COURT OF APPEAL S OF VIRGINIA

Present: Chief Judge Fitzpatric k, Judges Cole man and Frank Argued at Salem, Virginia

MARTINSVILLE CITY SCHOOL BOARD AND VIRGINIA MUNICIPAL GROUP SELF-INSURANCE ASSOCIATION MEMORANDUM OPINION * BY v. Record No. 2291-99-3 CHIEF JUDGE JOHANN A L. FITZPATRICK MAY 2, 2000 TIMOTHY ALLAN MYERS

FROM THE VIRGINIA WORKERS' COMPENSATION COMMISSION Frank K. Friedman (John P. Grove; Charles V. Mehler, III; Woods, Rogers & Hazlegrove, P.L.C., on brief), for appellants. Timothy Alla n Myers, pro se .

Martinsville City School Board ("employer") contends the Workers' Compensation Commission ("commission") erred in refusing to order a change in Timothy Allan Myers' ("claimant") treating physician. Finding no error, we affirm the

commission's decision. "On appeal, we view the evidence in the light most favorable to the claimant, who prevailed before the commission." Allen & Rocks, Inc. v. Briggs , 28 Va. App. 662, 672, 508 S.E.2d 335, 340 (1998) (citations omitted). "Decisions of the commission as to questions of fact, if supported by credible

* Pursuant to Code § 17.1-413, recodifying Code § 17-116.010, this opinion is not designated for publication.evidence, are conclusive and binding on this Court." Manassas

Ice & Fuel Co. v. Farrar , 13 Va. App. 227, 229, 409 S.E.2d 824, 826 (1991). Viewed in the light most favorable to claimant, who prevailed before the commission, credible evidence supports the commission's finding that employer failed to offer sufficient justification for a change in claimant's treating physician. We have previously identified several grounds upon which a change in an employee's treating physician will be ordered: "inadequate treatment is being rendered; it appears that treatment is needed by a specialist in a particular field and is not being provided; no progress being made in improvement of the employee's health condition without any adequate explanation; conventional modalities of treatment are not being used; no plan of treatment for long-term disability cases; and failure to cooperate with discovery proceedings ordered by the Commission." Briggs , 28 Va. App. at 675, 508 S.E.2d at 341 (quoting Powers v.

J.B. Constr. Co. , 68 O.I.C. 208, 211 (1989)). "Additionally, when an employer seeks to change claimant's treating physician because the claimant has made little progress and no treatment plan has been derived, the employer must identify the

alternative care that should be substituted and must demonstrate that the suggested care would be more appropriate and productive." Id. (citing Bennett v. Fairfax County Sch. Bd. , 74 O.W.C. 1, 4 (1995)).

- 2 -In the instant case, the commission found that there were "fundamental conflicts" between the opinions of Dr. Murray Joiner and Dr. David Cifu, employer's two experts. While Dr. Joiner recommended "more aggressive evaluation and treatment," Dr. Cifu opined that "further evaluations and intensive interventions for [claimant's] Chronic Pain Syndrome would be inappropriate." Additionally, Dr. Joiner failed to explain how his recommended plan "would differ from the claimant's present treatment" and "the claimant has received essentially all of the treatment and therapy recommended by Dr. Cifu." In short, employer failed to identify a medical treatment program that would be "more appropriate and productive." Briggs , 28 Va. App. at 675, 508 S.E.2d at 341. Claimant's condition is "chronic," and the commission found his "lack of improvement to be understandable." Because credible evidence supports these findings, we affirm the commission's decision.

Affirmed.

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