Shaun Seals v. Pearl River Resort and Casino and Pearl River Resort;

CourtCourt of Appeals of Mississippi
DecidedDecember 10, 2019
DocketNO. 2019-WC-00012-COA
StatusPublished

This text of Shaun Seals v. Pearl River Resort and Casino and Pearl River Resort; (Shaun Seals v. Pearl River Resort and Casino and Pearl River Resort;) is published on Counsel Stack Legal Research, covering Court of Appeals of Mississippi primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Shaun Seals v. Pearl River Resort and Casino and Pearl River Resort;, (Mich. Ct. App. 2019).

Opinion

IN THE COURT OF APPEALS OF THE STATE OF MISSISSIPPI

NO. 2019-WC-00012-COA

SHAUN SEALS APPELLANT

v.

PEARL RIVER RESORT AND CASINO AND APPELLEES PEARL RIVER RESORT

DATE OF JUDGMENT: 12/06/2018 TRIBUNAL FROM WHICH MISSISSIPPI WORKERS’ COMPENSATION APPEALED: COMMISSION ATTORNEYS FOR APPELLANT: BENJAMIN SETH THOMPSON JOSEPH R. FRANKS ATTORNEY FOR APPELLEES: AMY K. TAYLOR NATURE OF THE CASE: CIVIL - WORKERS’ COMPENSATION DISPOSITION: AFFIRMED IN PART; REVERSED AND REMANDED IN PART - 12/10/2019 MOTION FOR REHEARING FILED: MANDATE ISSUED:

EN BANC.

McCARTY, J., FOR THE COURT:

¶1. Shaun Seals was injured while working in the course and scope of his employment.

He brought his case before an administrative judge (AJ), who found that Seals had yet to

reach maximum medical improvement (MMI). The employer appealed, and the case was

reviewed by the Mississippi Workers’ Compensation Commission (the Commission), which

found that Seals had reached MMI and did not suffer a loss of wage-earning capacity.

Aggrieved, Seals appeals the Commission’s findings.

FACTS

¶2. Seals was working for the Pearl River Resort and Casino (Pearl River) when he was injured in a car accident on April 14, 2012. The car he was in was rear-ended so violently

the windows exploded. Following the collision, a number of doctors treated and evaluated

Seals. Doctors Bruce Hirshman, Bruce Senter, and Howard Katz provided MMI dates

ranging from August 20, 2012, to February 12, 2016.1 Doctors Greg Wood and Orhan Ilercil

did not find that Seals had reached MMI.2

¶3. Dr. Michael Molleston suggested that Seals have surgery, but Doctors Senter, Ilercil,

and Wood recommended against it. Dr. Ilercil stated that he did not “believe that a lumbar

fusion would be in [Seals’] best interest . . . .” Dr. Wood vehemently opposed surgery,

stating: “My gut feeling is that if he does undergo this surgery, he will not have a successful

surgery and, more concerning, will be set on a path of multiple procedures and attempts to

rectify his back pain.”

¶4. A vocational analysis was conducted by Bruce Brawner, who determined that Seals

had lost access to thirty percent of the job titles in the competitive labor market

commensurate with his skills and levels of expertise. Brawner reviewed Seals’ earnings and

reported that he had earned $76,462.00 in 2011 and $87,308.00 in 2012. Brawner opined

that Seals is able to earn an average of $39,478.00 per year post-incident and that his loss of

earnings is between thirty-nine and forty-eight percent.

1 Dr. Senter provided two dates of MMI: August 20, 2012, and August 19, 2013. Dr. Hirschman also provided two dates of MMI: November 13, 2015, and February 12, 2016. Dr. Katz found Seals to be at MMI on August 20, 2012. 2 While the Commission’s decision stated that Dr. Wood found Seals to be at MMI, his report shows that he believed Seals could reach MMI following “an aggressive rehab course.”

2 ¶5. The case was brought before an AJ, who found that there was insufficient evidence

to determine if Seals had reached MMI. The AJ then ordered Pearl River to pay temporary

total disability benefits from the date of the injury until MMI could be determined.

¶6. Pearl River requested the Commission review the decision. The Commission reversed

the AJ’s order and, relying on Dr. Hirshman’s report, found that Seals had reached MMI on

November 13, 2015. Dr. Hirshman’s notes from that date indicate that he placed Seals at

MMI “from [his] practice of anesthesiology pain management.” He released Seals to return

to work on a full-time basis without restrictions or limitations.

¶7. The Commission further found that Seals did not prove any permanent disability or

loss of wage-earning capacity as a result of his work-related injury.

¶8. Seals asserts four assignments of error on appeal: (1) the Commission erred in

reversing the AJ’s order; (2) he did not reach MMI on November 13, 2015; (3) the

Commission improperly relied on conflicting expert opinions; and (4) the evidence does not

support the Commission’s findings.

STANDARD OF REVIEW

¶9. In reviewing a decision of the Mississippi Workers’ Compensation Commission great

deference is given to the Commission’s factual findings. Janssen Pharm. Inc. v. Stuart, 856

So. 2d 431, 435 (¶16) (Miss. Ct. App. 2003). This deferential standard of review leads to a

reversal only when the Commission’s finding of fact is unsupported by the evidence,

arbitrary or capricious, or an error of the law. Wayne Farms LLC v. Weems, 105 So. 3d 1178,

1180 (¶6) (Miss. Ct. App. 2012). Where no evidence or only a scintilla of evidence supports

3 the Commission’s decision, this Court will not hesitate to reverse. Metal Trims Indus. Inc.

v. Stovall, 562 So. 2d 1293, 1297 (Miss. 1990); F & F Const. v. Holloway, 981 So. 2d 329,

331 (¶9) (Miss. Ct. App. 2008) (citing Foamex Prods. Inc. v. Simmons, 822 So. 2d 1050,

1053 (¶11) (Miss. Ct. App. 2002)).

¶10. “A finding is clearly erroneous when, although there is some slight evidence to

support it, the reviewing court on the entire evidence is left with the definite and firm

conviction that a mistake has been made by the Commission in its findings of fact and in its

application of the Act.” Hardaway Co. v. Bradley, 887 So. 2d 793, 795 (¶11) (Miss. 2004).

DISCUSSION

¶11. To establish a compensable work-related injury, a claimant must show there was “(1)

an accidental injury, (2) arising out of and in the course of employment, and (3) a causal

connection between the injury and the claimed disability.” City of Jackson v. Sandifer, 125

So. 3d 681, 688 (¶27) (Miss. Ct. App. 2013). Once a claimant has established that they did

receive a compensable, work-related injury, compensation is calculated after the claimant has

reached MMI.

¶12. Here, neither party disputes that Seals sustained a work-related injury. Instead, the

issue we find to be dispositive in this case is whether there is substantial evidence to support

the Commission’s finding that Seals reached MMI on November 13, 2015, and if so, whether

he suffered any loss of wage-earning capacity.

¶13. “Maximum medical improvement is reached at such time as the patient reaches the

maximum benefit from medical treatment or is as far restored as the permanent character of

4 his injuries will permit and/or the current limits of medical science will permit . . . .”

Mississippi Workers’ Compensation Medical Fee Schedule 8, § VI (2016) (defining MMI);

see also Alumax Extrusions Inc. v. Wright, 737 So. 2d 416, 420 (¶10) (Miss. Ct. App. 1998).

Only once the date of MMI has been established can it be determined whether an employee

has suffered a loss of wage-earning capacity and, if so, to what extent.

I. The Commission did not err in assigning the MMI date as November 13, 2015.

¶14. Seals challenges the Commission’s finding that he reached MMI on November 13,

2015. Specifically, he argues that the Commission improperly relied upon conflicting expert

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