerga
specifically opined that he concurred with Dr. Shraberg’s
opinion that Adams was malingering.
As such, Pine Mountain
contends there was no competent medical evidence in the record
to support the ALJ’s finding that Adams suffered a 5% permanent
impairment rating to his lumbar spine.
We disagree.
The ALJ’s findings of fact will not be set aside if
supported by substantial evidence of a probative value.
Louisville Cooperage v. Knoppe, 695 S.W.2d 440 (Ky.App. 985).
Moreover, it is well-established that it is within the province
of the fact-finder to believe parts of the evidence and to
disbelieve other parts of the same evidence.
Caudill v.
Maloney’s Discount Stores, 560 S.W.2d 15 (Ky. 1977).
In the case at hand, we believe the ALJ was well
within his discretion in accepting the initial opinion of Dr.
Zerga that Adams suffered from a 5% permanent impairment rating
to the lumbar spine.
Indeed, the ALJ specifically addressed his
reasoning for disregarding the revised opinion of Dr. Zerga:
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The undersigned finds that the reports
of Dr. Johnson and Dr. Ludgate are more
credible than the report of Dr. Shraberg and
the amended report of Dr. Zerga.
Apparently, Dr. Zerga and Dr. Kennedy were
unable to complete a range of motion
analysis of the Plaintiff’s lumbar spine,
and this event caused Dr. Zerga to initially
opine a 5% whole body impairment based on
lumbar DRE category II. In his amended
report, Dr. Zerga accepted the diagnosis of
Dr. Shraberg of “malingering,” and revised
his opinion to 0% lumbar impairment.
On cross-examination, Dr. Shraberg
admitted that his opinion of conscious
malingering was just a “possibility,” and
such opinion is insufficient in terms of the
reasonable probability required by Kentucky
courts. See, e.g., Seaton v. Rosenburg, 573
S.W.2d 333, 338 (Ky. 1978). Alternatively,
Dr. Schraberg has opined that the physical
injury has resolved, and any psychological
symptoms, conscious or subconscious, did not
arise until some later point in time and
therefore are not related to the injury of
August 25, 2003. Such opinion is simply not
consistent with the facts for a number of
reasons. (Footnote omitted.)
It was within the discretion of the ALJ to accept Dr. Zerga’s
initial opinion and reject the revised opinion regarding
permanent impairment.
See Caudill, 560 S.W.2d 15.
Thus, we are
of the opinion that substantial evidence of a probative value
existed supporting the ALJ’s decision that Adams suffered a 5%
permanent impairment rating.
Pine Mountain next contends that “the record
completely lacks substantial evidence having the fitness to
induce conviction in the minds of reasonable men, to support a
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finding that Adams has suffered a psychological/psychiatric
injury approximately caused by work-related injury or traumatic
event.”
Appellant’s Brief at 18.
Again, we disagree.
We believe the medical opinion of Dr. John W. Ludgate
constitutes substantial evidence of a probative value to support
the ALJ’s findings that Adams suffered a psychological permanent
impairment rating of 35% and the psychological illness was
caused by his work-related injury.
Upon this issue, the ALJ
specifically found:
Dr. Ludgate noted that “Mr. Adams
presented in a rather unusual manner. He
was tremulous and agitated with poor eye
contact. . . . He also appeared to be
depressed with very little animation
facially. He never smiled and showed some
psychomotor retardation consistent with
depression.” (Id.) Dr. Ludgate administered
the following tests: Structured Clinical
Interview for Diagnosis (“SCID”), Beck
Depression Inventory (“BDI”), Beck Anxiety
Inventory (“BAI”), and Personality
Assessment Inventory (“PAI”). Results from
all of these tests supported the following
diagnosis:
AXIS I:
Major Depression Single
Episode: Moderate without
Psychotic Features
Generalized Anxiety Disorder
AXIS II: Borderline Intellectual
Functioning by previous
testing
AXIS III: Lumbar Back Pain
AXIS IV: Moderate (finances, changes
in life style)
AXIS V:
Current GAF 55.
(Id. at 3-4).
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In an attached Form 107 report, Dr.
Ludgate opined within
reasonable/psychological probability that
the[sic] Mr. Adams’ complaints are caused by
his work-related injury. “Patient had no
significant mental health problems prior to
his accident. In my view his depression &
anxiety are secondary to pain, restrictions
in life activities & financial stress.”
(Id., Form 107, 2/15/05, p. 2). He opined
permanent psychological impairment of 30-35%
based on Class 3 (moderate).
The ALJ succinctly outlined the medical opinion of Dr. Ludgate
upon permanent psychological impairment and causation.
We view
Dr. Ludgate’s opinion alone as sufficient to support the ALJ’s
decision.
As such, we reject Pine Mountain’s contention that
the ALJ’s finding that Adams suffered a work-related
psychological injury was not supported by substantial evidence
of probative value.
For the foregoing reasons, the opinion of the Workers’
Compensation Board is affirmed.
ALL CONCUR.
BRIEF FOR APPELLANT:
BRIEF FOR APPELLEE CARLOS J.
ADAMS:
Kimberly D. Newman
Kimberly Van Der Heiden
ALLEN, KOPET & ASSOCIATES,
PLLC
Lexington, Kentucky
Daniel F. Dotson
Whitesburg, Kentucky
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