Chunyk & Conley/quad C, V Patti C. Boettger

Court of Appeals of Washington·Decided December 12, 2017·No. 49087-1·Unpublished

Opinion

Filed

Washington State

Court of Appeals

Division Two

December 12, 2017

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

DIVISION II

CHUNYK & CONLEY/QUAD C; formerly No. 49087-1-II dba QUAD-C HEALTH CARE CENTERS,

Appellants,

v.

PATTI C. BOETTGER; WASHINGTON STATE DEPARTMENT OF LABOR AND INDUSTRIES, UNPUBLISHED OPINION

Respondents.

LEE, J. — Chunyk & Conley/Quad C (Quad C) appeals the jury’s verdict in favor of Patti Boettger, finding that the Board of Industrial Insurance Appeals (the Board) was correct when it decided that Boettger was a temporarily totally disabled worker from October 24, 2006 through September 27, 2010. Quad C argues that the trial court erred when it (1) failed to admit the verdict form from a previous trial finding Boettger was not temporarily totally disabled during an earlier time period, (2) failed to instruct the jury about the determination from the prior verdict, (3) failed to amend the Board’s findings of fact to include the determination from the prior verdict, and (4) failed to vacate the jury’s verdict.

We hold that the trial court did not err. Accordingly, we affirm.

FACTS

A. THE INCIDENT On January 22, 1998, Boettger was working as a nurse restorative coordinator at a facility owned by Quad C. She hurt her back when a patient collapsed while she was helping the patient

ambulate. Boettger felt a sharp pain in her back and leg. After the incident, Boettger continued to work with several physical restrictions.

In 2004, Boettger left her job and had low back surgery on multiple levels. She was not able to return to work after the surgery, and since then has not applied for any work. In August 2006, a job analysis was conducted for Boettger, and she was offered a job as a restorative coordinator at a facility not owned by Quad C. Boettger did not accept the job. B. AUGUST 19, 2006 TO OCTOBER 23, 2006 CLAIM Boettger made a claim with the Department of Labor and Industries (the Department) for time-loss benefits from August 19, 2006 through October 23, 2006. In 2009, a jury found that Boettger was not temporarily totally disabled during that period. Therefore, Boettger was not entitled to any time-loss benefits. This 2009 verdict was not appealed. C. OCTOBER 24, 2006 TO SEPTEMBER 27, 2010 CLAIM In 2012, the Department issued an order finding that Boettger was temporarily totally disabled and directed Quad C to pay time-loss benefits to Boettger for the period from October 24, 2006 to September 27, 2010. Quad C appealed the order to the Board and a hearing was held before an industrial appeals judge (IAJ) in 2013.

1. Dr. Williamson-Kirkland At the hearing, Quad C presented testimony from Dr. Williamson-Kirkland, who performed an independent medical examination of Boettger on November 8, 2006. The examination showed that Boettger’s sciatic notches and hips were not hurting, her nerves were not tight, she had vague sensory loss in her entire right leg, she had normal strength, and she could

walk without a limp. Dr. Williamson-Kirkland believed that Boettger “demonstrate[d] a lot more chronic pain behavior than probably necessary from the pain in her back.” Clerk’s Papers (CP) at 270. He diagnosed Boettger with chronic degenerative disks at multiple levels, excessive pain behavior and disability conviction, partial blindness, and depression.

Dr. Williamson-Kirkland testified that he did not believe that Boettger was unable to work because of her back, and stated that she could do light sedentary work based on her ability to do such work around the house. He also believed that Boettger’s depression did not prevent her from working. Boettger’s most disabling conditions were her vision, abdominal pain, chronic obstructive pulmonary disease, and other reasons, but her back pain was stable.

2. Dr. Schneider Quad C also presented testimony from Dr. Schneider, a psychiatric specialist who examined Boettger on September 20, 2006. Dr. Schneider diagnosed Boettger with “major depressive disorder” and “pain disorder with psychological factors and a general medical condition,” both causally related to the January 22, 1998 industrial accident. CP at 357. Dr. Schneider reviewed the job analysis done in 2006 for Boettger and concluded that she could perform the job on a full-time basis from a psychiatric standpoint. Dr. Schneider also concluded that Boettger could work while getting further treatment for six to nine months.

3. Dr. McManus Dr. McManus, a physician who provided treatment to Boettger until January 29, 2007, also testified. Dr. McManus testified that Boettger suffered from chronic lower back pain, had a limited range of motion, and had the most pain with extension. He also testified that he evaluated

Boettger’s physical capabilities in August 2006, and they were restricted. At that time, Boettger was limited to standing 30 minutes per hour, two hours total per 8-hour day; limited to walking 30 minutes per hour, 2 hours total per 8-hour day; limited in the amount of weight she could push, pull, and carry; could occasionally and seldom bend, squat, kneel, and reach below the waist; could not drive, climb a ladder, or crawl; and was limited to work no greater than four hours a day, five days a week. These restrictions should have continued past October 2006, unless they were amended based on new information.

Dr. McManus agreed that Boettger could work from a physical standpoint as a restorative coordinator on a part-time basis for four hours a day, five days a week. Dr. McManus also agreed that Boettger was at maximum medical improvement and had a “Category 3 permanent partial impairment of the dorsal, lumbar, and lumbosacral spine.” CP at 506.

Ultimately, Dr. McManus testified that Boettger suffered from chronic lower back pain when he last saw her, had permanent work restrictions related to her lower back, and that she had “permanent conditions that were not expected to improve” and “may progress or worsen with time.” CP at 507-508. But he deferred to Dr. Pearson regarding Boettger’s mental health treatment and permanent work restrictions related to her mental health.

4. Dr. Pearson Dr. Pearson testified that he was Boettger’s treating psychiatrist during the October 24, 2006 to September 27, 2010 period. He first saw her in August 2006, when she was suicidal. Dr.

Pearson diagnosed Boettger with major depressive disorder1 and pain disorder, and testified that both disorders existed from October 24, 2006 to September 27, 2010. He also testified that Boettger’s depression “wax and waned” over the years and that “on a more-probable-than-not basis, prevent[ed] her from obtaining and performing reasonably continuous work” and “full-time work.” CP at 522, 527. She had never “recovered enough or reached a point of stability long enough to be able to obtain and perform reasonably continuous full-time work.” CP at 528.

Dr. Pearson stated that Boettger’s pain disorder also impacted her ability to work and prevented her from reasonably continuous full-time work. Pain makes depression worse and depression also makes pain worse. And while Boettger’s depression seemed to be improving from October 2006 to the date she testified, Boettger’s symptoms fluctuated. Dr. Pearson believed that “on balance they’re really no better [. . . t]hey’re probably worse at some times[,]” and that her day-to-day functionality had decreased. CP at 551. From a psychiatric standpoint, Dr. Pearson testified that on a more-probable-than-not basis, Boettger could not go back to work again.

5. Patti Boettger Boettger also testified. She worked as a nurse restorative coordinator when she injured her leg and back on January 22, 1998. She continued to work, but the injury influenced her to change her work schedule and duties. Boettger eventually had surgery on her back. She was not able to return to work after surgery. After the surgery, she could not stand up straight, changed positions when sitting because of pain, had to stop driving, could only sleep for two hours at a time at most,

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