CLARA A. WILLIAMS,
Employee-Plaintiff,
v. North Carolina
Industrial Commission
SARA LEE CORPORATION, No. 675222
Self-Insured,
Employer-Defendant,
and
CONSTITUTION STATE SERVICES COMPANY,
Servicing Agent-Defendant.
Lawrence, Rigsbee & Best, P.A., by Natarlin R. Best, for
plaintiff-appellant.
Orbock Bowden Ruark & Dillard, P.C., by Kent C. Ford, for
defendant-appellee.
EAGLES, Chief Judge.
Plaintiff Clara A. Williams (plaintiff) appeals from the Full
Commission's Opinion and Award denying her workers' compensation
benefits. In 1996, plaintiff was working at defendant Sara Lee
Corporation (defendant-employer) in its danish and muffin
department. On 30 April 1996, plaintiff saw the company nurse
about pain in her shoulder and, on 1 May 1996, began a medical
leave of absence from defendant-employer. Plaintiff subsequentlyfiled a claim seeking to recover benefits for occupational disease
she developed in her hands, arms, neck and shoulders.
After defendant-employer denied plaintiff's claim for workers'
compensation benefits, Deputy Commissioner Chrystal Redding
Stanback conducted a hearing on the matter. Deputy Stanback denied
plaintiff coverage under the Workers' Compensation Act, finding
that plaintiff failed to present competent evidence that [her]
position at Sara Lee Corporation placed her at an increased risk of
developing and/or caused her to develop any occupational disease.
On appeal, the Full Commission affirmed the deputy
commissioner's decision. In its Opinion and Award, the Full
Commission found, in pertinent part:
4. On May 7, 1996, plaintiff was seen by Dr.
Greig McAvoy and complained of a several month
history of hand pain and more recent shoulder
pain. Based upon these complaints, Dr. McAvoy
ordered EMG/NCV studies. According to Dr.
McAvoy's notes, plaintiff's EMG/NCV studies
were normal.
5. On May 28, 1996, Dr. McAvoy's impression
was that plaintiff was suffering from cervical
radioculopathy on the left. Dr. McAvoy
ordered an MRI scan of plaintiff's cervical
spine. On June 11, 1996, Dr. McAvoy reported
that plaintiff's MRI scan was normal. After
examining plaintiff, Dr. McAvoy indicated that
plaintiff could return to full duty employment
effective June 24, 1996.
6. On June 28, 1996, plaintiff returned to
Dr. McAvoy and continued to complain of
shoulder pain. Dr. McAvoy performed a
subacromial injection, after which plaintiff
experienced immediate improvement. Dr. McAvoy
released plaintiff to return to work on July
2, 1996.
7. On July 22, 1996, plaintiff returned to
Dr. McAvoy complaining of numbness in the lefthand. After examining plaintiff, Dr. McAvoy's
impression was that plaintiff was suffering
from left rotator cuff tendonitis and mild
bilateral carpal tunnel syndrome. Dr. McAvoy
further indicated that his June 28, 1996, note
was still in effect and that plaintiff could
return to regular duty work.
8. Despite her release to return to work,
plaintiff remained out of work on a leave of
absence from July 26, 1996 until April 15,
1997.
9. On multiple occasions between July 12,
1996 and April 14, 1997, plaintiff was seen by
Dr. James Bryant at Bryant Family Practice in
Rocky Mount. On September 17, 1996, Dr.
Bryant referred plaintiff to Carolina
Neurology for EMG and NCV studies. According
to the Carolina Neurology report of November
22, 1996, plaintiff's EMG/NCV studies were
normal with no evidence of carpal tunnel
syndrome.
10. On January 31, 1997, plaintiff returned
to Dr. McAvoy continuing to complain of left
hand and arm pain. According to Dr. McAvoy's
notes, plaintiff had negative Tinel's and
Phalen's tests and his impression was that
plaintiff was suffering from left rotator cuff
tendonitis/bursitis. Dr. McAvoy indicated
that plaintiff could return to regular duty
work.
11. On April 8, 1997, plaintiff returned to
Dr. Bryant. After examining plaintiff, Dr.
Bryant indicated that plaintiff could return
to work on April 14, 1997. Plaintiff actually
returned to work on April 15, 1997 and April
17, 1997, but then began another medical leave
of absence effective April 18, 1997.
Plaintiff last worked for defendant on April
17, 1997.
12. On March 26, 1998, plaintiff was seen by
Dr. Richard Moore at Duke University Hospital.
After examining plaintiff, Dr. Moore's
impression was that Plaintiff was suffering
from left subacromial bursitis. Based upon
plaintiff's shoulder complaints, Dr. Moore
injected plaintiff's left shoulder.
13. On July 29, 1998, plaintiff returned to
Dr. Moore indicating that her shoulder problem
had resolved but she was now experiencing pain
throughout her left hand as well as back pain
which radiated down her right leg. After
examining plaintiff, Dr. Moore's impression
was that plaintiff was suffering from
migratory synovitis and he ordered a
rheumatologic work-up.
14. On September 17, 1998, Dr. Moore
indicated that plaintiff was suffering from
rheumatoid arthritis, and he referred
plaintiff to a rheumatologist for further
evaluation and treatment.
15. On November 6, 1998, plaintiff was seen
by Dr. Nicholas Patrone at the Boice Willis
Clinic. After examining plaintiff, Dr.
Patrone's impression was that plaintiff was
suffering from lupus or some other vascular
disease. Dr. Patrone also indicated that
plaintiff was suffering from early rheumatoid
arthritis.
16. On November 30, 1998, Dr. Patrone
indicated that plaintiff's current problems
looks more like a rheumatoid arthritis
picture.
17. On June 8, 1999, plaintiff returned to
Dr. McAvoy with a possible diagnosis of
rheumatoid arthritis. Upon examination, Dr.
McAvoy noted full range of motion of the upper
extremities, no muscle wasting and no
objective abnormalities. According to Dr.
McAvoy's notes, plaintiff did not have carpal
tunnel syndrome.
18. The evidence of record fails to establish
that plaintiff has sustained a compensable
occupational disease. There is no competent
evidence that plaintiff's employment with
defendant placed her at an increased risk of
developing an occupational disease or caused
her to develop an occupational disease. The
greater weight of the medical evidence
establishes that plaintiff probably has
rheumatoid arthritis, or perhaps lupus.
Objective medical studies have negated carpal
tunnel syndrome, cervical herniated disc, or
other abnormality that may be associated withrepetitive trauma. There is no evidence that
plaintiff's rheumatoid arthritis is related to
her employment with defendant. Dr. McAvoy's
record dated June 8, 1999, relates that
plaintiff told him that her symptoms had been
present since her employment with defendant,
but Dr. McAvoy advised her that her employment
had no relationship to her symptoms.
Based on these findings, the Full Commission concluded that
plaintiff had not proven by the greater weight of the competent
evidence that she sustained a compensable occupational disease and
denied plaintiff's claim for benefits. Plaintiff appeals the Full
Commission's Opinion and Award.
In her sole assignment of error, plaintiff contends the
Commission erred in concluding she had not suffered a compensable
occupational disease. Our review of an opinion and award of the
Commission is limited to the determination of (1) whether the
findings of fact are supported by any competent evidence in the
record; and (2) whether the findings support the Commission's
conclusions of law. Allen v. Roberts Elec. Contr'rs, 143 N.C. App.
55, 60, 546 S.E.2d 133, 137 (2001). The Commission's findings of
fact are conclusive on appeal where supported by any competent
evidence, notwithstanding the existence of evidence which would
support findings to the contrary. Id.
To establish a right to workers' compensation benefits for an
occupational disease under N.C. Gen. Stat. § 97-53(13), the
employee must show: (1) the disease is characteristic of
individuals engaged in the particular trade or occupation in which
the claimant is engaged; (2) the disease is not an ordinary disease
of life to which the public generally is equally exposed with thoseengaged in that particular trade or occupation; and (3) there is a
causal relationship between the disease and the claimant's
employment. Rutledge v. Tultex Corp., 308 N.C. 85, 93, 301 S.E.2d
359, 365 (1983). The third element of the test is satisfied if the
employment significantly contributed to, or was a significant
causal factor in, the disease's development. Id. at 101, 301
S.E.2d at 369-70. For the employment to constitute a significant
contributing factor, the employee must show that without it the
occupational disease would not have developed to such an extent
that it caused the physical disability which resulted in claimant's
incapacity for work. Baker v. City of Sanford, 120 N.C. App. 783,
788, 463 S.E.2d 559, 563 (1995) (quoting Rutledge v. Tultex Corp.,
308 N.C. 85, 102, 301 S.E.2d 359, 370 (1983)), disc. review denied,
342 N.C. 651, 467 S.E.2d 703 (1996).
In this case, the Commission considered plaintiff's testimony
along with plaintiff's medical records from physicians who
evaluated plaintiff: Dr. Greig McAvoy, Dr. James Bryant, Dr.
Richard Moore and Dr. Nicholas Patrone. Dr. McAvoy and Dr. Bryant
ordered EMG/NCV studies which were normal. Dr. McAvoy noted that
plaintiff did not have carpal tunnel syndrome. Dr. Moore and Dr.
Patrone diagnosed that plaintiff was suffering from rheumatoid
arthritis and medical records did not show that plaintiff's
arthritis was related to her work. As a result, plaintiff failed
to meet all of the requirements of compensable occupational
disease, as set forth in the Rutledge case. Competent evidence
exists to support the Commission's findings of fact and thosefindings support its conclusion of law in denying plaintiff
benefits. Accordingly, we affirm the decision of the Commission.
We do not address plaintiff's second and third arguments in
her brief because they do not correspond to any assignment of error
set out in the record in violation of North Carolina Rules of
Appellate Procedure. See N.C.R. App. P. 10(a).
Affirmed.
Judges McCULLOUGH and HUDSON concur.
Report per Rule 30(e).
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