State Ex Rel. Gibson v. Industrial Commission

2009 Ohio 4148, 914 N.E.2d 372, 123 Ohio St. 3d 92
CourtOhio Supreme Court
DecidedAugust 25, 2009
Docket2008-1376
StatusPublished

This text of 2009 Ohio 4148 (State Ex Rel. Gibson v. Industrial Commission) is published on Counsel Stack Legal Research, covering Ohio Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Ex Rel. Gibson v. Industrial Commission, 2009 Ohio 4148, 914 N.E.2d 372, 123 Ohio St. 3d 92 (Ohio 2009).

Opinion

Per Curiam.

{¶ 1} At issue is appellant Douglas Gibson’s request for temporary total disability compensation. Gibson had a history of lumbar problems before spraining his lower back at work on July 24, 2005. Dr. Charles B. May reported on August 1, 2005, that he had “placed [Gibson] off work and [hoped] to return him to a light duty position as soon as his pain becomes more tolerable.” Within a month, Gibson was working “restricted duty” as a delivery driver with his employer, appellee C.W. DeMary Service, Inc. This work arrangement was apparently agreed to by Gibson and DeMary without Dr. May’s participation.

{¶ 2} The nature and duration of the medical restrictions Dr. May imposed is not clear from the record, and by September 2005, it was a source of controversy between Dr. May, DeMary, and Gibson’s managed-health-care provider. The dispute between these three parties coincides with an apparent lack of treatment between August 31, 2005, and approximately February 2006, but it is unclear whether the lack of treatment was related to this dispute or not.

{¶ 3} On December 30, 2005, DeMary eliminated Gibson’s light-duty job, and Gibson did not return to work in another capacity. Despite the fact that he was not working, appellee Industrial Commission of Ohio specifically noted in orders dated April 4, 2006, and May 11, 2006, that Gibson was not requesting temporary total disability compensation.

{¶ 4} In early 2007, a lumbar disc condition was added to Gibson’s workers’ compensation claim. Gibson then moved the commission for temporary total disability compensation retroactive to December 30, 2005 — the date his light-duty job ended. A March 21, 2007 C-84 disability form from Dr. May attributed the alleged disability to a restricted range of motion and subjective complaints of pain.

*93 {¶ 5} Dr. Ronald J. Bloomfield reviewed Gibson’s file at the commission’s request. Dr. Bloomfield reported that treatment had remained the same throughout the course of Gibson’s claim and suggested that it differed little from the treatment that he had received before his industrial injury. Similarly, he stated that Gibson’s complaints of pain remained constant but that eventually Gibson started to improve.

{¶ 6} Dr. Bloomfield was aware that Gibson did “transitional work” until December 30, 2005. In that vein, Dr. Bloomfield wrote:

{¶ 7} “Mr. Gibson * * * was participating in a transitional work program. He continued to have pain but was improving under Dr. May’s care. The record is not clear as to what happened later that year causing Mr. Gibson to be unable to work since 12-30-05 to the present. * * * He had pain prior to the events of 7-24-05 and was able to continue working for a number of months after his industrial accident. Through the entire time period to the present Mr. Gibson has complained of back pain and Dr. May has persistently recommended physical therapy and trigger point injections. Nothing is provided to support a period of TTD from December 30, 2005 to the present. No medical evidence is provided to support some change [on] 12-30-05 to support the requested period of TTD.”

{¶ 8} A commission district hearing officer denied compensation:

{¶ 9} “[T]he injured worker has not met his burden of proving that he was unable to perform the duties of his former position of employment * * *.

{¶ 10} “This order is based on Dr. Bloomfield’s 04/07/2007 report. * * * [Temporary total disability compensation has never before been paid in this claim and there is no narrative report or other rationale from Dr. May explaining his temporary total disability opinion or providing any new or changed circumstances that justify a period [of] temporary total disability compensation starting 12/30/2005.”

{¶ 11} A staff hearing officer affirmed:

{¶ 12} “Dr. Bloomfield * * * concluded in light of the amount and nature of this treatment that there was insufficient evidence to conclude that the claimant was temporarily and totally disabled. In light of the long period of time under consideration, and failure to seek compensation at the time the claimant was disabled, the Staff Hearing Officer finds Dr. Bloomfield’s conclusion to be well supported. Relying on Dr. Bloomfield’s report, as well as an independent review of the records, the Staff Hearing Officer finds that the claimant has not demonstrated entitlement to temporary total disability compensation as requested.”

{¶ 13} Further appeal was refused. Gibson filed a complaint in mandamus in the Court of Appeals for Franklin County, alleging that the commission abused *94 its discretion in denying compensation. The magistrate agreed, finding that Dr. Bloomfield’s report could not support the denial of compensation:

{¶ 14} “[I]t is apparent that [Dr. Bloomfield] was completely unaware that relator was still performing transitional work and that it was the employer’s inability to provide him with further transitional work which led to his unemployment after December 30, 2005. Dr. Bloomfield reviewed the record trying to find some medical evidence to support relator’s departure from the workforce when, in fact, it was the employer who was unable to provide him with further transitional work.” State ex rel. Gibson v. Indus. Comm. of Ohio, Franklin App. No. 07AP-770, 2008-Ohio-2840, 2008 WL 2390786, ¶ 37.

{¶ 15} The court of appeals did not adopt the magistrate’s conclusion of law:

{¶ 16} “[B]ased solely on th[e] clinical findings, Dr. Bloomfield disagreed with the conclusion that relator was entitled to the requested period of [temporary total disability] compensation. Essentially, Dr. Bloomfield disagreed with the conclusion that relator was unable to return to his former position of employment, even though he was aware that relator had been in a transitional work program. The fact that Dr. Bloomfield did not know the reason why relator was no longer working does not invalidate his opinion. The information was not relevant to his opinion. Dr. Bloomfield simply believed that the clinical findings did not support the conclusion that relator was unable to return to his former position of employment.” Id. at ¶ 4.

{¶ 17} The court of appeals denied the writ, prompting Gibson’s appeal as of right.

{¶ 18} The commission denied compensation based on its and Dr. Bloomfield’s reviews and ultimately concluded that treatment over the disputed period did not corroborate a disability of the severity alleged. The order also suggests that the commission was influenced by a lack of contemporaneous evidence of disability.

{¶ 19} In his report, Dr. Bloomfield focused on Gibson’s treatment and symptoms. He did not directly comment on the appropriateness of the former but stressed that Gibson’s symptoms and treatment were the same before his industrial accident as after, despite the additional allowance of a disc condition. This is significant because if the symptoms and treatment remained unchanged, so would the disability created by them.

{¶20} Dr. Bloomfield did not believe that Gibson’s symptoms prevented a return to the former position of employment. Gibson had preexisting back problems, but his symptoms, according to Dr. Bloomfield, were the same both before and after the July 24, 2005 reinjury.

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Related

State Ex Rel. Gibson v. Indus. Commission, 07ap-770 (6-12-2008)
2008 Ohio 2840 (Ohio Court of Appeals, 2008)
State ex rel. Bercaw v. Sunnybreeze Health Care Corp.
893 N.E.2d 502 (Ohio Supreme Court, 2008)

Cite This Page — Counsel Stack

Bluebook (online)
2009 Ohio 4148, 914 N.E.2d 372, 123 Ohio St. 3d 92, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-ex-rel-gibson-v-industrial-commission-ohio-2009.