Defendants, on leave granted, took an appeal in the nature of certiorari from an award of *Page 150 the department of labor and industry in which it was determined that plaintiff is entitled to $21 per week from January 29 to February 26, 1945, and from October 5, 1945 to January 18, 1946, and until further order of the commission, based on the department's finding that plaintiff's average weekly wage at the time of the injury was in excess of $75, that his wage loss due to injury based upon his then present weekly earnings of $50 at common labor is $25, and that plaintiff was entitled to total disability compensation since he was totally disabled from doing the work he was doing at the time of the injury. The real question involved is whether the nature of plaintiff's injury was such as to entitle him to compensation.
Plaintiff went to work for the defendant company as a truck tire builder some seven months prior to the time of his alleged injury. In performing his work the tire builder first affixes a corded base by hand, stretching it taut as it winds on the rotating drum. This is followed in succession by three corded rubber bands, the bead, and finally the green rubber. The bands are then driven by force onto the drum and lined up by pounding them down with a wooden mallet. The rubber is then heeled down by a downward pressure with the palms of the hands and is forced over the bead with a pulling motion. Excess rubber is trimmed off by exerting pressure on the rotating tire with a curved knife and the tire is finally removed from the drum by removing the sections of the drum from the interior, these individual sections weighing between 50 and 60 pounds. The job also required plaintiff to lift tires weighing approximately 105 pounds. The entire process involves intense physical exertion of primarily the muscles of the arms. The department of labor and industry found as a matter of fact that this was skilled labor. *Page 151
Plaintiff testified that the tire building operation cannot be described by words and has to be seen to be understood; that the operation first produced extreme numbness in his hands, and caused stiffness in his finger joints; this gradually worked out and the condition later reappeared in his elbows; the elbow condition failed to disappear as he assumed it would, and became severe, with a tendency to swell up. Plaintiff further testified this condition did not prevent him from using his arms in the ordinary sense, but he could not do his particular work without extreme pain; that the condition became so painful that on January 27, 1945, he reported to the nurse at defendants' hospital, and that he left work on that day. He also reported to Dr. Don Kudner, one of defendants' physicians, who diagnosed the condition as epicondylitis and who told plaintiff to do only very light work for a while.
Dr. Kudner testified he first examined plaintiff on January 29, 1945, and that:
"A. He was suffering from a pain in the region of the elbow joint, with a marked tenderness over the external epicondyle. * * *
"Q. What is epicondylitis?
"A. Inflammation of the epicondyle. There are a bunch of muscles attached to the bone at that site and it becomes inflamed and tender from over-use of that set of muscles, from strain of that set of muscles.
"Q. Will any over-use of any kind — use of muscles cause an epicondylitis?
"A. Yes. * * *
"Q. If it gets into a chronic stage they form a bursa at the point of the inflammation?
"A. Yes.
"Q. Can that condition exist in anybody, in any type of work or play that requires an exertion of the muscles? *Page 152
"A. Yes, the old name was tennis elbow, because it occurred in tennis players.
"Q. Occur in baseball players?
"A. Sometimes. * * *
"Q. Does this occur to everybody, or peculiar to some people?
"A. Peculiar to some people.
"Q. Are there people that can do the same exertion without developing this condition?
"A. Yes, many of them.
"Q. With reference to the place where Mr. Samels works, are there people employed in this department who have never developed this condition in any form?
"A. Yes, only a very few of the entire number of tire builders develop it, of course. * * * It is a fairly common complaint among industrial workers."
Plaintiff at one place in his testimony summarizes the development of the condition in his elbows by saying that it "was the culmination of seven months of strain" and he nowhere describes any one particular event or strain which precipitated the condition or made it markedly worse.
The department found "that the plaintiff sustained a personal injury on January 27, 1945, not attributable to a single event but to repeated events and strain which brought about an unexpected result; that the injury arose out of and in the course of his employment."
The department based its ruling on part 2, § 1, of the workmen's compensation act, 2 Comp. Laws 1929, § 8417, as amended by Act No. 245, Pub. Acts 1943, effective July 30, 1943 (Comp. Laws Supp. 1945, § 8417, Stat. Ann. 1946 Cum. Supp. § 17.151):
"SEC. 1. An employee, who receives a personal injury arising out of and in the course of his employment by an employer who is at the time of such *Page 153 injury subject to the provisions of this act, shall be paid compensation in the manner and to the extent hereinafter provided, or in case of his death resulting from such injuries such compensation shall be paid to his dependents as hereinafter defined. The term `time of injury' or `date of injury' as used in this act shall in the case of a disease or in the case of an injury not attributable to a single event be the last day of work in the employment in which the employee was last subjected to the conditions resulting in disability or death."
Plaintiff in his claim states,
"1. That this claim relates to a personal injury which occurred on or about __________ OR To a disablement from occupational disease which occurred on or about January 27, 1945. * * *
"3. Nature of disability — A severe pain and stiffness in elbows. The bone seems to be sore and extremely sensitive to slightest touch. Date of recovery — Condition remains. Date of return to work — First of March."
The defendant employer's basic report of industrial injury states, "Describe nature and location of injury or disease — Epicondylitis left elbow."
The testimony plainly indicates that it is the occupational disease, epicondylitis, which is the cause of the disablement. The report of the defendant employer admits that fact. The department awarded for a personal injury under part 2, but quoted with apparent approval the testimony of two doctors, witnesses for defendants, who testified that the disablement was due to epicondylitis. Can the award be left to stand as though made under part 7, § 1 (Comp. Laws Supp. 1945, § 8485-1, Stat. Ann. 1946 Cum. Supp. § 17.220).
Defendants state in their brief: *Page 154
"If we are correct in our conclusion that the tribunal erred in finding a `personal injury' within section 1, part 2, of the workmen's compensation act, we still concede that their findings could be upheld if sustained by section 1, part 7, of the act,supra. The issue, therefore, becomes material on this appeal even though it was not decided below."
See Kasarewski v. Hupp Motor Car Corp., 315 Mich. 225, 228.
So far as pertinent to this case, part 7, § 1, of the act now reads as follows:
"SEC. 1. Whenever used in this act:
(a) The word `disability' means the state of being disabled from earning full wages at the work in which the employee was last subjected to the conditions resulting in disability;
(b) The word `disablement' means the event of becoming so disabled as defined in subparagraph (a);
(c) The term `personal injury' shall include a disease or disability which is due to causes and conditions which are characteristic of and peculiar to the business of the employer and which arises out of and in the course of the employment. Ordinary diseases of life to which the public is generally exposed outside of the employment shall not be compensable."
The applicable part of part 7, § 3, of the act (Comp. Laws Supp. 1945, § 8485-3, Stat. Ann. 1946 Cum. Supp. § 17.222) is as follows:
"SEC. 3. If an employee is disabled or dies and his disability or death is caused by a disease and the disease is due to the nature of the employment in which such employee was engaged and was contracted therein, he or his dependents shall be entitled to compensation for his death or for his disablement." *Page 155
It is of importance to consider whether epicondylitis is an ordinary disease of life and therefore noncompensable under part 7, § 1, subd. (c). Few of the persons who are subjected to severe and repeated strains of the muscles at the elbow ever develop epicondylitis. Certain activities as for example, tennis and baseball playing, sometimes cause the disease in some individuals. We conclude that the great majority of persons are not engaged in activities such as could cause the disease, and among those who are engaged in such activities as could cause epicondylitis, only a few develop the disease. So far as the record shows in this case, epicondylitis is not an ordinary disease of life to which the public is generally exposed outside of the employment, and is not within the prohibition of part 7, § 1, subd. (c).
The department among other things found, "that the injury arose out of and in the course of his employment." In view of its quotation, with approval, of the doctors' testimony that plaintiff's disablement was due to epicondylitis, the department must be considered as having found the disablement due to epicondylitis. The department did not in so many words find that plaintiff's disease is due to causes and conditions which are characteristic of and peculiar to the employer's business, tire building, but the finding of the department that plaintiff's employment required skilled labor necessarily implies that the kind of work is peculiar to the employer's business. The uncontradicted testimony shows that the process of tire building causes terrific strains on the elbows and is a process characteristic of and peculiar to tire production. It is to be noted that the language of part 7, § 1, subd. (c), of the act is that the causes and conditions (not the disease) must be characteristic of and peculiar to the business of the employer. *Page 156
We note Le Lenko v. Wilson H. Lee Co., 128 Conn. 499 (24 Atl. [2d] 253), in which the Connecticut court states, p. 502,
"Our compensation act provides that the words `personal injury' or `injury' as used in it are to be construed to include occupational disease defined as follows: `a disease peculiar to the occupation in which the employee was engaged and due to causes in excess of the ordinary hazards of employment as such.' General Statutes, § 5223."
It will be noted that the Connecticut statute speaks of occupational disease as a disease that is peculiar to the occupation and due to causes in excess of the ordinary hazards of employment, whereas our Michigan statute recites that it is the causes and conditions which are required to be characteristic of and peculiar to the business of the employer. Having the distinction in mind, we further note the following fromGlodenis v. American Brass Co., 118 Conn. 29, 40 (170 A. 146, 150), quoted with approval in the Le Lenko Case, supra:
"The phrase, `peculiar to the occupation,' is not here used in the sense that the disease must be one which originatesexclusively from the particular kind of employment in which the employee is engaged, but rather in the sense that the conditions of that employment must result in a hazard which distinguishes it in character from the general run of occupations." (Italics supplied.)
Further on in the Le Lenko opinion the court states,
"Occupational diseases result ordinarily in incapacity in a relatively small proportion of the number of employees subjected to the risk; indeed, if this were not so, economic considerations would require an abandonment of the employment or a change in its conditions to obviate the risk." *Page 157
After discussing the meaning of the word "natural" as used in some of that court's former decisions, the court further states,
"If, so traced, a disease is the natural result of conditions which are inherent in the employment and which attach to that employment a risk of incurring it in excess of that attending employment in general, an award of compensation is not precluded because the risk is one which has not become generally recognized or because only employees unusually susceptible will suffer from the disease." (Italics supplied.)
Defendants claim unusual susceptibility of plaintiff Samels. Such defense is of no avail. Mere susceptibility is nowhere mentioned in the Michigan act as a matter defeating compensability. Samels was a well man when he entered the employment, with nothing to indicate any susceptibility to epicondylitis, and his susceptibility became apparent only after several months of subjection to terrific strain in the employment.
While the Connecticut statute, as above noted, differs substantially from the Michigan statute, yet the construction put by the Connecticut court on the word "peculiar" is of value to us in determining what meaning to attach to the words in the Michigan statute, part 7, § 1, subd. (c), "characteristic of and peculiar to the business of the employer."
The testimony in this case is all to the effect that the terrific strain over several months of work is the cause of the epicondylitis, that the strain does distinguish the character of the work from the general run of occupations and that the strain is characteristic of and peculiar to the business of the employer in this case.
Defendants claim that an erroneous computation of plaintiff's average weekly earnings was adopted *Page 158 by the department in the award. The ground for this claim advanced by defendants is that records were introduced which show weekly wage earnings which would not average $75 per week. Plaintiff claims that a Mr. Climer, who "designated" certain records, is not shown to have had knowledge of the subject on which he was speaking (apparently not as a witness and not under oath) and that there was no testimony that the records introduced were records of all of plaintiff's wage earnings. The employer's basic report filed with the commission states, "straight time earnings: hourly rate — $1.28. Hours per week — 56. Total — $65." Plaintiff claims that it is undisputed that he worked seven days per week and that he received double time for Sundays. It can be said for defendants' theory in this regard that there was a conflict in the testimony. We do not disturb the finding by the commission in that particular; there was sufficient testimony to support it.
In view of the statement heretofore quoted from the defendants' brief, the findings of the department, the uncontradicted testimony in the case and the language in part 7, § 3, of the act, the award is affirmed, as though made under part 7 of the act. Costs to plaintiff.
BUTZEL, J., concurred with REID, J.