O'Neil v. Illinois Workers' Compensation Comm'n

2020 IL App (2d) 190427WC
CourtAppellate Court of Illinois
DecidedJune 15, 2020
Docket2-19-0427WC
StatusPublished
Cited by1 cases

This text of 2020 IL App (2d) 190427WC (O'Neil v. Illinois Workers' Compensation Comm'n) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
O'Neil v. Illinois Workers' Compensation Comm'n, 2020 IL App (2d) 190427WC (Ill. Ct. App. 2020).

Opinion

Digitally signed by Reporter of Decisions Reason: I attest to Illinois Official Reports the accuracy and integrity of this document Appellate Court Date: 2020.06.12 15:12:13 -05'00'

O’Neil v. Illinois Workers’ Compensation Comm’n, 2020 IL App (2d) 190427WC

Appellate Court JUSTIN O’NEIL, Appellant, v. THE ILLINOIS WORKERS’ Caption COMPENSATION COMMISSION et al. (JGS Marine, LLC, d/b/a Mastercraft Boats, Appellee).

District & No. Second District, Workers’ Compensation Commission Division No. 2-19-0427WC

Filed February 4, 2020

Decision Under Appeal from the Circuit Court of Lake County, No. 18-MR-682; the Review Hon. Mitchell L. Hoffman, Judge, presiding.

Judgment Affirmed and remanded.

Counsel on Jason W. Hauck, of Jeep, Jeep & Hauck, P.C., of Waukegan, for Appeal appellant.

Steven C. Wolf and Mallory R. Barrett, of Wolf & Laudicina, Ltd., of Chicago, for appellee. Panel JUSTICE HUDSON delivered the judgment of the court, with opinion. Justices Hoffman, Cavanagh, and Barberis concurred in the judgment and opinion. Presiding Justice Holdridge dissented, with opinion.

OPINION

¶1 Claimant, Justin O’Neil, appeals from an order of the circuit court of Lake County that confirmed a decision of the Illinois Workers’ Compensation Commission (Commission) that reversed an award of attorney fees and penalties assessed by the arbitrator against respondent, JGS Marine, LLC, d/b/a Mastercraft Boats. The Commission, relying in part on our opinion in Hollywood Casino-Aurora, Inc. v. Illinois Workers’ Compensation Comm’n, 2012 IL App (2d) 110426WC, concluded that it was without statutory authority to award attorney fees and penalties pursuant to sections 16 and 19(l) of the Workers’ Compensation Act (Act) (820 ILCS 305/16, 19(l) (West 2016)) based on respondent’s decision to revoke authorization for surgery to claimant’s right knee. For the reasons set forth below, we affirm.

¶2 I. BACKGROUND ¶3 On October 13, 2016, claimant filed an application for adjustment of claim alleging that he sustained an injury to his right knee on February 11, 2016, while working for respondent. The matter proceeded to an arbitration hearing pursuant to section 19(b) of the Act (820 ILCS 305/19(b) (West 2016)) before Arbitrator Gregory Dollison. The following summary is taken from the evidence presented at that hearing, which was held on May 15, 2017. ¶4 Claimant was employed by respondent as a marine technician. In this capacity, claimant’s duties included mechanical work, the installation of boat accessories, and general boat maintenance. On February 11, 2016, claimant was installing a swim platform on the back of a boat. While positioning the platform onto support brackets, claimant lowered his right knee onto the concrete floor below. As claimant came down on his right knee, he “felt a pop and then a sharp pain” and immediately twisted his knee in response. The parties stipulated to the accident but disputed causal connection. ¶5 Claimant testified that he attempted to finish his shift the day of the accident (a Thursday), but respondent had him go home to rest. Claimant’s pain was a little worse the day after the accident, so he stayed at home to ice and elevate his leg. On Saturday, February 13, 2016, claimant, a veteran of the United States Navy, sought medical care for his right knee at a Veteran’s Administration (VA) facility. Claimant was diagnosed with prepatellar bursitis. The treatment plan consisted of a pull-on sleeve, ice, elevation, and pain medication. Claimant returned to work the Monday following the injury, explaining that he “tried to tough it out” because he did not want to lose his job. Thereafter, claimant experienced ongoing knee pain and swelling and was referred for an orthopaedic consultation by medical personnel at the VA facility. The consulting orthopaedic physician agreed with the diagnosis of prepatellar bursitis. The doctor did not recommend aspiration or surgery at that time and instructed claimant to return on an as-needed basis.

-2- ¶6 During the months that followed, claimant continued to retain fluid in his right knee, and although the amount of fluid fluctuated, the knee would occasionally approach the size of a racquetball. After four months, claimant told respondent that he wanted to see a physician. Respondent authorized claimant to seek treatment at Advocate Occupational Health, where he was examined by Cheryl Culberson, an advanced practice nurse. Culberson diagnosed prepatellar bursitis, prescribed conservative treatment, authorized claimant to return to work without restrictions, and referred claimant to Dr. Roger Chams, an orthopaedic surgeon at the Illinois Bone and Joint Institute. Claimant saw Dr. Chams on June 21, 2016. At that time, Dr. Chams noted that claimant continued to have swelling at the anterior aspect of the right knee as well as pain deep to the patella. Dr. Chams diagnosed prepatellar bursitis and noted that claimant’s injury was work related. He aspirated 20 milliliters of fluid from the right knee and administered a steroid injection. Dr. Chams also prescribed an MRI to rule out a meniscal injury. Dr. Chams authorized claimant to work full duty with the caveat that he be allowed to rest or be excused from work for complaints of knee pain. ¶7 When claimant returned to Dr. Chams on July 5, 2016, he reported that the aspiration and injection only provided temporary relief from his symptoms. Dr. Chams noted that the MRI revealed evidence of prepatellar bursitis with mild chondromalacia of the patella and a small joint effusion with no meniscal tear. Dr. Chams instructed claimant to avoid painful positions and activities. To this end, Dr. Chams placed claimant on “light duty and light kneeling.” In the months that followed, claimant continued to treat with Dr. Chams. During that time, Dr. Chams repeatedly aspirated the right knee, administered another injection, and ordered a second MRI. The repeat MRI demonstrated a significant prepatellar bursal inflammation as well as some mild chondromalacia and a lateral tilt of the kneecap. Ultimately, Dr. Chams recommended surgery consisting of a right knee arthroscopy and open removal of the prepatellar bursa. ¶8 On October 10, 2016, respondent’s insurance carrier approved the surgery proposed by Dr. Chams. Claimant testified that he delayed the surgery because he was the only marine technician and respondent was “very busy.” Claimant intended to proceed with the surgery in the winter when work was not as hectic. On December 2, 2016, Dr. Chams recorded that the proposed surgery was scheduled for December 17, 2016. On December 8, 2016, Dr. Chams received notification that respondent’s insurance carrier had revoked the surgery authorization for claimant, citing the need for an “[a]dditional investigation.” ¶9 Claimant testified that he was told that respondent revoked authorization for the surgery because of a note in the VA records referencing a prior procedure to his right knee in 2001. That note, dated February 13, 2016, provides as follows: “[Patient] was informed that I will be his corpsmen[[sic].] [P]laced on hospital gown/orient to his room[.] [W]arm blankets and call lights given/side rails up[.] [A]waiting to be seen by ER MD/[patient] states this happened in 2001 when he was active duty—performed surgery on knee, which [patient] describes as a incision [sic] and drainage[.]” (Emphasis added.) The note was signed by Corpsman Nicholas Blackmond, who claimant described as “a check- in person” at the VA facility. ¶ 10 Claimant denied undergoing any procedure to or experiencing any injury involving his right knee prior to the February 11, 2016, work accident.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Centeno v. Illinois Workers' Compensation Comm'n
2020 IL App (2d) 180815WC (Appellate Court of Illinois, 2020)

Cite This Page — Counsel Stack

Bluebook (online)
2020 IL App (2d) 190427WC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/oneil-v-illinois-workers-compensation-commn-illappct-2020.