Serrano v. Four Seasons Framing

336 P.3d 242, 157 Idaho 309, 2014 Ida. LEXIS 234
Idaho Supreme Court·Decided August 22, 2014·No. No. 40970·Published·Cited by 12 cases

Opinions

HORTON, Justice.

This is an appeal from a decision of the Industrial Commission finding that Francisco Serrano failed to prove that the condition for which he claimed additional benefits was caused by industrial accidents occurring in 2004 and 2008 while he was working for Four Seasons Framing (Four Seasons). We affirm.

I. FACTUAL AND PROCEDURAL BACKGROUND

Serrano worked as a framer for Four Seasons from September 2001 through February 2008. It is undisputed that Serrano was injured in two work-related accidents. The first injury occurred on January 16, 2004. Serrano was working on a roof at a construction site when he fell from a height of approximately fifteen feet, landing on the right side of his body and suffering transverse process fractures to his spine at L2 and L3 in addition to a fractured pelvis. Serrano also suffered shoulder impingement syndrome, which was the main.source of his pain following the accident. His shoulder injury required surgery which was performed by Dr. James Johnston on March 19, 2004. Serrano’s shoulder recovered well, but his low back pain persisted. In April of 2004, Serrano was still experiencing lower back pain, and Dr. Johnston ordered an MRI of the lumbar spine, which revealed mild degenerative changes and a bulging disc. Dr. Johnston noted that he thought much of Serrano’s “pain [was] from degenerative changes” but it was possible that Serrano had “a truly symptomatic disc problem.”

Serrano was referred to a pain specialist, Dr. Sandra Thompson, who administered two epidural steroid injections, which successfully alleviated Serrano’s low back pain. On June 28, 2004, Dr. Johnston concluded that Serrano’s condition was fixed and stable, and he informed the surety, Liberty Northwest Insurance Corp. (Liberty) that Serrano had no permanent impairment. Four Seasons paid for Serrano’s medical care, temporary total disability (TTD), and temporary partial disability (TPD) benefits from January 16, 2004 through June 12, 2004.

Serrano returned to Dr. Johnston in November 2004, presenting with severe lower back pain. Dr. Johnston’s impression was that the “MRI findings of degenerative disease with disc buldge/herniation may have progressed,” but were manageable. Serrano returned to work and ceased seeking medical care for his back pain by late 2004 or early 2005. In May of 2005, Dr. Johnston reviewed an independent medical evaluation of Serrano that had been conducted for the benefit of Liberty and reported that he felt Serrano’s “discogenie back problems (that were almost certainly preexisting the industrial injury) were exacerbated by the twenty foot fall that he took from the roof.”

The second accident occurred on January' 28, 2008, when Serrano slipped on ice and landed on his back. Serrano stopped working for Four Seasons in February 2008, and he first sought medical care for the second accident on February 4, 2008, presenting in the emergency room at St. Alphonsus. He was diagnosed with an acute myofascial strain and prescribed pain medication. Two days later, Serrano went to Dr. Joseph Verska for evaluation. Dr. Verska assessed sciatica, degenerative disc disease and a herniated disc. On February 21, 2008, Dr. Michael Rothman performed an MRI and compared the 2008 MRI to the 2004 MRI. Dr. Rothman concluded that there were “[m]inor L4-L5 degenerative changes, unchanged from prior study” and “[m]ild/moderate degenerative changes [at] L5-S1.”

Serrano went to Dr. Beth Rogers for an impairment evaluation on April 21, 2008. Dr. Rogers concluded that Serrano had a whole person impairment of 6% due to the disc protrusion at L5-S1. Dr. Rogers did not take into account the 2004 injury and did not review the 2004 MRI.

Dr. Verska referred Serrano to Dr. Timothy Doerr for a second opinion as to whether Serrano required surgery on his low back. Dr. Doerr saw Serrano on April 22, 2008, and [313]*313assessed Serrano’s lower back pain as “secondary to his degenerative changes at L5-S1 greater than L4-5.” Given the absence of neurological impingement, Dr. Doerr recommended physical therapy rather than surgery.

Physical therapy did not alleviate Serrano’s pain, and he returned to Dr. Doerr on June 6, 2008. Dr. Doerr ordered a disco-gram to determine if disc issues were responsible for Serrano’s symptoms, and if so, which discs were problematic. Dr. Sandra Thompson performed the diseogram on July 16, 2008, and observed no pain at the L3-L4 and the L4-L5 levels. Dr. Thompson was unable to access the space at L5-S1 without irritating the nerve root. Dr. Thompson concluded that Serrano had “non-concordant pain, implying that his pain was not just discogenic in nature.”1

After steroid injections at L5-S1 failed to provide relief to Serrano, Dr. Doerr ordered another diseogram in order to evaluate the L5-S1 level. The second diseogram was performed on September 8, 2008, by Dr. William Binegar. Dr. Binegar noted that Serrano began to report pain and pressure at L5-S1 prior to the injection of dye at this level. When the dye was injected, Serrano reported “minor” pain and pressure. Dr. Binegar stated:

I feel this diseogram is indeterminant [sic] for determining if this L5-S1 disc is contributing to his pain. I felt Mr. Serrano was somewhat unreliable in his presentation indicating pain even prior to the injection of dye at this level. Also I will state during the entire injection process he kept asking which disc are we doing.

After reviewing Dr. Binegar’s diseogram on September 16, 2008, Dr. Doerr concluded “that it is unlikely that L4-5 and L5-S1 is [sic] contributing to'any of [Serrano’s] symptoms.” Dr. Doerr found that Serrano was at maximal medical improvement, that there was no objective evidence upon which to impose work restrictions, and that Serrano had 0% permanent partial impairment. At this point, Liberty ceased paying benefits.

Then, on October 5, 2008, Serrano was attempting to get up from his couch when he felt a pop in his back and immediately began suffering from severe back pain. He was taken to the hospital, and an MRI was ordered. Dr. Peter Angleton treated Serrano at the emergency department and noted that the cause of Serrano’s pain was “unclear” but seemed “to be related to lumbar disc disease.” On October 13, 2008, Serrano presented to Dr. Thompson, who noted that Serrano was demonstrating a “worsening of his initial symptoms since his accident” and indicated that she believed Serrano was now a surgical candidate. However, by April of 2009, Serrano was no longer considered a surgical candidate. Serrano returned to Dr. Thompson in October of 2009, March of 2010, July 2010, and February 2011, each time reporting severe back pain.

Serrano filed a workers’ compensation complaint for the January 16, 2004, injury in December 2008. He began working for a landscaping company in 2009. After the parties began discovery, Serrano filed a motion for a protective order prohibiting Four Seasons from investigating Serrano’s immigration status. Serrano argued that being required to answer questions regarding his immigration status would violate his Fifth Amendment privilege against self-inerimination. Although the Commission denied Serrano’s motion, Serrano did not respond to Four Seasons’ discovery requests. Four Seasons filed a motion to compel and for sanctions. The Commission concluded that Serrano’s immigration status was relevant to his entitlement to partial permanent disability (PPD) and, due to Serrano’s failure to respond to discovery, the Commission denied Serrano’s claim for disability benefits as a sanction.

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Serrano v. Four Seasons Framing, 336 P.3d 242, 157 Idaho 309, 2014 Ida. LEXIS 234 (Idaho 2014).

336 P.3d 242 (Serrano v. Four Seasons Framing) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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