Epstein's Custom Carpentry v. Industrial Commission

746 P.2d 25, 155 Ariz. 284, 1987 Ariz. App. LEXIS 582
CourtCourt of Appeals of Arizona
DecidedOctober 29, 1987
DocketNo. 1 CA-IC 3653
StatusPublished
Cited by3 cases

This text of 746 P.2d 25 (Epstein's Custom Carpentry v. Industrial Commission) is published on Counsel Stack Legal Research, covering Court of Appeals of Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Epstein's Custom Carpentry v. Industrial Commission, 746 P.2d 25, 155 Ariz. 284, 1987 Ariz. App. LEXIS 582 (Ark. Ct. App. 1987).

Opinion

OPINION

JACOBSON, Judge.

This is a review of an Industrial Commission award allowing a claimant who failed to contest a finding of no permanent disability to reopen his claim notwithstanding the fact that there was no change in his physical condition. The issue before this court is whether this result is required under the decision of Gallegos v. Industrial Commission, 144 Ariz. 1, 695 P.2d 250 (1985).

In 1965, the claimant, Albert Epstein, fractured his right leg and ankle when he fell from a roof to a concrete floor. The State Compensation Fund (Fund) accepted this claim and he was subsequently discharged with a 25% impairment of the right lower extremity.

After returning to work, the claimant suffered several other industrial injuries to his right ankle, claims for which were accepted, and closed without additional permanent impairment.

On August 27, 1983, the claimant again injured his right ankle. At this time his employer’s compensation carrier was Mission Insurance Company (Mission). Treating orthopedic surgeon Jon B. Wang, M.D., diagnosed torn medial and lateral right ankle ligaments. He took the claimant off work, and prescribed an ankle brace. Two weeks later, Dr. Wang noted that the claimant was fully weight-bearing in his ankle brace. Dr. Wang rechecked the claimant on October 17,1983, at which time the claimant reported that he was getting along well at work and had nearly returned to his pre-1983 injury level. Dr. Wang noted that the industrial injury was “improving,” and he recommended that the claimant continue to work, but he did not discharge him. The claimant failed to return for further treatment or evaluation.

On November 11, 1983, Mission issued a notice closing the claim effective October 17, 1983 without permanent impairment. The claimant did not protest the termination notice, which accordingly became final. See A.R.S. § 23-947.

[286]*286The claimant continued working approximately a year, until November 1984. In February 1985, he petitioned to reopen the 1965 and 1983 claims. The two petitions were consolidated for hearing and disposition.1

In May 1985, Dr. Wang reexamined the claimant at Mission’s request. Dr. Wang’s physical findings closely paralleled the October 17, 1983 findings. X-rays also demonstrated no change. For the first time, however, Dr. Wang concluded, based upon the passage of time, that the 1983 industrial injury was “stable, and on the basis of that injury alone he [the claimant] would have an 11 percent permanent impairment to the right lower extremity.”

At the scheduled hearing, the claimant testified that he had some residual ankle stiffness and soreness after the 1967 medical release, which prevented him from climbing. The soreness progressively worsened over the years and with each additional ankle injury. Concerning the 1983 injury, the claimant denied that Dr. Wang mentioned a follow-up evaluation. He also testified that he attempted to work despite worsening foot and ankle pain, leg instability, and severe low back pain. He ultimately quit working because he could no longer stand on his leg. On cross-examination, he explained that he had not protested the November 1983 termination notice because he thought his current symptoms would resolve.

Dr. Wang confirmed that in October 1983 he had advised the claimant to return if he had continuing problems. He testified, however, that he did not then indicate that the industrial injury was stationary or express an opinion about impairment because it was too soon to evaluate whether the result of the injury was permanent. He also confirmed that the claimant’s physical condition had not changed between October 1983 and May 1985. His opinion that the industrial injury had resulted in a permanent impairment was based on the persistence of symptoms. He explained that the 1983 injury involved damaged ankle ligaments, whereas the 1965 injury involved fractured ankle bones. On cross-examination, Dr. Wang conceded that he had not reviewed the 1967 discharge report and that the claimant’s ankle probably was abnormal because of his prior injuries. Despite the absence of comparative evidence, Dr. Wang reiterated on re-direct his opinion that the August 1983 injury rated an additional 11% permanent impairment.

A medical report which was the result of a group consultation consisting of Drs. John P. Utz, Lloyd S. Anderson and Bertram G. Kwasman, was admitted into evidence. This report concluded:

The group consultants feel that the problems that Mr. Epstein is now complaining of, mainly his right ankle, is [sic] related to the injury of 10-15-65 and not injuries of 1969, 1980, or 1983, which we feel were temporary aggravations of a preexisting condition.

However, both Doctors Utz and Kwasman when called to testify said they would either defer to or agree with Dr. Wang’s opinion that the claimant suffered an additional 11% impairment to the right ankle as the result of the 1983 injury. Both doctors agreed that the physical condition of claimant’s right ankle in 1983 when his claim was closed was the same as in 1985 when they examined him.

The Administrative Law Judge then issued the award reopening the August 1983 injury claim. He accepted Drs. Wang and Kwasman’s opinion that this injury had caused an additional 11% permanent right lower extremity impairment. Based on this, he concluded that:

[t]he applicant has established that he has an additional permanent condition beyond the ‘no permanent disability’ de[287]*287scribed on the face of the November 11, 1983 closure Notice. See Gallegos v. Industrial Commission, 144 Ariz. 1, 695 P.2d 250 (1985), cited as applying to re-openings in Church of Jesus Christ of Latter Day Saints vs. Industrial Commission, [150] Ariz. [495] (App.), [724] P.2d [581] (1 CA-IC 3334, 2/20/86), at footnote 2. His Petition to Reopen that August 27, 1983 date of injury claim must be, and hereby is, granted.

After affirmance on administrative review, this special action followed.

On review, Mission asserts that preclusion applies to this case. It argues that the Administrative Law Judge misapplied Gallegos because the claimant’s physical condition was unchanged and the claimant could have challenged the termination notice based on the same evidence he presented to support reopening. In any event, it is argued that the evidence supporting reopening is speculative.

Before beginning an analysis of Gallegos, we dispose of Mission’s contention that it is inapplicable because Gallegos involved a rearrangement under A.R.S. § 23-1044(F) while this case involves a reopening under A.R.S. § 23-1061(H). This difference does not distinguish Gallegos in principle. Both rearrangement and reopening are statutory exceptions to finality. See Calixto v. Industrial Commission, 126 Ariz. 400,

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Bluebook (online)
746 P.2d 25, 155 Ariz. 284, 1987 Ariz. App. LEXIS 582, Counsel Stack Legal Research, https://law.counselstack.com/opinion/epsteins-custom-carpentry-v-industrial-commission-arizctapp-1987.