JACK WALKER,
Employee,
Plaintiff;
v
.
North Carolina Industrial
Commission
LAKE RIM LAWN and GARDEN, I.C. No. 825168
Employer;
and
NORTH CAROLINA FARM
BUREAU MUTUAL INSURANCE
CO.,
Carrier;
Defendants.
Brumbaugh, Mu & King, P.A., by Leah L. King, for plaintiff-
appellee.
Young, Moore and Henderson, P.A., by Dawn Dillon Raynor and
Zachary C. Bolen, for defendant-appellants.
HUDSON, Judge.
Defendants appeal an Opinion and Award entered 7 September
2001 by the North Carolina Industrial Commission, awarding
compensation to plaintiff, Jack Walker, for a work-related injury.
We affirm.
The plaintiff filed a worker's compensation claim alleging
that he injured his right knee on 26 February 1998 when he fellwhile ascending a flight of stairs during his employment with
defendant, Lake Rim Lawn and Garden (Lake Rim).
Before plaintiff filed his claim, defendant, on 14 April 1998,
filed a Form 63 agreeing to pay benefits without prejudice,
pursuant to N.C. Gen. Stat. § 97-18(d). On 13 May 1998, defendants
filed a Form 60 admitting plaintiff's right to temporary total
disability compensation at the rate of $172.25 per week. Plaintiff
filed a Form 18 Notice of Claim around 18 November 1998. Shortly
thereafter, defendants assigned both medical and vocational
rehabilitation counselors to plaintiff, and began attempting to
place him in a job. Between February 1999, and February 2001,
plaintiff made two unsuccessful attempts to return to work, and
defendants filed at least four Forms 24, Applications to Terminate
or Suspend Benefits, including one filed after the Opinion and
Award of the Deputy Commissioner. None were approved. The claim
was heard 28 March 2000 and in an Opinion and Award filed 15
December 2000, Deputy Commissioner Theresa B. Stephenson awarded
plaintiff ongoing total disability benefits as well as medical
treatment and a ten percent penalty, and granted plaintiff's motion
to remove the rehabilitation counselor.
In an Opinion and Award filed 7 September 2001, the Full
Commission affirmed and also awarded plaintiff benefits for total
disability from 28 April 1999 continuing until further order of the
Commission, assessed a ten percent penalty on all compensation
since 28 April 1999 that was not paid within fourteen days of when
it became due, granted plaintiff's Motion to Remove Ted Sawyer asthe vocational rehabilitation professional, and ordered defendants
to pay plaintiff's reasonably necessary medical expenses. The Full
Commission also found and concluded that the plaintiff had not
unjustifiably refused suitable employment, and that [a]lthough
there is evidence of record that plaintiff has reached maximum
medical improvement, the greater weight of the evidence
demonstrates that plaintiff is in need of additional pain treatment
and vocational rehabilitation assistance.
Below is a summary of some of the facts found by the Full
Commission. Following the injury, plaintiff was treated at Cape
Fear Valley Medical Center emergency room and referred to
orthopaedist Dr. James P. Flanagan. On 14 May 1998, defendant-
carrier retained Sharon Tobias as the medical rehabilitation
professional. An MRI performed on plaintiff's knee showed a
possible medial meniscus tear, and Dr. Flanagan recommended
arthroscopic surgery. Prior to approving the surgery, defendants
sent plaintiff to Dr. Brian Szura in Cary for a second opinion
regarding the need for surgery. Dr. Szura evaluated plaintiff and
concurred with Dr. Flanagan's assessment.
On 2 June 1998, Dr. Flanagan performed a diagnostic
arthroscopy on plaintiff's right knee. The post-operative
diagnosis indicated Chondromalacia medial femoral condyle of Grade
3 and 4, and Chondromalacia patella medial facet of Grade 4.
Plaintiff continued his post-operative treatment with Dr. Flanagan
until 6 August 1998, when defendant-carrier transferred his care to
Dr. Szura in Cary, a considerable distance from plaintiff's home. Dr. Szura first saw plaintiff on 1 September 1998. Dr.
Szura's treatment of plaintiff consisted of pain medications and
anti-inflammatory medication as well as physical therapy and
referral to pain management. On 12 December 1998, Dr. Szura opined
that plaintiff was at maximum medical improvement and rated
plaintiff with a ten percent permanent partial disability to the
right leg as a result of the compensable injury. Dr. Szura further
indicated that plaintiff had permanent restrictions of no kneeling,
stooping, or lifting more than fifty pounds, no climbing stairs
other than on an occasional basis, and no significant work on
ladders. Dr. Szura then referred plaintiff to Dr. Sanitate for
pain management.
On 11 September 1998, defendants retained Ted Sawyer of
Crawford & Company to be plaintiff's vocational rehabilitation
professional. Plaintiff first met with Sawyer on 19 September
1998. Sawyer then began preparing job descriptions and presenting
them to Dr. Szura for approval. Mr. Sawyer testified that the job
descriptions he prepared were general in nature and not necessarily
prepared based on a specific job with a specific employer.
Moreover, Mr. Sawyer did not have job descriptions reviewed and
approved by the prospective employers for accuracy.
In February 1999, plaintiff applied for a job at an Amoco
service station. Mr. Sawyer presented a generalized job
description to Dr. Szura, who approved it on 9 February 1999. The
actual job at Amoco required plaintiff to work two shifts: a short
shift lasting four to six hours and a long shift lasting ninehours. The job also required plaintiff to kneel or stoop to stock
shelves and work the safe, and either to stand or walk for a
majority of his shift. After working for several weeks, plaintiff
experienced an increase in pain in his knee.
Plaintiff discussed his increased pain with Dr. Szura, who
advised plaintiff to discuss the problems with his employer.
Plaintiff did so and as a result, he was terminated by Sharon
Eason, the manager at the Amoco job.
Plaintiff continued to consult with Mr. Sawyer after Amoco
terminated him. In August, 1999, plaintiff applied for and was
offered a job as a dining room attendant at McDonald's. However,
when plaintiff called to report to work and pick up the appropriate
paperwork, McDonald's withdrew the job offer.
In their first argument, defendants contend that the
Commission erred by failing to find and conclude that plaintiff
had reached maximum medical improvement. On appeal of a workers'
compensation decision, we are limited to reviewing whether any
competent evidence supports the Commission's findings of fact and
whether the findings of fact support the Commission's conclusions
of law. Deese v. Champion Int'l Corp., 352 N.C. 109, 116, 530
S.E.2d 549, 553 (2000). An appellate court reviewing a workers'
compensation claim does not have the right to weigh the evidence
and decide the issue on the basis of its weight. The court's duty
goes no further than to determine whether the record contains any
evidence tending to support the finding. Adams v. AVX Corp., 349
N.C. 676, 681, 509 S.E.2d 411, 414 (1998) (quoting Anderson v.Lincoln Constr. Co., 265 N.C. 431, 434, 144 S.E.2d 272, 274
(1965)), reh'g denied, 350 N.C. 108, 532 S.E.2d 522 (1999). In
reviewing the evidence, we are required, in accordance with the
Supreme Court's mandate of liberal construction in favor of
awarding benefits, to take the evidence in the light most
favorable to plaintiff. Id.
The Full Commission is the sole judge of the weight and
credibility of the evidence. Deese, 352 N.C. at 116, 530 S.E.2d
at 553. Furthermore,
the Commission does not have to explain its
findings of fact by attempting to distinguish
which evidence or witnesses it finds credible.
Requiring the Commission to explain its
credibility determinations and allowing the
Court of Appeals to review the Commission's
explanation of those credibility
determinations would be inconsistent with our
legal system's tradition of not requiring the
fact finder to explain why he or she believes
one witness over another or believes one piece
of evidence is more credible than another.
Id. at 116-17, 530 S.E.2d at 553.
Here, defendants have assigned error to the following
paragraphs in the Opinion and Award:
Findings of Fact
***
7. On 12 December 1998, Dr. Szura found
plaintiff to be at maximum medical improvement
and rated plaintiff with a ten percent (10%)
permanent partial disability rating to the
right leg. Dr. Szura placed plaintiff under
permanent restrictions of no kneeling,
stooping, or lifting more than fifty (50)
pounds. Dr. Szura also limited plaintiff to
no significant work on ladders or climbing
stairs more than occasionally.
***
9. In February 1999, Mr. Sawyer prepared a
job description for a Cashier II position,
which Dr. Szura approved. This description
included running the cash register and allowed
plaintiff to sit or stand as needed. The
Cashier II position at Amoco paid $5.15 per
hour and plaintiff would work 28 to 36 hours
per week. The supervisor at Amoco did not
review the job description, which Mr. Sawyer
prepared.
10. Plaintiff accepted and began the job at
Amoco on 12 February 1999. The position had
an alternating schedule that required
plaintiff to work some short shifts of four to
six hours each but also required plaintiff
then to work some long shifts of nine hours
each. Furthermore, this job required
plaintiff to kneel or stoop to stock shelves
and place money in the safe. Additionally,
plaintiff was responsible for mopping and
cleaning bathrooms and lifting as much as 35
pounds. The job description approved by Dr.
Szura did not fully enumerate all of the
duties of the Amoco cashier's position.
Plaintiff received temporary partial
disability benefits as a result of the fact
that his wages at Amoco were less than those
earned while employed with defendant-employer.
11. Plaintiff's right knee pain worsened, and
he developed increased atrophy and tenderness.
Plaintiff related to Dr. Szura by phone that
the nine-hour shifts caused increased pain.
Dr. Szura informed plaintiff he could not do
anything and encouraged plaintiff to discuss
the work hours with Amoco.
12. Plaintiff discussed his difficulties with
Sharon Eason, manager at Amoco, and informed
Ms. Eason that the nine-hour shifts were
causing increased knee pain. Plaintiff
requested four to six hour shifts. Ms. Eason
informed plaintiff that Amoco could no longer
use him at all if he was unable to work the
nine-hour shifts. As a result, Amoco
terminated plaintiff on 27 April 1999.
13. Ms. Eason confirmed during her depositionthat the Amoco position required bending and
stooping. Furthermore, during the nine-hour
shift, approximately six hours on average is
spent standing or walking. The position also
required lifting up to 35 pounds. Ms. Eason
observed plaintiff limping while working and
plaintiff complained to Ms. Eason of knee pain
and swelling. The actual description of the
Cashier II position at Amoco is contrary to
Mr. Sawyer's summary presented to Dr. Szura
that stated no lifting in excess of twenty
pounds, no significant climbing, stooping or
kneeling.
14. Following plaintiff's termination from
Amoco, defendants did not reinstate
plaintiff's benefits. In May 1999, defendants
filed a Form 24 requesting plaintiff's
benefits be terminated and alleging plaintiff
had misrepresented the physician's
restrictions to Amoco.
***
16. In May 1999 Ted Sawyer wrote Dr. Szura
inquiring whether plaintiff could perform the
Cashier II duties, as enumerated through Mr.
Sawyer's description, for eight hours a day.
Dr. Szura replied that plaintiff was able to
perform the job described full-time, eight
hours per day. At the time he approved the
job description, Dr. Szura had not examined
plaintiff since December 1998 and based his
opinion on Mr. Sawyer's inaccurate job
description. Furthermore, plaintiff
experienced difficulty with the nine-hour
shift, which Dr. Szura did not address.
***
21. On 25 August 1999, plaintiff received a
job offer from McDonald's for a dining room
attendant position. The salary for that
position was $5.15 per hour working three to
five days per week, eight hours each day.
Plaintiff's employment was to begin 30 August
1999. Dr. Szura approved the job duties;
however, McDonald's withdrew their offer prior
to plaintiff beginning work. During the
application process, plaintiff expressed to
McDonald's that he would have problems lifting
and carrying.
***
26. At the 25 May 2000 visit with Dr.
Sanitate, plaintiff had full knee extension
and greater than 130 degrees of flexion.
Plaintiff continued to experience mild warmth
appreciated about the peripatellar region.
Dr. Sanitate considered plaintiff at maximum
medical improvement.
***
29. Dr. Flanagan rated plaintiff at maximum
medical improvement with a twenty percent
(20%) permanent partial disability of his
right leg and limited plaintiff to driving no
more than two hours at a time. Dr. Flanagan
recommended vocational rehabilitation for
plaintiff for work within restrictions of
essentially sedentary work.
***
32. Plaintiff's termination from Amoco was
directly related to his inability to work
nine-hour shifts due to his knee pain and
swelling. Plaintiff did not refuse to work at
Amoco and attempted to work out a schedule,
which he could tolerate.
33. The dining room attendant position at
McDonald's required too much standing for
plaintiff to perform within Dr. Flanagan's
restrictions. Additionally, McDonald's
withdrew their offer. There is insufficient
evidence of record to determine plaintiff was
ever offered any further positions, which he
should have taken.
34. Although there is evidence in the record
that plaintiff has reached maximum medical
improvement, the greater weight of the
evidence demonstrates that plaintiff has not
reached maximum medical improvement or the end
of the healing period. Plaintiff is in need
of and would benefit from both chronic pain
treatment and a vocational rehabilitation
program. There is no evidence of record
whether plaintiff was allowed to keep the 5
July 2000 appointment with vocational
rehabilitating in Fayetteville due to
defendant's over-zealousness in attempting tosuspend or terminate plaintiff['s] benefits.
Under the circumstances of this case,
plaintiff would benefit from transferring
vocational rehabilitation services to a
professional other than Ted Sawyer.
Conclusions of Law
***
2. Plaintiff has not unjustifiably refused
suitable employment. N.C. GEN. STAT. § 97-32.
3. As a result of plaintiff's compensable
injury and failed attempt to work at Amoco,
plaintiff is entitled to total disability from
28 April 1999 and continuing until further
Order of the Commission at a weekly
compensation rate of $175.48. Although there
is evidence of record that plaintiff has
reached maximum medical improvement, the
greater weight of the evidence demonstrates
that plaintiff is in need of additional pain
treatment and vocational rehabilitation
assistance. N.C. GEN. STAT. . 97-29.
However, their brief does not bring forward any discussion of any
of these particular findings other than finding 34 and conclusion
3 (argument I), and findings 10, 12, 13, 32 and 33, and conclusion
2 (argument II). Thus, the assignments of error to the remaining
findings and conclusions are deemed abandoned. N.C. R. App. P.
28(b)(6).
Defendants first argue that since all of the physicians who
treated plaintiff opined that he had reached maximum medical
improvement and the Commission made specific findings recognizing
this, the Commission ultimately reached an opposite and factually
unsupported conclusion. Defendants further contend that since
plaintiff has reached maximum medical improvement, the Industrial
Commission's award of continuing temporary total disabilitybenefits must accordingly be reversed.
However, in making its determinations, the Commission is not
required . . . to find facts as to all credible evidence. That
requirement would place an unreasonable burden on the Commission.
Instead the Commission must find those facts which are necessary to
support its conclusions of law. Peagler v. Tyson Foods, Inc., 138
N.C. App. 593, 602, 532 S.E.2d 207, 213 (2000); see N.C. Gen. Stat.
§ 97-86 (2001). Moreover, the Commission must make specific
findings with respect to crucial facts upon which the question of
plaintiff's right to compensation depends. Gaines v. Swain & Son,
Inc., 33 N.C. App. 575, 579, 235 S.E.2d 856, 859 (1977).
Maximum improvement as a purely medical determination occurs
when the employee's physical recovery has reached its peak. See
Carpenter v. Industrial Piping Co., 73 N.C. App. 309, 311, 326
S.E.2d 328, 330 (1985). However, maximum medical improvement is
not the point at which temporary total disability must end, if the
employee has not regained his or her ability to earn pre-injury
wages. See Knight v. Wal-Mart Stores, Inc., 149 N.C. App. 1, 562
S.E.2d 434 (2002), disc. review denied, 355 N.C. 749, 565 S.E.2d
667 (2002); Russos v. Wheaton Indus., 145 N.C. App. 164, 167-68,
551 S.E.2d 456, 459 (2001), disc. review denied, 355 N.C. 214, 560
S.E.2d 135 (2002), reh'g denied, 355 N.C. 494, 564 S.E.2d 44
(2002). Thus, whether the employee has reached the point of
maximum medical improvement is not necessarily a crucial fact upon
which the question of plaintiff's right to compensation depends.
Gaines, 33 N.C. App. at 579, 235 S.E.2d at 859; see also, Knight,149 N.C. App. at 17, 562 S.E.2d at 445 (holding that even if
defendants clearly established that plaintiff had reached [maximum
medical improvement] prior to the hearing, and that, therefore, the
evidence does not support the Commission's finding that plaintiff
had not reached [maximum medical improvement] as of the hearing, we
find such error to be immaterial at this time). Here, as well,
such a finding is immaterial in light of plaintiff's continuing
total loss of wage earning capacity.
In addition, the evidence does support that part of the
Commission's finding Number 34, that plaintiff has not reached
maximum medical improvement or the end of the healing period . . .
[since he] is in need of and would benefit from both chronic pain
treatment and a vocational rehabilitation program. Both pain
treatment and vocational services are considered medical
compensation as defined in N.C. Gen. Stat. § 97-2(19), and are
designed to give relief and . . . to lessen the period of
disability . . . . N.C. Gen. Stat. § 97-2(19) (2001). Therefore,
until he has reached maximum vocational recovery, this plaintiff's
healing period is not yet at an end. Thus, this argument is
without merit.
Defendants next argue that the Commission erred by failing to
find and conclude that plaintiff unjustifiably refused suitable
employment pursuant to N.C. Gen. Stat. § 97-32. Defendants
specifically argue that findings 12 and 32 and conclusion of law 2
were based on the Commission's incorrect assessment of plaintiff's
credibility. To the extent that defendant seeks to have this Courtrevisit the Commission's credibility determinations, we may not do
so. See Deese, 352 N.C. at 116, 530 S.E.2d at 553. We conclude
that the evidence supports the Commission's findings and
conclusions that plaintiff's temporary and ultimately unsuccessful
trial return to work with Amoco is insufficient to establish that
plaintiff refused suitable employment and do not establish that
plaintiff had regained wage earning capacity.
Dr. Szura testified that he approved the job as within
plaintiff's restrictions based upon the written description
provided by Mr. Sawyer. Sharon Eason, plaintiff's supervisor at
Amoco, testified that this was not an accurate description of the
plaintiff's job duties, which required bending, stooping, and
lifting that exceeded the limitations imposed by Dr. Szura.
Though plaintiff attempted to work the job, he indicated that
the pain became too great to continue if he had to work for more
than six hours at a time. Plaintiff related this to Ms. Eason, who
informed him that she could not accommodate his requests, and
subsequently terminated him.
Defendants also contend that plaintiff refused suitable
employment at McDonalds. The evidence shows that plaintiff was
offered a job, that he accepted the job, and that when he reported
to work he was informed that the job was no longer available.
Thus, we believe that the Commission appropriately found and
concluded that there was no unjustifiable refusal on the part of
plaintiff to accept suitable employment.
Affirmed. Judges TIMMONS-GOODSON and CAMPBELL concur.
(Judge Campbell concurred prior to 1/1/03).
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