KEVIN JAMES STOCTON V. J. L. FRENCH, ET AL.
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Lm-paR- TANT N-0 VICE
NOT TO BE PUBLISHED OPINION
THIS OPINION IS DESIGNATED "NOT TO BE
PUBLISHED. " PURSUANT TO THE RILES OF
CIVIL PROCEIIURE PROMUL GATED BY THE
SUPREME COURT, CR 76.28 (4) (c), THIS OPINION
IS NOT TO BE PUBLISHED AND SHALL NOT BE
CITED OR USED AS A UTHORITY INANY OTHER
CASE INANY COURT OF THIS STATE.
RENDERED : OCTOBER 19, 2006
CORRECTED : October 24, 2006
NOT TO BE PUBLISHED
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2006-SC-0010-WC
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APPELLANT
KEVIN JAMES STOCTON
V.
APPEAL FROM COURT OF APPEALS
2004-CA-2637-WC
WORKERS' COMPENSATION NO. 03-96811
J . L. FRENCH ; HON . IRENE STEEN,
ADMINISTRATIVE LAW JUDGE; AND
WORKERS' COMPENSATION BOARD
APPELLEES
MEMORANDUM OPINION OF THE COURT
AFFIRMING
The Workers' Compensation Board and the Court of Appeals affirmed an
Administrative Law Judge's (ALJ's) decision to dismiss the claimant's application for
benefits on the ground that his physical complaints were not work-related and that
notice was incomplete . Appealing, he raises two arguments : 1 .) that because he
submitted uncontroverted medical evidence that proved his work for the defendantemployer to be the cause of his cervical condition, the ALJ erred by failing to rely on it,
and 2 .) that the ALJ failed to state sufficient reasons for the finding regarding notice.
Having concluded that the medical evidence was not so overwhelming as to compel a
favorable finding and that the claimant failed to preserve his notice argument by
requesting a further explanation, we affirm .
The claimant's application for benefits alleged that on March 1, 2002, he
sustained injuries to his back, neck, abdomen, and right arm due to a fall while loading
parts and also to lifting while on the production line . He had an extensive medical
history that included references to longstanding alcohol and drug abuse, prior injuries to
his head and right shoulder, and a brain tumor for which he refused to have surgery .
He acknowledged that he had been convicted of 3rd degree burglary and theft by
unlawful taking, convicted three times for alcohol intoxication, three times for DUI, and
three times for passing cold checks .
In April, 2000, the claimant was involved in a non-work-related, head-on
automobile accident . In the emergency room, he complained of neck and shoulder pain
as well as numbness, tingling, and loss of grip strength in the right hand . He was
diagnosed with a cervical strain and was given a soft collar and medication . A
September 25, 2001, letter from Dr. Brooks (his family physician) noted that extensive
x-rays revealed no bony fractures, but emergency room physicians were "impressed
with the seriousness of the injury" and prescribed narcotic pain medications . The
claimant sustained "very significant soft-tissue type injuries" and was very slow to
respond to treatment . Dr. Brooks stated that he was "totally incapacitated for at least a
year following this accident" and just now could "consider resuming some semblance of
normal activities ." He would be limited in lifting or pushing heavy items and in the
flexibility of his neck and lower back and also had some residual neurological deficits of
his right upper extremity. He would require treatment for significant psychological
problems due to the delay in beginning a normal life and having to live with ongoing
pain, and he would continue to require extensive long-term medical treatment, including
physical therapy and medication . Testifying subsequently about the accident, the
claimant stated that his symptoms were attributed to "muscle strain," that they resolved
within two months, and that they required no further medical treatment .
In October, 2001, the claimant began working for the employer's automotive
parts manufacturing facility . After operating a "C dial machine" for a while, he moved to
the B oil pan line, where he used his left hand to remove the parts and set them down.
In January, 2002, he was transferred to the A line, which required him to use his right
hand. Shortly thereafter, he began to experience pain down the right side of his neck,
shoulder, and arm as well as numbness in his right thumb, index, and middle fingers .
He attributed the symptoms to muscle soreness initially, but they persisted . In midFebruary, he informed his supervisor and was transferred to the crankshaft area .
There, he lifted 28-pound parts from the floor and placed them into a machine at chest
level. After a couple of shifts, he developed a crick in the neck, told his supervisor, and
was advised to tough it out .
The claimant stated that about three days later he informed Radonna Jewell,
who worked in human resources, that he was going to Dr. Brooks . He signed a paper
requesting leave, but Ms. Jewell filled it in because he did not understand it. He later
testified that he thought he was requesting workers' compensation benefits rather than
sick leave. A signed application for accident and sickness benefits indicated that he
first noticed symptoms on April 21, 2002; that he first sought treatment on April 23,
2002, from Pamela Bills; that he last worked on April 23, 2002 ; and that the symptoms
were not related to his job . Confronted with the form, the claimant insisted that he did
not fill it in but only signed it. He asserted that he told Ms. Jewell that his injury was
work-related and tried to ask about workmen's comp or getting his bills paid .
Ms. Jewell testified subsequently that she read each question to the claimant
and recorded his responses on the accident and sickness leave application . She stated
-3-
that his personnel file contained no accident reports or any mention of a work-related
injury . Angie Read, the company nurse, testified subsequently that company policy
required her to be notified if a worker indicated that a medical condition was workrelated . She knew of nothing that suggested the claimant's neck condition was workrelated . The claimant's supervisor testified that at the end of 2001 or early 2002 the
claimant told him that he was experiencing shoulder pain. He stated that he asked the
claimant if he injured himself at work and was told that an old injury from an auto
accident had flared up.
An April 26, 2002, report by Pamela Bills, a nurse practitioner in Dr. Brooks'
office, indicated that the claimant had thrown horse shoes on Sunday, taken a nap, and
awakened with a spasm in the right neck and shoulder and numbness in his right
thumb. He had first been seen at the office on April 23, and diagnosed with a right
neck/trapezius muscle strain . His neck was worse, and he was holding it to the right .
He was given an excuse for light duty work and prescribed Bextra, Valium, and Lortab.
X-rays taken that day revealed mild disc space narrowing at C5-6.
A subsequent MRI revealed a right paramedian disc protrusion at C5-6 and a
mild disc displacement or bulge at C6-7. On May 16, 2002, Ms. Bills indicated that the
claimant needed to be off work until he was seen by a neurosurgeon . A May 21, 2002,
report by Ms. Bills referred to the diagnostic findings and indicated that the condition did
not arise from the claimant's employment. After recovering from a cervical diskectomy
and fusion, the claimant was released to return to work with a 10-pound lifting
restriction . The employer terminated him shortly thereafter .
In a letter dated February 25, 2003, Dr. Brooks stated that the claimant
sustained a work-related injury in April, 2002 . After MRI, he had undergone a June,
2002, surgery at C5 but retained some residual numbness and difficulty with the radial
and median nerve distribution in his right hand. He continued to require aggressive
treatment, including epidural injections, and was unable to work. The letter stated that
the prior neck injuries from the automobile accident had resolved and that Dr. Brooks
did not believe them to be a factor in the need for surgery in 2002. The letter concluded
that the claimant had sustained a significant injury to his neck with residual difficulties
that could reasonably be expected to affect him for the rest of his life.
Dr. Whobry performed an IME on July 1, 2003. She reviewed some medical
records, examined the claimant, and noted that he attributed his symptoms to repetitive
activities with his right arm while working on an assembly line in March, 2002. Noting
that the C5-6 disc herniation correlated with his symptoms, she determined that the
herniation and right arm symptoms were due to his work in the spring of 2002 . She
assigned a 25% impairment and restricted him from lifting more than 25 pounds. In her
opinion, he could not return to his work.
The claimant acknowledged that he received a settlement of $4,000.00 for lost
wages due to the automobile accident . He also acknowledged that he injured his neck
on April 21, 2002, while playing horseshoes at his home . Finally, he acknowledged that
he struck his head and suffered a brief loss of consciousness after falling off a deck at a
party on August 17, 2002.
After summarizing the evidence, the AU noted that there was ample medical
evidence to indicate that the claimant's cervical condition was due to "non-work-related
activities and accidents ." The AU was not convinced that the claimant thought he was
signing a form for workers' compensation rather than sickness and accident benefits .
Nor was the AU convinced by Dr. Brooks' letter of February 25, 2003, particularly in
light of his September 25, 2001, letter. The AU also found that notice was
"incomplete" and dismissed the claim.
In a petition for reconsideration, the claimant asserted that the AU committed
patent error by disregarding his uncontradicted medical evidence and finding that he
failed to prove causation . The claimant did not request an explanation of the ruling
regarding notice. Instead, he asserted that the AU committed patent error by relying
on his supervisor's testimony that he attributed his symptoms to the automobile
accident and concluding that he failed to prove notice. The claimant reasoned that his
medical evidence established that the injury was cumulative and that he had no reason
to think that he had a work-related gradual injury until Dr. Brooks' letter of February 25,
2003. Therefore, notice was proper because he filed his claim on February 6, 2003 .
The claimant had the burden to prove every element of his claim, including the
fact that his cervical condition was work-related . Having failed to convince the ALJ, his
burden on appeal is to show that the favorable evidence was so overwhelming that the
ALJ's conclusion was unreasonable . He relies on Mengel v. Hawaiian-Tropic Northwest
and Central Distributors, Inc., 618 S.W .2d 184 (Ky. App. 1981), for the principle that an
AU may not disregard uncontradicted medical opinions regarding a matter that requires
medical expertise . He maintains that because no medical evidence contradicted the
opinions of Drs . Brooks and Whobry that his cervical condition was caused by his work,
the AU had no choice but to rely on them . We disagree .
In Bullock v. Gay, 296 Ky. 489, 177 S.W .2d 883, 885 (1944), the court discussed
the effect of uncontradicted testimony, explaining as follows:
The general rule in respect to the weight to be accorded
uncontradicted testimony is: If the witness is disinterested,
and in no way discredited by other evidence, and the
testimony is to a fact not improbable or in conflict with other
evidence, and is within his own knowledge, such a fact may
be taken as conclusive .
In Osborne v. Pepsi-Cola , 816 S.W .2d 643 (Ky. 1991), the court cited that explanation
when rejecting the notion that an AU lacks the authority reject an uncontradicted
medical opinion that the AU finds to be unreliable. Subsequently, in Cepero v.
Fabricated Metals Corp. , 132 S .W .3d 839 (Ky. 2004), the court explained that a
medical opinion based upon a substantially inaccurate or largely incomplete medical
history and unsupported by other credible evidence is not substantial evidence .
KRS 342.285 designates the AU as the finder of fact in workers' compensation
claims . Even in matters requiring medical expertise, it is the ALJ's function to consider
all of the evidence, to draw reasonable inferences, and to determine the character,
quality, and substance of a physician's testimony . An AU may reject even an
uncontradicted medical opinion if there is a reasonable basis for doing so. In Mengel ,
supra , there was no conflict between the medical experts and no other evidence that
called the reliability of their opinions into question ; therefore, to reject their opinions
was unreasonable . The evidence in the present case was considerably different .
The claimant alleged that he sustained injuries to his back, neck, abdomen, and
right arm on March 1, 2002, due to a fall while loading parts and to lifting while on the
production line . In a letter written less than six months before the alleged injury, Dr.
Brooks had stated that a neck injury sustained in a non-work-related automobile
accident resulted in neurological deficits, significant limitations, and the need for
extensive, long-term medical treatment. No medical evidence refers to a fall at work,
and the claimant did not testify to such a fall. He first sought medical treatment at Dr.
Brooks' office on April 23 and 26, 2002, and gave Ms . Bills a history of neck and
shoulder pain that began on April 21 after throwing horseshoes . The records from Dr.
Brooks' office that were in evidence contained no mention of a work-related injury in
the spring of 2002 and nothing to connect the claimant's symptoms to his work.
Nonetheless, the February 25, 2003, letter stated that the prior neck injury had
resolved before the claimant sustained a significant work-related neck injury in April,
2002; that the work-related injury necessitated the surgery; and that it caused
permanent residual deficits. Under the circumstances, the 2001 letter and other
evidence of record formed a reasonable basis for the ALJ to the reject the opinions
expressed in the 2003 letter.
Dr. Whobry prepared her report in July, 2003, at the request of the claimant's
attorney . She diagnosed a work-related repetitive motion injury, but she clearly
indicated that she based her opinion of causation on the history related by the claimant
and that she assumed his representations to be true and correct. Dr. Whobry's report
failed to note that the neck pain treated on April 23 and 26, 2002, began after playing
horseshoes . Nor did it indicate that she reviewed the medical records relating to the
non-work-related automobile accident ; that she saw Dr. Brooks' letter from September,
2001 ; or that she was aware of the claimant's other previous Injuries. Unlike the
situation in Mengel, supra, the record contained an ample basis to question the
accuracy and completeness of the history on which Dr. Whobry based her opinions .
Under the circumstances, it was reasonable for the ALJ to reject them .
Relying on Big Sandy Community Action Program v. Chaffins , 502 S.W.2d 526
(Ky. 1979), and Shields v. Pittsburgh & Midway Coal Mining Co . , 634 S.W .2d 440 (Ky.
App. 1982), the claimant asserts that the ALJ failed to provide a sufficient rationale for
concluding that notice was incomplete, precluding a meaningful appellate review. In
Eaton Axle Corp. v. Nally, 688 S.W.2d 334 (Ky. 1985), the court explained, however,
that a party must request all necessary findings at the administrative level before
appealing to a court. Because the claimant failed to bring this alleged deficiency to the
ALJ's attention and request an explanation, he failed to preserve an argument that the
ALJ erred by failing to provide one.
The decision of the Court of Appeals is affirmed .
All concur.
COUNSEL FOR APPELLANT :
Larry D. Ashlock
Coleman, Lochmiller & Bond
P. O. Box 1177
Elizabethtown, KY 42702-1177
COUNSEL FOR J. L. FRENCH :
D . Gaines Penn
English, Lucas, Priest & Owsley, LLP
1101 College Street, P. O. Box 770
Bowling Green, KY 42102-0770
,Suprruto (gaurf of ~Roufurkg
2006-SC-0010-WC
APPELLANT
KEVIN JAMES STOCTON
APPEAL FROM COURT OF APPEALS
2004-CA-2637-WC
WORKERS' COMPENSATION NO . 03-96811
J . L . FRENCH ; HON . IRENE STEEN,
ADMINISTRATIVE LAW JUDGE; AND
WORKERS' COMPENSATION BOARD
APPELLEES
ORDER CORRECTING OPINION
On the Court's own motion, page 7 of the above-styled opinion is hereby
corrected due to a typographical error. Copies of page 1 and page 7, as corrected, are
attached hereto and are substituted for pages 1 and 7 of the opinion rendered on
October 19, 2006 .
ENTERED : Octobera~i , 2006
,Suyr=r (ifourf of ~itttfurkg
2006-SC-0010-WC
APPELLANT
KEVIN JAMES STOCTON
APPEAL FROM COURT OF APPEALS
2004-CA-2637-WC
WORKERS' COMPENSATION NO. 03-96811
V.
J . L. FRENCH ; HON. IRENE STEEN,
ADMINISTRATIVE LAW JUDGE ; AND
WORKERS' COMPENSATION BOARD
APPELLEES
ORDER CORRECTING OPINION
On the Court's own motion, page 7 of the above-styled opinion is hereby
corrected due to a typographical error. Copies of page 1 and page 7, as corrected, are
attached hereto and are substituted for pages 1 and 7 of the opinion rendered on
October 19, 2006.
ENTERED : October, 2006
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