Caritas Medical Center v. Lynda Stout

        IMPORT-ANTNOTICE
       NOT TO BE PUBLISHED OPINION




THIS OPINION IS DESIGNATED "NOT TO BE
PUBLISHED., " PURSUANT TO THE RULES OF
CIVIL PROCEDURE PR0IYIUL GATED BY THE ,
SUPREIIIE COURT, CR 76.28 (4) (c), THIS OPINION
IS NOT 7'O BE PUBLISHED AND SHALL NOTBE
CITED OR USED AS A UTHORITY IN ANY OTHER
CASE INANY COURT OF THIS STATE.
                                                       RENDERED : AUGUST 24, 2006
                                                            NOT TO BE PUBLISHED


                ,$tt}~re~ux (1nuxf a~ ~~
                                   2005-SC-0895-WC

                                                                        9 t-i--         ,   C   -   IN-1-1
                                                                                                             'c~


 CARITAS MEDICAL CENTER                                                     APPELLANT


                       APPEAL FROM COURT OF APPEALS
V                             2005-CA-0380-WC
                     WORKERS' COMPENSATION NO . 00-61457


LYNDA STOUT ; HON . HOWARD E . FRASIER, JR.,
ADMINISTRATIVE LAW JUDGE ; AND
WORKERS' COMPENSATION BOARD                                                 APPELLEES


                      MEMORANDUM OPINION OF THE COURT

                                      AFFIRMING

       Fawbush v. Gwinn, 103 S.W.3d 5 (Ky. 2003), and its progeny stand for the

principle that when the evidence supports the application of both KRS 342.730(1)(c)1

and 2, an Administrative Law Judge (ALJ) must choose the subsection that is more

appropriate under the facts . After conducting a Fawbush analysis, an ALJ awarded

benefits to the claimant under KRS 342.730(1)(c)1, reasoning that Caritas eliminated

the sedentary position into which she was transferred, that another employer was

unlikely to accommodate her condition, and that her physical condition made it unlikely

that she would be able to earn the same or a greater wage for the indefinite future. The

Workers' Compensation Board and the Court of Appeals affirmed .

      Appealing, Caritas asserts that there was insufficient evidence of substance to

support the award and that benefits under KRS 342.730(1 xc)1 were inappropriate
 during the weeks that the claimant continued to earn the same or a greater wage .

 Having concluded that the decision to award benefits under KRS 342.730(1)(c)1 was

 reasonable under the evidence and that the duration of the award was consistent with

the plain language of the statute, we affirm.

        Fawbush v. Gwinn, supra, involved an individual who, as of the hearing, earned

a greater wage than at the time of his injury but worked outside his restrictions and

required more than the prescribed amount of narcotic pain medication to do so . The

court found the ALJ's application of KRS 342 .730(1)(c)1 to be appropriate because

overwhelming evidence indicated that the worker would be unable to continue in the

employment indefinitely.

       The court explained subsequently in Adkins v. Pike County Board of Education ,

141 S.W .3d 387 (Ky. App. 2004), that the Fawbush analysis includes a broad range of

factors, only one of which is the ability to perform the current job. The standard for the

decision is whether the injury has permanently altered the worker's ability to earn an

income . If an individual returns to work at the same or a greater wage but is unlikely to

be able to perform work from which to earn such a wage indefinitely, then the

application of KRS 342 .730(1)(c)1 is appropriate .

       The claimant was born in 1965 and has a high school education as well as

training in medical coding and phlebotomy. She began working for Caritas in 1996, as

a nurse's aide . Later, she transferred to patient registration . On October 17, 2000,

while working on a part-time basis, the claimant injured her left foot when she slipped

and fell on a wet floor. The injury eventually required two surgeries, one on the

peroneal tendon and a second to remove bone and sever a nerve in an attempt to

relieve her pain.
       The claimant returned eventually to a sedentary, full-time job in Caritas's

business office . At the deposition and hearing, she described severe pain in her left

foot and lower leg and testified to discomfort when her foot was touched by even bed

covers or socks. She explained the difficulty with which she worked but stated that she

was able to obtain treatment at work because her treating physician, Dr. Peters, also

worked at Caritas. She stated that she had worked for about 2 '/2 years after the injury,

but Caritas was eliminating her job because it was moving its business office to

Pennsylvania . She doubted that another employer would accommodate her condition .

       In an initial opinion and award, an AU awarded numerous periods of temporary

total disability for which the employer had paid benefits voluntarily . The AU found that

the claimant retained a 33% impairment from the injury but was only partially disabled .

Noting that the claimant would be unable to perform work for which she had previous

training and experience, the AU awarded vocational rehabilitation benefits. Based on

the claimant's return to work at the same or a greater wage, the AU awarded partial

disability benefits under KRS 342 .730(1)(b) and (c)2 from April 30, 2002 . The Board

vacated and remanded that portion of the award under Kentucky River Enterprises, Inc.

v. Elkins , 107 S.W.3d 206 (Ky . 2003), because the AU failed to consider whether the

claimant would be able, physically, to continue for the indefinite future to do work in

which she could earn the same or a greater wage .

       On remand, an AU awarded benefits under KRS 342.730(1)(c)1 . When

analyzing the evidence, the AU noted that continuing problems with foot ulcerations

sometimes prevented the claimant from wearing shoes. Her hearing testimony

indicated that her symptoms had worsened over time and affected her entire leg up to

her hip. At times she required epidural or trigger point injections to be able to work, and
 illness after taking an epidural catheter sometimes caused her to miss two weeks' work.

 The AU noted that Dr. Peters diagnosed severe reflex sympathetic dystrophy and

suggested that she quit working . Although he observed that she had a higher pain

tolerance than the vast majority of his patients, he thought that she would not be able to

"soldier on" much longer. Convinced that the claimant was unlikely to continue to earn

the same or a greater wage for the indefinite future, the AU noted that the employer

offered no evidence to rebut the claimant's testimony that she was unlikely to find

another employer who would allow time off for disabling bouts of pain and the resulting

epidural treatments . The AU concluded that the employer probably tolerated the

absences because it would be moving the office in the near future and found it

inefficient to hire a replacement.

       Caritas argues that the claimant's ability to return to work for 2   '/2   years, for

longer hours and at a higher wage, demonstrates that she can continue to do so for the

indefinite future . It asserts that she was eligible for other positions when her job was

transferred to Pennsylvania and that she offered no evidence that she was incapable of

other work at the same rate of pay. It also asserts that there was conflicting medical

evidence regarding the extent of her impairment and the severity of her symptoms .

       Contrary to Caritas' assertion, the evidence indicated that it had moved the entire

business office to Pennsylvania and nothing indicated that it had other positions that

would allow the claimant to continue working . The AU had the authority to draw

reasonable inferences from the evidence, to weigh conflicting evidence, and to decide

whom and what to believe . McCloud v. Beth-Elkhom Corp. , 514 S.W .2d 46 (Ky. 1974),

made it clear that the mere existence of evidence that would have supported a different

decision is not an adequate basis for reversal on appeal. The ALJ's finding was
reasonable under the standards established in Fawbush v. Gwinn, supra , and its

progeny and, therefore, may not be disturbed on appeal.

       Caritas's second argument is that the ALJ erred by awarding benefits under KRS

342.730(1)(c)1 during the   2'/2   years that the claimant continued to work. Citing no

authority, it asserts that regardless of whether KRS 342.730(1)(c)1 or 2 applies,

enhanced benefits should only be paid for the portion of the compensable period that

remained when the claimant ceased working . This argument ignores the plain

language of KRS 342.730(1)(c). As the dissent in Fawbush, supra at 13, pointed out,

the majority's decision permitted the worker to "not only earn a higher wage than before

his injury but also draw triple the benefits otherwise payable under subsection (b)."

(emphasis original) . The legislature has not seen fit to amend the provision since

Fawbush was rendered ; therefore, we conclude that it assents .

       The decision of the Court of Appeals is affirmed .

       Lambert, C.J. ; and Graves, Minton, Scott, and Wintersheimer, JJ., concur.

Roach, J ., concurs in result only. McAnulty, J., not sitting .


COUNSEL FOR CARITAS MEDICAL CENTER :

Laurie Goetz Kemp
Woodward, Hobson & Fulton, LLP
2500 National City Tower
Louisville, KY 40202


COUNSEL FOR LYNDA STOUT :

Christopher P . Evensen
Tamara Todd Cotton
Laura Beasley Apple
Cotton & Evensen, PLLC
429 West Muhammad Ali Blvd.
1102 Republic Building
Louisville, KY 40202