Crowder v. Preston Trucking Co.
Opinion of the Court
2. An employment relationship existed between the plaintiff-employee and defendant-employer at all relevant times herein.
3. At all relevant times herein, the defendant was a duly qualified self-insured under the N.C. Self-Insurance Guaranty Association.
4. On 30 July 1999, defendant filed a petition in bankruptcy. Pursuant to G.S. §
5. On 8 December 1999, plaintiff filed an Industrial Commission Form 18 reporting to defendant an injury alleged to have occurred on 19 May 1999.
6. The parties stipulated to the plaintiff's medical records from Charlotte Orthopedic Specialists, PHA Family Practice, Nalle Clinic, Presbyterian Laboratory Services, Walgreens, University Medical Associates, and Carolinas Healthcare System.
7. Plaintiff's average weekly wage for the relevant dates herein yields the maximum compensation rate for 1999 of $560.00.
2. On the evening of 19 May and 20 May 1999, while driving defendant's truck from Ohio to Charlotte, North Carolina, plaintiff ran over a bump in the highway somewhere in West Virginia, causing his truck seat to bottom out. When the seat bottomed out, plaintiff felt the immediate onset of pain in his lower back.
3. Plaintiff stopped the truck and walked around for a few minutes to get some relief from the pain, then proceeded to his destination in North Carolina where he had to unhook the tandem trailers that he was pulling. Upon arrival in North Carolina, plaintiff pushed the dolly of the tandem trailer and felt an additional aggravation of the pain that had started when the seat bottomed out in West Virginia.
4. Plaintiff testified that he called into defendant's central dispatch and reported that he had injured his back, but when he arrived at the Charlotte, North Carolina terminal during the early morning hours of 20 May 1999, he did not report the incident or the injury to anyone at the terminal.
5. Plaintiff did not return to work until Monday, 24 May 1999 due to his low back pain. Prior to returning to work, plaintiff testified that he called central dispatch and was told to talk with Ms. Jean Farmer, the company nurse. Plaintiff further testified that Ms. Farmer spoke with him over the telephone and cleared him to return to work.
6. Plaintiff continued to drive for defendant until approximately 24 July 1999, when he was laid off in anticipation of the bankruptcy filed on 30 July 1999. Defendant ceased trucking operations on or about 30 July 1999.
7. Because he continued to experience back pain, plaintiff was examined by Dr. Sara Beyers, a general practitioner. Plaintiff was then referred to Charlotte Orthopedic Specialists, where he was treated primarily by Dr. Elmer Pinzon, a physical medicine rehabilitation specialist.
8. Dr. Pinzon opined, and the Full Commission finds as fact, that plaintiff suffers from discogenic pain that he has objectively verified with various diagnostic tests, and that the pain is isolated primarily in plaintiff's low back region. Dr. Pinzon determined that plaintiff is not currently a candidate for surgery, but is a candidate for other procedures that may tend to reduce his pain or lessen his disability, such as the I.D.E.T. procedure.
9. Dr. Pinzon further opined, and the Full Commission finds as fact, that the incident of the seat bottoming out on 19 May 1999 was a likely cause, to a reasonable degree of medical certainty, for the discongenic pain symptoms for which he has treated plaintiff.
10. Either Dr. Pinzon or one of his colleagues at Charlotte Orthopedic Specialists has kept plaintiff completely out of work from 18 November 1999 through 24 July 2000 and Dr. Pinzon testified that plaintiff would probably never be able to return to work as a truck driver.
11. Following the bankruptcy of defendant, plaintiff found a new job as a driver with Yellow Freight, but he testified that as of 30 September 1999, he was unable to continue driving for that employer due to the pain in his back from his 19 May 1999 work-related injury. Plaintiff testified that he has not worked for any employer in any capacity from 30 September 1999 through the date of the hearing before the Deputy Commissioner.
12. The Full Commission has reviewed the entire record of evidence, including but not limited to the evidence, testamentary and otherwise, from Dr. Quigg, Dr. Pinzon, Dr. Beyers, Donald Janson, Stephen Matthew Ewing, James T. Stallings, Jerry K. Dellinger, Isaac Ted Stowers, Jean Farmer, and Ronald Greenhawk. After such review, the Full Commission gives greater weight to the testimony of plaintiff regarding the circumstances of his work related injury along with his condition and ability to work subsequent to that injury than it does to the others who testified. Furthermore, the Full Commission gives greater weight to the medical testimony regarding causation and disability given by Dr. Pinzon than it does to that given by Dr. Quigg.
13. Although plaintiff was traveling from Ohio to North Carolina when the incident occurred in West Virginia, plaintiff is a resident of North Carolina, plaintiff was based out of defendant's Charlotte, North Carolina terminal, and plaintiff began and ended his trips for defendant in North Carolina. North Carolina has jurisdiction over this matter and it is subject to the North Carolina Workers' Compensation Act.
14. The circumstances of plaintiff's 19 May 1999 injury constituted an interruption of his normal work routine and the introduction thereby of unusual conditions likely to result in unexpected consequences.
15. On 19 May 1999, plaintiff sustained an injury by accident to his back arising out of and the course of his employment with defendant that aggravated or exacerbated his pre-existing, asymptomatic back condition. In the alternative, on 19 May 1999, plaintiff sustained a specific traumatic incident of the work assigned which aggravated or exacerbated his pre-existing, asymptomatic back condition.
16. Defendant had actual notice of plaintiff's injury when plaintiff alerted central dispatch of his injured back on 20 May 1999 and also through his 24 May 1999 communications with Jean Farmer. Therefore, plaintiff had a reasonable excuse for not giving written notice within thirty days of the accident and defendant has not been prejudiced thereby in any manner.
17. Based upon the evidence of record, plaintiff's average weekly wage on 19 May 1999 was $978.62, yielding the maximum compensation rate for 1999 of $560.00.
2. Based upon the evidence of record, plaintiff's average weekly wage on 19 May 1999 was $978.62, yielding the maximum compensation rate for 1999 of $560.00. G.S. §
3. Plaintiff's failure to give written notice to defendant of his work related injury is reasonably excused and defendant was not prejudiced thereby in any manner. G.S. §
4. On 19 May 1999, plaintiff sustained an injury by accident to his back arising out of and in the course of his employment with defendant that aggravated or exacerbated his pre-existing, asymptomatic back condition. G.S. §
5. As a result of plaintiff's 19 May 1999 injury by accident, he is entitled to be paid by defendant ongoing total disability compensation at a rate of $560.00 per week for the periods of 20 May 1999 through 23 May 1999 and from 1 October 1999 and continuing until plaintiff returns to work or until further Order of the Commission. G.S. §
6. As a result of plaintiff's 19 May 1999 injury by accident, he is entitled to have defendant pay for all medical expenses incurred or to be incurred. G.S. §
2. Defendant shall pay for all of plaintiff's medical expenses incurred or to be incurred, including treatment recommended by Dr. Elmer Pinzon and his colleagues at Charlotte Orthopedic Specialists.
3. As plaintiff has not yet reached the end of the healing period for his back, this Opinion and Award does not address this issue. However, in the event that the parties should be unable to agree on the amount of compensation for permanent partial impairment, if any, for his back, which may be due, either party may request a hearing from the Commission to resolve this issue.
4. A reasonable attorney's fee of twenty-five (25%) of the compensation due plaintiff under Paragraph 1 of this Award is approved for plaintiff's counsel. From the compensation which has accrued, this fee shall be deducted from the amounts due plaintiff and paid directly to plaintiff's counsel, with plaintiff's counsel receiving every fourth check thereafter.
5. Defendant shall pay the costs, including expert witness fee in the amount of $175.00 to Dr. Gary R. Quigg.
S/_______________ CHRISTOPHER SCOTT COMMISSIONER
CONCURRING:
S/_____________ THOMAS J. BOLCH COMMISSIONER
DISSENTING:
S/______________ RENE C. RIGGSBEE COMMISSIONER
Dissenting Opinion
"O, what a tangled web we weave . . . ."
Plaintiff contends that he injured his back on May 20, 1999, while driving a truck for the employer in interstate commerce when his seat bottomed while traveling on the highway. Plaintiff contends that he stopped shortly after this incident and took a break, although it is not reported on his DOT mandated driving log. Plaintiff contends that he further injured himself on May 20, 1999, while uncoupling the rig. Plaintiff had been reprimanded in the past for failing to provide a timely written report to the employer of alleged injuries and had had prior workers' compensation claims when he had completed the required written Associates Statement of injury; nevertheless, plaintiff did not file a written report of injury with his employer for the alleged May 20, 1999, injury. Plaintiff did not seek medical attention until June 29, 1999, and then for an un-related rib cage complaint, and he denied an accident or traumatic event to the doctor and did not complain about back pain. Plaintiff continued to work for employer until he was laid off as result of the employer's bankruptcy filing. Plaintiff then went to work for another trucking company and continued to work for this company until his claim for unemployment benefits was approved and the trucking company started to take action against plaintiff for unexcused absences. Plaintiff finally sought medical attention for the alleged back injury in October 1999, and examination by several physicians disclosed degenerative disc disease, as was previously found in February 1999, and the physicians are not able to relate a May 20, 1999, incident without relying on the history of plaintiff (a history which is negated by his medical records). Unfortunately, the majority has not reviewed all the proffered evidence to determine whether it is competent and to decide the case based on the weight of the competent evidence.
The evidence is undisputed that plaintiff saw Dr. Quigg both before and after the alleged May 20, 1999, injury. In February 1999, plaintiff complained of low back pain, and Dr. Quigg performed a physical examination and ordered x-rays disclosing degenerative disc disease at L3-4 and L4-5 with narrowing of the disc space at L5-S1. Plaintiff was complaining of low back pain but denied any specific trauma or injury. Both Dr. Quigg and Dr. Pinzon explained that degenerative disc disease is generally caused by the aging process and that it gradually develops over time.
Plaintiff next sought medical attention on June 29, 1999, when he returned to see Dr. Quigg. Note that this date is more than a month after the alleged date of injury. At this examination plaintiff complained of pain over his right lateral rib cage. He denied any traumatic incident or accident. There was no complaint of back pain.
Plaintiff continued to work for defendant-employer as a truck driver until he was laid off on July 20, 1999, pursuant to defendant seeking bankruptcy protection. In August 1999, plaintiff went to work for Yellow Freight Systems and worked for them as a truck driver through the end of September 1999, when he ceased to return to work. Coincidentally, while working for Yellow Freight Systems, plaintiff filed a claim for unemployment benefits with the North Carolina Employment Security Commission and falsely asserted that his last employment was with defendant-employer. Plaintiff's return to work for defendant-employer, his employment with Yellow Freight Systems, and his application for unemployment benefits is evidence that plaintiff was able to work (i.e., was not totally disabled) following the alleged May 20, 1999, injury.
Plaintiff returned to Dr. Quigg on October 5, 1999, when he presented with right flank pain. Dr. Quigg suspected a urinary tract infection and had an intravenous pyelogram (IVP) performed which was negative. In conjunction with the IVP, x-rays were taken of plaintiff's abdomen which also revealed the condition of his lumbar spine. Consistent with the February 1999 x-rays, the October 1999 studies revealed mild degenerative disc disease — there was no apparent change in this condition.
Plaintiff then went to see Dr. Beyers who requested an MRI that was performed on October 29, 1999. The MRI revealed degenerative disc disease particularly at the L3-4 and L5-S1 levels of the lumbar spine. Dr. Pinzon performed an EMG and nerve conduction studies and was not able to establish radiculopathy. Dr. Pinzon had a discogram performed which revealed annular tears in the lumbar discs, further consistent with the previous diagnosis of degenerative disc disease.
Dr. Pinzon opined that plaintiff sustained an injury on May 20, 1999, while in the course of his employment based on plaintiff's statements to him that he did not have any prior back problems, that his pain started after this incident, and that plaintiff's symptoms increased after the May 20, 1999, incident. Dr. Pinzon was not aware that plaintiff was diagnosed with and received treatment for degenerative disc disease before the alleged May 1999 incident. Dr. Pinzon was not aware of Dr. Quigg's diagnosis of degenerative disc disease as early as February 1999. Dr. Pinzon agreed that his diagnosis is consistent with diagnosis found by Dr. Quigg, with the exception that as of January 2000 plaintiff was starting to make complaints of radicular pain, although radiculopathy was not confirmed in the electro-diagnostic studies.
Dr. Pinzon testified that truck driving was one of the three most common forms of employment for causing degenerative disc disease and that this condition generally occurs over time, rather than from one specific event. Dr. Pinzon had no medical records, diagnostic tests, or other information to determine whether plaintiff was injured on May 20, 1999. The only information available to lead to this conclusion was the history that plaintiff gave to Dr. Pinzon, a history which is contradicted by the medical history of plaintiff's treatment with Dr. Quigg. Thus, Dr. Pinzon has no competent information upon which to base his conclusion that plaintiff was injured on May 20, 1999. See Smith v. Beasley Enterprises, ___ N.C. App. ___, ___ S.E.2d ___ (2002).
Where the exact nature and probable genesis of a particular type of injury involves complicated medical questions removed from the ordinary experience of laymen, only an expert witness can give a competent opinion as to the nature of and the cause of the injury. Young v. HickoryBusiness Furniture,
1. Plaintiff was diagnosed with degenerative disc disease and treated for back pain in February 1999, before the alleged May 20, 1999, incident;
2. Plaintiff did not seek medical attention for his back until October 1999, approximately five months after the alleged injury; and,
3. Plaintiff treated with Dr. Quigg in June 1999 and denied any back pain and denied any injury or trauma.
Injury from disease, including degenerative disc disease from gradual deterioration over time, is not compensable as an "injury" under the Act. N.C.G.S. §
In reviewing the evidence, the Commission is required to determine whether the proffered evidence is legally competent and then must weigh the competent evidence. Smith v. Beasley Enterprises, ___ N.C. App. ___, ___ S.E.2d ___ (2002). Because Dr. Pinzon's opinion that plaintiff was injured on May 20, 1999, is contrary to the medical history in plaintiff's claim, it is not competent evidence and cannot be weighed in determining the issue of injury. In addition, because of the complexity of the medical information, complicated by the fact that plaintiff was diagnosed with degenerative disc disease before the alleged injury and that he is seeking a claim for an accidental injury under Section
For these reasons, I suggest that there is no legal evidence to support the proposition that plaintiff sustained the alleged injury on May 20, 1999. See Young v. Hickory Business Furniture,
"It is the duty of the Commission to consider all of the competent evidence, make definitive findings, draw its conclusions of law from these findings, and enter the appropriate award. In making its findings, the Commission's function is "to weigh and evaluate the entire evidence and determine as best it can where the truth lies." West v. J. P. Stevens,
6 N.C. App. 152 ,156 ,169 S.E.2d 517 ,519 (1969). (Emphasis added.) To weigh the evidence is not to "discount" it. To weigh the evidence means to ponder it carefully; it connotes consideration and evaluation; it involves a mental balancing process. To "discount" the evidence, on the other hand, is to disregard it, to treat it as though it had never existed, to omit it from consideration. While the Commission is the sole judge of the credibility of witnesses and may believe all or a part or none of any witness's testimony, Morgan v. Thomasville Furniture Industries, Inc.,2 N.C. App. 126 ,162 S.E.2d 619 (1968), it nevertheless may not wholly disregard competent evidence. Contradictions in the testimony go to its weight, and the Commission may properly refuse to believe particular evidence."
Id. The majority in this case has accepted the plaintiff's testimony in all regards, despite the fact that his testimony has changed on several occasions, and the majority ignores, as if it did not exist, the testimony of Donald L. Janson, Stephen Matthew Ewing, James T. Stallings, Jerry K. Dellinger, Isaac Ted Sowers, Jean Farmer, and Ronald Greenhawk. The majority has erred in this case in failing to consider and evaluate conflicting testimony. Jenkins v. Easco Aluminum Corp.,
Rather than reviewing all the competent evidence in this case, the majority has stopped upon finding, in their view, that plaintiff has established a prima facie case; the majority ignores all conflicting evidence. This is consistent with the "viewed in the light most favorable to plaintiff" and "plaintiff is entitled to the benefit of every reasonable inference to be drawn from the evidence" standard of review that is often espoused by the majority members. This position, however, ignores the duty of the Full Commission to determine whether evidence is competent and then to weigh all the competent evidence before drawing conclusions. See Cauble v. The Mache Co.,
"The plenary powers of the Commission are such that upon review, it may adopt, modify or reject the findings of fact of the Hearing Commissioner, and in doing so may weigh the evidence and make its own determination as to the weight and credibility of the evidence. [citation omitted] The Industrial Commission has the duty and authority to resolve conflicts in the testimony whether medical or not, and the conflict should not always be resolved in favor of the claimant."
Section
"`Injury and personal injury' shall mean only injury by accident arising out of and in the course of the employment, and shall not include a disease in any form, except where it results naturally and unavoidably from the accident. With respect to back injuries, however, where injury to the back arises out of and in the course of the employment and is the direct result of a specific traumatic incident of the work assigned, `injury by accident' shall be construed to include any disabling physical injury to the back arising out of and casually related to such incident."
Section
Although the majority may suggest that it is immaterial that there is no "accidental injury" because they have also found a specific traumatic injury, the point herein is that the majority opinion reflects a desire to find in plaintiff's favor without fully analyzing the case under applicable legal principles.
"Every injured employee or his representative shall immediately on the occurrence of the accident, or as soon thereafter as practicable, give or cause to be given to the employer a written notice of the accident . . . but no compensation shall be payable unless written notice is given within 30 days after the occurrence of the accident or death, unless reasonable excuse is made to the satisfaction of the Industrial Commission for not giving such notice and the Commission is satisfied that the employer has not been prejudiced thereby."
The evidence is undisputed in this case that plaintiff has not given timely written notice of the alleged May 20, 1999, incident to the employer despite the fact that plaintiff was aware that the employer required its employees to complete a written Associates Statement concerning each alleged injury and plaintiff had been reprimanded in the past for failing to complete a timely written report of injury.
Although there is disputed evidence concerning the issue of whether plaintiff gave oral notice of the injury sufficient to place employer on notice (as discussed in Section II above, the majority has refused to read and consider the testimony of Ms. Farmer, Mr. Ewing, and others that plaintiff did not report his alleged injury to them and to weigh that evidence), a finding that the employee had a reasonable excuse for not providing written notice does not negate the Commission's obligation to evaluate whether defendants were prejudiced by the lack of timely written notice. See Westbrook v. Bowes,
In considering the issue of timely and sufficient notice, the Commission is required to look at the dual purpose of this provision: first, to enable the employer/carrier to provide immediate medical diagnosis and treatment with a view toward minimizing the seriousness of the injury; and second, to facilitate the earliest possible investigation of the facts surrounding the injury. Jones v. Lowe's Co., supra. The majority's opinion fails to address these issues, particularly in light of the serious question concerning whether plaintiff sustained an injury and the nature of the injury from an alleged May 20, 1999, incident. In the instant case, plaintiff sought no medical attention for his alleged May 20, 1999, injury until five months later in October 1999. In the interim, plaintiff received medical attention with Dr. Quigg, but did not complain of any back pain and did not advise Dr. Quigg that he had an accident or other traumatic injury event. The circumstances of this case present the issues of whether plaintiff received an injury on May 20, 1999, and whether that injury caused disability; these questions are complicated by the fact that plaintiff had pre-existing degenerative disc disease and by Dr. Pinzon's testimony that truck driving, without a traumatic event, is a significant factor in gradual onset degenerative disc disease. These questions could have been addressed if plaintiff had been examined by a doctor in May or June shortly after the accident and his condition at that time could have been compared with his pre-injury condition. The Commission, and defendants, do not have this information and were prevented from timely obtaining pertinent medical information by plaintiff's delay in reporting the injury and in his failure to follow company policy and the law requiring him to give written notice of injury.
The majority's opinion makes a summary statement concerning prejudice with no analysis of the evidence, has failed to consider all of the competent evidence, and fails to explain how it rectifies the conflict in the evidence.
Further, plaintiff cannot receive benefits for disability, if any, that occurred before he gave written notice to defendant in December 1999.See Eller v. Lawrence Leather Co.,
For the foregoing reasons, I respectfully dissent.
This the ___ day of May 2002.
S/______________ RENE C. RIGGSBEE COMMISSIONER
Dissenting Opinion
After reviewing my dissenting opinion, dated May 6, 2002, the majority has added paragraph 12 to the Findings of Facts to state that the majority had reviewed and considered the testimony of Donald L. Janson, Stephen Matthew Ewing, James T. Stallings, Jerry K. Dellinger, Isaac Ted Sowers, Jean Farmer, and Ronald Greenhawk (previously there was no mention of their testimony in the majority opinion) and had weighed the evidence from Dr. Quigg, Dr. Pinzon, and Dr. Beyers. Rather than analyzing the evidence and explaining why it has accepted plaintiff's varying story in contrast to the testimony from several other competent witnesses, and explaining the lack of foundation for Dr. Pinzon's opinion, the majority now revises its opinion to state that they have reviewed all of the evidence. Under the circumstances of this case, and particularly in light of my May 6, 2002 dissenting opinion, the newly added summary statement does not correct the legal inadequacy of the review in this case. Use of "magic words", particularly when the deficiency of the review has been pointed out by another Commissioner, is not what I believe the appellate courts and our legislature intended. Rather, the duty is on the Commission to determine whether the evidence is competent and to actually weigh the competent evidence, not merely state (after the decision has been made and explained under an improper standard) that evidence was weighed. The law requires that all evidence be weighed, not merely to state that it was considered.
Therefore, I stand by my dissent and suggest to the Court of Appeals that this case should be remand back to the Commission to require an explanation of the evidence determined to be competent and to further explain the basis for the Commission's weighing of the competent evidence. Although I do not suggest that the Commission normally has to explain the basis for each and every finding of fact, under the circumstances of this case, the post-dissent revision to the majority opinion adding Finding of Fact No. 12 does not resolve the error in the majority's failure to consider and analyze all of the competent evidence. Our duty is to comply with the Section
Signed this ___ day of May, 2002.
S/______________ RENE C. RIGGSBEE COMMISSIONER
Addendum
The "Supplemental Dissenting Opinion" of the minority is incorrect and substantially outside the bounds of judicial comity. The majority views the supplemental dissenting opinion as unfortunate and is saddened by the minority's approach.
This the ___ day of June, 2002.
S/_______________ CHRISTOPHER SCOTT COMMISSIONER
CONCURRING:
S/_____________ THOMAS J. BOLCH COMMISSIONER
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