55 Van Natta 4336 (2003). DEBRA L. HARGROVE, Claimant.
Court | Oregon |
Oregon Workers Compensation
2003.
55 Van Natta 4336 (2003).
DEBRA L. HARGROVE, Claimant
4336In the Matter of the Compensation of DEBRA L.
HARGROVE, ClaimantOwn Motion No. 03-0191MOWN MOTION ORDERErnest M Jenks, Claimant Attorneys Scheminske et
al, Defense AttorneysReviewing Panel: Members Kasubhai and Lowell.The self-insured employer submitted a "Carrier's Own Motion
Recommendation" form recommending against the
reopening of claimant's 1981 injury claim for "post-aggravation rights" new or
omitted medical conditions ("constipation; neuritis/neuralgia; paraplegia;
depressive neurosis; paravascular dermatitis; isolated colonic ileus; renal
(kidney) infection, inflammation, damage and failure; nausea and vomiting").
See ORS 656.278(1)(b) (2001). Claimant's aggravation rights on
that claim have expired. The employer opposes reopening, contending that
claimant's new medical conditions are not related to her previously accepted
claim. On April 14, 2003, a hearing was convened in
WCB Case No. 01-02440 before an Administrative Law Judge (ALJ). At the hearing,
the parties acknowledged that the issues included "post-aggravation rights" new
and/or omitted medical conditions, along with medical service and attorney fee
issues. In light of such circumstances, it was agreed that all the issues would
be tried together in one hearing with the medical service and attorney fee
issues decided in an Opinion and Order and the new
and/or omitted medical conditions addressed in an Own
Motion Recommendation. See OAR 438-007-0027. The ALJ forwarded an Own Motion Recommendation to the Board
on May 13, 2003. On May
16, 2003, claimant filed a Motion for Abatement and Reconsideration of Own Motion Recommendation asking for the award of an
attorney fee. On May 19, 2003, the employer objected to that request, noting
that there is no statutory authority for the Hearings Division to award an
attorney fee in an Own Motion Recommendation. On May
20, 2003, the ALJ issued an Amended Own Motion Recommendation. The ALJ recommended that the Board: (1) reopen the 1981
claim for depressive neurosis and constipation conditions; (2) deny reopening
for 55 Van Natta 4336 (2003) 4337 the neuritis/neuralgia, paraplegia,
dermatitis, isolated colonic ileus, renal (kidney) infection, inflammation,
damage and failure, and nausea and vomiting conditions; and (3) award
claimant's counsel an assessed attorney fee of $3,500 for prevailing against
the employer's denial of compensability of claimant's depressive neurosis and
constipation conditions. FINDINGS OF FACT We adopt the ALJ's "Findings of Fact" and "Findings of
Ultimate Fact," and provide the following summary. As
a young child, claimant suffered from encephalitis, which resulted in brain
damage. Claimant performs in the mildly retarded to borderline range. (Ex.
34-6). She has been diagnosed with schizophrenia and a schizoaffective
disorder. (Exs. 67; 71; 89). Claimant compensably
injured her low back in October 1981. (Ex. 1). She was initially diagnosed with
a lumbar and cervical strain. (Ex. 2). Claimant
underwent a laminectomy in 1982, a laminectomy discectomy in 1988, discectomy in 1989, fusion in 1990, and refusion in
1991. (Ex. 34-3). (In addition, after the 1982 surgery, a second operation was
needed because of wound infection). None of the surgeries resulted in any
significant lasting pain relief. Id.After the 1982 surgery, claimant was treated at the Good Samaritan Pain
Clinic until early 1983. She made some progress in
her physical function, but no lasting changes, and she remained very
somatically focused. Her mood stabilized somewhat. Id. Also,
since the surgery, claimant had become quite depressed, anxious, labile, and
agitated with suspiciousness so pervasive that a psychiatric consultation was
provided. Id. During this time, claimant was participating in
vocational counseling and it was noted that her pain complaints increased when
attempts were made to assess her vocational abilities. Id. Since the time of her first back surgery, claimant
has complained of urinary urgency/frequency/incontinence and constipation.
There have been multiple workups, hospitalizations for severe constipation, two
bladder suspensions in 1986, and augmentation colocystoplasty and urinary
sphincter placement in 1987. The bladder/bowel problems have continued and
claimant has had a foley catheter and/or self catheterization since 1987.
Id. 55 Van Natta 4336
(2003) 4338 On May 17, 1983,
claimant was awarded 50 percent unscheduled permanent partial disability. (Ex.
3). On May 27, 1983, a second Determination Order increased her award to 60
percent. (Ex. 4). On August 20, 1985, that award was increased to permanent
total disability status pursuant to a Stipulation and Order. (Ex. 6). Claimant has been confined to a wheelchair due to perceived
low back pain and balance problems since her first surgery, which has resulted
in chronic dermatitis of the buttocks. (Ex. 68). Claimant has also been treated
for depression and schizoaffective disorder since at least 1994. (Exs. 9; 15).
Her medications...
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