Burd v. Industrial Commission

566 N.E.2d 35, 207 Ill. App. 3d 371, 152 Ill. Dec. 507, 1991 Ill. App. LEXIS 75
CourtAppellate Court of Illinois
DecidedJanuary 17, 1991
Docket3-89-0529WC
StatusPublished
Cited by15 cases

This text of 566 N.E.2d 35 (Burd v. Industrial Commission) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Burd v. Industrial Commission, 566 N.E.2d 35, 207 Ill. App. 3d 371, 152 Ill. Dec. 507, 1991 Ill. App. LEXIS 75 (Ill. Ct. App. 1991).

Opinions

JUSTICE WOODWARD

delivered the opinion of the court:

Claimant, Larry Burd, appeals from an order of the circuit court of Peoria County confirming the decision of the Illinois Industrial Commission (Commission) denying claimant fees for services rendered by his fiancee and denying him attorney fees for delay and unfairness in the payment of benefits to claimant.

On July 11, 1986, claimant was injured in a work-related accident which rendered him a paraplegic. At the time of his accident, claimant lived with his fiancee, Emily Purtscher (Emily), in a two-bedroom house claimant had purchased a year or so before and to which he was planning to make improvements. The value of the house in 1987 was $6,000. At the arbitrator’s hearing, which was held pursuant to section 19(b — 1) of the Workers’ Compensation Act (Act) (Ill. Rev. Stat. 1987, ch. 48, par. 138.19(b — 1)), the following pertinent evidence was presented.

Dr. Thomas E. Szymke, who practices exclusively in the field of physical medicine and rehabilitation, testified that he became claimant’s primary care physician following claimant’s surgery until claimant’s discharge from the hospital on October 8, 1986. Dr. Szymke was an employee of the Institute of Physical Medicine. He directed an occupational therapist to evaluate claimant’s house. As a result of the evaluation, Dr. Szymke prescribed nine modifications which would be necessary in order for claimant to live independently in his house. Later, two additional modifications were added to the list. Prior to claimant’s discharge from the hospital, the only modification made was the installation of a hand-held shower hose. An October 10, 1986, progress report from Barbara Senn, a nurse at the institute in charge of communications with State Farm, the insurance carrier, indicated that State Farm authorized a rental wheelchair, bathroom equipment, and a portable ramp.

According to Dr. Szymke, with the modifications to the house he prescribed, claimant could live independently with no need for nursing care or help in entering or exiting the house.

Dr. Szymke was then questioned by claimant’s attorney as follows:

“Q. In viewing the home and modifications, did you reach an opinion as to whether that house is modifiable on a permanent basis or a temporary basis?

A. I think some common sense would have to enter into this whole discussion. I mean, after — *** it would certainly seem more optimal, most optimal, to have a domicile that could be modified that would add to the value of the home so that if it was sold it would be in such an environment and neighborhood that the money, the equity would then be applied to another domicile so one would want to pick a nice home in a good neighborhood, low end house that would have the modifications and bring it up to the other high quality homes in the neighborhood so it’s not thousands of dollars above but it would be at that level. And it would take a lot of looking, but they’re out there. It’s not an impossible thing.”

Dr. Szymke also acknowledged that he had not visited claimant’s house and that he was aware of a report dated September 22, 1986, in which one of his therapists expressed concern about making repairs and modifications to the home in relation to its value.

Dr. Szymke was also of the opinion that claimant could not exist in his house without assistance provided by either a home care service or a “significant other.” He defined “significant other” as either a “girlfriend” or a “wife,” or a “fiancee, it’s whoever that person is in your life who’s significant.” Dr. Szymke explained that the duties of the “significant other” in claimant’s case would include assisting the claimant out of the house in case of an emergency, assisting with baths and showers, or anything else that was necessary due to the fact that the modifications he had prescribed had not been made to the residence. He also related that while claimant had been receiving assistance from Quality Care, those services were being terminated as of the date of the arbitrator’s hearing. In light of that, Dr. Szymke recounted as follows:

“[Claimant] needs to be in an accessible environment, and without the accessible environment either a significant other or friend or relative or somebody is going to have to be there or he is in danger.”

Emily Purtscher, claimant’s fiancee, testified as follows. She has known claimant for four years. She and her four-year-old daughter, Chris, moved in with claimant in October 1985. In December 1985, claimant and she became engaged to be married. She is presently employed by her father at Purtscher Cement. Since the claimant returned home from the hospital in October 1986, she has spent a total of 3,012 hours with him. Those figures exclude the time she is employed, when the Quality Care person is there, trips to Chicago that claimant made, and his physical therapy.

According to Emily, she has to assist claimant to exit and enter the house because he cannot manage the portable ramps by himself. She also assists him with bathing. She does the laundry, the cooking, and takes out the garbage. She also assists claimant in putting his socks and shoes on when his legs become swollen, about three or four times per week. Claimant washes the dishes and puts the laundry away, although he cannot put Chris’ clothes away because the hallway is too narrow. Emily also puts the clean dishes away because claimant cannot reach the cabinets. Although he cannot run the sweeper, he has the house cleaned by the time she returns home. Before they had Quality Care Services, she would call every 10 to 15 minutes to make sure claimant was all right, or she would return home during the day for a short visit.

Michael Bynum, a workers’ compensation supervisor for State Farm Insurance Company, testified that it was the opinion of the insurance carrier that the Act (section 8(a)) did not provide for home modifications.

Following the hearing, the arbitrator made the following findings pertinent to our review of this case in her decision of March 11, 1987. The arbitrator found that home care service was reasonable and necessary and ordered the employer to pay the bill for Quality Care. However, she further found that Emily was not entitled to payment for the hours spent caring for the claimant, since she had occupied the same residence as the claimant prior to the injury and had continued to work full time after his injury. The arbitrator also found that penalties for nonpayment of medical bills or necessary maintenance were not appropriate “at this time.”

On review of the arbitrator’s decision, the Commission found in its decision of August 1, 1987, that the evidence that claimant required either home modifications or 24-hour-per-day care was unrebutted and that Emily was not obligated to provide the home care. The Commission, inter alia, awarded $21,924 for the services of Emily. The Commission further found that State Farm had been guilty of delay and unfairness in the payment of benefits due claimant and awarded claimant attorney fees in the amount of $366.13 (20% of $1,830.63 in unpaid bills of Quality Care).

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Burd v. Industrial Commission
566 N.E.2d 35 (Appellate Court of Illinois, 1991)

Cite This Page — Counsel Stack

Bluebook (online)
566 N.E.2d 35, 207 Ill. App. 3d 371, 152 Ill. Dec. 507, 1991 Ill. App. LEXIS 75, Counsel Stack Legal Research, https://law.counselstack.com/opinion/burd-v-industrial-commission-illappct-1991.