Cite as 2013 Ark. App. 569

ARKANSAS COURT OF APPEALS

DIVISION III

No. CV-13-380

PULASKI COUNTY SPECIAL

SCHOOL DISTRICT

APPELLANT

V.

MARGARET TENNER

APPELLEE

Opinion Delivered October 9, 2013

APPEAL FROM THE ARKANSAS

WORKERS’ COMPENSATION

COMMISSION

[NO. G100583]

AFFIRMED

BRANDON J. HARRISON, Judge

Pulaski County Special School District (PCSSD) appeals the decision of the Workers’

Compensation Commission that affirmed the administrative law judge’s (ALJ) decision to

award Margaret Tenner additional medical benefits. The ALJ found that Margaret Tenner

proved by a preponderance of the evidence that treatment by Dr. William Ackerman is

reasonably necessary and directly related to her compensable injury. We affirm the

Commission’s decision to award additional benefits.

Tenner, while employed by PCSSD as a bus aide, was injured when the left-side, rear

tire blew off a school bus on which she was working. The blown tire jolted the bus in a way

that injured her while she sat on a seat inside the bus. The parties stipulated that a

compensable injury to Tenner’s lower back had occurred. 

After holding a hearing to determine Tenner’s entitlement to additional medical

treatment to manage her compensable injury, the ALJ found that Tenner should receive more
Cite as 2013 Ark. App. 569

treatment. PCSSD timely appealed the ALJ’s decision to the Full Commission. The

Commission affirmed and adopted the ALJ’s decision, stating, among other things, that

[t]he claimant has proven, by a preponderance of the credible evidence, that the

treatment provided by Dr. William Ackerman is reasonably necessary medical

treatment which is directly and causally related to the August 20, 2009,

admitted injury. Further, the treatment provided by Dr. Ackerman is by

referral from an authorized treating physician, Dr. Harold Chakales. 

Accordingly, respondents are responsible for any outstanding treatment

provided by Dr. Ackerman, together with continued, reasonably necessary

maintenance care recommended by Dr. Ackerman. 

PCSSD appealed the Commission’s decision and asks us to reverse the benefits award. 

In workers’ compensation cases we view the evidence, and all reasonable inferences

arising from it, in the light most favorable to the findings of the Commission. Jones v.

Scheduled Skyways, Inc., 1 Ark. App. 44, 612 S.W.2d 333 (1981). If its decision is supported

by substantial evidence, we affirm. Pack v. Little Rock Convention Center & Visitors Bureau,

2013 Ark. 186. Substantial evidence is evidence “of sufficient force and character that it will,

with reasonable and material certainty and precision, compel a conclusion one way or the

other.” Id. at 2. For us, the issue is not whether we might have reached a different result

than the Commission, but whether reasonable minds could reach the Commission’s decision. 

Id. Credibility questions, and the weight to be given to witness testimony, are within the

Commission’s exclusive province. Id. Moreover, the Commission’s decision to accept or

reject medical opinions, and how it resolves conflicting medical evidence, has the force and

effect of a jury verdict. St. Edward Mercy Med. Ctr. v. Chrisman, 2012 Ark. App. 475. Finally,

when the Commission affirms and adopts the ALJ’s findings, as it did here, then we consider

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the ALJ’s decision and the Commission’s opinion in tandem. Hawley v. First Sec. Bancorp,

2011 Ark. App. 538, 385 S.W.3d 388.

PCSSD contends on appeal that substantial evidence does not support the

Commission’s decision that Tenner proved an entitlement to additional medical treatment. 

PCSSD argues that the referral and subsequent treatment by Dr. Ackerman are not causally

related to the 2009 compensable injury and that Tenner’s treatment is for a pre-existing

condition—not for an aggravation resulting from the compensable injury. 

We hold that the Commission’s decision was based on substantial evidence and the

law. A pre-existing medical condition does not defeat a claim if the compensable injury

aggravated, accelerated, or combined with the pre-existing condition to produce the disability

for which workers’ compensation benefits are sought. Jim Walter Homes v. Beard, 82 Ark.

App. 607, 120 S.W.3d 160 (2003). Stated differently, an employer takes an employee as it

finds her. Hickman v. Kellogg, Brown & Root, 372 Ark. 501, 277 S.W.3d 591 (2008). Here,

the Commission rejected PCSSD’s allegation that Tenner’s impairment was caused solely by

her pre-existing condition dating back to 1992. In its decision, the Commission noted that

the medical evidence reflected that Tenner did not receive any medical treatment for her preexisting condition between April 1993 and August 2009, the latter date being when her

compensable injury occurred due to the tire blowout. That Tenner went approximately

sixteen years without being treated for her pre-existing injury supports the Commission’s

conclusion that the compensable injury and related aggravations are causally related. Whether

a causal connection exists is a question of fact for the Commission to determine, Vijil v.

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Schlumberger Tech. Corp., 2013 Ark. App. 346, and substantial evidence supports the

Commission’s determination that Tenner’s compensable injury requires more medical

treatment.

Additionally, the Commission’s decision to give Dr. Brent Sprinkle’s medical records

less weight and credibility than that of Dr. Carter, Dr. Chakales, and Dr. Ackerman is within

the Commission’s exclusive province. See Hawley, 2011 Ark. App. 538, at 9, 385 S.W.3d at

394. The Commission may accept the opinion of one physician over another. Vite v. Vite,

2010 Ark. App. 565, 377 S.W.3d 453.

As a final note, PCSSD also appears to argue that Tenner’s other jobs caused, or at least

partially contributed to, her complaints of pain. This is essentially a causation-related

argument or credibility challenge that the Commission considered and rejected when it

determined whether to award additional medical treatment to Tenner.

We affirm the Commission’s decision because it is supported by substantial evidence. 

Affirmed.

WYNNE and BROWN, JJ., agree.

Worley, Wood & Parrish, P.A., by: Melissa Wood, for appellant.

Gary Davis, Attorney at Law, by: Gary Davis, for appellee.

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