GEORGE T. CROWDER,
Employee, Plaintiff,
v
.
North Carolina Industrial
Commission
I.C. No. 986270
PRESTON TRUCKING COMPANY,
Employer, SELF-INSURED
(N.C. SELF-INSURANCE GUARANTY
ASSOCIATION, Servicing Agent),
Defendant.
Bollinger & Piemonte, PC, by Bobby L. Bollinger, Jr., for the
plaintiff-appellee.
Stuart Law Firm, PLLC, by Charles C. Kyles, for the defendant-
appellant.
EAGLES, Chief Judge.
The North Carolina Self-Insurance Guaranty Association
(defendant) appeals from an Industrial Commission opinion and
award in a workers' compensation matter. Defendant succeeded
Preston Trucking Company (Preston) in this action because Preston
became insolvent. Defendant argues four issues on appeal: (1)
that the Commission was barred from hearing the matter due to lack
of notice as required by N.C. Gen. Stat. § 97-22; (2) that the
Commission failed to consider competent evidence in the record; (3)that the Commission's findings are not supported by competent
evidence in the form of medical evidence; and (4) that the
Commission erroneously calculated the amount of the award.
The evidence tends to show the following. In May 1999,
plaintiff was employed by Preston as a truck driver. On 19 May
1999, while driving Preston's truck from Ohio to Charlotte, North
Carolina, plaintiff ran over a bump in the highway somewhere in
West Virginia, causing his air-ride truck seat to bottom out.
Plaintiff testified that he immediately felt pain in his lower back
and pulled off to the side of the road to walk around. Plaintiff
drove on to Charlotte, North Carolina, where he personally unhooked
the tandem trailers he was pulling. After arriving in North
Carolina, plaintiff pushed the dolly of the tandem trailer and felt
an additional aggravation of his back pain.
On 20 May 1999, the day after the accident, plaintiff
continued to experience pain in his back. Plaintiff, who usually
worked third shift, felt unable to work that evening and called
Preston's central dispatch office in Maryland and reported his back
injury. Plaintiff testified that before returning to work he
called the central dispatch office and was referred to Ms. Jean
Farmer, the company nurse, in order to be cleared to return to
work. Plaintiff testified that Ms. Farmer cleared him to return to
work that night. Plaintiff returned to work on 24 May 1999.
Plaintiff continued to work for Preston until approximately 24
July 1999, when the company laid him off in anticipation of their
filing for bankruptcy. Plaintiff then found a new job driving forYellow Freight. Plaintiff began driving for Yellow Freight on 2
August 1999 but had to stop on 30 September 1999 because of the
pain in his back.
Plaintiff had complained of back pain to his family physician
on 11 February 1999, three months before his injury on 19 May 1999.
Plaintiff reported to the doctor that he mainly experienced the
pain while doing activities that required him to stand.
Plaintiff's back pain did not radiate down his legs. The doctor
ordered an x-ray in February 1999 which showed possible
degenerative disc disease at multiple levels in the lower lumbar
spine.
Plaintiff sought further medical care in October 1999 and was
eventually referred to Dr. Elmer Pinzon, a physician with a
specialty in physical medicine rehabilitation at Charlotte
Orthopedic Specialists. Plaintiff first saw Dr. Pinzon on 7
January 2000. Plaintiff complained then of back pain that radiated
into his lower extremities. Dr. Pinzon ordered several tests,
including a magnetic resonance imaging (M.R.I.) exam, and an
electromyography (E.M.G.) nerve conduction study. Dr. Pinzon found
evidence of degenerative disc disease with signs of lumbar
radiculopathy. Plaintiff was not a candidate for surgery at that
time.
The Deputy Commissioner, after hearing all the evidence,
found that plaintiff sustained an injury by accident to his back
arising out the course of his employment with Preston and as a
direct result of a specific traumatic incident of the work assignedon 19 May 1999 which aggravated or exacerbated the plaintiff's pre-
existing back condition. Defendant appealed to the full Commission
which affirmed the Deputy's findings and awarded benefits. From
the full Commission's opinion and award, defendant appeals.
Defendant contends that the Commission erred in finding a
reasonable excuse for plaintiff's failure to give written notice of
the accident within 30 days of its occurrence. Defendant also
contends that the Commission erred in finding that there was no
prejudice to the defendant due to the lack of written notice. We
disagree.
N.C. Gen. Stat. § 97-22 provides that an injured employee must
give written notice to his employer immediately on the occurrence
of an accident, or as soon thereafter as practicable . . .; but no
compensation shall be payable unless such written notice is given
within 30 days after the occurrence of the accident . . . .
N.C.G.S. § 97-22 (2001) (emphasis added). Here, plaintiff never
gave his employer written notice. However, an employee is excused
from this 30-day notice requirement if the employee has a
reasonable excuse . . . for not giving such notice and . . . the
employer has not been prejudiced thereby. N.C.G.S. § 97-22.
A reasonable excuse has been defined by
this Court to include a belief that one's
employer is already cognizant of the accident
. . . or [w]here the employee does not
reasonably know of the nature, seriousness, or
probable compensable character of his injury
and delays notification only until he
reasonably knows . . . . The burden is on
the employee to show a reasonable excuse.
Jones v. Lowe's Companies, 103 N.C. App. 73, 75, 404 S.E.2d 165,
166 (1991)(citation omitted).
Plaintiff testified that he called Preston's central dispatch
office in Maryland and spoke about his injury with the dispatcher
on duty and with Ms. Jean Farmer, the company nurse. Defendant
disputes this and argues that plaintiff gave no notice of the
injury. The Commission, however, rejected defendant's evidence on
this point and found as a fact that plaintiff had actually notified
his employer of his injury. In that there is competent evidence
from plaintiff's testimony that he notified Preston of his injury,
we are bound by that finding. Jones at 75, 404 S.E.2d at 166.
Accordingly, the Commission did not err when it excused the
requirement for written notice on the grounds that plaintiff's
employer had already been informed of the accident.
N.C. Gen. Stat. § 97-22 would also bar an employee's claim if
the Commission found that the employer was prejudiced by the lack
of written notice, even where the employee has shown reasonable
excuse. Defendant bears the burden of showing prejudice. Id. at
76, 404 S.E.2d at 167. In order to find prejudice to the employer,
the court must evaluate the evidence of prejudice in relation to
the purpose of the notice requirement:
The purpose is dual: First, to enable the
employer to provide immediate medical
diagnosis and treatment with a view to
minimizing the seriousness of the injury; and
second, to facilitate the earliest possible
investigation of the facts surrounding the
injury.
Id. at 76-77, 404 S.E.2d at 167. The evidence tends to show that immediate medical diagnosis
and treatment would not have minimized the injury to plaintiff's
back, that the exact location of the accident was unknown and that
the truck that plaintiff was driving, though sold as part of the
bankruptcy proceeding, could have been located for examination
through the use of the vehicle identification number. The
Commission found as a fact that the defendant was not prejudiced by
the lack of notice. Since there was competent evidence in the
record to support it, we are bound by this finding. Because we
find no error in the Commission's determination of actual notice
and no prejudice, we reject defendant's assignment of error.
Defendant's second argument is that the Commission failed to
consider all of the competent evidence present in the record. The
Commission is charged with the statutory duty to consider and weigh
all of the competent evidence in the record and to make definitive
findings of fact before rendering its decision. Harrell v. Stevens
& Co., 45 N.C. App. 197, 205, 262 S.E.2d 830, 835 (1980), cert.
denied, 300 N.C. 196, 269 S.E.2d 623 (1980). The Commission is
required to indicate in its findings that it has considered or
weighed all testimony with respect to the critical issues, but is
not required to make exhaustive findings as to each statement made
by any given witness or make findings rejecting specific evidence.
Bryant v. Weyerhaeuser Co., 130 N.C. App. 135, 139, 502 S.E.2d 58,
62 (1998), disc. rev. denied, 349 N.C. 228, 515 S.E.2d 700 (1998).
Defendant contends that the Commission failed to consider the
evidence its witnesses presented to the Commission. Defendantpresented Preston's former vice-president, one of Preston's
dispatchers, the terminal manager in Charlotte and the company
nurse as witnesses and other evidence regarding the lack of records
concerning plaintiff's injury. The Commission in its opinion and
award found as fact that it had reviewed the entire record and
specifically referred to the defendant's witnesses.
This Court has found that the Commission need only make
findings sufficient to permit this Court to reasonably infer that
the Commission considered all relevant testimony. Pittman v.
International Paper Co., 132 N.C. App. 151, 510 S.E.2d 705 (1999),
disc. rev. denied, 350 N.C. 310, 534 S.E.2d 596, aff'd, 351 N.C.
42, 519 S.E.2d 524 (1999). We have also held that where the
Commission's findings explicitly referred to evidence offered by
specific witnesses, this Court could conclude that the Commission
had properly considered the evidence presented by those witnesses,
even though the Industrial Commission's opinion and award did not
recount and disclaim the evidence given by those parties. Smith v.
Beasley Enters., Inc., 148 N.C. App. 559, 562, 577 S.E.2d 902, 904
(2002).
The opinion and award here includes a specific finding that
the testimony and evidence of the defendant was duly considered by
the Commission. This finding is sufficient for this Court to infer
that the Commission properly considered all testimony with respect
to the critical issues. Defendant's assignment of error fails.
Defendant's third argument concerns the competency of the
testimony regarding plaintiff's injury. Defendant argues that theplaintiff's injury is not compensable under the statute because the
plaintiff's proof of causation is based on incompetent medical
testimony.
A compensable back injury is defined by statute in N.C. Gen.
Stat. § 97-2(6). The statute has been construed by this Court to
include two ways of showing a compensable back injury: either
injury by accident or injury from a specific traumatic incident.
Richards v. Town of Valdese, 92 N.C. App. 222, 224, 374 S.E.2d 116,
118 (1988), disc. rev. denied, 324 N.C. 337, 378 S.E.2d 799 (1989).
When a pre-existing, nondisabling, non-job-related condition is
aggravated or accelerated by an accidental injury arising out of
and in the course of employment or by an occupational disease so
that disability results, then the employer must compensate the
employee for the entire resulting disability even though it would
not have disabled a normal person to that extent. Morrison v.
Burlington Industries, 304 N.C. 1, 18, 282 S.E.2d 458, 470 (1981).
Here, despite plaintiff's pre-existing diagnosis of degenerative
disc disease, it is possible for the plaintiff to have sustained a
compensable injury where his pre-existing condition was exacerbated
by an accident or specific traumatic incident.
Defendant challenges the finding of compensable injury by
asserting that the evidence that supports the finding of injury is
incompetent medical evidence. Specifically, defendant argues that
Dr. Pinzon's testimony as to causation is merely speculative. Dr.
Pinzon began seeing plaintiff in January 2000. Dr. Pinzon utilized
several objective tests, including x-rays, M.R.I.s and an E.M.G.nerve conduction study. Based on the objective tests and the
plaintiff's description of his history, Dr. Pinzon testified that
the bottoming out of the truck seat had exacerbated plaintiff's
back condition.
The issue of medical causation is particularly complicated and
the North Carolina Supreme Court has found that in such cases only
an expert can give competent opinion evidence as to the cause of
the injury. Holley v. ACTS, Inc., 357 N.C. 228, 232, 581 S.E.2d
750, 753 (2003) (quoting Click v. Freight Carriers, 300 N.C. 164,
167, 265 S.E.2d 389, 391 (1980)). However, when such expert
opinion testimony is based merely upon speculation and conjecture,
. . . it is not sufficiently reliable to qualify as competent
evidence on issues of medical causation. Id. (quoting Young v.
Hickory Bus. Furn., 353 N.C. 227, 230, 538 S.E.2d 912, 915 (2000)).
Testimony must be sufficient to take the case outside the realm of
possibilities. Id. at 232-33, 581 S.E.2d at 753. Could and
might evidence is not sufficient. Id. The opinion of a
physician is not rendered incompetent merely because it is based
wholly or in part on statements made to him by the patient in the
course of treatment or examination. Penland v. Bird Coal Co., 246
N.C. 26, 31, 97 S.E.2d 432, 436 (1957).
In Holley the court found that the doctor's opinion was not
competent to support a finding of causation. Holley at 233, 581
S.E.2d at 753. The doctor there testified that several factors
besides the plaintiff's accident could have caused the plaintiff's
injury. Id. Specifically, the doctor in Holley thought it was alow possibility that the accident caused the injury and that the
accident was just one in a galaxy of possibilities. Id.
Here, Dr. Pinzon testified that based on the plaintiff's
medical history and objective diagnostic tests he conducted, it was
his medical opinion that the bottoming out of the truck seat
exacerbated the plaintiff's pre-existing back condition. The
doctor related that the pain plaintiff described in February 1999
was different from the pain described in January 2000. In February
1999 the plaintiff's pain did not extend below the plaintiff's
buttocks, but in January, the plaintiff was complaining of pain
down in his legs as well. The doctor found to a reasonable degree
of medical certainty that this difference, in conjunction with the
objective diagnostic tests he performed, supported his conclusion
that the accident had exacerbated the plaintiff's condition.
Because there was competent evidence in the record to support the
Commission's findings, we are bound by the Commission's finding of
compensable injury. Accordingly, this assignment of error fails.
Defendant's fourth argument is that the Commission erred in
calculating the amount of plaintiff's award. Defendant contends
that the award should be reduced by the amount of unemployment
benefits that plaintiff received while eligible for workers'
compensation.
N.C. Gen. Stat. § 97-42.1 provides [i]f an injured employee
has received unemployment benefits under the Employment Security
Law for any week with respect to which he is entitled to workers'
compensation benefits for temporary total or permanent and totaldisability, the employment benefits paid for such weeks may be
deducted from the award to be paid as compensation. N.C. Gen.
Stat. § 97-42.1 (2001). This statute is similar in nature to N.C.
Gen. Stat. § 97-42, which also allows the Commission to award
credits. Jenkins v. Piedmont Aviation Servs., 147 N.C. App. 419,
557 S.E.2d 104 (2001), disc. rev. denied, 356 N.C. 303, 570 S.E.2d
724 (2002). Like N.C. Gen. Stat. § 97-42, the statutory language
places the decision of whether to grant a credit within the sound
discretion of the Industrial Commission. Moretz v. Richards &
Associates, 316 N.C. 539, 342 S.E.2d 844 (1986). There is record
evidence that the plaintiff received unemployment benefits during
the period to which plaintiff was entitled to workers' compensation
benefits. However, the Commission failed to make any findings
concerning these benefits. Accordingly, we remand this case to the
Commission for findings and a conclusion with regard to the
unemployment benefits and whether the unemployment benefits are to
be deducted from the benefits to be paid pursuant to the opinion
and award.
Affirmed in part and remanded in part.
Judges TYSON and STEELMAN concur.
Report per Rule 30(e).
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