Court Opinion

ID: 2680743
Source: CourtListenerOpinion
Date Created: 2014-06-26 22:01:55.013969+00
Date Added: 2024-06-11T09:12:03.942028
License: Public Domain

2014 IL App (3d) 130028WC
                               NO. 3-13-0028WC
                            Opinion filed June 26, 2014
 ____________________________________________________________________________

                                 IN THE APPELLATE COURT

                                          OF ILLINOIS

                                       THIRD DISTRICT

               WORKERS' COMPENSATION COMMISSION DIVISION
 ____________________________________________________________________________

 SUNNY HILL OF WILL COUNTY d/b/a             )       Appeal from
                                             )       Circuit Court of
 SUNNY HILL NURSING HOME,
                                             )       Will County
             Appellant,                      )       No. 12MR328
             v.                              )
                                             )
 THE ILLINOIS WORKERS' COMPENSATION          )       Honorable
 COMMISSION et al. (Dalia Mahoney-Tapella,   )       Barbara Petrungaro,
 Appellee).                                  )       Judge Presiding.
____________________________________________________________________________

               JUSTICE HARRIS delivered the judgment of the court, with opinion.
               Presiding Justice Holdridge and Justices Hoffman, Hudson, and Stewart
               concurred in the judgment and opinion.

                                           OPINION

¶1             On July 31, 2009, claimant, Dalia Mahoney-Tapella, filed an application for

adjustment of claim pursuant to the Illinois Workers' Compensation Act (Act) (820 ILCS 305/1

to 30 (West 2008)), seeking benefits from the employer, Sunny Hill of Will County d/b/a Sunny

Hill Nursing Home (Sunny Hill). She alleged a work-related injury that occurred while she was

assisting a patient on December 5, 2008, causing injury to her right shoulder and lower back.

Following a hearing, the arbitrator determined claimant's condition of ill-being was causally

related to the accident that arose out of and in the course of her employment, and claimant's

presence at a flower shop she co-owned did not constitute a "return to work" or absolve Sunny
Hill of its liability to pay temporary total disability (TTD) benefits. The arbitrator awarded

claimant TTD benefits of $596.00 per week for the periods of December 6, 2008, through June 9,

2009; July 23, 2009, through August 27, 2009; and September 22, 2009, through June 15, 2011.

¶2             On review, the Illinois Workers' Compensation Commission (Commission)

affirmed and adopted the arbitrator's decision. On judicial review, the circuit court of Will

County confirmed the Commission's decision.

¶3             Sunny Hill appeals, arguing (1) the Commission erred in awarding claimant TTD

benefits and (2) the Commission's finding that claimant's present condition of ill-being is

causally related to the December 5, 2008, work accident is against the manifest weight of the

evidence. We affirm.

¶4                                      I. BACKGROUND

¶5             The following factual recitation is taken from the evidence presented at the

arbitration hearing on June 15, 2011.

¶6             Claimant testified she first began working for Sunny Hill in November 2004 as a

licensed practical nurse. Her duties included taking care of 25 to 50 patients, including lifting

them as necessary. In 1996, prior to working at Sunny Hill, claimant suffered an injury to her

neck and underwent a cervical fusion procedure. In September 2007, while working at Sunny

Hill, claimant suffered an injury to her right shoulder. On February 15, 2008, Dr. Paul Trksak

performed an arthroscopic debridement of claimant's right rotator cuff and subacromial

decompression. On October 31, 2008, Dr. Trksak noted claimant had reached maximum medical

improvement (MMI). Dr. Trksak released her to return to full-duty work at Sunny Hill effective

November 2, 2008.

¶7             On December 5, 2008, claimant was working at Sunny Hill, assisting two

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certified nurse assistants who were manually lowering an obese patient from a hoyer lift that was

stuck "a good 10 feet up in the air." As they brought the patient down, claimant felt "something

just like snap and pain down my shoulder and arm." She also felt pain in her neck and lower

back. Claimant immediately sought treatment from Advanced Physicians, complaining of "pain

in [her] right shoulder, neck, mid back and low back." An MR arthrogram of claimant's right

shoulder was performed on December 22, 2008. It revealed a full thickness perforation of the

rotator cuff. On January 6, 2009, an MRI of claimant's lower back was performed. It revealed

severe facet arthritis with lateral stenosis in the lower lumbar area. Advanced Physicians

referred claimant to Dr. Gregory Markarian, an orthopedic surgeon.

¶8              Claimant first saw Dr. Markarian on January 15, 2009, at which time he

diagnosed a recurrent tear of the right rotator cuff (he was unsure whether the MR arthrogram

demonstrated a partial tear or a full thickness tear), AC joint arthritis and bicipital tendonitis.

Based on her presentation and the fact she was asymptomatic prior to the accident at issue, Dr.

Markarian opined claimant's injuries were causally connected to the December 5, 2008, work

accident.

¶9              On January 28, 2009, Dr. Markarian performed an arthroscopic debridement of

the partially torn rotator cuff and subpectoral biceps tenodesis. On February 5, 2009, claimant

underwent an EMG of her lower back which revealed an acute S1 radiculopathy. She underwent

an EMG of her neck on March 12, 2009, which revealed an acute C7 radiculopathy. On March

24, 2009, claimant received a lumbar epidural steroid injection by Advanced Physicians. On

April 14, 2009, claimant received a cortisone injection in her right shoulder by Dr. Markarian.

On April 16, 2009, Dr. Markarian released claimant to return to light-duty work.

¶ 10            On June 9, 2009, Dr. Kevin F. Walsh, performed an independent medical

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evaluation of claimant. Dr. Walsh's report is not included in the record and was not admitted

into evidence at arbitration. The only reference to Dr. Walsh's findings are in Dr. Markarian's

evidence deposition and Dr. Anthony Romeo's (who began treating claimant in 2010) initial

report recounting claimant's medical history. According to Dr. Markarian's evidence deposition

and Dr. Romeo's initial report, Dr. Walsh concluded claimant's injuries were not related to the

December 5, 2008, work accident and returned her to full-duty work on June 10, 2009.

¶ 11            On July 23, 2009, claimant reported to Dr. Markarian she aggravated her right

shoulder (she felt swelling and pain) apparently as a result of returning to full-duty work too

soon. Dr. Markarian restricted claimant from work again and ordered an MRI of her right

shoulder, which was performed on August 18, 2009. The MRI revealed tendinosis, moderate

bursitis and minimal subacromial encroachment due to degenerative and inflammatory changes.

Dr. Markarian testified these injuries were part of the "injury spectrum" and were related to the

December 5, 2008, work accident. Claimant was released to return to light-duty work effective

August 28, 2009.

¶ 12            On September 22, 2009, Dr. Markarian gave claimant a cortisone injection in her

right shoulder and took her off work. He ordered an MR arthrogram which was performed on

October 8, 2009. It revealed partial tearing of the rotator cuff. Dr. Markarian explained the

partial tear of the rotator cuff would not have been evident in the August 2009 MRI results.

According to Dr. Markarian, an MRI would reveal "obvious defects where [the tissue is] pulled

away off the bone and it's retracted" but tears that are not retracted "can be difficult to interpret."

The MR arthrogram reveals more because a dye is injected into the joint. Dr. Markarian

recommended claimant undergo another shoulder surgery to revise the previous repair. Claimant

last saw Dr. Markarian on October 15, 2009.

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¶ 13           On September 22, 2010, by agreement of the parties, Dr. Romeo, an orthopedic

surgeon, evaluated claimant. Dr. Romeo diagnosed persistent tendinitis status post previous

biceps tenodesis. He opined this condition was related to the December 5, 2008, work accident.

Dr. Romeo noted claimant could either live with her symptoms or undergo additional surgery.

¶ 14           On September 28, 2010, Sunny Hill terminated claimant's employment because

she had been off work for more than one year.

¶ 15           On February 24, 2011, Dr. Romeo performed a right shoulder arthroscopy with a

revision subacromial decompression and a revision open biceps tenodesis. As of the date of

arbitration, claimant remained in post-operative therapy and continued to treat with Dr. Romeo.

She had not yet been released to return to work.

¶ 16           In 2007, claimant opened a flower shop with her two daughters following the

death of her husband and the suicide of her son. She owns a 53% stake in the business, although

her daughters run it full-time. Following the December 5, 2008, work accident, claimant has

gone to the flower shop at least three days per week, but does not follow a regular schedule, she

is not formally employed by the flower shop, she does not draw a paycheck, and she does not

keep track of her hours. The flower shop first made a profit in 2010 ($2,000), which claimant

distributed to her daughters who actually work there. When asked what she does at the flower

shop, claimant responded she answers the phone if it rings (including taking orders over the

phone), picks up fax sheets, or occasionally her daughters will ask her to "grab *** another rose

or a daisy or a gerber *** for them" while they are preparing arrangements. Claimant also stated

she watches over her grandchildren in a babysitting role at the flower shop. She testified she

does not do anything more physically taxing at the flower shop than she would do at her home

during this time.

                                                -5-
¶ 17           Sunny Hill introduced evidence of surveillance over six days (April 10-11, 2009,

August 10-11, 2010, April 2, 2011, and April 5, 2011), approximately 53 hours in total, of

claimant, including video of claimant at the flower shop while she was off work. Surveillance

video, totaling approximately 35 minutes in length, was presented by the employer at the

arbitration hearing. The video depicts claimant walking from her car to the back entrance of the

flower shop, sometimes carrying bags and/or a laptop case or briefcase, sitting on the back stoop

of the business, standing and walking around outside of the flower shop, picking wildflowers

with her granddaughter, holding a baby inside the flower shop, and driving to a park.

¶ 18           The arbitrator found claimant sustained work-related injuries to her right

shoulder, neck, and lower back, on December 5, 2008. He awarded claimant TTD benefits of

$596.00 per week for the periods of December 6, 2008, through June 9, 2009; July 23, 2009,

through August 27, 2009; and September 22, 2009, through June 15, 2011. In reaching his

decision, the arbitrator noted as follows:

                       "It is apparent that the [claimant's] partial ownership

               interest in a local flower shop that is operated on a day-to-day basis

               by her daughters does not constitute a 'return to work' in the sense

               of disqualifying her from receipt of TTD benefits. The [claimant]

               is a licensed practical nurse by profession. This is her full[-]time

               occupation. Her trips to the flower shop to visit with, and

               occasionally assist, her daughters are sporadic and infrequent. As

               such, they do not serve to absolve [Sunny Hill] from liability for

               the payment of TTD benefits."

¶ 19           The Commission affirmed and adopted the arbitrator's decision. It also remanded

                                                -6-
the matter pursuant to Thomas v. Industrial Comm'n, 78 Ill. 2d 327, 399 N.E.2d 1322 (1980). On

December 14, 2012, the circuit court of Will County confirmed the Commission's decision.

¶ 20                                   II. ANALYSIS

¶ 21           On appeal, Sunny Hill argues the Commission erred in finding that: (1) claimant

was entitled to TTD benefits due to its failure to apply what it refers to as the "stable labor

market test"; and (2) claimant's current condition is causally related to the December 5, 2008,

work injury.

¶ 22              "The time during which a worker is temporarily totally disabled is a question of

fact." City of Granite City v. Industrial Comm'n, 279 Ill. App. 3d 1087, 1090, 666 N.E.2d 827,

828 (1996). The Commission's decision to award TTD will not be disturbed unless it is against

the manifest weight of the evidence. Archer Daniels Midland Co. v. Industrial Comm'n, 138
Ill. 2d 107, 118-19, 561 N.E.2d 623, 627-28 (1990). A decision is against the manifest weight of

the evidence only if the opposite conclusion is clearly apparent. Dolce v. Industrial Comm'n,

286 Ill. App. 3d 117, 120, 675 N.E.2d 175, 178 (1996).

¶ 23           "It is a well-settled principle that when a claimant seeks TTD benefits, the

dispositive inquiry is whether the claimant's condition has stabilized, i.e., whether the claimant

has reached maximum medical improvement." Interstate Scaffolding, Inc. v. Illinois Workers'

Compensation Comm'n, 236 Ill. 2d 132, 142, 923 N.E.2d 266, 271 (2010). "Once an injured

employee's physical condition stabilizes, he is no longer eligible for TTD benefits." Archer

Daniels, 138 Ill. 2d at 118, 561 N.E.2d at 627. This court has held, "[t]he duration of TTD is

controlled by the claimant's ability to work and his continuation in the healing process." City of

Granite City v. Industrial Comm'n, 279 Ill. App. 3d 1087,1090, 666 N.E.2d 827, 829 (1996).

¶ 24              Sunny Hill argues the Commission's failure to apply what it terms the "stable

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labor market test," (ostensibly derived from language in E.R. Moore Co. v. Industrial Comm'n,

71 Ill. 2d 353, 361-62, 376 N.E.2d 206 , 209 (1978)), in determining whether claimant was

entitled to TTD benefits was error and requires reversal. The issue in E.R. Moore was whether

the claimant should have been awarded total permanent disability benefits because there was no

"reasonably stable market in which claimant could be employed." Id. at 359-60, 376 N.E.2d at

208-09. The claimant in E.R. Moore was 58 years old and her work injury (contact dermatitis)

prevented her from returning to domestic service work—the only type of work she had ever

performed. Id. at 364, 376 N.E.2d at 211. Based on the claimant's work-related injury, age,

work experience, training and capabilities, the court found it was reasonable for the Commission

to determine "there existed no reasonably stable market in which claimant could be employed,"

and therefore its award for total permanent disability was proper. Id. at 362, 64, 376 N.E.2d at

210, 211. Sunny Hill cites a string of cases that reference the "stable labor market" language in

E.R. Moore, but which apply it to TTD benefits instead of permanent disability benefits. See

e.g., J.M. Jones Co. v. Industrial Comm'n, 71 Ill. 2d 368, 375 N.E.2d 1306 (1978) (working

approximately 1 1/2 hours per day as a hot dog vendor did not preclude a TTD award); Zenith

Co. v. Industrial Comm'n, 91 Ill. 2d 278, 437 N.E.2d 628 (1982) (driving a bus for a few hours

per day did not preclude a TTD award); Mechanical Devices v. Industrial Comm'n, 344 Ill.

App.3d 752, 761-62, 800 N.E.2d 819, 828 (2003) (driving a shuttle bus 10 to 15 hours per week

did not preclude a TTD award); Dolce v. International Comm'n, 286 Ill. App. 3d 117, 675
N.E.2d 175 (1996) (consistent work selling real estate precluded claimant from a TTD award).

¶ 25           Sunny Hill's argument notwithstanding, we doubt the existence of a separate

"stable labor market test" to determine TTD benefits. While it is true cases such as J.M. Jones,

Zenith, Mechanical Devices, and Dolce refer to the "stable labor market" language in E.R.

                                               -8-
Moore, the essence of the TTD determination is as set forth by our supreme court in Interstate

Scaffolding—whether the claimant's condition has stabilized. The existence or nonexistence of a

"stable labor market" for a particular job simply is not germane to the determination of whether

an individual's condition has stabilized. However, the fact a claimant has returned to work in

some capacity may be relevant to whether and to what extent the claimant's condition has

stabilized. To this extent, it may well be appropriate to consider the type of work being

performed, hours worked, and any income earned, all in order to ascertain whether the claimant's

condition has stabilized. See Freeman United Coal Mining Co. v. Industrial Comm'n, 318 Ill.

App. 3d 170, 178, 741 N.E.2d 1144, 1150 (2000) ("Among the factors to be considered in

determining whether a claimant has reached maximum medical improvement include a release to

return to work, with restrictions or otherwise, and medical testimony or evidence concerning

claimant's injury, the extent thereof, the prognosis, and whether the injury has stabilized."). The

courts in J.M. Jones, Zenith, Mechanical Devices, and Dolce considered the claimants' earnings

and "work" as one factor—not necessarily the dispositive factor—in determining whether they

were entitled to TTD benefits.

¶ 26           Thus, in determining TTD benefits in this case, the Commission's focus was

properly directed to whether claimant's condition had stabilized and she had reached MMI, and

not whether she was working in a "stable labor market." Claimant's presence at the flower shop,

and whether it constituted a "return to work," was but one factor for the Commission to consider

in its analysis. Sunny Hill argues the Commission erred in awarding TTD. We disagree.

¶ 27           Claimant's "work" at the flower shop did not establish her condition had

stabilized. Claimant opened the flower shop with her daughters as a way of grieving the loss of

her husband and son. Although she is the majority owner, her daughters run the business.

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Claimant is present at the flower shop approximately three days per week. Her presence at the

flower shop was the same both before and after the December 5, 2008, work injury. While at the

flower shop, she primarily watches her grandchildren in a babysitting role. On occasion,

claimant answers the phone, retrieves faxes, and assists customers if her daughters are occupied.

At times, she may provide minor assistance to her daughters when they are making flower

arrangements and may make an occasional delivery if it is a "light one." Claimant does no more

at the flower shop than she would do at home. She does not draw a pay check, have a regular

schedule, or track her hours. She has received no income from the flower shop business. The

surveillance records and video submitted by Sunny Hill do not contradict claimant's testimony

about her activities at the flower shop.

¶ 28           We take this opportunity to address this court's statement in Granite City, that

"[t]o show entitlement to TTD benefits, claimant must prove not only that he did not work, but

that he was unable to work." Granite City, 279 Ill. App. 3d at 1090, 666 N.E.2d at 829. Here,

claimant's activities at the flower shop could arguably be characterized as "work." A literal

application of the preceding language in Granite City might therefore dictate a denial of TTD

benefits, a result we do not believe was intended by Granite City. We believe the quoted

language in Granite City should not be interpreted to mean a return to any work will result in the

denial of TTD benefits, but rather evidence of such work may be probative of whether the

employee's condition has stabilized which, according to the supreme court in Interstate

Scaffolding, is the proper focus of the TTD analysis. In the present case, we do not believe

claimant's activities at the flower shop demonstrated her condition had stabilized.

¶ 29           Similarly, the medical evidence in this case does not demonstrate claimant's

condition had stabilized. Claimant underwent surgery on her right shoulder on January 28, 2009.

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She remained off work until April 16, 2009, when she was released to light-duty work by Dr.

Markarian. Effective June 10, 2009, Dr. Walsh returned claimant to full-duty work apparently

after having determined claimant's injuries were not related to the December 5, 2008, work

accident. On July 23, 2009, claimant reported to Dr. Markarian she had aggravated her right

shoulder. Dr. Markarian restricted her from work again effective July 23, 2009. Following an

August 2009 MRI and a cortisone injection, Dr. Markarian returned her to light-duty work

effective August 28, 2009. On September 22, 2009, claimant still had pain in her right shoulder

and Dr. Markarian restricted her from work again. Following an October 2009 MR arthrogram,

Dr. Markarian diagnosed a partial tearing of the rotator cuff and recommended surgery. On

February 24, 2011, Dr. Romeo performed surgery on claimant's right shoulder. As of the June

15, 2011, arbitration hearing, claimant was still in post-operative therapy and continued to treat

with Dr. Romeo. He had not released her to return to work. This evidence does not necessarily

indicate claimant's condition had stabilized.

¶ 30           The arbitrator found TTD benefits were appropriate because (1) claimant's

presence at the flower shop and occasional assistance to her daughters there did not constitute a

"return to work" and (2) she had not yet reached MMI nor had she been released to return to

work. The Commission adopted the arbitrator's decision. Based on this evidence, we find the

Commission's award of TTD benefits is not against the manifest weight of the evidence. (We

note the record contains evidence claimant was working light-duty at Sunny Hill from

approximately April 16, 2009, to June 9, 2009. The claimant was awarded TTD benefits during

this time. However, Sunny Hill does not assert this as error and any such claim is therefore

forfeited.)

¶ 31              Next, Sunny Hill asserts the Commission's decision that claimant's current

                                                - 11 -
condition (full thickness rotator cuff tear) is causally related to the December 5, 2008, accident is

against the manifest weight of the evidence. Specifically, Sunny Hill contends claimant failed to

establish (1) the December 5, 2008, work accident caused a change in her pre-existing rotator-

cuff condition or (2) that an intervening, aggravating event occurring after her June 2009 surgery

caused her current injury.

¶ 32              "To prevail on a claim for benefits under the Act, the employee must establish,

among other things, that his or her current condition of ill-being is causally connected to a work-

related injury." Elgin Board of Education School District U-46 v. Illinois Workers'

Compensation Comm'n, 409 Ill. App. 3d 943, 948-49, 949 N.E.2d 198, 203-04 (2011). Where

the claimant suffers from a preexisting condition, she must "show that a work-related accidental

injury aggravated or accelerated the preexisting disease such that the employee's current

condition of ill-being can be said to be causally connected to the work-related injury." Id. at 949,

949 N.E.2d at 204. "The accidental injury need neither be the sole causative factor nor the

primary causative factor, as long as it was a causative factor in the resulting condition of ill-

being." (Emphasis in original.) Id. Whether a work-related injury aggravated a preexisting

condition such that the injury is compensable under the Act is a question of fact which we review

under the manifest weight of the evidence standard. Id.

¶ 33           Here, the record contains sufficient support for the Commission's causation

finding. Although claimant suffered a previous shoulder injury and underwent an arthroscopic

debridement of the right rotator cuff and subacromial decompression in February 2008, she

reached MMI and was released to return to full-duty work on October 31, 2008. Claimant

performed her job duties without difficulty or the need for further medical treatment until the

second injury on December 5, 2008, when she felt "something just like snap and pain down my

                                                - 12 -
shoulder and arm," as well as pain in her neck and lower back. She immediately sought

treatment and shortly thereafter underwent an arthroscopic debridement of what turned out to be

a partially torn rotator cuff and subpectoral biceps tenodesis. Claimant received post-operative

physical therapy for the shoulder injury. In March 2009, she received a lumbar epidural steroid

injection as treatment for her back injury. In April 2009, claimant was still experiencing pain in

her right shoulder and was given a cortisone injection and released to light-duty work by her

treating physician. Following a June 2009 independent examination by Dr. Walsh, he returned

claimant to full-duty work after apparently concluding she was at MMI and her injuries were not

related to the December 5, 2008, work accident.

¶ 34           In July 2009, Dr. Markarian again restricted claimant from work after she

reported pain and swelling in her right shoulder. An August 2009 MRI on her right shoulder

revealed tenidosis, moderate bursitis and minimal subacromial enchroachment due to

degenerative and inflammatory changes. She was returned to light-duty work. In September

2009, claimant still had right shoulder pain, and in October 2009 she underwent an MR

arthrogram which revealed a partially torn rotator cuff. Dr. Markarian explained the tear would

not have been visible on the August 2009 MRI. He recommended surgery.

¶ 35           In September 2010, Dr. Romeo evaluated claimant and diagnosed persistent

tendinitis status post previous biceps tenodesis related to the December 5, 2008, work accident.

Dr. Romeo performed a right shoulder arthroscopy with a revision subacromial decompression

and a revision open biceps tenodesis.

¶ 36           The Commission noted, "[a]ll of the petitioner's physicians—Advanced

Physicians, Dr. Markarian and Dr. Romeo—have identified the accident of December 5, 2008[,]

as the causal factor for the petitioner's ongoing right shoulder problems." In opposition, Sunny

                                               - 13 -
Hill suggests Dr. Walsh's opinions were somehow more persuasive. First, Sunny Hill did not

even introduce Dr. Walsh's report into evidence, let alone provide his testimony. Other than a

brief mention in the initial report of Dr. Romeo and in Dr. Markarian's deposition, Dr. Walsh's

causation opinion appears nowhere else. Moreover, the record is barren of any basis or

foundation supporting Dr. Walsh's opinion. See Gross v. Illinois Workers' Compensation

Comm'n, 2011 IL App (4th) 100615WC, 960 N.E.2d 587 (quoting In re Joseph S., 339 Ill. App.
3d 599, 607, 791 N.E.2d 80, 87 (2003) (" 'Expert opinions must be supported by facts and are

only as valid as the facts underlying them.' " Further, "the proponent of expert testimony must

lay a foundation sufficient to establish the reliability of the basis for the expert's opinion")).

Second, it is the province of the Commission to determine the credibility of witnesses and the

weight to be accorded their testimony. O'Dette v. Industrial Comm'n, 79 Ill. 2d 249, 253, 403
N.E.2d 221, 223-24 (1980). The record does not support Sunny Hill's contention that Dr.

Walsh's opinion deserved to be given more weight than it was apparently accorded by the

Commission.

¶ 37            Sunny Hill also argues claimant's current injury (full rotator cuff tear) could have

been the result of an intervening, aggravating event. Specifically, Sunny Hill notes that claimant

reported she aggravated her shoulder in late July 2009. However, according to Dr. Markarian,

claimant aggravated her shoulder because she was forced back to full-duty work while still

undergoing physical therapy and without Dr. Markarian's consent. Dr. Markarian testified the

exact "mechanism" by which she aggravated her shoulder was not important because she should

not have been working. Therefore, we agree with the Commission that "[t]here is no evidence of

any intervening accidents."

¶ 38            For the reasons stated, the Commission's finding that claimant's present condition

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of ill-being is causally related to the December 5, 2008, work accident is not against the manifest

weight of the evidence.

¶ 39                                  III. CONCLUSION

¶ 40           For the reasons stated, we affirm the circuit court's judgment, confirming the

Commission's decision, and remand the cause for further proceedings pursuant to Thomas, 78 Ill.
2d 327, 399 N.E.2d 1322.

¶ 41           Affirmed and remanded.

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