Valdez v. Labor Commission

2017 UT App 64 THE UTAH COURT OF APPEALS ANTONIO O. VALDEZ, Petitioner, v. LABOR COMMISSION AND UNIFIED POLICE DEPARTMENT, Respondents. Opinion No. 20150424-CA Filed April 6, 2017 Original Proceeding in this Court Ronald Ball, Virginius Dabney, and Stony Olsen, Attorneys for Petitioner Camille N. Johnson, Kenneth L. Reich, Maralyn M. English, and Harry H. Souvall, Attorneys for Respondents JUDGE DAVID N. MORTENSEN authored this Opinion, in which JUDGES J. FREDERIC VOROS JR. and KATE A. TOOMEY concurred. MORTENSEN, Judge: ¶1 Antonio O. Valdez, a police officer, experienced back pain after his patrol car came to an abrupt stop during an accident. The Labor Commission’s Appeals Board denied him permanent total disability benefits, and Valdez now seeks judicial review of the denial. We decline to disturb that order. BACKGROUND ¶2 Valdez worked as a police officer for the Unified Police Department. In June 2010, as he was working a graveyard shift, a car and a motorcycle raced past his patrol car. Intending to pull over one or both of the drivers for speeding, Valdez pulled out Valdez v. Labor Commission of the parking lot where he had been finishing a report. Around the same time, the speeding car turned in front of the speeding motorcycle, and the motorcycle hit the car. Part of the motorcycle, presumably dislodged during the collision, lay in the street. Valdez was traveling seventy miles per hour in pursuit of the vehicles when he ran into the dislodged motorcycle part, and his vehicle came to an abrupt stop. ¶3 Valdez reported feeling a ‚crack‛ in his neck upon impact. He also felt pain in his lower back as he exited his vehicle. Valdez’s supervisor sent him home early because of his neck and back pain, and when he woke up ‚later that day, he had a very difficult time getting out of bed because his back was so stiff.‛ ¶4 Over the next two years, Valdez received treatment from several doctors for back pain he attributed to the accident. During the course of treatment, in December 2011, one doctor concluded that Valdez ‚suffered from pre-existing diffuse idiopathic skeletal hyperostosis (DISH) of the thoracic spine, multilevel degenerative joint disease of the lumbar spine and cervical degenerative changes.‛ His physical difficulties were exacerbated when, in May 2012, he hit his head against a vehicle door during ‚PIT maneuver‛1 training. Then, in August 2012, Valdez ‚suffered a back strain at work when he had hand to hand contact with a suspect during apprehension.‛ ¶5 Ultimately, Valdez’s doctors restricted his work activities. Because Valdez suffers from DISH, they concluded it would not be ‚safe *for+ him to be exposed to potentially violent 1. ‚*A+ PIT (precision intercept technique) is a maneuver in which an officer giving chase pushes the rear fender of the suspect’s vehicle with the patrol car’s opposite front fender, causing the suspect’s vehicle to spin out of control and come to a stop.‛ Latits v. Phillips, 826 N.W.2d 190, 192 n.1 (Mich. Ct. App. 2012). 20150424-CA 2 2017 UT App 64 Valdez v. Labor Commission encounters.‛ He was further limited from lifting more than ten pounds, ‚stooping, pushing, pulling or prolonged standing or sitting.‛ Given the practical implications of these restrictions on the career of a police officer, Valdez filed for workers’ compensation benefits in December 2012. He requested medical expenses, medical care, travel expenses, temporary total disability compensation, and, eventually, permanent total disability benefits. The Unified Police Department denied that the accident was the legal or medical cause of Valdez’s current condition. ¶6 The Utah Labor Commission (the Commission) submitted the medical issues to an independent medical panel, asking it ‚to conduct an impartial evaluation of the medical aspects of this case.‛ Specifically, the Commission asked the medical panel: (1) whether there was ‚a medically demonstrable causal connection between‛ the accident and Valdez’s then-current back problems; (2) ‚the date when, if ever, *Valdez’s+ medical problems caused by [the accident] stabilized‛; (3) what ‚medical/functional restrictions, if any, from all conditions, whether industrial or non-industrially caused‛ Valdez suffered; and (4) what ‚medical/functional restrictions, if any, as the result only of [the accident]‛ Valdez suffered. ¶7 The medical panel determined that the accident aggravated Valdez’s preexisting DISH and degenerative joint disease of the spine. It also concluded that all medical problems related to the accident had stabilized by November 2011. The more recent problems, the panel concluded, were attributable to ‚the ongoing progression of his pre-existing conditions,‛ and it was this progression that ‚limited his ability to continue to work as a police officer.‛ The medical panel acknowledged that Valdez ‚should not be exposed to violent encounters, manual physical training, or heavy lifting, twisting, prolonged standing, which will aggravate DISH. In effect, [Valdez] is limited to sedentary work.‛ But in response to the Commission’s final question regarding what medical or functional restrictions 20150424-CA 3 2017 UT App 64 Valdez v. Labor Commission Valdez suffered as a result of the accident, the medical panel answered, ‚None.‛ ¶8 The Commission issued its findings of fact, conclusions of law, and order in December 2014. Relying on the medical panel’s report, which the Commission determined was ‚supported by a preponderance of the evidence,‛ the Commission concluded that Valdez’s ‚current physical limitations are related to *Valdez’s+ pre-existing DISH condition, not the industrial accident.‛ Thus, because the accident did not cause Valdez’s ‚inability to perform former work,‛ the Commission denied Valdez’s claim for permanent total disability compensation.2 ¶9 Valdez appealed the Commission’s decision to the Commission’s Appeals Board. The Appeals Board adopted the findings of fact and conclusions of law that the Commission had set forth and affirmed the Commission’s order. Valdez now seeks judicial review of that decision.3 2. Valdez received temporary disability compensation pursuant to an agreement with the Unified Police Department, which covered ‚from the date of the accident through the date of the agreement‛ in February 2012. The Commission determined that because Valdez’s accident-related injuries were resolved by November 2011, Valdez was ‚not entitled to any additional temporary total disability compensation. He became medically stable during the period covered by the Compensation Agreement.‛ The Commission did, however, award Valdez ‚medical expenses incurred to treat his spinal condition through November 2, 2011.‛ 3. We review the decision of the Appeals Board. But because that decision adopted the order of the Commission in its entirety, throughout the rest of this decision we refer to both the Commission and the Appeals Board simply as ‚the (continued<) 20150424-CA 4 2017 UT App 64 Valdez v. Labor Commission ISSUE AND STANDARD OF REVIEW ¶10 Valdez asks us to decide just one issue: ‚Whether *the Commission] was correct when it concluded that a minor disease was the sole cause of [his] conditions and thus denied permanent total disability . . . .‛ But this is not the sort of administrative agency decision we review for correctness. Cf. Fogleman v. Labor Comm’n, 2015 UT App 294, ¶ 18, 364 P.3d 756 (reviewing the Commission’s interpretation of a statute for correctness). The question is one of fact, albeit a factual question best informed by expert testimony or evidence. See Hutchings v. Labor Comm’n, 2016 UT App 160, ¶ 23, 378 P.3d 1273 (‚Medical causation is fundamentally a factual determination.‛); Virgin v. Board of Review of the Indus. Comm’n of Utah, 803 P.2d 1284, 1287 (Utah Ct. App. 1990) (‚Medical causation, including whether an industrial accident aggravated a pre-existing condition, is a factual matter.‛). Because medical causation is a question of fact, Valdez’s challenge rests on whether the Commission’s decision is ‚supported by substantial evidence when viewed in light of the whole record before the court.‛ See Utah Code Ann. § 63G-4- 403(4)(g) (LexisNexis 2016). ‚A finding is supported by substantial evidence when a reasonable mind might accept as adequate the evidence supporting the decision.‛ Bailey v. Retirement Board, 2012 UT App 365, ¶ 2, 294 P.3d 577 (citation and internal quotation marks omitted). ANALYSIS I. Compensability of Aggravated Injuries ¶11 Before we address the merits of Valdez’s challenge, we consider the legal standard involved in compensating injured (