Williamson v. Besco's Services
Williamson v. Besco's Services
Opinion of the Court
Besco’s Services, Inc., and its compensation insurer seek review of a decision of the Workers’ Compensation Court of Appeals in which that court, with one judge dissenting, found that Besco’s employee, Edward Williamson, has sustained a 50-percent permanent partial disability of his right leg as a consequence of an employment-connected accident and also denied relators’ petition for appointment of a neutral physician pursuant to Minn.St. 176.155, subd. 2, to evaluate the extent of employee’s permanent partial disability.
Minn.St. 176.155, subd. 2, provides that the court of appeals may, upon request of any interested party in a matter before it, appoint a neutral physician to examine the employee and report his findings. It also provides that that court “may request the neutral physician to answer any particular question with reference to the medical phases of the case.”
The cause of employee’s disability was a severely comminuted depression fracture of the lateral tibial plateau of his right leg (the area which .is the leg portion of his knee joint), sustained in the employment-related accident on August 12, 1975. Dr. Patrick Kelly, the orthopedic surgeon who treated employee and last saw him in August 1976, rated him as having a 20-percent permanent partial disability of the right leg. This opinion was based on findings of a 15-degree impairment of motion, a 10-de-gree angulation of the knee, and a breaking up of the weight-bearing surface of the knee joint, and on the doctor’s prognosis of “almost certain” future osteoarthritis in the injured area. Dr. Ronald Lampert, a board-certified orthopedic surgeon who examined employee in October 1976 for relators, rated him as having a 15-percent disability, based on the history of the injury, X-rays he took at the time of the examination, and findings of a 15-degree loss of flexion, a 5-de-gree loss of extension, and a 5-degree angu-lation of employee’s knee. Dr. Virgil Lund-quist, a board-certified general surgeon
Employee’s unrefuted testimony concerning his present difficulties, to which the majority gave credence, is consistent with Dr. Lundquist’s findings. Employee said that his right leg is shorter than the other one, that it swells from the knee down through the foot, and that his shin bone stings, his right knee hurts like a toothache, and his foot “freezes.” He said he has limited motion in the knee, that it tends to lock, and that he cannot stand or walk very long at a time. This testimony clearly permitted the court of appeals to infer that Dr. Lundquist’s evaluation of employee’s disability was more accurate than the conclusions of the other medical experts. We have often said that resolution of conflicts in the opinions of medical witnesses is for the trier of fact, and since the record here contains substantial evidence in support of the finding which resolved that conflict, the finding must be affirmed. Moreover, since the record justified the court’s acceptance of Dr. Lundquist’s opinion rather than those of the other experts, the court of appeals did not abuse its discretion in denying relators’ request for appointment of a neutral examiner.
Employee is allowed attorneys fees in the amount of $350.
Affirmed.
. The court of appeals also found without dissent that employee has been temporarily totally disabled since the date of the accident. This finding is not challenged.
. Minn.St. 176.391, subd. 2, also provides that the court of appeals “may appoint one or more impartial physicians or surgeons to examine the injury of the employee and report thereon.” This section does not appear to confer any " different or greater authority than § 176.155, subd. 2, does.
.Another case involving a wide disparity in the medical experts’ evaluation of an employee’s permanent partial disability is Stotz v. Sabin Brothers, Minn., 257 N.W.2d 359 (1977).
Dissenting Opinion
(dissenting).
This is precisely the kind of a case which calls for a medical examination of respondent by a neutral physician as authorized by Minn.St. 176.155, subd. 2. Accordingly, I join in the dissent expressed by Judge McCarthy of the Workers’ Compensation Court of Appeals.
As is frequently the case, the opinion of the treating physician, Dr. P. J. Kelly, a professor of orthopedics at the Mayo Foundation, was ignored and the opinion of Dr. Virgil Lundquist, who did not examine the employee until 16 months after the accident, was accepted by the court of appeals. Typically the attorneys for the employer and employee each picked a doctor deemed favorable to the position of his client. The only apparent reason given for disregarding the opinion of Dr. Kelly was the fact that he did not stress the shortening of respondent’s leg. However, as Judge McCarthy points out in his dissent, Dr. Kelly did testify with respect to angulation of the leg which reduces the matter to a “question of semantics.”
Since for whatever reason the court gave little credence to the Mayo Clinic treating physician, it seems to me that if the purpose of the judicial process is to arrive at the facts with some impartiality and objectivity, some weight should be given to the opinion of a neutral physician in preference to the opinions of physicians who are essentially advocates. This clearly was the purpose of adopting Minn.St. 176.155 and I therefore share the view of Judge McCarthy that an opinion of a neutral physician is essential under the circumstances of this case.
Dissenting Opinion
(dissenting).
I join in the dissent of Mr. Justice Otis.
Reference
- Full Case Name
- Edward WILLIAMSON v. BESCO'S SERVICES, Relators
- Status
- Published