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ARKANSAS COURT OF APPEALS
DIVISION IV
No. CV-17-4
Opinion Delivered: September 6, 2017
COREY ROBBINS
APPEAL FROM THE ARKANSAS
APPELLANT WORKERS’ COMPENSATION
COMMISSION
V. [NO.G506814]
HILARK INDUSTRIES, INC., AND
HARTFORD UNDERWRITERS
INSURANCE COMPANY
APPELLEES AFFIRMED
MIKE MURPHY, Judge
Corey Robbins appeals the September 7, 2016 opinion of the Arkansas Workers’
Compensation Commission (Commission) in which it adopted the February 25, 2016
opinion of the Administrative Law Judge (ALJ). The ALJ ruled that Robbins failed to prove
a compensable injury. Robbins’s sole argument on appeal is that the Commission’s decision
is not supported by substantial evidence. We affirm.
Robbins, who was thirty-one years old at the time, sustained a cardiovascular
accident on July 6, 2015, at approximately 10:00 p.m. while at home, which resulted in
sudden cardiac arrest and required resuscitation followed by hospitalization, medical
treatment, and disability benefits. Robbins worked as a painter at HilArk Industries, where
he had worked for more than a year, and his duties consisted primarily of prepping and
painting dump truck beds. On the day of the incident, Robbins went to work as he normally
Cite as 2017 Ark. App. 431
did, prepped the paint, put on a special paint suit, entered the paint booth, 1 and began the
painting process. Robbins became overheated while in the paint booth and went to the air-
conditioned employee break room to cool down. Another employee in the break room,
who worked as an assistant firefighter, told Robbins he appeared to be overheated, so the
man notified Dennis Edwards, chief financial officer of HilArk, to tend to Robbins. Edwards
repeatedly asked Robbins if he felt well, if he had chest pain, if he had shortness of breath,
if he needed medical attention, or if he wished to go home. Robbins repeatedly said he just
needed to cool off and that his fiancée could not pick him up from work until his normal
quit time of 3:30 p.m.
Monica Johnson, Robbins’s fiancée, testified that Robbins became very emotional
when he got in the car. She said Robbins told her that “[he] thought [he] could die” and
that “he just got too hot.” Later that night, she explained he could not get comfortable, so
he went to the living room to sit up. Johnson followed him into the living room where he
began to “[make] noises, [turn] colors, and [foam] at the mouth.” He was resuscitated by
paramedics and transported to the hospital where he survived.
At the time of the incident, Robbins had a long history of drug abuse. Just weeks
prior, he was advised to undergo narcotics counseling because of depression and suicidal
thoughts. When the ambulance arrived, Johnson told the paramedics that Robbins had an
opiate addiction, thinking he had overdosed. However, Robbins had a negative drug screen
on the night of the incident. Once Robbins was checked in at the hospital, Johnson
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Testimony described that paint booth as a large ventilated room with a ceiling
twenty-two to twenty-four feet high.
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informed the doctor that Robbins had overheated at work but that he had started to cool
down.
Robbins initially applied for short-term disability and Social Security disability and
signed various forms indicating that his disability was not work related. It was not until after
talking with one of his doctors that he pursued a workers’-compensation claim; Dr. Steve
Hutchins apparently told him that heat could have caused his injury. In his workers’-
compensation claim, Robbins contended that the cardiac arrest was brought about as the
result of exposure to chemicals, excessive heat, and dehydration associated with his
employment.
The ALJ made extensive findings of fact and conclusions of law, which the
Commission adopted and affirmed, and ultimately found that Robbins failed to prove that
he had sustained a compensable injury within the meaning of the Arkansas workers’-
compensation laws. Robbins appealed, asserting that the decision of the Commission is not
supported by substantial evidence and should be reversed.
The standard of review in workers’-compensation cases is well settled. On appeal,
this court views the evidence in the light most favorable to the Commission’s decision and
affirms the decision if it is supported by substantial evidence. Schall v. Univ. of Ark. for Med.
Scis., 2017 Ark. App. 50, at 2, 510 S.W.3d 302, 303. Substantial evidence exists if reasonable
minds could reach the Commission’s conclusion. Id. The issue is not whether the appellate
court might have reached a different result from the Commission, but whether reasonable
minds could reach the result found by the Commission: if so, the appellate court must affirm.
Id.
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Credibility questions and the weight to be given to witness testimony are within the
Commission’s exclusive province. Id. The Commission’s decision to accept or reject
medical opinions and how it resolves conflicting medical evidence has the force and effect
of a jury verdict. Id.
The issue of compensability is controlled by the provisions of Arkansas Code
Annotated section 11-9-114, and the standard of proof in heart-attack cases is high, as
follows:
(a) A cardiovascular, coronary, pulmonary, respiratory, or cerebrovascular
accident or myocardial infarction causing injury, illness, or death is a
compensable injury only if, in relation to other factors contributing to the
physical harm, an accident is the major cause of the physical harm.
(b)(1) An injury or disease included in subsection (a) of this section shall not
be deemed to be a compensable injury unless it is shown that the exertion of
the work necessary to precipitate the disability or death was extraordinary and
unusual in comparison to the employee’s usual work in the course of the
employee’s regular employment or, alternately, that some unusual and
unpredicted incident occurred which is found to have been the major cause
of the physical harm.
(2) Stress, physical or mental, shall not be considered in determining whether
the employee or claimant has met his or her burden of proof.
Ark. Code Ann. § 11-9-114(a), (b)(1)–(2) (Repl. 2012).
The first element of compensability requires that the relation to all factors
contributing to the ultimate physical harm and “accident” must be the major cause of the
physical harm.
On appeal, Robbins argues that the testimony from Johnson, who was with him
from the time he left work up until the cardiac arrest, and Dr. Hutchins’s deposition,
combined with the fact that he had no preexisting heart conditions, indicates that the injury
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was work related. He contends that his heat exhaustion served as the “accident” that caused
his cardiac arrest. He offered Dr. Hutchins as an expert medical witness. In his opinion
letter, Dr. Hutchins opined, “It is likely, more probably than not, that the cardiac arrest
event was related to his working conditions on the day of his event. The heat exhaustion,
dehydration and stress of the day could have contributed to his arrest.” Dr. Hutchins
admitted his opinion relied on whether Robbins got in distress and stayed in distress until
the incident. He explained that, had he been told that Robbins had gotten hot at work,
cooled down for an hour, gone back to work all afternoon, and repeatedly said, “I feel fine,”
he would not think that the injury would be work related.
Ultimately, the Commission found that Dr. Hutchins’s opinion “was based solely
upon incomplete and inaccurate history.” The Commission conceded that while Robbins
may have suffered from some temporary heat exhaustion at the workplace, the record as a
whole reflected that Robbins ceased work immediately, rehydrated, and was feeling better
when he left work. The Commission supported its conclusion by finding that the record
reflected that Robbins had preexisting chest problems,2 he had a history of drug abuse, and
he was under significant stress unrelated to his employment. The Commission concluded
that “it would require sheer speculation and conjecture to attribute [Robbins’s] cardiac arrest
to events at the workplace.”
From our review, we conclude that substantial evidence supported the Commission’s
conclusion. We defer to the Commission’s credibility determination rejecting Dr.
2
Robbins was born with pectus excavatum, which is a congenital defect where his
chest cavity is not the normal size and required him to undergo surgery at age five.
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Hutchins’s medical testimony that the injury was “more probably than not” related to work.
It is perhaps noteworthy that two other cardiologists treated Robbins, Dr. Monica Lo and
Dr. Vasili Lendel, and neither had an opinion similar to Dr. Hutchins’s—Dr. Lo believed
the cardiac arrest was not work related and Dr. Lendel did not state an opinion. Additionally,
Dr. Lo noted that Robbins felt lethargic at home after work but was otherwise his normal
self and that, until the event of the cardiac arrest, he had been feeling reasonably well. She
also diagnosed him with takotsubo cardiomyopathy, which Dr. Hutchins stated in his
deposition could possibly have been a cause of the cardiac arrest. He explained that in most
cases of takotsubo cardiomyopathy, one has an acute-injury heart failure and that it can be
caused by a stressful or emotional event. Robbins admitted that at the time he had a lot of
personal stress unrelated to work: repeated garnishments for other medical bills and child
support; resumption of opiate use; moving in and out of his fiancée’s home the month
before; and suicidal depression for which he was being treated.
Moreover, as we held in Ayers Drywall & Insulation v. Carey, 2009 Ark. App. 749, at
8, 352 S.W.3d 334, 338, the mere fact that there was evidence to support a contrary finding
does not allow this court to reverse the Commission’s resolution of conflicting medical
evidence.
We need not address the second statutory requirement because Robbins did not meet
the first element of compensability.
Substantial evidence exists to support the Commission’s finding that Robbins failed
to prove a compensable injury. The conflicting medical testimony was for the Commission
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to resolve, and reasonable minds could determine that Robbins suffered a cardiac arrest for
reasons other than work-related heat exhaustion. Therefore, we must affirm.
Affirmed.
KLAPPENBACH and VAUGHT, JJ., agree.
Corey Robbins, pro se appellant.
Smith, Williams & Meeks, L.L.P., by: Gene Williams, for appellees.
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