Consolidated Equipment v. Gary L. Cumbie

Court of Appeals of Virginia·Decided November 12, 2003·No. 0772033·Unpublished

Opinion

COURT OF APPEALS OF VIRGINIA

Present: Judges Humphreys, Felton and Kelsey Argued at Salem, Virginia

CONSOLIDATED EQUIPMENT ERECTORS, INC. AND AMCOMP ASSURANCE CORPORATION MEMORANDUM OPINION* BY

v. Record No. 0772-03-3 JUDGE D. ARTHUR KELSEY NOVEMBER 12, 2003

GARY L. CUMBIE

FROM THE VIRIGINIA WORKERS’ COMPENSATION COMMISSION

S. Vernon Priddy III (Sands Anderson Marks & Miller, on brief), for appellants.

Philip B. Baker (Sanzone & Baker, P.C., on brief), for appellee.

Consolidated Equipment Erectors, Inc. and AmCOMP Assurance Corp. appeal a decision by the Workers’ Compensation Commission awarding Gary L. Cumbie temporary total disability benefits for his injury by accident. Finding that credible evidence supports the commission’s conclusions that Cumbie did not refuse selective employment and did not fail to reasonably market his residual capacity, we affirm.

I.

On appeal, “we view the evidence in the light most favorable to the prevailing party before the commission.” Clinchfield Coal Co. v. Reed, 40 Va. App. 69, 72, 577 S.E.2d 538, 539 (2003); Tomes v. James City (County Of) Fire, 39 Va. App. 424, 429, 573 S.E.2d 312, 315 (2002).

* Pursuant to Code § 17.1-413, this opinion is not designated for publication.

Gary Cumbie injured his left foot on June 28, 2001, while working for Consolidated Equipment Erectors, Inc. on a job in New York. Dr. Scot Zindel, a podiatrist, examined Cumbie on July 10, 2001. He diagnosed a “re-aggravation of plantar fasciitis of the left foot” caused by Cumbie’s work injury.

Though 45 years old at the time of his accident, Cumbie possessed limited intellectual capacity and had granted his mother, Joyce Hunt, power of attorney to conduct his business affairs.1 On August 9, 2001, at the request of Cumbie’s mother, Dr. Zindel sent a letter to Consolidated stating that he asked Cumbie to “remain off his foot, indefinitely until this condition resolves (which may take several months). I believe he would be willing to work if you could find him a sit-down position.” Cumbie’s mother testified that she spoke with Tamara Nuckols, Consolidated’s workers’ compensation representative, shortly after Dr. Zindel sent this letter. Nuckols said “the only position they had would be in the shop, but that would be on his feet. They didn’t have any sit-down positions.”

Nuckols later contacted Cumbie’s mother and told her that Consolidated’s insurance carrier, AmCOMP, had requested a second opinion. AmCOMP scheduled an appointment with another podiatrist, Dr. Peter F. Kelly, for October 30, 2001. After the appointment, Dr. Kelly sent a letter of medical necessity dated November 27, 2001, to AmCOMP for custom prescription molded orthotics, stating that Cumbie “is not able to walk without pain” and has been “diagnosed in exam and X-ray” with plantar fasciitis resulting from “an injury to his left foot at work on 6/28/01.” Dr. Kelly’s office notes contain no mention of work status, and Cumbie and his mother testified that he communicated no work release to them.

1 The deputy commissioner noted that “Cumbie at least reached the eleventh grade,” but that “he was not on the same education track as the typical high school student. Based on the evidence contained in Defendants’ Exhibit 1, Cumbie was at least 21 years old while in the eleventh grade and his mother held a power-of-attorney for all financial matters.” His mother controls his banking accounts and pays his bills.

AmCOMP sent a letter to Dr. Kelly requesting Cumbie’s diagnosis and work status.

Though the letter is dated October 26, 2001, Dr. Kelly testified that “it looks like it was faxed on December 17, 2001” and that it was “possible that [he] did not receive it ‘til December.” In his reply, Dr. Kelly responded to the question, “Is [Cumbie] capable of doing any type of work?” with an unqualified “yes.”2 Responding to a letter from AmCOMP’s attorney on May 2, 2002, however, Dr. Kelly clarified that Cumbie “cannot tolerate prolonged weight-bearing. He is capable of working seated, however there is no option for this in his work.” Dr. Kelly reiterated this work restriction during his deposition on May 7, 2002, stating Cumbie “was capable of doing any kind of sit-down work.”

Between February 17 and February 20, 2002, after consulting an attorney, Cumbie filed with the Virginia Employment Commission (VEC) seeking restricted employment. He also filed with the Department of Rehabilitation Services. Responding to a VEC questionnaire on February 20, 2002, Dr. Kelly wrote that Cumbie was “totally unable to work” from October 30, 2001, to present, and that the earliest date Cumbie would be able to return to work was “to be determined.” When directly asked if Cumbie was “currently able to perform any work?,” Dr. Kelly answered “No.”

On February 21, 2002, Cumbie received a certified letter from Consolidated instructing him to return to work the following Monday. The letter, apparently generated after Nuckols finally received a copy of Dr. Kelly’s earlier unqualified response to AmCOMP’s letter, stated:

2 According to Nuckols, AmCOMP sent the same letter to Dr. Zindel. Dr. Zindel responded on January 3, 2002, writing that he had not seen Cumbie since July 10, 2001, and that he could “not comment on how his condition is progressing.” However, he continued, “[i]n eighteen years of practice I have had less than five patients which needed to be totally off their feet from plantar fasciitis for any sustained duration.” He reiterated his opinion from his August 9, 2001, letter that “Mr. Cumbie was capable of working light duty where he would not be required to lift heavy objects, he could sit the majority of the day and remain non weight bearing on his left foot.”

On several occasions when you and I spoke — I requested that you return to work in the shop and you expressed that you couldn’t stand on your foot. Based on the information I received from Dr.

Kelly, you are released to work.

I am requesting that you return to work on or before February 25, 2002 at 8:00 a.m. to the shop.

The letter contained no mention of light duty.

In response to the letter, Cumbie’s mother called Dr. Kelly and asked him about Cumbie’s work status, telling him that Nuckols’s letter “said that the doctor had released him to go to work. Dr. Kelly said, I don’t recall any such thing. He said the last thing I recall is sending something saying it’s to be determined about his work status.” Cumbie and his mother obtained a copy of Dr. Kelly’s VEC response and faxed it to Consolidated. Cumbie then called Consolidated and verified that they had received the VEC response.

Cumbie’s mother testified that she had no conversations with Nuckols regarding work release or light duty in the six months between their August 2001 telephone conversation (regarding Dr. Zindel’s letter) and Consolidated’s February 19, 2002, letter (directing Cumbie to return to work). Cumbie stated that he occasionally saw Nuckols during this six-month period and she would ask when he was coming back to work. He “told her that I couldn’t” return to work and stated that their conversations “didn’t involve no [sic] light duty. There was no such thing.”

Nuckols testified regarding her normal procedures when handling workers’ compensation issues for Consolidated. She stated that when “an employee is released to return to work” she normally made a written request “that they return to work within their restrictions.” However, though she contended that on several occasions she “had a conversation with either Mr. Cumbie or his mother about getting Mr. Cumbie back to work on light duty,” she acknowledged that she

had no written record of any such conversations and no written correspondence from August 2001 to February 2002.

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