IMPORTANT NOTICE . NOT TO BE PUBLISHED OPINION · THIS OPINION IS DESIGNATED "NOT TO BE PUBLISHED." PURSUANT TO THE RULES OF CIVIL PROCEDURE PROMULGATED BY THE SUPREME COURT, CR 76.28(4)(C), THIS OPINION IS NOT TO BE PUBLISHED AND SHALL NOT BE CITED OR,USED AS BINDING PRECEDENT IN ANY OTHER CASE IN ANY.COURT OF THIS STATE; HOWEVER, UNPUBLISHEDKENTUCKY APPELLATE DECISIONS, · . RENDERED AFTER JANUARY 1, 2003, MAY BE CITED FOR CONSIDERATION BY THE COURT IF THERE IS NO PUBLISHED OPINION THAT WOULD ADEQUATELY·ADDRESS THE ISSUE BEFORE THE COURT. OPINIONS CITED FOR CONSJDERATION BY THE COURT .SHALL BE SET OUT AS AN UNPUBLISHED DECISION IN THE FILED DOCUMENT AND A COPY OF THE ENTIRE DECISION SHALL BE TENDERED ALO.NG WITH THE DOCUMENT TO THE COURT AND ALL PARTIES TO THE . ACTION. RENDERED: NOVEMBER 2, 2017 NOT TO BE PUBLISHED jiuprttttt ©:nurf nf ~:enfurku 2016-SC-000689-WC FORD MOTOR COMPANY (KTP) APPELLANT ON APPEAL FROM COURT OF APPEALS v. CAS~ NO. 2016-CA-000600-WC WORKERS' COMPENSATION BOARD NO. 13-WC-58839 RONALD COLEMAN, JR.; HON. J. APPELLEES GREGORY ALLEN, ADMINISTRATIVE LAW JUDGE; AND WORKERS' COMPENSATION BOARD MEMORANDUM OPINION OF·THE COURT AFFIRMING Appellee Ronald Coleman, Jr., filed a workers' compensation claim alleging injuries to his right hand, wrist and elbow related to his work on the truck assembly line at Ford Motor Company. An Administrative Law Judge (ALJ) determined Coleman was entitled to tempo:t:"ary. total disability (TTD) benefits, permanent partial disability (PPD) benefits and me.dical benefits for1 work-related right carpal tunnel syndrome and .right lateral epicondylitis. The Workers' Compensation Board affirmed the award, and the Court of Appeals also affirmed, rejecting Ford's two appellate issues. On appeal to this Court, Ford continues to maintain that (1) there is not substantial evidence to support the ALJ's finding that Coleman's lateral epicondylitis was work-related and (2) there is not substantial evidence to support the AW's finding of a 6% whole person impairment attributable to the work-related injury. For the reasons stated herein, we affirm. FACTS AND PROCEDURAL BACKGROUND I ' ·coleman began working at Ford in 1999, first in the body shop and later on the frame line where he performed repetitive-motion jobs including what was referred to as "frame flip" and a VIN stamping job. One task required h,im to break apart wiring harnesses (also referred to as wire looms) and install them on diesel trucks. Coleman had some right wrist issues in 2007 that resolved with injections. After several years symptom free, Coleman reported pain in his right wrist radiating into his forearm and elbow in a June 2013 visit to the Ford medical department. He took large amounts of ibuprofen to deal with the. pain. When light duty, physical therapy and injections were not successful, he had surgery on his right wrist and right elbow in November 2013. In the meantime, Ford had reassigned Coleman to a new position where he drove trucks off the assembly line. At the time of his claim, he remained in that position earning the same hourly rate as pre-injury but making higher wages due to overtime. He had no difficulties with his current assignment but continued to have aching in his right elbow and pain in his right wrist. Coleman filed a Forni 101 on June 15, 2015. In support of his claim, he provided records from June 3, 2013 when he reported to the medical department at Ford and complained of his wrist, arm and elbow pain. He also 2 fil~d records from Dr. Navin Kilambi pertaining to the November 2013 surgery and br. Tuna Ozyurekoglu pertaining to additional physical therapy and injections post-surgery. Coleman submitted a September 24, 2015 report from Dr. Jules Bar¢foot who evaluated Coleman for purposes of his compensation claim. Dr. Barefoot noted Coleman's history of complaints and the November 2013 surgery by Dr. Kilambi-a right carpal tunnel release and right open lateral epicondyle debridement and extensor tendon debridement. He also noted Dr. Ozyurekoglu;s treatment with physical therapy and injections. Dr. Barefoot diagnosed bilateral median nerve neuropathy; status post right carpal ·tunnel release and right open lateral epicondyle debridement and extensor tendon debridement; persistent right elbow common extensor tendinosis and left carpal tunnel syndrome. Based on Coleman's loss of grip strength, Dr. Barefoot concluded he had a 10% upper extremity impairment which equaled a 6% whole person impairment. He further stated: "I would apportion 100% of this 6% whole person impairment to work-relatedness. A review of Mr. Coleman's work records from Ford indicates a long history of multiple injuries to his upper extremities." Ford countered with some of Coleman's medical records and a report from Dr. Richard DuBou, who evaluated Coleman at Ford's request in October 2015. Dr. DuBou found Coleman's carpal tunnel injury to be work-related but stated "It is unclear whether or not the lateral epicondylitis surgery is associated with work. It is not felt to be work.related, at least in England." He 3 attached the entire chapter on epicondylitis from the American Medical· Association's second edition of "Gu.ides to Evaluation of Disease and Injury Causation," noting "the jury is out for an occupational cause of lateral epicondylitis." l.Jltimately, Dr. DuBou assigned a 4% upper extremity impairment based on the carpal tunnel/which translated ·to a 2% "whole person" impairment. In assessing the work-relatedness of Coleman's right elbow condition, the AW stated in relevant part: Here, the evidence on work-relatedness of the right elbow condition is mixed. ·Plaintiff relies upon the report of Dr. Barefoot who finds the entirety of his 6% impairment rating related to plaintiffs "long history of multiple injuries to his upper extremities." On the contrary, Dr. DuBou examined the plaintiff at the request of the defendant. The physician did not feel the plaintiffs elbow condition, diagnosed as lateral epicondylitis, was related to the plaintiffs work with the defendant. He did feel the plaintiffs carpal tunnel was work-related, assessed a 2% whole person impairment and felt that while plaintiff could return to work without restrictions, he did agree with plaintiff that work with wire looms would cause him additional discomfort. This was apparently consistent with Dr. DuBou's treatment history of other patients that had related work with wire looms to their presenting symptomology. . The AW has thoroughly reviewed the report of Dr. DuBou and his rationale for the opinion the plaintiffs elbow condition is not work-related. The physician makes several references· to a publication that questions the sufficiency of only repetitive work as causative of epicondylitis. Dr. DuBou concluded. that the "jury is out for an occupational cause of lateral epicondylitis." Dr. DuBou was clear that plaintiff had symptomatic right lateral epicondylitis, had undergone surgery for the condition and even recommended a different form of non-incisiorial treatment for same. When formally queried as to the reasonableness, necessity and work-relatedness of treatment and surgery ort question 4 of his report, Dr. DuBou testified that while the carpal tunnel surgery was appropriate "it is unclear whether or not the lateral epicondylitis surgery is 4 associated with work. It is not felt to be work related, at least in England." The AW interprets and infers from this testimony that Dr. DuBou is unsure as to the relatedness of the plaintiffs right elbow condition. However, the AW does not conclude that it is a definitive rejection of plaintiffs allegations~ As noted above, Dr. DuBou indicated that the wire loom part of plaintiffs job had been the cause of a number of patients coming into his office for treatment. Given the plaintiffs complaints, the addition of the wire loom installation into plaintiffs job duties and the opinion of Dr. Barefoot, the AW finds the plaintiffs right elbow conditions related to his work with the defendant. . The AW further found that Dr. Barefoot's "assessment . of impairment most accurately addresses the entirety of the plaintiffs compensable conditions." The AW thus determined that C~leman had a 6% whole person impairment. On appeal, the Workers' Compensation Board noted that since Coleman had been successful in proving his claim before the AW, the issue on_ appeal. was whether substantial evidence supported the AW's decision. Finding that there was such evidence of record and that the AW sufficiently expiained his reliance upon Dr. Barefoot's assessment, the Board affirmed. The Court of Appeals travelled the same path as the Board and found that Dr. Barefoot's report constituted substantial evidence supporting the AW's conclusion that Coleman's right elbow condition was caused by his employment. Because Ford's second appellate argument, the challenge to the 6% whole person impairment finding, was pre~icated on being successful on the challenge to the work-relatedness of the elbow condition/ epicondylitis, resolution of the work-relatedness in favor of Coleman . meant .that Ford's. challenge to the whole person impairment rating-was likewise unsuccessful. 5 ANALYSIS The AW has the sole discretion to determine the quality, character, and substance of the evidence. Paramount Foods, Inc. v. Burkhardt, 695 S.W.2d 418, _419 (KY:· 1985). As the Board noted, its function is limited to determining whether the AW's findings are so unreasonable that they must be reversed as a matter of law. Irci A. 1¥"atson Dept. Store v. Hamilton, 34 S.W.3d 48 (Ky. 2000). If the AW's findings are supported by substantial evidence, they are not to be disturbed on appeal. Special Fund v. Francis, 708 S.W.2d 641, 643 (Ky. 1986). "Although a party may note evidence which would have supported a conclusion contrary to the AW's decision, such evidence is not Eiln adequate basis for reversal on appeal." Ira A. Watson, 34 S.W.3d at 52 citing McCloud v. Beth-Elkhorn Corp., 514 S.W.2d 46 (Ky. 1974). The Court of Appeals is to "correct the Board only where [that] Court perceives the Board has overlooked or misconstrued controlling statutes or precedent, or committed an error in assessing the evidence so flagrant as to cause gross injustice." Western Baptist Hosp. v. Kelly, 827 S.W.2d 685, 687-88 (Ky. 1992). Ford maintains that the AW's finding that Coleman's. lateral epicondylitis (right elbow condition) was work-related is not supported by substantial evidence because Dr. Barefoot, on whom the AW relied, "never found" the condition to be work-related. In Ford's view, Dr. DuBou's opinion on causation "was not only more persuasive, but it was the only true opinion on causation." We disagree for two primary reasons. 6 First, while Dr. Barefoot's opinion is admittedly brief, he plainly found that review of Coleman's "work records from Ford indicates a long history of multiple injuries to his upper extremities" and included the elbow condition in assessing impairment. The AW pointed to this finding in his initial opinion and, in his order on reconsideration, further noted that a questionnaire attached to Dr. Barefoot's narrative report r contains the right ·elbow condition as one of the diagnoses that he considered work-related. Second, as quoted above, the AW interpreted Dr. DuBou's report as reflecting the physician was "unsure" about the work-relatedness of the elbow condition but, in any event, the AW found no "definitive rejection" of Coleman's claim regarding wo.rk- relatedness in Dr. DuBou's opinion. The AW plainly weighed the evidence before him and made a work-- relatedness finding that had support in the medical evidence. This assessment was the AW's prerogative, Paramount Foods, 695 S.W.2d at 419" and while Dr. Barefoot's opinion was not extensive it was sufficient to constitute substantial evidence. Notably; Dr. DuBou did not agree that Coleman's elbow condition was work related but he did not fully reject it either, concluding it was "unclear whether or not the lateral epicondylitis surgery is associated with work." Under these circumstances, we find no basis for reversing the AW's findings, which were properly affirmed by both the Workers' Compensation Board and the Court of Appeals. Ford's second appellate issue, as in the Court of Appeals, is wholly derivative of and dependent upon. the success of the first issue. Ford 7 maintains that because there is not substantial evidence supporting the finding that Coleman's elbow condition is related to his work, there can be no 6% whole person impairment and the matter must be remanded to the AW for a finding that Coleman has a 2% whole person impairment as found by Dr. DuBou. Having rejected Ford's first argument regarding substantial evidence, we likewise reject this argument. After careful review and for the foregoing reasons, we affirm the Court of Appeals. Minton, C.J.; Cunningham, Hughes, Keller, Venters, and Wright, JJ.,. concur. VanMeter, J., not sitting. COUNSEL FOR APPELLANT FORD MOTOR COMPANY (KTP): George T. Kitchen, III Remiriger Co., LPA COUNSEL FOR APPELLEE, RONALD COLEMAN, JR.: Nicholas Murphy 8