DocketNumber: 2016 SC 000527
Filed Date: 6/13/2017
Status: Precedential
Modified Date: 6/15/2017
llleoRTANT NoTlcE `` NoT To BE P'uBLlsHED 0PlNloN THls 0PlNloN ls DEslGNATED “NoT To BE PuBLlsHED.” PuRsuANT To THE RuLEs oF clvlL PRocEDuRE PRoMuLGATED Bv THE suPREME couRT, cR 76-.28(4)(€), THls 0PlNloN ls NoT To BE PuBLlsHED AND sHALL NoT BE clTED oR usED As BlNDlNG PREcEDENT lN ANv oTHER cAsE lN ANY-couRT oF THls sTATE; HoWEvER, uNPuBLlsHED I2010 WL 1041054 , at *5 (Ky. App. Mar. 19, 20101 Puckett involved the ALJ's decision dismissing the claimant’s workers' compensation case due to failure to submit objective medical evidence. The 0ourt of Appeals affirmed the denial of the claimant’s motion to reopen the case and, in so holding, excluded a medical report that failed to comply With the applicable provisions of 803 KAR 25:010 Section 10. Unlike _Puckett, however, the facts of the present case demonstrate that Neeley substantially complied with the applicable regulations First, Flat Rock failed to object to Dr. Sanders’ report that was attached to Neeley’s Form 101. Second, the record demonstrates that Flat Rock is well aware of Dr. Sanders and her qualifications ln fact, Flat Rock submitted Dr. Sanders’ index number in a separate letter drafted and signed by Dr. Sanders summarizing the November_27, 2012 examination. ``Third, the handwritten portion of Dr. Sanders’ report was legible. It is clear that the purpose of 803 KAR 25:010 has been satisfied here. Moreover, the report contested by Flat Rock is only one of numerous, detailed medical reports considered by the ALJ in reaching his final determination. The ALJ also assigned great weight to Neeley’s live testimony-. There is no reversible error. Lastly, Flat Rock also takes issue with a medical record referenced by the ' ALJ in his opinion as being dated Januaiy 20, 2013. The actual record to which the ALJ was referring was dated June 20, 2013. This is clearly a clerical error and, therefore, does not require reversal. Miscanstruing the Evidence Next, Flat Rock argues that the ALJ flagrantly misconstrued the evidence. As previously noted, several physicians involved in this case provided reports contesting the severity of Neeley’s injury and how that impacted his ability to return to work. I-Iowev``er, they all agreed that Neeley had suffered a significant injury to his right eye. Both parties also stipulated ' that Neeley suffered a 17% whole person impairment rating. Furthermore, it is clear from the ALJ’s opinion that he afforded great weight to Neeley’s live testimony at the final hearing in this case. As stated in his Amended Opinion and Order on Remand, the ALJ specifically based his decision on the following considerations: - l took into consideration [Neeley’s] sworn testimony that he has ``lost the vision in his right eye, has double and triple vision, is light sensitive in his left eye, does not. drive a motor vehicle and cannot return to any employment l took into consideration the fact that he graduated from high school many years a``go and has absolutely no specialized or vocational training. I reached the reasonable assumption and determination that if Mr. Neeley went out into the highly competitive job market, he will have an extremely difficult time in finding any regular gainful employment Based upon all of the above factors, l make the determination that Mr. Neeley cannot find work consistently under regular work circumstances and Work 5 dependably. I make the determination that he is permanently and totally disabled. lt is well-settled that “[t]he ALJ has the sole discretion to determine the quality, character, and substance of the evidence and may'reject any testimony and believe or disbelieve various parts of the evidence regardless of whether it comes from the same witness or the same_party's total proof.” Toyota Motor Manufacturing, Kentucky, Inc. 1). Tudor, 491 S.W.Sd 496, 503 (Ky. 2016); Therefore, the ALJ’s reliance on the above cited evidence was proper and constitutes substantial evidence supporting an award of Pl``D benefits Flat Rock also argues that-the ALJ erroneously determined that Neeley sustained an injury to his left eye. As previously noted, one of the reasons the Board originally reversed and remanded this case for additional information WaS due to the mischaracterization of evidence concerning Neeley’s alleged injury to his left eye. ln his amended order,' the ALJ concluded in part that “Dr. Sanders was Mr. Neeley’s treating eye'specialist. She stated that he has right eye pain and photophobia in his left eye.” After considering the Al.J’s corrected order, the Board and the Court of Appeals expressed additional concerns about the ALJ’s treatment of this evidence concerning Neeley’s alleged left eye injury. Nevertheless, both panels affirmed the ALJ’s revised order. We agree with Neeley concerning the evidence indicating a serious injury to his right eye. However, the parties have failed to specifically cite any record indicating Dr. Sanders’ diagnosis of or reference to any ailment involving Neeley’s left eye. However, other records indicate an impairment to Neeley’s left 6 eye. For example, Dr. Ralph Crystal, a vocational consultant, indicated that Neeley reportedly experienced optic nerve pain in both eyes and light sensitivity in his left eye. Neeley echoed these concerns in his final hearing testimony. In addition, Flat Rock concedes on page 19 of its brief that “[a]fter the injury, Neeley began to complain to Dr. Sanders of debilitating symptoms in his M; eye, consisting of extreme light sensitivity.” Moreover, the ALJ’s ultimate decision to award PTD benefits was clearly based on the severe injury to Neeley’s right eye. Therefore, we cannot conclude that the ALJ lacked _ substantial information for his decision to award PTD benefits Maximum Medical Improvement For its final argument, Flat Rock asserts temporary restrictions do not support a PTD finding. Flat Rock specifically argues that the medical evidence the ALJ relied on to support a finding of PTD Was dated before Neeley had reached maximum medical improvement (MMI). lt is undisputed that Neeley’s MMI occurred December 4, 2013. The Board aptly addressed this issue as follows: We first note that there is no blanket prohibition against reliance upon a physician’s statement made prior to the attainment of maximum medical improvement The particular statement was made by Dr. Sanders in the November 27, 2012 report. She indicated her concern Neeley would ever be able to return to work “unless he experiences spontaneous improvement.” When considered in conjunction with Neeley’s ongoing treatment after this statement was made, we believe it is probative of Dr. Sanders’ impression of his overall condition. Stated otherwise, Dr. Sanders’ subsequent medical records indicate Neeley never did experience “spontaneous improvement”. Rather, his condition worsened and required further surgical intervention The Court of Appeals adopted the Board’s reasoning. ln further support of its conclusion, the Court of Appeals cited our case of Amold v. Toyota Motor Mfg., 375 lS.W.3d 56 (Ky. 2012)'. Therein, we stated that “[a]lthough causation and the date of MMI are medical questions, a worker’s testimony may provide adequate support for a finding concerning his inability to work at a particular point in time.”Id. at'61. Aspreviously noted, both parties stipulated that Neeley suffered a 17% whole person impairment rating and that the ALJ gave great weight to Neeley’s live testimony. The ALJ also considered numerous medical records Therefore, there was substantial evidence supporting the A»LJ’s determination. Conclusion For the foregoing reasons, we hereby affirm the Court of Appeals’ decision, affirming the decisions issued by the Board and the ALJ. All sitting. All concur. COUNSEL FOR APPELLANT: Thomas Clarke Donkin QUINTAIROS, PRIETO, WOOD 85 BOYER, P.A. COUNSEL FOR APPELLEE, STEVEN NEELEY: McKinnley Morgan MORGAN, COLL'INS 85 YEAST