4-258-106 (1998). MARIE M. BOHN.
Case Date | October 19, 1998 |
Court | Colorado |
Colorado Workers Compensation
1998.
4-258-106 (1998).
MARIE M. BOHN
INDUSTRIAL CLAIM APPEALS OFFICEIN THE MATTER OF THE CLAIM OF MARIE M.
BOHN, Claimant, v. WINDSOR HEALTH CARE, Employer, and INSURANCE CO. OF THE
STATE OF PENNSYLVANIA, Insurer, Respondents.W. C. No. 4-258-106FINAL ORDER The claimant seeks review of an order of Administrative Law Judge
Gandy dated March 16, 1998. We affirm.
The claimant sustained an admitted low back injury on May 25,
1995, which was treated by Dr. Bradley. The claimant treated with Dr. Bruns for
the psychological effects of the injury. On November 7, 1995, Dr. Bradley
placed the claimant at maximum medical improvement (MMI). Dr. Bronstein
conducted a Division-sponsored independent medical examination (IME) under the
provisions of § 8-42-107(8), C.R.S. 1998. Dr. Bronstein agreed with Dr.
Bradley's opinion that the claimant reached MMI in November 1995. Dr. Bronstein
also rated the claimant's permanent medical and mental impairment from the
injury as 18 percent of the whole person. In so doing Dr. Bronstein agreed with
Dr. Bruns' opinion that all but 30 percent of the claimant's mental impairment
is attributable to a pre-existing condition.
On her own, the claimant was examined and treated by Dr.
Medelman, who opined the claimant is not at MMI from the psychological injury.
Dr. Medelman also disagreed with Dr. Bronstein's apportionment of mental
impairment.
The claimant filed an Application for Hearing on several issues.
However, at the commencement of the hearing on February 18, 1998, claimant's
counsel stated that the issues were MMI, apportionment of mental impairment and
authorization of Dr. Medelman's treatment.
Crediting the opinions of Dr. Bronstein and Dr. Bruns, the ALJ
found that the claimant failed to sustain her burden to overcome Dr.
Bronstein's finding of MMI. Furthermore, the ALJ determined that the difference
of opinion between Dr. Medelman and Dr. Bronstein does not rise to the level of
"clear and convincing evidence" that Dr. Bronstein incorrectly apportioned the
claimant's mental impairment.
Moreover, the ALJ found that the claimant was referred to Dr.
Medelman by her attorney and not an authorized treating physician.
Consequently, the ALJ determined that Dr. Medelman's treatment was not
authorized, and is not a compensable medical benefit.
The claimant's Petition to Review...
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