Kempinski, 121418 WIWC, 2016-014022

Case DateDecember 14, 2018
CourtWisconsin
Kathy M. Kempinski Applicant
Hoffmaster Group, Inc. Employer
Sentry Insurance, A Mutual Co. Insurer
Nos. 2016-014022, 2017-005939
Wisconsin Workers Compensation
State of Wisconsin Labor and Industry Review Commission
December 14, 2018
          Atty. Samuel J. Bomier           Atty. James E. Panther           WORKER’S COMPENSATION DECISION 1           Georgia E. Maxwell, Chairperson.          Interlocutory Order          The commission affirms the decision of the administrative law judge. Accordingly, within thirty (30) days of the date of this order, the respondent shall pay:
1. To the applicant, as compensation, the sum of ten thousand, three hundred ninety-eight dollars and twenty-four cents ($10,398.24); and, as reimbursement for out-of-pocket medical expenses, the sum of seven hundred fifty dollars and sixty-four cents ($750.64).
2. To the applicant's attorney, Samuel J. Bomier, as fees, the sum of two thousand, six hundred eighty-three dollars and seventy-five cents ($2,683.75); and, for costs, three hundred thirty-six dollars and seventy-seven cents ($336.77).
3. For the applicant’s medical treatment expenses: to Dickinson County Healthcare, the sum of two hundred fifty-five dollars and eighty-cents ($255.80); to Bellin Health, the sum of four hundred sixty-nine dollars ($469.00); to BayCare Clinic, the sum of three hundred forty-two dollars ($342.00); to Ameritox, the sum of one thousand, one hundred eighty dollars ($1,180.00); and to Badger Care, the sum of five hundred sixteen dollars and seventy-five cents ($516.75).
4. The reasonable costs associated with the C5-7 fusion procedure recommended by Dr. Harrison, together with any related consultations, tests, and medical expenses, provided the applicant undertakes the surgery in a timely manner.
         Jurisdiction is reserved with respect to any unpaid and future medical treatment expense reasonably required by the work injury; and with respect to the possibility of additional temporary or permanent disability that is demonstrated to have been sustained as a result of the work injury.          By the Commission:           Laurie R. McCallum, Commissioner, David B. Falstad, Commissioner.          Procedural Posture          This case is before the commission to consider the applicant’s entitlement to worker’s compensation benefits. The applicant filed a hearing application in February of 2017, alleging an injury to her left shoulder and neck. The employer and its insurer (collectively, the respondent) conceded jurisdictional facts and an average weekly wage of $509.57. An administrative law judge for the Department of Administration, Division of Hearings and Appeals, Office of Worker’s Compensation Hearings, heard the matter on July 26, 2017, and issued a decision on December 18, 2018, finding that the applicant sustained an occupational neck injury, and awarding benefits and a prospective order for a cervical discectomy and fusion. The respondent filed a timely petition for commission review.          The commission has considered the petition and the positions of the parties and has independently reviewed the evidence submitted at the hearing. Based on its review, the commission affirms the decision of the administrative law judge.          Findings of Fact and Conclusions of Law          The commission makes the same findings of fact and conclusions of law as stated in the decision of the administrative law judge and incorporates them by reference into the commission’s decision.          Memorandum Opinion          The applicant, who was born in 1968, worked as a general laborer for the employer for about eighteen months. In February of 2015, she injured her left shoulder and neck when she was pulling two heavy gaylords at a time (huge boxes with rejected product that weighed more than 100 pounds) using hand jacks.2 She treated for the injuries and did physical therapy; she did not miss any work and ultimately returned to work with no restrictions.3 The respondent conceded this injury. In February of 2016 the applicant started a new position packing boxes of napkins and after about a week of doing the new duties she experienced the onset of pain in her left shoulder and neck similar to the symptoms she had had the previous year. The applicant contends that she sustained an occupational injury to her cervical spine arising out of her employment. The respondent disputes that the applicant sustained an injury to her cervical spine on either a traumatic or occupational basis.          The Applicant's Injury and Treatment          According to the applicant, prior to the injury in 2015 she had not had any left shoulder or neck problems.4 She began to work for the employer through a temporary agency about a year before the employer hired her as a permanent employee.[5] In February of 2015, the applicant was pulling on two gaylords that weighed about 100 pounds each6 and injured her left shoulder and neck area.7 She treated for her injury and returned to work with no restrictions.8 The applicant testified that after she returned to work in 2015, she occasionally had times with pain in her left shoulder and left neck, but she treated it herself.9          In late February of 2016, the applicant was working as a napkin assistant or helper on a new machine to put packages of napkins into boxes. Three people usually worked on the machine at one time. She would have to get packages off the line and put them in boxes. Someone else was supposed to take the boxes and stack them up, but if that person had other obligations, the applicant would take the boxes down; according to the applicant, when filled, the boxes weighed approximately 40 pounds.10          The applicant did the job for about a week and a half but felt pain after about the third day.11 She indicated that towards the end of the week she was picking up the boxes more often than the other person that was helping her out.12 She indicated that at the beginning she only had to lift the boxes occasionally, but there were a lot of times she had to move the boxes after they were full because the other person was not there.13 The applicant thought that lifting the boxes up when they were full and twisting to stack them was what had caused her injury.14 She indicated that she was lifting the boxes repetitively, but not constantly.[15] The applicant is 5 feet tall and had to reach about three feet in front of her when she was lifting the boxes.[16] The boxes would be filled about every 15 minutes, so she would be lifting a box every 15 minutes.17 When she did not have help, she would lift the boxes all day long.[18]          The employer’s safety manager testified that the job that the employer ran on February 26 was for dinner napkins.19 There is some inconsistency in how big the boxes were and how much they weighed. The safety manager indicated that the shop order for that day required a case 13 inches tall by 24 inches wide that weighed about 40 to 43 pounds.20 However, the safety manager did not check for any orders other than the specific day the applicant reported the injury.21 She had seen the...

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