Thoeni v. Consumer Electronic Services

151 P.3d 1249, 2007 Alas. LEXIS 2, 2007 WL 80856
CourtAlaska Supreme Court
DecidedJanuary 12, 2007
DocketS-11897
StatusPublished
Cited by35 cases

This text of 151 P.3d 1249 (Thoeni v. Consumer Electronic Services) is published on Counsel Stack Legal Research, covering Alaska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thoeni v. Consumer Electronic Services, 151 P.3d 1249, 2007 Alas. LEXIS 2, 2007 WL 80856 (Ala. 2007).

Opinion

OPINION

CARPENETI, Justice.

I. INTRODUCTION

Mary Thoeni was injured in a fall while at work in 2000. She continues to be paid benefits for the resulting knee injury, but the Alaska Workers’ Compensation Board denied compensation for other claimed injuries and upheld several controversions of her benefits. Thoeni appeals these determinations. Because all but two are supported by substantial evidence, we affirm the board as to those decisions. As to the remaining issues— whether Thoeni should forfeit benefits as a result of her refusal to attend a medical examination and whether her knee was medically stable between November 2000 and January 2001 — we hold that the board erred and therefore reverse.

II. FACTS AND PROCEEDINGS

A. Facts

Mary Thoeni worked as an electric technician for Consumer Electronic Services (CES) in Anchorage. In March 2000 she was “carrying a cable television converter box ... when she tripped and landed on her outstretched hands and knees.” The injury was reported to the Alaska Workers’ Compensation Board. Thoeni was treated initially by Drs. Robert Myers and David McGuire in Anchorage. CES accepted Thoeni’s workers’ compensation claim; its workers’ compensation carrier, Alaska National Insurance Company, began paying temporary total disability (TTD) benefits the day after Thoeni’s fall.

Thoeni sought treatment from Dr. Robert Hall in Anchorage in May; Hall ordered an MRI and physical therapy. Thoeni reported problems with the physical therapy. Stating, “I don’t see anything else that we could offer this patient,” Dr. Hall referred Thoeni to Dr. Shawn Hadley, who in turn referred Thoeni to Dr. Bret Mason, an orthopedist. Mason performed arthroscopic surgery in August 2000 and released Thoeni to return to work as of October 2000.

Thoeni returned to work but began experiencing chest pain. She saw Dr. Dwayne Trujillo in Anchorage regarding the chest pain. Dr. Trujillo diagnosed costochondritis and noted that the symptom pattern “suggests an overuse or repetitive stress-type injury etiology.” 1 Even though Dr. Mason indicated that the knee injury and chest pain were unrelated, Thoeni filed a workers’ compensation claim on the costochondritis as a continuing manifestation of her knee injury, and CES accepted the claim and paid TTD benefits.

CES asked Thoeni to attend an employer’s independent medical examination (EIME) 2 in Sandy, Utah, on January 25, 2001. Thoeni refused to travel from Miami — where she had moved in December 2000 — to Utah for the examination. While in Miami Thoeni saw Dr. Jose Jaen, who recommended additional surgery on her knee. Thoeni moved to Alabama shortly thereafter and on February 21, 2001 attended an EIME in Montgomery conducted by Dr. Roland Rivard. Thoeni had another knee surgery in April 2001, performed by Dr. James Armstrong in Montgomery. When Dr. Rivard saw Thoeni in September 2001 he stated that Thoeni had a partial permanent impairment rating of two percent for her left knee. He also stated, “It does not appear to me that the chest pain ... was ... relat[ed to] the injury to her knees.”

In September 2001 Thoeni filed workers’ compensation claims for depression and insomnia. The claims alleged that these illnesses were a continuing manifestation of her knee injury. Thoeni subsequently attended independent medical examinations by Drs. Robert Barth and Judith Weingarten. Barth indicated that “a strong suspicion of malingering should be adopted,” and reported that “the results of this consultation process provided significant evidence that any mental illness is not attributable to her claim of work-related injury.” Barth also said “it *1252 can be stated definitively that Ms. Thoeni’s presentation would not allow anyone to credibly conclude that her presentation of mental illness is attributable to the March 27, 2000 work injury.” Weingarten was unsure whether to diagnose depression, but stated, “In my opinion, to a reasonable degree of medical certainty, none of these psychiatric diagnoses would be related to a work injury or injuries at Consumer Electronic Services.” CES then controverted Thoeni’s claim for benefits on the mental illnesses.

Throughout the claims process CES controverted Thoeni’s benefits multiple times, chiefly for failure to sign medical releases. CES also controverted her benefits for a period due to her refusal to attend the January 2001 examination in Utah. After a second independent medical examination 3 in April 2002 indicated that Thoeni could return to work after some improvement, CES controverted her knee 4 and chest benefits. Thoeni now resides in Wasilla.

B. Proceedings

1. The Alaska Workers’ Compensation Board hearing

In September 2002 the.Alaska Workers’ Compensation Board held a hearing on Thoe-ni’s claims. As to Thoeni’s knee injury, the board found that Thoeni had established the presumption of compensability, 5 that CES had rebutted the presumption, and that Thoeni had “proven by a preponderance of the evidence that she is entitled to continued medical benefits for her knee.” The board held that Thoeni was entitled to select a new doctor, and that she was entitled to treatment with a knee brace so long as the treatment was obtained in Alaska. The board found that Thoeni’s knee was no longer medically stable once Dr. Jaen recommended surgery in January 2001, and that she was therefore entitled to TTD benefits from that date until medical stability was reached. The board found that Thoeni had initially reached medical stability in October 2000 and thus was not entitled to benefits between that time and Dr. Jaen’s recommendation.

As to Thoeni’s costochondritis, the board found that she had met the presumption of compensability but that CES had rebutted the presumption and that Thoeni had not proven her claim for additional medical benefits by a preponderance of the evidence. The board found that Thoeni’s costochondritis was work-related but that “the preponderance of the evidence shows that [Thoeni’s] costochondritis has in fact resolved.” Accordingly, the board denied her claim for additional benefits for costochondritis.

The board found that Thoeni also failed to prove by a preponderance of the evidence her entitlement to medical benefits for her depression and insomnia. The board found that these illnesses were not work related and therefore denied Thoeni’s claim. The board stated, “We find the reports of Dr. Barth and Weingarten to be more convincing and credible.” It considered reports by two doctors, Dr. William Freeman and Dr. Daryl Hamblin, who had briefly seen Thoeni in July 2001, but gave them less weight.

The board denied Thoeni’s claim for transportation costs, finding that Thoeni had produced no evidence of unpaid expenses and therefore had failed to raise the presumption of compensability.

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Cite This Page — Counsel Stack

Bluebook (online)
151 P.3d 1249, 2007 Alas. LEXIS 2, 2007 WL 80856, Counsel Stack Legal Research, https://law.counselstack.com/opinion/thoeni-v-consumer-electronic-services-alaska-2007.