Arthur G. McKee & Company v. Industrial Commission

537 P.2d 603, 24 Ariz. App. 218, 1975 Ariz. App. LEXIS 683
CourtCourt of Appeals of Arizona
DecidedJuly 10, 1975
Docket1 Ca-IC 1209
StatusPublished
Cited by5 cases

This text of 537 P.2d 603 (Arthur G. McKee & Company v. Industrial Commission) is published on Counsel Stack Legal Research, covering Court of Appeals of Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Arthur G. McKee & Company v. Industrial Commission, 537 P.2d 603, 24 Ariz. App. 218, 1975 Ariz. App. LEXIS 683 (Ark. Ct. App. 1975).

Opinions

OPINION

STEVENS, Judge.

The material facts in this case are undisputed. Jones C. Hobbs (claimant) received an industrially related injury on 5 October 1972. Shortly thereafter, he submitted to non-industrially related surgery. He was treated for his industrial injury by Harry R. Stoner, M.D., a general surgeon, and was sent to Stanley S. Tanz, M.D., an or[220]*220thopedic surgeon. The claimant was also examined by Lawrence M. Haas, M.D., another orthopedic surgeon. All of the doctors informed the claimant that he probably had a herniated nucleus pulposus at the L-5, S-l level on the left side. They advised him that he should undergo a myelographic study, and, if the result was positive, back surgery consisting of either a laminectomy or a possible fusion was recommended. The claimant was willing to undergo a myelogram, but refused the surgery unless he would be guaranteed a 100% recovery and the ability to return to his work as a boilermaker. He was told that even with surgery he would not be able to return to his occupation as a boilermaker.

There is only one question before this Court at this time, and that is whether the claimant’s refusal to submit to the recommended back surgery was unreasonable.

The hearing officer decided, on 28 May 1974, that the answer to this specific question was in the negative. On review, the question, was once again answered in the negative. It was then brought before this Court on a writ of certiorari.

The Arizona statutes that govern this situation are:

A.R.S. § 23-1026(E):
“Upon appropriate application and hearing, the commission may reduce or suspend the compensation of an employee who persists in unsanitary or injurious practices tending to imperil or retard his recovery, or who refuses to submit to medical or surgical treatment reasonably necessary to promote his recovery.”
A.R.S. § 23-1027:
“No compensation shall be payable for the death or disability of an employee if ' his death is caused by, or insofar as his disability may be aggravated, caused or continued by an unreasonable refusal or neglect to submit to or follow any competent and reasonable surgical treatment or medical aid.”2

There is no doubt that if the recommended surgery does not involve serious suffering or danger, is classified as a minor operation, and will reduce the functional impairment, that a refusal would be unreasonable. Foutz v. Phelps Dodge Corp., 72 Ariz. 350, 236 P.2d 42 (1951); Ujevich v. The Industrial Commission of Arizona, 42 Ariz. 276, 25 P.2d 273 (1933).

If an operation is a serious one, a refusal may be considered reasonable upon certain facts.3 Each case must be determined upon the particular facts presented. The facts here are that the operation that is recommended, a laminectomy or a possible fusion, is a major operation; that there is some risk involved in both the surgery and the general anesthetic; that success cannot be guaranteed; but that the odds are in his favor that surgery will produce a much improved back. It should also be noted that the claimant does have a history of previous back difficulties, and he had refused back surgery in 1955.

From the record it is apparent that the claimant did have a fear of this operation, and it was a justified fear.

Dr. Stoner testified:
" * * * Speaking in general terms, I must admit that the results from the sur[221]*221gery and the old type of degenerative back disease are not always satisfactory. I suspect that would be about the best way I could put it.”
Going on, Dr. Stoner was asked:
“Q. All right. Let me ask you another question, Doctor. Did you discuss with Mr. Hobbs the possible outcome regardless if you would defer to an orthopedist?
“A. Yes. I expressed the opinion which I just mentioned here that I felt that the results from this type of surgery — from my own experience have not — infrequently have been less than satisfactory.”
Dr. Tanz, the orthopedist, testified:
“Q. Did you advise Mr. Hobbs as to the probable and possible outcome of the —of either the laminectomy or the fusion?
“A. Yes, Sir.
"Q. What did you tell him ?
“A. I told him that I couldn't guarantee the results, but it’s possible that he might be worse. The odds were very good that he would be better, but it was a choice that he would have to make, and nobody could make it for him, and there’s no guarantee on it.”

There was also a medical report from Dr. Haas, which by stipulation, was incorporated into the evidence presented at the hearing. His conclusions were very similar to those of Dr. Tanz.

The claimant testified that he would submit to a myelogram, but not to the followup surgery. He stated, “too many guys I worked with didn’t recover with them [back operations] * * The claimant went on to explain his conversations with Dr. Tanz concerning the risks involved with the back operation:

“Q. What did he [Dr. Tanz] tell you about the risk of having back surgery?
“A. Well, he said some of them turn out good, and some of them don’t turn out good. Some of them go back to work and some don’t.”

The claimant did state that if he could be promised that he would be able to return to work and work seven more years, when he could get a pension, he would consider submitting to the operation.

The doctors also agreed that since the claimant refused the surgery, there was no reason to perform the pre-operative procedure known as a myelographic study, because the myelogram carries with it some risk and its main purpose is to determine whether surgery is necessary in the individual case. Here, where no matter what the myelogram disclosed as to whether surgery should be performed, surgery was not going to be performed because the claimant refused. Therefore, the usefulness of the myelogram is negative.

The majority of the decided cases have held that it is reasonable for a claimant to refuse to submit to back surgery for a spinal fusion of other medical spinal operations.

The Supreme Court of Oklahoma has held the rule to be that:

“The State Industrial Commission is without jurisdiction to order the injured employee to submit to a major operation involving a risk of life, however slight, merely in order that the pecuniary obligations created by law in his favor against his employer may be minimized.” Monday v. Concho Sand & Gravel Company, 332 P.2d 965, 967 (Okl.1958)

The Supreme Court of Colorado has ruled that:

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Arthur G. McKee & Company v. Industrial Commission
537 P.2d 603 (Court of Appeals of Arizona, 1975)

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Bluebook (online)
537 P.2d 603, 24 Ariz. App. 218, 1975 Ariz. App. LEXIS 683, Counsel Stack Legal Research, https://law.counselstack.com/opinion/arthur-g-mckee-company-v-industrial-commission-arizctapp-1975.