Maxim Healthcare Services, Inc., App/cross-resp V. Abigail C. Wolff, Resp/cross-app

Court of Appeals of Washington·Decided March 14, 2023·No. 56503-0·Unpublished

Opinion

Filed

Washington State

Court of Appeals

Division Two

March 14, 2023

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

DIVISION II

MAXIM HEALTHCARE SERVICES, INC. No. 56503-0-II

Appellant/Cross-Respondent, v.

ABIGAIL C. WOLFF, UNPUBLISHED OPINION Respondent/Cross-Appellant.

LEE, J. — After sustaining a workplace injury at Maxim Healthcare Services, Inc. (Maxim), Abigail C. Wolff filed an application for benefits under the Industrial Insurance Act, Title 51 RCW. The Board of Industrial Appeals (Board) concluded that Wolff was temporarily totally disabled from September 18, 2015, through February 21, 2019. The Board also concluded that Wolff was permanently totally disabled as of February 22, 2019.

On review of the Board’s decision by the superior court, the court awarded Wolff time loss compensation for a temporary total disability from September 18, 2015, through February 21, 2019, but denied Wolff permanent disability benefits following the closure of Wolff’s claim on February 22, 2019.

Maxim appeals the superior court’s order, arguing that the court erred in its findings and conclusion that Wolff was temporarily totally disabled from September 18, 2015, through February 21, 2019. Wolff cross-appeals the same order, arguing that the superior court erred by concluding that Wolff was not permanently totally disabled as of February 22, 2019.

We hold that the superior court did not err in its findings supporting temporary total disability, nor did the superior court err in concluding that Wolff was temporarily totally disabled from September 18, 2015, through February 21, 2019. However, we hold that the superior court erred by concluding that Wolff was not permanently totally disabled as of February 22, 2019. Therefore, we affirm the superior court’s order as it relates to temporary total disability, reverse the superior court’s order as it relates to permanent total disability, and reinstate the Board’s decision.

FACTS

Wolff worked as a licensed practical nurse (LPN) for Maxim. Wolff was injured while performing her job on July 6, 2010. Wolff filed a claim for benefits under the Industrial Insurance Act on August 12. The Department of Labor and Industries (Department) accepted Wolff’s claim and determined that Wolff was entitled to receive medical treatment and benefits.

On February 22, 2019, the Department ordered that time loss benefits were ended as paid through November 17, 2014. The Department closed Wolff’s claim on February 22, 2019, made no award for permanent partial or total disability, and ordered that the Department would not pay for medical treatment after February 22, 2019. A. BOARD APPEAL Wolff appealed to the Board of Industrial Insurance Appeals and requested time loss compensation from September 18, 2015, through February 22, 2019. Wolff also requested a pension due to a permanent disability as of February 23, 2019.

1. Testimony An industrial appeals judge heard live testimony from Wolff and one doctor, Dr. John T.

Lloyd, on February 13, 2020. The industrial appeals judge also reviewed testimony from the depositions of five other doctors.

a. Live testimony—Wolff and Dr. Lloyd Wolff testified that she went to high school then became certified as an LPN. Wolff worked on and off as an LPN for 34 years. Wolff worked for Maxim in 2010.

On July 6, 2010, Wolff was working in home care and taking care of an infant patient. The patient’s family engaged in a water fight, and Wolff participated. The patient’s uncle charged Wolff, chest bumped her, put his leg around her leg, came down on top of her, and slammed the back of her head onto the ground. Wolff went into the fetal position and felt like she was going to pass out. Wolff’s head hurt very badly, especially behind her eyes.

Wolff went home and called Maxim. Maxim told Wolff that she needed to go to a doctor and that she should not go to work the next day. Wolff had a severe headache the next morning and went to a doctor’s office. Wolff underwent a computerized axial tomographic (CAT) scan, which was within normal limits. Wolff was diagnosed with a concussion and sent home. Wolff continued to complain of headaches and visual disturbances. Wolff underwent a magnetic resonance imaging (MRI) test and a neurological examination, and both were within normal limits.

Wolff tried to go back to work. When Wolff attempted to work, she only lasted a few days and had problems with lights and noise. Around the first week of August 2010, Wolff communicated with a nurse practitioner, and the nurse practitioner recommended that Wolff stop working until she got evaluated. Wolff has not been employed since that time.

Wolff testified that she has tried to work on projects, but her brain gets tired and she has to lie down after two to three hours. Wolff has a hard time focusing and concentrating. Wolff still gets intermittent headaches and gets physically very tired when the headaches happen. Wolff says her head routinely hurts at certain times of the day, but some days she does not get headaches. Wolff has tried to read but cannot get through one paragraph because her brain is tired. Wolff has someone else drive her around because she gets overwhelmed with traffic. Wolff described her symptoms in the present tense.

Wolff did not remember having a primary care doctor at the time of the injury, but Wolff started seeing Dr. Katherine Bumstead in 2011. For the first few years following the injury, Wolff saw Dr. Bumstead approximately every four months.

Dr. Lloyd testified that he is a clinical neuropsychologist and a board-certified psychotherapist. In April 2013, Dr. Lloyd saw Wolff to evaluate her for the Division of Disability Determination Services. Dr. Lloyd’s evaluation took approximately one hour. Dr. Lloyd reviewed Wolff’s medical history and did a mental status examination. The mental status examination included cognitive tasks and an evaluation of Wolff’s dress and grooming. Based on Wolff’s records and his own evaluation, Dr. Lloyd diagnosed Wolff with “a pain disorder with both psychological symptoms and general medical condition” and “a mood disorder related to her chronic pain associated with major depressive-like episodes.” Admin. Rec. (AR) at 220. Dr. Lloyd did not diagnose Wolff with a cognitive disorder.

Dr. Lloyd testified that Wolff’s pain three years after the injury was statistically unusual, but it was not unusual in the world he works in. Dr. Lloyd created a report that rated Wolff’s

general level of function as a 60 on a scale of 0 to 100. Dr. Lloyd testified that this meant Wolff was having significant difficulty with daily living, let alone functioning in the work world.

Dr. Lloyd reviewed Wolff’s records again in 2016 at Wolff’s attorney’s request, and his diagnoses did not change. Dr. Lloyd also testified that

[i]n my world of psychology and pain, the window for pain is five years. If we cannot reduce that pain or take it away in five years, the probability of that pain going down spontaneously or even with receiving treatment is poor, very poor.

In terms of a head injury, the open window is two years. When I saw [Wolff], the probability of improvement, spontaneous recovery in a brain injury, was already past and it was considered unlikely to change.

The post-traumatic headache that keeps being referred to in the reports is consistent and one of the most frequent symptoms of mild traumatic brain injury.

My conclusion is that this condition is unlikely to change.

AR at 228-29.

Dr. Lloyd also testified that he believed that Wolff was totally disabled from September 18, 2015, through February 22, 2019, and that Wolff was totally disabled into the foreseeable future. However, the industrial appeals judge sustained an objection to Dr. Lloyd’s testimony on this matter because Dr. Lloyd was not qualified to certify total disability. The industrial appeals judge allowed Dr. Lloyd to testify on the matter only to preserve his answers for later review.

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Maxim Healthcare Services, Inc., App/cross-resp V. Abigail C. Wolff, Resp/cross-app, (Wash. Ct. App. 2023).

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