COURT OF APPEALS OF VIRGINIA
Present: Chief Judge Fitzpatrick, Judges Benton and Annunziata
Argued at Alexandria, Virginia
STRICTLY STUMPS, INC. AND
TRANSPORTATION INSURANCE COMPANY
OPINION BY
v. Record No. 0523-00-4 CHIEF JUDGE JOHANNA L. FITZPATRICK
NOVEMBER 21, 2000
GEORGE ROBERT ENOCH
FROM THE VIRGINIA WORKERS' COMPENSATION COMMISSION
Dawn E. Boyce (Trichilo, Bancroft, McGavin,
Horvath & Judkins, P.C., on brief), for
appellants.
No brief or argument for appellee.
Strictly Stumps, Inc. ("employer") contends the Workers'
Compensation Commission ("commission") erred in awarding medical
benefits to George Robert Enoch ("claimant"). On appeal,
employer argues the commission erred in finding: (1) that
claimant established an "injury by accident" to his right foot
on September 1, 1997; and (2) that medical treatment rendered in
August 1998 was causally related to that "injury by accident."
Because credible evidence supports the commission's decision, we
affirm.
I.
"On appeal, we view the evidence in the light most
favorable to the claimant, who prevailed before the commission."
Allen & Rocks, Inc. v. Briggs, 28 Va. App. 662, 672, 508 S.E.2d
335, 340 (1998) (citations omitted). "'Decisions of the
commission as to questions of fact, if supported by credible
evidence, are conclusive and binding on this Court.'" Id.
(quoting Manassas Ice & Fuel Co. v. Farrar, 13 Va. App. 227,
229, 409 S.E.2d 824, 826 (1991)). "'The fact that there is
contrary evidence in the record is of no consequence.'" Id.
(quoting Wagner Enters., Inc. v. Brooks, 12 Va. App. 890, 894,
407 S.E.2d 32, 35 (1991)).
Claimant testified that on September 1, 1997, while working
as a groundsman, he was injured when a tree fell on his right
foot. He initially thought he had sustained a sprain or pulled
ligaments. He missed one day of work, but testified that the
pain increased until he left the job in December 1997.
Employer's witness, Dean Sielbold, testified he remembered a
tree falling around claimant in early September 1997. He also
testified that claimant told him his foot hurt after the tree
fell. Dana Woolsey, employer's last witness, testified that he
saw the tree hit claimant's foot on the left side.
It was not until August 30, 1998 that claimant sought
treatment at Mount Vernon Hospital. The triage note from the
hospital reflected an injury to claimant's foot one year earlier
with intermittent pain. He was referred to Dr. Stephen C.
Saddler, an orthopedic physician, who diagnosed "early
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degenerative arthritis of the right ankle with possible loose
bodies" and recommended conservative treatment. Dr. Saddler's
initial notes also reflect the incident one year earlier and
intermittent pain following the incident. The commission found
that claimant sustained an injury by accident on September 1,
1997 and that the medical treatment was causally related to that
accident.
II.
Employer first contends the evidence is insufficient to
establish an injury by accident. The commission found:
Neither witness for the employer
contradicted [claimant's] testimony that the
tree fell on his foot. Siebold could not
remember which foot he said was hurt
immediately after the accident. Woolsey
thought the tree had fallen on the side of
his left foot and recalled complaints of
ankle pain. He also recalled advising the
claimant to seek medical attention. The
minor discrepancies between the testimony of
Woolsey and the claimant are
inconsequential.
Credible evidence supports this finding.
Employer next argues the commission erred in finding that
the medical treatment rendered in August 1998 and continuing was
causally related to that injury by accident. Citing generally
to Dollar General Store v. Cridlin, 22 Va. App. 171, 468 S.E.2d
152 (1996), employer asserts that there must be consistent
factual testimony and an obvious link from which causation can
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be inferred when there is no definitive medical statement
regarding causation. Employer, however, gives no page reference
or quote to support such a reading of Cridlin. We find nothing
in Cridlin that limits the commission's ability to consider
medical evidence and the claimant's testimony in determining
causation. Indeed, "[t]he commission's determination regarding
causation is a finding of fact and is binding on appeal when
supported by credible evidence." Marcus v. Arlington County Bd.
of Supervisors, 15 Va. App. 544, 551, 425 S.E.2d 525, 530 (1993)
(citations omitted). Because it is a factual determination,
"[t]he testimony of a claimant may also be considered in
determining causation, especially where the medical testimony is
inconclusive." Cridlin, 22 Va. App. at 176, 468 S.E.2d at 154.
Thus, we held in Cridlin that where "the [medical] reports
reflect only the results of claimant's physical examination and
do not purport to establish the cause or causes of her injury[,]
. . . the commission was free to credit claimant's testimony at
the hearing as a basis for its finding of causation." Id. at
177, 468 S.E.2d at 155 (citation omitted).
The uncontradicted medical evidence and claimant's
testimony as well as the testimony of employer's witnesses
support the commission's conclusion that the medical treatment
was causally related to the injury by accident. The commission
found:
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The evidence presented by the claimant,
in conjunction with the medical reports,
shows a causal link between the accident and
resulting medical care. Both the emergency
room and Dr. Saddler reported an injury
occurring in the fall of 1997. For example,
the triage note described a one-year-old
right ankle injury that had remained
symptomatic for one year. The emergency
room physician also relayed an injury to the
right ankle one year before and that
claimant had suffered intermittent pain
since the event. Similarly, Dr. Saddler
noted that the tree struck his foot in the
fall of the previous year and that he simply
self-treated until the pain became
unbearable. The claimant did not report or
testify to any contrary history; he did not
assert any type of intervening or past
problem. There was no mention of an
alternative trauma or other causative
factor.
The record in this case does not establish that the medical
issue was so complex that the commission made findings in an
area that could only be properly decided by medical experts.
Because the testimony and medical evidence are uncontradicted
and credible evidence supports the commission's finding, we
affirm.
Affirmed.
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