Wanda I. Trinidad v. Employees' Retirement System of Providence

Procedural entryThis page is a short order in Wanda I. Trinidad v. Employees' Retirement System of Providence. Read the opinion of the Court — 206 A.3d 700
Supreme Court of Rhode Island·Decided May 2, 2019·No. 17-133·Published

Opinion

May 2, 2019 May 2, 2019

May 2, 2019

Supreme Court

No. 2017-133-M.P.

Wanda I. Trinidad :

v. :

Employees’ Retirement System of : Providence.

NOTICE: This opinion is subject to formal revision before publication in the Rhode Island Reporter. Readers are requested to notify the Opinion Analyst, Supreme Court of Rhode Island, 250 Benefit Street, Providence, Rhode Island 02903, at Telephone 222-3258 of any typographical or other formal errors in order that corrections may be made before the opinion is published. Supreme Court

Dissent begins on page 9

Present: Suttell, C.J., Goldberg, Flaherty, Robinson, and Indeglia, JJ.

OPINION

Justice Indeglia, for the Court. The petitioner, Wanda I. Trinidad (Trinidad), filed a

petition for the issuance of a writ of certiorari seeking review of a decision of the Retirement

Board of the Employee Retirement System of Providence (the board) denying Trinidad’s

application for accidental-disability retirement benefits, and instead awarding her ordinary-

disability benefits. This Court granted the petition, and Trinidad’s case came before the Supreme

Court for oral argument on March 27, 2019, pursuant to an order directing the parties to appear

and show cause why the issues raised in this matter should not be summarily decided. After

considering the parties’ memoranda and oral arguments, we are satisfied that cause has not been

shown and we proceed to decide the case at this time. For the reasons set forth in this opinion,

we affirm the board’s decision to deny Trinidad accidental-disability benefits.

I

Facts and Travel

Beginning on March 9, 2004, Trinidad served as a bus monitor for the City of

Providence. On May 9, 2014, Trinidad submitted an application for accidental-disability

retirement benefits to the respondent, the Employees’ Retirement System of Providence

-1- (respondent), alleging that she had suffered a work-related injury on January 26, 2011.1 Included

with her application was a written statement by Trinidad detailing the events that she maintained

caused her injury. In her statement, Trinidad explained that, while working as a bus monitor, she

injured her left wrist when she walked to the back of a moving bus to assist a child with a

nosebleed and caught her hand on a seat.

After the alleged incident, Trinidad visited the emergency room and was initially

diagnosed with a sprain. However, her pain persisted, and Trinidad sought treatment from

Gregory Austin, M.D., an orthopedic surgeon. While treating with Dr. Austin, Trinidad

underwent an MRI, “which demonstrated question of triangular fibrocartilage tear.” In addition,

Trinidad received cortisone injections and a wrist sprint. Eventually, Dr. Austin performed an

arthroscopy, which revealed “a fair amount” of swelling, “but no specific or repairable” tears.

Following the arthroscopy, Trinidad’s problems continued, and she underwent a second MRI,

which Dr. Austin determined revealed a tear. Dr. Austin ultimately recommended and

performed “an ulnar shortening” surgery; nevertheless, Trinidad’s symptoms remained.

In furtherance of her application, Trinidad underwent three independent medical

examinations (IMEs), performed by three separate physicians selected by the board, to determine

her eligibility for accidental-disability benefits pursuant to § 17-189(f) of the Providence Code of

Ordinances governing accidental-disability retirement.

1 Initially, the retirement office did not process Trinidad’s application because § 17-189(f) of the Providence Code of Ordinances, governing accidental-disability retirement, provides that an “application to accomplish such retirement must be filed within eighteen (18) months of the date of the accident, unless a waiver is granted through a resolution approved by a majority of the city council.” On November 17, 2014, the Providence City Council granted Trinidad a waiver of the eighteen-month period, and Trinidad reapplied for accidental-disability retirement on December 1, 2015.

-2- The first doctor, Arnold-Peter C. Weiss, M.D., performed an IME and generated a report,

dated April 14, 2016, detailing his evaluation. Therein, Dr. Weiss noted that Trinidad’s pain was

“of uncertain etiology far exceeding what one would expect from either the mechanism of injury

or the treatment that’s been provided.” As to causality, Dr. Weiss explained, “I’m not sure that I

can causally relate the patient’s current upper extremity complaints of pain to her actual on-the-

job incident as opposed to some other conversion disorder or other psychiatric reactive

phenomenon.” Doctor Weiss went on to explain that objectively he did not believe Trinidad was

“totally disabled[,]” but he noted that, “[f]rom a subjective complaint, and the significant

symptoms she’s had,” she may be disabled; he gave Trinidad an “[e]xtremely poor” prognosis.

Lastly, Dr. Weiss concluded his report by noting that Trinidad’s injury, if any, was “very

insignificant,” but stated that, “[e]ven if she objectively is not disabled and has no physical

capabilities that are inappropriate at this juncture, psychologically I believe she’s completely

unable to use the left upper extremity due to fear, anxiety or some other conversion reaction

disorder.”

Next, Philip J. Reilly, M.D., performed an IME on April 19, 2016. In his report, Dr.

Reilly opined “to within a reasonable degree of medical certainty that the patient’s current left

upper extremity pain and resultant disability are a result of the accident she sustained on January

26, 2011.” Moreover, Dr. Reilly stated that Trinidad “has a permanent disability with regard to

being employed as a bus monitor” and concluded that “she is simply unable to perform these

activities.” Doctor Reilly noted that there may be psychiatric influences that affect Trinidad’s

ability to recover, but determined that her overall prognosis was poor.

The third examining doctor, Jack D. Goldstein, M.D., explained his findings in a report

dated April 28, 2016. Doctor Goldstein stated that it was unlikely that Trinidad would improve

-3- to the point where she could return to her former job. In addition, Dr. Goldstein stated: “Clearly

her injury as stated is the initial and only cause of her current disability. I feel that she is

currently disabled from her previous job and this was entirely caused by the accident as

described although it is difficult to assess what exactly was injured at the time of injury.”

The matter came before the board’s disability subcommittee (the subcommittee) for

hearings regarding Trinidad’s application. After the subcommittee held hearings, it

recommended to the full board that Trinidad’s application be denied. Accordingly, on January

25, 2017, the board voted to deny the application. Then, on March 1, 2017, the board issued a

written decision. In its decision, the board provided findings of fact and summarized the IMEs

of the three physicians. The board concluded that “[t]he evidence provided does not establish

that Trinidad is ‘incapacitated for the performance of duty and * * * she shall be retired’

pursuant to [§ 17-189(f)].” The board explained that the reports from the IMEs and other

evidentiary material “do not support granting an accidental disability retirement.” Rather, the

board reasoned, the record established that “Trinidad is unable to work as a bus monitor because

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