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December 5, 2014 201200800

Commonwealth of Kentucky 

Workers’ Compensation Board

 

 

 

OPINION ENTERED:  December 5, 2014

 

 

CLAIM NO. 201200800

 

 

DAVID ALLEN STEPHENS                           PETITIONER

 

 

 

VS.       APPEAL FROM HON. JONATHAN R. WEATHERBY,

                 ADMINISTRATIVE LAW JUDGE

 

 

 

VIRGINIA FUEL CORPORATION

HON. JONATHAN R. WEATHERBY,

ADMINISTRATIVE LAW JUDGE                      RESPONDENTS

 

 

OPINION

AFFIRMING

 

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BEFORE:  ALVEY, Chairman, STIVERS and RECHTER, Members. 

 

 

RECHTER, Member.  David Stephens (“Stephens”) appeals from the July 8, 2014 Amended Order on Remand issued by Hon. Jonathan R. Weatherby, Administrative Law Judge (“ALJ”).  The ALJ dismissed Stephens’ claim against Respondent, Virginia Fuel Corporation (“Virginia Fuel”).  On appeal, Stephens argues the ALJ erred in determining the date of manifestation of his cumulative trauma injury and in apportioning liability.  For the foregoing reasons, we affirm.    

          Stephens worked for Virginia Fuel from August 2011 to January 28, 2012 as a mechanic and repairman.  Prior to this position, he worked for thirteen years as a surface mine mechanic.  During his employment with Virginia Fuel, he worked 75% of the time in Kentucky, and 25% in Virginia.  On January 28, 2012, he was laid off.  However, he briefly returned to work from June 3, 2012 to June 13, 2012, working exclusively in Virginia.  Stephens stated he returned to work for Virginia Fuel, though records indicated he was actually employed by A&G Coal Corporation.

          Stephens initially alleged cumulative trauma injuries to his right shoulder and both hands occurring on June 13, 2012, while working in Virginia for Virginia Fuel.  He later amended the claim to allege an alternative date of injury of January 28, 2012, which was his last date of employment with Virginia Fuel. 

          Stephens testified he had experienced pain and numbness in his hands, elbows and shoulders for five years.  He confirmed these symptoms predated his employment with Virginia Fuel.  He first sought treatment with Dr. Steven Morgan on November 10, 2009.  Dr. Morgan diagnosed carpal tunnel syndrome about three months thereafter, and referred Stephens to Dr. Margaret Napolitano.  On a patient questionnaire dated February 22, 2010, he indicated his symptoms began six months earlier.   

          Dr. Robert Hoskins performed an independent medical examination on June 4, 2012.  He diagnosed carpal tunnel syndrome, and noted a history of symptoms since 2009.  He assessed a 22% whole person impairment rating pursuant to the American Medical Association, Guides to the Evaluation of Permanent Impairment, 5th Edition and placed Stephens at maximum medical improvement (“MMI”) on October 26, 2010.

          In an opinion rendered January 28, 2013, the ALJ dismissed the claim entirely, finding a lack of jurisdiction because Stephens last worked for Virginia Fuel in Virginia.  Stephens appealed.  This Board vacated the ALJ’s opinion, remanding for reconsideration of the jurisdiction issue and to reconsider Stephen’s cumulative trauma claim.  

          In a subsequent October 21, 2013 Order and Award on Remand, the ALJ reconsidered the cumulative trauma claim under the alternative injury date of January 28, 2012.  The ALJ acknowledged evidence of a pre-existing, active impairment prior to Stephens’ employment with Virginia Fuel.  However, the ALJ determined there could be no carve-out because of the cumulative nature of the injury.  Further, the ALJ found a compensable bilateral shoulder injury. 

          Following denial of its petition for reconsideration, Virginia Fuel appealed.  This Board again vacated the ALJ’s opinion and remanded for two determinations.  First, we directed the ALJ to determine what percentage of Stephens’ impairment was caused by his employment with Virginia Fuel, and apportion liability accordingly.  Further, we instructed the ALJ to determine which portion of the shoulder injury was caused by Stephens’ employment with Virginia Fuel.

          In an Amended Order on Remand dated July 8, 2014, the ALJ determined Stephens’ cumulative trauma injuries to his upper extremities, including carpal tunnel syndrome and shoulder injury, existed as of November 10, 2009.  Relying on Dr. Hoskins’ report, he further concluded Stephens had reached MMI by October, 2010.  Because this period predated Stephens’ employment with Virginia Fuel, and because the ALJ determined he suffered no further trauma while employed there, no benefits were awarded.  The claim against Virginia Fuel was dismissed.    

          Stephens now appeals, raising two issues for review.  He first argues the ALJ erred in determining his date of manifestation of his cumulative trauma injury.  He also argues the ALJ erred in dismissing his claim based upon apportionment of liability. 

          The ALJ determined Stephens’ date of manifestation is November 10, 2009.  Stephens argues the date must be June 4, 2012, when Dr. Hoskins diagnosed carpal tunnel syndrome and informed him it was a work-related condition. We disagree.

          Stephens points to case law which explains that a cumulative trauma injury “manifests” for purposes of notice and statute of limitations when the injury is diagnosed and a physician informs the claimant the injury is work-related.  See e.g. Alcan Foil Products v. Huff, 2 S.W.3d 96, 101 (Ky. 1999).  However, the date the symptoms of a cumulative injury arise governs when an employer’s liability begins.  This date is not one and the same as the date when a work-related injury manifests itself for purposes of notice and statute of limitations.  The Supreme Court explained the distinction in American Printing House for the Blind ex rel Mutual Ins. Corp. of America v. Brown, 142 S.W.3d 145, 148 (Ky. 2004):

Under the version of KRS 342.0011(1) that pertains to this claim, an injury is a work-related traumatic event that causes a harmful change in the human organism. KRS 342.185 provides a period of limitations for a work-related injury that runs for two years after the date of the accident that causes it. In Alcan Foil Products v. Huff, supra at 99 and 101, we noted that “the entitlement to workers' compensation benefits stems from the fact that an occupational injury has been sustained” and that it “begins when a work-related injury is sustained, regardless of whether it is occupationally disabling.” Nonetheless, because gradual injuries often occur imperceptibly, we reaffirmed the principle that a rule of discovery governs the notice and limitations requirements for such injuries. We determined that the obligation to give notice and the period of limitations for a gradual injury are triggered by a worker's knowledge of the harmful change and its cause rather than by the specific incidents of trauma that caused it. Nothing in Alcan indicated that liability for an injury begins when the notice and limitations requirements are triggered. (Emphasis added).   

 

     In this case, the pertinent question is when the symptoms of Stephens’ injury arose in order to determine which employment caused the injury.  The ALJ determined his symptoms arose on November 10, 2009.  This factual conclusion is well-supported by the record.  Stephens first sought treatment with Dr. Morgan on this date, and complained of pain and numbness in his upper extremities.  On his patient questionnaire to Dr. Napolitano dated February 22, 2010, Stephens indicated his symptoms began about six months prior.  This proof constitutes the requisite substantial evidence to support the ALJ’s determination of the manifestation date of Stephens’ injury for purposes of determining when the impairment arose.  Special Fund v. Francis, 708 S.W.2d 641 (Ky. 1986).

          Stephens next argues the ALJ erred in dismissing his claim against Virginia Fuel based upon apportionment of liability.  Essentially, he argues there should be no apportionment in cumulative trauma cases; rather, the entirety of the liability should be placed on the employment which last contributes to the overall impairment rating.  He reasons that, if workers are required to apportion liability between employments that contribute to their impairment, it would effectively bar recovery for impairment due to cumulative trauma occurring more than two years from the date a disability manifested.  He further contends this Board’s reliance on Southern Kentucky Concrete Contractors, Inc. v. Campbell, 662 S.W.2d 221 (Ky. App. 1983) is misplaced because existing law at the time required the Special Fund to be liable for the percentage of disability due to the arousal of dormant, non-disabling conditions brought into disabling reality by subsequent compensable injury or occupational disease. 

          What Stephens overlooks, is the ALJ determined “no portion” of his cumulative trauma injuries may be attributed to the period of employment from August 2011 to January 28, 2012.  Stephens has not specifically challenged this factual finding as unsupported by the record, and did not file a petition for reconsideration of the ALJ’s July 8, 2014 Order.  However, to be sure, we note Dr. Hoskins placed Stephens at MMI as of October 26, 2010, ten months before his employment with Virginia Fuel commenced.  Furthermore, Stephens testified his symptoms began in 2009.  Dr. Hoskins did not apportion any portion of Stephens’ impairment rating specifically to his employment with Virginia Fuel.  At the final hearing, Stephens provided somewhat equivocal testimony regarding his condition while working at Virginia Fuel.  He stated his symptoms would appear “quicker”, but also stated the symptoms would subside when he was not working.  In short, we believe, based on the totality of the evidence, the ALJ could reasonably conclude Stephens’ condition and impairment rating did not worsen during his six-month employment with Virginia Fuel.  Ira A. Watson Department Store v. Hamilton, 34 S.W.3d 48 (Ky. 2000).  Again, this factual conclusion has not been specifically challenged on appeal.

          Having determined Stephens’ brief employment with Virginia Fuel did not worsen his condition or increase his impairment, the ALJ properly dismissed the claim. Campbell, 662 S.W.2d at 222.  Stephens is correct that Campbell was decided at a time when the Special Fund bore statutory liability.  However, the underlying principle – that the “last” employer does not bear the entire liability for a cumulative trauma injury – has not been derogated.  In fact, the Kentucky Supreme Court specifically affirmed the Court of Appeals’ reasoning in O.K. Precision Tool & Die Co. v. Wells, 678 S.W.2d 397 (Ky. 1984), based not only on KRS 342.120 but also on public policy considerations.  “The legislature intended to encourage the employment of persons having health problems which could affect the degree of disability in the event of subsequent injury.”  Id. at 400.  Our appellate courts have continued to rely on Campbell, and its reasoning, in cases since the Special Fund’s liability was removed.  See CDR Operations, Inc. v. Hale, 2014 WL 355788 (Ky. App. 2014)(“The Board’s reasoning was correct as a matter of law under Campbell, which stands of the proposition that liability should be apportioned to the employer based upon the percentage of disability attributable to the work performed by the employee while in the employ of that company.”).  Under the facts of this case, as determined by the ALJ, the claim against Virginia Fuel was properly dismissed.

          For the foregoing reasons, the July 8, 2014 Amended Order on Remand of Hon. Jonathan Weatherby, Administrative Law Judge is hereby AFFIRMED.

          ALVEY, CHAIRMAN, CONCURS.

          STIVERS, MEMBER, CONCURS IN RESULT ONLY.

 

 

COUNSEL FOR PETITIONER:

HON SHERRY BRASHEAR

PO BOX 1626

HARLAN, KY 40831

 

COUNSEL FOR RESPONDENT:

HON H. BRETT STONECIPHER

300 E. MAIN ST. STE 400

LEXINGTON, KY 40507

 

ADMINISTRATIVE LAW JUDGE:

HON. JONATHAN R. WEATHERBY

PREVENTION PARK                                          

657 CHAMBERLIN AVE

FRANKFORT, KY 40601