Horsley v. North Dakota Workers Compensation Bureau

2001 ND 60, 623 N.W.2d 377, 2001 N.D. LEXIS 60, 2001 WL 268215
CourtNorth Dakota Supreme Court
DecidedMarch 20, 2001
Docket20000237
StatusPublished
Cited by4 cases

This text of 2001 ND 60 (Horsley v. North Dakota Workers Compensation Bureau) is published on Counsel Stack Legal Research, covering North Dakota Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Horsley v. North Dakota Workers Compensation Bureau, 2001 ND 60, 623 N.W.2d 377, 2001 N.D. LEXIS 60, 2001 WL 268215 (N.D. 2001).

Opinion

*378 SANDSTROM, Justice.

[¶ 1] James Horsley appealed a judgment affirming, in part, a North Dakota Workers Compensation Bureau order and remanding for further evidence. We conclude the judgment must be vacated because the court did not order entry of a judgment, and we dismiss the appeal.

I

[¶ 2] Horsley was injured on June 12, 1998, when he fell while employed by Strategic Telecommunications, Inc., in Fargo. Horsley, who previously had total hip replacements, injured his head and was admitted to a Fargo hospital, where x-rays revealed fractures of both thighbones. Horsley was transferred to St. Mary’s Hospital at Rochester, Minnesota, for surgery. Before Horsley could undergo surgery, he had to have seven abscessed teeth removed to prevent the possibility of infection at the site of his hip surgery. On June 19, 1998, surgery was performed on Horsley’s left hip. After that surgery, Horsley was unable to bear weight on his right leg. Horsley had surgery on his right hip on August 7, 1998. Horsley needed nursing home care during his recovery.

[¶ 3] The Bureau accepted liability for the injuries to Horsley’s head and left hip. The Bureau found the evidence did not show Horsley’s abscessed teeth and right hip problems were caused by his work injury and ordered it was “not liable for claimant’s abscessed teeth and right hip problems.” The Bureau notified Horsley it was not liable for his right hip injury and would, therefore, “accept liability for nursing home coverage from August 14, 1998 until your discharge date at 50 percent liability.”

[¶ 4] At Horsley’s request, a hearing was held before a temporary administrative law judge on June 16, 1999. Before the hearing, Horsley requested evidence from his surgeon. He received a letter, two days after the hearing, in which his surgeon, Robert T. Trousdale, said:

I would suggest that the fall that you sustained was a contributing factor [in] your hip problems in a sense that before the fall you were able to bear full weight on the legs and after the fall you were unable to bear weight on the legs. I agree completely that the postoperative care would have been virtually the same with or without the right leg operation.

On June 18, 1999, Horsley requested this evidence be entered in the record, noting he did “not have an attorney and did not realize I could request that the hearing record be left open for a period of time to obtain the letter.” The Bureau objected to Horsley’s request, and the administrative law judge denied it. The administrative law judge recommended finding treatment for Horsley’s abscessed teeth and his “right hip problems ... were caused by the June 12, 1998, work injury.” The administrative law judge recommended the following order:

IT IS ORDERED that claimant is entitled to payment of medical expenses regarding his abscessed teeth and payment of all workers compensation benefits relating to his right hip problems, including but not limited to, payment of 100 percent of his nursing home stay from August 14,1998, until his discharge date.

[¶ 5] In its final order, the Bureau found extraction of Horsley’s abscessed teeth was required prior to surgery on his left hip, there was no evidence Horsley’s abscessed teeth were caused by the work injury, and the Bureau was not liable for restorative dental treatment. The Bureau found “the need for claimant’s right hip prosthetic revision was not caused by the June 12, 1998 work injury, nor was the work injury a substantial accelerating factor.” The Bureau concluded extraction of Horsley’s abscessed teeth was reasonable and necessary treatment for his work injury, but subsequent restorative dental treatment was not, and the Bureau was not liable for it. The Bureau concluded *379 Horsley was not entitled to payment for any treatment related to his right hip. The Bureau concluded it paid for nursing home care for 62 days, and thereafter “appropriately paid nursing benefits on an aggravation basis.” The Bureau ordered payment for extracting Horsley’s abscessed teeth and ordered his “nursing home/convalescent care be paid on a 50% basis pursuant to the aggravation provisions found in section 65-05-15.”

[¶ 6] Horsley appealed to the district court. In his specifications of error, Hors-ley asserted there was an insufficient basis for the Bureau’s conclusions about his restorative dental treatment, his right hip, and his nursing home care. Horsley also specified the following issue:

The Bureau improperly took an adversarial role in the proceedings by refusing to allow the admission of relevant medical evidence in the form of a letter from his treating orthopedic surgeon which arrived too late for the hearing and which claimant sought to introduce into the proceedings.

Horsley filed an in forma pauperis petition and an affidavit with the district court. The district court found Horsley was indigent and ordered the filing fee and the cost of preparing and filing the record be waived.

[¶ 7] In a memorandum opinion and order, the district court upheld the Bureau’s denial of benefits for restorative dental work and upheld the Bureau’s determination that Horsley’s light hip injury was unrelated to his work injury. The court recognized “it is not uncommon for the medical record in workers compensation cases to be held open for a short period of time to allow for clarification of medical issues.” The court noted “the Bureau objected to relevant evidence that would have addressed one of the fundamental issues in the case.” The court ruled:

[T]he Court finds that the failure of the Claimant to ask that the record be held open for a short period [of] time to supplement the medical record constitutes plain error justifying the application of the “plain error doctrine,” that the Bureau assumed an improper adversarial role in objecting to receipt of Dr. T[r]ousdale’s supplemental report and that the error in refusing to receive the supplemental report cannot be held to be harmless as a matter of law. As to this sub-issue the Court remands to the Bureau with instructions that the report of Dr. T[r]ousdale shall be received into evidence and that the Bureau shall be afforded the opportunity to reopen the record to present such further evidence on the issue of apportionment of benefits for nursing services as may be appropriate and admissible under the rules of procedure and evidence.

The court noted there was no evidence for apportioning Horsley’s nursing services:

Horsley’s nursing home care was paid for on a fifty percent basis by the North Dakota Workers Compensation Bureau because there was no competent evidence in the record from which it could determine what portion of the nursing home services were attributable to the compensable left leg injury and what portion of those services were attributable to the noncompensable right leg injury. Dr. T[r]ousdale’s opinion goes to the heart of this question.

The court held Horsley’s failure to request the record be held open for supplemental evidence from Dr. Trousdale was plain error that affected substantial rights, because the only evidence on the issue was from Dr. Trousdale and Horsley was deprived of a meaningful opportunity to have this issue fully considered.

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Related

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2017 ND 120 (North Dakota Supreme Court, 2017)
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Wright v. North Dakota Workers Compensation Bureau
2001 ND 72 (North Dakota Supreme Court, 2001)

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Bluebook (online)
2001 ND 60, 623 N.W.2d 377, 2001 N.D. LEXIS 60, 2001 WL 268215, Counsel Stack Legal Research, https://law.counselstack.com/opinion/horsley-v-north-dakota-workers-compensation-bureau-nd-2001.