Pinkerton v. Gibbs

New Mexico Court of Appeals·Decided October 21, 2010·No. 29,872·Unpublished

Opinion

1 This memorandum opinion was not selected for publication in the New Mexico Reports. Please 2 see Rule 12-405 NMRA for restrictions on the citation of unpublished memorandum opinions. 3 Please also note that this electronic memorandum opinion may contain computer-generated 4 errors or other deviations from the official paper version filed by the Court of Appeals and does 5 not include the filing date. 6 IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO

7 RENEE C. PINKERTON, 8 Worker-Appellant, 9 v. NO. 29, 872

10 STEPHEN GIBBS, D.D.S., P.C. 11 and THE HARTFORD,

12 Employer/Insurer-Appellees.

13 APPEAL FROM THE WORKERS’ COMPENSATION ADMINISTRATION 14 Terry S. Kramer, Workers’ Compensation Judge

15 Gerald A. Hanrahan 16 Albuquerque, NM

17 for Appellant

18 Law Offices of Eva K. Rappaport 19 Ned S. Fuller 20 Albuquerque, NM

21 for Appellees

22 MEMORANDUM OPINION 23 VIGIL, Judge.

1 This is a workers’ compensation case. The Workers’ Compensation Judge 2 (WCJ) concluded that on July 20, 2007, Worker sustained an accidental injury arising 3 out of, and in the course of, her employment as a dental hygienist; that the accident 4 was reasonably incident to her employment as a dental hygienist; and that she suffered 5 a disability as a natural and direct result of the accident. The WCJ concluded that 6 Worker’s injury of focal dystonia, to a reasonable degree of probability, was caused 7 by her work as a dental hygienist with Employer. Dystonia is often brought on by 8 prolonged periods of intense focused activity, which is consistent with Worker’s 9 history as a dental hygienist. 10 However, the WCJ found that Worker failed to meet her burden of establishing 11 a disability resulting from depression due to her work-related injury. Worker appeals 12 and also seeks an award of attorney fees for the appeal. We reverse and remand for 13 entry of a revised Compensation Order and for a determination of the attorney fee 14 award to be made in the first instance by the WCJ. 15 I. BACKGROUND 16 Worker is a forty-eight-year-old woman who was employed as a dental 17 hygienist by Employer from 1993 until Friday, July 20, 2007, when she was injured 18 on the job. Worker’s injury was caused by many years of holding her wrist in an 19 awkward, strained position while working on people’s teeth. Worker experienced

1 burning and electrical shock-like pain in her hand and wrist. By the following 2 Monday, Worker was experiencing cramping, numbness, and tingling in her right 3 hand. Until her accident, Worker had not missed a single day of work with Employer 4 (fourteen years). 5 After the accident, Worker notified Employer of her injury, and Employer 6 exercised its statutory right to select Dr. Steven Weiner as Worker’s authorized health 7 care provider (HCP). Dr. Weiner referred Worker to Dr. Baten, and Dr. Baten 8 referred Worker to Dr. Donovan. Additional authorized HCPs and their referrals were 9 Dr. Chun, Dr. Moneim, Dr. Friedman, Dr. Radecki, and Dr. Feldman. None of these 10 doctors were able to correctly diagnose Worker’s injury. Focal dystonia is an 11 extremely rare condition, which explains the difficulty in diagnosing Worker’s injury. 12 Worker also continued to see her primary care physician, Dr. Maas, for her 13 general health concerns while seeing the authorized HCPs for her work-related injury. 14 Dr. Maas diagnosed Worker with depression in April 2008. The WCJ found that Dr. 15 Maas is not an authorized HCP. 16 On May 23, 2008, Worker exercised her statutory right to change her authorized 17 HCP to Dr. Schwartz. Employer did not object to Worker’s choice; however, one 18 week later, on May 30, 2008, Employer notified Worker that all benefits were being 19 terminated because it did not consider her injuries to be causally related to Worker’s

1 accident. Worker’s total temporary disability (TTD) benefits were therefore 2 terminated as of May 25, 2008. Despite this action by Employer, Worker commenced 3 treatment of her work-related injury with Dr. Schwartz on June 4, 2008. 4 Worker filed a complaint with the Workers’ Compensation Administration 5 (“WCA”). At the hearing, Worker testified and relied on the report of Dr. Donovan 6 as well as the depositions of Drs. Baten and Schwartz to establish a causal connection 7 between her secondary disability of depression and her work-related injury. The 8 depositions were used in lieu of live testimony as required by the WCA Rules. See 9 Banks v. IMC Kalium Carlsbad Potash Co., 2003-NMSC-026, ¶ 28, 134 N.M. 421, 10 77 P.3d 1014 (noting that regulations exclude a health care provider from giving live 11 testimony at a WCA proceeding, but permits the admission of the deposition itself at 12 the proceeding in lieu of the health care provider’s testimony). 13 In its Compensation Order the WCJ concluded that Worker has a compensable 14 injury of focal dystonia. However, the WCJ also found that “Worker failed to meet 15 her burden establishing a disability resulting from depression due to her work related 16 injury,” and that Worker “is not disabled as a natural and direct result of any other 17 conditions including . . . depression.” 18 II. STANDARD OF REVIEW 19 NMSA 1978, Section 52-1-28(B) (1987) directs:

1 In all cases where the employer or his insurance carrier deny that an 2 alleged disability is a natural and direct result of the accident, the worker 3 must establish that causal connection as a probability by expert 4 testimony of a health care provider, as defined in Section 52-4-1 NMSA 5 1978, testifying within the area of his expertise.

6 To the extent we review the WCJ’s interpretation of the statutory requirements, our 7 review is de novo. See Dewitt v. Rent-A-Center, Inc., 2009-NMSC-032, ¶ 14, 146 8 N.M. 453, 212 P.3d 341. 9 On the other hand, the issue of causation is a factual question which is 10 determined by the WCJ in workers’ compensation cases. Ortiz v. Overland Express, 11 2010-NMSC-021, ¶ 24, 148 N.M. 405, 237 P.3d 707. We review the factual findings 12 of the WCJ utilizing a whole record standard of review. Id. However, because the 13 medical causation evidence was presented by deposition, the WCJ findings on 14 causation are not entitled to the usual deference accorded findings of fact.

15 Under certain limited circumstances, a reviewing court has always 16 been able to make independent findings contrary to the fact finder. See, 17 e.g., Wilson v. Richardson Ford Sales, Inc., 97 N.M. 226, 638 P.2d 1071 18 (1981) (where the trial court’s findings are contrary to undisputed 19 evidence in the record); Martinez v. Universal Constructors, Inc., 83 20 N.M. 283, 491 P.2d 171 (Ct. App. 1971) (where the evidence is 21 documentary or by way of deposition). In these situations, it would seem 22 not to matter whether review is on the record as a whole or under the 23 substantial evidence standard.

24 Tallman v. ABF (Arkansas Best Freight), 108 N.M. 124, 130, 767 P.2d 363, 369 (Ct. 25 App. 1988), modified on other grounds by Delgado v. Phelps Dodge Chino, Inc.,

1 2001-NMSC-034, 131 N.M. 272, 34 P.3d 1148. 2 In addition, a WCJ is not free to reject uncontradicted medical evidence:

3 The uncontradicted medical evidence rule is an exception to the general 4 rule that a trial court can accept or reject expert opinion as it sees fit. 5 The rule is based on NMSA 1978, § 52-1-28(B), which requires the 6 worker to prove causal connection between disability and accident as a 7 medical probability by expert medical testimony. Because the statute 8 requires a certain type of proof, uncontradicted evidence in the form of 9 that type of proof is binding on the trial court.

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