Liberty Northwest Ins. Corp. v. Rector

950 P.2d 387, 151 Or. App. 693, 1997 Ore. App. LEXIS 1901
CourtCourt of Appeals of Oregon
DecidedDecember 17, 1997
DocketWCB 95-09339; CA A94334
StatusPublished
Cited by4 cases

This text of 950 P.2d 387 (Liberty Northwest Ins. Corp. v. Rector) is published on Counsel Stack Legal Research, covering Court of Appeals of Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Liberty Northwest Ins. Corp. v. Rector, 950 P.2d 387, 151 Or. App. 693, 1997 Ore. App. LEXIS 1901 (Or. Ct. App. 1997).

Opinion

*695 ARMSTRONG, J.

Employer seeks review of an order of the Workers’ Compensation Board that set aside employer’s denial of claimant’s claim for a low back condition and awarded a penalty against employer for unreasonable claim processing. We affirm.

Claimant has been employed as a nurse at employer’s hospital since 1980. In 1993, claimant began experiencing ongoing pain in her groin that was worse with activity. “On March 8, 1994, claimant was working with patients, including lifting, when her [groin] pain suddenly worsened.” Her doctor diagnosed “inguinal ligament discomfort” and prescribed medication. Claimant did not miss any work due to her condition. She filed a workers’ compensation claim for a right “groin strain.” On June 10,1994, employer denied the claim on the ground that “the injury had not resulted in either treatment or disability.” Claimant did not appeal the denial.

Through April 1995, claimant had intermittent groin pain that varied with her activities, but she did not experience any back pain. Then in April, “claimant developed right low back pain and buttock pain in addition to her groin pain in association with lifting at work.” She sought treatment, but her symptoms worsened and “spread to include her right leg.” “On May 13,1995, claimant felt a snap in her back while lifting a patient.” Her back pain became severe and she stopped working. Although her doctor later released claimant to light-duty work, employer did not want her to resume work while on medication. Claimant filed a workers’ compensation claim for her low back condition. On August 10,1995, employer denied the claim on the ground that its investigation had failed to establish that her condition was related to her employment.

Claimant sought a hearing. An administrative law judge set aside the denial and the Board affirmed that decision, stating:

“The symptoms in claimant’s low back and right leg that have caused disability and required treatment since April *696 1995 have probably been due to internal disc disruption and an annular fissure at L5-S1. * * *
“Claimant’s L5-S1 disc has probably degenerated, in part, due to aging. However, her ongoing work activities for employer over a matter of at least years through May 1995 is the major cause of her internal disc disruption and annular fissure at L5-S1 and the pathological worsening associated with those conditions. * * *
“As of August 10, 1995, the only medical opinion concerning the cause of claimant’s low back condition indicated that her work for employer was the major cause of her condition.”

Analyzing her low back and right leg condition as an occupational disease, see ORS 656.802, the Board concluded that claimant had satisfied her burden of proving a compensable condition. See ORS 656.266. The Board rejected employer’s argument that claimant’s decision not to request a hearing after its denial of her claim for a groin strain precluded her current claim, and it assessed a penalty against employer for unreasonably delaying payment of compensation to claimant.

Employer seeks review of that order. First, it assigns error to the Board’s conclusion that the denial of claimant’s 1994 claim for a groin strain did not preclude her 1995 claim for her low back condition. Second, it assigns error to the Board’s finding that claimant’s condition had changed between its denial of her claim for a right groin injury in June 1994 and its denial of her low back claim in August 1995. Because resolution of the second assignment of error simplifies analysis of the first assignment of error, we address it first.

As an initial matter, employer asserts that the Board did not actually find that claimant’s condition had changed between June 1994 and August 1995. That position is without support. In a section labeled “Findings of Fact,” the Board made the following findings: In March 1994, claimant injured her groin. Her doctor diagnosed “inguinal ligament discomfort,” for which claimant filed a workers’ compensation claim that employer denied. Claimant had no back pain until early April 1995. In May 1995, her back pain *697 became severe and she stopped working. Claimant’s back condition was diagnosed as an “internal disc disruption and an annular fissure at L5-S1.” The major cause of that condition was “her ongoing work activities for employer over a matter of at least years through May 1995.” (Emphasis supplied.) In a section labeled “Ultimate Findings of Fact and Conclusions of Law” the Board found that, between June 10, 1994, and August 10, 1995, claimant’s “condition had changed to include significant new low back and right leg symptoms, with a subsequent new diagnosis of internal disc disruption and an annular fissure at L5-S1.” Thus, the Board did find that claimant’s condition had changed between June 1994 and August 1995.

The Board’s findings are supported by substantial evidence in the record. “Substantial evidence exists to support a finding of fact when the record, viewed as a whole, would permit a reasonable person to make that finding.” ORS 183.482(8)(c). The evidence in the record supports a finding that claimant’s back pain was caused by the internal disc disruption and annular fissure at L5-S1. Employer does not dispute that finding but argues that the evidence also supports a finding that that condition caused claimant’s groin pain. Even if that were true, it is irrelevant. The relevant issue is whether, considering the record as a whole, a reasonable person could find that claimant’s condition had changed after the rejection of the groin claim. We conclude that a reasonable person could make that finding.

According to the record, when claimant went to the doctor in 1994, she was diagnosed with “inguinal ligament discomfort,” a groin strain. There was nothing to indicate either to claimant or to her doctor that she had a low back injury. The reports of the doctors who examined claimant a year later in connection with her back and right leg pain noted her continuing groin pain, but they did not connect it to her low back condition. The record contains the depositions of two of those doctors, Miller and Karasek. Miller testified that he did not focus on the groin pain in making his assessment of claimant’s back condition, but that, “taking the whole picture into account,” the groin pain was probably connected to the back condition. He also stated, however, that it was not *698 “clear-cut” because, generally, when considering a back condition, referred groin pain originates from an upper disc disorder, which was not present here.

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Bluebook (online)
950 P.2d 387, 151 Or. App. 693, 1997 Ore. App. LEXIS 1901, Counsel Stack Legal Research, https://law.counselstack.com/opinion/liberty-northwest-ins-corp-v-rector-orctapp-1997.