MISSISSIPPI WORKERS' COMPENSATION COMMISSION

MWCC NO. 98-14033-G-4112 & 98-14511-G-4113
 
MARION DANNY ROBERTSON 

vs.

CONTRACTORS EQUIPMENT COMPANY
AND
FEDERATED MUTUAL INSURANCE COMPANY

CLAIMANT
 
 
EMPLOYER
CARRIER

APPEARING FOR CLAIMANT:
Honorable Greg E. Beard, Attorney at Law, Booneville, Mississippi

APPEARING FOR DEFENDANTS:
Honorable George E. Read, Attorney at Law, Oxford, Mississippi
 

COMMISSION ORDER

The Commission heard the above styled cause on April 23, 2001 in the offices of the Mississippi Workers' Compensation Commission in Jackson, Mississippi on "Employer/Carrier's Petition for Review" and "Claimant's Response to Employer/Carrier's Petition for Review."

Having heard the arguments offered on behalf of the parties and having thoroughly studied the record and the applicable law, the Commission affirms the "Order of Administrative Judge" dated December 1, 2000.

Claimant's oral "Motion to Admit Additional Evidence" is denied.

SO ORDERED, this the 7th day of May, 2001.

MISSISSIPPI WORKERS' COMPENSATION COMMISSION
BY: BEN BARRETT SMITH
BARNEY SCHOBY
COMMISSIONERS

ATTEST:
Jo Ann McDonald, Secretary
___________________________

Commissioner Quarles, dissenting.
 

I dissent. The claimant bears the burden to establish his entitlement to any for71-3-1, et seq. Lanterman v. Roadway Exp., Inc., 608 So. 2d 1340, 1347 (Miss. 1992); Dunn, Mississippi Workers' Compensation, §265 (3 ed. 1992). This burden is borne by establishing his entitlement to benefits by substantial credible evidence. Dunn, at § 267.

It is well established that a claimant is competent to prove his own claim, and his testimony may be accepted without corroboration. Alexander Smith, Inc. v. Genette, 232 Miss. 166, 98 So. 2d 455 (1957). However, if the claimant's testimony contains inherent improbabilities or contradictions, the Commission is not bound to accept the claimant's testimony as the basis of the award. Barnes v. Buckeye Molding Co., 247 Miss. 614, 157 So. 2d 63 (1963). Moreover, the Commission sits as the "ultimate finder of facts" in compensation cases, not the Administrative Judge. Thus it is incumbent upon the Commission to review the record with diligence.

After a careful review of the record, I conclude that it does not support all of the findings of the Administrative Judge.1 For this 2 In my opinion, the claimant has not proven by the weight of credible evidence, that the second injury did, in fact, occur in the course and scope of his employment with Contractors Equipment Company, Inc. on May 7, 1998, May 11, 1998 or on any day in May 1998.

In support of this conclusion, I offer the following:
 

  • The claimant testified that he had incurred three separate injuries in May of 1998. Two of these injuries allegedly occurred on May 7, 1998, once when he "bumped his chest with a piece of steel pipe" (T., p. 46) and later when a high pressure hose became stuck underneath a tire and the claimant pulled at it to free it, causing him additional injury. (T., p. 46) Claimant testified that upon his return to work on May 11, he again injured himself removing a cylinder from a piece of machinery. (T., p. 49)

  •  
  • The claimant testified that he reported each separate injury to a supervisor. The first (bumping) injury, he testified he reported to his supervisor. (T., p. 46) The second (hose) injury, he testified he again reported, this time to at least two of his supervisors, including Bill Grubbs. (T., p. 47) The claimant does not affirmatively testify that he reported the third (cylinder) injury to anyone, but he did affirmatively testify that after this third injury he told Mr. Grubbs that he hurt his back (T., pp. 49-50) and was sent home by Mr. Grubbs. (T., pp. 49-50)

  •  
  • Mr. Grubbs, manager of the employer's Tupelo office, testified that on May 11, 1998 the claimant reported to him that he had a headache and chest pains.
     
  • An Absence Report which reflects the claimant's absence from work the latter part of May 11, 1998, designates the claimant's reason for absence as "due to illness" rather than "accident on job," another available option. (exhibit CL-7)

  •  
  • Mr. Grubbs followed the claimant's recuperation after May 11, 1998 by calling him each day. The claimant reported to Mr. Grubbs that he was unable to work due to chest or back pain, but never related a work-related incident as the cause of the pain. (T., p. 23)

  •  
  • Darrel Loader, at the time serving at Product Support Manager for the employer, testified that the claimant called him on the 15th, 16th or 17th of May and reported a work-related injury which occurred on the prior Monday. (T., p. 33) This is the only corroboration of a report of a work related injury which appears in the record. This resulted in the filing of a B-3 following an investigation initiated by Mr. Loader. The injury reported to Mr. Loader, as reflected by exhibit GEN-12 is "chest pain or spasms while pulling lift cylinder out of machine."

  •  
  • The claimant's primary treating physician, Dr. Lawrence L. Dennis, first saw the claimant on May 12, 1998, the day after the third injury (cylinder). According to Dr. Dennis' records and affidavit, the claimant reported "sudden onset of chest pain a week earlier." The claimant did not mention a work injury to Dr. Dennis until over three months after he first saw the physician. At this time, he indicated that a work injury occurring on May 12 caused recurrent pain to the area of his body that had been injured during a work-related accident a year before (October 1997). The claimant never mentioned injuries one and two that occurred May 7 (bumping and hose).

  •  
  • Within a week of the May 7, 1998 events, and within 3 days of the May 11, 1998 event, claimant was treated by Dr. Kerry Morgan. Dr. Morgan's records relate the claimant's complaints of chest pain, but no mention of any relation of the pain to a job-related event. Dr. Morgan saw the claimant three times in May and on no occasion did the claimant mention to Dr. Morgan a job-related event or injury, or that such. an event or injury was the cause of the pain he was suffering.

  •  
  • The report of Dr. Mohammed Assaf reflects that the claimant reported to him during an October 8, 1998 visit that he had fallen six weeks prior "where he works with heavy equipment." The claimant's visit to Dr. Assaf on October 8, some six months after the dates of injury, is the only date on which it is revealed that he related the injury as a work-related injury to a medical provider; yet, interestingly, the claimant does not relate the event causing injury, only that he works with heavy equipment.
  • Upon consideration of the record as a whole, I can but conclude that the claimant has not met his general burden of proof by showing that an accidental injury arose out of and in the course of his employment on either May 7 or May 11, 1998. Serious flaws in the claimant's proof include the facts that (1) the claimant at no time and to no physician designated that his pain was the result of a work-related event, whether on May 7 or 11; and (2) the claimant, by his own testimony and corroborated by Mr. Grubbs and exhibit CL-7, never relayed to Mr. Grubbs that he had sustained an on-the-job injury on the 11th, although he spoke to Mr. Grubbs on that date reporting pain, took leave from work due to "illness" and, according to Mr. Grubbs, talked to him on a daily basis to report that he could not return to work due to pain he was experiencing; but never once told Mr. Grubbs that this disabling pain had a work-related origin. The claimant's testimony that he sustained an accidental injury while working on either May 7th or May 11th is not only uncorroborated by any witness, but is undermined by the claimant's own reports to physicians.

    It does not go unnoticed that the Administrative Judge indicated that the claimant is inarticulate, but this does not relieve the claimant of simply telling a physician, a day or week after his injury: "I was hurt at work" or checking a leave form block to indicate "accident on job" rather than "due to illness."3 Moreover, it strains the credulity to conclude from the medical records, as Administrative Judge Thompson did, that the "stor[ies] [claimant] told Dr. Dennis in May 1998 and Dr. Assaf in June 1998 [seem] consistent with his history of various accidents." (Opinion, p. 17)

    For the reasons stated above, it is difficult to believe the testimony of the claimant as to the occurrence of any work-related injury in May of 1998 and thus I would deny the compensability of that injury.

    This the 7th day of May, 2001.

    LYDIA QUARLES
    COMMISSIONER
    ___________________________

    MISSISSIPPI WORKERS' COMPENSATION COMMISSION

    MWCC NOS. 98-14511-G-4113-B and 98-14033-G-4112-B
     
    MARION DANNY ROBERTSON 

    vs.

    CONTRACTORS EQUIPMENT COMPANY
    AND
    FEDERATED MUTUAL INSURANCE COMPANY

    CLAIMANT
     
     
    EMPLOYER
    CARRIER

    APPEARING FOR CLAIMANT:
    Honorable Greg E. Beard, Attorney at Law, Booneville, Mississippi

    APPEARING FOR DEFENDANTS:
    Honorable George E. Read, Attorney at Law, Oxford, Mississippi

    ORDER OF ADMINISTRATIVE JUDGE

    On October 29, 1998, the claimant, Marion Danny Robertson, filed two petitions to controvert alleging that in October 1997 and again on May 7, 1998, he received work-related injuries to his back, shoulder, and neck. The employer and carrier denied the compensability of the injuries and did not pay workers' compensation benefits. Mr. Robertson was unable to undergo recommended diagnostic testing because he could not obtain payment therefor from either the workers' compensation carrier or the employer's group health insurer. A hearing was held in the Lee County Justice Center in Tupelo, Mississippi, on October 19, 2000.
     

    STIPULATIONS

    The parties stipulated that in October 1997 and on May 7, 1998, the claimant's average weekly wage was $493.07.
     

    ISSUES

    The issues to be resolved by the Administrative Judge are as follows:

    1. Whether the claimant, Marion Danny Robertson, suffered a work-related injury to his back, shoulder, and neck in October 1997.

    2. Whether Marion Danny Robertson, suffered a work-related injury to his back, shoulder, and neck on May 7, 1998.

    3. If he suffered an injury or injuries, whether he gave appropriate notice to the employer.

    4. Whether the employer and carrier are responsible for medical services and supplies related to his back, neck and/or shoulder complaints.
     

    REVIEW OF THE EVIDENCE

    Marion Danny Robertson is forty-seven years old and a resident of Rienzi, Mississippi. He was born in Kentucky and lived in Illinois until he was about sixteen years old. He took special education classes from the fourth grade to the eleventh grade in Chicago. He testified that he can read a little, but he has some problems transposing letters and numbers. He said his wife took care of all of his business for twenty-four years before her death in 1994, and now his girlfriend helps him with paper work. Mr. Robertson is not an articulate man.

    Mr. Robertson lives with his girlfriend, Rhonda Berryman. He met her in mid 1995, and they were living together in 1997 and 1998. Mr. Robertson's sixteen-year-old son and his girlfriend's young granddaughter live with them.

    In the past, Mr. Robertson has worked as a carpenter, welder, house painter, and highrigger welder. He has a valid commercial driver's license. He last took a physical exam three years ago. He is a certified welder. He took and passed a test but has not had formal schooling in welding.

    At Contractors Equipment Company in Tupelo, Mr. Robertson was service manager. He was with the company for about ten years, first at their Corinth, Mississippi, office and later, from August 1997 until May 11, 1998, at their Tupelo branch. He took care of mechanic work, service calls, truck driving, or whatever else needed to be done. He would go out on service calls to do maintenance work on rented equipment when repairs were needed.

    Mr. Robertson admitted he had back pain before October or November 1997. He had treatment for a "muscle pull" in his back about three or four years earlier. He said he never had chest pain before October 1997 and had not sought medical treatment for chest pain. Mr. Robertson is diabetic, and he takes pills for this condition when he can afford it. He has high choAccording to Mr. Robertson, some time about the middle of November of 1997, he got a service call to repair a JCB loader in Alabama. He was not at all sure of the date, but he definitely thought it was before Thanksgiving, and he did not know why the petition to controvert specifies October 1997 as the date of injury. He testified that he went over to the ailing loader in Alabama on a Friday. He went back to Tupelo to get the necessary parts for the repair work and returned to the machine on Sunday. He said that while he was working on the loader, a high pressure line knocked him to the ground. He stayed on the ground about fifteen minutes, having hurt the left side of his body. He returned home to Rienzi about 7:00 p.m. that Sunday night.

    The next morning he came in and told Mr. Bill Grubbs, the manager of the Tupelo office of Contractors Equipment Company, that he was hurting. Mr. Robertson testified that Phillip Holley, the office manager, started to fill out an accident report but got busy and gave him the accident report to finish filling out. His girlfriend filled it out for him, and the next morning Mr. Robertson laid it on the desk. Mr. Robertson said Mr. Grubbs called him into the office and signed the accident report and told Mr. Robertson to go back to work and not get hurt any more.

    Mr. Robertson said he missed two or three days of work, but he took back a doctor's excuse saying he could return to work. He missed a half day or so sometime later. Mr. Robertson would comOn Thursday, May 7, 1998, Mr. Grubbs gave him some work to do on a platform, then left to do some business. The platform work Mr. Robertson was doing did not suit Mr. Grubbs when he returned, and Mr. Grubbs told him to do it better. Mr. Robertson took a five-foot-long piece of pipe which he used as a scraper to get the old paint off the platform. He testified he was accidentally popped in the chest by the pipe while he was working.

    Mr. Holley, the office manager, was still working at Contractors Equipment Company, although he had given his two weeks notice. Mr. Robertson told Mr. Holley about hurting his chest and raised his shirt up to show him.

    Later that day, Mr. Robertson used a high pressure hose to clean up a backhoe. The hose got hooked up under the front wheel, and Mr. Robertson jerked on the hose. He felt pain in his back and he went down on his hands and knees. The pain brought tears to his eyes. Mr. Robertson testified that he told Mr. Grubbs and Mr. Holley that he had hurt his back. Mr. Grubbs sent him home. Mr. Robertson went home in the company service truck that he used to go to and from work as well as to make service calls.

    The next day, Friday, May 8, 1998, he did not go to work. He did not work the weekend but went back in on Monday, May 11, 1998. Mr. Grubbs asked him to work on a scissor lift machine, which involved removing a hydraulic cylinder weighing 350 or 400 poAfterward, Mr. Robertson laid his head on the desk. Mr. Grubbs walked by twice and the second time told him to go home. Mr. Robertson said he told Mr. Grubbs he would be okay in a few minutes, but Mr. Grubbs told him to go home anyway. Mr. Holley was not there on Monday.

    Mr. Robertson explained that he hurt his back and the left side of his neck. He felt like someone was sticking him in the back all the time. If he turned his neck to the left, he would feel like he was going to black out. He had numbness in his leg and foot.

    The next day, May 12, 1998, Mr. Robertson went to see Marian Kelly, the nurse practitioner in Dr. Dennis's office. Some of his reported symptoms made Dr. Dennis think he was having a heart attack, and Dr. Dennis referred him to a heart specialist, Dr. Kerry Morgan in Memphis, for testing. Mr. Robertson had the testing.

    Mr. Robertson went back to Dr. Dennis who referred him to Dr. Mohammad Assaf, a neurologist, who scheduled him for a cervical MRI. Mr. Robertson apparently reported to the hospital in Booneville for the test in June 1998 and was too big for the MRI machine. He was then scheduled for an MRI in Memphis, where there was a larger machine. The company would not verify the test, however, and the group health insurance would not accept the claim either. Mr. Robertson did not have the money to pay for the test.

    According to Mr. Robertson, he has not worked since May 11, 1998. He said he tries to do some things around the house, but mainly he just sits or lies around.

    When asked about a former girlfriend who called Contractors Equipment Company to say he hurt his back working on a race car at a drag race and that he had mental problems, Mr. Robertson replied that he did not hurt his back on a race car. He did own a race car but he does not now. He said he does not have any mental problems.

    When asked if he received disability benefits from a policy at Contractors Equipment Company, Mr. Robertson said, "No," that he personally had a disability insurance policy to pay a finance company note. He completed paperwork so the finance company could get disability benefits, but he himself has received no disability payments.

    Mr. Robertson said he did not quit Contractors Equipment Company. About three weeks after May 11, 1998, he heard from Mr. Grubbs that he wanted him to turn in his service truck and uniforms. He also heard from the group health insurance that he could pay for his group insurance premiums but the company would no longer pay the premiums.

    Rhonda Berryman, the claimant's girlfriend, came to the hearing to offer testimony in the claimant's behalf. The parties stipulated, however, that she would offer testimony that would be cumulative and corroborative of that already given by the claimant.

    Bill Grubbs testified that he is a salesman for Contractors Equipment Company at its Tupelo office. The main office of the company is in Memphis, Tennessee. Mike Dixon is currently the manager of the Tupelo office. Mr. Grubbs was the manager in 1997 and 1998, and Mr. Robertson worked for Mr. Grubbs.

    According to Mr. Grubbs, Marion Danny Robertson had worked for Contractors Equipment Company from the time the Tupelo office opened, around the first week of August 1997, until May 11, 1998. Mr. Robertson had previously been with the Corinth office, working for the company a total of about ten years in two stints. Mr. Robertson was a mechanic working on all types of equipment, from small backhoes to excavators, that is, a variety of medium and heavy equipment. He often used very large tools and large parts. He sometimes worked on weekends on a voluntary basis.

    About a week before May 7, 1998, Mr. Grubbs told Mr. Robertson that the company could not put up with his coming in late and leaving early. Mr. Robertson always had an excuse but the excuse was never that he had suffered a work injury. Mr. Grubbs thought about half of these absences were unexcused. Mr. Grubbs was told to keep submitting absence reports after Mr. Robertson stopped coming to work. He does not recall Mr. Robertson reporting a work injury at any time.

    Mr. Grubbs testified that in October 1997 Mr. Robertson did not report he had been injured or had hurt his back. He did not know of Mr. Robertson taking off work in October 1997 for an injury although Mr. Robertson missed some time off work in 1997 and 1998.

    According to Mr. Grubbs, on May 11, 1998, he heard Mr. Robertson come in the back door of the office. Then Mr. Grubbs noticed him with his head on his desk. Mr. Grubbs thought he was sleeping. Mr. Robertson said he had a headache and had some chest pains. Mr. Grubbs asked him if he needed to go to the doctor, and he answered, "No." About forty-five minutes later, Mr. Grubbs checked on Mr. Robertson to find he was still at his desk with his head on his desk. He had been at work about two hours. Mr. Grubbs told him to either go home or to the doctor, that he could not work.

    That was the last day Mr. Robertson worked for Contractors Equipment Company. He said Mr. Robertson did not tell him he was quitting. Mr. Grubbs called him every day for about two weeks after May 11, 1998, to see if he was coming back to work.

    Mr. Grubbs testified that after Mr. Robertson quit his job, the week of May 11, 1998, he reported he had an injury. He did not report a back injury on May 7, 1998. Mr. Grubbs learned about the claim of a job-related injury from the Memphis headquarters about three weeks after May 11, 1998. Investigation of the claim was turned over to the Memphis office.

    Mr. Grubbs said he was told that one of Mr. Robertson's girlfriends saw him at a drag race and said he had been injured working on a race car in October 1997. Mr. Robertson continued to work until May 11, 1998, working an average of four and a half days a week.

    Darrel Loader testified that he is currently product support manager at JCB, Inc. He was product support manager and general service manager at Contractors Equipment Company until June 19, 2000. He was with Contractors Equipment Company in 1997 and 1998. At Contractors Equipment Company, Mr. Loader handled about seven or eight workers' compensation claims. When asked if he was ever called by a doctor's office to verify workers' compensation for Marion Danny Robertson, Mr. Loader said, "Yes." He said he was called by doctors sometime in May 1998, and he informed the doctors that the claim had been denied.

    Mr. Loader said he learned that Danny Robertson was claiming an on-the-job injury when Mr. Robertson called him sometime between May 15 and 18, 1998, asking what the company was going to do about his problem. Mr. Robertson said he had been injured working on a machine the previous Monday.

    Mr. Loader said he did not have first-hand knowledge about anything at that time, and he investigated the facts. Mr. Loader admitted that he was new at workers' compensation matters, and he had other job duties as well that took him out of the office at that time. He talked to Mr. Grubbs who was branch manager at the time. Mr. Loader said that if Mr. Robertson had an injury, he should have reported it to Mr. Grubbs who was his direct supervisor.

    Mr. Loader testified that Contractors Equipment Company provided group health insurance for its employees. Mr. Robertson's group health insurance should have been continued for ninety days after May 11, 1998. Insurance premiums were paid by the company on a quarterly basis.

    The Commission file in this case includes a B-3 form filed at the Commission on October 20, 1998. The form states the preparer was Darrel Loader, Service Manager, and that the form was prepared on June 16, 1998. The date of reported injury or illness was stated to be May 11, 1998, and the type of reported injury or illness was said to be chest pain or spasms that occurred while the claimant was pulling a lift cylinder out of a machine.

    The medical records of Dr. Laurence L. Dennis, family practitioner in Booneville, were received into evidence. Dr. Dennis's first record is dated December 1, 1997, when he saw Danny Robertson for a DOT physical examination. Dr. Dennis said the examination was essentially unremarkable except for glucose and protein in the urine. Dr. Dennis noted Mr. Robertson was diabetic and had hyperlipidemia. Mr. Robertson complained of a lesion on his left hand from an injury three weeks earlier. Dr. Dennis diagnosed:

    (Exhibit 3, p. 7). Dr. Dennis advised him to return in ten days or sooner if there were a problem.

    Dr. Dennis next saw Mr. Robertson approximately six months later on May 12, 1998, for complaints of:

    (Exhibit 3, p. 6). Dr. Dennis diagnosed: The medical records of Dr. Kerry D. Morgan, heart specialist in Memphis, were received into evidence. Dr. Morgan saw Marion Danny Robertson on May 14 and 21, 1998. On May 14, 1998, Dr. Morgan noted that Mr. Robertson complained of chest pain and chest pressure that occurred mainly with activity. Dr. Morgan noted he had extremely high cholesterol as well as triglycerides and diabetes. Dr. Morgan diagnosed "Atypical chest pain with significant risk factors." (Exhibit 2, p. 9). Dr. Morgan recommended an RNA stress test.

    On May 21, 1998, Dr. Morgan noted that Mr. Robertson had the RNA stress test. He opined "there is a small defect in the circumflex territory. The pain, however, is not consistent with coronary disease and therefore based on this I think it is unlikely that he has any significant disease." (Exhibit 2, p. 2). Dr. Morgan thought the chest pain was related to musculoskeletal and back pain. He suggested Mr. Robertson return to see him in six months, but on May 21, 1998, Dr. Dennis noted Mr. Robertson's back pain was better.

    On June 2, 1998, Dr. Dennis noted Mr. Robertson's RNA scan was negative. He reported Mr. Robertson "was told the back of his heart was 'twisted.'" He had less musculoskeletal pain with fatigue. Dr. Dennis diagnosed:

    (Exhibit 3, p. 4).

    The medical records from the Baptist Memorial Hospital in Booneville, Mississippi, were received into evidence. Mr. Robertson presented to the hospital on June 4, 1998, and Dr. Mohammad Assaf was the attending physician. Mr. Robertson reported to the hospital that at noon on November 1, 1997, he had an injury described as "took cylinder out lift" and complained of back and neck pain. (Exhibit 5, p. 2).

    The medical records of Dr. Mohammad Assaf, neurologist with the Neurology Outreach Clinics in Booneville and Ripley, Mississippi, were admitted into evidence. Dr. Assaf s notes indicate he saw Marion Danny Robertson on June 4, 1998, at the referral of Dr. Dennis for complaints of back pain when he "fell at work in Nov. also hit self in chest at work with pipe x 6 wks ago. Also c/o chest hurting off & on worse on exertion." He also wrote, "Nov. 97 & 6 wks ago at work - hit chest work in heavy equipment. Pain in back, shoulder, neck, lower back... weakness all over." (Exhibit 4, p. 6). He also complained of dizziness and being tired. There are other notations that are illegible.

    Dr. Assaf diagnosed cervical radiculopathy and muscle spasm. He recommended an MRI of the cervical spine. A marginal note indicates that Mr. Robertson was too large for the MRI machine at the hospital in Booneville, and he was scheduled for an MRI in Memphis. On June 4, 1998, Dr. Assaf signed a slip saying the patient needed to be off work until after he could review the MRI results.

    Mr. Robertson went to Dr. Dennis's office again on June 22, 1998, asking for something for pain. The nurse practitioner's note states, "he hurt his back at work (fell)." (Exhibit 3, p. 2).

    Dr. Assaf saw Mr. Robertson again on July 2, 1998, for continued complaints of pain that was worse when he turned his head and dizziness. Dr. Assaf diagnosed trapezius muscle spasm and cervical radiculopathy.

    On August 26, 1998, Dr. Dennis noted Mr. Robertson came to the office complaining of pain in his left chest, left low back, and left shoulder. Dr. Dennis reported:

    (Exhibit 3, p. 3). Dr. Dennis noted Dr. Morgan thought the chest pain was musculoskeletal. Dr. Dennis recommended physical therapy for back and neck pain.

    On October 8, 1998, Dr. Assaf wrote Dr. Dennis, stating:

    (Exhibit 3, p. 8). Dr. Assaf suggested Mr. Robertson had left trapezius muscle spasm and should be tested to rule out cervical radiculopathy. He ordered an MRI of the cervical spine, but the workers' compensation carrier refused to pay for it.

    On November 23, 1998, Dr. Dennis saw Mr. Robertson and noted he was anxious and depressed. Mr. Robertson said he could not bend over to put his shoes on because of neck pain. Dr. Dennis said about his neck and chest pain:

    (Exhibit 3, p. 14). On December 28, 1998, Dr. Dennis advised Mr. Robertson to follow up with Dr Assaf as his neck pain and chest pain were no better.

    On January 7, 1999, Dr. Assaf again recommended the MRI of the cervical spine. He noted Mr. Robertson was still having pain in his neck, worse on exertion, and was having problems sleeping.

    On August 18, 1999, Dr. Dennis admitted Mr. Robertson to the Baptist Memorial Hospital in Booneville for complaints of left anterior chest pain, nausea, and dizziness. Dr. Dennis thought the chest pain was more chest wall related. He noted the diabetes was out of control. He also suspected gallbladder disease.
     

    DECISION

    After carefully considering the pleadings, pretrial statements, stipulation about average weekly wage, lay and medical evidence, the demeanor of the witnesses at the hearing, and the applicable law, the Administrative Judge finds as follows:

    1. The claimant, Marion Danny Robertson, did not receive a significant work injury in October or November 1997 as alleged in one petition to controvert and at the hearing. He may very well have had an accident as he described while repairing a piece of equipment in Alabama some Sunday before Thanksgiving, but the evidence as a whole indicates he did not require medical treatment or time off work. He had a DOT physical examination by Dr. Dennis on December 1, 1997, and he did not mention anything to Dr. Dennis about the accident in Alabama he described at the hearing or report symptoms that would have been consistent with his history of the accident.

    2. Mr. Robertson sustained a work-related injury on or about May 7, 1998, when he accidentally jammed a pipe into his chest and then had pain when he jerked on the hose and experienced back pain. He exacerbated the problems or developed new ones on May 11, 1998, when he had difficulty with a cylinder that fell out of the machine faster than he expected. The employer and carrier are responsible for providing him workers' compensation benefits, including necessary medical services and supplies.

    Mr. Robertson is not an articulate man, and it was difficult to understand exactly what happened to him during the various incidents he described. But it is clear that he regularly performed strenuous physical activity at work and had musculoskeletal chest wall pain and back pain following the May 1998 accidents which required medical treatment. The story he told Dr. Dennis in May 1998 and Dr. Assaf in June 1998 seems consistent with his history of the various accidents.

    Unfortunately, the medical evidence is sketchy at best, but then this happens when there is no one to pay for medical services and supplies. The employer denied the workers' compensation claim, and apparently the group health insurer refused to pay for anything because Mr. Robertson was claiming his problems to be job-related. The medical evidence is also complicated because of Mr. Robertson's non-job-related, preexisting physical problems, particularly diabetes.

    Mr. Robertson saw Dr. Dennis on May 12, 1998, and he complained of both chest pain and back pain after "Increased activity of late." Dr. Dennis referred him to Dr. Morgan, a heart specialist in Memphis, to check out the chest pain and then to Dr. Assaf, a neurologist, for the back complaints. Dr. Morgan found no significant heart trouble and thought the chest pain musculoskeletal and related to back pain. Then when Dr: Assaf suspected cervical radiculopathy and sent Mr. Robertson for an MRI of the cervical spine, apparently not only the employer's workers' compensation carrier but the employer's group health insurance carrier refused to provide the testing, in spite of the fact that Mr. Robertson was a ten-year employee of the company.

    3. The employer had notice that Mr. Robertson was claiming a work-related injury within a week after May 11, 1998. Mr. Grubbs and Mr. Loader said they knew within two or three weeks after that date that Mr. Robertson had communicated a claim to the main office of the employer in Memphis, and the company filed a report of injury completed by Mr. Loader on June 16, 1998. The employer and carrier have not been prejudiced by any delay beyond what company policy might have dictated as the appropriate time to report an injury.

    4. The average weekly wage of the claimant in October 1997 and on May 7, 1998, was $493.07, as stipulated by the parties.

    5. There is not enough supporting medical evidence to make a determination about the duration of temporary total disability at this time, and this issue needs to be addressed after Mr. Robertson has proper medical evaluation.
     

    ORDER

    IT IS THEREFORE ORDERED that the employer and carrier pay workers' compensation benefits to the claimant as follows:

    Provide medical services and supplies as required by the nature of the claimant's injury and the process of his recovery therefrom pursuant to Mississippi Code Annotated §71-3-15 (1995), General Rule 12, and the Medical Fee Schedule.

    IT IS FURTHER ORDERED that any issues relating to temporary total or other disability be reserved for a subsequent hearing.

    SO ORDERED, this the 26th day of October, 2000.

    LINDA A. THOMPSON
    ADMINISTRATIVE JUDGE

    ATTEST:
    <
    Jo Ann McDonald, Secretary
    ___________________________

    1. It goes without saying that, under the set of facts found by the administrative judge, she has applied the law appropriately. I simply differ with regard to the facts.

    2. I agree with Administrative Judge Thompson's conclusions relative to the October 1997 claim.

    3. The claimant's testimony, both on direct examination and cross-examination, whether in the hearing or evolving from his deposition, reflects not inarticulateness but inconsistency. Moreover, there is little evidence of confusion that would form an explanation for the claimant's inconsistent testimony.

    4. "Diaphoresis" is defined as "perspiration, especially profuse perspiration" in the On-line Medical Dictionary.

    5. "Dysponea" is defined as "shortness of breath, difficult or laboured breathing" in the On-line Medical Dictionary.