Keller v. Liberty NW

2010 MT 125
CourtMontana Supreme Court
DecidedDecember 28, 2010
Docket10-0125
StatusPublished

This text of 2010 MT 125 (Keller v. Liberty NW) is published on Counsel Stack Legal Research, covering Montana Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Keller v. Liberty NW, 2010 MT 125 (Mo. 2010).

Opinion

December 28 2010

DA 10-0125

IN THE SUPREME COURT OF THE STATE OF MONTANA 2010 MT 279

KIMBERLY M. KELLER,

Petitioner and Appellant,

v.

LIBERTY NORTHWEST, INC.,

Respondent and Appellee.

APPEAL FROM: Workers’ Compensation Court, Cause No. WCC 09-2309 Honorable James Jeremiah Shea, Presiding Judge

COUNSEL OF RECORD:

For Appellant:

Howard Toole; Howard Toole Law Offices; Missoula, Montana

For Appellee:

Larry W. Jones; Law Offices of Larry W. Jones; Missoula, Montana

Submitted on Briefs: October 6, 2010

Decided: December 28, 2010

Filed:

__________________________________________ Clerk Justice W. William Leaphart delivered the Opinion of the Court.

¶1 Petitioner and Appellant Kimberly Keller appeals from the judgment of the

Workers’ Compensation (WC) Court, denying her request for rescission of two

settlement agreements related to a workplace injury. Keller contends that the settlements

were premised on a mutual mistake of fact. The WC Court denied Keller’s request to

reopen her settlement agreements on the basis that Keller failed to prove that Liberty

Northwest (Liberty), her insurer, had no knowledge of the correct diagnosis of her injury

at the time the parties entered into the agreements. Keller timely appealed.

¶2 Keller raises the following issues on appeal:

¶3 1. Whether the WC Court erred in requiring Keller to prove that Liberty had no

knowledge that Keller’s medical condition included either scapular winging or long

thoracic nerve injury at the time the parties entered into settlement agreements.

¶4 2. Whether the WC Court properly rejected Keller’s request for rescission of her

two workers’ compensation settlements.

FACTUAL AND PROCEDURAL BACKGROUND

¶5 Kimberly Keller began working at A Full Life Agency in 2003. She served as the

county coordinator for A Full Life’s in-home care services in Superior, Montana. On

January 3, 2005, a coworker called in sick, and Keller filled in as an in-home care

provider. The client was a large, partially paralyzed woman, and Keller’s back was

injured when she attempted to break the client’s fall. Keller felt a “searing pain” in her

neck and back at the time. When the pain failed to abate, Keller saw Jennifer Strine, a

physician’s assistant in Thompson Falls, Montana.

2 ¶6 Strine examined Keller on February 8, and found that Keller had a “thoracic strain

and right scapular dysfunction secondary to muscular weakness.” Strine informed Keller

that she should no longer work due to her injury. Keller saw physical therapist Honani

Polequaptewa soon afterwards, who found “acute low back pain” and “right scapular

winging.” Keller continued to suffer from severe lower back pain, headaches, and

tenderness in her upper spine. Strine was called in to Keller’s physical therapy

appointment on March 4 when Keller experienced muscle spasms and pain in her lower

back and buttocks. Strine noted that Keller’s scapula had continued to “wing” (i.e., stick

out), and diagnosed her with lumbrosacral and gluteal spasm secondary to physical

therapy, and scapular winging “most likely due to a long thoracic nerve inflammation or

damage.”

¶7 Strine referred Keller to Dr. Maurice Brown of Mission Valley Orthopaedic

Surgery and Sports Medicine on March 10, 2005. Strine provided her notes to

Dr. Brown, including her observance of Keller’s right scapular winging. Keller went to

Dr. Brown’s office on April 6, 2005. At this appointment, Keller was initially examined

by Cody Brown (Cody), a physician’s assistant working under Dr. Brown. Cody’s report

listed a number of issues, including chronic headaches, mid and lower back pain, sciatica,

right lower extremity paresthesias, and right scapular winging. Cody noted that

“excessive winging of the scapula” was present when Keller was asked to lean forward

with outstretched arms. Cody reported that his findings were “consistent with nerve

entrapment of the cervical spine/thoracic spine, resulting in scapular winging.”

3 ¶8 Dr. Brown saw Keller on April 27, 2005, after reviewing the results of an MRI he

had ordered several days prior. The MRI revealed four distinct “paracentral disk

protrusions” in Keller’s spine. Dr. Brown also noted Keller’s raised scapula, observing

that “the right scapula and shoulder are intermittently raised in a protective position

causing the appearance of scapular winging; however, this was noted to be absent several

times during today’s evaluation.” In late May, Dr. John Hatheway also saw Keller. After

a physical examination, and review of Keller’s MRI results, Hatheway concluded that

Keller’s back pain was related to one of the disk protrusions detected by the MRI and

Dr. Brown.

¶9 Keller saw Dr. Carter Beck in September. Dr. Beck evaluated Keller and found

that she suffered from a “complex pain syndrome,” focused in her mid-spinal region.

Dr. Beck attributed the pain to problems with Keller’s disk protrusions, identifying a

specific protrusion as the likely cause of many of Keller’s problems. Dr. Beck

recommended that Keller seek out a “comprehensive multidisciplinary pain clinic.” He

also stated that Keller was not a candidate for surgery to relieve her symptoms.

¶10 Keller continued to experience severe pain and continued seeking medical

attention. In November 2005, she was evaluated by Dr. Randale Sechrest. Dr. Sechrest

noted that Keller had seen several physicians, including Drs. Brown, Hatheway, and

Beck. Dr. Sechrest reviewed Keller’s prior records and exam results, and performed his

own physical exam. He concluded that Keller had a combination of “chronic pain and

possible disk pathology” in her thoracic spine. In June of 2006, Keller again saw

Dr. Sechrest, who opined that she had reached maximum medical improvement. Keller

4 also saw Dr. Patrick Johnson in late 2005, who attributed Keller’s pain to both

“psychological factors and a medical condition including chronic mid-back pain.”

¶11 In August 2006, Keller was evaluated by Dr. John Schumpert. Dr. Schumpert

performed an independent medical evaluation (IME) of Keller, and noted that physician’s

assistant Strine had found right scapular winging, right thoracic strain, and right scapular

dysfunction. Dr. Schumpert also noted that Cody Brown had observed right scapular

winging in his examination in April 2005, but that no physicians had made the diagnosis.

After his own physical evaluation, Dr. Schumpert concluded that although Keller’s right

scapula was “prominent,” he did not observe scapular winging. Instead, Dr. Schumpert

diagnosed Keller’s raised scapula as a symptom of dextroscoliosis. He noted that Keller

had “chronic thoracic region myofascial pain, and chronic right thoracic nonverifiable

radicular complaints.”1

¶12 Keller returned to physician’s assistant Strine in September 2006. Strine again

found scapular winging, and informed Keller of her findings. Strine noted forward

curvature and retraction of Keller’s scapula, revealing “significant right scapular

winging.”

¶13 Keller’s pain continued unabated. In late 2006, she retained attorney David

Sandler for settlement negotiations. On January 12, 2007, Keller settled her indemnity

benefits in the amount of $27,582.64, reserving settlement of medical benefits. She saw

Dr. Ray Nelson in March of 2007, who noted Keller’s extensive injury history and failure

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