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WCLA MCLE 5-15-13 Mental Mental & More Wednesday May 15, 2013 12:00 pm to 1:00 pm James R. Thompson Center, Chicago, IL 1 Hour General MCLE Credit.

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Presentation on theme: "WCLA MCLE 5-15-13 Mental Mental & More Wednesday May 15, 2013 12:00 pm to 1:00 pm James R. Thompson Center, Chicago, IL 1 Hour General MCLE Credit."— Presentation transcript:

1 WCLA MCLE 5-15-13 Mental Mental & More Wednesday May 15, 2013 12:00 pm to 1:00 pm James R. Thompson Center, Chicago, IL 1 Hour General MCLE Credit

2 Walter Matusczak v. Wal-Mart 10 WC 11819 DA 3-7-10 42 year old stocker injured neck when shelf fell on him Treatment: Concentra, Dr. Lorenz, pain management, RX fusion C5-6, continued light duty IME Dr. Mather: simple contusion, no SX, MMI, no restrictions Worked light duty? until 6-12-11 Fired for stealing cigarettes from work

3 Walter Matusczak v. Wal-Mart 10 WC 11819 Arbitration Decision 19(b)/8(a) tried 11-22-11 Decision 1-25-12 Causation awarded based on Dr. Lorenz’ opinion Medical awarded on basis of causation, including prospective TTD awarded from date of firing to date of hearing “At the time of his termination, Petitioner was subject to light duty restrictions which were being accommodated by the Respondent.” Citing Interstate Scaffolding: “In the present case, the evidence shows that Petitioner has remained under the same light duty restrictions imposed at the time of the termination. It also appears that the petitioner’s condition has yet to stabilize and/or reach maximum medical improvement.”

4 Walter Matusczak v. Wal-Mart 12 IWCC 1079 Commission Decision Unanimous decision dated 10-5-12 “In awarding TTD benefits, the Arbitrator relied on Interstate Scaffolding.” Respondent contends that stealing on multiple occasions “is equivalent to his refusing light duty work…The Commission agrees with Respondent’s position.” “We do not believe that the Interstate Scaffolding decision stands for the proposition that an injured employee, whose employment has been terminated, has an unqualified or absolute right to TTD so long as the employee’s condition has not stabilized and the employee is under light duty restrictions.” “The Commission finds that Petitioner’s repeated theft of cigarettes amounts to a refusal to work in the light duty position that Respondent had been providing for over a year…Under the circumstances of this case we find that Petitioner refused Respondent’s ongoing offer of work within his physical restrictions.” TTD AWARD VACATED

5 Matuszak v. Wal-Mart & IWCC 2012 MR 1631 DuPage County Circuit Court Judge Bonnie Wheaton, 4-23-13 “This matter coming on to be heard on Plaintiff’s appeal of the workers’ compensation commission decision terminating temporary total disability benefits, IT IS ORDERED: The Court reverses the decision of the Illinois Workers’ Compensation Commission in terminating temporary total disability benefits. This order is final and appealable.”

6 AMA Guides Commission Decisions Frederick Williams v. Flexible Staffing, Inc. 11WC046390; operated ruptured distal biceps tendon; AMA=6% UEI; Award=30% Arm; On review; Orals 5-14-13 Zachary Johnson v. Central Transport 11WC041328; fractured metacarpal neck; AMA=1% hand; Award=10% hand; Settled 8.5% hand Jeffrey Garwood v. Lake Land College 12WC004194; scoped medial & lateral menisci; AMA=8% LEI; Award=20% leg; On review; Orals TBA Shawn Dorris v. Continental Tire 11WC046624; scoped TFCC tear; AMA=6% UEI; Award=13% hand; Final Michael Arscott v. Con-Way Freight 12WC003876; scoped medial meniscus; AMA= 20% UEI; Award=20% leg; Final Robert Riley v. Con-Way Freight 12WC011083; scoped ACL; AMA=7% LEI; Award=27.5% leg; On review; Orals 6-25-13

7 AMA Guides Commission Decisions Curtis Oltman v. Continental Tire 12WC011777; non- displaced wrist fracture; AMA=0% UEI; Award=5% hand; On review, N&E no orals? Timothy Brown v. Con-Way Freight 12WC004657; operated rotator cuff; AMA=6% UEI; Award=10% MAW (or 20% Arm); Final Martha Mansfield v. Ball Chatham CSD; 12WC014648; scoped medial meniscus; AMA=1% LEI; Award=17.5% leg; Final Robert Griffin v. Caterpillar; 11WC040321; scoped medial meniscus; AMA=2% LEI; Award=15%; On review Heath Gutzler v. Continental Tire;11WC046999; operated single level disc; AMA=12% WPI; Award=20% MAW;

8 Heath Gutzler v. Continental Tire 11WC046999 Arbitrator William Gallagher, 4-9-13 DA 11-1-2011 31 year old tire builder injures back pulling tire Dr. Rerri does L4-L5 hemilaminectomy, discectomy, excision of extruded disc (i) AMA: Dr. Rerri (treater) does AMA impairment: 12% WPI; deposed, says: “not a rating of disability;” “one of several factors;” “does not consider work” (ii) Occupation: “heavy manual labor” (iii) Age: “live with the effects of his injury for a substantial period of time” (iv) Future Earnings: “only works OT if scheduled to do so” (v) Evidence of disability: “Greater caution…avoids heavier tasks..limited in bending…numbness in right leg especially in cold weather…Petitioner’s testimony regarding his disability is corroborated by the medical treatment records… complaints as to his ongoing symptoms are consistent with the injury ” Award: 20% MAW

9 Ismael Diaz v. Village of Montgomery 07WC040520 DA 5-29-07 28 year old police officer Confronted by subject with gun, toy gun with orange tip Could not sleep that night and following day began to feel anxiety 6-1-07 seeks treatment at Rush Copely believing dehydration, followed up 4 days later at Dryer Clinic and began treatment for post traumatic stress disorder Arbitrator awards 15% loss MAW

10 Ismael Diaz v. Village of Montgomery 07WC040520 Arbitrator Hennessy, 5-13-10 The records of Dreyer Medical Clinic confirm that Petitioner's condition of ill-being is causally related to the May, 2007 incident. The records confirm that the incident caused Petitioner to develop anxiety and panic attacks Subsequent to Pathfinder, numerous Commission decisions have upheld psychiatric disability claims for police officers: Meginnis v. Village of Riverdale Police Department, upholding permanent total disability award for a police officer who suffered post-traumatic stress disorder as a result of involvement in a shooting incident; Verkler v. Village of Bourbonnais, upholding permanent partial disability award for police dispatcher who suffered post-traumatic stress disorder after taking a call from a citizen involved in a violent home invasion incident; Kaminski v. Elgin Police Department, affirming 50% person as a whole disability award for a police officer diagnosed with post-traumatic stress disorder subsequent to involvement in a fatal shooting incident. The Arbitrator concludes and finds that an accident occurred on May 29, 2007 that arose out of and in the course of Petitioner's employment by Respondent.

11 Ismael Diaz v. Village of Montgomery 11 IWCC 0739 2-1 Commission Decision; July 25, 2011 The Commission hereby reverses the Arbitrator's decision and finds that Petitioner failed to prove that he sustained a compensable accident. It is well established that recovery for psychological disability absent physical trauma is permitted under the Act. In Pathfinder …Pathfinder In finding that Petitioner failed to prove accident, we rely on General Motors 168 Ill.App.3d 678 (1988 …The court rejected the idea that Pathfinder was meant to be read broadly to include cases involving any mental disability which can be traced to any nonphysical traumatic work related incident…The Commission adopts a more narrow construction of Pathfinder as expressed in the General Motors decision. In this case, Petitioner is a police officer and is trained in weapons training. Petitioner is also trained to handle encounters with subjects who are considered armed and dangerous.General Motors 168 Ill.App.3d 678 (1988 In Sole v. Livingston County, 10 IWCC 1121, the Commission affirmed the Arbitrator's decision denying benefits to the claimant who worked as a dispatcher at a 911 call center. The claimant alleged that he sustained posttraumatic stress disorder after handling a call involving a residential fire.Sole v. Livingston County, 10 IWCC 1121, In Ushman v. City of Springfield, 08 IWCC 0234, the Commission affirmed the Arbitrator's finding that Petitioner failed to prove that he sustained a compensable accident. The claimant, a police officer, was involved in a chase of a murder suspect who was considered to be armed and dangerous. The suspect fired his rifle at the claimant, and the claimant fired three shots at the suspect. The Arbitrator found that "the occurrence on December 16, 2004 would not be an uncommon event of significantly greater proportion than that to which he is subjected as a police officer."Ushman v. City of Springfield, 08 IWCC 0234,

12 Ismael Diaz v. Village of Montgomery 11 IWCC 0739 (Dissent) I respectfully disagree with the majority opinion and would affirm and adopt the Arbitrator's decision. I believe that Petitioner has established that he sustained compensable psychological injuries, namely posttraumatic stress disorder. Whether the handgun was a real gun or a toy gun is immaterial. The subject, at all times, was treated as armed and dangerous. Not an event that is common or anticipated in the general working population or among police officers…uncommon event of significantly greater proportion than what he would otherwise be subjected to in the normal course of his employment In Kaminski v. Elgin Police Department, 02 WC 30545, the Commission adopted the Arbitrator's finding that the claimant, a police officer, sustained compensable accidents on August 25, 2001, and September 4, 2001. On August 25, 2001, the claimant was investigating the abduction and sexual assault of a 9 year old boy. In Verkler v. Village of Bourbonnais, 95 WC 28975, the Commission affirmed and adopted the Arbitrator's decision awarding compensation to a claimant who [*15] was a dispatcher for respondent's police department. The claimant received an emergency telephone call from a woman who reported that there was an intruder in her home who was stabbing people, including children. Kane County Circuit Court confirms IWCC denial (11MR377)

13 Diaz v. IWCC 2013 IL App (2d) 120294 WC This case requires us to consider the proof necessary for a claimant to recover in a workers' compensation claim for a psychological disability in the absence of a physical injury, a type of case commonly known as a "mental-mental" claim. The sole issue raised by the claimant in this appeal is whether, as a police officer, he was improperly held to a higher standard of proof than workers in other occupations. We hold, as a matter of law, that the Commission applied the wrong standard to this claim. Accordingly, we reverse the decision of the Commission and remand for further proceedings. When there is no question of inference or weight to be given evidence, and all the Commission does is apply the law to the undisputed facts, review is de novo… Second, the issue in this case is whether the Commission held the claimant to a higher standard of proof than is required in a mental-mental claim. …Whether a claimant must prove certain elements to establish a compensable claim is purely a question of law and it is therefore reviewed de novo. Commission did not find that the claimant failed to prove any of the Pathfinder requirements that he suffered a sudden, severe emotional shock that was traceable to a definite time and place and that caused his psychological injury. Instead, the Commission adopted "a more narrow construction of Pathfinder as expressed in the General Motors decision." The claimant asserts that the Commission misapplied General Motors' interpretation of Pathfinder.

14 Diaz v. IWCC 2013 IL App (2d) 120294 WC Read in context, General Motors uses the phrase "an uncommon event of significantly greater proportion or dimension than that to which the employee would otherwise be subjected in the normal course of employment" to distinguish compensable claims from a mental disability that arises from the ordinary job-related stress common to all lines of employment. Nothing in Pathfinder requires that the "sudden, severe emotional shock" which must be proved should be considered within the context of the claimant's occupation or training. The Commission applied an incorrect standard of proof and failed to provide compensation to an injured worker in a compensable mental- mental claim. The claimant suffered a sudden, severe emotional shock on May 29, 2007, that resulted in his developing posttraumatic stress disorder. The accident arose out of and in the course of the claimant's employment, and his condition of ill-being was causally related to the accident. The psychological harm the claimant suffered is compensable under the Act.

15 Diaz v. IWCC 2013 IL App (2d) 120294 WC Dissent I respectfully dissent In reversing the Commission in this case, the majority rejects General Motors' interpretation of Pathfinder to the extent it suggests the determination of whether a sudden, severe emotional shock occurred must be "considered within the context of the claimant's occupation or training I believe General Motors is a fair interpretation of our supreme court's decision in Pathfinder. The claimant's occupation and training are part of the circumstances that must be considered in determining whether an event causing a sudden, severe shock has occurred. Naturally, for an event to cause sudden, severe shock, it must be out of the normal work routine; otherwise it would not cause a shock Additionally, while I agree with the de novo standard of review used in this case, I note this court utilized the manifest-weight-of-the-evidence standard of review in a recent mental-mental case where the facts were undisputed. See Chicago Transit Authority 2013 IL App (1st) 120253WC… I find the court's application of the different standards of review inconsistent and disagree with Chicago Transit Authority's reasoning for applying a manifest-weight-of-the-evidence standard.Chicago Transit Authority 2013 IL App (1st) 120253WC… I find the court's application of the different standards of review inconsistent and disagree with Chicago Transit Authority's reasoning for applying a manifest-weight-of-the-evidence standard.


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