Thomas v. Bur. of Workers' Comp.

2016 Ohio 7246
Ohio Court of Appeals·Decided October 7, 2016·No. 26805 26813·Published·Cited by 3 cases

Opinion

IN THE COURT OF APPEALS OF OHIO SECOND APPELLATE DISTRICT MONTGOMERY COUNTY

PAMELA R. THOMAS :

:

Plaintiff-Appellee : C.A. CASE NOS. 26805 and 26813 :

v. : T.C. NO. 11CV6772 :

BUREAU OF WORKERS’ : (Civil appeal from COMPENSATION, et al. : Common Pleas Court)

:

Defendants-Appellants :

...........

OPINION

Rendered on the ___7th___ day of _____October_____, 2016.

...........

GARY D. PLUNKETT, Atty. Reg. No. 0046805 and RACHEL D. SIEKMAN, Atty. Reg. No. 0091012, 3033 Kettering Boulevard Point West, Suite 201, Dayton, Ohio 45439 Attorneys for Plaintiff-Appellee

LATAWNDA N. MOORE, Atty. Reg. No. 0084037, Assistant Attorney General, Workers’ Compensation Section, 150 East Gay Street, 22nd Floor, Columbus, Ohio 43215 Attorney for Defendant-Appellant, Bureau of Workers’ Compensation

DAVID C. KORTE, Atty. Reg. No. 0019382 and MICHELLE D. BACH, Atty. Reg. No. 0065313 and JOSHUA R. LOUNSBURY, Atty. Reg. No. 0078175, 33 W. First Street, Suite 200, Dayton, Ohio 45402 Attorneys for Defendant-Appellant, Dayton Public Schools .............

DONOVAN, P.J.

{¶ 1} This consolidated matter is before the Court on the August 24, 2015 Notice of Appeal of the Administrator, Bureau of Workers’ Compensation (“BWC”) and the

August 26, 2015 Notice of Appeal of the Dayton Public Schools (“DPS”). BWC and DPS appeal from the trial court’s July 30, 2015 “Decision and Entry Granting Motion for New Trial,” issued upon Pamela Thomas’ motion for a new trial, filed after a November 26, 2014 jury verdict was rendered denying Thomas’ participation in the BWC’s fund for “left foot sprain” and “contusion of the left knee.”

I. Background

{¶ 2} The records before us present the following procedural history. Thomas, a teacher, was injured at work on September 16, 2009, when a student fell onto her left knee. Thomas applied for BWC benefits for left foot sprain and contusion of the left knee, Claim No. 09-352832, (“Claim #1”), on September 17, 2009. Her claim was allowed for contusion of the left knee on September 29, 2009. Thomas and DPS appealed to the District Hearing Officer (“DHO”), and Thomas’ total claim was disallowed on December 3, 2009. The DHO found in part as follows:

It is the order of the [DHO] that Ms. Thomas’ benefit application, filed on 09/17/2009, be denied.

This claim is ordered DISALLOWED.

The [DHO] finds that Ms. Thomas has not met her burden of proof.

Specifically, that she has not proven by a preponderance of the evidence that she sustained an industrial injury as alleged.

The [DHO] is persuaded that an incident did occur at work involving Ms. Thomas on 09/16/2009. Specifically, that she was struck in the lower left extremity by a falling student.

The [DHO] finds that the preponderance of medical evidence in file,

however, does not support that she sustained a new industrial injury.

The initial treatment records from Dr. Lee, from the date of the incident do not include clinical/physical findings supporting the diagnosed conditions of LEFT FOOT SPRAIN and CONTUSION OF THE LEFT KNEE.

On examination, Dr. Lee found on [sic] deformity, wound, swelling or discoloration of the knee. The knee was found to be mobile. Further, Dr.

Lee found active range of motion of the toes and ankle. Based upon these records, the Employer’s reviewing physician Dr. Wunder, concluded, in a report dated 11/10/09, that Ms. Thomas did not sustain an industrial injury.

The Hearing Officer is persuaded by the report of Dr. Wunder and by the clinical findings of Dr. Lee that no new injury occurred. * * *

{¶ 3} Thomas appealed to the Staff Hearing Officer (“SHO”), who by order dated February 2, 2010 concluded as follows:

The order of the [DHO], from the hearing dated 12/03/2009, is affirmed.

It is the order of the [SHO] that the FROI-1, filed 09/17/2009, is denied.

The claim remains DISALLOWED. The [SHO] affirms the [DHO’s]

conclusions that the incident described by the Injured Worker occurred as described and nevertheless the Injured Worker did not sustain a new injury from this incident.

On 09/16/2009 a student who was involved in horseplay fell on the Injured Worker’s left lower extremity. The Injured Worker has a known and

substantial history of injuries to this extremity. The Injured Worker was seen on the alleged date of injury by Dr. Lee at Concentra, who found an active range of motion of the toes and ankles, the knee to be mobile, and no deformity, wound, swelling, or discoloration of the knee. Upon review of these records, Dr. Wunder, on 11/10/2009, concluded the Injured Worker did not sustain any new injury. In reliance upon Dr. Winder’s report, the claim remains disallowed.

{¶ 4} Thomas appealed to the Industrial Commission of Ohio (“IC”), which ordered on February 27, 2010 that her appeal be refused. Thomas appealed to the Montgomery County Court of Common Pleas. On January 18, 2011, DPS and BWC filed “Defendants’ Joint Motion in Limine” asking the court to bar any testimony or written evidence regarding the causal connection of any medical conditions other than left foot sprain and contusion of the left knee. Thomas responded to the motion, and BWC and DPS replied. Thomas dismissed her complaint on February 11, 2011. On February 17, 2011, Thomas filed a C86 motion in Claim #1 requesting an amendment to include the condition of substantial aggravation and/or acceleration of pre-existing osteoarthritis left knee. Thomas supported her motion with the deposition transcript of Dr. Jan Saunders. On February 22, 2011, the BWC advised Thomas via correspondence as follows: “We are dismissing the C86 motion filed on 02/17/2011 by the injured worker[’s] representative because the industrial injury claim has been DISALLOWED per [SHO] order dated 02/02/10 & the [IC] dated 02/27/10 refused the Appeal filed 02/18/10 by the injured worker[’s] representative.”

{¶ 5} Thomas subsequently filed, on March 22, 2011 an application for workers’

compensation benefits for substantial aggravation and/or acceleration of pre-existing osteoarthritis, left knee, to which claim No. 09-869743 was assigned (“Claim #2”). Thomas’ application was denied, and the decision of March 25, 2011 provides as follows:

There is no medical relationship between the diagnosed condition and the described injury/occupational disease.

This decision is based on:

The alleged incident has already been adjudicated & denied by the [IC].

{¶ 6} Thomas appealed to the DHO which ordered on May 26, 2011 “that the FROI-1 First Report Of An Injury, filed by the Injured Worker on 03/22/2011 is dismissed.” The DHO further found as follows:

The [DHO] finds that the Injured Worker is submitting a second application for an injury that allegedly occurred on 09/16/2009. The [DHO]

notes that this alleged injury generated a FROI-1 application that was administratively denied in claim 09-353832. At this hearing, the Injured Worker’s representative requested that the condition of substantial aggravation of pre-existing osteoarthritis of the left knee be allowed in this claim. The [DHO] finds that this is not possible due to the doctrine of res judicata as her alleged injury of 09/16/2009 has already been adjudicated administratively. The Injured Worker’s representative argued that the only jurisdiction that the court would have at this juncture for claim number 09-

352832 would include a contusion of left knee and a left foot sprain. The [DHO] finds however that in the event that claim number 09-352832 is

eventually allowed, there is nothing that prevents the Injured Worker from requesting an additional condition such as the one requested at this hearing in that claim.

Therefore, the FROI-1 First Report of an Injury, filed by the Injured Worker on 03/22/2011 is dismissed.

{¶ 7} Thomas appealed to the SHO, who determined on July 22, 2011 as follows:

The [SHO] finds that this is the second injury application filed by Ms.

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Thomas v. Bur. of Workers' Comp., 2016 Ohio 7246 (Ohio Ct. App. 2016).

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