Centeno v. Illinois Workers' Compensation Comm'n

2020 IL App (2d) 180815WC
CourtAppellate Court of Illinois
DecidedJuly 28, 2020
Docket2-18-0815WC
StatusPublished
Cited by4 cases

This text of 2020 IL App (2d) 180815WC (Centeno v. Illinois Workers' Compensation Comm'n) 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
Centeno v. Illinois Workers' Compensation Comm'n, 2020 IL App (2d) 180815WC (Ill. Ct. App. 2020).

Opinion

Digitally signed by Reporter of Decisions Reason: I attest to Illinois Official Reports the accuracy and integrity of this document Appellate Court Date: 2020.07.27 15:23:32 -05'00'

Centeno v. Illinois Workers’ Compensation Comm’n, 2020 IL App (2d) 180815WC

Appellate Court NELSON CENTENO, Appellant, v. THE ILLINOIS WORKERS’ Caption COMPENSATION COMMISSION et al. (Minute Men of Illinois, Appellee).

District & No. Second District, Workers’ Compensation Commission Division No. 2-18-0815WC

Filed March 30, 2020

Decision Under Appeal from the Circuit Court of Kane County, No. 18-MR-15; the Review Hon. Kevin T. Busch, Judge, presiding.

Judgment Affirmed in part and reversed in part. Cause remanded.

Counsel on Michael Lulay, of Lulay Law Offices, of Naperville, for appellant. Appeal Victor P. Shane, of Scopelitis, Garvin, Light, Hanson & Feary, of Chicago, for appellee. Panel JUSTICE HUDSON delivered the judgment of the court, with opinion. Presiding Justice Holdridge and Justices Hoffman, Cavanagh, and Barberis concurred in the judgment and opinion.

OPINION

¶1 Claimant, Nelson Centeno, filed an application for adjustment of claim pursuant to the Workers’ Compensation Act (Act) (820 ILCS 305/1 et seq. (West 2010)), seeking benefits for injuries he allegedly sustained on October 7, 2010, while in the employ of respondent, Minute Men of Illinois. Following a hearing pursuant to section 19(b) of the Act (820 ILCS 305/19(b) (West 2010)), the arbitrator found claimant’s injuries to be compensable and awarded him temporary total disability (TTD) benefits, reasonable and necessary medical expenses, and prospective medical care. The Illinois Workers’ Compensation Commission (Commission) reduced the award of medical expenses but otherwise affirmed and adopted the arbitrator’s decision and remanded the matter for further proceedings pursuant to Thomas v. Industrial Comm’n, 78 Ill. 2d 327 (1980). On judicial review, the circuit court of Kane County increased the weekly TTD rate but otherwise confirmed the Commission’s decision. Claimant filed a timely appeal to this court. We affirmed the judgment of the circuit court. Centeno v. Illinois Workers’ Compensation Comm’n, 2016 IL App (2d) 150575WC-U (Centeno I). ¶2 While Centeno I was pending in this court, claimant filed a “Petition for an Immediate Hearing” pursuant to section 19(b) of the Act (820 ILCS 305/19(b) (West 2016)). At the hearing on the section 19(b) petition, respondent elicited testimony from claimant, suggesting that he had been employed under two different identities. Thereafter, claimant’s attorney requested that the proceeding be bifurcated due to a “breakdown” in the attorney-client relationship that made him question whether he could ethically remain as claimant’s counsel. The arbitrator granted the request. When the hearing resumed a month later, claimant’s attorney announced that he would continue representing claimant but moved to withdraw the section 19(b) petition. The arbitrator denied the motion to withdraw and heard additional evidence. Ultimately, the arbitrator declined to award claimant any benefits subsequent to the first section 19(b) hearing. The Commission affirmed and adopted the decision of the arbitrator and remanded the matter for further proceedings pursuant to Thomas, 78 Ill. 2d 327. On judicial review, the circuit court confirmed the decision of the Commission. Claimant now appeals, arguing that, for various reasons, the Commission’s decision should be reversed. We affirm in part, reverse in part, and remand this matter to the Commission for further proceedings.

¶3 I. BACKGROUND ¶4 The evidence adduced at claimant’s initial arbitration hearing is set forth fully in this court’s decision in Centeno I, 2016 IL App (2d) 150575WC-U. We repeat that evidence here only to the extent necessary to provide an understanding of the events leading to this appeal and to place into context the issues raised by claimant. ¶5 On November 15, 2010, claimant filed an application for adjustment of claim pursuant to the Act, seeking benefits for injuries he allegedly sustained to his left foot, left leg, and back on October 7, 2010, while working for respondent. Claimant subsequently filed a petition for

-2- attorney fees and penalties pursuant to sections 16, 19(k), and 19(l) of the Act (820 ILCS 305/16, 19(k), (l) (West 2010)) and a petition for payment of prior unpaid medical bills and prospective medical care pursuant to section 8(a) of the Act (820 ILCS 305/8(a) (West 2010)). ¶6 The matter proceeded to a hearing pursuant to section 19(b) of the Act (820 ILCS 305/19b) (West 2010)) on September 7, 2012. The evidence presented at the arbitration hearing demonstrated that claimant sustained a fall at work on October 7, 2010. Claimant was diagnosed with a left ankle fracture, a sprain of the left knee, and a sprain/strain of the lumbar spine. Claimant sought treatment for his injuries from various medical professionals, including Dr. David Freeland (a chiropractor with West Chicago Chiropractic), Dr. Howard Freedberg (an orthopedic surgeon who mainly treated claimant’s left lower extremity), and Dr. Thomas McNally (an orthopedic surgeon who treated claimant’s back). On October 24, 2011, Dr. Freedberg released claimant from his care with light-duty restrictions relative to the left ankle injury. Thereafter, claimant continued to treat for his back with Dr. McNally, who determined that claimant’s back injury rendered him medically unable to work. Following the failure of conservative treatment, Dr. McNally recommended claimant undergo a lumbar discogram and possible fusion surgery. ¶7 At respondent’s request, claimant underwent an independent medical examination by Dr. G. Claud Miller, an orthopedic surgeon. Dr. Miller diagnosed low-back pain, most likely secondary to degenerative disc disease. Dr. Miller opined that while claimant may have suffered a lumbar sprain as a result of the work accident, the sprain should have resolved within two or three weeks and there was insufficient evidence to substantiate a causal relationship between claimant’s current condition of ill-being of his back and the work accident. Based on Dr. Miller’s evaluation, respondent disputed whether claimant’s low-back injury was causally related to the work accident. Respondent subsequently notified claimant by letter that because he had been released from treatment for his left ankle injury and the back injury was disputed, it would cease paying TTD benefits after November 3, 2011. Respondent also submitted claimant’s chiropractic treatment to a clinical peer report and utilization review by Dr. Reese Polesky, an orthopedic surgeon. Dr. Polesky opined that only six sessions of chiropractic treatment were appropriate. ¶8 Based on the foregoing evidence, the arbitrator found that claimant sustained accidental injuries arising out of and in the course of his employment and that his conditions of ill-being (including his back) were causally related to the accident. The arbitrator awarded claimant TTD benefits of $319 per week for 1001/7 weeks, from October 8, 2010, through September 7, 2012. The arbitrator also awarded claimant $97,243.01 as reasonable and necessary medical expenses and found that claimant was entitled to prospective medical care prescribed by Dr. McNally, “including the discogram and the fusion surgery should Dr.

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2020 IL App (2d) 180815WC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/centeno-v-illinois-workers-compensation-commn-illappct-2020.