No. 05273893 (2002). EMPLOYEE: Judith Fallon.
Case Date | September 26, 2002 |
Court | Massachusetts |
Massachusetts Workers Compensation
2002.
No. 05273893 (2002).
EMPLOYEE: Judith Fallon
COMMONWEALTH OF MASSACHUSETTS
DEPARTMENT OF INDUSTRIAL ACCIDENTS EMPLOYEE: Judith Fallon EMPLOYER: Department of
Revenue INSURER: Commonwealth of MassachusettsBOARD NOS. 05273893, 04620596REVIEWING BOARD DECISION (Judges McCarthy, Levine and Maze-Rothstein)APPEARANCES
Judson L. Pierce, Esq., for the employee
Arthur Jackson, Esq., for the self-insurer
MCCARTHY, J. The self-insurer appeals
from a decision in which an administrative judge awarded the employee temporary
total incapacity benefits for a 1996 recurrence of an accepted 1993 industrial
injury. For the reasons that follow, we reverse the decision, and recommit the
case to the administrative judge for further proceedings and decision anew.
On December 13, 1993, Ms. Fallon injured her back while pulling
files from a file drawer at work. She was paid weekly temporary total
incapacity benefits while out of work for six months. She then returned to work
part-time, while receiving partial incapacity benefits. On November 20, 1996,
the employee slipped and fell on metal stairs in a garage. She experienced
severe back pain, and also injured her hip and ankle. She has not worked since
that time. (Dec. 3.)
The self-insurer resisted the employee's claim for benefits as a
result of a new injury on November 20, 1996, and payment was denied at the
§ 10A conference on August 6, 1997. The employee appealed that conference
order, but later withdrew the appeal prior to the hearing. The employee then
filed a new claim for compensation benefits in the alternative, due either to
the 1996 incident, or a recurrence of the incapacity as a result of the 1993
industrial injury. That claim was conferenced on March 1, 2000, and was
likewise denied. The employee appealed to a full evidentiary hearing. (Dec. 2.)
Mark M. Berenson, M.D., an orthopedic surgeon, did an impartial
medical examination of Ms. Fallon under § 11A on May 18, 2000. Doctor
Berenson's report is the only medical evidence in the case. The impartial
physician diagnosed the employee as suffering from "irritation of underlying
degenerative disc disease of the lumbar spine with chronic low back pain, all
related to the injury in 1993 . . . exacerbated by the injury on November 20,
1996." (Dec. 4, quoting Impartial Medical Report.) The doctor opined that the
employee had a permanent partial disability, and could gradually return to
restricted work.
The judge determined that the employee's claim for the 1996
injury was barred by res judicata under the rule of Cerasoli v. Hale Dev., 13
Mass. Workers' Comp. Rep. 267 (1999). (Dec. 5.) In that case, the reviewing
board held that an...
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