CLAIM NO. E408153
Before the Arkansas Workers’ Compensation Commission
OPINION FILED MARCH 6, 1997
Upon review before the FULL COMMISSION in Little Rock, Pulaski County, Arkansas.
Claimant represented by ROLAND E. DARROW, Attorney at Law, Little Rock, Arkansas.
Respondents represented by FRANK B. NEWELL, Attorney at Law, Little Rock, Arkansas.
Decision of Administrative Law Judge: Affirmed.
[1] OPINION AND ORDER
[2] An Administrative Law Judge entered an opinion and order in the above-captioned case on June 29, 1995, finding that claimant sustained a compensable injury on April 1, 1994, and was entitled to temporary total disability benefits from April 9, 1994, through the end of June, 1994.
[6] Mr. Bellamy, during his deposition, denied any specific recollection of claimant sustaining this injury or of himself being called any names. [7] Claimant eventually managed to see Dr. Aniel House, who referred him to Dr. Reed Kilgore. Dr. Kilgore ordered an arthrogram which, by the presence of leakage “between the mid-carpal row and the proximal carpal or the radial carpal joint,” suggested a “ligamentous disruption.” Dr. Kilgore managed claimant conservatively for some time without significant success, and eventually referred him to Dr. Ed Weber, a hand specialist. Dr. Weber diagnosed claimant with a “lunotriquetral tear of the right wrist,” and recommended surgical intervention in a December 30, 1994, letter to claimant’s attorney. [8] Claimant’s injury occurred after July 1, 1993, and Act 796 of 1993 is applicable to the facts of this case. To establish a compensable injury under that Act, claimant must demonstrate that he has sustained an “accidental injury causing internal or external physical harm to the body . . . arising out of and in the course of employment and which requires medical service or results in disability or death.” In addition, an injury will be considered “accidental” only if it is “caused by a specific incident and is identifiable by time and place of occurrence.” Ark. Code Ann. § 11-9-102 (5)(A)(i) (Repl. 1996). [9] Also, a compensable injury “must be established by medical evidence, supported by `objective findings.'” Ark. Code Ann. § 11-9-102 (5)(D) (Repl. 1996). In turn, “objective findings are those findings which cannot come under the voluntary control of the patient . . . Medical opinions addressing compensability and permanent impairment must be stated within a reasonable degree of medical certainty.” Ark. Code Ann. § 11-9-102 (16) (Repl. 1996). A claimant’s burden of proof concerning these issues is to demonstrate them by a preponderance of the evidence. Ark. Code Ann. § 11-9-102 (5)(E)(i) (Repl. 1996). [10] Although respondents assert that claimant has failed to present any medical opinions “stated within a reasonable degree of medical certainty” to support his claim for compensability, we note from the outset that this case hinges primarily on matters of credibility. [11] Nevertheless, we would point out that this Commission has specifically recognized that medical opinions are not necessary to establish compensability. Instead, Ark. Code Ann. § 11-9-102 (16)(B) (Repl. 1996) requires only that if a medical opinion is offered, it must be stated with a reasonable degree of medical certainty. See KeithCrawford v. Pace Industries, Full Workers’ Compensation Commission, Opinion Filed August 10, 1995 (Claim No. E318131) (aff’d on other grounds; Crawford v. Pace, 55 Ark. App. 60, 929 S.W.2d 727 (1996)). Essentially, causal connection remains a matter of inference, and medical evidence is not required to establish it. See Osmose WoodPreserving v. Jones, 40 Ark. App. 190, 843 S.W.2d 875 (1992) and Bates v. Frost Logging Co., 38 Ark. App. 36, 827 S.W.2d 664 (1992). [12] As for the merits of the case, we specifically find that claimant’s account of a wrist injury on April 1, 1994, is credible. From that account, we additionally find that claimant did sustain a compensable wrist injury as the result of a specific incident identifiable by time and place of occurrence, and that said injury arose out of and in the course of his employment. Claimant’s description of his injury is consistent and detailed, and we are not persuaded to find otherwise simply because Mr. Bellamy claims not to remember any such incident. Mr. Bellamy’s deposition was taken over a year after the injury occurred, and claimant has testified that Mr. Bellamy’s attention was occupied by several customers and other matters at the time the boats were being unloaded. In addition, because claimant essentially contends that Mr. Bellamy’s conduct led to his injury, the latter’s testimony is far from disinterested. [13] Respondents also contend that claimant’s credibility is impugned by his failure to notify an actual supervisor of his injury or to seek medical treatment any sooner than he did. However, the record reflects that claimant did inform respondent employer’s bookkeeper, whom he knew as “Jan,” of his injury on the Monday following his accident (which occurred on Friday). Claimant further testified that, after his wrist did not improve, the bookkeeper (the following Thursday) eventually told him he would have to fill out an accident report. From that point, it appears that any delay in claimant seeking medical treatment was occasioned by the bookkeeper’s absence and/or procrastination:. . . didn’t tell me he was going to turn it over and my hands up in the handle on the back of the boat when he flipped it. I couldn’t get my hand out fast enough and I called him a few names . . . When he flipped the boat over my hand was under the handle, it just — it locked it and turned it until it wouldn’t turn no more and I grabbed the boat and yanked it out of his hands.
[14] Later, claimant explained his understanding that “everything went through Jan. So, I figured Jan was who I was supposed to report it to.” Claimant also testified that he eventually received an appointment to see the company doctor, set up by the bookkeeper. Concerning his delay in seeking treatment, claimant stated that at first he thought his injury was “just a sprain” and that “I was waiting on her to tell me which doctor to go see.” We specifically find claimant’s testimony to be credible in its entirety, and are not persuaded otherwise by the procedure he used to report his injury or to obtain medical treatment. [15] Finally, we note that the presence of an injury to claimant’s wrist is established by “medical evidence supported by `objective findings,'” as per Dr. Kilgore’s arthrogram (which revealed “leakage” suggesting a “ligamentous disruption” in claimant’s wrist). [16] From claimant’s credible testimony and the medical evidence discussed above, we specifically find that he has proven, by a preponderance of the credible evidence, that he sustained a compensable injury on April 1, 1994. Accordingly, the decision of the Administrative Law Judge must therefore be, and hereby is, affirmed. [17] All accrued benefits shall be paid in a lump sum without discount and with interest thereon at the lawful rate from the date of the Administrative Law Judge’s decision in accordance with Ark. Code Ann. § 11-9-809And then she told me that I’d have to come back because she was too busy, so we came back the next day and she was on secretaries leave or secretary day or whatever. So, we came back the following day and she was off. It took me about three to four days before I finally got the accident report.
ELDON F. COFFMAN, Chairman PAT WEST HUMPHREY, Commissioner
[20] Commissioner Wilson dissents.[21] DISSENTING OPINION
[22] I respectfully dissent from the majority’s opinion finding that the claimant sustained a compensable injury on April 1, 1994. Based upon my de novo review of the entire record, I find that claimant failed to meet his burden of proof.
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