An unpublished opinion of the North Carolina Court of Appeals does not constitute controlling legal authority. Citation is disfavored, but may be permitted in accordance with the provisions of Rule 30(e)(3) of the North Carolina Rules of Appellate Proced
ure.
NO. COA02-1021
NORTH CAROLINA COURT OF APPEALS
Filed: 19 August 2003
FRED VINCENT BENNETT, JR.,
Employee,
Plaintiff,
North Carolina
v
.
Industrial Commission
No. 861644
PROGRESSIVE FURNITURE COMPANY,
Employer,
and
TRAVELERS INSURANCE COMPANIES,
Carrier,
Defendants.
Appeal by defendants from Opinion and Award entered 22 April
2002 by the North Carolina Industrial Commission. Heard in the
Court of Appeals 16 April 2003.
Randy D. Duncan for plaintiff-appellee.
Hedrick, Eatman, Gardner & Kincheloe, LLP, by Sharon E. Dent,
for defendants-appellants.
GEER, Judge.
In this appeal from an opinion and award of the North Carolina
Industrial Commission, defendants object to the manner in which the
Commission weighed the evidence and to the Commission's decision to
authorize medical treatment by physicians not selected by
defendants. Since this Court may not re-weigh evidence and since
the Commission's findings of fact are supported by competent
evidence, we affirm.
Facts
Plaintiff, Fred Bennett, began working as a truck driver fordefendant Progressive Furniture Company ("Progressive") in
approximately 1990. His duties required that he drive a furniture
delivery truck and lift dressers, chests of drawers, and
entertainment centers weighing as much as 100 pounds.
On 2 April 1998, Mr. Bennett's truck was "rear-ended" by
another truck, causing his truck to collide with the rear of a
camper. During the collision, Mr. Bennett's head struck and broke
the rear window of his truck. Defendants filed a Form 60
acknowledging the compensability of the accident.
Mr. Bennett sought medical treatment on the same day of the
accident at the emergency room of Catawba Memorial Hospital where
he was diagnosed with a head contusion and abrasion. Mr. Bennett
was later treated by Dr. John dePerczel, an orthopedist, who
diagnosed plaintiff as suffering contusions; neck, shoulder, and
back strain; and right sciatica. Dr. dePerczel authorized Mr.
Bennett to return to work on 27 April 1998. Dr. dePerczel believed
that Mr. Bennett had reached maximum medical improvement by 18
August 1998 and that he retained no permanent impairment.
On 5 April 1999, defendants referred Mr. Bennett to Dr. Alfred
Rhyne, a board certified orthopedist, for a second opinion
evaluation. Dr. Rhyne recommended a functional capacity evaluation
("FCE"). After an initial FCE indicated that Mr. Bennett had not
cooperated and had failed to complete the test, Dr. Rhyne counseled
him on the importance of the FCE. After a second FCE, Dr. Rhyne
found Mr. Bennett capable of performing medium level work, with
permanent work restrictions of occasionally lifting seventy-fivepounds, frequently lifting thirty-five pounds, and constantly
lifting fifteen pounds. On 9 August 1999, Dr. Rhyne found that Mr.
Bennett had reached maximum medical improvement and retained a two
percent permanent partial impairment to his lumbar spine as a
result of the compensable injury.
Progressive did not have a truck driver job available that
fell within the work restrictions set by Dr. Rhyne. On 24 August
1999, Progressive offered Mr. Bennett a shipping job, requiring him
to lift between forty and seventy-five pounds and to bend and stoop
frequently. Although Mr. Bennett was able to perform some of his
duties, the bending and stooping caused back pain and forced him to
take pain medication on the job. Mr. Bennett's supervisor told him
that he could "stand around" if he needed to because of the pain.
In August and September 1999, Mr. Bennett and his wife made
nine or ten calls to Dr. Rhyne's office in unsuccessful attempts to
schedule an appointment or obtain prescription refills. Because
Dr. Rhyne believed he was only a second-opinion physician and had
not been advised by the carrier that he was Mr. Bennett's treating
physician, Dr. Rhyne's staff notified the Bennetts that defendants
had not authorized a follow-up appointment.
Plaintiff's counsel wrote the carrier on several occasions
reporting Mr. Bennett's inability to obtain treatment. On 20
September 1999, the carrier allowed Mr. Bennett to return to Dr.
Rhyne.
Prior to obtaining an appointment with Dr. Rhyne, Mr. Bennett
had scheduled an appointment with Dr. Peter Miller, a neurosurgeon. After ordering a lumbar discogram and epidural injections, Dr.
Miller concluded that the accident either caused or accelerated Mr.
Bennett's back pain. Dr. Miller provided Mr. Bennett with out-of-
work notes for the period from 21 October 1999 until 15 December
1999 because he believed Mr. Bennett was physically unable to
perform the frequent bending and heavy lifting required by his job.
On 25 October 1999, Progressive notified Mr. Bennett that
defendants would not authorize treatment by any doctor other than
Dr. Rhyne. Because Progressive refused to honor Dr. Miller's out-
of-work notes, the company fired Mr. Bennett on 15 November 1999
for being out of work without authorization.
Dr. Miller referred Mr. Bennett to Dr. Thomas Herfurth, an
anesthesiologist, for pain management. Dr. Herfurth treated Mr.
Bennett from 15 December 1999 through 17 August 2000 for hip and
back pain. Dr. Herfurth restricted Mr. Bennett to lifting no more
than twenty pounds and concluded that Mr. Bennett would benefit
from continued pain management treatment.
Following the termination of his employment, Mr. Bennett
sought work through a temporary service agency and by contacting
North Carolina Vocational Rehabilitation. He has, however, been
unsuccessful in finding employment.
Mr. Bennett's claim was initially heard by Deputy Commissioner
Lorrie L. Dollar who awarded plaintiff temporary total disability
compensation for a period commencing 21 October 1999 and continuing
until further order of the Commission. She also granted
plaintiff's request that Drs. Peter Miller and Thomas Herfurth beapproved as plaintiff's treating physicians and ordered defendants
to pay for vocational rehabilitative services. Defendants appealed
to the Full Commission. In an opinion and award filed on 22 April
2002, the Full Commission adopted the deputy commissioner's
findings of fact with some modifications and awarded ongoing total
disability "until further Order of the Commission," authorized
plaintiff to have Drs. Miller and Herfurth as his treating
physicians, ordered payment of past and future medical expenses,
and ordered defendants to provide vocational rehabilitative
services. Defendants appealed to this Court.
Standard of Review
In reviewing a decision by the Commission, this Court's role
"is limited to determining whether there is any competent evidence
to support the findings of fact, and whether the findings of fact
justify the conclusions of law." Cross v. Blue Cross/Blue Shield,
104 N.C. App. 284, 285-86, 409 S.E.2d 103, 104 (1991). The
Commission's findings of fact are conclusive upon appeal if
supported by competent evidence, even if there is evidence to
support a contrary finding. Morrison v. Burlington Industries, 304
N.C. 1, 6, 282 S.E.2d 458, 463 (1981). Findings of fact may be set
aside on appeal only "when there is a complete lack of competent
evidence to support them." Young v. Hickory Bus. Furniture, 353
N.C. 227, 230, 538 S.E.2d 912, 914 (2000).
I
Defendants first argue that the Commission erred in finding
that plaintiff met his initial burden of showing that he isdisabled. An employee may meet this burden by showing: (1)
medical evidence that he is physically or mentally, as a result of
the work-related injury, incapable of work in any employment; (2)
evidence that he is capable of some work, but after a reasonable
effort, has been unsuccessful in his efforts to obtain employment;
(3) evidence that he is capable of some work, but that it would be
futile because of preexisting conditions, such as age,
inexperience, or lack of education, to seek employment; or (4)
evidence that he has obtained other employment at wages less than
his pre-injury wages. Russell v. Lowes Prod. Distribution, 108
N.C. App. 762, 765, 425 S.E.2d 454, 457 (1993).
The Commission's conclusion that Mr. Bennett met this initial
burden is supported by competent evidence. The record contains
evidence that Mr. Bennett was unable to return to his truck-driving
job; that Mr. Bennett was unable to perform the shipping job due to
pain; that Dr. Miller removed him from the shipping job; and,
according to Drs. Miller and Herfurth, that the shipping job
exceeded his physical restrictions. In addition, the Commission
found that, following Progressive's termination of Mr. Bennett's
employment, "[d]espite plaintiff's reasonable efforts, he has been
unsuccessful finding employment." This finding was supported by
testimony from Mr. Bennett and from Henry Steele of North Carolina
Vocational Rehabilitation. The evidence offered by plaintiff shows
that he may be capable of some work, but he has been unsuccessful
in obtaining employment despite reasonable efforts.
In support of their contention that plaintiff did not meet hisburden, defendants argue that "[t]he Full Commission erred in
giving greater weight to the opinions of Drs. Miller and Herfurth
than to Dr. Rhyne and the FCE results." Defendants mistake the
role of the appellate court. On appeal, this Court may not re-
weigh the evidence or assess credibility. Adams v. AVX Corp., 349
N.C. 676, 681, 509 S.E.2d 411, 414 (1998). We hold, therefore,
that the Commission's conclusion that Mr. Bennett met his initial
burden is supported by competent evidence.
Defendants acknowledge that once the Commission finds that a
plaintiff has met the initial burden of proving disability, then
the burden shifts to defendants to produce evidence that suitable
jobs are available for the employee and that the employee is
capable of obtaining a suitable job, taking into account both
physical and vocational limitations. Demery v. Perdue Farms, Inc.,
143 N.C. App. 259, 265, 545 S.E.2d 485, 490, aff'd per curiam, 354
N.C. 355, 554 S.E.2d 337 (2001). Defendants point to Progressive's
shipping job and contend that the Commission erred in concluding
that they failed to meet their burden.
Again, the record contains competent evidence to support the
Commission's determination that the shipping job did not meet
defendants' burden, including the testimony of Drs. Miller and
Herfurth and Mr. Bennett and his wife (who had also performed the
job). In addition, Dr. Rhyne testified that if the shipping job
required frequent lifting in the forty to seventy-five pound range
_ as Mr. Bennett and his wife claimed _ then that job exceeded the
restrictions that he set for Mr. Bennett. Under the standard of review applicable in workers'
compensation cases, we affirm the Commission's determination that
Mr. Bennett is entitled to total disability compensation beginning
21 October 1999 and continuing until further order of the
Commission.
II
Defendants also argue that the Full Commission erred in
authorizing plaintiff to have Drs. Miller and Herfurth as his
treating physicians and requiring defendants to pay "for all
treatment provided by the physicians or ordered by these physicians
which are causally related." We disagree.
We review the Commission's approval or non-approval of an
employee's request for a change of physician under an abuse of
discretion standard.
Kanipe v. Lane Upholstery, 141 N.C. App. 620,
626, 540 S.E.2d 785, 789 (2000). Defendants have failed to
establish that the Commission abused its discretion in authorizing
Drs. Miller and Herfurth to assume Mr. Bennett's care.
Defendants contend first that the evidence does not support
any finding that plaintiff sought care from Drs. Miller and
Herfurth only after being unable to obtain additional treatment
from the carrier's selected physician. Although defendants
implicitly acknowledge that the testimony of plaintiff and his wife
supports the Commission's decision, they complain that the
testimony was "self-serving" and inconsistent with other evidence.
That contention addresses only the credibility and weight of the
evidence, an argument for the Commission and not this Court. Moreover, an employee is not required to show that the
employer or carrier has failed to provide medical care before
seeking treatment by another physician. N.C. Gen. Stat. § 97-25
(2001) provides: "[I]f he so desires, an injured employee may
select a physician of his own choosing to attend, prescribe and
assume the care and charge of his case, subject to the approval of
the Industrial Commission." Under this provision, an injured
employee may, even if defendant is providing medical care, choose
his own physician so long as he obtains the approval of the
Commission "within a reasonable time after he has selected a
physician of his own choosing to assume treatment."
Schofield v.
Great Atl. & Pac. Tea Co., 299 N.C. 582, 593, 264 S.E.2d 56, 63
(1980).
There is no contention in this case that plaintiff failed
to act within a reasonable time.
Alternatively, defendant argues that the Commission could not
order payment of additional medical expenses because plaintiff had
reached maximum medical improvement. Defendants appear to be
suggesting that they cannot be liable for medical expenses unless
the medical treatment is necessary to lessen the employee's
disability or to provide a cure. The law has long been otherwise.
Under N.C. Gen. Stat. § 97-25, "[m]edical compensation shall
be provided by the employer." "Medical compensation" is defined to
include treatment "as may reasonably be required to effect a cure
or give relief . . . ." N.C. Gen. Stat. § 97-2(19) (2001)
(emphasis added).
In
Little v. Penn Ventilator Co., 317 N.C. 206, 211-12, 345S.E.2d 204, 208 (1986), the Supreme Court, construing this
language, expressly rejected an attempt to limit the scope of
compensable medical treatment. The Court noted that the
legislature has provided alternate grounds for awarding expenses
for future medical treatments: "Awards for such treatments are
appropriate, therefore, even if those treatments will not lessen
the period of disability as long as they are required to 'effect a
cure'
or 'give relief.'"
Id. at 213, 345 S.E.2d at 209 (emphasis
added).
The Commission in this case found that "[p]laintiff would
benefit from continued pain management treatment" and that finding
is supported by Dr. Herfurth's testimony. This Court has already
held that "relief from pain is a legitimate aspect of the 'relief'
anticipated by future medical treatment under N.C. Gen. Stat. § 97-
25 . . . ."
Simon v. Triangle Materials, Inc., 106 N.C. App. 39,
44, 415 S.E.2d 105, 108,
disc. review denied, 332 N.C. 347, 421
S.E.2d 154 (1992). The Commission was, therefore, entitled to
order payment for future medical treatment necessary to address Mr.
Bennett's pain.
Defendant also objects to the statement in the Commission's
award that plaintiff has not "reached maximum medical improvement."
We need not address this issue since whether plaintiff has reached
maximum medical improvement ("MMI") was immaterial to the issues
before the Commission. The Supreme Court recently adopted the
majority opinion in
Knight v. Wal-Mart Stores, Inc., 149 N.C. App.
1, 13-14, 562 S.E.2d 434, 443 (2002) (emphasis original),
aff'd percuriam, 357 N.C. 44, 577 S.E.2d 620 (2003), which explained the
role that MMI plays in a workers' compensation case:
We have concluded that the primary
significance of the concept of MMI is to
delineate a crucial point in time
only within
the context of a claim for scheduled benefits
under N.C. Gen. Stat. § 97-31, and that the
concept of MMI does not have any direct
bearing upon an employee's right to continue
to receive temporary disability benefits once
the employee has established a loss of
wage-earning capacity pursuant to N.C. Gen.
Stat. § 97-29 or § 97-30.
Since the only issues before the Commission were Mr. Bennett's
entitlement to ongoing disability benefits under N.C. Gen. Stat. §
97-29 and future medical expenses, whether or not Mr. Bennett has
reached MMI is irrelevant at this stage in the proceedings. We
note that the Commission expressly stated that either party may
request a hearing to address plaintiff's permanent functional
impairment, an issue to which MMI is relevant.
AFFIRMED.
Judges TIMMONS-GOODSON and BRYANT concur.
Report per Rule 30(e).
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