4-344-269 (1998). KATHRYN L. MILLNER (Order of Remand).
Case Date | October 19, 1998 |
Court | Colorado |
Colorado Workers Compensation
1998.
4-344-269 (1998).
KATHRYN L. MILLNER (Order of Remand)
INDUSTRIAL CLAIM APPEALS
OFFICEIN THE MATTER OF
THE CLAIM OF KATHRYN L. MILLNER, Claimant, v. INTERNATIONAL
REHABILITATION ASSOCIATES, INC., Employer, and PACIFIC EMPLOYERS INSURANCE CO.
(CIGNA), Insurer, Respondents.W. C. No. 4-344-269
ORDER OF
REMAND
The pro se claimant seeks review of a final order of
Administrative Law Judge Gandy (ALJ), which denied her claim for medical and
temporary disability benefits. The claimant contests numerous findings of fact
which led the ALJ to determine that the claimant's herniated disc was not
causally related to the industrial injury of April 17, 1996. Because we
conclude that one of the ALJ's findings of fact is not supported by the
evidence, we set aside the order and remand for entry of a new order.
The ALJ's findings may be summarized as follows. Prior to the
industrial injury of April 17, 1996, the claimant had an extensive medical
history including back surgery in the spring of 1995. In the early part of
1996, the claimant was receiving treatment for hip pain, left knee pain,
headaches, neck pain, and chronic back pain.
On April 17, 1996, the claimant experienced a fall which the ALJ
found arose out of and in the course of employment. In October 1996, the
claimant was diagnosed with a herniated disc at the L5-S1 level. The disc was
surgically repaired by Dr. Janssen in January 1997.
The record contains conflicting evidence concerning whether or
not the April 1996 injury was the cause of the disc herniation. The ALJ noted
that the claimant's primary treating physician, Dr. Towbin, saw the claimant on
April 29, 1996, and his office note does not reflect that the claimant made
"any complaints of new, different, or aggravated back pain." Moreover, Dr.
Towbin examined the claimant ten times from June 23, 1996 through December 23,
1996, and the records do not make mention of the April 17 fall or any
significant increase in back symptoms. The records of other physicians who saw
the claimant during this period of time also lack evidence of a significant
increase in pain.
In view of these records, Dr. Primack and Dr. Dwyer opined that
there was no causal relationship between the April 17 injury and the disc
herniation. Conversely, Dr. Janssen opined that the disc herniation was
probably...
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