Lowman, 022317 ARWC, G600870

Case DateFebruary 23, 2017
CourtKansas
VICKI L. LOWMAN, EMPLOYEE CLAIMANT
M C EXPRESS, LLC, EMPLOYER RESPONDENT
ARKANSAS TRUCKING ASSOCIATION SI FUND/YORK RISK SERVICES GROUP, INC., INSURANCE CARRIER/TPA RESPONDENT
No. G600870
Arkansas Workers Compensation
Before the Arkansas Workers' Compensation Commission
February 23, 2017
         Hearing before Chief Administrative Law Judge David Greenbaum on January 13, 2017, at Jonesboro, Craighead County, Arkansas.           Claimant represented by Mr. Phillip J. Wells, Attorney-at-Law, Jonesboro, Arkansas.           Respondents represented by Mr. Guy Alton Wade, Attorney-at-Law, Little Rock, Arkansas.           DAVID GREENBAUM, Chief Administrative Law Judge.          STATEMENT OF THE CASE          A hearing was conducted on January 13, 2017, to determine whether the claimant sustained a compensable right shoulder injury arising out of and during the course of her employment with M C Express, resulting from an admitted work incident.          A prehearing conference was conducted in this claim on November 9, 2016, and a Prehearing Order was filed on November 9, 2016. At the hearing, the parties stated that the stipulations, the issues, as well as their respective contentions were correctly set out in the Prehearing Order, subject to a minor clerical correction concerning the applicable compensation rates. A copy of the November 9, 2016, Prehearing Order was introduced, without objection, as "Commission's Exhibit 1."          It was stipulated that the employee/employer/carrier relationship existed at all relevant times, including January 21, 2016; that the claimant sustained compensable injuries to her back and right arm as the result of a specific incident on said date; that she earned sufficient wages to entitle her to compensation rates of $628.00 per week for temporary total disability and $471.00 per week for permanent partial disability; and that respondents had controverted compensability of an alleged right shoulder injury as the result of the admitted work incident.          By agreement of the parties, the primary issue presented for determination was whether the claimant sustained a right shoulder injury as the result of the admitted incident. If overcome, claimant's entitlement to associated benefits must be addressed.          Claimant contended, in summary, that as a direct result of her fall on January 21, 2016, she sustained a right rotator cuff tear in her shoulder; that she was entitled to temporary total disability benefits for the period beginning June 17, 2016, and continuing through the present while maintaining that her healing period had not ended; that respondents should be held responsible for all medical and related treatment for the right shoulder, including, but not limited to surgery, together with continued, reasonably necessary medical treatment; and that a controverted attorney's fee should attach to any benefits awarded.          The respondents contended that the claimant did not sustain an injury to her right shoulder as the result of the admitted work accident and that any shoulder complaints pre-existed the work injury and were not the responsibility of respondents.          At the scheduled hearing, the claimant testified in her own behalf. Fred Fraser and Arlette Williams were called as witnesses by the respondent. The record is composed solely of the transcript of the January 13, 2017, hearing containing numerous exhibits.          From a review of the record as a whole, to include medical reports, documents and other matters properly before the Commission, and having had an opportunity to hear the testimony of the witnesses and to observe their demeanor, the following findings of fact and conclusions of law are made in accordance with Ark. Code Ann. §11-9-704:          FINDINGS OF FACT AND CONCLUSIONS OF LAW          1. The Arkansas Workers' Compensation Commission has jurisdiction over this claim.          2. The stipulations agreed to by the parties are hereby accepted as fact.          3. The claimant has proven, by a preponderance of the credible evidence, that in addition to her admitted injuries, she also sustained a right shoulder injury as the result of her slip and fall on January 21, 2016, entitling her to appropriate benefits for the right shoulder claim.          4. The claimant has proven, by a preponderance of the evidence, that she is entitled to temporary total disability benefits beginning June 17, 2016, and continuing through the date of the within hearing and until such time as her healing period is determined to have ended. The claimant's healing period had not ended as of January 13, 2017.          5. Respondents are responsible for all medical and related treatment as the result of the claimant's right shoulder injury, including, but not limited to right shoulder surgery, and respondents remain responsible for continued, reasonably necessary medical treatment.          6. Issues not addressed herein are specifically reserved.          DISCUSSION          The material facts in this claim are primarily undisputed. As reflected by the stipulations, and as will be set out further below, it is undisputed that the claimant sustained compensable injuries to her back and right arm as the result of a specific incident identifiable in time and place of occurrence when she slipped on some ice and fell, landing on her hands and knees. The incident was promptly reported to the employer. Further, respondents exercised good faith in meeting its obligations under our workers' compensation laws by providing the claimant with prompt, reasonably necessary medical treatment after she returned to Arkansas following a road-trip to multiple states as a truck driver for the employer herein. It is further undisputed that upon obtaining medical treatment from the company doctor, the claimant voiced complaints of pain in her low back and right arm, including complaints of numbness in the entire right hand going up her right arm. Subsequent medical treatment reflected that the claimant's complaints were related to a possible rotator cuff tear which was confirmed by an MRI, requiring surgical correction. Respondents maintained that the claimant's right shoulder injury was not the result of the admitted accident, but, rather related to a pre-existing work injury. However, the record reflects that the claimant's prior injury was a minor injury to the left shoulder rather than the right shoulder. All of the credible evidence of record reflects that the claimant's right shoulder injury was directly and causally related to the January 21, 2016, slip and fall.          The claimant, Vicki L. Lowman, testified in her own behalf. On and before January 21, 2016, the claimant worked for the respondent employer as an over-the-road truck driver. The claimant was employed by the respondent for approximately thirteen (13) years. The claimant stated that during the course of her employment, she had slipped on the ice several times previously. In fact, the claimant candidly acknowledged that she sustained a prior injury with the employer herein during 2013 when, "I slipped and landed on my butt and left shoulder, elbow." The claimant stated that the 2013 incident resulted in a workers' compensation claim; that following the incident, she missed approximately two (2) weeks of work, after which she returned to work for the employer herein without any further complaints and/or any physical limitations until January 21, 2016. (Tr.9-10)          The claimant's description of the January 21, 2016, incident, its prompt reporting, as well as the claimant's initial medical treatment, is set out below:
Q And if you would, in your own words describe to the Judge what happened on January the 21st of
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