Fuls v. SAIF Corp.

894 P.2d 1163, 321 Or. 151, 1995 Ore. LEXIS 39
CourtOregon Supreme Court
DecidedMay 25, 1995
DocketWCB 91-01005, 90-17213; CA A76999; SC S41662
StatusPublished
Cited by12 cases

This text of 894 P.2d 1163 (Fuls v. SAIF Corp.) is published on Counsel Stack Legal Research, covering Oregon Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fuls v. SAIF Corp., 894 P.2d 1163, 321 Or. 151, 1995 Ore. LEXIS 39 (Or. 1995).

Opinion

*153 VAN HOOMISSEN, J.

In this case we are called on to decide whether claimant’s mental disorder resulting from an occurrence at work is an “injury” or an “occupational disease” for purposes of the Workers’ Compensation Law. See ORS 656.005(7) (regarding compensable injuries); 1 ORS 656.802 (regarding occupational diseases). 2 We also must decide whether claimant’s mental disorder was compensable. The Court of Appeals *154 affirmed an order of the Workers’ Compensation Board (Board) denying compensability. Fuls v. SAIF, 129 Or App 255, 879 P2d 869 (1994). For the reasons that follow, we affirm.

The facts are not disputed. In 1976, claimant sustained an on-the-job injury. Diagnostic tests were carried out between 1976 and 1985 which revealed no pathological, orthopedic, or neurological problem. A number of examiners who saw claimant believed that his condition may have had a strong psychological component. However, before February 1990, no treatment for that condition was recommended.

In 1989, claimant went to work for SAIF’s insured, Chuck’s Texaco, as an attendant. Based on an incident that occurred at work on February 23, 1990, claimant filed a workers’ compensation claim with SAIF’s insured. 3 SAIF denied that claim, and claimant sought a hearing.

The referee found in part:

“On February 23,1990, while at work at Chuck’s Texaco, [claimant] sustained a minor shaking incident when he was grabbed from behind in a ‘bear hug.’ This led to a complete collapse, including loss of sensation, strength in the legs, and paralysis from the neck down. Claimant was immediately seen at the emergency room where Dr. Lewis found no physical problem at all. He was diagnosed as having an hysterical reaction and discharged without treatment,[ 4 ]
*155 “Despite severe symptoms, claimant remained medically stationary. He returned to work on regular duty two days later. He continues to be symptomatic in the same areas as prior to the February 1990 incident. There is no change in symptoms and no new objective findings.
“[Claimant] did not return to see Dr. Paluska [who had previously treated claimant for his compensable 1976 injury] until .August of 1990, approximately six months after the shaking incident. Additional diagnostic tests were again negative. Dr. Paluska found no new injury, no pathological worsening of the pre-existing condition, and at best a recurrence of symptoms dating from the prior injuries of 1976 and 1980.” 5

The referee concluded that “the shaking incident of February, 1990, is not a material contributing cause of any new physical injury” and, therefore, “that claimant has not established the compensability of any new injury.” The referee further found that, “ [i] n the absence of any objective findings *156 of any worsening of [his] left shoulder condition, claimant has failed to establish an aggravation of the 1976 injury.”

However, concerning claimant’s conversion reaction, the referee found:

“Claimant has an hysterical condition, a conversion reaction. Claimant has had an emotional condition since the 1976 injury. By Stipulation of July 10,1978, claimant agreed that this psychological condition was not compensable and not the responsibility of Travelers.
“Following the 1990 incident, claimant was diagnosed as having a conversion reaction. This diagnosis is an actual diagnosis of a mental condition recognized in the medical community. See DSM III, Sec. 100.11. There is substantial evidence in this record to indicate that claimant has this condition, and has had at least elements of it since 1976.
I (‡ # J*i :{i sj«
“The February 1990 event was the material contributing cause of the conversion reaction and need for medical treatment. Claimant has established the compensability of the conversion reaction.
“[T]he 1990 event produced a new injury, a psychological condition. I have found that condition to be compensable; consequently responsibility shifts to the second carrier, here SAIF Corp.”

The referee rejected SAIF’s argument that ORS 656.802, specifically subsection (3) of that statute relating to occupational diseases in the form of mental disorders, applied to claimant’s claim for his conversion reaction. Accordingly, the referee set aside SAIF’s “de facto” denial of claimant’s claim for a conversion reaction.

SAIF requested review by the Board, seeking to set aside the portion of the referee’s order regarding the compensability of claimant’s psychological condition. Claimant did not seek Board review of the referee’s order.

On review, the Board adopted the referee’s findings of fact. The Board described the event as follows:

“On February 23, 1990, claimant was working as a gas station attendant for SAIF’s insured. While he stood at the cash register processing a credit card purchase, a customer *157 walked up behind him and greeted him by grasping his upper arms and briefly shaking him. Claimant immediately lost control of his legs and collapsed to the floor. He was able to stand up and walk to a chair, but then he felt completely paralyzed from the neck down. He was taken to the hospital emergency room strapped to a back board with a cervical collar. Approximately four hours later, claimant felt severe pain from his neck to his feet. He was diagnosed with conversion hysteria.”

The Board agreed with SAIF that claimant’s claim should be analyzed as an occupational disease claim. The Board reversed the referee’s conclusion that claimant’s conversion reaction was compensable. Claimant sought judicial review. 6

The Court of Appeals affirmed, concluding that, because claimant is seeking to establish the independent compensability of a mental disorder, his claim must be analyzed as an occupational disease claim under ORS 656.802. Fuls, 129 Or App at 261.

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Cite This Page — Counsel Stack

Bluebook (online)
894 P.2d 1163, 321 Or. 151, 1995 Ore. LEXIS 39, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fuls-v-saif-corp-or-1995.