Desisto, 102219 MAWC, 014569-15

Case DateOctober 22, 2019
CourtMassachusetts
Darren M. Desisto Employee
City of Boston Employer
City of Boston Self-Insurer
No. 014569-15
Massachusetts Workers Compensation Decisions
Commonwealth of Massachusetts Department of Industrial Accidents
October 22, 2019
         This case was heard by Administrative Judge Fitzgerald.           Seth J. Elin, Esq., for the employee           Ryan R. Keough, Esq., for the self-insurer           Koziol, Calliotte and Long, Judges.           REVIEWING BOARD DECISION           KOZIOL, J.          The self-insurer appeals from a hearing decision ordering it to pay the employee § 34 benefits at a rate of $494.51 per week, based on an average weekly wage of $824.19, from his date of injury, June 8, 2015, through the exhaustion of those benefits, followed immediately thereafter by payment of ongoing § 35 benefits at a rate of $230.51 per week based on a minimum wage earning capacity of $440.00. The self-insurer raises three issues that it asserts require either reversal of the decision or an order vacating the decision and recommitting the matter for further findings of fact. We affirm the judge’s decision in part and reverse only so much of the decision as ordered the self-insurer to pay the employee § 50 interest.          To provide background for our discussion of the self-insurer’s first argument on appeal, we recite the undisputed part of the record. The employee, age 51 at the time of the hearing, worked for the self-insurer as a mechanical equipment operator and public works laborer from November of 2014 through his date of injury, June 8, 2015. (Dec. 5.) His job duties “included filling potholes, driving a trash truck and emptying trash barrels at different stops. He also performed snow removal.” (Dec. 5.) On June 8, 2015, the employee was struck by a vehicle while attending CDL school as required by his job. (Dec. 6.) The vehicle struck the employee’s right forearm, and may have also struck his right knee; nonetheless, on impact, the employee’s body twisted and turned, resulting in him twisting his right knee. (Dec. 6.) That same day, the employee went to the Faulkner Hospital where he was diagnosed as having sustained a contusion of the right wrist and strain of the right knee as a result of being struck by the vehicle. (Dec. 8.) The employee did not return to work after the accident, and on June 12, 2015, he sought treatment from Dr. Michael Mason for his right knee pain. Dr. Mason treated the employee for a prior workers’ compensation injury, but he “noted that the [right] ‘lateral knee pain is new.’ ” (Dec. 8.) The employee’s pain in the right knee worsened, and by July 9, 2015, Dr. Mason recommended an MRI of the right knee. (Dec. 8.)          On July 22, 2015, the employee filed a claim for weekly workers’ compensation benefits and medical treatment seeking benefits for injuries to his right knee and right wrist, sustained as a result of the accident on June 8, 2015. Rizzo v. M.B.T.A., 16 Mass. Workers’ Compensation Rep. 160, 161 n.3 (2002)(judicial notice taken of board file). On October 20, 2015, the claim was the subject of a § 10A conference before a different administrative judge. Box 10 of the parties’ Form 140 Conference Memorandum listed the “Nature and Cause of Injury” as “Employee was a pedestrian struck by a passing car in a MVA. Injured right wrist and right knee.” Rizzo, supra. The employee sought § 34 benefits from July 24, 2015,[1] and continuing, as well as “13 & 30 (right knee MRI).” Id. On October 21, 2015, the judge ordered the self-insurer to pay the employee § 34 benefits for the time period requested, as well as “Section 30 benefits to include payment for a right knee MRI.” (Dec. 2-3.) Both parties appealed, and on January 19, 2016, the employee was examined pursuant to § 11A(2), by Dr. George P. Whitelaw. Thereafter, the matter was assigned to the present judge for a de novo hearing because the judge who presided over the conference had retired.          Prior to the hearing, the self-insurer filed a motion to open the medical evidence, stating the impartial examiner’s report was inadequate because Dr. Whitelaw “opined ‘the right wrist [h]as gone on to heal without any consequences . . . [the employee] does need to have the MRI done of the right knee to give an evaluation as to what can be done for treatment and what his prolonged disability will be.” Furthermore, the self-insurer maintained that the employee had the MRI on March 30, 2016, but Dr. Whitelaw had not had an opportunity to review it prior to the examination. Rizzo, supra. The judge’s endorsement on that motion states, “motion allowed due to inadequacy & complexity. 3/1/17.” Id. ...

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