Gittins v. Windstream Corp.

CourtNebraska Court of Appeals
DecidedFebruary 24, 2015
DocketA-14-525
StatusUnpublished

This text of Gittins v. Windstream Corp. (Gittins v. Windstream Corp.) is published on Counsel Stack Legal Research, covering Nebraska Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gittins v. Windstream Corp., (Neb. Ct. App. 2015).

Opinion

IN THE NEBRASKA COURT OF APPEALS

MEMORANDUM OPINION AND JUDGMENT ON APPEAL (Memorandum Web Opinion)

GITTINS V. WINDSTREAM CORP.

NOTICE: THIS OPINION IS NOT DESIGNATED FOR PERMANENT PUBLICATION AND MAY NOT BE CITED EXCEPT AS PROVIDED BY NEB. CT. R. APP. P. § 2-102(E).

MICHAEL GITTINS, APPELLEE, V.

WINDSTREAM CORPORATION, APPELLANT.

Filed February 24, 2015. No. A-14-525.

Appeal from the Workers’ Compensation Court: J. MICHAEL FITZGERALD, Judge. Affirmed in part, and in part reversed. Patrick Mack and Gregory D. Worth, of McAnany, Van Cleave & Phillips, P.A., for appellant. Roger D. Moore, of Rehm, Bennett & Moore, P.C., L.L.O., for appellee.

IRWIN, RIEDMANN, and BISHOP, Judges. BISHOP, Judge. Windstream Corporation appeals from the Workers’ Compensation Court’s award to Michael Gittins of (1) permanent partial disability benefits based on a 65-percent loss of earning capacity; (2) a waiting time penalty; (3) a $4,000 attorney fee; and (4) future medical care. We affirm the compensation court’s award of permanent partial disability benefits based on a 65-percent loss of earning capacity, the waiting time penalty, and the attorney fee. However, we reverse that portion of the court’s order awarding future medical care. FACTUAL BACKGROUND On August 14, 2011, Gittins was working as a customer service technician for Windstream in Lincoln. On that date, Gittins climbed a pole and was lifting wires to place onto a

-1- bolt on the pole when he felt pain in both shoulders. Gittins continued to work, and reported the injury one week later when the pain continued. Gittins was examined on August 30, 2011, by Dr. Justin Harris at Nebraska Orthopaedic and Sports Medicine, P.C. Dr. Harris assessed that Gittins had “[b]ilateral subacromial impingement syndrome, right worse than left.” Gittins was to be treated nonsurgically. The right shoulder subacromial space was injected, and Gittins was to attend physical therapy and return in 6 weeks. On October 11, 2011, Gittins returned to Dr. Harris, who ordered an MRI. An MRI of Gittins’ right shoulder was done on October 19 and showed: (1) Partial tear of the supraspinatus tendon at the footprint. There is no retraction or focal fatty atrophy. (2) Tendinopathy within the rotator cuff with strain pattern to the supraspinatus and teres minor muscles. (3) Irregularity of the inferior labrum without discrete linear labral tear. The appearance suggests previous labral injury or degeneration. No para labral cyst.

Dr. Harris reviewed the MRI on October 20, and noted that the MRI confirmed impingement syndrome in the right shoulder. He recommended continued observation, anti-inflammatories, and physical therapy. On October 28, 2011, Gittins returned to Dr. Harris. Gittins was assessed with right shoulder subacromial impingement syndrome and AC joint arthrosis. Dr. Harris recommended a right shoulder “arthroscopy, subacromial decompression, distal clavicle resection, and other work as indicated.” On December 5, 2011, Gittins had a preoperative evaluation at Northrup Internal Medicine by Elaine Christiansen, A.P.R.N. (nurse practitioner), and was cleared for surgery. On December 12, Dr. Harris performed a right shoulder arthroscopic subacromial decompression and right shoulder arthroscopic distal clavicle resection. After surgery, Gittins received physical therapy and worked on a home exercise program. On January 20, 2012, Dr. Harris noted that Gittins complained of increased pain. Gittins was to continue physical therapy and pain medication. Gittins was to remain off work. On March 2, Gittins returned to Dr. Harris due to a flare-up of right shoulder pain. He was given more medication and his subacromial space was injected. Gittins was to continue physical therapy. On April 13, Gittins was still complaining of AC joint pain and swelling. Dr. Harris noted that Gittins was to be treated nonsurgically and was given another injection in his AC joint. Dr. Harris noted that Gittins could return to work on light duty. However, Windstream had no work for Gittins within his restrictions. On May 25, 2012, Gittins returned to Dr. Harris still complaining of pain. Dr. Harris ordered a new MRI, which was done on June 11. The MRI showed some fluid in the AC joint consistent with postsurgical changes. Dr. Harris recommended a “revision shoulder arthroscopy with a posterior capsular release” and a “revision distal clavicle resection.” Surgery was to be scheduled upon approval by workers’ compensation. Windstream requested that Gittins be examined by Dr. Michael Morrison. On July 30, 2012, Dr. Morrison performed an independent medical exam of Gittins. Dr. Morrison agreed

-2- with Dr. Harris that Gittins would benefit from an “outpatient arthroscopy of his right shoulder again and, specifically, a manipulation of his shoulder to improve his range of motion and diminish the adhesive capsulitis.” On August 23, 2012, Gittins returned to nurse practitioner Christiansen at Northrup Internal Medicine for pain relief medication for his right shoulder. And on October 25, he returned for a preoperative evaluation and was cleared for surgery. On October 31, Dr. Harris performed a right shoulder arthroscopic posterior capsular release and a right shoulder arthroscopic revision distal clavicle resection. After surgery, Gittins participated in physical therapy. On December 18, 2012, Gittins returned to Dr. Harris and was complaining of constant pain. Dr. Harris ordered continued physical therapy and permitted him to return to light duty work. Gittins returned to work with restrictions on January 14, 2013. On January 29, 2013, Gittins returned to Dr. Harris complaining of pain at night when laying on his right side. Dr. Harris recommended a work hardening program and “very liberal” work restrictions. Gittins was to return in 6 weeks for a final check, and if he could not get back to full work duty, then a functional capacity evaluation (FCE) would be recommended. On March 12, 2013, Gittins returned to Dr. Harris complaining of pain and weakness. Dr. Harris found Gittins to be at maximum medical improvement (MMI). He ordered a FCE to determine permanent work restrictions and told Gittins to return as needed. On March 18, 2013, a FCE was completed by Bruce Bednar at Lincoln Orthopedic Physical Therapy, P.C. Bednar found that Gittins was able to function in the modified medium physical demand category on a full-time basis. Gittins had limitations lifting above shoulder height and he had increased pain when reaching away from his body or holding his arms away from his body for prolonged periods of time. Gittins did well when working at waist level and below shoulder height and avoiding abducted and externally rotated positions. Bednar found Gittins to have a 5-percent permanent impairment of the right upper extremity due to subacromial decompression, and a 10-percent impairment due to distal clavicle resection. Bednar noted that the combined values charts in the “Guides to the of [sic] Evaluation of Permanent Impairment (6th Edition, Revised 2008),” provide that Gittins has an AMA impairment of the right upper extremity of 15-percent. On April 27, 2013, Dr. Harris noted on a “Workers’ Compensation Medical Report” that Gittins had reached MMI on March 12, 2013, and that there was an impairment of 10-percent of the right upper extremity and 1-percent of the left upper extremity. Dr. Harris was asked if it was likely that some form of future medical care would be necessary for Gittins’ injury, and Dr. Harris answered “no.” Dr. Harris noted that permanent restrictions were to be determined by a FCE, and vocational retraining would be in the best interest of Gittins. On July 12, Dr. Harris wrote that the permanent restrictions in the FCE were necessary to avoid aggravation or exacerbation of the conditions for which he treated Gittins. On August 2, 2013, Gittins returned to Dr.

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