Carr v. Unit No. 8169/Mid-Western Distribution

703 P.2d 751, 237 Kan. 660, 1985 Kan. LEXIS 433
CourtSupreme Court of Kansas
DecidedJuly 26, 1985
Docket56,731
StatusPublished
Cited by6 cases

This text of 703 P.2d 751 (Carr v. Unit No. 8169/Mid-Western Distribution) is published on Counsel Stack Legal Research, covering Supreme Court of Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Carr v. Unit No. 8169/Mid-Western Distribution, 703 P.2d 751, 237 Kan. 660, 1985 Kan. LEXIS 433 (kan 1985).

Opinion

The opinion of the court was delivered by

Schroeder, C.J.:

This is an appeal by an employer (Unit No. 8169/Midwestern Distribution) and its insurer (Excalibur Insurance Company) (appellants) from a workers’ compensation award to an employee, Leroyce S. Carr II (claimant-appellee). The administrative law judge granted an award to claimant for 15% permanent partial disability due to his injuries and for medical treatment, but denied payment of a hospital bill which claimant asserted was incurred due to an overdose of pain killers which had been prescribed to him for his injuries. The Director of the Division of Workers’ Compensation adopted the award, but amended it to include payment of the hospital bill. The District Court of Shawnee County affirmed the award as *661 amended by the Director. The Court of Appeals, in an unpublished opinion dated January 17, 1985 reversed the district court as to the award of any permanent partial disability, but affirmed the award of medical treatment and the payment of the hospital bill.

The appellants petitioned this court for review. Appellants claim it was error for the court to allow the award of medical treatment and payment of the hospital bill because, due to misleading and deceptive representations made by the claimant, there was not substantial competent evidence to support the award. We granted review.

On January 6, 1981, claimant received injuries arising out of and in the course of his employment with Midwestern Distribution as a truck driver. The accident occurred when the truck in which claimant was riding turned on its side after striking a cow. Claimant suffered a fractured sacrum, a fracture of the right eighth rib, injury to his right wrist (either a fracture or a sprain on top of a previous fracture), some musculoligamentous injury generally to the back, arms and legs, as well as multiple contusions and abrasions. Claimant received voluntarily paid temporary disability from the date of his accident through July 27, 1981.

In March of 1981, claimant filed a written claim for workers’ compensation. A preliminary hearing was held on October 20, 1981, wherein claimant testified he could not depress his right ankle to perform the function of accelerating and braking, and that he was unable to shift gears with his right wrist. The special administrative law judge granted temporary total disability compensation and ordered appellants to pay at the rate of $139.60 per week from September 15, 1981. The appellants were also ordered to pay claimant’s medical expenses until further court order.

At the regular hearing, held on May 25, 1982, claimant carried a cane and continued to maintain that his injuries rendered him unable to shift gears or operate the accelerator pedal of a truck. He stated he did not believe he could pass a physical examination to obtain a commercial license in order to drive a truck. He stated further he was unable to work for any trucking company.

In October of 1982, it was discovered that the claimant had been misrepresenting his inability to work. When claimant was *662 deposed, he admitted that he had gone to work driving a truck for a Texas company in July of 1981 — the same month his voluntarily paid workers’ compensation had ended — until January of 1982, at which time he was laid off. He testified that he only drove short runs of 116 miles and that he was in pain the entire time he was driving. He said after he had been driving for about 40 miles his foot would start shaking. Claimant acknowledged that he had continued to see his doctor during this time, but did not tell him he was back working full time. He said he had lied in the earlier hearing because he had been in desperate need of money to support his family. He emphasized that he had never lied about how much pain he had suffered.

Claimant also testified he had renewed his commercial driver’s license in September of 1981. He assumed he represented that he was in good physical condition when he filled out his application for renewal.

In June of 1982, claimant began driving a truck intermittently for Joe Lykes. During the time claimant worked for Mr. Lykes, according to Lykes’ testimony, claimant never used a cane or gave any indication of physical disability. On October 1, 1982, claimant made a credit application and represented that he had worked for Joe Lykes as a truck driver for three years, and that he made approximately $2,000 a month. The purpose of the loan was to cover claimant’s expenses until he received his workers’ compensation.

On the basis of the foregoing testimony, temporary total disability was terminated effective October 25, 1982.

Claimant next testified at a hearing held on January 14, 1983. He claimed that he continued to suffer pain from his injuries. He testified that in October of 1982, he took an overdose of pain pills, which resulted in a rather costly hospital bill. Claimant stated as follows:

“I was in pain, and I took two or three of them, and it didn’t seem to help, so I took four or five more, I guess. I don’t know. I had to go to the hospital, to the Lubbock General, and they’ve got a bill for $2,142.25 with the ambulance.”

Claimant introduced the hospital bill, but the administrative law judge did not admit it due to lack of foundation. Claimant’s testimony about the bill and why it was incurred was allowed to stand despite refusal to admit the bill itself.

Following this hearing, in March of 1983, the administrative *663 law judge found claimant to be 15% permanently partially disabled, but totally disallowed the October 21, 1981, order for temporary total disability compensation and ordered that the appellants be reimbursed from the Workers’ Compensation Fund. In regard to claimant’s medical expenses, the administrative law judge found:

“Notwithstanding the fact that claimant returned to work, it is found that claimant was in need of medical treatment as provided by all of claimant’s doctors, including Dr. Gordon. It does not appear from the evidence that any of the medical treatment claimant received was unwarranted, unreasonable or unnecessary. Therefore, those medical bills which have been introduced into evidence should be paid by the respondent .... This does not include the medical expenses for claimant’s hospitalization of October 25, 1982, due to his alleged overdose. There is insufficient evidence to conclude that this treatment was an ordinary and necessary result of claimant’s accident of January 6, 1981.”

The Director of Workers’ Compensation modified the order, finding that the excess temporary disability benefits should have been deducted from the balance of compensation due claimant rather than reimbursed from the Workers’ Compensation Fund. The Director further modified the order as to the hospital bill, Stating: .

“The Director finds that the medical expenses for claimant’s hospitalization of October 25,1982, should be paid as ordinary medical expenses in this claim. The hospitalization was due to an accidental overdose by claimant, according to claimant’s testimony, and is therefore compensable.

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Cite This Page — Counsel Stack

Bluebook (online)
703 P.2d 751, 237 Kan. 660, 1985 Kan. LEXIS 433, Counsel Stack Legal Research, https://law.counselstack.com/opinion/carr-v-unit-no-8169mid-western-distribution-kan-1985.