Tyco Electronics and Insurance Company of the State of Pennsylvania v. Tony Alvin VanPelt

743 S.E.2d 293, 62 Va. App. 160, 2013 WL 2971084, 2013 Va. App. LEXIS 185
CourtCourt of Appeals of Virginia
DecidedJune 18, 2013
Docket2148123
StatusPublished
Cited by10 cases

This text of 743 S.E.2d 293 (Tyco Electronics and Insurance Company of the State of Pennsylvania v. Tony Alvin VanPelt) is published on Counsel Stack Legal Research, covering Court of Appeals of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tyco Electronics and Insurance Company of the State of Pennsylvania v. Tony Alvin VanPelt, 743 S.E.2d 293, 62 Va. App. 160, 2013 WL 2971084, 2013 Va. App. LEXIS 185 (Va. Ct. App. 2013).

Opinion

FRANK, Judge.

Tyco Electronics and Insurance Company of the State of Pennsylvania, its insurer, (collectively referred to as employer) appeal the decision of the Workers’ Compensation Commission (commission) which awarded Tony Alvin VanPelt (claimant) wage compensation and medical benefits for a neck and upper back work-related injury. Employer assigns error to the commission’s failure to make rulings on its defenses of abandonment and res judicata, by failing to apply the statute of limitations, and in making a de facto award. For the reasons stated, we affirm the decision of the commission.

BACKGROUND

On appeal from the commission, we view the evidence in the light most favorable to claimant, the party prevailing below. Tomes v. James City Fire, 39 Va.App. 424, 429-30, 573 S.E.2d 312, 315 (2002) (citing R.G. Moore Bldg. Corp. v. Mullins, 10 Va.App. 211, 212, 390 S.E.2d 788, 788 (1990)).

*164 Claimant suffered a work-related, compensable injury on October 26, 2000. He informed Nurse Lehman that he injured his left shoulder, upper back, and neck. The nurse completed the employer’s accident report, noting claimant’s injury to his left shoulder, upper back, and neck. Claimant was examined by Dr. Phillips on November 2, 2000. Claimant complained of tightness in his neck and pain in his upper back. On November 7, 2000, Dr. Phillips diagnosed claimant with upper back and neck strain. On November 14, 2000, the doctor recommended an MRI for claimant’s cervical spine.

On November 22, 2000, Dr. Bell diagnosed claimant with a herniated disc with resulting cord compression causing radiculopathy. Dr. Phillips referred claimant to a neurosurgeon.

On December 11, 2000, claimant continued to complain of shoulder tenderness and limited range of motion of his left arm. Dr. Bell diagnosed claimant as having neck and shoulder injuries and affirmed the plan for claimant to see a neurosurgeon.

Dr. Shaffrey, a neurosurgeon, examined claimant on December 13, 2000 and after reviewing the MRI, recommended surgery.

On January 2, 2001, claimant was diagnosed by Dr. Chappell with a small to moderate tear of the shoulder tendon and spinal stenosis with cord compression, which appeared primarily due to herniated disc material. Dr. Chappell recommended rotator cuff repair for the right shoulder. On March 15, 2001, claimant underwent the recommended procedure. The record indicates the shoulder injury was resolved by October 1, 2001.

On May 30, 2001, prior to filing his claim for benefits, claimant underwent cervical spine surgery. He had three more cervical surgeries between May 2002 and January 2006. Employer paid for all of the neck surgeries, hospital bills, and all other medical bills related to the cervical injury, including over 50 visits to a pain management clinic, as well as physical therapy. A representative of employer attended the majority of claimant’s medical appointments.

*165 On June 29, 2001, claimant advised Dr. Chappell that he continued to experience pain in his shoulder and that his range of motion was unchanged since May 29, 2001. On October 1, 2001, Dr. Chappell determined that claimant had reached maximum medical improvement, giving claimant a 4% permanent impairment of the left upper extremity. Chappell released claimant to work without restrictions. On November 19, 2001, claimant reported to Dr. Chappell that he had increased pain in his left shoulder and still had pain in his neck.

Claimant filed a claim for benefits on March 20, 2002. The claim alleged that on October 26, 2000, he sustained injuries to his left shoulder and neck. Claimant sought lifetime medical benefits. The parties settled the claim and submitted an agreement to pay benefits, listing only his left shoulder injury. The parties agreed that claimant was entitled to wage loss benefits beginning March 15, 2001. On April 3, 2002, the commission approved the agreement, ordering employer to pay wage loss benefits and medical benefits.

On April 15, 2002, the parties submitted a termination of wage loss award form, terminating the award of temporary total disability benefits based on claimant’s return to work on April 12, 2001. The form indicated that wage loss benefits had been paid through September 30, 2001, based on claimant’s return to work without restrictions on October 1, 2001.

A supplemental award order, dated April 23, 2002, noted the payment of wage loss benefits from May 23, 2001 through September 30, 2001.

On the same date, the parties submitted a supplemental agreement to pay benefits, providing for payment of temporary total disability benefits beginning May 23, 2001, and a termination of wage loss award form, terminating benefits based on claimant’s return to work on October 1, 2001. The commission approved the supplemental agreement on April 23, 2002. The section of the agreement titled “Nature of injury/illness (inch body parts)” was left blank.

*166 Employer paid wage loss benefits and medical benefits for claimant’s cervical spine injury through July 5, 2010 at the same weekly rate as originally ordered. On July 2, 2010, employer sought to terminate the weekly wage benefits. Employer asserted claimant was released to full duty work on June 10, 2010, citing a report by Dr. Ross, a specialist in disability evaluation. Dr. Ross had not treated claimant. Ross merely reviewed claimant’s medical history and concluded claimant’s left shoulder symptoms had resolved years earlier, opining: “[t]he shoulder has been a closed topic in the medical records for years.”

Dr. Ross cited Dr. Chappell’s conclusion that claimant was capable of returning to work without restrictions in regard to the left shoulder as of October 2, 2001. Dr. Ross opined that claimant continued to have an unrestricted capacity to work, relative to the shoulder. According to Ross, claimant’s shoulder had no impairment or long-term disability, other than that which was mandated by the impairment rating, resulting from surgical intervention. Ross also concluded that “[n]o further diagnostic testing, medical evaluations or treatment is needed in regard to the left shoulder.” Dr. Ross gave no opinion as to any disability caused by claimant’s neck injury.

Claimant filed a claim on December 22, 2010, seeking payment of medical expenses and temporary total disability benefits from October 1, 2001 and continuing. He listed as injured body parts his left shoulder, upper back, and neck. Employer denied that claim, asserting that claimant had abandoned the neck injury claim and that the claim was barred by the statute of limitations, laches, and res judicata. Claimant argued he should be granted a defacto award.

The matter was heard before a deputy commissioner. Deputy Commissioner Culbreth concluded that claimant had not abandoned his claim regarding his neck injury. Culbreth also found that the claim was not barred by the statute of limitations, laches or res judicata. The deputy concluded:

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743 S.E.2d 293, 62 Va. App. 160, 2013 WL 2971084, 2013 Va. App. LEXIS 185, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tyco-electronics-and-insurance-company-of-the-state-of-pennsylvania-v-tony-vactapp-2013.