[Cite as State ex rel. Lowe v. Ohio Pub. Emps. Retirement Sys., 2014-Ohio-4773.]
IN THE COURT OF APPEALS OF OHIO
TENTH APPELLATE DISTRICT
State of Ohio ex rel. Uneek V. Lowe, :
Relator, : No. 13AP-627
v. : (REGULAR CALENDAR)
[Ohio Public Employees Retirement :
System],
:
Respondent.
:
D E C I S I O N
Rendered on October 28, 2014
Uneek V. Lowe, pro se.
Michael DeWine, Attorney General, and Matthew T. Green,
for respondent.
IN MANDAMUS
ON OBJECTIONS TO THE MAGISTRATE'S DECISION
TYACK, J.
{¶ 1} Relator, Uneek V. Lowe, brought this original action requesting a writ of
mandamus ordering respondent, Ohio Public Employees Retirement System ("OPERS"),
to vacate its decision terminating her disability benefits and to enter a decision reinstating
disability benefits.
I. Procedural History
{¶ 2} Under Civ.R. 53 and Section (M), Loc.R. 13 of the Tenth Appellate District,
this matter was referred to a magistrate who issued a decision that is appended to this
decision. The magistrate determined: (1) the OPERS Board of Trustees ("board") was
not required to determine whether the alleged disabling medical conditions prevent
No. 13AP-627 2
relator from performing her recent position at Fifth Third Bank; (2) none of the medical
reports need be eliminated from evidentiary consideration due to an alleged failure of the
examining physician to show sufficient knowledge of relator's job duties at the Hamilton
County Department of Job and Family Services ("HCDJFS"); and (3) there is some
evidence in the record supporting the board's presumed determination based upon
pertinent R.C. 145.362 examinations, that relator is no longer physically and
psychologically unable to perform her former position at HCDJFS upon which her
disability benefit was premised. Accordingly, the magistrate determined the requested
writ should be denied.
II. Objections
{¶ 3} Relator filed objections to the magistrate's decision. These were not
separately numbered, but rather contained in a somewhat free flowing 21-page document.
From our review of this document, relator raises the following issues:
1. Respondent abused its discretion by using the wrong job
description for relator's private part-time job with Fifth Third
Bank.
2. Respondent did not take into account relator's public job
duties with HCDJFS when it terminated her disability
benefits.
3. Respondent failed to consider relator's Attention Deficit
Hyperactivity Disorder ("ADHD"), her Arnold Chiari
Malformation, and her need for accommodations when it
terminated her disability benefits.
4. The magistrate erred in finding there was some evidence
that relator is no longer physically and psychologically unable
to perform her former position at HCDJFS.
III. Private Sector Job Description
{¶ 4} While receiving disability benefits from OPERS and the Social Security
Administration, relator took a part-time position with Fifth Third Bank embossing credit
cards. (Magistrate's decision, 6.) Some time after she took the job, relator submitted a
form for an employment review to determine whether the part-time job would result in
the termination of benefits. OPERS' third-party administrator, Managed Medical Review
No. 13AP-627 3
Organization ("MMro"), conducted an assessment of the job duties of relator's last public
position as a Program Technician 2 for HCDJFS and her part-time position for Fifth Third
Bank. The MMro's assessment overlapped relator's annual medical review.
{¶ 5} The MMro found similarities between the work activities in each job.
Relator has identified mistakes in the MMro's assessment of her work with the private
sector employer. For example, the assessment states: "Helps w/tutoring of the students. *
* * Organizes all group meetings, activities and special trips." (R. 276.) Relator is correct
that this part of the MMro's assessment describing the part-time position at Fifth Third
Bank is in error.
{¶ 6} Nevertheless, the argument is without merit. The part-time job description
is not relevant to the core issue in this case which is "whether the disability benefit
recipient is no longer physically and mentally incapable of resuming the service from
which the recipient was found disabled." See R.C. 145.362. The part-time job description
is not related to relator's annual medical review for a disability determination. The
medical doctors were asked to base their review on her public employment job
description. Neither the medical doctors nor the board relied on the reemployment
assessment when deciding whether relator was permanently disabled. Therefore, even if
there were errors in the MMro's assessment, any such error is harmless as it does not
relate to the issue of whether relator is capable of resuming her public service.
IV. Public Job Description
{¶ 7} With respect to her public sector job with HCDJFS, relator contends that
OPERS failed to take into account her public job duties when it terminated her disability
benefits.
{¶ 8} Our independent review shows that the record is replete with references to
relator's public sector job. The job description is set forth in full in the magistrate's
decision. The doctors who conducted relator's medical assessments stated they were
familiar with her responsibilities at HCDJFS, reviewed her job description, and in several
instances, recounted in detail relator's history at HCDJFS. The MMro's assessment also
sets forth a correct description of relator's duties at HCDJFS.
{¶ 9} There is no merit to this objection.
V. ADHD, Arnold Chiari Malformation, and the need for accommodations
No. 13AP-627 4
{¶ 10} Relator argues there was no evidence that her Attention Deficit Disorder
was viewed or considered as part of the decision to terminate her disability benefits.
Again, the record belies this assertion. The following quotes are a sample of the
documentation of relator's diagnosis of ADD or ADHD. Robert Krikorian, PhD,
conducted a neuropsychological evaluation of relator in 2011 and wrote further in 2012
commenting on the findings of the neuropsychological evaluation. He stated: "Our
evaluation indicated that you have deficits of attention and executive ability, among
others." (R. 475.) He also stated, "you described in particular being overwhelmed and
ineffective when working as a technician for Hamilton County Job and Family Services.
You cited the volume of work as a major difficulty in that position. Your experiences with
that job would be consistent with the findings on our evaluation of attention and executive
impairment." (R. 475.) He also states: "Ms. Lowe grew up with developmental cognitive
disorder affecting attention and executive ability, which can be characterized as Attention
Deficit Disorder." (R. 471.)
{¶ 11} In January 2012, Leroy Vickers, M.D., wrote: "Ms. Lowe has chronic
fibromyalgia, ADHD, some memory loss and at this time Ms. Lowe indicates, and I agree
with her that she is permanently disabled but could return to work with Hamilton County
with accommodations." (R. 468.)
{¶ 12} In relator's examination by Michael Miller, M.D., he noted that "ADHD
treatment is quite successful when it comes to the Adderall." (R. 411.) D. Ann Middaugh,
M.D., M.S., noted that Adderall helped relator to concentrate, but that she stopped taking
it until she started the job with Fifth Third Bank. (R. 418.) Thus, it appears that while
relator had been diagnosed with ADHD, she was able to function successfully when she
used the medication Adderall.
{¶ 13} Contrary to relator's assertion, ADD and/or ADHD were viewed and
considered as part of the decision to terminate benefits. This argument is without merit.
{¶ 14} Relator also argues that her Arnold Chiari Malformation was not considered
in the decision to terminate her disability benefits. Again, numerous references to the
medical evidence in the record noted D. Ann Middaugh, M.D., M.S., wrote, "[s]he has an
asymptomatic Chiari-I malformation discovered by MRI scan. This is a congenital
condition in which the cerebellar tonsils descend into the upper cervical canal
No. 13AP-627 5
anatomically. She has no physical correlation for these findings." (R. 421.) Other reports
indicated "very mild symptomology," (R. 331.) "minimally, if at all, symptomatic," (R.
340.) and that her malformation was "thought to be minimally symptomatic by previous
neurological evaluation." (R. 357.)
{¶ 15} Relator contends that she is unable to resume her prior public service
because HCDJFS refused her request for reasonable accommodations.
{¶ 16} Relator has conflated her claim against HCDJFS for disability
discrimination under the Americans with Disabilities Act ("ADA") with her claim that she
is unable to resume her public service. The ADA defines "disability" as: (A) a physical or
mental impairment that substantially limits one or more of the major life activities of such
individual; (B) a record of such an impairment; or (C) being regarded as having such an
impairment. 42 U.S.C. 12102(2). The standard used by the board in this case is "whether
the disability benefit recipient is no longer physically and mentally incapable of resuming
the service from which the recipient was found disabled." See R.C. 145.362.
{¶ 17} The standard used to determine whether relator is entitled to a writ of
mandamus is whether there is some evidence to support the board's decision.
{¶ 18} Relator's claim that she is disabled because she was denied reasonable
accommodations is not well-taken.
VI. Some Evidence
{¶ 19} In order to obtain a writ compelling the board to vacate its decision to
terminate her disability benefits, relator must show that the board abused its discretion by
entering an order that is not supported by some evidence. State ex rel. Marchiano v.
School Emps. Retirement Sys., 121 Ohio St.3d 139, 2009-Ohio-307, ¶ 20-21; Kinsey v. Bd.
of Trustees of Police and Firemen's Disability and Pension Fund of Ohio, 49 Ohio St.3d
224, 225 (1990); State ex rel. Schaengold v. Pub. Emps. Retirement Sys., 114 Ohio St.3d
147, 2007-Ohio-3760, ¶ 19.
{¶ 20} Six different medical doctors determined that relator is not disabled from
her most recent public position with HCDJFS: Michael Miller, M.D.; D. Ann Middaugh,
M.D.; Andrew Smith, M.D.; Mark Reynolds, M.D.; Jeffrey Deitch, D.O.; and Maurice
Mast, M.D. That is some evidence to support the board's decision to terminate relator's
disability benefits.
No. 13AP-627 6
VII. Conclusion
{¶ 21} Based on our independent review under Civ.R. 53, we find the magistrate
properly determined the relevant facts and applied the salient law to them. Accordingly,
we adopt the magistrate's decision as our own, including the findings of fact and
conclusions of law contained in it. Therefore, we overrule relator's objections and deny
the requested writ of mandamus.
Objections overruled; writ denied.
SADLER, P.J., and CONNOR, J., concur.
_________________
No. 13AP-627 7
APPENDIX
IN THE COURT OF APPEALS OF OHIO
TENTH APPELLATE DISTRICT
State of Ohio ex rel. :
Uneek V. Lowe,
:
Relator,
:
v.
: No. 13AP-627
[Ohio Public Employees Retirement
System], : (REGULAR CALENDAR)
Respondent. :
MAGISTRATE'S DECISION
Rendered on July 15, 2014
Uneek V. Lowe, pro se.
Michael DeWine, Attorney General, and Matthew T. Green,
for respondent.
IN MANDAMUS
{¶ 22} In this original action, relator, Uneek V. Lowe, requests a writ of mandamus
ordering respondent, Ohio Public Employees Retirement System ("OPERS"), to vacate its
June 20, 2012 decision terminating disability benefits, and to enter a decision reinstating
disability benefits. That is, relator requests that the writ order the Ohio Public Employees
No. 13AP-627 8
Retirement Board ("board") to vacate its June 20, 2012 decision and to enter a decision
reinstating disability benefits.
Findings of Fact:
{¶ 23} 1. In May 2006, relator filed a disability benefit application on a form
provided by OPERS. Relator had been employed by the Hamilton County Department of
Job and Family Services ("HCDJFS"). Her position title was "CPA Specialist." Her
classification title was "Program Technician 2."
{¶ 24} 2. In May 2006, HCDJFS completed a form provided by OPERS captioned
"Report of Employer for Disability Applicant." HCDJFS also provided a "position
description" indicating that relator's job required her to perform the following tasks:
60% [One] Determines eligibility for Healthy Start, Healthy
Families and the Expedited Medicaid Programs. Conducts
applications processing and gathers necessary information to
make determination of program eligibility. Obtains
necessary verifications required for program eligibility,
follow-up with consumers by phone to clarify and verify
eligibility. Completes face-to-face interviews with walk-in
consumers. Inputs all documentation into computer system.
20% [Two] Issues correspondence and completes follow-up.
Maintains necessary records and data; responds to requests
for information and all phone calls, e-mails, and faxes in a
timely manner.
10% [Three] Maintains awareness of all assistance programs
and services offered by the agency. Enrolls and refers
consumers for HMO enrollment process. Processes and
completes special reports when necessary.
5% [Four] Completes statistical reports of program/work
activity.
OTHER DUTIES AND RESPONSIBILITIES:
3% [Five] Attends meetings, training and community
presentations as required.
2% [Six] Performs other related duties as assigned.
POSITIONS SUPERVISED:
No. 13AP-627 9
None
{¶ 25} 3. On May 10, 2006, attending physician and psychiatrist Jonathan
Bernfeld, M.D., completed a "Report of Attending Physician for Disability Applicant" on a
form provided by OPERS.
{¶ 26} Section three of the form requests that the attending physician report his
findings.
{¶ 27} For his diagnoses, Dr. Bernfeld wrote: "Chronic Major Depression" and
"Chronic Pain."
{¶ 28} For the symptoms, Dr. Bernfeld wrote: "[I]rritability, pain, low energy,
poor concentration, anxiety."
{¶ 29} For the prognosis, Dr. Bernfeld wrote: "Arnold Chiari malformation [plus]
syrinx causing chronic pain. Also fibromyalgia."
{¶ 30} On the form, Dr. Bernfeld indicated by his mark that relator "is * * *
considered to be permanently disabled."
{¶ 31} 4. On July 17, 2006, at the request of OPERS, relator was examined by
psychiatrist William Beatty, M.D. In his three-page narrative report, Dr. Beatty states:
{¶ 32} Ms. Lowe states that she has essentially four conditions:
[One] Attention Deficit Disorder with Hyperactivity
[Two] Arnold-Chiari malformation
[Three] Chronic Fatigue Syndrome
[Four] Fibromyalgia.
It is difficult to discern the exact boundaries of these
diagnoses in describing her symptoms. She does experience
chronic fatigue and does have generalized musculoskeletal
pains nearly continuously. She also claims to have ADD and
to be in need of accommodation for this in regard to work
load.
***
For some reason Ms. Lowe has some dysphoric moods and
apparently has had some major depressive episodes in her
life leading to hospitalizations. This coupled with her
volatility may suggest a "soft" Bipolar Disorder of a chronic
No. 13AP-627 10
nature. This is a relatively minor factor in her disability
compared to the Arnold-Chiari malformation with its
possibly causing or contributing phenomena of fatigue and
chronic pain. ADD is a further issue. She has multiple
stressors in her life including her son's behavioral problems,
her finances, her single status and the possibility of
litigation. She also states that she has lost her insurance
including her life insurance and her car has been
repossessed. She rarely has a good day but does occasionally
enjoy her hobbies of sewing and making purses. She feels
that her fatigue is the most debilitating of her problems and
this is what really prevents her from returning to work. * * *
It appears to me that Ms. Lowe has a legitimate, severe
neurologic problem the surgical treatment for which is far
from satisfactory. The exact relationship of this condition to
her other illnesses is somewhat unclear to me but perhaps a
neurologist or neurosurgeon could clarify this. Dr. Bernfeld
implied that several of her symptoms were due to the
Arnold-Chiari malformation. I would be inclined to accept
this and consider that Ms. Uneek Lowe is permanently
disabled mentally and physically for the performance of duty
and should be entitled to an OPERS Disability benefit. It may
be that OPERS would elect to seek statements from either
Ms. Lowe's neurologist or neurosurgeon as to whether her
Arnold-Chiari malformation is thought to be producing the
fatigue and chronic pain. This also may be determined to be
unnecessary.
{¶ 33} 5. On August 18, 2006, at the request of OPERS, relator was examined by
Marvin H. Rorick, M.D., who specializes in neurology. In his three-page narrative report,
Dr. Rorick stated:
Disability claimed by reason of:
Inability to continue her type of work responsibility as she
has done previously in the welfare office. The patient is a
Medicaid eligibility technician. She stopped doing this type
of work in 2004. * * *
Diagnosis:
[One] Chiari Malformation Type I with cervical syrinx.
[Two] Chronic tension headache.
[Three] Major depression.
[Four] Attention deficit hyperactivity syndrome.
No. 13AP-627 11
***
Past History:
Notable for Attention deficit hyperactivity syndrome.
The patient has apparently not received direct treatment for
this disorder but has been treated with antidepressant
medication in the past. She reports two hospitalizations for
depression, the most recent of which occurred in the late
1990's.
She also reports that she had a Bell's palsy in 1999 with
almost total recurrent function to the right side of the face.
***
From the stand point of the patient's Arnold chiari
malformation type I and cervical syrinx, the patient has very
mild symptomatology and has been advised not to have
occipital decompressive surgery. The patient does have
chronic headaches which maybe [sic] due to other causes. In
addition, she has a significant underlying depression which
is certainly worsened by her chronic daily pain.
Unfortunately, it is impossible to predict the patient's
reliability in a work place.
She has already been disabled for greater than two years and
appears unlikely to be able to resume that type of work
activity that she previously performed.
For the above reasons, the patient is presumed to be
permanently disabled for the performance of duty and
should be entitled to a disability benefit.
{¶ 34} 6. By letter dated September 20, 2006, OPERS informed relator that the
board had approved her disability application retroactive to February 1, 2005.
{¶ 35} 7. In February 2008, May 2009, and October 2010, the board approved the
continuation of benefits. Each time, relator was informed that continued receipt of
benefits was conditioned upon her seeking psychiatric treatment.
{¶ 36} 8. By letters dated October 3, 2011, OPERS informed relator that she was
scheduled for two medical examinations—one by psychiatrist Michael E. Miller, M.D., and
No. 13AP-627 12
the other by Deborah Ann Middaugh, M.D., who specializes in internal medicine and
occupation and environmental medicine.
{¶ 37} 9. On October 17, 2011, relator was examined by Dr. Miller. In his eight-
page narrative report, Dr. Miller states:
EMPLOYMENT HISTORY
* * * She worked at Hamilton County Job and Family
Services between 2000 and 2004, going out in 2004 on
disability and being fired in 2005.
***
I reviewed Ms. Lowe's job description for Hamilton County
Department of Job and Family Services.
***
DIAGNOSES
Axis I — Major Depressive Disorder, Recurrent, Mild
(296.31)
Posttraumatic Stress Disorder (309.81)
Axis II — Deferred
Axis III — Chiari Malformation, Thalasemia, r/o
Fibromyalgia
Axis IV — Occupational problems
Axis V — 62
***
Ms. Lowe is currently working 16 hours per week. She
embosses credit cards for 5/3 Bank between 3:00 p.m. and
7:00 p.m. This is described as a low stress position. She said
she is able to concentrate and handle this job without any
difficulty. She said that it is enjoyable and she works alone.
Uneek took this job because she was in need of a greater
income as her two disability incomes were considered to be
insufficient. The employee told me that Social Security
allows her to have a nine-month trial period and if she makes
No. 13AP-627 13
over $1,000.00 per month, she may lose her benefits (but
could regain them if she does not continue employment). She
also told me that OPERS was "okay" with this arrangement,
as it did not include public service type employment.
***
Specifically, I do not feel her recurrent depression is
disabling. The employee has had a very good response to
Wellbutrin and voluntarily returned to work because of her
financial needs. She is performing well at her position (16
hours per week) and there is no reason to assume that this
could not move to a full time, 40 hour per week, role. She is
not clinically disabled. I see no reason that her previous type
of work would be contraindicated.
***
She is receiving a combination of psychotherapy plus
medication management to contain a depressive disorder. As
is the case with recurrent depressions, she has periodic
relapses. These are not considered to be work-prohibitive,
however. The vast majority of people with depressive
disorders are able to work * * *.
{¶ 38} 10. On October 20, 2011, relator was examined by Dr. Middaugh. In her
five-page narrative report, Dr. Middaugh states:
Narrative Medical History: Ms. Lowe states that she has
been on disability through OPERS from her job as a program
technician for Hamilton County for the last 5 years. * * *
Ms. Lowe was employed for a total of 4 years and 7 months
for Hamilton County and was terminated in 2005. She was
responsible for assessing eligibility for Medicaid and food
stamps. She states that her job became increasingly busy and
stressful. She had to interview clients, review their resources
and income and refer paperwork for medical assessments. In
addition to regular paperwork and scheduled appointments
she was required to see walk-ins and states they were not
allowed to wait more than 10 minutes. She felt she couldn't
handle her case load and because of underlying ADHD asked
her supervisor for accommodations. She states that she was
then terminated after revealing that she had ADHD.
***
No. 13AP-627 14
Medical Record Review: Medical records provided are
quite limited. There is a job description for Hamilton County
Department of Job and Family Services for the CPA
Specialist Program Technician 2. This is consistent with her
job description, conducting applications, processing and
gathering necessary information for eligibility regarding
Healthy Start, Healthy Families and expedited Medicaid
programs.
***
Discussion: Uneek Lowe is a 55 year old woman with
multiple somatic complaints of pain who has suffered for
years with depression and also carries a diagnosis of ADHD.
She appears to be under appropriate psychiatric treatment.
She is reporting multiple somatic complaints and medical
problems. She is status post Bell's palsy by history. She has
an asymptomatic Chiari-I malformation discovered by MRI
scan. This is a congenital condition in which the cerebellar
tonsils descend into the upper cervical canal anatomically.
She has no physical correlation for these findings. She gives a
history of a spinal cord syrinx which is also asymptomatic.
Ms. Lowe does have degenerative disc disease in her neck
and is status post successful C5-6 anterior cervical fusion
and has no neurological deficit and a normal examination.
Ms. Lowe also has complaints of fibromyalgia syndrome with
a normal examination and no trigger points. She has left
shoulder complaints, a history of thalassemia and GI
complaints.
From the physical standpoint I see no disabling medical
condition.
Answers to Questions:
***
[Two] Per the OPERS definition of permanent disability, Ms.
Lowe is not physically disabled from performing her
occupation as a public employee. I see no physical condition
that would interfere with any of her job related activities.
[Three] I do not anticipate any significant physical change in
her conditions within the next 12 months.
No. 13AP-627 15
[Four] I do not find any disabling physical diagnoses.
[Five] There is no objective medical evidence from a physical
standpoint to support disability.
[Six] Ms. Lowe is receiving routine medical care for her
physical complaints.
[Seven] Her subjective complaints and symptoms far
outweigh any objective clinical findings and are consistent
with her psychiatric diagnosis of depression.
[Eight] Her observed activities and behavior also do not
correlate with objective clinical findings noting that she has a
normal examination despite her multiple somatic
complaints.
{¶ 39} 11. On November 29, 2011, Managed Medical Review Organization
("MMro"), the third-party administrator of OPERS' disability program, issued a report
recommending termination of relator's disability benefit. The November 29, 2011 report
indicates that the reports of Drs. Miller and Middaugh, as well as earlier medical reports,
were reviewed.
{¶ 40} 12. The record contains a one-page OPERS document captioned "Medical
Advisor Board Recommendation (F-33)." The document, dated December 5, 2011,
indicates that the "medical advisor" is "asmith." The document further states:
"Disapprove - Found No Longer Disabled, Terminate Benefit."
{¶ 41} 13. By letter dated December 15, 2011, OPERS informed relator:
The Ohio PERS Retirement Board reviewed your disability
benefit file including all medical documentation submitted in
connection with your re-evaluation at the December 14, 2011
board meeting.
Based upon all the medical information and
recommendations, the Ohio PERS medical consultants and
the Board concluded that you are no longer considered to be
permanently disabled from the performance of duty as a
Program Technician 2. Therefore, your disability benefit will
be terminated.
You have a right to appeal the Board's termination of your
disability benefit. If you wish to appeal this action, you may
No. 13AP-627 16
supply additional objective medical evidence, at your
expense, to us as the basis of your appeal.
***
After you have submitted your additional medical evidence
your information will be reviewed by our third party
administrator Managed Medical Review Organization
(MMro). MMro will evaluate your condition, which may
require you to have an in-person medical examination with
an independent medical examiner.
{¶ 42} 14. Earlier, on October 4, 2011, relator completed a form provided by
OPERS captioned "Employment Review for a Disability Benefit Recipient." (DR-2). The
form instructs as follows:
In order for OPERS to make an assessment of your re-
employment request, please complete this form in its
entirety and as accurately as possible.
Employment after commencement of a disability benefit may
impact your eligibility for that benefit. Disability benefit
recipients who return to public employment are subject to
immediate benefit termination.
{¶ 43} On the form, relator indicated she is employed at Fifth Third Bank at
Cincinnati, Ohio, through a temporary services company known as "Adecco." She listed
the title of her position as: "Credit Card Production."
{¶ 44} The form asks: "Has your attending physician approved this form of
employment." Relator responded to the query by marking the "yes" box. Thereunder,
relator wrote in her own hand:
So long as it remains part-time. I work from 3 pm-7 pm. I
work with a few employees in a quiet environment that isn't
very distracting, or pressure [and] light duty. This works
okay with having [ADHD], depression [and] chronic fatigue.
I am able to rest during the day before work [and] that gives
me enough energy to do this 4 [hour] job 4 days a [week].
{¶ 45} 15. MMro compared relator's previous job at HCDJFS with her new job at
Fifth Third Bank. On November 14, 2011, MMro issued a report concluding that relator's
No. 13AP-627 17
request for approval of her employment at Fifth Third Bank should be denied because of
similarities of that job and the HCDJFS job.
{¶ 46} 16. The record contains an OPERS document dated November 17, 2011 and
captioned "Medical Advisor Board Recommendation." Therein, the document indicates
that "MMro" has advised: "Similarities Found. Recommend Early Annual Review."
{¶ 47} 17. By letter dated November 17, 2011, OPERS informed relator:
We reviewed the Employment Review for a Disability
Benefit Recipient form (DR-2) that you submitted.
Our third party administrator Managed Medical Review
Organization (MMro) performed a vocational assessment of
the position(s) you have been and/or are considering
undertaking in comparison to your last public employment
position. MMro has determined there is similarity between
the position(s) you have been and/or considering
undertaking and your last public employment position from
which you were found to be disabled.
As part of your current annual review, MMro will evaluate
your condition which may require you to have an in-person
medical examination.
Once the evaluation process is complete, a recommendation
as to whether or not you continue to be permanently
disabled from the duties of your last public employment
position will be made to the Ohio PERS Retirement Board.
You will be notified by letter once official action has been
taken by the Board on your case.
(Emphasis sic.)
{¶ 48} 18. Relator timely appealed the December 14, 2011 board decision.
{¶ 49} 19. On February 8, 2012, attending physician Zhijun George Guo, M.D.,
completed an "Attending Physician Statement" on a form provided by OPERS. On the
form, Dr. Guo listed the following "disabling condition(s)":
[One] Chiari I Malformation
[Two] Chronic Migraine/Fibromyalgia
[Three] Depression
[Four] Syringohydre-Myelia
No. 13AP-627 18
{¶ 50} Dr. Guo marked a "no" box in response to the query: "Is member expected
to return to work with their public employer?"
{¶ 51} 20. On January 6, 2012, at relator's own request, she was evaluated by
Leroy Vickers, M.D., who wrote:
OPERS has recently determined that you are not disabled to
perform duty as a Program Technician II, a position
previously held by you before you became disabled in 2005.
Your recent medical history includes increasing symptoms
including left shoulder pain and weakness, numbness to
tongue, off balance, and dizziness. You were hospitalized at
Jewish Hosp. Oct. 14, 2011, with neurosurgical/neurological
consultation at that time. The work up showed increasing
growth of a previously diagnosed Arnold-Chiari
malformation/syrinx. This is a congenital lesion. No surgery
is advised due to risks involved. Neurologists DR. Rorick and
DR. GUO.
This patient has had depression/emotional problems due to
above situation and is currently on medication for this. Her
psychiatrist is Dr. Khosla (CCHB), Connie Moody is her
counselor.
Ms. Lowe has chronic fibromyalgia, ADHD, some memory
loss and at this time, Ms. Lowe indicates, and I agree with
her that she is permanently disabled but could return to
work with Hamilton County with accommodations.
{¶ 52} 21. During September, October, and November 2011, relator underwent a
neuropsychological evaluation performed by Robert Krikorian, Ph.D. Relator was
referred to Dr. Krikorian by Dr. Guo. In his four-page narrative report, Dr. Krikorian
opines:
The neuropsychological studies indicated specific cognitive
impairments involving aspects of attention and executive
[sic] ability with secondary effects on memory. There also
was mild phonological processing inefficiency. While the
described deficits are mild, they have functional implications
and are consistent with the occupational inefficiency and
memory difficulty. In addition, the executive [sic]
impairment almost certainly has contributed to her
emotional disturbance because the organization and
No. 13AP-627 19
inhibitory control impairments lead to less effective
emotional coping as described above.
{¶ 53} 22. On January 10, 2012, Dr. Krikorian wrote to relator:
Our evaluation indicated that you have deficits of attention
and executive ability, among others, that affect your ability to
register information from the environment, integrate
complex material, and organize and executive [sic] effective
problem-solving strategies. In addition, these deficits will
affect memory function in certain contexts by interfering
with memory encoding and retrieval processes.
In the context of that evaluation you provided information
about problems you have had in certain work environments
and you described in particular being overwhelmed and
ineffective when working as a technician for Hamilton
County Job and Family Services. You cited the volume of
work as a major difficulty in that position. Your experiences
with that job would be consistent with the findings on our
evaluation of attention and executive [sic] impairment.
Indeed, our report contained recommendations concerning
strategies that might help with organization. Other
approaches and accommodations that might be useful
generally but especially in such a job would include limiting
work load and/or working part-time, increasing training and
on-the-job supervision and assistance, frequent monitoring
of responsibilities by a supervisor or co-worker in order to
insure that [tasks] are completed in a timely way. It would be
expected that without such accommodations, you will
experience performance difficulties and stress as you did in
the past.
{¶ 54} 23. By letter dated April 26, 2012, relator was informed that she was
scheduled for a psychiatric evaluation to be performed by Mark Reynolds, M.D.
{¶ 55} 24. On May 11, 2012, relator was evaluated by Dr. Reynolds. In his ten-
page narrative report, Dr. Reynolds states:
MEDICAL RECORD REVIEW
Position description for a CPA Specialist with the Hamilton
County Department of Job and Family Services.
***
No. 13AP-627 20
IDENTIFYING INFORMATION
Uneek Lowe presents as a 56-year-old divorced biracial
female employed previously by Hamilton County Job and
Family Services, working in eligibility determinations. She
indicates having been employed in that position for
approximately four years and seven months. She has not
worked in that position since 2005. She indicates that she
was on medical leave and was terminated while on medical
leave.
PSYCHIATRIC HISTORY
***
The claimant indicates she eventually received disability
under OPERS. While on disability and receiving social
security benefits, she took a part time job involving feeding
credit cards into a machine. She indicates taking this job in
order to make extra money due to her basement flooding.
She states although this position required much less
decision-making and attention skills as opposed to her
previous position, it was determined to be similar to her
previous position, and as such her OPERS disability was
stopped. She indicates having had to stop working in this
position in March due to a strain of her rotator cuff. She
indicates she has since tried to find other jobs and has had
difficulty due to medical concerns.
***
MENTAL STATUS EXAM
The claimant presented as an alert and oriented, well-
developed, well-nourished biracial female in no apparent
physical distress. Her speech was of a mildly increased rate,
normal rhythm and prosody. Her affect was stable, mildly
restricted, appropriate to content and predominantly
depressed and irritable mood. Thought form was linear and
goal-directed. Thought content was without evidence of
hallucination, delusion, ideas of reference, thought
broadcasting, thought insertion or current homicidal
ideation. She admitted to intermittent suicidal ideation
without plan or intent. Her memory for immediate, recent
and remote events was good. Her concentration abilities in
this setting were unimpaired.
No. 13AP-627 21
ASSESSMENT
Axis I: 296.89 Bipolar Disorder, type II with rapid
cycling
300.0 Anxiety Disorder NOS (including history
of Posttraumatic Stress Disorder)
Axis II: 799.9 Deferred
Axis III: Arnold Chiari malformation,
thalassemia, fibromyalgia, rotator cuff
tears bilaterally, herniated discs (level
unspecified), arthritis and restrictive
airway disease
Axis IV: Multiple medical problems, chronic
pain, occupational difficulty
Axis V: GAF 60 (current)
FINDINGS AND RECOMMENDATIONS
***
Based upon the definition of disability under OPERS, it
would be my opinion that the claimant cannot currently be
presumed permanently disabled from a psychiatric
standpoint based upon her psychiatric symptomatology
alone. It appears that the claimant has a bipolar condition
and this has been indicated to her by psychiatrists
previously; however, she has resisted trials of mood
stabilizing medication. It is likely that with a trial of mood
stabilizing medication she could experience a significant
decrease in the extent of her psychiatric symptomatology. In
addition, even without ideal treatments including mood
stabilizing medications, her recent neuropsychological
evaluation by Dr. [Krikorian] indicates an ability to return to
her previous position of employment. It would be
recommended that the claimant not only engage in further
psychiatric evaluation and initiation of trial of mood
stabilizing medications but that she also institute treatment
as recommend[ed] by Dr. [Krikorian] and also
recommendations by Dr. [Krikorian] involving her treatment
environment [currently] be[ing] entertained.
No. 13AP-627 22
***
It would be my expectation that flares [sic] in the claimant's
fibromyalgia would intensify the extent of her psychiatric
symptomatology and vice versa. Based upon the current level
of the claimant's psychiatric symptomatology, I do not opine
that she is unable to return to work.
{¶ 56} 25. On May 30, 2012, as an employee of MMro, Jeffrey Deitch, D.O.,
completed a review of medical reports of record. In his two-page report, Dr. Deitch
recommended termination of relator's disability benefit. Dr. Deitch did not examine
relator, but only reviewed medical records previously noted herein.
{¶ 57} 26. By letter dated June 21, 2012, OPERS informed relator:
The Ohio PERS Retirement Board reviewed your disability
benefit file and recent reports of medical re-evaluation at the
June 20, 2012 meeting.
Based upon all the medical information and
recommendations, the Ohio PERS medical consultants and
the board concluded that you are not considered to be
permanently disabled from the performance of duty as a
Program Technician 2. As a result, the Board upheld its
previous action to terminate your disability benefits. This
decision is final.
(Emphasis sic.)
{¶ 58} 27. On July 19, 2013, relator, Uneek V. Lowe, filed this mandamus action.
Conclusions of Law:
{¶ 59} Three main issues are presented: (1) whether the board abused its
discretion in failing to determine whether the alleged disabling medical conditions
prevent relator from performing her recent position at Fifth Third Bank, (2) whether any
of the medical reports must be eliminated from evidentiary consideration because the
examining physicians allegedly failed to show sufficient knowledge of relator's job duties
at HCDJFS, and (3) whether there is some evidence in the record supporting the board's
presumed determination that, based upon pertinent R.C. 145.362 examinations reported
by board-appointed examining physicians, relator is no longer physically and
No. 13AP-627 23
psychologically unable to perform her former position at HCDJFS upon which her
disability benefit was premised.
{¶ 60} The magistrate finds: (1) the board was not required to determine whether
the alleged disabling medical conditions prevent relator from performing her recent
position at Fifth Third Bank, (2) none of the medical reports need be eliminated from
evidentiary consideration due to an alleged failure of the examining physician to show
sufficient knowledge of relator's job duties at HCDJFS, and (3) there is some evidence in
the record supporting the board's presumed determination based upon pertinent R.C.
145.362 examinations, that relator is no longer physically and psychologically unable to
perform her former position at HCDJFS upon which her disability benefit was premised.
{¶ 61} Accordingly, as more fully explained below, it is the magistrate's decision
that this court deny relator's request for a writ of mandamus.
{¶ 62} Preliminarily, it can be observed that, with its December 14, 2011 initial
decision and its June 20, 2012 final decision terminating relator's disability benefit, the
board chose not to specifically cite to the medical evidence supporting its decisions.
{¶ 63} That is, in its December 15, 2011 letter, OPERS simply informed relator:
Based upon all the medical information and
recommendations, the Ohio PERS medical consultants and
the Board concluded that you are no longer considered to be
permanently disabled from the performance of duty as a
Program Technician 2. Therefore, your disability benefit will
be terminated.
{¶ 64} Immediately prior to its December 14, 2011 initial decision, at the request of
OPERS, relator underwent a psychiatric evaluation performed by Dr. Miller on October
17, 2011. Also at the request of OPERS, relator underwent a physical examination
performed by Dr. Middaugh on October 20, 2011.
{¶ 65} As earlier noted, Dr. Miller opined: "She is not clinically disabled. I see no
reason that her previous type of work would be contraindicated." Also, Dr. Miller opined
that relator's "recurrent depressions * * * are not considered to be work-prohibitive."
{¶ 66} As earlier noted, Dr. Middaugh opined:
Per the OPERS definition of permanent disability, Ms. Lowe
is not physically disabled from performing her occupation as
No. 13AP-627 24
a public employee. I see no physical condition that would
interfere with any of her job related activities.
{¶ 67} Presumably, in its December 14, 2011 initial determination to terminate the
disability benefit, the board relied upon the reports of Drs. Miller and Middaugh.
{¶ 68} Immediately prior to its June 21, 2012 final decision, at the request of
OPERS, relator underwent a psychiatric examination performed by Dr. Reynolds on
May 11, 2012. In his report, Dr. Reynolds opined:
Based upon the definition of disability under OPERS, it
would be my opinion that the claimant cannot currently be
presumed permanently disabled from a psychiatric
standpoint based upon her psychiatric symptomatology
alone.
{¶ 69} Relator did not undergo another physical examination at the request of
OPERS following the board's initial decision to terminate disability benefits. That is,
following the board's December 14, 2011 initial decision, OPERS only had relator
examined by a psychiatrist. It is not clear why OPERS did not have relator physically
examined following relator's administrative appeal of the board's December 14, 2011
initial decision.
Basic Law
{¶ 70} Effective September 16, 1998, R.C. 145.362 stated:
The public employees retirement board shall require any
disability benefit recipient to undergo an annual medical
examination, except that the board may waive the medical
examination if the board's physician or physicians certify
that the recipient's disability is ongoing.
On completion of the examination by an examining
physician or physicians selected by the board, the physician
or physicians shall report and certify to the board whether
the disability benefit recipient is no longer physically and
mentally incapable of resuming the service from which the
recipient was found disabled. If the board concurs in the
report that the disability benefit recipient is no longer
incapable, the payment of the disability benefit shall be
terminated * * *.
***
No. 13AP-627 25
Each disability benefit recipient shall file with the board an
annual statement of earnings, current medical information
on the recipient's condition, and any other information
required in rules adopted by the board. The board may waive
the requirement that a disability benefit recipient file an
annual statement of earnings or current medical information
if the board's physician certifies that the recipient's disability
is ongoing.
{¶ 71} Effective January 7, 2013, R.C. 145.362 states:
The public employees retirement board shall require any
disability benefit recipient to undergo an annual medical
examination, except that the board may waive the medical
examination if the board's physician or physicians certify
that the recipient's disability is ongoing or for any other
reason specified in rules adopted by the board.
***
On completion of the examination by an examining
physician or physicians selected by the board, the physician
or physicians shall report and certify to the board whether
the disability benefit recipient meets the applicable standard
for termination of a disability benefit.
(A) Regardless of when the disability occurred, if the
recipient's application for a disability benefit was received by
the system before the effective date of this amendment, * * *
the standard for termination is that the recipient is no longer
physically and mentally incapable of resuming the service
from which the recipient was found disabled.
***
(B)(3) * * * If the board concurs in the report that the
disability benefit recipient meets the applicable standard for
termination of a disability benefit, the payment of the
disability benefit shall be terminated.
Each disability benefit recipient shall file with the board an
annual statement of earnings, current medical information
on the recipient's condition, and any other information
required in rules adopted by the board. The board may waive
the requirement that a disability benefit recipient file an
No. 13AP-627 26
annual statement of earnings or current medical information
if the board's physician certifies that the recipient's disability
is ongoing.
{¶ 72} Former Ohio Adm.Code 145-2-21 stated:
(A) For the purpose of sections 145.35, 145.36, 145.361, and
145.37 of the Revised Code and PERS rules:
(1) "Disability" means presumed permanent mental or
physical incapacity for the performance of a member's
present duty or similar service that is the result of a disabling
condition that has occurred or has increased since an
individual became a member.
***
(6) "Examining physician" means a physician appointed by
the PERS board.
(B) A member shall make application for a disability benefit
on a form provided by the retirement system.
(1) Consideration of a member's application shall be limited
to the disabling condition(s) listed in the application or
disclosed by the examination of the physician(s) selected by
the retirement system and the report of attending
physician(s) on a form provided by the retirement system.
(2) Upon receipt of a completed application, report of
employer, report of attending physician(s), report of
examining physician(s) and, if available, reports of
employment physical examinations, the retirement system's
medical consultant(s) shall review all such documentation
and prepare a recommendation to the public employees
retirement board.
***
(C) The board at its regular meetings shall review disability
applications and the written recommendations of its medical
examiners and medical consultant. The determination by the
board on any application is final.
***
No. 13AP-627 27
(D) The retirement board may require a member to submit
to a subsequent medical examination by a physician selected
by the retirement board provided the medical consultant
recommends such examination in order to evaluate
continued eligibility for disability benefits.
{¶ 73} Currently, Ohio Adm.Code 145-2-21, effective September 16, 2013, states:
(A) For the purpose of sections 145.35, 145.36, 145.361,
145.362, and 145.37 of the Revised Code and agency 145 of
the Administrative Code:
(1) "Disability" means the following:
(a) At the time of application, a presumed permanent mental
or physical incapacity for the performance of a member's
present or most recent public duty that is the result of a
disabling condition that has occurred or has increased since
an individual became a member.
(b) At the time of medical examination pursuant to section
145.362 of the Revised Code:
(i) For a disability benefit recipient whose application for
disability benefits was received before January 7, 2013, and
for a disability benefit recipient whose application was
received on or after January 7, 2013, * * * a disabling
condition that renders the member mentally or physically
incapable of resuming the service from which the member
was found disabled.
{¶ 74} " '[M]andamus is an appropriate remedy where no statutory right of appeal
is available to correct an abuse of discretion by an administrative body.' " State ex rel.
Cydrus v. Ohio Public Emps. Retirements Sys., 127 Ohio St.3d 257, 2010-Ohio-5770, ¶ 12,
quoting State ex rel. Pipoly v. State Teachers Retirement Sys., 95 Ohio St.3d 327, 2002-
Ohio-2219, ¶ 14.
{¶ 75} "The determination of whether a retirement-system member is entitled to
the continued receipt of disability-retirement benefits is within the exclusive authority of
the retirement board, R.C. 145.362, and the board's denial of an appeal from the
termination of these benefits is final and not subject to appeal." Cydrus at ¶ 12. "Because
No. 13AP-627 28
there is no right to appeal the retirement board's decision terminating disability-
retirement benefits, mandamus is an appropriate remedy." Id. at ¶ 13.
{¶ 76} A clear legal right to a writ of mandamus exists when an agency is found to
have abused its discretion by entering a decision that is not supported by some evidence.
State ex rel. Schaengold v. Pub. Emp. Retirement Sys., 114 Ohio St.3d 147, 2007-Ohio-
3760, ¶ 19; State ex rel. Marchiano v. School Emps. Retirement Sys., 121 Ohio St.3d 139,
2009-Ohio-307, ¶ 20-21; Kinsey v. Bd. of Trustees of Police & Firemen's Disability &
Pension Fund of Ohio, 49 Ohio St.3d 224, 225 (1990).
{¶ 77} It is perhaps worth noting that, in Cydrus, the Supreme Court of Ohio held
that the retirement board did not abuse its discretion by relying on Dr. Steiman's medical
report in terminating the disability benefit. The Supreme Court found that Dr. Steiman's
report "constituted sufficient evidence to support the board's determination." Id. at ¶ 31.
The Supreme Court did not use the term "some evidence" in upholding the evidentiary
value of Dr. Steiman's report.
{¶ 78} Because there is no statutory provision that it do so, OPERS is not required
to provide an explanation for its decision or cite to the evidence that supports its decision.
Id. The lack of such statutory provision does not violate Ohio's separation-of-powers
doctrine. Id. at ¶ 22-24. Also, the benefit recipient is not denied procedural due process
when OPERS fails to identify the evidence it relied upon and to briefly explain its reasons
for terminating the disability benefit. Id. at ¶ 25-27.
First Issue
{¶ 79} Regarding the first issue, former R.C. 145.362 provides that the board shall
determine "whether the disability benefit recipient is no longer physically and mentally
incapable of resuming the service from which the recipient was found disabled." R.C.
145.362 currently provides that "the standard for termination is that the recipient is no
longer physically and mentally incapable of resuming the service from which the recipient
was found disabled."
{¶ 80} Former Ohio Adm.Code 145-2-21(A)(1) defines "disability" as the
"presumed permanent mental or physical incapacity for the performance of a member's
present duty or similar service that is the result of a disabling condition * * *."
No. 13AP-627 29
{¶ 81} Currently, Ohio Adm.Code 145-2-21, effective September 16, 2013, provides
that "disability" means "a presumed permanent mental or physical incapacity for the
performance of a member's present or most recent public duty that is the result of a
disabling condition * * *."
{¶ 82} As earlier noted, on October 4, 2011, relator completed an OPERS form on
which she reported her employment at Fifth Third Bank through Adecco performing
credit card production. On the form, relator reported that she worked there part-time
including four hours per day. She indicated no medical difficulty performing the job.
Thereafter, MMro found similarities between the job at Fifth Third Bank and the job at
HCDJFS, and recommended action by OPERS.
{¶ 83} Based on the forgoing scenario, relator argues:
Why didn't OPERS consider Lowe's last "similar" job when it
had her evaluated by its physicians? Here again, Ohio
Adm.Code 145-2-21 (A) defines disability for PERs [sic]
purpose. It explicitly states that the focus is on "the
member's present duty or similar service." Therefore basic
fairness says that consideration should have been given to
Lowe's last position. Therefore, OPERS and its Third Party
Management Company abused its discretion by not
demonstrating the essential job duties of the Credit Card
Production position. See Adm.Code 145-2-21(A).
(Relator's brief, 33-34.)
{¶ 84} The magistrate disagrees with relator's argument.
{¶ 85} To begin, relator invokes former Ohio Adm.Code 145-2-21(A)(1)'s reference
to "a member's present duty or similar service" and particularly notes the phrase "similar
service." However, relator ignores the provision of R.C. 145.362 indicating that the
relevant inquiry is whether relator is "incapable of resuming the service from which the
recipient was found disabled."
{¶ 86} Relator does not contend that her Fifth Third Bank job involves "the service
from which [she] was found disabled." Relator does not contend that her job at HCDJFS
is not the job from which she was found disabled. Relator cannot simply ignore the
statutory language, and then give the code provision her own interpretation that is
inconsistent with the statute.
No. 13AP-627 30
{¶ 87} Moreover, to the extent that former Ohio Adm.Code 145-2-21(A)(1)'s
definition of "disability" lacked clarity in this regard, current Ohio Adm.Code 145-2-
21(A)(1) makes clear that it is the member's public duty that is at issue in the
determination. Undisputedly, the job at Fifth Third Bank did not involve relator's public
duty. In short, relator's first argument lacks merit.
Second Issue
{¶ 88} As earlier noted, the second issue is whether any of the medical reports
must be eliminated from evidentiary consideration because the examining physicians
allegedly failed to show sufficient knowledge of relator's job duties at HCDJFS.
{¶ 89} The magistrate finds State ex rel. Clark v. Indus. Comm., 72 Ohio St.3d 377
(1995), a case involving workers' compensation, to be helpful, if not instructive, on the
issue here.
{¶ 90} In Clark, at 379, the court applied a legal principle from State ex rel.
Braswell v. Indus. Comm., 25 Ohio St.3d 61, 63 (1986):
[A] physician conducting a medical examination, where the
claimant seeks temporary total disability benefits, should, in
most cases, possess some knowledge of the physical
requirements associated with the former position of
employment[.][W]e deem it unnecessary for the physician to
trace, in detail, every physical movement necessitated during
the average workday.
{¶ 91} The issue in Clark was whether Dr. Dobrowski's report satisfied Braswell.
In his report, Dr. Dobrowski opined that the claimant "could return to his previous
position as a construction worker." Id. at 378. He also noted that the claimant was injured
"pushing an air compressor." Id. Concluding that Dr. Dobrowski's report satisfied
Braswell, the Clark court states, at 380:
Claimant responds that "construction worker" is too general
a term, claiming that it encompasses many different duties
entailing many different levels of physical exertion. While
this may be true, there is no evidence that Dr. Dobrowski
misperceived claimant's duties to the detriment of any
interested party. There is no indication that Dr. Dobrowski
based his conclusion on the erroneous belief that claimant's
occupation consisted of sedentary, light or medium work. To
the contrary, Dr. Dobrowski noted that claimant was injured
No. 13AP-627 31
while pushing an air compressor-a heavy piece of machinery.
Accordingly, we find that the report was "some evidence"
supporting the commission's decision.
{¶ 92} In State ex rel. Kelly v. State Teachers Retirement Sys., 10th Dist. No. 11AP-
527, 2012-Ohio-4613, this court, adopting the decision of its magistrate, held that the
medical reports of Elizabeth Mease, M.D. and Christopher Mabee, M.D., support the
decision of the retirement system to terminate the disability benefit. This court explained:
"While each report could have provided more detail about relator's job duties, neither
report indicates a misunderstanding of the physical requirements of the position." Id. at
¶ 10.
{¶ 93} As earlier noted, presumably, the board relied upon the reports of
Drs. Miller and Middaugh when it initially determined to terminate the disability benefit.
{¶ 94} As earlier noted, in his eight-page narrative report of his October 17, 2011
psychiatric examination, Dr. Miller states:
I reviewed Ms. Lowe's job description from Hamilton County
Department of Job and Family Services.
{¶ 95} Other than stating that he reviewed the HCDJFS job description, Dr. Miller
does not specify any of the job duties of this position.
{¶ 96} However, when Dr. Miller opines: "I see no reason that her previous type of
work would be contraindicated," it can be inferred that Dr. Miller was aware of the duties
of the HCDJFS job. That inference can be drawn by the board that weighs the evidence
before it.
{¶ 97} As earlier noted, in her five-page narrative report, Dr. Middaugh wrote:
Medical Record Review: Medical records provided are
quite limited. There is a job description for Hamilton County
Department of Job and Family Services for the CPA
Specialist Program Technician 2. This is consistent with her
job description, conducting applications, processing and
gathering necessary information for eligibility regarding
Healthy Start, Healthy Families and expedited Medicaid
programs.
{¶ 98} It is difficult to see how the above-quoted portion of the report can be
viewed as anything but a showing of sufficient knowledge of the HCDJFS job tasks.
No. 13AP-627 32
Dr. Middaugh not only acknowledges that she reviewed the job description, she also
compared the job description with the job description relator reported to her at the
examination.
{¶ 99} As earlier noted, on appeal of the board's initial decision, relator underwent
another psychiatric examination performed by Dr. Reynolds on May 11, 2012. In his ten-
page report, Dr. Reynolds stated that he reviewed the "[p]osition description for a CPA
Specialist with the Hamilton County Department of Job and Family Services." Other than
stating that he reviewed the HCDJFS job description, Dr. Reynolds does not specify any of
the job duties of this position.
{¶ 100} In his report, Dr. Reynolds does not opine that relator is medically
able to return to her former position at HCDJFS. Rather, Dr. Reynolds opines that
relator's psychiatric symptomatology is not permanent because relator has not been
treated with "mood stabilizing medication." This is significant because knowledge of the
duties of the former position at HCDJFS would not be critical to Dr. Reynolds' conclusion
that "mood stabilizing medication" should be tried before any assessment of relator's
ability to return to the HCDJFS job.
{¶ 101} Accordingly, relator's challenge to the board's reliance upon the
reports of Drs. Miller, Middaugh, and Reynolds is unpersuasive.
Third Issue
{¶ 102} The third issue is whether the board's determination that relator is
no longer physically and psychologically unable to perform her former position at
HCDJFS is supported by some evidence in the record, and particularly by the board-
appointed examining physicians of record. Only Drs. Miller, Middaugh, and Reynolds
were R.C. 145.362 examining physicians selected by the board to examine relator with
respect to the benefit termination at issue here. Relator underwent two psychiatric
examinations, one before, the other after the board's initial decision of December 14, 2011.
Relator only underwent one physical examination which was performed by Dr. Middaugh
before the initial decision. No physical examination was performed by a board selected
physician after the initial decision. Thus, in rendering its final decision, the board must
have relied exclusively upon the report of Dr. Middaugh for the physical component of the
disability claim.
No. 13AP-627 33
{¶ 103} Relator has not claimed error in the failure of OPERS to schedule
another physical examination by a board-selected physician, and the magistrate does not
find error under the circumstances here. Accordingly, Dr. Middaugh's report is also some
evidence upon which the board presumably relied to support the determination to
discontinue disability benefits.
{¶ 104} Accordingly, for all the above reasons, it is the magistrate's decision
that this court deny relator's request for a writ of mandamus.
/S/ MAGISTRATE
KENNETH W. MACKE
NOTICE TO THE PARTIES
Civ.R. 53(D)(3)(a)(iii) provides that a party shall not assign
as error on appeal the court's adoption of any factual finding
or legal conclusion, whether or not specifically designated as
a finding of fact or conclusion of law under Civ.R.
53(D)(3)(a)(ii), unless the party timely and specifically
objects to that factual finding or legal conclusion as required
by Civ.R. 53(D)(3)(b).