Clark County v. Patrick Mcmanus

IN THE COURT OF APPEALS FOR THE STATE OF WASHINGTON
CLARK COUNTY,
No. 72437-1-1
Respondent,
v. ORDER WITHDRAWING
OPINION
PATRICK J. McMANUS,
Appellant.
The court is withdrawing the opinion filed on May 11, 2015 in the above matter
and replace it with a revised opinion.
It is hereby
ORDERED that the opinion filed on May 11, 2015 is withdrawn and replaced with
a revised opinion to be filed on May 18, 2015.
SO ORDERED
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IN THE COURT OF APPEALS FOR THE STATE OF WASHINGTON
CLARK COUNTY,
No. 72437-1-1
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Respondent, COO
DIVISION ONE
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PATRICK J. McMANUS, PUBLISHED OPINION
Appellant. FILED: May 18. 2015
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Spearman, C.J. — Patrick McManus appeals the trial court's judgment
and order reversing an award of benefits under the Industrial Insurance Act by
the Department of Labor and Industries (Department). He claims the trial court
improperly admitted hearsay evidence through the testimony of his treating
physician. He also contends that the jury was improperly instructed. We agree
with McManus, reverse the judgment, and remand for a new trial.
FACTS
Patrick McManus is a former Clark County employee. Between 1999 and
2011, he worked full-time for the County operating a street sweeper. He stopped
working in April 2011 because of debilitating, degenerative spinal disease, which
he attributes to his work as a street sweeper operator. Shortly after leaving work,
No. 72437-1-1/2
McManus filed a claim for workers' compensation under Title 51 RCW, the
Industrial Insurance Act (Act).
In reviewing the claim, the Board of Industrial Insurance Appeal (Board)
considered deposition testimony from several witnesses. McManus testified that
he began experiencing pain that radiated across his low back and down his left
leg in early 2010. He attributed this pain to the cramped confines and bumpy
rides of the street sweepers he operated for the County. In particular, he claimed
that, while the first two street sweepers he operated had adjustable air ride seats
and relatively ergonomic cab-designs, the third and final machine he operated,
which he was assigned in either 2008 or 2009, had an uncomfortable cab layout
and a negative air ride seat that, according to McManus, felt like a block of
concrete whenever he hit a bump.
McManus also testified regarding a preexisting back condition and other
possible causes for his pain. He testified that his weight had hovered around the
330 pound mark for the past 30 years and that he had used tobacco products
regularly until 2011. He acknowledged sustaining a low back injury at age 19,
which resulted in flare-ups of pain in his low back and legs. McManus also
conceded having been on prescription medication for pain in his lower back,
buttocks, and left leg since 2001, approximately nine years before the onset of
the symptoms he alleged were work-related.
The sole medical expert to testify on behalf of McManus was Dr. Paul
Won, who is board certified in preventative and family medicine. In his
deposition, Dr. Won testified that he began treating McManus in January 2005
No. 72437-1-1/3
following a low back injury unrelated to the condition alleged in his workers'
compensation claim. After this initial treatment, McManus had continued to work
his regular job as a street sweeper operator. According to Dr. Won, McManus
had a gradual increase in low back pain during this time. On June 25, 2010, Dr.
Won obtained a magnetic resonance imaging (MRI) scan of McManus' back. The
scan showed various spinal changes as compared to a prior study, including a
central disc protrusion at the L2-3 vertebra. Based on this scan, Dr. Won
diagnosed McManus with displacement of a lumbar intervertebral disc at L2-3.
Dr. Won next treated McManus on April 11, 2011, at which time McManus
complained about low back pain due to a poor quality seat cushion in his street
sweeper.
On direct examination, Dr. Won acknowledged a November 14, 2011
letter to McManus' claims representative, in which Dr. Won had opined that the
cause of McManus' lower back condition was his work as a street sweeper
operator. Dr. Won testified that his opinion had not changed since writing the
November 14 letter. He opined, that "driving trucks with jarring and bouncing has
made a major material contribution to [McManus'] lumbar condition." CABR
(Won) at 30-31. According to Dr. Won, this opinion was based on his
understanding of McManus' medical history and the physical forces McManus'
spine endured during his street sweeping work.
On cross examination, Dr. Won testified over McManus' hearsay objection
that he was aware a consulting neurosurgeon, Dr. Wrobel, had opined that it was
unknowable whether or not the disc protrusion at L2-3 was related to McManus'
No. 72437-1-1/4
employment. Dr. Won also stated he was aware of Dr. Wrobel's opinion that "no
one could relate the protrusion at 23 [sic] and the stenosis to the work activities
with Clark County." CABR1 (Won) at 39. While Dr. Won conceded that a
neurosurgeon would likely have greater expertise than him in determining the
etiology of degenerative disc disease such as McManus', he ultimately did not
agree with Dr. Wrobel's opinion and testified that his own initial opinion that
McManus' low back condition arose from the conditions of his work as a street
sweeper was still valid based on his knowledge of McManus' medical history.
The County offered the deposition testimony of two experts, Dr. Thomas
Dietrich and Dr. James Harris. Dr. Wrobel did not testify. Dr. Dietrich, a board
certified neurosurgeon, stated that he had rendered an opinion based on a July
14, 2011 examination of McManus. Dr. Dietrich concluded that McManus' low
back condition did not arise naturally and proximately from the distinctive
conditions of his employment, however he acknowledged that the repetitive
bouncing up and down McManus endured over a period of years as a street
sweeper operator likely played a role in the rate of degenerative change in his
condition.
Dr. Harris, a board certified orthopedic surgeon, testified that he
conducted a review of McManus' records at the request of Clark County. Dr.
Harris compared a December 14, 2005 computed tomography (CT) scan of
McManus' lumbar spine with the June 25, 2010 MRI ordered by Dr. Won and
1"CABR" refers to the Certified Appeal Board Record. Deposition transcripts within the
CABR are cited by parenthetical reference to the deponent's last name.
No. 72437-1-1/5
concluded that the 2010 imaging showed a new central disc protrusion at the L2-
3 level. Dr. Harris' initial report indicated that McManus' employment could be a
possible cause of the abnormalities visible in the imaging scans. However, Dr.
Harris testified that his initial conclusion was speculative, rendered with
insufficient information on his part. He testified that, after additional research, his
ultimate conclusion was that McManus' low back condition was not the result of
an industrial injury. Dr. Harris attributed the injury to the normal aging process.
He noted that, by age 50, about half the population would experience similar
degenerative changes. He also recognized the role of obesity and heredity in
such degenerative changes. While acknowledging that the conditions of
McManus' work may have contributed to symptoms of this underlying condition,
Dr. Harris maintained that McManus' work did not cause the condition.
At the close of evidence, an industrial appeals judge determined that
McManus' injury was work-related, awarded him compensation under the Act,
and issued a proposed decision and order, which included the following findings
of fact:
1. On April 10, 2012, an industrial appeals judge certified that the
parties agreed to include the Jurisdictional History, as amended, in
the Board record solely for jurisdictional purposes.
2. Patrick J. McManus worked as a street sweeper operator for Clark
County from 1998 or 1999 to April of 2011. As a street sweeper
operator, Mr. McManus worked 40 hours per week, and sometimes
worked overtime. While operating the street sweeper, Mr. McManus
repetitively hit holes and dips along the curb line, which can be the
roughest part of the road. Bumpy conditions jarred his back,
causing pain. In 2008 or 2009, Clark County purchased a new
street sweeper. Mr. McManus experienced more bumping and
jarring while operating the new street sweeper. In April of 2011, Mr.
No. 72437-1-1/6
McManus ceased working as a street sweeper operator due to pain
in his low back.
3. As early as 1976, prior to his employment with Clark County, Mr.
McManus was seen and treated for intermittent, chronic low back
pain and degenerative disc changes. An MRI dated February 24,
2006 showed moderately severe degenerative changes in the
entire lumbar spine. An MRI dated June 25, 2010, showed
moderately severe degenerative changes in the entire lumbar
spine, and also a new central disc protrusion at the L2-3 level.
4. Repetitive jarring and bumping constitute distinctive conditions of
employment.
5. Mr. McManus sustained an aggravation of his pre-existing cervical
degenerative disc changes arising naturally and proximately out of
the distinctive conditions of his employment with Clark County.
CABR at 70-71.
The County petitioned for review by the Board. On McManus' motion, the
Board excluded Dr. Won's testimony regarding his knowledge of Dr. Wrobel's
opinions. The Board affirmed the industrial appeals judge's decision and adopted
its proposed decision and order.
The County petitioned for review in the Clark County Superior Court. At
trial, the jury was instructed that the sole question before it was whether "the
Board of Industrial Insurance Appeals [was] correct in deciding that Patrick
McManus' low back condition, diagnosed as aggravation of degenerative disc
changes and a new central disc protrusion at L2-3 level[,] arose naturally and
proximately from the distinctive conditions of his employment with Clark County
operating a street sweeper?" Clerk's Papers at 98. The jury concluded that the
Board was incorrect in concluding that McManus' back condition arose from his
No. 72437-1-1/7
employment operating the street sweeper. The trial court entered an order
reversing the Board's decision. McManus appeals.
DISCUSSION
Evidentiary Rulings
Before trial, the County requested that the trial court reverse the Board's
ruling excluding that part of Dr. Won's testimony relating to Dr. Wrobel's opinion.
The County argued that this testimony was admissible under ER 703 because,
although hearsay, Dr. Won relied on Dr. Wrobel's opinion in forming his own
conclusions as to the cause of McManus' condition. The trial court agreed with
the County, reversed the ruling of the Board and overruled McManus' objection.
McManus argues that the trial court's ruling was error. We agree.
A superior court on review of a Board's decision has discretion to review
the Board's evidentiary rulings. We review for abuse of discretion. Gorre v. City
ofTacoma, 180 Wash. App. 729, 769-70, 324 P.3d 716 (2014), petition for review
granted, No. 90620-3, (Jan. 8, 2015). A trial court abuses its discretion if its
decision is manifestly unreasonable or its discretion is exercised on untenable
grounds or for untenable reasons. Boeing Co. v. Harker-Lott, 93 Wash. App. 181,
186, 968P.2d 14(1998).
Generally, the out of court statements of a non-testifying declarant are
inadmissible to prove the truth of the matter asserted. ER 802. The County
contends that Dr. Wrobel's statements are admissible for impeachment purposes
under ER 613 or as a statement of a party-opponent under ER 801(d)(2). Both
arguments lack merit. Dr. Wrobel's opinion was not a prior statement by Dr. Won,
No. 72437-1-1/8
and thus, could not be used for impeachment of Dr. Won under ER 613. And
because Dr. Wrobel was not a party to the case, one authorized by a party to
make a statement, or an agent or employee of a party, the ER 801(d)(2)
exemption for admissions of party-opponents does not apply.
The County also contends that Dr. Wrobel's statements were admissible,
even if hearsay, under the statement for medical diagnosis or treatment (ER
803(a)(4)) or learned treatise (ER 803(a)(18)) hearsay exceptions. Neither
exception applies.
ER 803(a)(4) provides a hearsay exception for:
Statements made for purposes of medical diagnosis or treatment
and describing medical history, or past or present symptoms, pain,
or sensations, or the inception or general character of the cause or
external source thereof insofar as reasonably pertinent to diagnosis
or treatment.
Here, the trial court admitted the following line of questioning over McManus'
hearsay objection:
Q. Are you aware that Dr. Wrobel himself testified in a discovery
deposition in this case that it is unknowable as to whether or not the
protrusion at L2-3 was, in fact, related to his employment?
Q. Are you aware of that, Doctor?
A. Yes.
Q. You are aware of that?
A. Yes.
Q. And how is it that you became aware of that?
A. I read the IME.
Q. And his answer was that no one could relate the protrusion at 23
[sic] and the stenosis to the work activities with Clark County;
correct?
A. Yes, that is correct.
No. 72437-1-1/9
CABR (Won) at 38-39. Because it is evident from counsel's first question that Dr.
Wrobel's statements were made in a discovery deposition and not in the course
of medical diagnosis or treatment, ER 803(a)(4) does not apply.
ER 803(a)(18) is likewise inapplicable. The rule establishes a hearsay
exception for "statements contained in published treatises, periodicals, or
pamphlets on a subject of history, medicine, or other science or art, established
as a reliable authority by the testimony or admission of the witness or by other
expert testimony or by judicial notice." Because Dr. Wrobel's statements plainly
were not contained in a published work, they were not admissible pursuant to this
exception.
Next, the County argues that, even if hearsay, Dr. Wrobel's statements
were admissible under ER 703 as the basis for Dr. Won's expert opinion and,
pursuant to ER 705, were subject to disclosure on cross examination. But the
argument fails because the County misconstrues Dr. Won's testimony.
It is well-established that, under ER 703, an expert opinion based on the
opinion of a non-testifying expert is admissible, so long as the testifying expert
reasonably relied on the opinion. On cross examination, the testifying expert may
be compelled to reveal the underlying sources of his or her opinion, including
otherwise inadmissible hearsay evidence. ER 705; see also. Deep Water
Brewing. LLC v. Fairway Resources Ltd.. 152 Wash. App. 229, 275, 215 P.3d 990
(2009) ("[ER 703] permits experts to base their opinions on facts or data that
might not otherwise be admissible into evidence...[and] the trial court may allow
the admission of hearsay evidence and otherwise inadmissible facts for the
No. 72437-1-1/10
limited purpose of showing the basis of the expert's opinion."); Bryan v. John
Bean Division of FMC Corp.. 566 F.2d 541, 545 (5th Cir.1978) (construing Fed.
R. Evid. 703 and 705); 5B Karl B. Tegland, Wash. Prac: Evidence Law and
Practice § 703.6 (5th ed. 2007). But neither rule applies in this case.
Dr. Won offered an expert opinion on the cause of McManus' low back
condition, which he testified was based solely on his understanding of McManus'
medical history and the physical realities of McManus' work as a street sweeper
operator. On cross examination, the County elicited testimony regarding Dr.
Wrobel's conflicting opinion as to causation. But, there is no evidence that Dr.
Won relied on Dr. Wrobel's statements in forming his own opinion as to causation
as contemplated by ER 703 and 705. Thus, Dr. Won's hearsay statements were
not subject to admission under either rule.
Because Dr. Wrobel's statements are hearsay not within any exception,
the trial court's decision to admit the statements was an abuse of discretion.
Jury Instructions
McManus also contends that the jury instructions in this case were
insufficient for several reasons. The standard of review for jury instructions is
whether the instructions are correct as a matter of law. State v. Edwards. 92 Wn.
App. 156, 164, 961 P.2d 969 (1998). Instructions are sufficient if they permit a
party to argue his or her theory of the case, are not misleading, and, when read
as a whole, properly inform the jury of the applicable law. Boeing. 93 Wash. App. at
186. We review the trial court's decision not to give a particular jury instruction for
abuse of discretion. Id.
10
No. 72437-1-1/11
McManus first contends the trial court erred in refusing to give an
introductory instruction to the jury, advising it that the Board's decision affirmed
the industrial appeals judge's earlier, favorable decision. We disagree.
In superior court review of a Board decision, the function of a jury is to
determine whether the Board is correct in rendering that decision. Stratton v.
Dep't of Labor & Indus.. 1 Wash. App. 77, 80, 459 P.2d 651 (1969). Prior to
deliberations, the trial court is charged with instructing the jury of the exact
findings of the board on each material issue before the court. RCW 51.52.115. In
this case, the trial court's Instruction 4 reproduced verbatim each of the Board's
findings of fact on the nature and cause of McManus' injury.2
McManus contends that the prior history of the case, i.e., that the Board
reached its decision in affirmance of the industrial appeals judge's decision, was
also a "material issue" within the meaning of RCW 51.52.115. We rejected a
similar argument in Stratton. In that case, we considered whether an
administrative law judge's preliminary determination in a proposed decision and
order, which was subsequently rejected by the Board, constituted a finding of the
Board on a material issue. 1 Wash. App. at 77. We concluded that it did not. We
expressly held that the preliminary determination by the administrative law judge
was immaterial to the only question to be decided by the trier of fact: whether the
Board's ultimate determination was correct, jd. at 80. We also recognized the
improper tactical advantage to be gained by a party advising the trier of fact of
2 The only other finding of fact entered by the Board acknowledges the Board's
jurisdictional basis, not a material issue before the trial court.
11
No. 72437-1-1/12
prior favorable determinations made by individuals or entities other than the
Board in rendering its ultimate findings. We noted that "[t]he practice only serves
to confuse the jury and divert its attention from the duty to determine whether, on
material issues presented to them, the evidence preponderates in favor of or
against the Board's findings and decision." jd. at 81.
Notwithstanding our holding in Stratton. McManus appears to argue,
without citation to authority, that jurors must have an understanding of the exact
procedural history that brought the case before them. See, Brief of Appellant at
15-16. But neither the industrial appeals judge's decision nor the fact that the
Board affirmed that decision was material to the only issue to be determined by
the jury in this case. Accordingly, the trial court had no statutory obligation to
instruct the jury on the procedural history of the case and its refusal to give
McManus' proposed introductory instruction was not error.
Next, McManus assigns error to the trial court's refusal to give his
proposed jury instruction 10, which reproduced 6A Karl B. Tegland, Wash.
Pattern Jury Instr.: Civ. WP1155,13.01 (6th ed) 155.13.01 in relevant part as
follows:
You should give special consideration to testimony given by an
attending physician. Such special consideration does not require
you to give greater weight or credibility to, or to believe or
disbelieve, such testimony. It does require that you give any such
testimony careful thought in your deliberations.
The trial court concluded that the instruction was unnecessary. Although, we may
have concluded otherwise, we cannot say on this record that the trial court's
12
No. 72437-1-1/13
refusal to give the proposed instruction was an abuse of discretion.3 The trial
court's general instructions informed the jury that it could consider:
the opportunity of the witness to observe or know the things they testify
about; the ability of the witness to observe accurately; the quality of a
witness' s memory while testifying; the manner of the witness while
testifying; any personal interest that the witness might have in the
outcome or the issues; any bias or prejudice that the witness may have
shown; the reasonableness of the witness's statements in the context of
all of the other evidence; and any other factors that affect your evaluation
or belief of a witness or your evaluation of his or her testimony.
CP at 82. Based on this instruction, McManus was able to argue that Dr. Won, as
his treating physician, was better qualified to render an opinion on the etiology of
his injury than the Department's witnesses. And the jury was informed that it
could accept this theory. Thus, under the circumstances, the trial court's general
instruction was sufficient. See. Boeing. 93 Wash. App. at 186.
Finally, McManus assigns error to the trial court's jury instruction No. 4,
which included a verbatim recitation of the Board's findings of fact. In particular,
the instruction included the Board's finding of fact no. 5, which provides:
Mr. McManus sustained an aggravation of his pre-existing cervical
degenerative disc changes arising naturally and proximately out of
the distinctive conditions of his employment with Clark County.
CABR at 70; CP at 81 (emphasis added). McManus argues that the Board's
reference to disease of the cervical spine, i.e., the neck and upper back, was a
scrivener's error, given that his claimed injury affected only his lumbar spine, i.e.,
the lower back. He further contends that the trial court's refusal to revise the
3Generally, trial courts would be well advised to give careful consideration to whether the
proposed instruction should be given in a particular case. See, Hamilton v. Department of Labor
& Indus.. 111 Wash. 2d 569, 761 P.2d 618 (1988).
13
No. 72437-1-1/14
Board's finding so that it reflected only injury to his lumbar spine was error. We
agree.
Citing RCW 51.52.104 and Homemakers Upjohn v. Russell. 33 Wash. App.
777, 780-81, 658 P.2d 27 (1983), the Department contends that McManus has
waived this error because he did not appeal the Board's finding. In Homemakers,
we interpreted RCW 51.52.104 to mean that a party aggrieved by a hearing
examiner's proposed decision and order and who failed to file a petition for
review waived its objections to the record. Id. at 780. But we also noted "that a
nonaggrieved party waived absolutely nothing by not filing a petition." ]d. at 782.
Because McManus prevailed in the proceedings before the Board, we conclude
that he was not an aggrieved party and therefore was not precluded from raising
the error before the superior court. Moreover, it is undisputed that the finding at
issue was in error. The County conceded as much in its petition for review of the
Board's decision. See CABR at 48, n.1 ("the administrative law judge incorrectly
stated in finding of fact number 5 that Mr. McManus had aggravated his
CERVICAL degenerative disc changes.") We are satisfied that the error was
properly preserved for our review.
We next consider whether the trial court erred in refusing to revise the
Board's finding. We conclude that it did.
RCW 51.52.115 requires that, on review of a Board's decision by the
superior court, if a case is submitted to a jury "the court shall by instruction
advise the jury of the exact findings of the board on each material issue. . . ." The
findings and decision of the Board are presumed to be correct and the burden of
14
No. 72437-1-1/15
proof is on the party challenging them. RCW 51.52.115; Gorre. 180 Wash. App. at
754. A trial court may substitute its own findings for those of the Board only if it
finds from a fair preponderance of credible evidence that the Board's findings
and decision are incorrect. Id. at 754-55. Stratton v. Dep't of Labor & Indus., 7
Wash. App. 652, 501 P.2d 1072 (1972). (Stratton II) is instructive on whether the
trial court erred in failing to do so in this case.
In Stratton II, we affirmed a trial court's revision of a Board finding that
contained obvious error that was prejudicial to the challenging party. 7 Wash. App.
at 654-56. In that case, we considered the following jury instruction, which
reproduced a Board finding on Stratton's condition:
3. On or about April 29, 1964, the claimant suffered from a
psychiatric disorder which was causally related to his industrial
injury and was diagnosed as anxiety neurosis with conversion
symptoms. Associated with this psychiatric disorder is a
demonstrated lack of motivation in the claimant to seek out and
maintain gainful employment, coupled with a strong tendency and
desire to realize a monetary gain from his injury.
Id. at 654. Stratton contended that the emphasized sentence was not a medical
finding based upon evidence, but rather an argumentative assertion that he was
unmotivated and eager to realize a monetary gain from his injury. We agreed and
concluded that the emphasized sentence was "not based upon any medical or
other evidence in the record" and merely expressed the "opinion of the board that
Stratton won't look for work and has a strong desire to make money from his
injury." Id. at 654. Because the Board's error was obvious and resulted in
prejudice to Stratton, we reversed the judgment and remanded for a newtrial. ]dL
at 656.
15
No. 72437-1-1/16
Similarly in this case, the Board's finding that McManus "sustained an
aggravation of his pre-existing cervical degenerative disc" is unsupported by any
evidence in the record. Both McManus and the County offered medical testimony
related to the degenerative condition in McManus' lumbar spinal region. The only
mention of his cervical spinal region came from Dr. Won, who testified briefly that
McManus suffered from "arno chiari4... a malformation of the base of the skull
that tends to press on the nerve." CABR (Won) at 22. Based on this record, we
conclude that the Board's finding of fact 5 contained an obvious scrivener's error.
Moreover, the trial court's refusal to revise the finding was not harmless.
The jury was instructed to answer only one question:
Was the Board of Industrial Insurance Appeals correct in deciding
that Patrick McManus' low back condition, diagnosed as
aggravation of degenerative disc changes and a new central disc
protrusion at the L2-3 level, arose naturally and proximately from
the distinctive conditions of his employment with Clark County
operating a street sweeper?
CP at 60. Thus, the issue before the jury was whether the Board's determination
that a causal link existed between McManus' claimed industrial injury and the
conditions of his work for the County. Because the Board's finding of fact no. 5 as
represented to the jury referenced the wrong injury, it effectively precluded
McManus from establishing this link. Thus, the trial court's refusal to correct the
Board's scrivener's error materially affected the outcome of trial.
4This appears to be a reference to an Amold-Chiari malformation, which, according to the
National Institute of Neurological Disorders and Stroke, is a congenital structural defect in which the
cerebellum and parts of the brain stem sit in an indented space at the lower rear ofthe skull, where
itattaches to the spinal column. See http://www.ninds.nih.gov/disorders/chiari/detail_chiari.htm.
16
No. 72437-1-1/17
Reversed and remanded for a new trial.
QOW^X-O
WE CONCUR:
7.
17
Clark County v. Patrick J. McManus. No. 72437-1-1
Dwyer, J. (concurring and dissenting). I concur with the majority's
resolution of the issues presented herein—save one. I believe that the trial court
erred by refusing to instruct the jury that special consideration should be given to
the opinion of a treating physician. This decision both contravened our Supreme
Court's precedent and created a disparity between the law applied by the Board
of Industrial Insurance Appeals (BIIA) and the law applied by the superior court
fact finder. Additionally, such decisions may ultimately lead to additional financial
burdens on the funds from which claimants are compensated. Accordingly, from
that limited section of the majority opinion, I dissent.
I
Because our Supreme Court has made clear that, in a workers'
compensation case, the state of the law is that the opinion of a treating physician
is entitled to special consideration by the trier of fact, the trial court erred by
refusing to so instruct the jury.
"Instructions are sufficient ifthey permit a party to argue his or her theory
of the case, are not misleading, and, when read as a whole, properly inform the
jury on the applicable law." Sintra. Inc. v. City of Seattle, 131 Wash. 2d 640, 662,
935 P.2d 555 (1997) (emphasis added). I agree with the majority that the
instructions given permitted McManus to argue his theory "that Dr. Won, as his
treating physician, was better qualified to render an opinion on the etiology of his
No. 72437-1-1/2
injury than the Department's witnesses." Slip Op. at 13. However, the jury was
not informed of the "long-standing rule of law in workers' compensation cases
that special consideration should be given to the opinion of a claimant's attending
physician." Hamilton v. Deo't of Labor & Indus.. 111 Wash. 2d 569, 571, 761 P.2d
618(1988).
Hamilton concerned an instruction, similar to the one herein proposed,
that provided: "'In cases under the Industrial Insurance Act of the State of
Washington, special consideration should be given to the opinion of the plaintiff's
attending physician.'" 111 Wash. 2d at 570. Reviewing prior case law, our
Supreme Court concluded that the instruction "reflected] binding precedent in
this state and correctly stated the law." Hamilton. 111 Wash. 2d at 572; accord
Chalmers v. Deo't of Labor & Indus.. 72 Wash. 2d 595, 599, 434 P.2d 720 (1967)
("It is settled in this state that, in this type of cases, special consideration should
be given to the opinion ofthe attending physician."); Groff v. Deo't of Labor &
Indus.. 65 Wash. 2d 35, 45, 395 P.2d 633 (1964) ("[W]e have, in several cases,
emphasized the fact that special consideration should be given to the opinion of
the attending physician.").
Because the instruction stated a clear "rule of law," the Hamilton court
held, "it [was] appropriate that the jury be informed of this by the instructions of
the court." 111 Wash. 2d at 572. "To refuse to do so," the court explained, "would
convert the rule of law into no more than the opinion of the claimant's attorney."
Hamilton. 111 Wash. 2d at 572 (emphasis added). The difference between the law,
as explained by the court, and the argument of counsel is key.
No. 72437-1-1/3
As juries are instructed, instructions from the court carry a far greater legal
and practical significance than do the arguments of counsel. Juries may choose
whether to accept or reject an argument of counsel.1 By contrast, juries may not
choose whether to follow the law—they are required to do so.2
The majority's conclusion that the proposed instruction was not necessary
relies, in part, on Boeing Co. v. Harker-Lott. 93 Wash. App. 181, 968 P.2d 14
(1998). In Boeing, this court held that an instruction comparable to the one at
issue in Hamilton was not required because, it opined, "the Hamilton court did not
hold that an instruction to that effect was mandatory." 93 Wash. App. at 186
(emphasis added). But this is a matter of semantics. Regardless of whetherthe
Hamilton court's prohibition against converting the applicable rule of law"into no
more than the opinion of the claimant's attorney," is denominated a holding or
something else, it binds all lower courts:
[F]ew opinions address the ground that later opinions deem
sufficient to reach a different result. If a court of appeals could
disregard a decision of the Supreme Court by identifying, and
accepting, one or another contention not expressly addressed by
the Justices, the Court's decisions could be circumvented with
ease. They would bind only judges too dim-witted to come up with a
novel argument.
Nat'l Rifle Ass'n of Am. v. City of Chicago. 567 F.3d 856, 857-58 (7th Cir. 2009),
rev'd on other grounds sub nom. McDonald v. City of Chicago. 561 U.S. 742,130
S. Ct. 3020, 177 L. Ed. 2d 894 (2010).
1Thus, the jury herein was instructed: "[l]t is important for you to rememberthat the
lawyers' remarks, statements, and arguments are not evidence. You should disregard any
remark, statement, or argumentthat is not supported by the evidence or the law as Ihave
explained itto you." Jury Instruction 1 (emphasis added).
2Again, as the jury herein was instructed: "It... is your duty to acceptthe law as [the
court] explains] it to you, regardless ofwhat you personally believe the law is or what you
personally think it should be. You must apply the law that [the court] give[s] you." Jury Instruction
1.
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Moreover, the Boeing court reasoned that the proposed instruction was
unnecessary because the claimant's counsel could argue the claimant's theory of
the case—that the opinions of the attending physician were entitled to special
consideration—under the instructions given. See 93 Wash. App. at 186-87. But
this reasoning directly contravened the Hamilton court's assertion that such a
view "would convert the rule of law into no more than the opinion of the
claimant's attorney." 111 Wash. 2d at 572. Because these two contrasting views
cannot be reconciled, the view of our Supreme Court must prevail.
"Once [our Supreme Court] has decided an issue of state law, that
interpretation is binding until [it] overrule^] it." Hamilton, 111 Wash. 2d at 571. Both
the majority and the trial court stray from proper adherence to applicable
Supreme Court precedent by determining that the instructions given in this case
were sufficient because the claimant's attorney was permitted to argue a rule of
law to the jury, in the absence of an instruction on that law by the trial judge.
II
In addition, the trial court's decision not to instruct the jury regarding the
rule that special consideration should be given to the opinion of a treating
physician created a disparity between the law applied by the BIIA and that
applied by the jury.
The Industrial Insurance Act (Title 51 RCW) appeals process is structured
such that, between the decision of the BIIA and the superior court decision, the
only thing intended to change is the identity of the fact finder. The jury's charge
in a workers' compensation case is "to determine whether [the presumption that
the findings and decision of the BIIA are correct] is rebuttable by the evidence."
4
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Jury Instruction 5. This determination must be made only on the record before
the BIIA. Thus, as the jury herein was instructed, "The law requires that this case
be tried solely on the evidence and testimony that was offered before the [BIIA]."
Jury Instruction 2.
Barring an intervening departure from precedent, the law applied to the
record must also remain the same. However, unlike the members of the BIIA,
the lay jurors must be instructed by the trial judge on the applicable law, with
which the jurors are, in all likelihood, entirely unfamiliar. Thus, if the superior
court's instructions do not, as herein requested, include the "long-standing" rule
of lawthat special consideration should be given to the opinion of a treating
physician, there is no assurance that the law applied by the two decision-makers
(the BIIA and the jury) was the same. This is contrary to the careful design of the
legislature.
Ill
Finally, if trial court decisions of this type become widespread, claimants
will be incentivized to seek additional (and, at this time, unnecessary) medical
opinions, which may lead to increased financial strain on the funds from which
claimants are compensated.
The rule that special consideration should be given to the opinion of a
treating physician works, in part, to correct a potential imbalance between the
expert witnesses whose testimony is offered by claimants, often primary care
physicians and other general practitioners, and the expert witnesses offered by
self-insured employers, often specialists with noted and impressive certifications.
Without the rule here at issue, claimants may be incentivized to seek additional
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medical advice or treatment as a litigation strategy, thus burdening the funds. By
obtaining a second opinion—from a physician with a "fancier" curriculum vitae—a
claimant may hope to strike a balance between the number and credentials of
the expert witnesses offered by each side. This is a potential "real world" impact
of decisions such as that we make today. We can avoid such unintended
consequences by the simple expedient of requiring that the law—as declared by
our Supreme Court—be adhered to.
A J yCW- _____