ELEAZAR GONZALES, Claimant-Respondent v. BUTTERBALL, L.L.C., Employer-Appellant, and ACE AMERICAN INSURANCE COMPANY, Insurer-Appellant.

Missouri Court of Appeals
Southern District
Division Two
ELEAZAR GONZALES, )
)
Claimant-Respondent, )
)
vs. ) No. SD33269
)
BUTTERBALL, L.L.C., ) Filed February 11, 2015
)
Employer-Appellant, )
)
and )
)
ACE AMERICAN INSURANCE COMPANY, )
)
Insurer-Appellant. )
APPEAL FROM THE LABOR AND INDUSTRIAL RELATIONS COMMISSION
AFFIRMED IN PART; REVERSED IN PART
Butterball, L.L.C., and Ace American Insurance Company (together “Appellants”) appeal
the Labor and Industrial Relations Commission’s (“the Commission”) award of workers’
compensation benefits to Eleazar Gonzales for an injury to his chest occurring June 26, 2009. In
four points, Appellants claim there was not sufficient, competent evidence in the record
supporting the award because Gonzales failed to establish that his injury occurred at work;
Gonzeles did not provide notice to his employer of any work accident; Gonzales did not miss any
time from work to justify the award of temporary total disability benefits; and there was no
evidence linking Gonzales’s medical treatment to his alleged work injury. Because Gonzales
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concedes that he did not miss any time from work other than part of the day of his injury and
there was no evidence in the record to indicate otherwise, we reverse the award of temporary
total disability benefits in the amount of $342.03. Finding no merit in Appellant’s remaining
three points, we affirm the balance of the Commission’s award of workers’ compensation
benefits.
Factual and Procedural Background
Gonzales was born in Guatemala in May 1947 and currently resides in Joplin, Missouri.
He reached the third grade in Guatemala and never obtained a GED. Although Gonzales has
lived in the United States for approximately twenty years and is a United States citizen, his
native language is Spanish; he does not read or write English.
Gonzales began his employment with Butterball in January 2001. At the time of his
injury, Gonzales was working in the evisceration department; his responsibilities included
picking up and lifting both live and dead turkeys and putting them in canisters, weighing the
turkeys, taking the turkeys to the grinding machines, and cleaning the line.
On June 26, 2009, while lifting a turkey weighing approximately eighty pounds,
Gonzales felt a pull in his chest. Gonzales immediately notified Cacio Mario, a layman assisting
Gonzales’s supervisor, who took Gonzales to the infirmary. There, Gonzales was evaluated by
the company nurse. Gonzales’s supervisor, Mateo, was present during the evaluation and
questioned Gonzales as to his injury. After someone called 911, Gonzales was taken by
ambulance to McCune Brooks Hospital in Carthage, Missouri, where an interpreter was not
immediately available. There, he underwent an EKG and CPK. Gonzales was subsequently
transferred to Freeman Hospital in Joplin, where he underwent a cardiac catheterization, which
showed Gonzales to have normal coronary arteries with normal LV function. He had not had
any previous problems with his chest. Gonzales was prescribed Vicodin for pain.
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The following day, Gonzales was provided with an interpreter and, at that time, Gonzales
informed his treating physicians that he had been lifting a heavy turkey and attempting to place it
on an upper shelf when he experienced a sudden onset of chest pain that worsened with breathing
and movement of the ribs. A series of rib and chest x-rays revealed normal results, while a
physical examination revealed a slightly swollen area over Gonzales’s rib cage; this was
determined to be secondary to lifting a heavy turkey. Gonzales was discharged from Freeman
Hospital in stable condition the day following his injury with a diagnosis of non-cardiac chest
pain with rib pain. The treating physician at Freeman Hospital opined that Gonzales was to
remain off work for one week with no lifting more than twenty-five pounds for two weeks.
Gonzales did not seek any further medical treatment upon his discharge from the hospital and
returned to work full-time at Butterball without missing any scheduled days.
At the request of his attorney, Gonzales was evaluated on June 7, 2010, by Dr. Shane
Bennoch. Dr. Bennoch opined that, as a result of lifting the heavy turkey on June 26, 2009,
Gonzales sustained a muscle strain to his chest wall. He further opined that Gonzales had
achieved maximum medical improvement for his injury and, as Gonzales’s chest pain had
resolved, there was no permanent disability. According to Dr. Bennoch, the treatment Gonzales
received at both hospitals was reasonable and necessary to treat Gonzales’s injury.
Gonzales’s medical bills for treatment incurred as a result of his chest pain on June 26,
2009, total $19,655.91. Appellants have not paid any of Gonzales’s medical expenses.
Gonzales filed for workers’ compensation benefits as a result of his injury incurred on
June 26, 2009, and a final hearing was held before an Administrative Law Judge (“ALJ”) on
April 2, 2013. In her final award, issued August 16, 2013, the ALJ concluded that Gonzales
sustained an accident in the course and scope of his employment on June 26, 2009; the ALJ
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expressly based her decision on “the medical records, Dr. Bennoch’s testimony, and
[Gonzales’s] testimony[.]” Appellants were ordered to pay $19,655.91 in medical expenses and
$342.03 in past temporary total disability benefits for one week of missed work. Appellants filed
an appeal with the Commission, which affirmed the ALJ’s decision in favor of Gonzalez and
incorporated the ALJ’s decision into its award. This appeal followed.
Standard of Review
Our review on appeal is governed by section 287.495 and Hampton v. Big Boy Steel
Erection, 121 S.W.3d 220, 222 (Mo. banc 2003), which state that a
court, on appeal, shall review only questions of law and may modify, reverse,
remand for rehearing, or set aside the award upon any of the following grounds
and no other:
That the [C]ommission acted without or in excess of its powers;
That the award was procured by fraud;
That the facts found by the [C]ommission do not support the award;
That there was not sufficient competent evidence in the record to warrant the
making of the award.
We review the Commission’s findings and award. Clayton v. Langco Tool & Plastics,
Inc., 221 S.W.3d 490, 491 (Mo.App. 2007). Where, as here, the Commission incorporates the
ALJ’s findings and award into its final award, we consider the ALJ’s findings and award as the
Commission’s findings and award. Id. Moreover, the Missouri constitution, article V, section
18, provides that our review of the underlying award is limited to a determination of whether the
award is “supported by competent and substantial evidence upon the whole record.” Such a
“standard is not met if the award is contrary to the overwhelming weight of the evidence.”
Wagner v. Harbert Yeargin Constr. Co., 145 S.W.3d 511, 513 (Mo.App. 2004).
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It is not our responsibility to re-weigh the evidence before the Commission; rather, we
defer to the findings of the Commission as they relate to the credibility of witnesses and the
weight to be given a witness’s testimony. Hornbeck v. Spectra Painting, Inc., 370 S.W.3d 624,
629 (Mo. banc 2012). This includes the credibility of medical experts and conflicting medical
theories. Armstrong v. Tetra Pak, Inc., 391 S.W.3d 466, 470-71 (Mo.App. 2012).
Consequently, although we review questions of law de novo, we will not substitute our own
judgment on issues of fact where the Commission has acted within its authority, even if this
court would have reached a different conclusion. Underwood v. High Road Indus., LLC, 369
S.W.3d 59, 66 (Mo.App. 2012).
Discussion
Appellants present four points relied on for our review. We address them out of order by
considering the first, second, and fourth points together and then considering the third point.
Sufficient Evidence in Record Supporting Award
In their first, second, and fourth points, Appellants contend that the Commission’s award
was against the overwhelming weight of the evidence in that the record before the Commission
was devoid of any evidence demonstrating that Gonzales suffered a work-related injury, that
Gonzales provided Butterball with the requisite statutory notice for any such injury, and that
Gonzales’s treatment for which he seeks payment was related to any alleged work-related injury.
Appellants are incorrect.
A successful against-the-weight-of-the-evidence challenge will complete four steps:
1. Identify a factual proposition needed to sustain the result;
2. Marshal all record evidence supporting that proposition;
3. Marshal contrary evidence of record, subject to the factfinder’s credibility
determinations, explicit or implicit; and
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4. Prove, in light of the whole record, that the step 2 evidence and its reasonable
inferences are so non-probative that no reasonable mind could believe the
proposition.
Jordan v. USF Holland Motor Freight, Inc., 383 S.W.3d 93, 95 (Mo.App. 2012) (citing
Stewart v. Sidio, 358 S.W.3d 524, 527-28 (Mo.App. 2012); Houston v. Crider, 317 S.W.3d 178,
187 (Mo.App. 2010)). Appellants completely fail to address the second step in each of these
three points, ignoring any evidence in the record supporting the Commission’s findings, and, in
addressing the third step, ignore the Commission’s credibility determinations.
Section 287.140.1 provides, in relevant part, that
[T]he employee shall receive and the employer shall provide such medical
surgical, chiropractic, and hospital treatment, including nursing, custodial,
ambulance and medicines as may reasonably be required after the injury or
disability, to cure and relieve the effects of the work injury.
“Injury” is “defined to be an injury which has arisen out of and in the course of employment. An
injury by accident is compensable only if the accident was the prevailing factor in causing both
the resulting medical condition and disability.” Section 287.020.3(1). An “accident” is “an
unexpected traumatic event or unusual strain identifiable by time and place of occurrence and
producing at the time objective symptoms of an injury caused by a specific event during a single
work shift.” Section 287.020.2. Finally,
(2) [a]n injury shall be deemed to arise out of and in the course of the
employment only if:
(a) it is reasonably apparent, upon consideration of all the circumstances,
that the accident is the prevailing factor in causing the injury; and
(b) it does not come from a hazard or risk unrelated to the employment to
which workers would have been equally exposed outside of and unrelated to the
employment in normal nonemployment life.
Section 287.020.3(2). In order to establish that he suffered a compensable, work-related injury,
therefore, Gonzales had to prove that he suffered an unexpected traumatic event while on the job
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that was the prevailing factor in causing the injury for which he was treated and that the hazard
or risk of injury was more related to his employment than his normal non-employment life.
Gonzales did just that.
Gonzales testified that at the time of his injury in June 2009, his job responsibilities
included picking up both live and dead turkeys, placing them in canisters, weighing them, and
taking them to a machine for grinding. He further testified that he injured his chest while lifting
a turkey weighing upwards of eighty pounds and placing it on a platform, and that he had never
previously experienced chest pain. The Commission expressly found Gonzales’s testimony to be
credible and persuasive. An employee’s credible testimony can, independently, constitute
substantial and competent evidence. Hampton, 121 S.W.3d at 223-24. Appellants omitted this
favorable evidence from their argument and ignored that the Commission found Gonzales’s
testimony credible. The Commission’s finding that Gonzales suffered a work-related injury was
supported by substantial and competent evidence and was not against the overwhelming weight
of the evidence. Appellants’ first point is denied.
Similarly, section 287.420 provides:
No proceedings for compensation for any accident under this chapter shall be
maintained unless written notice of the time, place and nature of the injury, and
the name and address of the person injured, has been given to the employer no
later than thirty days after the accident, unless the employer was not prejudiced by
failure to receive the notice. No proceedings for compensation for any
occupational disease or repetitive trauma under this chapter shall be maintained
unless written notice of the time, place, and nature of the injury, and the name and
address of the person injured, has been given to the employer no later than thirty
days after the diagnosis of the condition unless the employee can prove the
employer was not prejudiced by failure to receive the notice.
“The purpose of section 287.420 is to give the employer timely opportunity to investigate the
facts surrounding the accident and, if an accident occurred, to provide the employee medical
attention in order to minimize the disability.” Sell v. Ozarks Med. Ctr., 333 S.W.3d 498, 510
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(Mo.App. 2011) (internal quotation omitted). “A claimant may demonstrate lack of prejudice
where evidence of actual notice was uncontradicted, admitted by the employer, or accepted as
true by the fact-finder.” Pursifull v. Braun Plastering & Drywall, 233 S.W.3d 219, 223
(Mo.App. 2007) (internal quotation omitted). Thus, Gonzales needed to provide substantial and
competent evidence showing either that he submitted timely written notice to Butterball
informing them of his workplace injury or that Butterball was not prejudiced by his failure to do
so, e.g., that Butterball had actual knowledge of Gonzales’s injury.
Gonzales testified that, at the time of his injury, he immediately reported what had
happened to a coworker, Cacio Mario, who was assisting Gonzales’s supervisor. According to
Gonzales, Mario took Gonzales to the infirmary, where the supervisor, Mateo, was present, and
Gonzales then informed Mateo of what had happened. In addition, there was evidence presented
that Gonzales reported his injury to Susanne Berryhill, the plant nurse, and that Butterball
completed a Report of Injury, noting that Butterball was informed of Gonzales’s injury on the
date of the accident and that the injured body parts included Gonzales’s ribs, sternum, and soft
tissue. Gonzales also testified that, upon being examined by Berryhill, he was transported by
ambulance to McCune Brooks Hospital in Carthage and underwent various tests and procedures
to determine the cause and severity of his chest pain. As noted supra, the Commission expressly
found Gonzales’s testimony to be credible and persuasive, see Hampton, 121 S.W.3d at 223-24;
thus, there was substantial and competent evidence before the Commission that Gonzales
informed both a coworker and his supervisor of the accident immediately upon its occurrence, as
well as evidence that Gonzales informed the plant nurse and that Butterball acknowledged being
informed about the incident on the date of its occurrence. Furthermore, there was substantial,
competent evidence before the Commission demonstrating that Butterball was able to investigate
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the incident and provide Gonzales with adequate medical care so as to minimize any injury; in
fact, it was a representative of Butterball who called for the ambulance. Appellants again failed
to account for this favorable evidence and the Commission’s express credibility determinations
in making their argument on this point. There was substantial and competent evidence before the
Commission to support the Commission’s finding that Butterball had sufficient actual knowledge
of Gonzales’s injury on the date of its occurrence to satisfy the statute’s exception to the written
notice requirement. Appellants’ second point is denied.
As mentioned supra, section 287.140 provides, in relevant part, that “[t]he employee
shall receive and the employer shall provide such medical, surgical, chiropractic, and hospital
treatment, including nursing, custodial, ambulance and medicines as may reasonably be required
after the injury or disability, to cure and relieve the effects of the work injury.” Section
287.140.1. The tests and procedures performed on Gonzales at both hospitals following his
accident constituted such reasonable care.
Upon the arrival of the ambulance, the medical records provided to the Commission show
that Gonzales was not provided with an interpreter. In fact, Gonzales was not provided with an
interpreter until the following day. Before that point, emergency and medical personnel were
informed only that Gonzales was experiencing chest pain, and the medical records note that
Gonzales “is unable to speak English with a limited translation available.” Consequently,
Gonzales was examined and treated for a possible heart attack while awaiting the services of an
appropriate interpreter, no doubt in an effort to mitigate the potentially fatal consequences of
such a possible ailment. When an appropriate interpreter was secured, Gonzales related to
medical personnel that he had “picked up a turkey, it was very heavy, [and he] tried to put it on
the upper shelf. He had a sudden onset of chest pain which is worse with inspiration and
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movement over the left ribs and was noted to be slightly swollen in that area.” Gonzales was
subsequently diagnosed with and treated for “noncardiac chest pain with rib pain,” which
included x-rays and a prescription for Vicodin. Although Gonzales did not actually suffer a heart
attack, it is not unreasonable for emergency and medical personnel to have conducted tests to
rule out such an ailment when told, without the services of an interpreter, only that Gonzales was
suffering from chest pain. This was confirmed by Dr. Bennoch’s testimony that such treatment
was reasonable and necessary to cure and relieve the effects of Gonzales’s injury, and the
Commission expressly relied upon this testimony, which it found credible, in reaching its
decision. Moreover, representatives of Butterball were aware of the nature of Gonzales’s injury
at the time he was transported to the hospital—indeed, they called for the ambulance—and had
ample opportunity to assist emergency and medical personnel in determining and clarifying the
cause and severity of Gonzales’s injury. See discussion supra. Appellants, as before, simply
chose to ignore all such favorable evidence in their argument. The Commission’s order holding
Appellants responsible for Gonzales’s medical bills in the amount of $19,655.91 was thus
supported by substantial and competent evidence and was not against the overwhelming weight
of the evidence. Appellants’ fourth point is denied.
Award of Temporary Total Disability was not Supported by Competent and Substantial
Evidence in the Record
In their third point, Appellants contend that the Commission erred in awarding temporary
total disability benefits to Gonzales in the amount of $342.03 because there was not sufficient,
competent evidence in the record to support it. We agree.
“Only in rare cases will we find an award by the Commission to be contrary to the
overwhelming weight of the evidence.” Roberts v. Mo. Highway & Transp. Comm’n, 222
S.W.3d 322, 331 (Mo.App. 2007). The Commission’s award of temporary total disability
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benefits to Gonzales here presents that rare case. Although Gonzales was asked about the date of
the accident and the date on which he returned to work, as well as how much time he was
advised to take off before returning to work, there is no evidence in the record that Gonzales
actually missed any scheduled work as a result of his chest injury. Gonzales testified that he was
injured on Friday and returned to work on Monday. In his responsive brief on appeal, he
concedes he did not miss any scheduled work as a result of his injury, the record does not
support that he missed any work, and the award was erroneous. Because our review of the whole
record reveals that there is no substantial, competent evidence in that record supporting the
Commission’s award of temporary total disability benefits in the amount of $342.03, Appellants’
third point is granted, and that award is reversed.
Decision
Appellants’ third point is granted, and the Commission’s award of temporary total
disability benefits is reversed. In all other respects, the Commission’s award is affirmed.
GARY W. LYNCH, J. – Opinion author
MARY W. SHEFFIELD, P.J. – concurs
DON E. BURRELL, J. – concurs
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