Smith v. QHG of Dothan, Inc.

872 So. 2d 197, 2003 Ala. Civ. App. LEXIS 444, 2003 WL 21488731
CourtCourt of Civil Appeals of Alabama
DecidedJune 27, 2003
Docket2010613
StatusPublished
Cited by2 cases

This text of 872 So. 2d 197 (Smith v. QHG of Dothan, Inc.) is published on Counsel Stack Legal Research, covering Court of Civil Appeals of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Smith v. QHG of Dothan, Inc., 872 So. 2d 197, 2003 Ala. Civ. App. LEXIS 444, 2003 WL 21488731 (Ala. Ct. App. 2003).

Opinion

MURDOCK, Judge.

Nancy G. Smith appeals from the trial court’s judgment finding her 50% permanently partially disabled as a result of an injury she suffered while employed with QHG of Dothan, Inc., a corporation, d/b/a Home Health Services (“QHG”). The trial court also determined that mileage reimbursement was not to be included in the computation of the “average weekly wages” to be used in calculating Smith’s disability benefits under § 25-5-57, Ala. Code 1975.

The trial court held .an ore tenus-hearing on October 31, 2001, at which Smith and the following individuals testified: Marlene Harrell, a company representative for QHG; Myrtice Carr, a vocational expert retained by Smith; and Eric Anderson, a vocational expert retained by QHG. Written reports from both of the vocational experts were admitted into evidence. The trial court also considered the following additional evidence: the deposition testimony of Smith (dated April 1999); the deposition testimony of Dr. J. Paul Maddox, an orthopedic surgeon (dated August 2001); relevant medical and payroll records; an affidavit of Alethia E. Keahey, director of fiscal services for QHG; and a Social Security Administration disability decision in favor of Smith.

At the time of the trial, Smith was 42 years old. In addition to having graduated from high school, Smith had completed three quarters of general curriculum at a community college. Smith earned primarily A’s and B’s in high school; she earned A’s and B’s at the community college as well.

Smith, a certified nursing assistant (“CNA”), began working for QHG as an in-home patient-care provider in March 1996. Smith’s job duties included taking patients’ vital signs, bathing them,. moving them around, and changing their clothes. Smith used her own vehicle to travel to the patients’ homes, and QHG reimbursed her biweekly for her reported mileage by paying her a standard per-mile rate.

On September 3, 1997, Smith suffered an on-the-job injury to her lower back while attempting to assist a patient out of a wheelchair. Thereafter, Smith was diagnosed with a bulging disc and underwent conservative treatment. Smith resigned from her job in November 1997, explaining that, because of her level of pain, she was unable to perform her job duties. After conservative treatment failed to relieve Smith’s pain, she was referred to Dr. J. Paul Maddox, an orthopedic surgeon. Thereafter, Smith underwent two surgical procedures: (1) an “L5-S1 laminotomy, bilateral disc excision, posterior lumbar inner body fusion, and right autogenous iliac [200]*200crest bone graft” (on August 6, 1998); and (2) an “L5-S1 intertransferous transfusion bilaterally with screw and rod fixation and bilateral iliac crest harvest” (on April 20, 2000). Dr. Maddox explained that the first surgery, a one-level fusion at L5-S1, was unsuccessful resulting in a “nonunion or an unhealed fusion”; the second surgery was successful. In August 2000, Dr. Maddox ordered a functional capacity evaluation (“FCE”) to determine Smith’s physical limitations.1

On August 17, 2000, Daniel R. Peters, a physical therapist, conducted the FCE. According to the FCE, Smith demonstrated an ability to work in a sedentary to light-physical functional capacity with the following restrictions: “no squatting,, kneeling, running. Stand/walk FREQ but not CONSTANT.”2

Dr. Maddox concurred with the FCE, finding it to be representative of Smith’s work abilities. Dr. Maddox determined that Smith had reached maximum medical improvement on August 17, 2000, and assigned Smith a 12% impairment rating to the body of as whole. Dr. Maddox released Smith to return to work within the limitations of the FCE. Dr. Maddox recognized that, because of lifting limitations, Smith would not be able to return to her job as a CNA at QHG.

Both parties had vocational experts testify at trial. Myrtice Carr, Smith’s vocational expert, opined that Smith was 100% permanently and totally disabled. Carr opined that Smith had a loss of access to the job market of 94% and a loss of earning capacity of 100%. In her vocational report, Carr opined that “[i]t is customary and reasonable to average the two methods to obtain the loss of employability which is measured to be 97%. With only four jobs feasible, this should be considered at 100 percent loss.”

QHG’s vocational expert, Eric Anderson, opined that Smith had a loss of access to the market of 50% and a loss of earning capacity of 17%. In his vocational report, Anderson opined that “Smith’s vocational disability rating ranges ... between 25% to 33.5%.” Anderson testified that Smith had enough work skills to become a medical office assistant, a file clerk, a receptionist, a hospital admitting clerk, and a cashier. Anderson further testified that Smith could receive short-term training to become a pharmacy technician or a cardiac monitor technician, both of which could yield greater wages than Smith’s preinjury job as a CNA.

Smith testified at trial that she takes Vioxx (an anti-inflammatory medication) every day for her back. She also testified that she “[a]t times [has] to take [over-the-counter] pain medicine.” Smith described her pain: “I still have pain. It’s not as bad as before. My legs are bad to cramp. I don’t sleep that good. I sleep on my right side with pillows between my legs. Sometimes I have a good night’s sleep and sometimes I don’t.” On cross-examination, Smith admitted that, although she claims that she is unable to obtain work because of her medical condition, she has not attempted to find work within her work restrictions. She also admitted that she is able to cook meals for: her husband, make up the beds, clean the house, and [201]*201generally take care of her “household” duties. Smith also drives.

In its judgment, the trial court found, in part:

“5. On September 3, 1997, while working within the scope of her employment with [QHG], [Smith] injured her back lifting a patient from a wheelchair. Dr. J. Paul Maddox, an orthopedic surgeon at Southern Bone & Joint, subsequently performed two surgical procedures to repair the injury: (1) an L5-S1 laminotomy, bilateral disc excision, posterior lumbar inner body fusion and right autogenous iliac crest bone graft; and (2) L5-S1 intertransferous transfusion bilaterally with screw and rod fixation and bilateral iliac crest harvest.
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“7. At the time of the accident, [Smith’s] average weekly earnings were $258.70. Although [Smith] contended at trial that her average weekly earnings should have included mileage reimbursement expenses paid by [QHG], the court specifically finds that the mileage reimbursements were not included in [Smith’s] W-2 forms and [were] not treated as income for federal income tax purposes. Thus, under Ala. Code §§ 25-5-57(b) and 25-5-1(6), the reimbursements should not be included in [Smith’s] average weekly earnings.
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“11. [Smith] reached maxmium medical improvement, according to Dr. Maddox, on August 17, 2000. Dr. Maddox assigned [Smith] a 12 percent permanent partial rating to the body as a whole due to her two surgeries. Dr. Maddox released [Smith] to return to work as per the demonstrated eapabilities and limitations outlined in the [FCE] performed by Daniel Peters at Rehab Associates of Dothan on August 17,2001.[3]

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Bluebook (online)
872 So. 2d 197, 2003 Ala. Civ. App. LEXIS 444, 2003 WL 21488731, Counsel Stack Legal Research, https://law.counselstack.com/opinion/smith-v-qhg-of-dothan-inc-alacivapp-2003.