Fierro v. Stanley's Hardware

722 P.2d 652, 104 N.M. 401, 1985 N.M. App. LEXIS 646
CourtNew Mexico Court of Appeals
DecidedAugust 15, 1985
Docket7908, 7934
StatusPublished
Cited by10 cases

This text of 722 P.2d 652 (Fierro v. Stanley's Hardware) is published on Counsel Stack Legal Research, covering New Mexico Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fierro v. Stanley's Hardware, 722 P.2d 652, 104 N.M. 401, 1985 N.M. App. LEXIS 646 (N.M. Ct. App. 1985).

Opinions

OPINION

BIVINS, Judge.

In this worker’s compensation action plaintiff sued not only his employer, Stanley’s Hardware, and its insurance carrier, Sentry Claims Service (referred to as “Stanley's” or “employer”), but also the New Mexico Subsequent Injury Fund and the administrator of the fund, the Superintendent of Insurance (referred to interchangeably as the “Fund” or the “Superintendent”). From a judgment in favor of plaintiff against Stanley’s, its carrier and the Fund, the Fund and plaintiff appeal.

Unless otherwise indicated, all references to the Workmen’s Compensation Act (Act) shall be to NMSA 1978, Sections 52-1-1 to -69 (Orig.Pamp. and Cum.Supp.1984), and all references to the Subsequent Injury Act (SIA) shall be to NMSA 1978, Sections 52-2-1 to -13.

The Fund raises the following issues:

(1) Since the certificate of preexisting physical impairment was filed after the subsequent injury, whether the employer had sufficient actual knowledge of the preexisting impairment; (2) whether the SIA applies only to preexisting physical impairments arising from accidental injuries, thereby excluding congenital impairments; (3) whether (and if so, how) the limitations of the scheduled member section of the Act apply to the SIA; and (4) whether the trial court correctly apportioned liability between the employer and the Fund.

Plaintiff raises two issues in his appeal:

(1) Whether substantial evidence supports the trial court’s finding that plaintiff sustained a 75% permanent partial disability as a result of the accidental injury to his left eye; and (2) whether the trial court erred in refusing to allow a clinical psychologist to give an opinion as to the causal connection between the accidental injury and a claimed psychological disability, and as a subissue, whether a continuance should have been granted so that a psychiatrist could be found to testify.

We hold the facts will not support the finding of actual knowledge by the employer of plaintiff’s preexisting physical impairment, and in doing so reexamine this court’s prior decision adopting the concept of actual knowledge as a means of complying with the SIA. Because the resolution of this issue is dispositive and requires dismissal of the Fund and its administrator, we do not reach the remaining issues raised by those defendants. Assuming the correctness of the trial court’s ruling that availability of the SIA removes the case from the scheduled-member section of the Act, without the benefit of the SIA, plaintiff’s issue regarding extent of disability becomes moot and he is relegated to the scheduled-member provisions of the Act. Finally, we hold that a psychologist cannot give a medical opinion as to causation under the applicable provisions of the Act. We remand, however, for entry of a judgment awarding 100% loss of use of plaintiff’s left eye under the scheduled injury section of the Act.

To better understand the issues presented, we first state the factual background, describe certain findings and the judgment entered.

At the time he was hired in 1981, plaintiff suffered from a condition known as “Descemet’s folds” or “corneal folds” to his right eye, a condition caused by birth trauma or congenital defect. This condition is not correctable by lenses and rendered plaintiff legally blind in the right eye before his subsequent injury. Notwithstanding, plaintiff had a driver’s license, and was hired as a truck driver. The employer was not aware of this condition at the time of hiring.

While helping his foreman jump-start a motor vehicle at work on April 3, 1982, the battery exploded causing severe injury to plaintiff’s left eye. Without correction, impairment to the left eye is 100%; if sight to this eye is corrected to potential, the impairment may be reduced to 90-95%. However, compensation is not based on corrected vision. Ranville v. J.T.S. Enterprises, Inc., 101 N.M. 803, 689 P.2d 1274 (Ct.App.1984).

Vision in plaintiff’s left eye is limited to counting fingers at a distance of one foot. Since the accident and because of increased use, vision in plaintiff’s right eye has improved slightly so that this eye is just above legal blindness. Further improvement is not expected. Using both eyes plaintiff can read a “no-smoking” sign at ten to twelve inches.

Plaintiff attached to his first amended complaint a certificate of preexisting impairment signed by plaintiff and Dr. Ham which recites plaintiffs deficiency in the right eye and states, “[tjhese folds may have been congenital or could possibly have been a result of birth trauma.” It recites an 80% disability. The certificate reflects a date of examination of August 29, 1980, and dates of signing by plaintiff on July 29, 1983, and by Dr. Ham on September 16, 1982, both subsequent to the accidental injury.

The trial court found, among other things, that: Before his accidental injury of April 3, 1982, plaintiff had a visual impairment of 80% to his right eye due to congenital defect or birth trauma; plaintiff timely filed a certificate of preexisting impairment with the Department of Insurance indicating plaintiff had a “preexisting 80% permanent impairment as a result of the defect in his right eye”; Stanley’s had knowledge of the “disability to the Plaintiff’s right eye,” and in spite of such knowledge retained him in its employment; plaintiff was able to perform the usual tasks of his employment before the accident of April 3, 1982; as a result of that accidental injury, plaintiff sustained a partial loss of use to the left eye, with visual acuity being reduced from 20/100 to 20/200; plaintiff sustained “a 75 percent partial permanent wage earning disability,” due to the injury to the left eye, but had suffered no separate distinct injury to any other part of the body; and plaintiff was not totally disabled from performing work for which he was capable by reason of his background, training and experience.

The trial court artfully fashioned a judgment which grafted onto the scheduled-member section additional compensation through the SIA. It was done this way: First, plaintiff received temporary total disability for a 47-week healing period (April 3, 1982 through March 1, 1983). Second, he received 75% partial disability for 553 weeks. Third, plaintiff was awarded medical expenses, vocational rehabilitation and attorney fees. The judgment required the employer to pay as temporary total disability the first eight weeks of the healing period. Section 52-2-11(C). For the remaining 39 weeks and two days of the healing period, liability was apportioned between the employer and the Fund, with the employer paying 20% and the latter 80%. The judgment required the employer to pay 75% partial disability compensation to plaintiff for the first 120 weeks following the healing period (i.e., 20% of the entire 600 weeks), and the Fund to pay 75% partial disability for the remaining 433 weeks. We express no opinion as to the propriety of this arrangement. Cf. Mann v. Board of County Commissioners of Bernalillo County, 58 N.M. 626, 274 P.2d 145 (1954). Medical expense, vocational rehabilitation, costs and attorney fees were apportioned between Stanley’s and the Fund on the basis of 20%-80%, respectively.

I. THE FUND’S APPEAL

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Fierro v. Stanley's Hardware
722 P.2d 652 (New Mexico Court of Appeals, 1985)

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Bluebook (online)
722 P.2d 652, 104 N.M. 401, 1985 N.M. App. LEXIS 646, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fierro-v-stanleys-hardware-nmctapp-1985.