GEORGE C. BUTLER,
Employee,
Plaintiff,
v. N. C. Industrial Commission
I.C. No. 746977
E.I. DUPONT DE NEMOURS
& COMPANY,
Employer,
Self-Insured,
and
KEMPER RISK MANAGEMENT
SERVICES,
Risk Manager,
Defendants.
Voerman Law Firm, P.L.L.C., by David P. Voerman, for the
plaintiff-appellee.
Wallace, Morris & Barwick, P.A., by Elizabeth A. Heath, for
the defendants-appellants.
WYNN, Judge.
The deciding issue in this workers compensation appeal from an
award favoring the employee, George C. Butler, is whether the full
Commission failed to consider the medical opinion of Dr. Ira Hardy
who treated Butler's back injury. Because the record fails to showthat the Commission weighed and pondered the deposition testimony
of Dr. Hardy, we remand this matter to the Commission for
reconsideration.
Defendants are employer E.I. DuPont de Nemours & Company
(DuPont) and its risk manager, Kemper Risk Management Services.
Upon being fired by DuPont on 6 October 1997, Butler reported for
the first time that he suffered an unwitnessed back injury three
days earlier when he slipped while walking down a staircase at his
job. Before that accident, Butler had received lower-back-pain
treatment from an orthopaedic surgeon who diagnosed degenerative
changes.
After his work-related injury, Butler saw various medical
providers including Drs. Jack Koontz, Laddie Crisp, James Harvell,
James Fulghum, Keith Kittleberger, Winston Lane; and the one that
concerns this appeal, Dr. Hardy. Following a hearing on this
matter, Deputy Commissioner Theresa B. Stephenson concluded that
Butler was not entitled to reimbursement for medical expenses
incurred after 29 October 1997 nor to any temporary total
disability as a result of his injury on 3 October 1997. On appeal,
the full Commission reversed Deputy Commissioner Stephenson's
opinion and award with Commissioner Renee C. Riggsbee dissenting.
Defendants appeal.
Defendants argue on appeal that the Commission failed to
consider Dr. Hardy's deposition testimony as to Butler's medical
condition and the causation of his back injury. We agree.
In reviewing an opinion and award from the full Commission,this Court must determine whether there is any competent evidence
to support the Commission's findings of fact, and whether those
findings support the Commission's conclusions of law. See Sidney
v. Raleigh Paving & Patching, 109 N.C. App. 254, 426 S.E.2d 424
(1993). The Commission's findings are conclusive on appeal if
supported by any competent evidence, even though there may be
competent evidence to the contrary. See Morrison v. Burlington
Industries, 304 N.C. 1, 282 S.E.2d 458 (1981). Furthermore, the
Commission is the sole judge of the credibility of the witnesses as
well as how much weight their testimony should be given. Bailey
v. Sears Roebuck & Co., 131 N.C. App. 649, 653, 508 S.E.2d 831, 834
(1998).
The Commission may reject entirely the testimony of a witness
if warranted by disbelief of the witness. Russell v. Lowes
Product Distribution, 108 N.C. App. 762, 765, 425 S.E.2d 454, 457
(1993). However, [b]efore making findings of fact, the Industrial
Commission must consider all of the evidence. The Industrial
Commission may not discount or disregard any evidence, but may
choose not to believe the evidence after considering it. Weaver
v. American National Can Corp., 123 N.C. App. 507, 510, 473 S.E.2d
10, 12 (1996) (citing Harrell v. Stevens & Co., 45 N.C. App. 197,
205, 262 S.E.2d 830, 835, disc. review denied, 300 N.C. 196, 269
S.E.2d 623 (1980)). That is, the Commission must weigh and ponder
all of the evidence, and may not wholly disregard competent
evidence; however, it may, after proper consideration and
evaluation, properly refuse to believe particular evidence. SeeHarrell. The Commission may therefore choose to reject a witness'
testimony entirely if warranted by disbelief of that witness, so
long as the Commission at least first considers and evaluates the
testimony. See Lineback v. Wake County Board of Commissioners, 126
N.C. App. 678, 486 S.E.2d 252 (1997).
In the instant case, Deputy Commissioner Stephenson found that
Dr. Koontz referred Butler to Dr. Hardy, who first saw Butler in
October 1997; an MRI revealed no evidence of nerve root compromise,
and Butler's symptoms were not indicative of problems at this
level. A post-contrast CT scan indicated a right L3-L4 foraminal
disc protrusion, consistent with Butler's status prior to his fall
on 3 October 1997 according to his medical records. Dr. Hardy did
not restrict Butler from working. Further studies on 28 October
1997 indicated a small lateral protrusion at L3-L4, below the nerve
root exit. At this time, the extruded disc appeared to have
resolved and Butler was improving. Objective testing revealed no
nerve impaction at L4 and Dr. Hardy did not consider Butler to be
a candidate for surgery.
Deputy Commissioner Stephenson also found that Dr. Harvell
treated Butler on 18 November 1997, diagnosing him with moderately
severe to severe degenerative disc disease at L5-S1 and to a lesser
extent at L3-L4 and L4-L5; however, Dr. Harvell did not restrict
Butler from working. On 17 December 1997, Butler consulted Dr.
Greg Hardy, a neurologist; however, nerve conduction studies
demonstrated no abnormalities. Deputy Commissioner Stephenson
placed greater weight on the testimony of Dr. Ira Hardy than thatof Dr. Fulghum or Dr. Kittleberger, finding that no objective tests
performed on Butler in October through December 1997 indicated
results necessitating the three level hemilaminectomy Butler
underwent on 26 February 1998.
In contrast, the Commission's 26 January 2001 opinion and
award barely mentions Dr. Hardy, finding only that:
15. [Butler] was [] referred [by Dr. Koontz]
to an examination by Dr. Ira Hardy who ordered
a MRI and CT Scan. The CT scan results
revealed a mild right lateral bulge below the
level of the nerve root exit. Conservative
treatment and physical therapy were ordered
for [Butler's] back.
16. While [Butler] was being treated by Dr.
Ira Hardy, he was also seeking treatment from
his family physician, Dr. Laddie Crisp.
. . . .
The Commission also found, in relevant part:
30. There is no competent medical evidence
produced by the defendants herein to refute
the opinions of Dr[.] Kittleberger, Dr. Lane
or Dr. Fulghum concerning the necessity of the
medical treatment rendered to [Butler] since
the time of his injury, or the causal
relationship between [Butler's] injury by
accident and his disability.
The Commission made no definitive findings indicating that it
considered or weighed Dr. Hardy's testimony regarding the necessity
of the medical treatment rendered to Butler following his injury or
the causal relationship between his injury and his disability. See
Lineback. We note that Dr. Hardy testified in his deposition that
he never saw any indication for any surgical intervention for
Butler's condition. He further testified that, in his opinion,
Butler's condition in February 1998 and thereafter was not relatedto Butler's fall on 3 October 1997 for which Dr. Hardy treated him.
Moreover, Dr. Fulghum testified that he had a difference of opinion
with some of Butler's other physicians in regards to what Butler's
test results revealed. Dr. Fulghum also testified that he was
wrong when he believed that Butler's tests indicated a disc rupture
or disc herniation, for which Dr. Fulghum had operated.
We conclude that the Commission failed to make adequate
findings of fact; accordingly, the Commission's 26 January 2001
opinion and award is vacated, and the matter remanded to the
Commission to properly consider all of the evidence, make
definitive and complete findings of fact and proper conclusions
therefrom, and enter the appropriate order.
Vacated and remanded.
Judges TIMMONS-GOODSON and TYSON concur.
Report per Rule 30(e).
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