Siler v. Shawnee Mission School District

251 P.3d 92, 45 Kan. App. 2d 586
CourtCourt of Appeals of Kansas
DecidedApril 1, 2011
Docket103,714
StatusPublished

This text of 251 P.3d 92 (Siler v. Shawnee Mission School District) is published on Counsel Stack Legal Research, covering Court of Appeals of Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Siler v. Shawnee Mission School District, 251 P.3d 92, 45 Kan. App. 2d 586 (kanctapp 2011).

Opinion

Marquardt, J.:

Rozanne M. Siler appeals from an order of the Workers Compensation Board (Board) finding that an administrative law judge (ALJ) had jurisdiction to issue a preliminary order denying her future psychotherapy treatment. Shawnee Mission School District (U.S.D. 512) argues that the ALJ’s preliminaiy order was not a final order and this court does not have jurisdiction to hear her appeal. We agree and dismiss the appeal.

Siler, a teacher for U.S.D. 512, was struck by lightning on August 30, 2001, as she was walking students to cars during a thunderstorm. Siler suffered injuries including herniated disks and pain along her right side. On Januaiy 21, 2003, the parties designated Dr. Blake Wendelburg and his associates at the Midwest Pain Management & Diagnostics Center as Siler’s authorized treating physicians along with any referrals Dr. Wendelburg deemed necessary for her treatment. Dr. Wendelburg referred Siler to Dr. Ashcraft for pain treatment and Dr. Sabapathy for psychotherapy.

A settlement hearing was held on September 6, 2007, at which Siler agreed to accept $50,000 in settlement of all her claims except her right to future medical treatment. The ALJ stated at the settlement hearing that Siler’s future medical treatment would “remain open upon proper application to the director unless the parties otherwise agree.”

U.S.D. 512 paid Siler’s medical bills for approximately 7 years until it requested an independent psychiatric evaluation of Siler’s condition. The psychiatric examination was performed on February 24, 2009, by Dr. Patrick L. Hughes. Dr. Hughes determined that Siler had learned “biofeedback and self relaxation techniques that *588 are helpful for patients with chronic pain, so [she] is in no need of further therapy sessions to utilize those techniques.” Dr. Hughes concluded:

“Long term psychotherapy is at best fruitless, and at worst, counter therapeutic for patient’s [sic] who’s [sic] primary problem is a Histronic Personality Disorder or somatizing/ chronic subjective pain, so she needs no further such therapy for any psychiatric sequellae of her August 2001 lighting injuries. However, given her now significant dependence on Dr. Sabapathy, it would be medically and ethically appropriate to authorize three more ‘termination of therapy’ sessions for the patient with Dr. Sabapathy, after she finishers her 8 therapy session course of ‘desensitization’ therapy. Should Mrs. Siler want to continue in long term psycho^therapy with Dr. Sabapathy after the desensitization sessions, that of course is certainly her right as an American patient, but the need for any further long term therapy with Dr. Sabapathy beyond that point cannot be attributed in any medically credible way to the psychiatric effects of her August 2001 lightening strike at her former workplace.”

On March 30, 2009, U.S.D. 512 sent a “seven-day demand/notice of intent” to discontinue Siler s psychotherapy because the ongoing treatment “is not related to the accident and goes beyond reasonable and necessary treatment.” On April 14, 2009, U.S.D. 512 filed an application for a preliminary hearing on its intent to discontinue Siler s psychotherapy. Dr. Hughes’ report was attached to the application. Siler objected to the ALJ using a prehminary hearing to evaluate her need for future psychotherapy.

Notwithstanding Siler’s objection, a preliminary hearing was held on August 17, 2009, At the hearing, 415 pages of Siler’s medical records were entered into the record. Siler and her husband both testified at the hearing. The ALJ entered a preliminary order requiring Dr. Sabapathy to “follow Dr. Hughes’ recommended treatment plan” for discontinuing Siler’s psychotherapy. The ALJ filed a written prehminary order on August 19, 2009, reiterating its findings of August 17 and stating that long-term psychotherapy would no longer benefit Siler.

In support of the ALJ’s prehminary order, U.S.D. 512 cited Folk v. Haldex Brake Systems, Workers Compensation Board Docket Nos. 528,343 & 1,011,042, filed November 2006, in which a prehminary hearing was used to terminate or alter an award that left open future medical care.

*589 On August 20, 2009, Siler requested the Board’s review of the ALJ’s prehminary order. Siler questioned “[wjhether the administrative law judge had the authority to proceed ... to terminate or amend medical care following the entry of an Award.” The decision of the ALJ was reviewed by one Board member as statutorily provided. See K.S.A. 2010 Supp. 44-551(i)(2)(A). The Board member’s decision of Décember 21, 2009, found:

“The preliminary hearing procedure utilized by the ALJ in this instance is appropriate. Additionally, the decision of the ALJ is within her jurisdiction and authority and, thus, not reviewable by the Board at this time. The Prehminary Decision of the ALJ remains in full force and effect and the appeal of the claimant is dismissed.”

Siler timely appeals.

The only issue Siler raises in her brief to the court is:

“What is the proper procedure, if one exists in this case, to change medical providers after a workers’ [sic] compensation claim has been settled pursuant to K.S.A. 44-531 and K.A.R. 51-3-l(d) with specific provisions for specific medical providers.”

Siler’s issue involves questions of fact and law. The question of fact is whether the ALJ changed the terms of Siler’s final award on the issue of all future medical payments. The issues of law involve interpretation and application of K.S.A. 44-531, K.S.A. 44-534a, and K.A.R. 51-3-l(d).

Siler argues that the settlement agreement and 2007 stipulated order provided her with a right to continued medical treatment prescribed by Dr. Wendelburg. It is true that Dr. Wendelburg was her authorized treating physician; however, the agreement and order are silent on what medical treatment was authorized. Siler argues that K.A.R. 51-3-1 provides when an award may be terminated and the ALJ improperly terminated her award. What was agi'eed to in the settlement award was Siler’s total compensation for her lifelong injury. Siler overlooks the ALJ’s statement at the hearing concerning her future medical treatment: “The right to future medical treatment will remain open upon proper application to the director unless the parties otherwise agree.” The provisions *590 of K.A.R. 51-3-1 are not applicable here because tire ALJ did not terminate any part of Silers final award.

Siler next argues that the ALJ improperly modified her final award and K.S.A. 44-528, not K.S.A. 44-532a, is the statute that allows modification of an award. Under K.S.A.

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Bluebook (online)
251 P.3d 92, 45 Kan. App. 2d 586, Counsel Stack Legal Research, https://law.counselstack.com/opinion/siler-v-shawnee-mission-school-district-kanctapp-2011.