TREVOR POWELL,
Employee,
Plaintiff,
v.
AM LEASE/SCUILLIO North Carolina
INTERIOR SYSTEMS, Industrial Commission
Employer, I.C. File No. 567516
and
NORTH CAROLINA INSURANCE
GUARANTY FUND (formerly
Reliance Insurance Companies,
Carrier, Administered by
Dennis & Associates)
Carrier,
Defendants.
Law Offices of Matthew B. Slotkin, by Matthew B. Slotkin, for
plaintiff-appellee.
Orbock Bowden Ruark & Dillard, P.C., by Roger L. Dillard, Jr.,
for defendant-appellants.
HUDSON, Judge.
The plaintiff, Trevor Powell, was employed by defendant-
employer Am Lease/Scuillio Interior Systems as a drywall
technician. On 28 August 1995, plaintiff fell from a platform and
sustained injuries to his wrist, head and back. On 1 February
1996, defendant-employer filed a Form 60 acknowledging thatplaintiff had suffered a compensable injury to his wrist and that
it was agreeing to pay him compensation of $293.35 per week for his
time out of work. Plaintiff returned to work on 28 September 1995,
at his pre-injury wage. Plaintiff has not been paid temporary
total disability compensation for any period since 27 September
1995. Plaintiff was laid off by defendant-employer in November
1995 due to a lack of available work, and he last worked in any
capacity in February 1999.
The Commission made extensive findings regarding the
plaintiff's course of treatment, which are summarized below.
Beginning in September 1995, plaintiff saw Dr. Stephen N. Lang
repeatedly for treatment of his injuries. Plaintiff saw Dr. Lang
for follow-up treatment on his wrist, and plaintiff also complained
of persistent headaches and loss of recall since his accident. Dr.
Lang referred him for a neurological consultation. Dr. Lang
released plaintiff from care for his wrist on 9 January 1996, and
gave him a five percent permanent partial impairment rating to his
hand.
On 31 January 1996, plaintiff saw Dr. Michael H. Bowman for a
neurological evaluation. Plaintiff continued to complain of mild
headaches and memory loss, as well as some blurry vision when he
woke in the morning. Dr. Bowman determined that plaintiff probably
suffered a concussion when he fell and that he had post-concussive
syndrome, which was resolving with time. Plaintiff returned to see
Dr. Bowman on 1 July 1996, complaining of headaches and memory
loss, as well as dizziness and difficulty concentrating. Dr.Bowman opined that plaintiff was depressed and that he had a good
deal of affective disorder, possibly from extended post-concussive
syndrome, and recommended that plaintiff undergo neuropsychological
testing. Plaintiff saw Dr. Bowman again on 24 February 1997, at
which time he continued to complain of headaches, lightheadedness,
and problems with concentration but had not gone for
neuropsychological testing as requested by Dr. Bowman.
On 28 August 1997, plaintiff underwent neuropsychological
testing with Dr. John F. Warren, III. Dr. Warren found deficits in
plaintiff's attention and executive functioning and concluded that
the deficits were due to damage to plaintiff's frontal lobes. In
Dr. Warren's opinion, the damage was likely sustained in the 28
August 1995 fall. Dr. Warren also found that plaintiff suffered
from depression. Accordingly, Dr. Warren suggested that plaintiff
be referred for a medical examination to determine whether he would
be an appropriate candidate for anti-depressant medication and
recommended that plaintiff join a head injury support group.
Plaintiff was subsequently examined by Dr. Margaret J.
Dorfman, a neuropsychologist. Dr. Dorfman determined that
plaintiff suffered a cognitive disorder plus head trauma related to
the injury by accident on 28 August 1995. Dr. Dorfman testified
that the results of the head injury were permanent.
On 2 February 2000, defendants sent plaintiff to Dr. Cynthia
J. D'Amico, a psychologist, for a one-time evaluation. Dr. D'Amico
concluded that plaintiff suffered from postconcussive disorder but
that although [plaintiff's] deficits in attention/concentrationand cognitive flexibility can certainly be associated with a
Postconcussional Disorder, his deficits can also be a function of
or exacerbated by other factors. Dr. D'Amico determined that
plaintiff had reached maximum medical improvement from the head
injury but also found that it was improbable that the head injury
was the cause of his psychosis. Dr. D'Amico stated that she
believed that plaintiff suffered from severe mental illness prior
to his injury by accident.
Plaintiff last worked in February 1999. On 25 May 1999, he
filed a Form 33 request that his claim be assigned for hearing with
the Industrial Commission. On 23 February 2001, Deputy
Commissioner W. Bain Jones, Jr. entered an opinion and award
concluding that plaintiff was entitled to compensation for the five
percent permanent partial impairment rating to his hand. However,
the deputy commissioner also found that plaintiff's mental illness
was not causally related to the injury by accident suffered on 28
August 1995. Accordingly, he denied plaintiff's claim for wage-
loss benefits and medical treatment. On 23 February 2002, the Full
Commission entered an opinion and award reversing the deputy
commissioner's decision and awarding plaintiff temporary total
disability compensation and further medical treatment for his
neurological conditions, including delusional disorder and
depression. Defendants appeal.
Defendants argue that the medical and other evidence of record
show that plaintiff's psychiatric problems were a pre-existing
condition and were not aggravated by his injury by accident. Defendants further argue that plaintiff voluntarily left his last
job and that he admitted that he is not working full-time because
he got tired of trying to find employment. Thus, defendants
contend that the Commission erred in determining that plaintiff's
delusional disorder and depression were causally related to his
injury by accident. Accordingly, defendants argue that the
Commission's opinion and award should be reversed and plaintiff's
request for temporary total disability payments denied.
After careful review of the record, briefs, and contentions of
the parties, we affirm. The findings of fact made by the
Industrial Commission are conclusive on appeal if supported by any
competent evidence. Watkins v. City of Asheville, 99 N.C. App.
302, 303-04, 392 S.E.2d 754, 756, disc. review denied, 327 N.C.
488, 397 S.E.2d 238 (1990). The Court's review is limited to
determining whether there was competent evidence before the
Commission to support its findings and . . . whether such findings
support its legal conclusions." McLean v. Roadway Express, Inc.,
307 N.C. 99, 102, 296 S.E.2d 456, 458 (1982); see also Adams v. AVX
Corp., 349 N.C. 676, 680, 509 S.E.2d 411, 414 (1998) (reviewing
court is to view evidence so as to give the plaintiff the benefit
of every reasonable inference.), disc. review denied, 350 N.C.
108, 532 S.E.2d 522 (1999).
Here, the Industrial Commission found that as a result of
plaintiff's compensable injury by accident, plaintiff suffered from
neurological problems, including delusional disorder and
depression, and concluded that plaintiff was entitled to ongoingtemporary total disability compensation and further medical
treatment. The Commission based its findings and conclusions in
part on Dr. Dorfman's testimony that plaintiff suffered from
cognitive impairment plus head trauma; that the disorder resulted
from plaintiff's fall at work; that plaintiff is not able to
function in the way he did previously; and that plaintiff's
inability to function led to his depression. Although Dr. D'Amico
attributed plaintiff's psychosis to his living situation and
generalized delusional thinking rather than his head injury, the
Commission gave more weight to Dr. Dorfman's opinions. The
Commission noted that Dr. Dorfman had treated plaintiff over a
period of three years, whereas Dr. D'Amico's opinion was formulated
after a one-time, half-day medical examination. This Court has
stated that the Industrial Commission:
is the sole judge of the credibility of the
witnesses and the weight to be given their
testimony. Thus, the Commission may assign
more weight and credibility to certain
testimony than other. Moreover, if the
evidence before the Commission is capable of
supporting two contrary findings, the
determination of the Commission is conclusive
on appeal.
Dolbow v. Holland Industrial, 64 N.C. App. 695, 697, 308 S.E.2d
335, 336 (1983) (internal citation and quotation marks omitted),
disc. review denied, 310 N.C. 308, 312 S.E.2d 651 (1984).
Accordingly, the opinion and award of the Industrial Commission is
affirmed.
Affirmed.
Chief Judge EAGLES and Judge MCCULLOUGH concur. Report per Rule 30(e).
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