Southern Express v. Clara Louise Green , 26 Va. App. 439 ( 1998 )


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  •                      COURT OF APPEALS OF VIRGINIA
    Present: Judges Benton, Willis and Annunziata
    Argued at Richmond, Virginia
    SOUTHERN EXPRESS AND HARLEYSVILLE
    MUTUAL INSURANCE COMPANY
    OPINION BY
    v.   Record No. 1316-97-2                JUDGE JAMES W. BENTON, JR.
    FEBRUARY 3, 1998
    CLARA LOUISE GREEN
    FROM THE VIRGINIA WORKERS' COMPENSATION COMMISSION
    S. Vernon Priddy, III (William B. Judkins;
    Sands, Anderson, Marks & Miller, on brief),
    for appellants.
    No brief or argument for appellee.
    Southern Express contends the Workers' Compensation
    Commission erred by awarding benefits to Clara Louise Green for
    injuries she sustained while working in a refrigerated room at a
    Southern Express convenience store.    Relying upon Morris v.
    Morris, 
    238 Va. 578
    , 
    385 S.E.2d 858
    (1989), and The Stenrich
    Group v. Jemmott, 
    251 Va. 186
    , 
    467 S.E.2d 795
    (1996), Southern
    Express argues that Green's injury was not an "injury by
    accident" within the meaning of Code § 65.2-101 because it was a
    gradually incurred injury or a cumulative trauma condition.     We
    disagree, and we affirm the commission's award.
    I.
    The evidence proved that on June 22, 1996, Green was working
    at a Southern Express convenience store stacking beer and soft
    drinks in a refrigerated room.    Green worked in the refrigerated
    room from 2:00 a.m. until 6:00 a.m. wearing only a short-sleeved
    shirt and no gloves.    She testified that she was unable to leave
    the room because she could not get the door open.    She further
    testified that when she came out of the refrigerated room at the
    end of her work shift, she was cold and shivering.    She testified
    that her "hands had gotten all balled up and [her] face had begun
    to -- had sores on it."    Later that day, she went to the
    hospital.
    The store manager testified that Green had undergone a
    thirty to forty-five minute training session in the refrigerated
    room because Green had not previously worked in the refrigerated
    room.    After the training session, Green worked in the
    refrigerated room between two and three hours shelving
    merchandise.    The manager testified that the door to the
    refrigerated room had no lock on it and that Green came out of
    the area while she was working "a minimum of once, probably
    twice."    He said Green did not complain to him after she
    completed her work.
    According to the medical records, Green went to the hospital
    several hours after her work shift ended, complaining of pain in
    her fingers, hands, left elbow and left forearm.    The doctor
    diagnosed "superficial frostbite of fingers."    The medical
    reports indicated that Green, an insulin dependent diabetic, was
    treated for frostbite in both hands and advised to wear gloves if
    exposed to the cold again.    A podiatrist diagnosed Green with
    chilblains caused by long-term exposure to cold temperature.      A
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    dermatologist concurred that Green's history indicated a "cold
    injury consistent with chilblains."
    Green filed a workers' compensation claim, alleging injuries
    resulting from her exposure to the cold at work.      The commission
    found that Green sustained chilblains from cold exposure at work.
    Citing Byrd v. Stonega Coke & Coal Co., 
    182 Va. 212
    , 
    28 S.E.2d 725
    (1944), the commission ruled that the testimony and medical
    reports established an "injury by accident" arising out of and in
    the course of Green's employment.       Southern Express appeals from
    the decision awarding Green the reasonable costs of her medical
    care.
    II.
    "[G]enerally it has been held that the term 'injury,'
    'personal injury,' or 'personal injury by accident,' caused by
    excessive heat [or] cold . . . is embraced within the meaning of
    the [Act]."     
    Id. at 215, 28
    S.E.2d at 727.    In 1944, when the
    Supreme Court applied that rule to uphold an award to an employee
    in Byrd, the Act required an employee who sought compensation for
    an injury to prove an "injury by accident arising out of and in
    the course of the employment."    182 Va. at 
    215, 28 S.E.2d at 727
    .
    The current version of the Act has the identical language.          See
    Code § 65.2-101.
    In Byrd, an employee worked for ten hours around coke ovens
    that reached a temperature of 2,500 
    degrees. 182 Va. at 214-15
    ,
    28 S.E.2d at 726-27.    While the employee was breaking coke and
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    pulling it from the ovens, he collapsed and died.    Noting that
    "[a]s an original proposition, it would seem logical to hold that
    the facts as related, do not disclose an 'accident,'" 
    id., the Court held,
    however, that "if the injury or death results from,
    or is hastened by, conditions of employment exposing the employee
    to hazards to a degree beyond that of the public at large, the
    injury or death is construed to be accidental within the meaning
    of the statute."   
    Id. at 216, 28
    S.E.2d at 727.    In holding that
    the employee had made out a prima facie case for compensation,
    the Court noted that the employee's exposure to extreme heat was
    the cause of the employee's death because "it is a matter of
    common knowledge that frequently persons apparently normal
    collapse from exposure to extreme heat or cold."     
    Id. at 217, 28
    S.E.2d at 727.
    In a later case, Robinette v. Kayo Oil Co., 
    210 Va. 376
    , 
    171 S.E.2d 172
    (1969), the Court denied compensation to an employee
    who contracted pneumonia after working for several days "without
    boots, overshoes or raincoat in rainy, snowy and cold weather
    during which there was standing water around the gasoline pumps"
    where the employee worked.   
    Id. at 377, 171
    S.E.2d at 173.
    Ruling that the employee did not prove an injury by accident, the
    Court noted the following:
    In the present case [the employee] contracted
    pneumonia from exposure to the elements in
    the regular course of his employment. He was
    engaged in carrying out the duties for which
    he had been employed for some six months.
    There was nothing catastrophic or
    extraordinary in his exposure, nor did it
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    arise under emergency conditions. His
    exposure was neither unexpected nor
    unforeseen but was intentional, deliberate
    and protracted. There is nothing to
    distinguish his activities from those of
    other service station attendants or other
    workers who are required to do outside work
    in all kinds of weather.
    
    Id. at 381, 171
    S.E.2d at 176.
    Recently, this Court discussed these "exposure" decisions in
    Imperial Trash Service v. Dotson, 
    18 Va. App. 600
    , 
    445 S.E.2d 716
    (1994), and held that the more recent Supreme Court case of
    Morris v. Morris, 
    238 Va. 578
    , 
    385 S.E.2d 858
    (1989), did not
    preclude recovery when the evidence proved that the employee
    suffered a heatstroke while working in warm weather.    The
    evidence in Dotson proved the employee suffered an embolism from
    heatstroke from the following activity:
    On July 10, 1990, . . . Dotson drove the
    truck with the windows down. It was not air
    conditioned. After Dotson and Mickelson had
    picked up material, weighing fifteen to
    thirty pounds, at over seven hundred houses
    in 86 degree temperature, Dotson became
    confused and began losing his balance.
    Dotson said, "this heat has gotten to me."
    Mickelson, who realized that Dotson was in
    some distress, placed Dotson in the shade of
    a tree and finished the route alone. When
    Mickelson returned to the tree, Dotson was in
    critical condition. Within minutes, Dotson
    was taken to the hospital, unconscious, with
    a body temperature of 110 
    degrees. 18 Va. App. at 602
    , 445 S.E.2d at 717.
    In Dotson, this Court ruled that the conditions of
    employment caused the heatstroke because the employee was
    "work[ing] in hot, humid conditions over a period of time, a
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    situation to which the general public is not regularly exposed."
    
    Id. at 605, 445
    S.E.2d at 719.    Furthermore, this Court held
    that "[t]he fact that [the employee] lifted containers over a
    brief period does not make the heatstroke [the employee] suffered
    a 'gradually incurred' injury, as the employer contends."     
    Id. After our Dotson
    decision, the Supreme Court in The Stenrich
    Group v. Jemmott, 
    251 Va. 186
    , 199, 
    467 S.E.2d 795
    , 802 (1996),
    and Middlekauff v. Allstate Ins. Co., 
    247 Va. 150
    , 154, 
    439 S.E.2d 394
    , 397 (1994), reiterated the view that a gradually
    incurred injury is not an injury by accident within the meaning
    of the Act.   Both Jemmott and Middlekauff cite Morris, which
    states that "injuries resulting from repetitive trauma,
    continuing mental or physical stress, or other cumulative events,
    as well as injuries sustained at an unknown time, are not
    'injuries by accident' within the meaning of Code § 
    65.1-7." 238 Va. at 589
    , 385 S.E.2d at 865.     See Allied Fibers v. Rhodes, 
    23 Va. App. 101
    , 104, 
    474 S.E.2d 829
    , 830 (1996) (hearing loss
    resulting from prolonged exposure to industrial noise is
    noncompensable gradually incurred injury).     But see Code
    § 65.2-400(C) (amended in 1997 to state that "[h]earing loss and
    the condition of carpal tunnel syndrome are not occupational
    diseases but are ordinary diseases of life as defined in [Code]
    § 65.2-401").
    Awarding Green medical treatment for her injuries, the
    commission cited Byrd and noted that "[i]t is well established
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    that exposure to cold or hot temperatures resulting in conditions
    such as frostbite or heatstroke may constitute an injury by
    accident."    Indeed, that is precisely the holding in Byrd.     See
    182 Va. at 
    217, 28 S.E.2d at 727
    .       Because the Supreme Court has
    not expressly overruled Byrd, we are unable to conclude that the
    unequivocal rule in Byrd has been overruled sub silento by the
    current line of decisions represented by Morris, Jemmott and
    Middlekauff.     Those cases did not change the elements of injury
    by accident as explained in Byrd. 1      Accordingly, we hold that the
    commission did not err when it concluded that a condition
    resulting from exposure to extreme temperatures may still
    constitute an "injury by accident."
    III.
    Factual findings by the commission are conclusive and
    binding on appeal where credible evidence exists to support these
    1
    We note that other states have held that injury caused by
    exposure to extremes of heat or cold constitute an exception to
    the "gradually incurred" injury rule. For example, the Alabama
    courts hold that the "concept of accident contemplates a
    reasonably definite period of time during which the accident
    manifests itself, rather than a gradual disintegration or
    deterioration." Buchanan Lumber Co. v. Edwards, 
    531 So. 2d 1
    , 2
    (Ala. Civ. App. 1988). However, the Alabama Supreme Court has
    also held that an employee's death was caused by an "accident"
    within the meaning of the workers' compensation statute when the
    employee suffered an injury and died from "severe heat
    exhaustion." See Ex parte Neal, 
    423 So. 2d 850
    , 853 (Ala. 1982).
    "Other jurisdictions hold, with virtual unanimity, that when
    the conditions of employment expose the claimant to extreme heat
    or cold, injuries such as heatstroke, heat exhaustion, heat
    prostration, sunstroke, freezing, and frostbite are considered
    accidental." Dillingham v. Yeargin Constr. Co., 
    358 S.E.2d 380
    ,
    382 (N.C. 1987). See also Holley v. Owens Corning Fiberglas
    Corp., 
    392 S.E.2d 804
    (S.C. App. 1990).
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    findings.     Classic Floors, Inc. v. Guy, 
    9 Va. App. 90
    , 95, 
    383 S.E.2d 761
    , 764 (1989).    The commission found that Green worked
    in a refrigerated room for two to four hours and that Green
    contracted chilblains from the cold exposure in the refrigerated
    room.    Credible evidence in the record supports this finding.
    Green's testimony established that she was without any relief
    from the cold temperatures because she was unable to open the
    door.    This was Green's first and only day working in the
    refrigerated room, and she did not have any protective clothing.
    Green was wearing a short-sleeved shirt and no gloves when she
    was assigned to work in the refrigerated room for four hours.
    Thus, the facts in evidence prove an extraordinary exposure that
    distinguishes this case from Robinette and prove Green was
    subjected to a greater hazard in the refrigerated room than she
    otherwise would have been exposed.       The harmful exposure that
    Green experienced was due to a particular and specific work
    event, as in Byrd, and was not the result of a series of events,
    as in Robinette.
    In addition, the commission's finding that Green contracted
    chilblains from the cold exposure in the refrigerated room is
    supported by credible medical evidence.      Reports from the doctors
    diagnosed chilblains and related it to Green's exposure to the
    cold temperature in the refrigerated room.      Chilblains is a
    "localized erythema and doughy subcutaneous swelling caused by
    exposure to the cold associated with dampness, . . . usually
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    involving the hands, feet, ears, and face in children, the legs
    and toes in women, and the hands and fingers in men."     Dorland's
    Illustrated Medical Dictionary 331 (28th ed.). 2    The medical
    evidence also proved that Green suffered superficial frostbite.
    "Superficial frostbite . . . may be manifested as simple
    erythema."     Dorland's Illustrated Medical Dictionary 665 (28th
    ed.).    Both conditions were the result of sudden mechanical or
    structural changes in the body which occurred when Green's body
    reached a critical point of chilling.
    The testimony and medical evidence provide credible evidence
    to support the commission's decision that Green suffered an
    "injury by accident."    Accordingly, we affirm the commission's
    award of the reasonable cost of Green's medical treatment for her
    injury.
    Affirmed.
    2
    "Women are more often affected than men."     Dr. Evans L.
    Lloyd, Hypothermia and Cold Stress (1996).
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