Christian Urias v. Winkler's, Inc.

CourtCourt of Appeals of Virginia
DecidedDecember 13, 2011
Docket0828114
StatusUnpublished

This text of Christian Urias v. Winkler's, Inc. (Christian Urias v. Winkler's, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Christian Urias v. Winkler's, Inc., (Va. Ct. App. 2011).

Opinion

COURT OF APPEALS OF VIRGINIA

Present: Judges Haley, Beales and Alston Argued at Alexandria, Virginia

CHRISTIAN URIAS MEMORANDUM OPINION ∗ BY v. Record No. 0828-11-4 JUDGE JAMES W. HALEY, JR. DECEMBER 13, 2011 WINKLER’S, INC. AND AMERICAN HOME ASSURANCE COMPANY

FROM THE VIRGINIA WORKERS’ COMPENSATION COMMISSION

Diane C.H. McNamara for appellant.

Alex M. Mayfield (John H. Carstens; Jordan Coyne & Savits, LLP, on brief), for appellees.

I. INTRODUCTION

Christian Urias appeals two adverse decisions of the Workers’ Compensation

Commission. The first decision terminated his benefits based on a release to pre-injury work.

The second decision denied Urias benefits from a change in condition on the ground that he had

failed to prove adequate marketing of his residual capacity. Urias argues the commission erred

in (1) failing to find the deputy commissioner should have recused herself for numerous reasons,

including a claim that the commission’s procedures regarding recusal do not comport with due

process, (2) holding the evidence supported a release to pre-injury work, (3) determining Urias

failed to adequately market his residual capacity where estoppel principles and a failure to

provide vocational rehabilitation prevent this finding, (4) failing to consider whether the deputy

∗ Pursuant to Code § 17.1-413, this opinion is not designated for publication. commissioner should have allowed him to use a marketing log at a hearing, and (5) finding the

deputy commissioner acted properly in denying him a hearing after a commission remand. We

affirm.

II. BACKGROUND

We recite only those facts necessary to the disposition of this appeal.

Urias sustained a severe work-related injury on July 23, 2007, which required multiple

surgeries and temporarily rendered him paraplegic. He was transferred to rehabilitation at Inova

Mount Vernon Hospital. In a discharge note on October 10, 2007, it was stated that Urias should

soon schedule appointments with Dr. Hymes, Dr. Dwyer, and Dr. Jebraili. He was to see

Dr. Ganjei a short time later. Urias then went to another rehabilitation center for further therapy.

Dr. Ganjei evaluated Urias on October 29, 2007, and noted “remarkable progress since

his original injury,” although Urias continued to experience difficulties. Dr. Ganjei found Urias

capable of returning home and continuing rehabilitative therapy on an outpatient basis. Urias

was “unable to return to his previous work at this time,” but could “participate in a full time

sedentary type of work.”

On December 3, 2007, Dr. Ganjei again noted “good progress” from therapy. Urias did

have problems with urinary incontinence, and Dr. Ganjei advised him to consult a urologist. On

January 14, 2008, Dr. Ganjei stated Urias made “steady progress” from participation in a work

hardening program and that his urinary incontinence “is resolving.” Dr. Ganjei advised him to

continue in the work hardening program.

On February 11, 2008, Dr. Ganjei wrote that Urias was “doing well” in the work

hardening program. Furthermore, Urias’ urinary problems had improved from medication,

though Urias was under the care of another physician for those issues. Dr. Ganjei recommended

Urias continue with work hardening. Urias’ situation had improved still further by March 10,

-2- 2008, when Dr. Ganjei said there was “no objective reason that would prevent him from

participating in a full-time modified duty work.” When Urias saw Dr. Ganjei on May 5, 2008,

he had started working part time and reported “no difficulties during the times at work.”

On June 23, 2008, Dr. Ganjei stated Urias “had completed his outpatient work hardening

program,” was “working full time full duty as a welder,” and “reports no difficulties performing

his full time full duty work.” This was in spite of “occasional urinary incontinence.” Dr. Ganjei

wrote he would “see Mr. Urias on an as needed basis.” Dr. Ganjei completed a work status

certificate stating Urias could perform normal work, but if there was any doubt an “on the job

eval[uation] is indicated.”

Throughout the treatment, Dr. Ganjei consistently indicated he reviewed the records from

the work hardening program Urias attended.

Urias underwent a functional capacity evaluation on November 15, 2007, to begin the

work hardening program. During the testing, Urias showed himself capable of medium level

work. It was also noted Urias could have problems “where bathrooms were not readily

available.” Nonetheless, the prognosis for recovery was favorable: “Prognosis for return to

previous full duty work is fair to good, provided there is sufficient improvement . . . to allow him

to safely work at heights. It is expected that his independent personality and strong motivation to

return to his previous profession will be an asset . . . in the rehabilitation process.”

Urias improved during involvement in the program. For instance, on February 11, 2008,

it was noted that he performed six hours of work activities and that he “should benefit from

continuing the program.” On March 3, 2008, it was stated that Urias “continues to demonstrate

good potential to meet the job requirement” of his profession. By March 31, 2008, Urias had the

ability to work at the heavy level on a frequent basis, though not at a full-time level. On May 26,

2008, Urias reported he thought he would be ready to be released to full duty work on June 23.

-3- This was confirmed on June 16, 2008, when his physical therapist stated Urias “has

demonstrated the ability to tolerate return to work as he has reported performing the duties of his

previous full-time position . . . and thus he should be discharged from the program and return to

work full-time.” At discharge on June 20, 2008, Urias was stated to be able to tolerate eight

hours per day of heavy work.

Urias returned to work with employer. 1 However, Urias stopped working there in August

2008.

The parties submitted an agreement to pay temporary total disability benefits as a result

of Urias’ injury, which the commission approved in an award on August 25, 2008. This award

was later terminated, and a supplemental award for partial disability was entered on February 9,

2009.

Employer filed an application to terminate benefits on March 4, 2009, alleging Dr. Ganjei

released Urias to his pre-injury work on June 23, 2008, and that Urias actually returned to this

work on June 24, 2008. The application was referred to Deputy Commissioner Jimese

Pendergraft Sherrill.

Urias filed a motion asking the deputy commissioner to recuse herself. The motion

stated: “This request is based upon your recent employment with the defense firm.” The deputy

commissioner denied the motion, finding: “I am confident that I can decide this matter

impartially, regardless of my prior affiliation.” The deputy commissioner also noted she had

been advised to not hear cases from her prior firm for six months after becoming a deputy

commissioner. The deputy commissioner remarked that this period “has almost elapsed, and will

have elapsed well prior to this matter being heard.”

1 We refer to the appellees collectively as “employer.” -4- Urias then filed a motion to certify the February 9, 2009 award pursuant to Code

§ 65.2-10 based on employer’s non-compliance. 2 The deputy commissioner denied the motion,

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