Lakey v. Kerrian S , 228 Mont. 139 ( 1987 )


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  •                                 No. 8 6 - 5 9 8
    IN THE SUPREME COURT OF THE STATE OF MONTANA
    1987
    CAROL LAKEY,
    Claimant and Respondent,
    -VS-
    KERRIAN'S d/b/a HERBERGERS, Employer,
    and
    SAFECO INSURANCE COMPANY,
    Defendant and Appellant.
    APPEAL FROM:     The Workers' Compensation Court, The Honorable
    Timothy Reardon, Judge presiding.
    COUNSEL OF RECORD:
    For Appellant:
    Jardine, Stephenson, Blewett      &   Weaver; Lon Holden,
    Great Falls, Montana
    For Respondent:
    Hartelius & Ferguson; Channing Hartelius, Great Falls,
    Montana
    Utick & Grosfield; Norman H. Grosfield, Helena, Montana
    Submitted on Briefs:      May 22, 1 9 8 7
    Decided:   August 18, 1987
    Filed:   AuG 1 8 1987
    Mr. Justice L. C. Gulbrandson delivered the Opinion of the
    Court
    Safeco Insurance Company appeals a Workers' Compensation
    Court order which awarded temporary total disability benefits
    to the claimant, Carol Lakey. The two issues on appeal are
    (1) whether substantial evidence supports the lower court's
    finding that claimant's knee condition is compensable, and
    (2) whether substantial evidence supports the court's finding
    that claimant had not reached maximum healing.     We affirm.
    In July 1983, while working as a shoe salesperson at
    Herbergers Department Store in Great Falls, claimant suffered
    an injury to her right knee. The injury arose out of and in
    the course of claimant's employment at Herbergers. She went
    to the Deaconess Hospital Emergency Room where hospital
    personnel took X-rays, prescribed an anti-inflammatory drug
    and recommended that claimant see an orthopedic surgeon.
    In August 1983, orthopedic surgeon Dr. John Avery
    examined claimant's knee and diagnosed the injury as a
    probable torn medial meniscus. On August 16, 1983, Dr. Avery
    performed   a diagnostic    and  operative arthroscopy on
    claimant's right knee. At that time, he found a torn medial
    meniscus (cartilage) and performed a partial meniscectomy on
    the knee. Claimant testified at trial that after surgery the
    pain in her knee decreased for four or five months and then
    started getting worse.   She also testified that during the
    six months after surgery, the pain did not disappear
    completely. Dr. Avery saw claimant again in October 1983 and
    noted that her knee was essentially normal except for mild
    medial joint-line pain.
    Dr. Avery next saw claimant in January 1985 when she
    went to him complaining of increased pain in her right knee.
    Dr. Avery again performed a diagnostic arthroscopy of
    claimant's knee.   He did not find the recurrent tear of the
    medial meniscus which he had suspected, but he did make a
    diagnosis of chondromalacia (a form of arthritis) of the
    right knee. Following the January 1985 arthroscopy, claimant
    continued to experience some pain in her right knee.      She
    returned to work at Herbergers in March 1985 but experienced
    difficulty performing the tasks required of her job.      Dr.
    Avery testified that claimant's work, which involved kneeling
    and squatting, aggravated the chondromalacia to some extent.
    In March 1985, Dr. Avery calculated that under the American
    Medical Association guidelines and due to the meniscectomy on
    the right knee, claimant had a 10% partial permanent
    impairment of the right lower extremity which converted to a
    4% partial permanent impairment of the whole person. In June
    1985, apparently for the first time, Dr. Avery diagnosed
    chondrocalcinosis in claimant's right knee. He stated that
    there is no permanent impairment in relation to either
    diagnosis of chondromalacia or chondrocalcinosis. The doctor
    also opined that both conditions predated the July 1983
    injury.   In November 1985, claimant resigned her job with
    Herbergers because of the pain in her right knee.
    Although the insurer had paid temporary total disability
    benefits to claimant at times following her injury, a dispute
    developed between the insurer and claimant as to the extent
    of the former's liability.    The claimant filed a petition
    with the Workers' Compensation Court to resolve the dispute
    and her case was heard in April 1986. The court found that
    claimant was entitled to temporary total disability benefits
    and this appeal followed.
    The first issue is whether substantial evidence supports
    the lower court's finding that claimant's knee condition is
    compensable. This Court will not substitute its judgment for
    that of the Workers' Compensation Court where there is
    substantial evidence to support that court's findings of
    fact.   Bremer v. Buerkle (Mont. 1986), 
    727 P.2d 529
    , 43
    St.Rep. 1942. The law in Montana is that,
    when    claimants      have    preexisting
    conditions, that combined with their
    industrial    accidents    produce    their
    disability,        acceptabie   proof    of
    disability is proof - -it was medical5
    that -
    possible - r- industrial accident to
    f o an
    aggravate    a    preexisting   condition.
    (Emphasis adzed. )
    Tocco v. City of Great Falls (Mont. 1986), 714 p.2d 160, 164,
    43 St.Rep. 310, 315; citing Viets v. Sweet Grass County
    (1978), 
    178 Mont. 337
    , 
    583 P.2d 1070
    .
    The insurer insists that there is no evidence that
    claimant's disabling pain in 1986 resulted from the July 1983
    accident.    The insurer relies heavily on Dr. Avery's
    statement that claimant's pain "apparently" did resolve after
    the August 1983 meniscectomy. We find little merit in these
    arguments. In this case, Dr. Avery repeatedly stated that it
    was possible that claimant's July 1983 accident aggravated
    her    preexisting   conditions   of    chondromalacia   and
    chondrocalcinosis. At one point, the doctor even stated that
    it was probable that the injury aggravated the two
    conditions.    He explained that "the tear of the medial
    meniscus was torn at that time, which set up an irritative
    phenomena within the knee, and irritation set off or flared
    up these conditions, particularly the chondromalacia, I
    think."   Further, there is abundant evidence in the record
    that the pain in claimant's knees, which prevents her from
    working as a shoe salesperson, is caused by chondromalacia
    and/or chondrocalcinosis. Dr. Avery agreed that the pain in
    this patient related to those two conditions.       Finally,
    claimant stated that prior to the injury she had no problems
    with her knees and that since the injury, the pain has never
    gone away completely.   Therefore, we affirm the decision that
    the claimant's present knee condition is compensable.
    The second issue is whether substantial evidence
    supports the lower court's decision that claimant had not
    reached maximum healing.     The insurer argues that under
    S 39-71-116 (19), MCA, claimant cannot have a temporary total
    disability because her injury had reached its maximum point
    of healing. The lower court disagreed and found that maximum
    healing had not been reached.    The court correctly pointed
    out that Dr. Avery did not testify that maximum healing had
    been reached.    Moreover, in April 1986, claimant testified
    that since August 1983, the pain in her knee has never gone
    away and has, in fact, gotten worse. We uphold the court's
    determination that claimant had not reached maximum healing.
    Af firmed.
    

Document Info

Docket Number: 86-598

Citation Numbers: 228 Mont. 139, 741 P.2d 416, 44 State Rptr. 1405, 1987 Mont. LEXIS 975

Judges: Gulbrandson, Turnage, Harrison, Sheehy, Hunt

Filed Date: 8/18/1987

Precedential Status: Precedential

Modified Date: 11/11/2024