Berthelot v. Mountain Area Health Education Center

CourtNorth Carolina Industrial Commission
DecidedJuly 12, 2010
DocketI.C. NOS. 693582 764219.
StatusPublished

This text of Berthelot v. Mountain Area Health Education Center (Berthelot v. Mountain Area Health Education Center) is published on Counsel Stack Legal Research, covering North Carolina Industrial Commission primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Berthelot v. Mountain Area Health Education Center, (N.C. Super. Ct. 2010).

Opinion

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The Full Commission has reviewed the prior Opinion and Award based upon the record of the proceedings before the Deputy Commissioner and the briefs and arguments of the parties. The appealing party has not shown good grounds to reconsider the evidence, receive further evidence, or rehear the parties or their representatives. Having reviewed the competent evidence of record, the Full Commission adopts the Opinion and Award of Deputy Commissioner Homick with minor modifications.

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The Full Commission finds as fact and concludes as matters of law the following, which were entered into by the parties as: *Page 2

STIPULATIONS
1. All parties are properly before the Industrial Commission, and the Industrial Commission has jurisdiction over this matter.

2. All parties are subject to and bound by the North Carolina Workers' Compensation Act.

3. All parties have been properly designated, and there is no question as to joinder or non-joinder of parties.

4. I.C. File No. 693582 is an admittedly compensable claim for a December 8, 2006 injury, at which time The Hartford was the carrier on the risk.

5. Following plaintiff's return to work for defendant-employer in February 2007, Farmington Casualty Company/Travelers assumed the insurance coverage.

6. Plaintiff alleges to have sustained an injury on April 17, 2007.

7. Both carriers, Farmington Casualty Company/Travelers and The Hartford, denied compensability of the April 17, 2007 claim (I.C. File No. 764219).

8. Upon Motion of defendant-carrier The Hartford, defendant-carrier Farmington Casualty Company/Travelers was added as a necessary party to the original claim (I.C. File No. 693582) by Order dated July 6, 2007.

9. On or about November 27, 2007, plaintiff filed a Motion to commence payment of benefits by The Hartford.

10. By Order dated January 29, 2008, The Hartford was ordered to pay benefits subject to a full credit should The Hartford prevail after full evidentiary hearing.

11. Pursuant to the Order of January 29, 2008, The Hartford paid benefits to plaintiff retroactive to April 17, 2007 through June 9, 2008. *Page 3

12. Total benefits paid by The Hartford pursuant to the Order of January 29, 2008 total $7,419.52.

13. An employment relationship existed between the plaintiff and defendant-employer during some or all of the time period of the previous paragraphs.

14. Plaintiff was out of work in connection with these claims from August 14, 2007 to September 17, 2007 and again from March 31, 2008 through August 19, 2008. As of August 20, 2008, plaintiff returned to work for defendant-employer.

15. The parties stipulated to the admissibility of the following documents, which were received into evidence:

• Exhibit 1: Pre-Trial Agreement;

• Exhibit 2: Compilation of documents including Industrial Commission Forms, Motions and Orders, Discovery Responses, Recorded Statement, Employment Records and Medical Records (consecutively paginated from 1-420);

• Exhibit 3: January 29, 2008 Order of the Executive Secretary of the Industrial Commission;

• Exhibit 4: April 18, 2007 Recorded Statement; and

• Exhibit 5: Log Notes from The Hartford.

In addition, plaintiff introduced Exhibit 1, a one-page document containing two photographs of plaintiff's legs, which was received into evidence.

16. The stipulated issues for determination by the North Carolina Industrial Commission are as follows: *Page 4

a. Whether plaintiff suffered a compensable injury by accident arising out of and in the course and scope of her employment on April 17, 2007?

b. If so, to what benefits, if any, is plaintiff entitled?

c. Which carrier is responsible for payment of any benefits?

d. To the extent The Hartford is deemed entitled to a credit for benefits already paid, to what amount of credit is The Hartford entitled?

Defendant-carrier Farmington's additional issue for determination is whether The Hartford should be sanctioned and/or compelled to pay attorney's fees and costs for defendant-carrier Farmington for its denial of plaintiff's claim?

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Based upon the competent evidence of record, the Full Commission makes the following:

FINDINGS OF FACT
1. At the time of the hearing before the Deputy Commissioner, plaintiff was 61 years old. Also at the time of the hearing before the Deputy Commissioner, plaintiff had worked for defendant-employer for approximately 22 years as a business office supervisor.

2. Prior to the injuries that are the subject of this claim, plaintiff had a history of knee problems and had treated with Dr. Paul L. Saenger, an orthopedic surgeon, since approximately 2001 or 2002. Dr. Saenger performed an arthroscopic procedure on plaintiff's left knee in 2002, which revealed torn cartilage in one of the meniscal cushions and evidence of degenerative arthritis. Plaintiff also had a total right knee replacement for degenerative arthritis and two subsequent surgical procedures on the right knee.

3. On December 5, 2006, plaintiff had a non-work related fall. Medical records from that date indicate that plaintiff fell because her eyes were dilated following an *Page 5 ophthalmology appointment. Dr. David Mouw, an internist with defendant-employer, treated plaintiff on the day of the fall. Plaintiff reported to Dr. Mouw that she fell on her knees and outstretched hands but that her sorest spot was her right wrist. Dr. Mouw observed that plaintiff had bruises and developing hematomas on both knees and expected bruising and discoloration to develop and settle into her feet.

4. Three days later, on December 8, 2006, plaintiff injured herself at work when she was stepping out of an elevator that had not properly leveled. Plaintiff tripped and fell to the ground, landing first on her left knee and then on her right knee. X-rays taken at defendant-employer's facility on December 8, 2006 did not reveal any acute findings, only mild degenerative changes in the left knee. A comparison of the x-rays taken on December 8, 2006 with x-rays taken of the same area one year earlier showed no significant changes.

5. Defendant-carrier The Hartford was the carrier on the risk at the time of the December 8, 2006 injury, and it accepted plaintiff's claim as compensable.

6. On December 12, 2006, plaintiff presented to Dr. Suzanne Landis, an internist who works for defendant-employer, who diagnosed plaintiff with a traumatic left leg hematoma. Dr. Landis observed that plaintiff had a large ecchymosis, or bruising, which extended from her left knee down to about six inches above her ankle.

7. At her subsequent visit on December 18, 2006, Dr. Landis opined that, although plaintiff's ecchymosis had improved, plaintiff had developed a tender, warm and swollen area over her left patella. As a result, Dr. Landis recommended a referral to an orthopedic surgeon.

8. On January 9, 2007, plaintiff presented to Dr. Paul L. Saenger, the orthopedic surgeon who had performed her previous knee surgeries. Dr. Saenger noted that plaintiff had anterior knee contusions, left greater than right, with resolving bruising and hematoma. Dr. *Page 6

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Bluebook (online)
Berthelot v. Mountain Area Health Education Center, Counsel Stack Legal Research, https://law.counselstack.com/opinion/berthelot-v-mountain-area-health-education-center-ncworkcompcom-2010.