Ruan Transportation v. David Grier

CourtCourt of Appeals of Kentucky
DecidedOctober 14, 2021
Docket2021 CA 000275
StatusUnknown

This text of Ruan Transportation v. David Grier (Ruan Transportation v. David Grier) is published on Counsel Stack Legal Research, covering Court of Appeals of Kentucky primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ruan Transportation v. David Grier, (Ky. Ct. App. 2021).

Opinion

RENDERED: OCTOBER 15, 2021; 10:00 A.M. NOT TO BE PUBLISHED

Commonwealth of Kentucky Court of Appeals

NO. 2021-CA-0275-WC

RUAN TRANSPORTATION APPELLANT

PETITION FOR REVIEW OF A DECISION v. OF THE WORKERS’ COMPENSATION BOARD ACTION NO. WC-18-67710

DAVID GRIER; HONORABLE STEPHANIE L. KINNEY, ADMINISTRATIVE LAW JUDGE; AND WORKERS’ COMPENSATION BOARD APPELLEES

OPINION AFFIRMING

** ** ** ** **

BEFORE: CALDWELL, DIXON, AND L. THOMPSON, JUDGES.

CALDWELL, JUDGE: Ruan Transportation (“Ruan”) petitions for review of a

Workers’ Compensation Board (“WCB”) opinion affirming an administrative law

judge (“ALJ”) decision awarding benefits to David Grier (“Grier”). We affirm. FACTS AND PROCEDURAL HISTORY

Grier was working for Ruan as a flatbed truck driver during the

summer of 2018. As part of his work duties, he had to secure loads to the trucks

with chains and to use tarps to protect the loads. Chains could weigh 25 to 40

pounds and tarps could weigh 85 to 100 pounds.

On July 31, 2018, Grier reportedly suffered pain in his right shoulder

when trying to retrieve chains from a truck. The chains had become stuck and then

suddenly broke free resulting in a “pop” in Grier’s right shoulder and Grier’s

stumbling backward. Grier did not seek medical attention at that time. He

continued working for Ruan and took over-the-counter medicine for pain.

On August 21, 2018, his right shoulder pain became more severe after

tarping a load and dropping a trailer by cranking dolly legs and pulling the fifth

wheel pin. On August 23, Grier sought treatment at an immediate care center,

which referred him to an occupational medicine practice.

The occupational medicine provider then referred Grier to orthopedic

specialist Dr. Ryan Krupp, who saw Grier beginning about August 29. Dr. Krupp

ordered that Grier not work until an MRI (magnetic resonance imaging) could be

performed. In late September, the MRI was performed and showed that Grier had

-2- avascular necrosis (bone tissue loss or decay caused by cutting off the blood

supply) of the proximal humerus (upper arm/shoulder joint area).1

In medical treatment notes, Dr. Krupp expressed an opinion that

Grier’s avascular necrosis did not result from the “acute injury” Grier had suffered

that summer. But Dr. Krupp also opined that the acute injury aroused the

previously dormant condition (avascular necrosis) into a symptomatic reality:

We discussed at length that it is unlikely his acute injury caused the avascular necrosis but based on his history it did cause his symptoms to become asymptomatic [sic] reality and exacerbate his underlying condition including possibly worsening the overall condition of the shoulder.

(Original Record of the WCB, [hereinafter “R.”] at p. 66.) Dr. Krupp placed

restrictions on Grier’s activities and recommended a right shoulder replacement.

In October 2018, Dr. Michael Best (an orthopedic surgeon) performed

an independent medical examination (“IME”) on Grier as requested by Ruan. Dr.

Best opined that Grier’s avascular necrosis was probably caused by his using

prescription steroidal medicines to treat asthma and was not caused by a work-

related injury. But Dr. Best also opined: “The work injury caused an aggravation

1 According to the Mayo Clinic website, “Avascular necrosis is the death of bone tissue due to a lack of blood supply.” https://www.mayoclinic.org/diseases-conditions/avascular- necrosis/symptoms-causes/syc-20369859 (last visited Sept. 21, 2021). The humerus is “the long bone of the upper arm or forelimb extending from the shoulder to the elbow.” https://www.merriam-webster.com/dictionary/humerus (last visited Sept. 21, 2021). The “proximal” end of the humerus joins with the scapula to form the shoulder joint according to https://medical-dictionary.thefreedictionary.com/humerus (last visited Sept. 21, 2021).

-3- of the preexisting condition, bringing it to disabling reality and requiring the

surgical procedure–Total shoulder replacement.” (R., p. 256.)

Grier, who is right-handed, underwent the right shoulder replacement

surgery in January 2019. He was unable to work or to use his right arm for several

months afterwards. He developed pain in his left shoulder and underwent left

shoulder replacement surgery in July 2019. In the latter months of 2019, Grier

submitted to two IMEs–one requested by his counsel and one requested by Ruan.

Dr. Richard T. Holt examined Grier on Grier’s counsel’s request in

October 2019. He noted that Grier’s left shoulder surgery was not related to “the

work accident.” (R., p. 125.) He opined that Grier continued to suffer loss of

motion related to Grier’s July 2018 work injury. He believed Grier had pre-

existing avascular necrosis, which was asymptomatic and dormant before the July

2018 incident. He found Grier to be at maximum medical improvement (“MMI”)

but unable to return to the type of work he performed at the time of injury. He

issued restrictions on Grier’s activities, including lifting and reaching. He initially

found Grier to have a 27 percent whole person impairment (“WPI”) but later

revised this down to 18 percent for the right shoulder.

Dr. Best again examined Grier at Ruan’s request in December 2019.

Dr. Best also found Grier to be at MMI. Noting that Grier eventually required

replacement of both shoulders due to avascular necrosis, Dr. Best believed that

-4- Grier’s avascular necrosis in both shoulders was not due to the work incident but

was solely due to his having taken steroidal medicines for asthma. Dr. Best stated

that “within reasonable medical probability, causation was not the work-related

event described as occurring on July 31, 2018.” (R., p. 154.) And he found “no

permanent impairment directly and causally related to the work event of July 31,

2018.” (R., p. 155.)

In February 2020, Grier’s treating physician, Dr. Krupp, found Grier

to be at MMI. Dr. Krupp assessed Grier as having a seventeen percent (17%)

whole person impairment. He restricted Grier from lifting objects over 25 to 30

pounds, pushing or pulling anything greater than 25 to 30 pounds, occasional

repetitive pushing or pulling for more than four hours a day, and occasional work

over the shoulder level for over two hours per day.

Grier did not return to work at Ruan. Instead, he returned to truck

driving for a different company at a job which does not involve flatbed work and

does not require his loading or unloading a truck. The new job accommodates

Grier’s work restrictions. However, the pay is lower than Grier’s pay was at Ruan.

The parties stipulated that Grier had an average weekly wage of $1,200 at Ruan.

Grier testified he earned $200 a day at his new job ($1,000 for a five-day work

week)–less than the $280 per day he previously earned at Ruan.

-5- In March 2020, Grier filed an Application for Resolution of a Claim–

Injury. Ruan failed to file a Form 111 responding to Grier’s claim within 45 days.

However, both parties presented proof to the ALJ, who conducted an evidentiary

hearing in August 2020.

In October 2020, the ALJ issued a decision awarding Grier permanent

partial disability (“PPD”) benefits based on 17% whole person impairment and

utilizing the three-multiplier in Kentucky Revised Statutes (“KRS”)

342.730(1)(c)1. (“If, due to an injury, an employee does not retain the physical

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