Allen L. McClure v. Bluestone Coal Co. ( 2014 )


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  •                              STATE OF WEST VIRGINIA
    FILED
    SUPREME COURT OF APPEALS                               June 27, 2014
    RORY L. PERRY II, CLERK
    SUPREME COURT OF APPEALS
    ALLEN L. MCCLURE,                                                             OF WEST VIRGINIA
    Claimant Below, Petitioner
    vs.)   No. 13-0392 (BOR Appeal No. 2047900)
    (Claim No. 2009075515)
    BLUESTONE COAL COMPANY,
    Employer Below, Respondent
    MEMORANDUM DECISION
    Petitioner Allen L. McClure, by Reginald D. Henry, his attorney, appeals the decision of
    the West Virginia Workers’ Compensation Board of Review. Bluestone Coal Company, by Lisa
    A. Warner Hunter, its attorney, filed a timely response.
    This appeal arises from the Board of Review’s Final Order dated March 21, 2013, in
    which the Board affirmed a November 7, 2012, Order of the Workers’ Compensation Office of
    Judges. In its Order, the Office of Judges affirmed the claims administrator’s May 19, 2011,
    decision which denied a request to add lumbar sprain as a compensable component of the claim.
    In its Order, the Office of Judges also reversed the claims administrator’s June 8, 2011, decision
    which granted Mr. McClure a 4% permanent partial disability award. The Court has carefully
    reviewed the records, written arguments, and appendices contained in the briefs, and the case is
    mature for consideration.
    This Court has considered the parties’ briefs and the record on appeal. The facts and legal
    arguments are adequately presented, and the decisional process would not be significantly aided
    by oral argument. Upon consideration of the standard of review, the briefs, and the record
    presented, the Court finds no substantial question of law and no prejudicial error. For these
    reasons, a memorandum decision is appropriate under Rule 21 of the Rules of Appellate
    Procedure.
    Mr. McClure, a coal miner, was injured on January 14, 2009, when the man trip he was
    operating struck a coal rib. Treatment notes from Welch Community Hospital indicate Mr.
    McClure injured his neck, back, and left wrist. His claim was thereafter held compensable for
    neck sprain/strain, thoracic sprain/strain, and contusion of the wrist.
    1
    Yogesh Chand, M.D., performed an independent medical evaluation of Mr. McClure on
    March 3, 2011, in which he assessed 4% impairment for the left wrist. He opined that he was
    unable to rate the neck and thoracic spine at that time due to pain. A second independent medical
    evaluation was performed by Bruce Guberman, M.D., on August 2, 2011. Dr. Guberman
    diagnosed acute and chronic cervical and thoracic spine sprains/strains and chronic post-
    traumatic strain of the left wrist with persistent range of motion abnormalities. Dr. Guberman
    noted that Mr. McClure reported that he injured his lumbar spine on January 14, 2009, as well.
    For the lower back, Dr. Guberman diagnosed acute and chronic lumbosacral strain. He noted that
    there were range of motion restrictions in the cervical, thoracic, and lumbar spines as well as in
    the left wrist. Mr. McClure was determined to be at maximum medical improvement and in no
    further need of treatment. Dr. Guberman assessed 6% cervical spine impairment, 5% thoracic
    spine impairment, and 7% impairment for the left wrist for a combined total of 17% impairment.
    A third and final independent medical evaluation was conducted by Prasadarao
    Mukkamala, M.D., on April 30, 2012. At that time, Mr. McClure complained of pain in his neck
    with radiation into both arms and pain in his mid-back. Dr. Mukkamala noted previous injuries
    to the neck and lower back. He diagnosed cervical sprain, thoracic sprain, and contusion of the
    left wrist. Dr. Mukkamala opined that Mr. McClure did not injure his lower back at the time of
    his compensable injury. When asked about his injuries, Mr. McClure indicated he injured his
    cervical and thoracic spines. He was found to be at maximum medical improvement and capable
    of returning to work. Dr. Mukkamala assessed 5% impairment for the cervical spine, 0% for the
    thoracic spine, and 4% for the left wrist. Additionally, he opined that Dr. Guberman’s cervical
    impairment calculations were incorrect because he failed to make an adjustment for West
    Virginia Code of State Rules § 85-20 (2006).
    The claims administrator denied a request to add lumbar sprain as a compensable
    component of the claim on May 19, 2011. On June 8, 2011, it granted Mr. McClure a 4%
    permanent partial disability award for the left wrist. The Office of Judges affirmed the claims
    administrator’s May 19, 2011, decision. It reversed the June 8, 2011, decision and awarded Mr.
    McClure a 9% permanent partial disability award representing 4% for the left wrist and 5% for
    the thoracic spine.
    The Office of Judges found that a preponderance of the evidence shows that Mr. McClure
    did not sustain a lumbar sprain as the result of his work-related injury. Dr. Chand found a long
    history of lower back problems dating back to a workers’ compensation claim twenty-five years
    prior. The lower back was not mentioned in the records on the date of the accident from Welch
    Community Hospital. Also, Drs. Mukkamala and Chand both opined that Mr. McClure did not
    injure his lower back as a result of his January 14, 2009, accident.
    The Office of Judges held that Mr. McClure sustained 4% permanent impairment to his
    left wrist as a result of his work-related injury. The opinions of Drs. Chand and Mukkamala were
    found to be persuasive because their range of motion evaluations were substantially in
    agreement. Dr. Guberman’s left wrist range of motion testing was found to represent a
    significant variance in comparison and his report was therefore found to be less persuasive.
    2
    The Office of Judges determined that Mr. McClure sustained 5% permanent impairment
    to his thoracic spine. It found that the reports of Drs. Mukkamala and Guberman were the most
    relevant to the issue because Dr. Chand was unable to measure thoracic range of motion due to
    pain. Dr. Mukkamala found 0% impairment and therefore declined to use Table 75 of the
    American Medical Association’s Guides to the Evaluation of Permanent Impairment, (4th
    Edition, 1993). Dr. Guberman found 2% impairment and thus utilized Table 75 to arrive at an
    impairment rating of 5%. The Office of Judges determined that the decision of whether or not to
    use Table 75 represented a reasonable difference of professional opinion and the two reports
    therefore deserve equal evidentiary weight. Per West Virginia Code § 23-4-1g(a) (2003), the
    issue was resolved in the manner most consistent with the claimant’s position and Dr.
    Guberman’s report was therefore found to be persuasive. His recommendation of 5% impairment
    was found to correlate with West Virginia Code of State Rules § 85-20-Table D (2006).
    For the cervical spine, the Office of Judges determined that Dr. Mukkamala’s findings
    were the most persuasive. It found that there was disagreement between Dr. Mukkamala and Dr.
    Guberman regarding the point at which adjustment for prior permanent partial disability awards
    is to be made. Dr. Mukkamala made the adjustment after arriving at a final impairment rating
    and Dr. Guberman made the adjustment from his range of motion recommendation prior to the
    application of West Virginia Code of State Rules § 85-20-Table E (2006). The Office of Judges
    held that Dr. Mukkamala’s adjustment was more compatible with the regulations set forth in
    West Virginia Code of State Rules §§ 85-20-64.4 (2006) and 85-20-64.1 (2006). Dr. Mukkamala
    assessed 5% permanent partial disability and Mr. McClure was therefore found to have been
    fully compensated by his prior 8% cervical permanent partial disability awards.
    The Board of Review adopted the findings of fact and conclusions of law of the Office of
    Judges and affirmed its Order in its March 21, 2013, decision. This Court agrees with the
    reasoning and conclusions of the Board of Review.
    For the foregoing reasons, we find that the decision of the Board of Review is not in clear
    violation of any constitutional or statutory provision, nor is it clearly the result of erroneous
    conclusions of law, nor is it based upon a material misstatement or mischaracterization of the
    evidentiary record. Therefore, the decision of the Board of Review is affirmed.
    Affirmed.
    ISSUED: June 27, 2014
    CONCURRED IN BY:
    Chief Justice Robin J. Davis
    Justice Brent D. Benjamin
    Justice Menis E. Ketchum
    Justice Allen H. Loughry II
    DISSENTING:
    Justice Margaret L. Workman
    3
    

Document Info

Docket Number: 13-0392

Filed Date: 6/27/2014

Precedential Status: Precedential

Modified Date: 10/30/2014