Smith, Jr. v. Millar

CourtNorth Carolina Industrial Commission
DecidedJuly 18, 2008
DocketI.C. NOS. 677515 PH-1752.
StatusPublished

This text of Smith, Jr. v. Millar (Smith, Jr. v. Millar) is published on Counsel Stack Legal Research, covering North Carolina Industrial Commission primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Smith, Jr. v. Millar, (N.C. Super. Ct. 2008).

Opinion

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The undersigned have reviewed the prior Opinion and Award based upon the record of the proceedings before Deputy Commissioner Hall and the briefs and arguments of the parties. The appealing party has not shown good ground to reconsider the evidence, receive further evidence, rehear the parties or their representatives, and having reviewed the competent evidence of record, the Full Commission adopts the Opinion and Award of Deputy Commissioner Hall with minor modifications.

* * * * * * * * * * *
Based upon all of the competent evidence of record and reasonable inferences flowing therefrom, the Full Commission makes the following: *Page 2

FINDINGS OF FACT
1. At the time of the incidents, which are the subjects of this claim, an employment relationship existed between plaintiff and defendant-employer George S. Millar, LLC. Defendant-employer, George S. Millar, LLC, is engaged in the business of residential and commercial renovations and repairs.

2. On July 24, 2006, plaintiff was painting the walls of a garage for defendant-employer. As plaintiff bent over and picked up a five-gallon bucket of paint, he felt a pop in his back.

3. According to Employment Security Commission records, defendant-employer had only two employees on the date of plaintiff's injury. However, plaintiff is not listed on those Employment Security Commission records. Including plaintiff, defendant-employer would have had at least three employees on the date of plaintiff's injury and would have been subject to the North Carolina Workers' Compensation Act.

4. All parties are subject to and bound by the provisions of the North Carolina Workers' Compensation Act. Defendant-employer did not have workers' compensation insurance at the time of plaintiff's specific traumatic incidents.

5. Plaintiff received treatment for thoracic and upper lumbar back pain at Nash General Hospital on July 25, 2006. Dr. Kenneth E. Moore, the attending physician, ordered a CT scan of plaintiff's lumbar spine that revealed minimal right and left posterior disc bulging at L2-L3 and bi-lateral hyper-trophy, broad-based and left lateral disc bulging superimposed on mild circumferential spinal stenosis at L3-L4, left paracentral/left posterolateral disc bulging versus herniation, super-imposed on moderate circumferential spinal stenosis at L4-L5, left paracentral to left lateral disc herniation at L5-S1. *Page 3

6. After examination and review of the CT scan, Dr. Moore discharged plaintiff from the emergency room with prescriptions for Flexeril, Percocet, and Prednisone, and instructions to follow up with his family physician, Dr. Broderick Bello at Boice Willis Clinic.

7. Plaintiff presented himself to Dr. Bello on July 27, 2006, complaining of mid-thoracic and lumbar back pain. Dr. Bello's diagnosis was that plaintiff had musculoskeletal back pain with some L4-L5, L5-S1 disc bulging and mild spinal stenosis. Dr. Bello renewed plaintiff's prescription for Percocet, prescribed a non-steroidal for inflammation, and scheduled plaintiff for further evaluation in one week. Plaintiff did not follow-up with Dr. Bello.

8. On September 7, 2006, plaintiff presented himself to the emergency room at Nash General Hospital complaining of pain in the midline lumbar region. He gave a history of picking up a 38-foot ladder at work and feeling sudden pain in his back. The onset of pain was accompanied by a "pop." On examination, plaintiff demonstrated midline tenderness in the lower back area. A lumbar spine x-ray study showed no fracture, subluxation, bony lesion, or cord compression. There was a disc bulge at L3-L4, a disc bulge or herniation at L4-L5, and a left paracentral-to-lateral disc herniation at L5-S1. Janet Rippel, PA-C prescribed Ketorolac and Morphine for plaintiff, which relieved some of his pain. Ms. Rippel counseled plaintiff on the seriousness of his condition, recommended follow-up treatment with his personal physician and released plaintiff from the emergency room. Plaintiff sought no further treatment.

9. On October 29, 2006, plaintiff presented himself to the emergency room of Nash General Hospital complaining of severe back pain after lifting his daughter from the bathtub. The attending physician's assessment was that plaintiff was suffering from low back pain secondary to a herniation. Plaintiff was given Percocet and Flexeril, which lessened his pain. *Page 4 Thereafter, plaintiff was discharged from the emergency room with instructions to follow up with Dr. Robert C. Martin, an orthopedist at Carolina Regional Orthopaedics.

10. Stephen J. Mould, PA-C for Dr. Martin, saw plaintiff at Carolina Regional Orthopaedics on November 1, 2006. Plaintiff gave Mr. Mould a history of having injured his back while moving a paint bucket in July 2006 and being treated for that injury at Nash General Hospital. According to plaintiff, he had a CT scan at that time, which showed no fractures, but some bulging discs. The emergency room physician had started plaintiff on medications and plaintiff felt that he was improving. Sometime later, plaintiff said he picked up a ladder at work and his back popped again. He went to the emergency room at Nash General Hospital, where he had a repeat CT scan and was released on medications. Plaintiff hurt his lower back a third time, when he lifted his child out of the bathtub on October 29, 2006, just two days prior to presenting himself at Carolina Regional Orthopaedics for follow up evaluation and treatment.

11. Mr. Mould's general observations of plaintiff on November 1, 2006 were that plaintiff was ambulatory and in no acute distress, that he moved gingerly and had limited range of motion in his back. Mr. Mould's physical examination of plaintiff indicated that plaintiff was tender at the thoracolumbar junction and had some pain on palpation in the SI joint region. Plaintiff demonstrated a good range of motion in his hips, knees, and ankles. He had full strength in both of his legs, though he demonstrated some guarding during the strength testing. Straight leg raises were negative for radicular leg pain. Plaintiff had normal sensation and reflex in his legs and feet.

12. Mr. Mould ordered x-rays of plaintiff's back, which were immediately done on site. The x-rays showed that the vertebral body heights and the disc space heights were well maintained in plaintiff's back. The thoracic spine films showed mild and diffuse narrowing of *Page 5 the disc spaces with some anterior osteophyte formation. Mr. Mould also reviewed plaintiff's CT films, previously done for the emergency room at Nash General Hospital. The CT scans showed no fracture, dislocation, lesion, or masses. There were some mild and diffuse degenerative changes and multiple areas of mildly bulging discs, but no frank herniation.

13. Based on his examination of plaintiff and his review of the new x-rays and previous CT scans, Mr. Mould was of the opinion that plaintiff's back pain was the result of thoracolumbar degenerative joint disease. Mr. Mould recommended an epidural Cortisone injection to determine if a series of such injections would be effective in relieving his back pain. In the interim, Mr. Mould gave plaintiff a prescription for Percocet and took him out of work. Mr. Mould's plan was that plaintiff would proceed to get the test epidural injection and return in two to three weeks to evaluate the effectiveness of the injection. Plaintiff did not present himself for the test injection, nor did he return to Carolina Regional for further evaluation or treatment.

14. Dr.

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Smith, Jr. v. Millar, Counsel Stack Legal Research, https://law.counselstack.com/opinion/smith-jr-v-millar-ncworkcompcom-2008.