Boring v. Zoetis LLC

IN THE NEBRASKA COURT OF APPEALS
MEMORANDUM OPINION AND JUDGMENT ON APPEAL
(Memorandum Web Opinion)
BORING V. ZOETIS LLC
NOTICE: THIS OPINION IS NOT DESIGNATED FOR PERMANENT PUBLICATION
AND MAY NOT BE CITED EXCEPT AS PROVIDED BY NEB. CT. R. APP. P. § 2-102(E).
MARTIN BORING, APPELLEE,
V.
ZOETIS LLC, APPELLANT.
Filed December 8, 2020. No. A-20-275.
Appeal from the Workers’ Compensation Court: J. MICHAEL FITZGERALD, Judge. Affirmed
in part, and in part reversed and vacated.
A. Francesca Romano and Eric T. Lanham, of McAnany, Van Cleave & Phillips, P.A., for
appellant.
Ryan C. Holsten and Nolan J. Niehus, Senior Certified Law Student, of Atwood, Holsten,
Brown, Deaver & Spier Law Firm, P.C., L.L.O., for appellee.
BISHOP, ARTERBURN, and WELCH, Judges.
WELCH, Judge.
I. INTRODUCTION
Zoetis LLC appeals the determination of the Nebraska Workers’ Compensation Court that
(1) Martin Boring’s right shoulder injury arose out of and in the course of his employment with
Zoetis, (2) Boring is entitled to temporary and permanent benefits, (3) Boring is entitled to payment
and/or reimbursement for past and future medical expenses as well as mileage, (4) Boring is
entitled to a vocational rehabilitation evaluation, and (5) awarding penalties and attorney fees with
interest. We affirm in part, and in part reverse and vacate the judgment of the Workers’
Compensation Court.
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II. STATEMENT OF FACTS
Boring, born in June 1960, was employed by Zoetis in various roles, including as a
maintenance technician from June 2004 to September 2017. On February 7, 2017, Boring alleged
he suffered a right shoulder injury at Zoetis while lying on the floor to remove a gear box and
motor, weighing over 40 pounds, from a tank. The specifics of the events surrounding Boring’s
subsequent complaints and treatment for his injury are provided in more detail in the following
section. Boring eventually underwent two surgeries for his right shoulder in April 2018 and
February 2019.
In October 2018, Boring filed a petition with the Workers’ Compensation Court alleging,
among other things, that on February 7, 2017, he was involved in an accident arising out of and in
the course of his employment with Zoetis and sustained injuries to his right upper extremity and
that he provided timely notice to Zoetis. Zoetis filed an answer in which it admitted the
aforementioned allegations but acknowledged paragraph 5 of the complaint which set forth “[t]hat
the matter or matters in dispute include the compensability of past, present, and future medical
expenses, temporary disability and waiting time, interest and attorney’s fees and, to the extent
[Boring] has reached maximum medical improvement at the time of trial, permanent impairment
benefits.” Zoetis further denied Boring’s allegation contained in paragraph 6 of the complaint:
That no reasonable controversy exists concerning the compensability of [Boring’s] claim,
and yet, despite more than [a] thirty (day) notice of [Boring’s] accident and injuries,
[Zoetis] has failed and refused to make payment to [Boring] of compensable medical and
mileage expenses and indemnity benefits, and [Boring] is therefore entitled to interest,
costs, waiting time and attorney’s fees in accord with Neb. Rev. Stat. § 48-125.
The matter was subsequently set for trial.
1. TRIAL
Trial was held in October 2019, during which the parties submitted trial stipulations
including that as of February 7, 2017, Boring’s average weekly wage was $1,468.31 for purposes
of temporary and permanent impairment, and that Boring had reached maximum medical
improvement concerning his right shoulder on July 1, 2019. The parties also stipulated:
Should the Court find [Boring] suffered a compensable accident and injury, [Boring] would
be entitled to an Award as follows:
(a) [Boring] was temporarily totally disabled from 4/18/18 to 7/1/19, or 62 6/7
weeks at the statutory maximum $817.00 rate.
(b) [Boring] suffered a 15 [percent] permanent partial impairment to his right
shoulder,
(c) [Boring] is entitled to an award of future medical care pursuant to Neb. Rev.
Stat. [§] 48-120.
(d) [Zoetis] to fee schedule the medical bills and reimburse [Boring’s] mileage as
reflect[ed] in Exhibit 2.
Exhibit 2 contains a summary of “causally related expenses from February 7, 2017, through the
present” which the parties stipulated as follows: (1) expenses incurred totaled $74,817.02; (2)
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unpaid medical expenses due totaled $489; (3) third-party subrogation interest due totaled
$29,279.49; and (4) mileage/out-of-pocket expenses due totaled $8,809.57.
Prior to trial, Boring’s counsel framed the trial dispute as one governing causation. Zoetis
likewise argued the case was one governing a mild shoulder sprain, if anything at all, and not one
involving a more serious shoulder injury which resulted in two surgeries. At trial, testimony was
adduced from Boring and Danielle Griffin, a family nurse practitioner employed by Zoetis.
Additional evidence received included Boring’s medical records and a medical evaluation
performed by Dr. Michael Morrison at the request of Zoetis regarding Boring’s condition.
(a) Martin Boring
By way of background, Boring testified he owns farmland where he performs some general
maintenance including mowing road ditches and some spot spraying but that he has rented out the
farm land for the past 15 years due to ongoing heart issues. Boring testified that his heart issues
require doctor visits every 6 months to check his medication and blood work.
Boring testified that on February 7, 2017, he injured his right shoulder in a work-related
accident while he was removing a gear box and motor. Boring then testified about the medical care
he received for his injury and the interactions he had with various healthcare workers including a
family nurse practitioner employed by Zoetis, Danielle Griffin; his family care doctors, Dr. George
Hansen and Dr. Todd Johnson; and his surgeons, Dr. Patrick Hurlbut and Dr. Kirk Hutton.
Boring explained that on February 7, 2017, he informed the on-site nurse practitioner,
Griffin, of the injury he sustained and that Griffin did not physically examine the injury but rather
instructed Boring to ice the injury, take ibuprofen, and return if the injury did not improve. Boring
testified that, between February 7 through 20, he had informed Griffin about three to six times that
his injury was not improving, but she responded that he should continue to ice the injury and take
ibuprofen.
Boring was asked why the first written history of his shoulder condition did not appear
until February 20, 2017. In response, Boring testified that although he believed he first reported
his injury to Griffin on February 7, 2017, he felt Griffin was not very proactive with his condition,
which concern he then reported to his supervisor. Boring testified that his supervisor advised him
to document the incident in an email to Griffin. Boring testified that it was only after he
documented the incident that Griffin performed a physical exam on him which led to the first
written record on February 20. Following the February 20 exam and a second exam by Griffin on
March 10, Griffin requested that Boring undergo an MRI. On March 15, Griffin went over the
MRI results with Boring and informed him that the results indicated he only suffered a strain which
would eventually heal.
In the interim, Boring saw his new primary care physician, Dr. George Hansen, on
February 10, 2017, as part of his routine 6-month exams during which he mentioned to his doctor
that he was experiencing right shoulder pain. In Dr. Hansen’s February 10 medical report, he noted
that Boring was experiencing “an increasingly problematic right shoulder” and has:
had right shoulder pain for quite some time, which he has simply lived with. He denies
history of injury that he is aware of. More pain when reaching behind his back or over his
head or when carrying things out to the side or in front of him. Does hurt to lay on his right
side and is impacting his sleep somewhat.
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Dr. Hansen also noted Boring experienced “tenderness to palpitation over the insertion of the
rotator cuff anteriorly but Speeds and Yergason tests are negative. . . . Rotator cuff testing is
consistent with pain on primarily supraspinatus and subscapularis testing including a liftoff test.”
Dr. Hansen further noted “[r]ight rotator cuff syndrome, likely without significant rotator cuff tear,
new diagnosis. I would recommend proceeding with physical therapy initially followed by
appropriate further evaluation if this is not helpful.” Additionally, Dr. Hansen noted that Boring
has intermittently used anti-inflammatories.
When asked whether Boring made the remarks to Hansen, Boring denied having shoulder
problems prior to February 7, 2017. Later, during cross-examination, Boring did not deny telling
Dr. Hansen that he was having “‘right shoulder pain for quite some time, which [he] had simply
lived with’” but explained that the timeframe would not have been longer than 3 days. Boring
stated on cross-examination that he did not recall telling Dr. Hansen he denied any history of prior
injury as suggested in Dr. Hansen’s note which read “denie[d] history of injury that he is aware
of.” When asked about prior use of anti-inflammatories, Boring denied their use prior to his
February 10, 2017, doctor appointment and explained that Dr. Hansen and his previous family care
physician, Dr. Todd Johnson, were the only doctors who prescribed him medication. However, on
cross-examination, Boring clarified that since the accident on February 7, he had been taking
ibuprofen, which is an anti-inflammatory drug.
Boring continued to work after February 7, 2017, receiving assistance for tasks requiring
heavy lifting but then quit working for Zoetis in September 2017 due to unrelated heart
A-fibrillation problems. In December, Boring underwent an ablation for his heart problems leaving
him bedridden for over a month, which led to his shoulder “stiffening up even more” to the point
where he could not raise his arm. Boring discussed his shoulder problem with Dr. Hansen in March
2018, underwent an x ray, and was then referred to Dr. Hurlbut, an orthopedic surgeon.
Boring saw Dr. Hurlbut in April 2018 and discussed his shoulder problems. Boring testified
that when Dr. Hurlbut viewed his March 2017 MRI image, he disagreed with the previously
reported findings and opined that Boring needed surgery. Specifically, Dr. Hurlbut made a note in
Boring’s medical record that the 2017 MRI showed an articular sided tear of the supraspinatus and
subscapularis, an inferior AC joint spur, and “the lateral edge of the acromion” and further noted
concern about a SLAP tear. Dr. Hurlbut diagnosed Boring as having suffered a partial
subscapularis tear, partial versus small full thickness tear of the supraspinatus, impingement
syndrome including lateral edge spur, AC arthritis with inferior spurring, and superior labral tear
from anterior to posterior (SLAP). Boring underwent surgery for his right shoulder in April 2018,
and began physical therapy the day after surgery, which he continued for approximately 4 months.
In October 2018, Boring saw Dr. Hurlbut again and informed him that he was still unable
to lift his arm above 90 degrees. Boring testified that Dr. Hurlbut wanted to perform a second
surgery but Boring’s insurance carrier indicated it would not cover the operation.
Boring testified he then saw surgeon Dr. Hutton to get another opinion about needing a
second surgery. Boring testified that Dr. Hutton agreed that he needed a second surgery and Boring
underwent surgery in February 2019. Despite the second surgery and additional physical therapy,
Boring testified that he was discharged without meeting his goal of being back to 100 percent.
In December 2018 medical notes, Dr. Hutton recounted Boring’s medical history
explaining that Boring “had an MRI scan on March 13, 2017, which was read as mild supraspinatus
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tendinosis without cuff tear with slight blunting of the free edge of the labrum without discreet
acute labral tear. [Boring] was essentially told that the MRI was negative.” Dr. Hutton continued
that “[Boring] ultimately had an ablation for [his] atrial fibrillation and the heart was better and
[Boring] started to refocus on his shoulder.” Dr. Hutton then noted:
[Boring] went to his primary physician who ultimately sent him to Dr. Hurlbut in
Lincoln. Dr. Hurlbut saw [Boring] and asked him why they did not recommend surgery
and ultimately performed surgery on him on April 18, 2018. He performed a right shoulder
arthroscopic debridement of the glenohumeral joint with a limited lysis of
adhesions/superior release of the inferior glenohumeral ligament, as well as debridement
of some posterior adhesions, a superior labral repair, arthroscopic biceps tenodesis, and a
subacromial decompression with coplaning of the distal clavicle. [Boring] then went to
physical therapy, but said his shoulder never really improved. He never got this full range
of motion back.
Now he continues to have pain and inability to move his arm away from his body.
[Boring] said Dr. Hurlbut recommended more surgery, but he wanted to get another
opinion. [Boring] said that work comp originally denied his workmen’s compensation
claim and he says his health insurance at that time also denied it. He ultimately was forced
to get an attorney and was referred here for further treatment. . . .
I suspect that [Boring]’s original problem does stem from the work related
injury. I feel that he probably sustained a partial cuff tear and developed adhesive
capsulitis. I also think that surgery was probably necessary due to his work related injury,
but I also feel that he has persistent adhesive capsulitis that needs to be addressed. I
recommended that he proceed with a right shoulder arthroscopic lysis of adhesions.
(Emphasis supplied.)
As of July 1, 2019, Dr. Hutton determined in a functional capacity evaluation that Boring
should have work restrictions limiting him to lifting 75 pounds and that work should be performed
below shoulder level and within 18 inches of his body. Dr. Hutton also noted that Boring suffers
a right upper extremity permanent impairment rating of 15 percent.
Boring testified that he wants to continue to work but would be unable to perform the type
of work he previously performed because he can only perform work within 18 inches of his body
and cannot do any overhead work, which is sometimes required at Zoetis. Boring testified that
being employed is important to him because his wife plans on retiring soon which will leave him
without health insurance. Boring further testified that he has not applied for work because he wants
to participate in counseling to identify his best employment opportunities but has not yet spoken
with any vocational counselors.
(b) Danielle Griffin
Griffin, a nurse practitioner, testified that she first became aware of Boring’s injury when
he sent an email regarding the matter on February 20, 2017. Griffin examined Boring and noted
he had full range of motion with no pain and he did not express any pain with palpitation or
touching of the injury. Griffin treated Boring’s injury with first aid care meaning she recommended
ice, rest, and ibuprofen. Griffin testified that Boring returned on March 10 complaining of more
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pain in the shoulder than previously experienced during the first visit. Griffin explained that she
can prescribe certain medications, order MRIs, and make diagnoses. Griffin performed another
assessment and identified pain in Boring’s joint prompting Griffin to order an MRI at a facility
unrelated to Zoetis. Once Griffin received the MRI results, she spoke with Boring who then
informed her that he was doing better.
On cross-examination, Griffin testified that she does not file a report for workers’
compensation unless she has to refer someone to a third party that would cause Zoetis’ workers’
compensation insurer to pay for the bill. Griffin explained that if she provides treatment in-house,
first aid, or otherwise, she does not file a report with the workers’ compensation court. Griffin
testified that she did not have an orthopedic surgeon review the MRI but instead relied on a
radiologist’s reading of the MRI.
(c) Additional Evidence
Zoetis’ attorney requested that Boring be seen by Dr. Michael Morrison as part of a defense
medical examination. In Dr. Morrison’s May 2019 evaluation, he opined that Boring had
“significant range of motion restricted with abduction and internal rotation,” and that he has
persistent adhesive capsulitis of his right shoulder 3 months after his second shoulder surgery. Dr.
Morrison referenced Dr. Hansen’s medical records to recount Boring’s medical history related to
his shoulder and stated “Boring had right shoulder pain for some time which he has learned to live
with,” that “there was no apparent injury to his right shoulder and no known mechanism of injury,”
and he had been taking anti-inflammatory medication for his shoulder. Dr. Morrison noted another
concern which was that Boring did not receive medical treatment for 4 months from May 25 to
September 11, 2017. Additionally, Dr. Morrison also noted that on March 29, 2018, Dr. Hansen’s
medical records indicated a possible injury in the fall of 2017.
Ultimately, Dr. Morrison concluded that “[f]rom these medical records, it is difficult to
specifically relate a repetitive activity to [Boring’s] right shoulder on February 7, 2017. In order
to do that, further clarification of these records would have to be done which have been included
in Dr. Hansen’s medical records.” Dr. Michael Morrison continued that concerning Boring’s
present status, “one would have to obtain the medical records in regards to the surgery done by Dr.
Hutton. At the present time he is three months from that surgery, still having evidence of adhesive
capsulitis of his right shoulder, attending physical therapy . . . three times a week.”
2. TRIAL COURT’S ORDER
After the trial, the court issued an order finding Boring injured his right shoulder on
February 7, 2017, in an accident arising out of and in the scope of his employment, as seen in the
MRI taken in March 2017 that, when read correctly, showed the injury that led to surgery. The
court explained that the surgery was performed to address the injuries shown on the MRI, which
injuries were incurred from the February 7, 2017, accident. The court also attributed Boring’s
actions of continuing to work after the accident date, as being “a typical Nebraskan” who shows
up for work and in pain. The court continued that the delay in treatment likely worsened Boring’s
injuries, who now suffers from a 15-percent loss of use of his right arm.
The court resolved the matter by awarding temporary and permanent benefits; payment for
future medical care pursuant to Neb. Rev. Stat. § 48-120 (Cum. Supp. 2018); a vocational
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rehabilitation evaluation and vocational rehabilitation services, if necessary; medical bills and
mileage as reflected in the fee schedule outlined in exhibit 2; and penalties and attorney fees that
would be determined later during a February 2020 telephonic hearing.
Concerning the temporary total benefits, the court determined that at the time of his injury,
Boring’s average weekly wage was $1,468.31 per week, and he is “entitled to $817.00 per week
for temporary total benefits and for 33.75 weeks for 15 percent loss of use of the right arm.” The
court ordered the temporary benefits be paid from April 18, 2018, to July 1, 2019. Regarding the
attorney fees and penalties, the court explained that while Zoetis argued attorney fees and penalties
under Neb. Rev. Stat. § 48-125 (Cum. Supp. 2016) are not allowed because there is a reasonable
controversy, the court disagreed finding Zoetis admitted in its answer that Boring “sustained a
work accident and injuries to his right upper extremity arising out of and in the course of his
employment.”
The court continued by articulating:
An admission in a pleading is a judicial admission, a judicial admission is a substitute for
evidence and dispenses with production of evidence by conceding for the purposes of
litigation that the subject of the admission is true. See Johns v. Carr, 167 Neb. 545, 93
N.W.2d 831 (1958); Nichols Media Consultants Inc. v. Ken Morehead Inv. Co., 1 Neb.
App. 220, 491 N.W.2d 368 (1992); and Anonymous v. Vanconcellos, 15 Neb. App. 363,
727 N.W.2d 708 (2007). The judicial admission in [Zoetis’] Answer relieve[s] [Boring]
from producing evidence on those items admitted. The admission is that [Boring] injured
his right shoulder on February 7, 2017. This admission makes [Zoetis] liable for treatment
and medical care of [Boring]’s right shoulder and the payment of weekly benefits under
§ 48-121. The payment of weekly benefits and permanent benefits when [Zoetis’] answer
admits the accident and injury entitles [Boring] to a penalty and attorney’s fees for
nonpayment of medical expenses and nonpayment of weekly benefits.
A later hearing regarding attorney fees was held in February 2020, at which the court
ultimately ordered Zoetis to pay $15,333 in attorney fees; $408.50 per week for payments due
during the period from April 18, 2018, through July 1, 2019, and a $408.50 per week penalty for
33.75 weeks for late payment of permanent benefits; and medical bills and mileage in exhibit 2
pursuant to the fee schedule of the Nebraska Workers’ Compensation Court.
Zoetis timely appeals from the court’s order.
III. ASSIGNMENTS OF ERROR
Zoetis contends the court erred as a matter of law in finding that (1) Boring’s right shoulder
injury arose out of and in the course of his employment with Zoetis, (2) Boring is entitled to
temporary and permanent benefits, (3) Boring is entitled to payment and/or reimbursement for past
and future medical expenses as well as mileage, (4) Boring is entitled to a vocational rehabilitation
evaluation and services, and (5) awarding penalties and attorney fees with interest.
IV. STANDARD OF REVIEW
Pursuant to Neb. Rev. Stat. § 48-185 (Cum. Supp. 2018), an appellate court may modify,
reverse, or set aside a Workers’ Compensation Court decision only when (1) the compensation
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court acted without or in excess of its powers; (2) the judgment, order, or award was procured by
fraud; (3) there is not sufficient competent evidence in the record to warrant the making of the
order, judgment, or award; or (4) the findings of fact by the compensation court do not support the
order or award. Aboytes-Mosqueda v. LFA Inc., 306 Neb. 277, 944 N.W.2d 765 (2020).
On appellate review, the factual findings made by the trial judge of the Workers’
Compensation Court have the effect of a jury verdict and will not be disturbed unless clearly
wrong. Id. In testing the sufficiency of the evidence to support the findings of fact in a workers’
compensation case, an appellate court considers the evidence in the light most favorable to the
successful party, every controverted fact must be resolved in favor of the successful party, and the
appellate court gives the successful party the benefit of every inference reasonably deducible from
the evidence. Id.As the trier of fact, the Workers’ Compensation Court is the sole judge of the credibility of
witnesses and the weight to be given their testimony. Id.V. ANALYSIS
1. WORK-RELATED INJURY
Zoetis first assigns that the court erred in finding that Boring’s right shoulder injury arose
out of the course and scope of his employment with Zoetis. In essence, Zoetis’ first argument is
that there was not sufficient evidence to find that the shoulder injury for which Boring eventually
received surgeries in 2018 and 2019 arose out of and in the course of his employment.
In response, Boring first argues that, by admitting paragraph 3 in his petition which stated
“[t]hat on or about February 7, 2017, in Lincoln, Lancaster County, Nebraska, [Boring] sustained
a work accident and injuries to his right upper extremity arising out of and in the course of his
employment with [Zoetis,]” that Zoetis is prohibited from challenging it now. In support of that
proposition, Boring argues that Zoetis’ admission to paragraph 3 of his complaint constitutes a
“judicial admission,” which constituted a waiver of that specific issue at trial and on appeal.
The Nebraska Supreme Court recently held in Western Ethanol Co. v. Midwest Renewable
Energy, 305 Neb. 1, 17-18, 938 N.W.2d 329, 343-44 (2020):
A judicial admission is a formal act done in the course of judicial proceedings
which is a substitute for evidence, thereby waiving or dispensing with the production of
evidence by conceding for the purpose of litigation that the proposition of fact alleged by
the opponent is true. Similar to a stipulation, judicial admissions must be unequivocal,
deliberate, and clear, and not the product of mistake or inadvertence. Additionally, an
admission does not extend beyond the intendment of the admission as clearly disclosed by
its context.
Although Zoetis’ answer to paragraph 3 of Boring’s petition makes clear that Zoetis
admitted to some work-related accident and injury suffered by Boring on February 7, 2017, Zoetis’
answer to paragraph 6 of the petition makes it equally clear that Zoetis disputed the nature and
extent of that injury and the benefits attributable thereto. After reviewing the record, the clear
thrust of Zoetis’ position here is that although Boring may have suffered a minor strain on February
7, 2017, that injury eventually healed and Boring was treating for a different shoulder injury by
2018 which required two surgeries.
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Although at one point Zoetis contended at trial that Boring may not have suffered any
injury at all and that his shoulder problems may have predated the accident, the gravamen of its
defense here is that Boring’s injury on February 7, 2017, was, at best, a mild strain and did not
support the stipulated benefits which were the result of a different injury. As stated by the Nebraska
Supreme Court in Western Ethanol Co., “an admission does not extend beyond the intendment of
the admission as clearly disclosed by its context.” 305 Neb. at 17-18, 938 N.W.2d at 344. Had the
court found there was no injury here, this argument may have greater relevance. Having found that
the 2018 and 2019 surgeries and his shoulder condition attended to in 2018 and 2019 did relate to
the February 7, 2017, accident, we need not further analyze this contention. Because we find that
Zoetis did not admit to the full extent of injury claimed by Boring in its petition and at trial, this
argument fails.
This leads to Zoetis’ second argument that the evidence does not support the award for
Boring’s shoulder condition treated in 2018 and in 2019. We disagree. As we stated in our standard
of review, on appellate review, the factual findings made by the trial judge of the Workers’
Compensation Court have the effect of a jury verdict and will not be disturbed unless clearly
wrong. Aboytes-Mosqueda v. LFA Inc., 306 Neb. 277, 944 N.W.2d 765 (2020). In testing the
sufficiency of the evidence to support the findings of fact in a workers’ compensation case, an
appellate court considers the evidence in the light most favorable to the successful party, every
controverted fact must be resolved in favor of the successful party, and the appellate court gives
the successful party the benefit of every inference reasonably deducible from the evidence. Id. As
the trier of fact, the Workers’ Compensation Court is the sole judge of the credibility of witnesses
and the weight to be given their testimony. Id.Zoetis’ argument here can basically be summarized by looking at Dr. Morrison’s report. In
that report, Dr. Morrison recites a chronology of events which he obtained from documents
provided to him indicating that (1) Boring’s injury was not reported until February 20, 2017; (2)
Boring’s report to Dr. Hansen on February 10, 2017, was that Boring was having shoulder pain
“for some time” which he had learned to live with and that Boring denied any known mechanism
of injury; (3) the March 2017 MRI “reveal[ed] mild tendinitis. No evidence of a cuff tear, labral
abnormality and had a Type 1 acromion with no encroachment”; (4) by May 25, 2017, Boring was
seen by Dr. Hansen and was advised he had rotator cuff syndrome; (5) Boring was next seen on
September 11, 2017, at which time he indicated to Dr. Hansen that he would be retiring; (6) he
began physical therapy on September 28, 2017; (7) following Boring’s retirement, he had a
“cardiac ablation” performed; (8) in March 2018, he again presented to Dr. Hansen for his shoulder
and mentioned it related to an injury occurring in the fall of 2017 and only at this point was he
recommended to see an orthopedic surgeon; (9) Boring then saw orthopedic surgeon Dr. Hurlbut
on April 9, 2018, who believed Boring’s March 2017 MRI revealed “artibular tears of the
supraspinatus, subscapularis, impingement and a SLAP tear” and recommended surgery; (10) Dr.
Hurlbut performed surgery on April 18 consisting of a “right shoulder arthroscopy for extensive
debridement of the glenohumeral joint arthritis, acromioplasty, SLAP tear repair and a biceps
tenodesis”; and (11) after followup consultations with Dr. Hurlbut relating to the surgery, Boring
had a second operation performed by Dr. Hutton, which records were not available to Dr.
Morrison.
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Following this full recitation of the records reviewed by Dr. Morrison, he opined as it
related to Boring’s surgically repaired shoulder:
In regards to causation, there are some significant concerns with the medical records. On
February 10, 2017[,] Dr. Hansen’s medical records state that Mr. Boring had right shoulder
pain for some time which he has learned to live with. Also, Dr. Hansen’s records stated
that there was no apparent injury to his right shoulder and no known mechanism of injury.
He had also been taking anti-inflammatory medicine for his shoulder. Second concern is
for four months [of] no treatment from May 25, 2017[,] to September 11, 2017. On March
29, 2018[,] Dr. Hansen’s medical records show a possible injury in the fall of 2017. From
these medical records, it is difficult to specifically relate a repetitive activity to his right
shoulder on February 7, 2017. In order to do that, further clarification of these records
would have to be done which have been (sic) included in Dr. Hansen’s medical records.
Conversely, Boring offered evidence at trial in which he testified to first reporting the
workplace injury to Griffin on February 7, 2017, and that the first written record of the incident
was a product of Griffin not recording it until he issued a written request; that his statements to Dr.
Hansen on February 10, 2017, were being taken out of context in that he never had shoulder
problems prior to February 7, 2017, and he did relate his shoulder injury to the February 7, 2017,
incident at work; that Dr. Hurlbut refuted the March MRI report and opined it did show evidence
of objective injury which he surgically repaired; that he remained symptomatic with worsening
conditions from February 7, 2017; and that Dr. Hulbert and Dr. Hutton linked his shoulder
conditions for which he received two surgeries to the February 2017 workplace incident.
We find that after reviewing the record we summarized above, when considering the
evidence in a light most favorable to Boring, the successful party in this litigation, the evidence
was sufficient for the court to find that the injury for which Boring ultimately received two
surgeries and for which he obtained maximum medical improvement on July 1, 2019, arose out of
and in the course of Boring’s employment. Although Dr. Morrison presents evidence which would
support his opinion that Boring’s treatment and recitation history makes it difficult for him to relate
the surgeries and Boring’s current condition to the February 7, 2017, incident, his opinion simply
represents a disagreement with Drs. Hurlbut and Hutton which take a different view. Those factual
discrepancies and credibility issues in this record were resolved in favor of Boring by the court
which is the sole judge of the credibility of witnesses and the weight to be given their testimony.
Because there is sufficient competent evidence in the record to warrant the making of this finding
by the court, the first assignment of error fails.
2. FINDINGS GOVERNING TEMPORARY AND PERMANENT
BENEFITS, MEDICAL EXPENSES, AND MILEAGE
Zoetis next argues in assignments of error two and three that because the court erred in
finding that Boring’s injury arose out of the course and scope of his employment, it erred in
awarding temporary and permanent benefits, medical expenses, and mileage to Boring as the
evidence is not sufficient to support those awards.
But we can quickly dispense with these assigned errors. Here, Boring and Zoetis stipulated
in Exhibit 1 that “[s]hould the Court find [Boring] suffered a compensable accident and injury,
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[Boring] would be entitled to an Award as follows” and then stipulated to the exact temporary and
permanent benefits, medical bills, and mileage which the court should award.
Because we found in the previous section of this opinion that the record supports the
finding by the court that the injury for which Boring treated through July 1, 2019, arose out of and
in the course of his employment, the court did not err in awarding the benefits as stipulated by the
parties. Thus, assignments of error two and three fail.
3. VOCATIONAL REHABILITATION EVALUATION AND SERVICES
Zoetis next contends that the court erred in awarding a vocational rehabilitation evaluation
and services, if necessary, because Boring had not attempted to apply for jobs after retiring from
Zoetis due to his heart condition and had already received sufficient training as evidenced by
Boring’s two associate degrees in HVAC/R and diesel technology.
In Nebraska, vocational rehabilitation may be awarded:
When as a result of the injury an employee is unable to perform suitable work for
which he or she has previous training or experience, he or she is entitled to such vocational
rehabilitation services, including job placement and training, as may be reasonably
necessary to restore him or her to suitable employment.
Neb. Rev. Stat. § 48-162.01(3) (Reissue 2010). For purposes of vocational rehabilitation, “suitable
employment” is employment which is compatible with the employee’s preinjury occupation, age,
education, and aptitude. Anderson v. EMCOR Group, 298 Neb. 174, 903 N.W.2d 29 (2017).
Here, concerning vocational rehabilitation, the court found that “[Boring] is unable to
return to his prior job with [Zoetis] for which he received a substantial weekly wage” and ordered
an evaluation for vocational rehabilitation, with services if necessary. While the court’s factual
findings were not extensive, we cannot say those findings were clearly wrong or that there was not
sufficient evidence to support this order. First, the record indicates Boring is unable to perform his
previous job with Zoetis. Dr. Hutton provided a functional capacity evaluation stating that Boring
had a permanent lifting and carrying restriction limiting him to lifting 75 pounds and work
performed below shoulder level within 18 inches of his body. Boring testified that he could not
return to Zoetis and perform the work required of his previous position because he cannot engage
in overhead work or work requiring him to reach away from his body, which was part of his job.
Second, while Boring retired from Zoetis due to his poor heart health which kept him from working
for a period of time, there was evidence that, following his surgery, his heart-related medical
condition had stabilized. Further, Boring testified to his desire to begin working again now that his
heart condition had stabilized. Third, the court only ordered a rehabilitation evaluation in order to
determine whether further services were warranted. The purpose of a functional capacity
evaluation is to determine if vocational retraining is necessary and appropriate. See Moyera v.
Quality Pork Internat., 284 Neb. 963, 825 N.W.2d 409 (2013), and Visoso v. Cargill Meat
Solutions, 285 Neb. 272, 826 N.W.2d 845 (2013) (court cannot order vocational retraining without
determining employee’s post-injury physical restrictions and vocational impediments prevent
employee from complying with all lower work priorities in § 48-162.01(3)). Based on Boring’s
pre-injury occupation, his age, his education in HVAC/R and diesel technology, his entire
employment history consisting of only a few employers, one being Fleming Foods and the other
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being Pfizer which later became known as Zoetis, the stabilizing of his heart-related medical
condition and his prior work-related obligations which required Boring to maintain and lift heavy
objects, we agree with the court that an evaluation for vocational rehabilitation is warranted in
order to determine whether vocational rehabilitation services are necessary and appropriate. Thus,
this assignment of error fails.
4. PENALTIES AND ATTORNEY FEES
Zoetis finally argues the court erred in awarding Boring penalties and attorney fees because
an employer is not liable for penalties and attorney fees if a reasonable controversy exists regarding
employer liability for the employee’s injury.
In Nebraska, pursuant to § 48-125:
an employer must pay a 50-percent waiting-time penalty if (1) the employer fails to pay
compensation within 30 days of the employee’s notice of disability and (2) no reasonable
controversy existed regarding the employee’s claim for benefits. When compensation is so
delayed and the employee receives an award from the compensation court, the employee
is also entitled to attorney fees and interest. Although “reasonable controversy” appears
nowhere in the text of § 48-125, the phrase has been part of our waiting-time penalty
jurisprudence for more than 90 years.
Armstrong v. State, 290 Neb. 205, 215, 859 N.W.2d 541, 550 (2015).
The Nebraska Supreme Court has discussed the concept of “reasonable controversy,”
explaining:
Under the test we announced in Mendoza v. Omaha Meat Processors, 225 Neb.
771, 408 N.W.2d 280 (1987), for the purpose of § 48-125, a reasonable controversy exists
if (1) there is a question of law previously unanswered by the Supreme Court, which
question must be answered to determine a right or liability for disposition of a claim under
the Nebraska Workers’ Compensation Act, or (2) if the properly adduced evidence would
support reasonable but opposite conclusions by the compensation court about an aspect of
an employee’s claim, which conclusions affect allowance or rejection of an employee’s
claim, in whole or in part. Whether a reasonable controversy exists under § 48-125 is a
question of fact.
We have explained that “[u]nder the Mendoza test, when there is some conflict in
the medical testimony adduced at trial, reasonable but opposite conclusions could be
reached by the compensation court.” And we have held that a reasonable controversy
existed even though the evidence showing the controversy was unknown at the time the
employer refused benefits. In Dawes v. Wittrock Sandblasting & Painting, [266 Neb. 526,
667 N.W.2d 167 (2003), disapproved in part on other grounds, Kimminau v. Uribe Refuse
Serv., 270 Neb. 682, 707 N.W.2d 229 (2005)] the claimant argued that the compensation
court erred by not awarding him a waiting-time penalty. We disagreed: “Here, [the
employer] presented expert medical testimony that would have supported a finding that
[the claimant’s] condition was not the result of an accident arising out of and in the course
of employment. . . . While this opinion was not adduced until after the denial of benefits,
it is evidence that [the employer] had an actual basis in law or fact for denying [the
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claimant’s] claim.” So, we concluded that a reasonable controversy existed based on
testimony unknown at the time the employer denied benefits.
Armstrong v. State, 290 Neb. at 216-17, 859 N.W.2d at 550-51.
Here, the court noted in its order that no controversy existed because Zoetis admitted
liability in its answer, which the court determined was a judicial admission. Because the court
determined there was no controversy, it awarded penalties and attorney fees for Boring ordering
Zoetis to pay $15,333 in attorney fees and $408.50 per week for payments due during the period
from April 18, 2018, through July 1, 2019, and a $408.50 per week penalty for 33.75 weeks for
late payment of permanent benefits. However, as we determined earlier in this opinion, although
Zoetis did admit in its answer that Boring sustained an injury on February 7, 2017, arising out of
and in the course of his employment, it most certainly denied the nature and extent of Boring’s
injuries and the case was tried primarily on the issue of causation. Having determined that Zoetis
did not judicially admit the nature and extent of Boring’s injuries here, we must separately
determine if a reasonable controversy existed as to the nature and extent of Boring’s injures as
contested by Zoetis.
Here, there was evidence in this record that would support reasonable but opposite
conclusions by the Workers’ Compensation Court regarding the nature and extent of Boring’s
February 7, 2017, injury. That evidence was well-articulated by Dr. Morrison in his report which
we summarized previously which included indications of late reporting, inconsistent treatment or
inconsistent reading of the March 2017 MRI, and possible reference to a separate injury in the fall
of 2017. Based upon his review, Dr. Morrison opined he would have a difficult time trying to link
Boring’s condition as of 2018, for which Boring received two surgeries, to the February 7, 2017,
workplace accident. And although there is sufficient evidence which supported the compensation
court’s findings here, we cannot say there was no reasonable controversy which justified a waiting
time penalty or attorney fees. Thus, we hold the court erred in awarding a waiting-time penalty
and attorney fees. Accordingly, we reverse and vacate that portion of the award granting Boring a
waiting-time penalty and attorney fees.
VI. CONCLUSION
In sum, except for the portions of the court’s award relating to penalties and attorney fees,
the findings of the court are supported by competent evidence and affirmed. However, having
found that a reasonable controversy existed as to the nature and extent of Boring’s injuries as
contested by Zoetis, the portions of the court’s award relating to penalties and attorney fees are
reversed and vacated.
AFFIRMED IN PART, AND IN PART
REVERSED AND VACATED.
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