Franklin Coleman v. Spartan Mining Company ( 2023 )


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  •                                                                                     FILED
    May 2, 2023
    EDYTHE NASH GAISER, CLERK
    SUPREME COURT OF APPEALS
    OF WEST VIRGINIA
    STATE OF WEST VIRGINIA
    SUPREME COURT OF APPEALS
    Franklin Coleman,
    Claimant Below, Petitioner
    vs.)   No. 21-0741 (BOR Appeal No. 2054520)
    (Claim No. 2018001948)
    Spartan Mining Company,
    Employer Below, Respondent
    MEMORANDUM DECISION
    Petitioner Franklin Coleman, by Counsel J. Robert Weaver, appeals the decision of the
    West Virginia Workers’ Compensation Board of Review (“Board of Review”). Spartan Mining
    Company, by Counsel Sean Harter, filed a timely response.
    The issue on appeal is compensability. The claims administrator rejected the claim on
    December 18, 2017. The Workers’ Compensation Office of Judges (“Office of Judges”) affirmed
    the decision in its July 29, 2019, Order. The Order was affirmed by the Board of Review on August
    24, 2021.
    The Court has carefully reviewed the records, written arguments, and appendices contained
    in the briefs, and the case is mature for consideration. 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.
    The standard of review applicable to this Court’s consideration of workers’ compensation
    appeals has been set out under 
    W. Va. Code § 23-5-15
    , in relevant part, as follows:
    (c) In reviewing a decision of the Board of Review, the Supreme Court of
    Appeals shall consider the record provided by the board and give deference to the
    board’s findings, reasoning, and conclusions . . . .
    (d) If the decision of the board represents an affirmation of a prior ruling by
    both the commission and the Office of Judges that was entered on the same issue
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    in the same claim, the decision of the board may be reversed or modified by the
    Supreme Court of Appeals only if the decision is in clear violation of constitutional
    or statutory provision, is clearly the result of erroneous conclusions of law, or is
    based upon the board’s material misstatement or mischaracterization of particular
    components of the evidentiary record. The court may not conduct a de novo
    reweighing of the evidentiary record . . . .
    See Hammons v. W. Va. Off. of Ins. Comm’r, 
    235 W. Va. 577
    , 582-83, 
    775 S.E.2d 458
    , 463-64
    (2015). As we previously recognized in Justice v. West Virginia Office Insurance Commission,
    
    230 W. Va. 80
    , 83, 
    736 S.E.2d 80
    , 83 (2012), we apply a de novo standard of review to questions
    of law arising in the context of decisions issued by the Board. See also Davies v. W. Va. Off. of
    Ins. Comm’r, 
    227 W. Va. 330
    , 334, 
    708 S.E.2d 524
    , 528 (2011).
    Mr. Coleman, a fire boss, alleges that he developed carpal tunnel syndrome in the course
    of and resulting from his employment. On May 22, 2014, Mr. Coleman was seen by his treating
    physician, Raymond Bishop, M.D., for follow up for his type II diabetes. Mr. Coleman’s blood
    sugars were high. It was noted that he had hyperlipidemia and was going to undergo surgery for a
    right forearm nodule. On October 29, 2015, Mr. Coleman underwent an EMG/nerve conduction
    study which showed mild bilateral carpal tunnel syndrome.
    Devesh Sharma, M.D., performed left carpal tunnel release surgery on June 17, 2016. On
    August 18, 2016, he noted that Mr. Coleman’s left wrist had improved post-surgery and was
    feeling better with physical therapy. However, he had developed numbness in his right fingers. Dr.
    Sharma diagnosed bilateral carpal tunnel syndrome and primary osteoarthritis of an unspecified
    hand.
    On October 18, 2016, Mr. Coleman was seen by Scott Farner, M.D., due to pain in his left
    wrist surgical site, palm, the middle of his wrist, and his forearm. It was noted that Mr. Coleman
    likely had some cervical radiculopathy. Bilateral wrist injections and a possible carpal tunnel
    revision surgery were recommended. Mr. Coleman underwent a cervical x-ray that day which
    showed moderate spondylosis, worst at C5-6. Dr. Farner noted that Mr. Coleman had longstanding
    carpal and cubital tunnel symptoms which were likely exacerbated by work.
    Mr. Coleman was seen by Brian Daniels, D.O., on October 28, 2016, for results from a
    cervical MRI. The results showed a C5-6 bone spur indenting the thecal sac with mild stenosis and
    moderate left foraminal stenosis. Similar findings were noted at C6-7. Dr. Daniels diagnosed
    chronic neck pain and cervical radiculopathy. He opined that Mr. Coleman’s cervical issues were
    likely causing his hand symptoms, especially given the location of the stenosis.
    Jeffrey Stanley, PT, completed an initial evaluation of Mr. Coleman on October 31, 2016,
    in which he determined that physical therapy was appropriate treatment for Mr. Coleman’s cervical
    pain and possible radiculopathy. The prognosis was fair because Mr. Coleman’s symptoms were
    chronic. On November 3, 2016, Dr. Sharma treated Mr. Coleman for bilateral hand pain, which
    was constant. It was noted that Mr. Coleman’s persistent numbness in his fingers may be the result
    of diabetic neuropathy because he also experienced a burning sensation in his feet.
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    Mr. Coleman returned to Dr. Daniels on December 2, 2016, and reported persistent cervical
    spasms and loss of range of motion. Physical therapy was not helping. He stated that he was unable
    to return to work due to upper extremity weakness, lower extremity weakness, pain, and
    radiculopathy. On December 13, 2016, Dr. Farner treated Mr. Coleman and stated that he had no
    improvement post carpal tunnel surgery and diagnosed cervical radiculopathy. It was noted that
    Mr. Coleman had diabetes and suffered from neuropathy in his feet. The diagnoses were recurrent
    left carpal tunnel syndrome, left cubital tunnel syndrome, cervical radiculopathy, and diabetic
    neuropathy. Surgery was scheduled for left carpal and cubital tunnel releases.
    Mr. Coleman completed the Employees’ and Physicians’ Report of Injury on July 10, 2017.
    He stated that he stopped working on June 16, 2016, due to progression of his carpal tunnel
    syndrome symptoms. Dr. Daniels completed the physician’s section and diagnosed occupational
    bilateral carpal tunnel syndrome. Dr. Daniels completed a carpal tunnel report on August 9, 2017,
    in which he stated that Mr. Coleman had symptoms in both hands which worsened with repetitive
    motion. He noted that Mr. Coleman had osteoarthritis and diabetes.
    Marsha Bailey, M.D., performed an Independent Medical Evaluation on November 21,
    2017, in which she diagnosed bilateral upper extremity peripheral neuropathies including bilateral
    carpal and cubital tunnel syndromes. She opined that the conditions were not the result of Mr.
    Coleman’s work duties but rather, the result of his strong personal risk factors in the form of poorly
    controlled diabetes, obesity, osteoarthritis, and cervical spine disease. Dr. Bailey stated that Mr.
    Coleman’s duties as a fire boss involved some use of hand tools, hammers, and shovels, but did
    not put him at occupational risk for carpal tunnel syndrome. She noted that his poorly controlled
    diabetes resulted in bilateral upper extremity peripheral neuropathies as well as diabetic peripheral
    neuropathies in both feet.
    On December 12, 2017, Mr. Coleman returned to Dr. Farner and reported that he had
    postponed his left carpal tunnel revision surgery because he lost his insurance. The claims
    administrator rejected the claim on December 18, 2017. Dr. Farner performed left carpal tunnel
    release surgery on December 29, 2017. It was noted that there was a lot of scarring. Mr. Coleman
    followed up with Dr. Farner on January 11, 2018, and reported significant improvement in his
    symptoms.
    Prasadarao Mukkamala, M.D., performed a Record Review on July 10, 2018, in which he
    opined that Mr. Coleman’s carpal tunnel syndrome was not the result of his work activities. Dr.
    Mukkamala reviewed Mr. Coleman’s job duties and stated that they were not the kind of activities
    known to cause an increased risk of carpal tunnel syndrome. He noted that Mr. Coleman had
    several risk factors for carpal tunnel syndrome in the form of diabetes, obesity, degenerative
    cervical spondyloarthropathy, and osteoarthritis. Dr. Mukkamala stated that he agreed with Dr.
    Bailey’s opinion that Mr. Coleman’s carpal tunnel syndrome was not the result of his work duties.
    Mr. Coleman testified in a July 18, 2018, deposition that he began working in West
    Virginia as a fire boss in 2010. He asserted that he spent 90% of his day shoveling and did his fire
    boss duties for the last hour and a half of the day. Mr. Coleman asserted that when he started
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    working in West Virginia, he was having no hand, wrist, elbow, or arm issues. He was hired by
    Spartan Mining Company in 2015. That year, he developed problems with his hands and sought
    treatment from Dr. Daniels. Mr. Coleman underwent three surgeries on his wrists, two on the left
    and one on the right. None of the surgeries were successful. Mr. Coleman stated that he stopped
    working in June of 2016 and was terminated in December of 2016. He did not file his claim until
    after his surgeries and after he was terminated. He denied any problems with his hands or wrists
    prior to 2015 but admitted that he was diagnosed with diabetic neuropathy in both feet.
    Syam Stoll, M.D., performed an Independent Medical Evaluation on December 11, 2018,
    in which he diagnosed bilateral carpal tunnel syndrome. He opined that the condition was the result
    of Mr. Coleman’s type II diabetes and not his occupational duties. He also noted that Mr. Coleman
    had a pre-claim occupational exposure to activities that can cause carpal tunnel syndrome during
    his thirty years working as a butcher. Dr. Stoll stated that Mr. Coleman’s work activities for
    Spartan Mining Company did not put him at increased risk of carpal tunnel syndrome. He noted
    that he has not been employed as a coal miner since June of 2016, yet his symptoms have not
    changed or improved. Further, Mr. Coleman’s pain drawing was not consistent with carpal tunnel
    syndrome but was consistent with multiple peripheral nerve issues, including peripheral
    neuropathy.
    The Office of Judges affirmed the claims administrator’s rejection of the claim in its July
    29, 2019, Order. After reviewing the evidence, the Office of Judges determined that Mr. Coleman
    was diagnosed with diabetes as early as May 22, 2014. In his report of that date, Dr. Bishop stated
    that Mr. Coleman’s blood sugar was high and had not been checked in quite a while. According to
    Drs. Bailey, Mukkamala, and Stoll, Mr. Coleman’s diabetes is a nonoccupational risk factor for
    carpal tunnel syndrome that elevated his risk of developing the condition. Further, all three
    physicians noted that Mr. Coleman suffers from diabetic neuropathy in his feet and cervical
    spondyloarthropathy, and all three opined that his carpal tunnel syndrome was not the result of his
    work duties for Spartan Mining Company. The Office of Judges found the reports of Drs. Bailey,
    Mukkamala, and Stoll to be reliable. Mr. Coleman has multiple risk factors for carpal tunnel
    syndrome, none of which were his occupational duties. The Board of Review affirmed the Office
    of Judges’ Order on August 24, 2021.
    After review, we agree with the reasoning and conclusions of the Office of Judges as
    affirmed by the Board of Review. For an injury to be compensable it must be a personal injury that
    was received in the course of employment, and it must have resulted from that employment.
    Barnett v. State Workmen’s Comp. Comm’r, 
    153 W. Va. 796
    , 
    172 S.E.2d 698
     (1970). The record
    clearly shows that Mr. Coleman has multiple personal risk factors for carpal tunnel syndrome in
    the form of diabetes, obesity, degenerative cervical spondyloarthropathy, and osteoarthritis.
    Further, his work duties were determined by three different physicians to not be the kind of
    activities that cause an increased risk of carpal tunnel syndrome.
    Affirmed.
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    ISSUED: May 2, 2023
    CONCURRED IN BY:
    Chief Justice Elizabeth D. Walker
    Justice Tim Armstead
    Justice John A. Hutchison
    Justice William R. Wooton
    Justice C. Haley Bunn
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