Simons v. State Compensation Mutual Insurance Fund

865 P.2d 1118, 262 Mont. 438, 50 State Rptr. 1628, 1993 Mont. LEXIS 397
CourtMontana Supreme Court
DecidedDecember 16, 1993
Docket93-259
StatusPublished
Cited by7 cases

This text of 865 P.2d 1118 (Simons v. State Compensation Mutual Insurance Fund) is published on Counsel Stack Legal Research, covering Montana Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Simons v. State Compensation Mutual Insurance Fund, 865 P.2d 1118, 262 Mont. 438, 50 State Rptr. 1628, 1993 Mont. LEXIS 397 (Mo. 1993).

Opinion

JUSTICE WEBER

delivered the Opinion of the Court.

The State Compensation Mutual Insurance Fund (State Fund) appeals the decision of the Workers’ Compensation Court which found *440 in favor of claimant. Claimant cross-appeals the denial of attorney fees, costs and a 20% penalty. We affirm.

The issues presented for our review are:

1. Did the Workers’ Compensation Court err in excluding a previously undisclosed surveillance tape from evidence at trial?

2. Did the Workers’ Compensation Court err in giving greater weight to the testimony of the treating physician than to the testimony of the State Fund’s expert?

3. Did the Workers’ Compensation Court err in denying attorney fees, costs and a 20% penalty?

At the time of the injury involved in this appeal, Eloise B. Simons (Simons) worked as a dog groomer for Reserve Street Pet and Food Supply/A-1 Grooming in Missoula, Montana. She had been a dog groomer for approximately twenty years, at times self-employed and at times working for others.

On June 20,1991, Simons was grooming a standard poodle which weighed over fifty pounds. As she carried the poodle from the grooming table to the bathing tub, her left arm gave way and she dropped the dog to the floor. Simons finished grooming the dog with another worker’s assistance and then sought medical attention for an injury to her left arm and left shoulder.

Two separate claims arose from that accident. Simons was treated for carpal tunnel syndrome and she received benefits under the Occupational Disease Act relative to that injury. She also was treated for an injury to her left shoulder area which involved the rhomboid and trapezius musculature. The shoulder injury is the subject of this appeal.

On the day of injury, Simons sought treatment from Dr. Woltanski at the Western Montana Clinic Now Care facility. On June 25,1991, Simons saw Dr. Moseley, an orthopedic surgeon. Dr. Russo, a neurologist, also examined Simons on that day and confirmed Dr. Moseley’s diagnoses. Dr. Moseley became Simons’ treating physician for both injuries. Dr. Moseley diagnosed bilateral carpal tunnel syndrome and a strain of the left rhomboid muscle group sustained by lifting the dog. He recommended surgical treatment for the carpal tunnel syndrome and physical therapy for the rhomboid strain. Dr. Moseley later testified that his diagnosis and the injury were compatible with the description of the accident supplied to him by Simons.

Dr. Moseley performed carpal tunnel surgery on both wrists. Simons’ claim for the injury to her wrists was settled prior to trial *441 under the Occupational Disease Act. The State Fund accepted liability for Simons’ shoulder injury under the Workers’ Compensation Act.

On August 30,1991, after recovery from the carpal tunnel surgeries, Dr. Moseley noted that Simons was asymptomatic in both hands and the neck and released her to return to work without restrictions. Simons returned to work at Reserve Street Pet and Food Supply/A-1 Grooming for a period of about five weeks, resuming a normal workload and work activities.

On October 2, 1991, after working in her previous occupation for four or five weeks, Simons saw Dr. Moseley for pain in her wrists. On January 17,1992, Simons again saw Dr. Moseley, this time complaining of intermittent pain in the left trapezius and upper rhomboid muscles. Dr. Moseley concluded that Simons suffered from a mild chronic strain syndrome in the upper left trapezius and that the injury should not preclude her from working in an occupation that would not involve vigorous overhead lifting. He further concluded that her condition was medically stationary and was unlikely to improve. Dr. Moseley assessed a 3% whole person impairment, attributing 1% to the left shoulder and 1% to each wrist. Dr. Moseley also restricted Simons from doing work which involved vigorous overhead lifting.

After that determination by Dr. Moseley, Simons asked for and received successive work restrictions. On April 21,1992, Dr. Moseley restricted Simons to lifting no more than 15 pounds overhead and no more than 30 pounds to chest level and restricted Simons from working overhead and at shoulder level. The State Fund then retained a vocational rehabilitation consultant to perform an employ-ability assessment. Relying primarily on information supplied by the time-of-injury employer, the consultant concluded that Simons was employable at Reserve Street Pet and Food Supply/A-1 Grooming.

Dr. Burton performed an independent medical examination of Simons on behalf of the State Fund on August 12,1992. He concluded that Simons’ left shoulder was impaired and the disability caused by the injury would make it difficult for her to work as a dog groomer. He later recanted that conclusion based on evidence that the Workers’ Compensation Court found inadmissible. The Workers’ Compensation Court excluded certain portions of Dr. Burton’s deposition testimony because he was shown a tape of Simons grooming her horses which had not been disclosed to the claimant and because he based a portion of his testimony on a tape of someone — whom he incorrectly assumed was Simons — grooming a standard poodle. The court stated *442 its belief that “reliance upon Dr. Burton’s changed assessment ... would be unfair” and that it was proper to give greater weight to the physician with the greater knowledge of the claimant’s condition — in this case, the treating physician.

The parties stipulated that Simons injured her left arm and shoulder on June 20,1991, while lifting a fifty-pound poodle while at work. The State Fund has paid medical expenses and $747.50 in permanent partial disability benefits to Simons for her left shoulder. It contested the amount of temporary benefits, contended that Simons was not entitled to permanent and rehabilitative benefits, argued that a preexisting left shoulder problem was the cause of the problem and contended that the injury had not resulted in any disability that prevented a return to dog grooming as an occupation.

The Workers’ Compensation Court found in favor of Simons. The findings and conclusions referred to both the dog grooming and horse exercising videotapes as admissible. After that decision, the State Fund requested the Workers’ Compensation Court to amend all findings and conclusions that were based on the inadmissibility of the dog grooming videotapes and requested additional findings and conclusions that allowed for the consideration of Dr. Burton’s testimony based on the dog grooming videotape. The court denied the request because it involved the videotape that led to Dr. Burton’s mistaken assumption that the claimant was the dog groomer depicted in the videotape. The court amended certain findings and conclusions which incorrectly labeled the dog grooming tape as “inadmissible” in its findings.

The court reviewed the record and amended several findings and conclusions, but again determined that Simons had met her burden of proof by establishing by a preponderance of the probative, credible evidence that she suffers a disability due to her shoulder injury. Further facts will be provided as necessary throughout the remainder of this opinion.

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865 P.2d 1118, 262 Mont. 438, 50 State Rptr. 1628, 1993 Mont. LEXIS 397, Counsel Stack Legal Research, https://law.counselstack.com/opinion/simons-v-state-compensation-mutual-insurance-fund-mont-1993.