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1. Workers' Compensation--maximum medical improvement--refusal to accept
employment--unfounded litigation
The Industrial Commission did not err in a workers' compensation case by concluding
that plaintiff had not reached maximum medical improvement and that plaintiff's refusal to
accept the employment offered by defendant employer was justified because, even though there
was evidence from a doctor that plaintiff reached maximum medical capacity and was able to
return to full-duty work status, there was also evidence that plaintiff perceived himself to be
unable to perform the tasks required by the employment offered and further wanted to wait until
he was certain of his physical limitations after undergoing functional capacity evaluation.
2. Workers' Compensation_attorney fees_proceeding prosecuted without reasonable
grounds
A workers' compensation proceeding was brought and prosecuted by defendant employer
without reasonable grounds under N.C.G.S. § 97-88.1 for purposes of an attorney fee award
where defendant terminated an offer of employment to plaintiff before plaintiff could received a
functional capacity evaluation and then filed a form to suspend or terminate payment based on
plaintiff's failure to accept employment.
Jones, Hewson & Woolard, by Lawrence J. Goldman, for defendant
appellants.
No brief for appellees.
McCULLOUGH, Judge.
Ecofibers, Inc., and Hartford Insurance Company (defendants)
appeal from the North Carolina Industrial Commission's (the
Commission) opinion and award finding and concluding that Alvin
Byrd (plaintiff) has not reached maximum medical improvement;
plaintiff's refusal to accept the employment offered by Ecofibers(defendant-employer) was justified; and the proceedings were
brought and prosecuted without reasonable grounds awarding
temporary total disability compensation.
Plaintiff sustained an admittedly compensable injury by
accident on 8 March 2002 causing two compound fractures to the leg
and a broken ankle. Defendants began paying temporary total
disability benefits on 9 March 2002. Plaintiff's primary physician
was Dr. Marvin Vice who performed multiple surgical procedures on
plaintiff to correct the fractures and delayed union of the tibial
fracture.
Defendants sent plaintiff to Dr. William Guideman for a second
opinion on 15 August 2002. Dr. Guideman determined that plaintiff
had a definite nonunion of the fracture site; and previous
procedures had been unsuccessful as evidenced by plaintiff's
inability to bear weight and the bone healing in a manner which
prevented impaction. Dr. Guideman recommended additional surgery
to correct the nonunion. Defendants then sent plaintiff to a third
orthopedic surgeon, Dr. James Sebold, who reservedly concurred with
a recommendation made by Dr. Vice that plaintiff should use a bone
stimulator to resolve the delayed union but further concluded if
plaintiff did not heal over the next couple of months that surgery
would be needed to correct the nonunion.
Plaintiff began using the bone stimulator as recommended but
the tibial fracture failed to unionize. Dr. Vice subsequently left
his practice and Dr. Cuce became the treating physician for
plaintiff. On 11 March 2003, Dr. Cuce released plaintiff tomodified duty despite the continued nonunion of the fracture and
ongoing pain and discomfort. Dr. Cuce concluded that further use of
the bone stimulator would not unionize the fracture; that
unionization could only be brought about by surgery and a bone
graft; that such surgery was unnecessary; and despite ongoing pain
and discomfort, plaintiff had reached maximum medical improvement.
Plaintiff was released to full-duty status on 22 April 2003.
Plaintiff was thereafter ordered to undergo a functional
capacity test on 13 May 2003. On 29 April 2003 defendant-employer
notified plaintiff that he was to contact defendant-employer by 5
May 2003 where he had been released to full-duty work status.
Plaintiff's wife contacted defendant-employer and informed them
that plaintiff did not believe he was capable of full-duty work and
that he would not know the full extent of his work limitations
until he completed the functional capacity evaluation on 13 May
2003. One week prior to plaintiff's functional capacity evaluation,
plaintiff was notified that defendant-employer no longer had a job
available for him.
On 6 October 2003, defendants filed a Form 24 application to
suspend or terminate benefits based on plaintiff's refusal to
accept suitable employment after being released to full-duty work
status. The Commission determined that plaintiff was justified in
refusing the employment offered by defendant-employer, and the
instant action was brought and prosecuted without reasonable
grounds and awarded temporary total disability compensation.
Defendants appeal. [1] Defendants contend on appeal that the Commission erred in
concluding that plaintiff's refusal to accept employment was
justified.
Under the Worker's Compensation Act it is the Commission that
performs the ultimate fact-finding function and not the appellate
courts. Adams v. AVX Corp., 349 N.C. 676, 680-81, 509 S.E.2d 411,
413 (1998), reh'g denied, 350 N.C. 108, 532 S.E.2d 522 (1999).
Therefore, where the Commission's findings are supported by
competent evidence, they are conclusive on appeal, Hedrick v. PPG
Industries, 126 N.C. App. 354, 357, 484 S.E.2d 853, 856, disc.
review denied, 346 N.C. 546, 488 S.E.2d 801, 801-02 (1997), and
this Court may set aside a finding of fact only if it lacks
evidentiary support. Holley v. ACTS, Inc., 357 N.C. 228, 231, 581
S.E.2d 750, 752 (2003). Specifically, this Court may not weigh the
evidence or evaluate the credibility of witnesses, as '[t]he
Commission is the sole judge of the credibility of the witnesses
and the weight to be given their testimony.' Adams, 349 N.C. at
680, 509 S.E.2d at 413 (citation omitted). A finding of fact is
conclusive and binding on appeal so long as there is some
'evidence of substance which directly or by reasonable inference
tends to support the findings, . . . even though there is evidence
that would have supported a finding to the contrary.' Shah v.
Howard Johnson, 140 N.C. App. 58, 61-62, 535 S.E.2d 577, 580 (2000)
(citation omitted), disc. review denied, 353 N.C. 381, 547 S.E.2d
17 (2001). The burden is on the employer to show that plaintiff refused
suitable employment. Gordon v. City of Durham, 153 N.C. App. 782,
787, 571 S.E.2d 48, 51 (2002). We have defined 'suitable'
employment, in the context of N.C. Gen. Stat. § 97-32, as any job
that a claimant 'is capable of performing considering his age,
education, physical limitations, vocational skills and
experience.' Shah, 140 N.C. App. at 68, 535 S.E.2d at 583
(citation omitted). Once the employer shows to the satisfaction of
the Commission that the employee was offered suitable work, the
burden shifts to the employee to show that his refusal was
justified. See, e.g., Moore v. Concrete Supply Co., 149 N.C. App.
381, 389-90, 561 S.E.2d 315, 320 (2002).
This Court has previously held that an employee's own
testimony as to pain and ability to work is competent evidence as
to the employee's ability to work. See Boles v. U.S. Air, Inc., 148
N.C. App. 493, 499, 560 S.E.2d 809, 813 (2002); Matthews v.
Petroleum Tank Service, Inc., 108 N.C. App. 259, 423 S.E.2d 532
(1992) (employee's own testimony concerning level of pain he
suffered was competent evidence as to his ability to work); Niple
v. Seawell Realty & Insurance Co., 88 N.C. App. 136, 362 S.E.2d 572
(1987), (employee's own testimony as to pain upon physical exertion
was competent evidence as to her ability to work), disc. review
denied, 321 N.C. 744, 365 S.E.2d 903 (1988).
Plaintiff testified that after Dr. Cuce released him to full-
duty work status he questioned his ability to do the work required
by the employment offered and wanted to wait until his functionalcapacity test ordered by Dr. Cuce was performed before returning to
work. Plaintiff testified that, while he did not know his physical
limitations at the time he was asked to return to work, he knew
that he could not perform full-duty work. Plaintiff further
testified that he was unable to stand on his leg for over three to
four hours and that if he does, he has trouble with the pain.
The functional capacity evaluation revealed that plaintiff
could return to light- to medium-duty work with limitations
including no climbing, and standing limited to three to four hours.
While Dr. Cuce testified that it was his opinion that plaintiff
could return to full-duty work status, he further admitted that he
was only testifying as to physical capacity and acknowledged that
at the time of release plaintiff was in pain; but as he was not a
pain specialist, he could not testify as to the limitations such
pain would place on plaintiff's ability to work.
Even though there was evidence from Dr. Cuce that plaintiff
reached maximum medical capacity and was able to return to full-
duty work status, there was also evidence that plaintiff perceived
himself to be unable to perform the tasks required by the
employment offered and further wanted to wait until he was certain
of his physical limitations after undergoing the functional
capacity evaluation. Where there is competent evidence in the
record to support the findings and such findings support the
conclusion of the Commission, the assignment of error is overruled. [2] Defendants further contend the Commission erred in finding
and concluding that the hearing was brought and prosecuted without
reasonable grounds under N.C. Gen. Stat. § 97-88.1.
Under N.C. Gen. Stat. § 97-88.1, [i]f the Industrial
Commission shall determine that any hearing has been brought,
prosecuted, or defended without reasonable ground, it may assess
the whole cost of the proceedings including reasonable fees for
defendant's attorney or plaintiff's attorney upon the party who has
brought or defended them. N.C. Gen. Stat. § 97-88.1 (2005).
Although the Commission's decision to award attorney's fees under
N.C. Gen. Stat. § 97-88.1 is discretionary, '[w]hether the
defendant had a reasonable ground to bring a hearing is reviewable
by this Court de novo.' Hodges v. Equity Grp., 164 N.C. App. 339,
348, 596 S.E.2d 31, 37 (2004) (citation omitted). This requirement
ensures that defendants do not bring hearings out of 'stubborn,
unfounded litigiousness.' Troutman v. White & Simpson, Inc., 121
N.C. App. 48, 51, 464 S.E.2d 481, 484 (1995) (citation omitted),
disc. review denied, 343 N.C. 516, 472 S.E.2d 26 (1996).
The evidence presented in the instant case tended to show that
plaintiff sustained an injury to his leg and ankle. After numerous
surgical procedures, the bones in plaintiff's leg failed to
unionize. Defendants requested that plaintiff receive a second
opinion and that second opinion revealed that in order to correct
the injury and allow for unionization of the bone, surgery was
required. Unsatisfied with the opinion, defendants requested that
plaintiff receive a third opinion. The doctor rendering the thirdopinion stated that a bone stimulator could possibly help unionize
the bone but that if it failed to do such, surgery would be
required. At the time plaintiff was released by Dr. Cuce to full-
duty work status, defendants were aware that plaintiff's bones had
failed to unionize. Defendants were further aware that plaintiff
was ordered to undergo a functional capacity evaluation and that
plaintiff was concerned about his ability to perform the duties
required by the offered employment and wanted to be certain of his
physical limitation before accepting the offered employment.
However, defendants terminated plaintiff's offer of employment
before plaintiff could receive a functional capacity evaluation and
subsequently filed a form to suspend or terminate payment based on
plaintiff's failure to accept employment.
Based on the aforementioned facts, immediate litigation of
this case was certainly stubborn and unfounded. Therefore, this
assignment of error is overruled.
Accordingly, the opinion and award of the Commission is
affirmed.
Affirmed.
Judges BRYANT and LEVINSON concur.
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