STATE OF WEST VIRGINIA
FILED
SUPREME COURT OF APPEALS August 13, 2014
RORY L. PERRY II, CLERK
SUPREME COURT OF APPEALS
DAVIS MEMORIAL HOSPITAL, OF WEST VIRGINIA
Employer Below, Petitioner
vs.) No. 13-0441 (BOR Appeal No. 2047761)
(Claim No. 2012003508)
HOWARD W. BENNETT,
Claimant Below, Respondent
MEMORANDUM DECISION
Petitioner Davis Memorial Hospital, by Toni J. Minner, its attorney, appeals the decision
of the West Virginia Workers’ Compensation Board of Review. Howard W. Bennett, by Robert
L. Stultz, his attorney, filed a timely response.
This appeal arises from the Board of Review’s Final Order dated April 3, 2013, in which
the Board affirmed an October 1, 2012, Order of the Workers’ Compensation Office of Judges.
In its Order, the Office of Judges reversed the claims administrator’s January 9, 2012; September
15, 2011, and two August 2, 2011, decisions. The Office of Judges held the claim compensable
for a lumbosacral strain and a herniated disc with radiculopathy, and it authorized several
treatment requests from Mr. Bennett. The Court has carefully reviewed the records, written
arguments, and appendices contained in the briefs, and the case is mature for consideration.
This Court has considered the parties’ briefs and the record on appeal. The facts and legal
arguments are adequately presented, and the decisional process would not be significantly aided
by oral argument. Upon consideration of the standard of review, the briefs, and the record
presented, the Court finds no substantial question of law and no prejudicial error. For these
reasons, a memorandum decision is appropriate under Rule 21 of the Rules of Appellate
Procedure.
Mr. Bennett worked as a courier for Davis Memorial Hospital. On July 22, 2011, Mr.
Bennett felt something move in his back while carrying a tray of instruments. He finished
working that day, but when he woke up the next morning he experienced pain in his lower back
radiating into his right leg. The next day, Mr. Bennett sought treatment at Davis Memorial
Hospital and was diagnosed with a lumbosacral strain and sciatica. An x-ray taken at that time
showed degenerative joint disease. Mr. Bennett then came under the care of Johnny Smith, D.O.,
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who had an MRI taken of Mr. Bennett’s lumbar spine. Dr. Smith then diagnosed him with a
lumbosacral strain and a herniated L5-S1 disc. Dr. Smith found that Mr. Bennett’s injury was
directly related to his work because his symptoms were consistent with a lifting injury. Mr.
Bennett filed an application for workers’ compensation benefits based on Dr. Smith’s diagnosis.
On August 2, 2011, the claims administrator rejected Mr. Bennett’s claim. In a separate decision
issued on the same day, the claims administrator also denied authorization for the treatment Mr.
Bennett received from Davis Memorial Hospital. Mr. Bennett was then referred to Richard A.
Douglas, M.D., who found the MRI demonstrated that he had L5 radiculopathy and an L5-S1
migrated disc fracture. Dr. Douglas recommended that Mr. Bennett receive nerve root injections,
an electromyography (EMG) study of his lower extremity, and physical therapy to treat his
injury. On September 15, 2011, the claims administrator denied authorization for the nerve root
injections, EMG, and physical therapy requested by Dr. Douglas. On January 9, 2012, the claims
administrator also denied authorization and repayment for the services provided by Dr. Smith.
Bill Hennessey, M.D., then evaluated Mr. Bennett and found that he did not suffer a herniated
disc in the course of and resulting from his employment. Dr. Hennessey suggested that Mr.
Bennett experienced a spontaneous herniated disc while he was sleeping. On October 1, 2012,
the Office of Judges reversed all four of the claims administrator’s decisions. The Office of
Judges held the claim compensable for a lumbosacral strain and a herniated disc with
radiculopathy. The Office of Judges also authorized the treatment from Davis Memorial
Hospital, services from Dr. Smith, a nerve root injection, an EMG, and physical therapy. The
Board of Review affirmed the Order of the Office of Judges on April 3, 2013, leading Davis
Memorial Hospital to appeal.
The Office of Judges concluded that Mr. Bennett suffered a compensable injury on July
22, 2011, in the course of and resulting from his employment. In reaching this determination, the
Office of Judges relied on the treatment notes from Davis Memorial Hospital and from Dr.
Smith. The Office of Judges found that these notes demonstrated that Mr. Bennett suffered an
injury as the result of an isolated and fortuitous event. The Office of Judges further determined,
based on Dr. Smith’s opinion, that Mr. Bennett’s symptoms were consistent with a work-related
injury. The Office of Judges considered the evaluation of Dr. Hennessey, but it found that his
conclusions were speculative in nature. The Office of Judges also concluded that the requested
treatment from Davis Memorial Hospital, the medical services provided by Dr. Smith, a nerve
root injection, an EMG of the lower extremities, and physical therapy were medically related and
reasonably required to treat Mr. Bennett’s compensable injury. The Board of Review adopted the
findings of the Office of Judges and affirmed its Order.
We agree with the conclusions of the Board of Review and the findings of the Office of
Judges. Mr. Bennett has presented sufficient evidence to show that he suffered a lumbosacral
strain and a herniated L5-S1 disc in the course of and resulting from his employment. Mr.
Bennett has also demonstrated that the requested medical treatments and services are medically
related and reasonably required for those compensable conditions. Mr. Bennett has presented a
sufficiently consistent account of his injury, and his account is supported by the initial treatment
records from Davis Memorial Hospital and the records from Dr. Smith. The suggestion of Dr.
Hennessey that Mr. Bennett’s condition is the result of a spontaneous disc herniation is not
sufficiently supported to undermine Mr. Bennett’s account of his injury. Davis Memorial
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Hospital had not presented any evidence demonstrating that the requested treatments and
services are not related to the compensable injury or should not be authorized.
For the foregoing reasons, we find that the decision of the Board of Review is not in clear
violation of any constitutional or statutory provision, nor is it clearly the result of erroneous
conclusions of law, nor is it based upon a material misstatement or mischaracterization of the
evidentiary record. Therefore, the decision of the Board of Review is affirmed.
Affirmed.
ISSUED: August 13, 2014
CONCURRED IN BY:
Chief Justice Robin J. Davis
Justice Brent D. Benjamin
Justice Margaret L. Workman
Justice Menis E. Ketchum
Justice Allen H. Loughry II
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