Schmidt v. Workers' Compensation Appeals Board

28 Cal. App. 4th 1458, 35 Cal. Rptr. 2d 279, 94 Cal. Daily Op. Serv. 7745, 94 Daily Journal DAR 14395, 59 Cal. Comp. Cases 617, 1994 Cal. App. LEXIS 1029
CourtCalifornia Court of Appeal
DecidedSeptember 20, 1994
DocketA064844
StatusPublished
Cited by1 cases

This text of 28 Cal. App. 4th 1458 (Schmidt v. Workers' Compensation Appeals Board) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Schmidt v. Workers' Compensation Appeals Board, 28 Cal. App. 4th 1458, 35 Cal. Rptr. 2d 279, 94 Cal. Daily Op. Serv. 7745, 94 Daily Journal DAR 14395, 59 Cal. Comp. Cases 617, 1994 Cal. App. LEXIS 1029 (Cal. Ct. App. 1994).

Opinion

Opinion

POCHÉ, Acting P. J.

We review a decision of respondent Workers’ Compensation Appeals Board (Board) that 80 percent of petitioner’s permanent disability should be apportioned to preexisting disability. Because we agree with petitioner that the evidence does not support apportionment, we will annul the Board’s order after reconsideration.

Factual and Procedural History

Petitioner’s employment with respondent City and County of San Francisco (city) commenced in approximately 1974. In 1980, he was a firefighter when he experienced back pain while lifting a large hose. He was off work about six weeks. When he returned to work, he returned as an airport police officer, a position he held before his firefighting position. When getting up from a chair while at work in 1986 and again in 1988, he experienced pain and spasm in his lower back. He was treated for each of these incidents and the symptoms subsided. No work restrictions followed these incidents of back pain.

On December 16, 1989, petitioner experienced an acute episode of back pain when he bent over at a drinking fountain at work. He was treated by Dr. Owen who on one or two occasions recommended that he return to light work with limited lifting and without wearing a gun belt, but petitioner’s *1461 supervisor would not accept him with these restrictions. Instead, he was sent to Dr. Castaneda who opined on July 9, 1990, that petitioner was incapable of returning to his usual and customary work.

On September 10, 1990, petitioner filed a workers’ compensation claim for the injury to his back which occurred on December 16, 1989. Dr. Chan reported on June 28, 1991, that petitioner had a herniated disc and was permanent and stationary for rating purposes and recommended no apportionment of permanent disability. He explained: “His current disabilities are entirely the result of the injury he sustained on 16 DEC 89. Despite the fact that he had several previous injuries to the low back, they were all minor. After adequate medical treatment he fully recovered and was able to return to work with no restrictions. He was also able to return to his normal recreational activities, including weight lifting. Therefore, no apportionment is necessary.”

A surveillance tape of petitioner was taken and reviewed by Dr. Chan and Dr. Owen. Dr. Owen, who had been following petitioner’s condition, stated that the tapes changed his opinion as to the extent of petitioner’s back problem. Dr. Chan, on the other hand, found “very little information in the tape that is inconsistent with what Mr. Schmidt can and cannot do. Even with a herniated lumbar disc in the low back, Mr. Schmidt has never claimed that he cannot engage in activities such as standing, walking, climbing stairs, carrying a cooler which weighed about 15 pounds or wading in water at the beach, [f] As to the ‘. . . work out at a health club,’ I believe that Mr. Schmidt is doing rehabilitative back exercises that have been encouraged by his physical therapist as well as his attending physician’s. He also found it helpful to stretch to overcome stiffness and weakness. . . . With a herniated lumbar disc in the low back, activities such as heavy lifting and carrying, repeated bending and stooping, or other activities that might be harmful or injurious to his lumbar disc are the ones to be discouraged but not rehabilitative back exercises.”

Hearing was held before a workers’ compensation judge (WCJ) on May 1, 1992, and again on June 25, 1992. The WCJ found permanent disability of 331/2 percent with no apportionment.

The City petitioned for reconsideration. The City argued that the opinion of Dr. Chan was not substantial evidence because it was based on inaccurate information from petitioner who was not candid about his weightlifting. “Applicant’s secret weightlifting program confirms the treating physician’s suspicions—present since June 1990—of elaboration of symptoms.”

The WCJ recommended against reconsideration. The Board, however, granted reconsideration in order to refer petitioner to an independent medical *1462 examiner and appointed Dr. Gwilym Lewis for this purpose. Dr. Lewis reported in writing on March 18, 1993. He found the same herniated disc as did the other doctors and agreed with a disability rating precluding heavy work. In a section labeled “Apportionment,” Dr. Lewis wrote: “Based upon his verbal history as well as the records of Dr. Owen in my opinion, there is a basis for apportionment. I consider probable that the back injury while working as a Fireman in 1980 was the basic and initial cause of the disc problem. Each one of the subsequent events aggravated the condition to some extent. I would concur with Dr. Owen and Dr. Castaneda that 80% of his disability is due to injuries which occurred in his work prior to 1989 and 20% to the aggravation which occurred with the injury of December of 1989.” 1

In his deposition on July 15,1993, Dr. Lewis reiterated the above opinion. He considered that the herniation initially occurred in 1980 and that each episode at work following this pushed the disc out a little further. When asked his opinion of the effect of petitioner’s recreational weightlifting, Dr. Lewis expressed his opinion that weightlifting is not “good for discs or backs in general” and that weightlifting “probably aggravated the condition.” However, Dr. Lewis agreed that he could not separate out a percentage of cumulative trauma due to weightlifting from that due to petitioner’s work.

Based upon Dr. Lewis’s report, a divided Board apportioned 80 percent of petitioner’s overall disability to nonindustrial factors. The dissenting member considered that apportionment was not legally valid.

Apportionment

Commissioner Richard Gannon, the dissenting board member, was correct in his assessment that there is no basis in the workers’ compensation statutes to relieve the employer of responsibility for 80 percent of the compensation for petitioner’s permanent disability to his back.

Apportionment of workers’ compensation benefits for conditions preexisting an industrial injury must meet the requirements of either Labor Code section 4750 or Labor Code section 4663. Section 4750 provides: “An employee who is suffering from a previous permanent disability or physical *1463 impairment and sustains permanent injury thereafter shall not receive from the employer compensation for the later injury in excess of the compensation allowed for such injury when considered by itself and not in conjunction with or in relation to the previous disability or impairment.”

The preexisting disability under Labor Code section 4750 must be labor-disabling. (King v. Workers’ Comp. Appeals Bd. (1991) 231 Cal.App.3d 1640, 1647 [283 Cal.Rptr. 98]; Ditler v. Workers’ Comp. Appeals Bd. (1982) 131 Cal.App.3d 803, 813 [182 Cal.Rptr. 839].) There was no evidence that petitioner’s ability to work was impaired prior to the injury on December 16, 1989. Consequently, the Board did not apportion under this statute but under Labor Code section 4663.

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Related

Martins v. Workers' Compensation Appeals Board
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28 Cal. App. 4th 1458, 35 Cal. Rptr. 2d 279, 94 Cal. Daily Op. Serv. 7745, 94 Daily Journal DAR 14395, 59 Cal. Comp. Cases 617, 1994 Cal. App. LEXIS 1029, Counsel Stack Legal Research, https://law.counselstack.com/opinion/schmidt-v-workers-compensation-appeals-board-calctapp-1994.