Upon review of the competent evidence of record with reference to the errors assigned, and finding no good grounds to receive further evidence or to rehear the parties or their representatives, the Full Commission affirms and adopts the Opinion and Award of the Deputy Commissioner with minor modifications.
2. National Union Fire Insurance Company was the carrier on the risk, with AIG Claim Services as its servicing agent.
3. The employee-employer relationship existed between the parties at all relevant times.
4. The issue for determination is whether plaintiff has contracted a compensable occupational disease and, if so, to what benefits may she be entitled under the Act.
5. Based upon the Form 22, plaintiffs average weekly wage was $730.77, which yields a compensation rate of $527.20.
6. Twenty-six pages of medical reports, marked as Stipulated Exhibit 1, are received into evidence.
2. Plaintiffs duties included seeing credit union members, hand writing loan information, calculating loan ratios on an adding machine, typing data into the computer to process loans or credit applications, and writing letters. Plaintiff processed personal and automobile loans. She performed handwriting and loan ratio calculations with her right hand, while typing was done with both hands. In addition to handling all loans, plaintiff also performed other tasks as needed, due to staffing vacancies.
3. On an average basis, plaintiff performed handwriting and computer entry duties for six hours of her eight-hour work day.
4. In 1992, plaintiff began to experience right hand pain for which she sought medical treatment. Dr. Moore diagnosed her with tendinitis.
5. Plaintiff began to experience bilateral hand pain in late 1996. On 15 August 1997, she sought treatment for bilateral hand pain from Dr. Richard Leighton, an osteopathic physician and orthopedic surgeon. Following an examination and testing by Dr. Leighton, plaintiff was diagnosed with deQuervains tendinitis and bilateral carpal tunnel syndrome.
6. Plaintiff did not have hypothyroidism, diabetes, rheumatoid arthritis, wrist fracture or neck problems; therefore, Dr. Leighton causally related her bilateral carpal tunnel syndrome to repetitive-type trauma from her job duties.
7. Dr. Leighton referred plaintiff to Dr. Charles D. Hall, a neurologist. Dr. Hall agreed with the diagnosis of bilateral carpal tunnel syndrome, based on plaintiffs history, his examination, and nerve conduction studies. He suggested alternatives to plaintiffs performance of her job duties, and proceeded with conservative treatment consisting of wrist splints, and medication.
8. After plaintiff failed to respond to conservative treatment, both Dr. Leighton and Dr. Hall recommended carpal tunnel release surgery. However, plaintiff became pregnant and her surgery was postponed.
9. Dr. Leighton and Dr. Hall both stated to a medical degree of certainty that plaintiffs job duties placed her at an increased risk over that of the general public for developing carpal tunnel syndrome. The undersigned find as fact that plaintiffs job duties placed her at an increased risk of developing carpal tunnel syndrome over that of the general public; that this condition is characteristic of and peculiar to her duties, and that plaintiffs job duties caused her carpal tunnel syndrome.
10. Dr. George Edwards, Jr., a board certified orthopedic hand specialist, reviewed the videotape of plaintiffs job and her treatment records. Dr. Edwards opined that plaintiffs job duties lacked the repetitiveness associated with job-related carpal tunnel syndrome. The undersigned give Dr. Edwards opinion less weight than the opinions of Drs. Leighton and Hall.
11. Plaintiff has not missed any time from work as a result of her carpal tunnel syndrome, but she has incurred medical expenses.
12. Plaintiff has not reached maximum medical improvement.
2. As a result of the compensable occupational disease, plaintiff is entitled to have defendants pay medical expenses incurred, or to be incurred, which may be necessary to effect a cure, provide relief or lessen her period of disability. N.C. Gen. Stat. 97-2(19); 97-25.
3. Plaintiff has not reached maximum medical improvement.
2. Plaintiffs attorney is entitled to a reasonable attorneys fee. Since no indemnity benefits have been awarded herein, the amount of such attorneys fee is reserved for subsequent determination.
3. Defendants shall pay the costs.
This the ___ day of May, 2000.
S/___________________ BERNADINE S. BALLANCE COMMISSIONER
CONCURRING:
S/_____________ THOMAS J. BOLCH COMMISSIONER
DISSENTING:
S/_______________ DIANNE C. SELLERS COMMISSIONER