State ex rel. Smith v. Thomas/Sysco Food Serv. ( 2014 )


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  • [Cite as State ex rel. Smith v. Thomas/Sysco Food Serv., 
    2014-Ohio-1641
    .]
    IN THE COURT OF APPEALS OF OHIO
    TENTH APPELLATE DISTRICT
    State of Ohio ex rel. Marvin Smith,                    :
    Relator,                              :
    v.                                                     :                    No. 13AP-37
    Thomas/Sysco Food Service and                          :                (REGULAR CALENDAR)
    Industrial Commission of Ohio,
    :
    Respondents.
    :
    D E C I S I O N
    Rendered on April 17, 2014
    Casper & Casper, and Ronald M. Kabakoff, for relator.
    Michael DeWine, Attorney General, and Cheryl J. Nester, for
    respondent Industrial Commission of Ohio.
    IN MANDAMUS
    ON OBJECTIONS TO THE MAGISTRATE'S DECISION
    CONNOR, J.
    {¶ 1} Relator, Marvin Smith, brings this original action seeking a writ of
    mandamus ordering respondent, Industrial Commission of Ohio ("commission"), to
    vacate its order denying him permanent total disability ("PTD") compensation, and to
    find that he is entitled to that compensation.
    {¶ 2} Pursuant to Civ.R. 53 and Loc.R. 13(M) of the Tenth District Court of
    Appeals, this matter was referred to a magistrate, who has now rendered a decision and
    recommendation that includes findings of fact and conclusions of law and is appended to
    this decision. The magistrate concluded that the commission did not abuse its discretion
    and recommended that this court not issue the requested writ of mandamus. Relator has
    No. 13AP-37                                                                            2
    filed objections to the magistrate's decision, and the matter is now before us for our
    independent review.
    {¶ 3} As reflected in the facts given in the magistrate's decision, claimant was
    involved in a work-related injury on May 3, 1990. Claimant's industrial claim has been
    allowed for the following conditions: lumbar sprain, aggravation of pre-existing
    degenerative disc disease, and bulging intervertebral at L5-S1.
    {¶ 4} Relator filed an application for PTD compensation on November 11, 2011. At
    the commission's request, Dr. Thomas Forte conducted a medical examination of relator
    on April 19, 2012. Dr. Forte concluded that relator was capable of performing sedentary
    work.
    {¶ 5} The application came before a staff hearing officer ("SHO") for a hearing on
    August 7, 2012. The SHO relied on the medical report of Dr. Forte to conclude that
    claimant was able to engage in sustained remunerative employment. Accordingly, the
    SHO denied the application for PTD compensation.
    {¶ 6} The magistrate determined that Dr. Forte's narrative report and physical
    strength rating form were not equivocal or inconsistent. The magistrate thus concluded
    that Dr. Forte's report and physical strength rating form were some evidence which the
    commission could rely on to deny relator's application for PTD compensation. Relator
    presents the following objections to the magistrate's decision:
    1. The Magistrate erred in finding that Dr. Forte's report was
    internally consistent.
    2. The Magistrate erred in finding that Dr. Forte's report
    constitutes some evidence to support the denial of PTD.
    {¶ 7} Pursuant to Civ.R. 53(D)(4)(d), we undertake an independent review of the
    objected matters "to ascertain that the magistrate has properly determined the factual
    issues and appropriately applied the law." A relator seeking a writ of mandamus must
    establish: " '(1) a clear legal right to the relief prayed for, (2) a clear legal duty upon
    respondent to perform the act requested, and (3) that relator has no plain and adequate
    remedy in the ordinary course of the law.' " Kinsey v. Bd. of Trustees of the Police &
    Firemen's Disability & Pension Fund of Ohio, 
    49 Ohio St.3d 224
    , 225 (1990), quoting
    State ex rel. Consolidated Rail Corp. v. Gorman, 
    70 Ohio St.2d 274
    , 275 (1982). "A clear
    No. 13AP-37                                                                               3
    legal right exists where the [commission] abuses its discretion by entering an order which
    is not supported by 'some evidence.' " 
    Id.
    {¶ 8} This court will not determine that the commission abused its discretion
    when there is some evidence in the record to support the commission's finding. State ex
    rel. Rouch v. Eagle Tool & Mach. Co., 
    26 Ohio St.3d 197
    , 198 (1986). The some evidence
    standard "reflects the established principle that the commission is in the best position to
    determine the weight and credibility of the evidence and disputed facts." State ex rel.
    Woolum v. Indus. Comm., 10th Dist. No. 02AP-780, 
    2003-Ohio-3336
    , ¶ 4, citing State ex
    rel. Pavis v. Gen. Motors Corp., B.O.C. Group, 
    65 Ohio St.3d 30
    , 33 (1992).
    {¶ 9} The relevant inquiry in a determination of PTD is the claimant's ability to do
    any sustained remunerative employment. State ex rel. Domjacic v. Indus. Comm., 
    69 Ohio St.3d 693
     (1994); Ohio Adm.Code 4121-3-34(B)(1). An individual can engage in
    sustained remunerative employment if they can perform sedentary work. Sedentary work
    means "exerting up to ten pounds of force occasionally * * * and/or a negligible amount of
    force frequently * * * to lift, carry, push, pull, or otherwise move objects. Sedentary work
    involves sitting most of the time, but may involve walking or standing for brief periods of
    time." Ohio Adm.Code 4121-3-34(B)(2)(a).
    {¶ 10} In his first objection, relator asserts that the magistrate erred by not finding
    that Dr. Forte's report was internally inconsistent. Equivocal or internally inconsistent
    medical reports do not constitute some evidence upon which the commission can rely.
    State ex rel. Eberhardt v. Flxible Corp., 
    70 Ohio St.3d 649
     (1994); State ex rel. Lopez v.
    Indus. Comm., 
    69 Ohio St.3d 445
     (1994); State ex rel. Paragon v. Indus. Comm., 
    5 Ohio St.3d 72
     (1983). Equivocation "occurs 'when a doctor repudiates an earlier opinion,
    renders contradictory or uncertain opinions, or fails to clarify an ambiguous statement.' "
    State ex rel. George v. Indus. Comm., 
    130 Ohio St.3d 405
    , 407, 
    2011-Ohio-6036
    , ¶ 15,
    quoting Eberhardt at 657.
    {¶ 11} Relator asserts that "Dr. Forte's report clearly states twice that further
    restrictions will be listed on the Physical Strength Rating Form," and notes that, if Dr.
    Forte "had actually listed restrictions it would have been highly relevant as to whether Mr.
    Smith had the capacity to return to work." (Objections to Magistrate's Decision, 5.)
    Relator appears to assert that, as Dr. Forte's report indicated that restrictions would be
    No. 13AP-37                                                                               4
    listed on the physical strength rating form, and the form did not list those restrictions, Dr.
    Forte's report is inconsistent.
    {¶ 12} The magistrate concluded that Dr. Forte did set forth limitations on the
    physical strength rating form, as Dr. Forte had checked the box indicating that relator was
    only capable of performing sedentary work. The physical strength rating form then
    provided the Ohio Adm.Code 4121-3-34(B)(2)(a) definition of sedentary work, indicating
    that the injured worker can only exert up to ten pounds of force and is restricted to sitting
    most of the time, but can walk or stand for brief periods of time.
    {¶ 13} Dr. Forte's report indicates that the sedentary work restrictions are
    necessary "based upon [relator's] limited and painful lumbar range of motion, right lower
    extremity weakness, and altered sensation." (Stip.R. 46.) Dr. Forte noted that relator
    arrived to his appointment "in a wheelchair" and that relator had indicated "that he
    utilized a wheelchair when he anticipated anything other than a very short distance
    walking." (Stip.R. 46.) Dr. Forte noted that relator was able to walk around the exam
    room by using "a cane or by holding onto furniture in the exam room." (Stip.R. 46.) There
    is nothing in Dr. Forte's report which contradicts the findings on the physical strength
    rating form or which is inconsistent with the limitations contained in the definition of
    sedentary work. Compare State ex rel. Ingersoll Rand Co. v. Indus. Comm., 10th Dist.
    No. 10AP-254, 
    2010-Ohio-5362
    , ¶ 3 (finding a report was internally inconsistent because
    the doctor's "statement that claimant was unemployable due to pain and severe neck
    limitations was in direct conflict with his earlier statement that claimant could perform
    sedentary work"). Accordingly, we find that Dr. Forte's report is not internally
    inconsistent. Relator's first objection is overruled.
    {¶ 14} Relator's second objection to the magistrate's decision asserts that Dr.
    Forte's report cannot be considered some evidence if it is found to be internally
    inconsistent. As we have found that Dr. Forte's report was not internally inconsistent, Dr.
    Forte's report was some evidence to support the denial of relator's application for PTD
    compensation. Accordingly, relator's second objection is overruled.
    {¶ 15} Following independent review, pursuant to Civ.R. 53, we find the magistrate
    has properly determined the pertinent facts and applied the salient law to them.
    Accordingly, we adopt the magistrate's decision as our own, including the findings of fact
    No. 13AP-37                                                                         5
    and conclusions of law contained therein. In accordance with the magistrate's decision,
    we deny the request for a writ of mandamus.
    Objections overruled;writ denied.
    KLATT and O'GRADY, JJ., concur.
    _________________
    No. 13AP-37                                                                                6
    APPENDIX
    IN THE COURT OF APPEALS OF OHIO
    TENTH APPELLATE DISTRICT
    State of Ohio ex rel. Marvin Smith,           :
    Relator,                        :
    No. 13AP-37
    v.                                            :
    (REGULAR CALENDAR)
    Thomas/Sysco Food Service and                 :
    Industrial Commission of Ohio,
    :
    Respondents.
    :
    MAGISTRATE'S DECISION
    Rendered on September 26, 2013
    Casper & Casper, and Ronald M. Kabakoff, for relator.
    Michael DeWine, Attorney General, and Naveen V.
    Ramprasad, for respondent Industrial Commission of Ohio.
    IN MANDAMUS
    {¶ 16} In this original action, relator, Marvin Smith, requests a writ of mandamus
    ordering respondent Industrial Commission of Ohio ("commission") to vacate its order
    denying him permanent total disability ("PTD") compensation, and to enter an order
    granting the compensation.
    Findings of Fact:
    {¶ 17} 1. On May 3, 1990, relator sustained an industrial injury while employed as
    a truck driver for respondent Thomas/Sysco Food Service, a state-fund employer.
    {¶ 18} 2. The industrial claim (No. 90-36219) is allowed for: "[l]umbar sprain;
    aggravation of pre-existing degenerative disc disease; bulging intervertebral at L5-S1."
    No. 13AP-37                                                                          7
    {¶ 19} 3. On November 11, 2011, relator filed an application for PTD
    compensation.
    {¶ 20} 4. On April 19, 2012, at the commission's request, relator was examined by
    Thomas E. Forte, D.O. In his six-page narrative report, Dr. Forte states:
    PHYSICAL EXAMINATION:
    GENERAL: Mr. Smith was a pleasant, cooperative male who
    exhibited some overt pain behaviors, and sat or stood
    through the interview in some apparent distress with the
    need to change/adjust his position intermittently. The
    injured worker was accompanied by his wife who was
    present during the interview and examination. His height
    was 5 foot 10 inches, weight 206 pounds. Blood pressure
    161/85, pulse 80 and regular, respirations 16 and unlabored.
    He and his wife indicated they would check his blood
    pressure at home and communicate with his family physician
    regarding her [sic] blood pressure.
    LUMBAR SPINE: There was a flat lordosis of the lumbar
    spine. Palpation of the lumbar paraspinal muscles elicited
    moderate tenderness diffusely. There was both moderate
    guarding and mild spasm of the paraspinal musculature.
    Palpation of the lumbar spine elicited moderate tenderness
    at L4-sacrum. There were multiple well-healed surgical scars
    associated with lumbar surgeries, including a midline 7.5 cm
    scar and bilateral paralumbar 4 cm scars. There were no
    Waddell's signs present. The Patrick's (FABER) test was
    negative bilaterally[.] Sitting up from lying position was
    accomplished using abdominal muscles with a modified log-
    roll maneuver. Footwear was put on and taken off by his
    wife. There was a level pelvis, without scoliosis, with no
    significant leg length difference. He reported pain with all
    lumbar motions throughout the range of motion.
    Lumbar Spine- Range of motion (in degrees):
    Flexion- true lumbar: 18, sacral flex= 15 [Impairment varies
    w/ scaral ROM]
    Extension- true lumbar: 0, sacral ext= 0 [Possible ROM-
    based impairment, if <23]
    Right side bending: 10 [Possible ROM-based impairment, if
    <23]
    Left side bending: 12 [Possible ROM-based impairment, if
    <23]
    No. 13AP-37                                                                     8
    The seated straight leg raising was accomplished to 65
    degrees bilaterally. The lying straight leg raising testing
    resulted in low back and ipsilateral posterior thigh pain at 35
    degrees on the right and low back pain at 40 degrees on the
    left.
    LOWER EXTREMITY NEUROLOGIC: The strength in the
    lower extremities was normal (5 out of 5) throughout the left
    lower extremity, but there was grade 4/5 weakness of right
    foot dorsiflexion and right knee extension, without a foot
    drop. There was no give-way weakness. Lower extremity
    sensation was intact to all modalities for the left lower
    extremity, but there was altered sharp/dull discrimination
    along the posterior aspect of the right thigh, the medial
    aspect of the right calf, the lateral aspect of the right foot,
    and the lateral 3 toes of the right foot. The patellar reflexes
    were 1+ on the right, and 2+ on the left. The ankle reflexes
    were absent on the right, and 1+ on the left. There was no
    atrophy in either of the thighs, but there was 0.7 cm of right
    calf atrophy. There were no observed involuntary
    movements.
    GAIT and STATION: The injured worker arrived in a
    wheelchair and indicated that he utilized a wheelchair when
    he anticipated anything other than very short distance
    walking. The gait and station were antalgic, with the injured
    worker leaning forward at the waist approximately 15
    degrees, and moving about the room holding onto various
    pieces of furniture and/or utilizing his cane. Walking was
    performed only with a cane or by holding onto furniture in
    the exam room. Walking on the heels and toes was not
    tested, due to his right lower extremity weakness and his
    antalgic gait pattern. The Romberg test was not tested.
    Transfer to the exam table was accomplished with moderate
    apparent difficulty.
    DISCUSSION: Marvin Smith has allowed conditions from
    a single claim being evaluated in this report.
    Mr. Smith has already undergone 2 lumbar surgeries,
    physical therapy, various injections, and the medication
    regimen has been optimized. The allowed physical
    conditions in the claims have stabilized to the point that no
    major medical change can be expected, despite any
    continuing medical treatment or rehabilitative programs in
    which the injured worker may participate.
    No. 13AP-37                                                                   9
    Based only on the allowed physical conditions evaluated in
    this report and not considering the worker's age, education,
    and work history, the worker's physical limitations are
    outlined in the PHYSICAL STRENGTH RATING FORM
    below. These lifting, standing, running, repetitive motion,
    and sitting limitations are necessary due to the allowed back
    conditions in the claim addressed in this report, and these
    limitations based upon his limited and painful lumbar range
    of motion, right lower extremity weakness, and altered
    sensation.
    OPINION: Based solely on today's history and physical
    examination, review of the records provided, and based only
    on the allowed conditions I have been asked to consider, and
    considering only the physical conditions allowed:
    [One] Has the injured worker reached maximum medical
    improvement (MMI) with regard to each specified allowed
    condition? Briefly describe the rationale for your opinion.
    Yes. Please refer to the narrative DISCUSSION: section
    above. The injured worker is on a stable medication regimen,
    has no pending invasive procedures, and is currently
    receiving supportive medical care for the allowed conditions
    in the claim. Therefore, he has reached maximum medical
    improvement for the allowed conditions in the claim.
    [Two] Based on the American Medical Association's Guides
    to the Evaluation of Permanent Impairment - 5th Edition,
    with reference to the Industrial Commission Medical
    Examination Manual, provide the estimated percentage of
    whole person impairment arising from each allowed
    condition. Please list each condition and whole person
    impairment separately, and then provide the combined
    whole person impairment. If there is no impairment,
    indicate zero percent.
    [A table is omitted.]
    The amount of pain was disproportionate for what is
    expected with the allowed conditions in the claim and their
    associated impairment as calculated above, so 3 percent
    additional impairment for pain was combined into the
    impairment rating.
    No. 13AP-37                                                                           10
    It is my opinion that the combined whole person impairment
    for the allowed physical conditions (which I have been asked
    to address in this report) in the claim(s) is the percentage in
    the bottom right corner of the table above.
    [Three] Complete the enclosed Physical Strength Rating
    form. In your narrative report provide a discussion setting
    forth physical limitations resulting from the allowed
    condition(s).
    The PHYSICAL STRENGTH RATING form is completed and
    enclosed. These lifting, standing, running, repetitive motion,
    and sitting limitations are necessary due to the allowed back
    conditions in the claim addressed in this report. Please refer
    to the narrative DISCUSSION: section above regarding the
    rationale for the physical limitations.
    (Emphasis sic.)
    {¶ 21} 5. On April 19, 2012, Dr. Forte completed a Physical Strength Rating form.
    On the form, Dr. Forte indicated by his mark that relator is capable of "Sedentary Work."
    The form presents the definition of sedentary work:
    Sedentary work means exerting up to ten pounds of force
    occasionally (occasionally: activity or condition exists up to
    one-third of the time) and / or a negligible amount of force
    frequently (frequently: activity or condition exists from one-
    third to two-thirds of the time) to lift, carry, push, pull or
    otherwise move objects. Sedentary work involves sitting
    most of the time, but may involve walking or standing for
    brief periods of time. Jobs are sedentary if walking and
    standing are required only occasionally and all other
    sedentary criteria are met.
    Responding to the preprinted query "FURTHER limitations, if indicated,"
    Dr. Forte wrote: "None. Please refer to the narrative DISCUSSION: section above
    regarding the rationale for the physical limitations." (Emphasis sic.)
    {¶ 22} 6. Following an August 7, 2012 hearing, a staff hearing officer ("SHO")
    issued an order denying relator's application for PTD compensation. The SHO's order
    explains:
    No. 13AP-37                                                                     11
    It is the order of the Hearing Officer that the Application for
    Permanent Total Disability, filed on 11/11/2011, is denied.
    The Injured Worker suffered the injury recognized in this
    claim on 05/03/1990 when he was employed with the named
    Employer as a transportation driver. On the date of injury,
    he was coming down a ramp with a two-wheeler when he
    slipped. At the time of the injury, the two-wheeler was
    loaded up with product. The claim was recognized initially
    for a sprain condition and was subsequently amended to
    include degenerative disc disease and a bulging disc at L5-S1.
    The Injured Worker underwent a surgical procedure
    consisting of a laminectomy in March of 1992. The Injured
    Worker was able to return to work for a different Employer
    working as a Delivery Driver. The allowed conditions in this
    claim are limited to conditions involving the Injured
    Worker's lumbar spine.
    The Injured Worker continued to work up until 2003. He
    had a subsequent injury involving his shoulder during his
    period of employment with his employer. The Injured
    Worker had a second surgical procedure in this claim on his
    low back area in 2009. That surgical procedure consisted of a
    discectomy and fusion at the L5-S1 area. The Injured Worker
    has not worked since that second surgical procedure.
    The Injured Worker was examined at the request of the
    Industrial Commission by Dr. Thomas Forte on 04/19/2012.
    Dr. Forte performed a physical examination of the Injured
    Worker and reviewed selected medical records for this claim
    file.
    He noted the two surgical procedures as well as the
    subsequent pain management treatment including
    medications, epidural injections, physical therapy. Dr. Forte
    stated that the Injured Worker was in a wheelchair on the
    date of the exam. The Injured Worker told Dr. Forte that he
    used a wheelchair when he was traveling anywhere that
    involved more than a very short distance of walking. He was
    able to get out of the wheelchair and walk using a cane
    during the examination. Dr. Forte stated that the Injured
    Worker has reached maximum medical improvement for the
    recognized conditions in the claim. He stated that the
    Injured Worker was stable in terms of his medication
    regimen and has no pending invasive procedures. Dr. Forte
    indicated that the Injured Worker has a 30% whole person
    No. 13AP-37                                                                      12
    impairment as a result of the allowed conditions in the claim.
    On a Physical Strength Rating form attached to his report,
    Dr. Forte stated that the Injured Worker was capable of
    performing sedentary work activity when considering the
    allowed conditions.
    Sedentary work is defined by the Industrial Commission as
    exerting up to ten pounds of force occasionally and/or a
    negligible amount of force frequently to lift, carry, push, pull
    or otherwise move objects. Sedentary work involves sitting
    most of the time, but may involve walking or standing for
    brief periods of time. Jobs are sedentary if walking and
    standing are required only occasionally and all other
    sedentary criteria are met. Dr. Forte explained that the
    Injured Worker has these restrictions as the result of his
    limited and painful lumbar range of motion, his right lower
    extremity weakness and altered sensation.
    The Hearing Officer finds that the Injured Worker has
    reached maximum medical improvement for the allowed
    conditions in this claim. The Hearing Officer finds that the
    Injured Worker is unable to return to his former position of
    employment as a driver as the result of the allowed low back
    conditions. However, the Hearing Officer finds that the
    Injured Worker retains the residual functional capacity to
    perform sedentary work activity. In making this finding, the
    Hearing Officer relies upon the findings and the opinion
    from Dr. Forte.
    The Injured Worker's attorney argued that Dr. Forte's report
    was defective because he indicated that the Injured Worker's
    physical limitations would be set forth on a Physical Strength
    Rating form and then indicated on the Physical Strength
    Rating form that the narrative report would discuss the
    rationale for the physical limitations. The Injured Worker's
    attorney argued that Dr. Forte's opinion was unclear as to
    the Injured Worker's physical limitations. The Hearing
    Officer rejects this argument and finds that Dr. Forte sets
    forth the physical limitations by indicating that the Injured
    Worker can perform sedentary work activity. On the Physical
    Strength Rating form, he indicated that the narrative report
    would set forth the rationale for the noted physical
    limitations. The body of the report does contain Dr. Forte's
    opinion as to the basis for the sedentary work restrictions.
    The Hearing Officer finds that Dr. Forte's report is not
    defective.
    No. 13AP-37                                                                    13
    The Injured Worker is currently 60 years of age. He is a high
    school graduate having completed high school in 1971.
    Following his high school graduation, he attended Laurel
    Oaks truck driver training. He testified at hearing that he
    performed well in this training program. On the application,
    he indicated that he is able to read, write, and perform basic
    math. His previous work history involves approximately 30
    years of work as a truck driver.
    The Hearing Officer finds that the Injured Worker's age of 60
    years is a neutral vocational factor which would be neither a
    barrier nor an asset to him in attempting a return to the
    workforce. An extensive re-training program would not be
    appropriate for him, but he could undergo short-term, on-
    the-job training to learn a new job. The Hearing Officer finds
    that the Injured Worker's education level is a positive
    vocational factor. The Injured Worker is [a] high school
    graduate and did attend vocational training after his high
    school graduation. He is able to read, write, and perform
    basic math. The Hearing Officer finds that the Injured
    Worker has demonstrated the intellectual capacity to obtain
    his degree and pursue further training. The Hearing Officer
    finds that the Injured Worker's previous work history is a
    neutral vocational factor. The Injured Worker demonstrated
    a relatively long work history with several different
    employers. He worked only as a truck driver with varying
    degrees of required physical exertion besides the driving
    requirements. However, the Injured Worker demonstrated
    the determination and resourcefulness to return to work
    with a different employer following this injury and his first
    surgical procedure. The Injured Worker has not worked
    since 2003. However, the Hearing Officer finds that the
    reason he left the workforce in 2003 was not related to this
    industrial injury.
    Based upon the Injured Worker's ability to return to
    sedentary work activity and his education level as a high
    school graduate, the Hearing Officer finds that the Injured
    Worker is capable of performing the duties of sustained
    remunerative employment. Therefore, the Hearing Officer
    finds that the Injured Worker is not permanently and totally
    disabled.
    The Application for Permanent and Total disability, filed on
    11/11/2011 is hereby denied.
    No. 13AP-37                                                                           14
    This order is based upon the medical report from Dr. Forte
    dated 04/19/2012.
    {¶ 23} 7. On October 10, 2012, the three-member commission mailed an order
    denying relator's request for reconsideration.
    {¶ 24} 8. On January 14, 2013, relator, Marvin Smith, filed this mandamus action.
    Conclusions of Law:
    {¶ 25} The sole issue is whether the report of Dr. Forte is some evidence upon
    which the commission can rely to support its determination that "residual functional
    capacity" is at the sedentary level. Ohio Adm.Code 4121-3-34(B)(4).
    {¶ 26} Finding that Dr. Forte's report provides the some evidence supporting the
    commission's determination of residual functional capacity, it is the magistrate's decision
    that this court deny relator's request for a writ of mandamus, as more fully explained
    below.
    {¶ 27} Equivocal medical opinions are not evidence. State ex rel. Eberhardt v.
    Flxible Corp., 
    70 Ohio St.3d 649
    , 657 (1994).         Equivocation occurs when a doctor
    repudiates an earlier opinion, renders contradictory or uncertain opinions or fails to
    clarify an ambiguous statement. 
    Id.
    {¶ 28} A medical report can be so internally inconsistent that it cannot be some
    evidence upon which the commission can rely. State ex rel. Lopez v. Indus. Comm., 
    69 Ohio St.3d 445
     (1994); State ex rel. Taylor v. Indus. Comm., 
    71 Ohio St.3d 582
     (1995).
    However, a court will not second-guess a doctor's medical expertise to support a claim of
    internal inconsistency. State ex rel. Young v. Indus. Comm., 
    79 Ohio St.3d 484
     (1997).
    {¶ 29} Here, relator argues that Dr. Forte's report is equivocal and internally
    inconsistent:
    Dr. Thomas Forte strongly implied that he was going to find
    additional restrictions as well. In the Physical Examination
    Section of his report, he noted problems with muscle spasm,
    restrictions on range of motion, positive straight leg raising,
    decrease in sensation in the right lower extremity, and
    difficulty walking. * * * In the Discussion Portion of his
    report, he mentioned two surgeries, found that the condition
    had stabilized, and then stated that the physical limitations
    would be outlined in the Physical Strength Rating Form
    No. 13AP-37                                                                                15
    below. "These lifting, standing, running, repetitive motion,
    and sitting limitations are necessary due to the allowed back
    conditions in the claim addressed in this report, and these
    limitations base upon his limited and painful lumbar range
    of motion, right lower extremity weakness, and altered
    sensation."
    At the end of his report, he stated that the rationale for the
    physical limitations were to be found in the Discussion
    Section of the report. * * * On the Physical Strength Rating
    form, he stated there were no limitations beyond sedentary
    work and the rationale was in the Discussion Section. * * *
    His report was like a circle, it kept going round and round,
    and there was no end to it. It was ambiguous and
    contradictory.
    (Relator's brief, at 10-11.)
    {¶ 30} Relator's argument lacks merit. There is no inconsistency or equivocation
    between Dr. Forte's narrative report and his completion of the physical strength rating
    form.
    {¶ 31} In the "Discussion" portion of the narrative report, Dr. Forte evaluates
    impairment and concludes that relator has a 30 percent whole person impairment. In the
    "Discussion" portion of the narrative report, Dr. Forte does note that the physical strength
    rating form sets forth the limitations due to the allowed conditions of the claim. Those
    limitations are set forth in the definition of sedentary work that Dr. Forte marked on the
    form.
    {¶ 32} It is true that, in his physical strength rating form, Dr. Forte refers the
    reader back to the "Discussion" section of the narrative report.
    {¶ 33} Clearly, the narrative report and the physical strength rating form are
    interrelated. It was thus appropriate for Dr. Forte to have each report reference the other.
    Regardless of the alleged circularity, there was no equivocation or internal inconsistency.
    Again, relator's argument lacks merit.
    {¶ 34} Accordingly, for all the above reasons, it is the magistrate's decision that this
    court deny relator's request for a writ of mandamus.
    /S/ MAGISTRATE
    KENNETH W. MACKE
    No. 13AP-37                                                                     16
    NOTICE TO THE PARTIES
    Civ.R. 53(D)(3)(a)(iii) provides that a party shall not assign
    as error on appeal the court's adoption of any factual finding
    or legal conclusion, whether or not specifically designated as
    a finding of fact or conclusion of law under Civ.R.
    53(D)(3)(a)(ii), unless the party timely and specifically
    objects to that factual finding or legal conclusion as required
    by Civ.R. 53(D)(3)(b).
    

Document Info

Docket Number: 13AP-37

Judges: Connor

Filed Date: 4/17/2014

Precedential Status: Precedential

Modified Date: 3/3/2016