12-0034. DEBORAH A. JOHNSON Employee v. WAL MART STORES INC Employer and ILLINOIS NATIONAL INSURANCE COMPANY Insurer.
Court | Alaska |
Alaska Workers Compensation Decisions
2012.
Workers' Compensation Board
12-0034.
DEBORAH A. JOHNSON Employee v. WAL MART STORES INC Employer and ILLINOIS NATIONAL INSURANCE COMPANY Insurer
DEBORAH A. JOHNSON, Employee, Applicant v. WAL MART STORES INC, Employer, and
ILLINOIS NATIONAL INSURANCE COMPANY, Insurer, Defendant(s).AWCB Decision No.
12-0034Filed with AWCB Fairbanks, Alaska
on Febraury 23, 2012AWCB
Case No(s). 200820111INTERLOCUTORY DECISION AND
ORDERDeborah A. Johnson's (Employee) October 14, 2011,
Smallwood Objection to David W. Gaw, M.D.'s report was heard
on February 2, 2012, in Fairbanks, Alaska. Attorney Jason Wiener represented
Employee. Attorney Erin Egan represented Walmart Stores, Inc. (Employer). The
record closed at the hearing's conclusion on February 2, 2012.
ISSUE
Employee characterized Dr. Gaw's second independent medical
examination (SIME) report as "bare bones," and contends it is conclusory
because it does not answer questions such as "why," or "why not?" She contends
his report is inadequate because it is too brief, and the regulations do not
address inadequate medical reports. Employee anticipates Employer will rely on
Dr. Gaw's report at hearing, and contends forcing Employee to address an
inadequate report is a violation of her rights under
Smallwood. Therefore, Employee contends, Dr. Gaw's report
should not be considered unless Employer produces Dr. Gaw, in person, at
hearing for cross-examination. In the alternative, Employee requests an order
requiring Dr. Gaw to file a complete report.
Employer contends Smallwood does not apply to
SIME reports, Dr. Gaw is not it's expert and 8 AAC 45.092(j) provides a
mechanism for Employee to both depose Dr. Gaw and produce him at hearing for
cross-examination.
1) Should consideration of Dr. Gaw's report be contingent upon
Employer producing him, in person, at hearing for cross-examination?
2) Shall Dr. Gaw be required to file a more detailed
report?
FINDINGS OF FACT
1) On November 11, 2008, Employee reported she injured both her
hands lifting flour and sugar for Employer, where she worked as an overnight
stocker. (Report of Occupational Injury or Illness, November 12, 2008).
2) On August 11, 2011, Employee filed a workers' compensation
claim (WCC) for bi-lateral carpel tunnel syndrome. (WCC, August 8, 2010).
3) Both Employee and Employer stipulated to a second
independent medical evaluation (SIME), agreeing there was disputed medical
evidence on the issues of causation and compensability. (SIME form, January 21,
2011).
4) David W. Gaw, M.D. was selected from the board's list of
SIME physicians to perform the SIME. (letter from Melody Kokrine to David W.
Gaw., M.D., October 3, 2011).
5) On September 19, 2011, Dr. Gaw performed the SIME, and
submitted his report to the board. Dr. Gaw's report sets forth a diagnosis,
recommendations for further treatment, an opinion on causation, and an
impairment rating. Dr. Gaw opined Employee's work for Employer "was not the
primary factor in the development of bilateral carpel tunnel syndrome or the
need for bilateral carpel tunnel release surgery." (Gaw report, October 7,
2011).
6) Dr. Gaw's report is relevant evidence. (experience,
judgment, unique or peculiar facts of the case, and inferences drawn from all
of the above).
7) On October 14, 2011, Employee filed her
"Smallwood Objection" to Dr. Gaw's report. (Employee's
Smallwood Objection to SIME Physician Dr. David Gaw's Report
and Medical Opinion, October 14, 2011).
8) On October 24, 2011, Employer filed its reponse, opposing
Employee's objection. (Employer's Response to SIME Physician Dr. David Gaw's
Report and Medical Opinions, October 20, 2011).
PRINCIPLES OF
LAW
8 AAC 45.052. Medical summary.
. . .
(c) Except as provided in (f) of this section, a party filing an affidavit of readiness for hearing must attach an updated medical summary, on form 07-6103, if any new medical reports have been obtained since the last medical summary was filed.
. . .
(2) If a party served with an affidavit of readiness for hearing wants the opportunity to cross-examine the author of a medical report . . . , a request for...
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