Court Opinion

ID: 9371976
Source: CourtListenerOpinion
Date Created: 2023-02-17 15:04:14.449572+00
Date Added: 2024-06-11T17:16:31.499910
License: Public Domain

RENDERED: FEBRUARY 10, 2023; 10:00 A.M.
                       NOT TO BE PUBLISHED

                Commonwealth of Kentucky
                           Court of Appeals
                              NO. 2022-CA-1153-WC

KENDALL HENRY                                                     APPELLANT

                  PETITION FOR REVIEW OF A DECISION
v.              OF THE WORKERS’ COMPENSATION BOARD
                        ACTION NO. WC-19-54871

PASCHALL TRUCK LINES INC.;
HONORABLE JONATHAN
WEATHERBY, ADMINISTRATIVE
LAW JUDGE; AND THE WORKERS’                                           APPELLEES
COMPENSATION BOARD

                                    OPINION
                                   AFFIRMING

                                   ** ** ** ** **

BEFORE: ACREE, EASTON, AND JONES, JUDGES.

JONES, JUDGE: Acting without the assistance of counsel, the Appellant, Kendall

Henry, seeks review of the August 29, 2022, opinion of the Workers’

Compensation Board (“Board”). Having reviewed the record and being otherwise

sufficiently advised, we affirm.
                                 I. BACKGROUND

             On or about July 6, 2020, Henry filed a Form 101 application for

resolution of an injury claim with the Kentucky Department of Workers’ Claims

(“Department”) alleging that he sustained a work-related injury to his right

shoulder on October 31, 2019, while working as a long-haul truck driver for

Paschall Truck Line, Inc. (“Paschall”) (hereinafter referred to as “Claim No. 2019-

54871”). Henry alleged that the injury occurred in Middletown, New York, where

he was delivering a load for Paschall. He explained that he was lowering the gear

on his trailer when he felt a pop near his right shoulder. Henry immediately felt

intense pain radiating up through his neck and into his head.

             Henry laid down in his truck for a while, but the pain only worsened.

Fearing he might be having a stroke, Henry called an Uber to take him to the

nearest emergency room (“ER”). According to the hospital’s records, Henry told

medical personnel at the ER that he had been experiencing symptoms for

approximately two days prior to seeking treatment. During the final hearing of this

matter, Henry denied that he ever made such a statement to the ER personnel. He

indicated that he might have told ER personnel that the injury occurred about two

in the afternoon, but he definitely did not state that he had been having symptoms

for two days. After ER personnel ruled out a cardiovascular event, Henry was

treated with pain medication and released later that same day.

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             Henry then drove his truck back to his home in Tennessee. Still

experiencing pain, Henry again sought medical care. He was eventually referred to

an orthopedist who diagnosed a right shoulder tear. Henry underwent right

shoulder surgery.

             While Claim No. 2019-54871 was pending before an Administrative

Law Judge (“ALJ”), Henry filed a second injury claim with the Department

(hereinafter referred to as “Claim No. 2020-01320”). In his second claim, Henry

alleged that he injured his left shoulder and neck while making a delivery for

Paschall in Topeka, Kansas, on May 30, 2020. Henry explained that he was trying

to manually release the fifth wheel pin, which had become stuck preventing him

from dropping his load, when he felt a pain in his left shoulder that knocked him to

the ground. Henry treated with a variety of providers for his left shoulder injury.

Although surgery was recommended by Dr. Frank Burke, Henry had not yet

undergone left shoulder surgery at the time of the final hearing.

             By order dated October 16, 2020, the two claims were consolidated to

the extent they were assigned to the same ALJ for a combined hearing. As related

to Claim No. 2019-54871, Paschall relied on the ER records that contradicted

Henry’s version of events and Dr. Robert A. Jacob’s December 9, 2020

independent medical evaluation (“IME”). Dr. Jacob opined, in part, as follows

regarding the alleged October 31, 2019, right shoulder injury: “I do not believe he

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sustained a harmful change to the human organism as a result of his 10/31/2019

injury. I do not believe that the condition for which he was treated for the right

shoulder was related to his work activities.” As related to the left shoulder, Dr.

Jacob concluded that Henry had sustained a work-related injury as alleged, but he

believed Henry’s complaints of pain and limitations were exaggerated. Dr. Jacob

disagreed that Henry needed surgery, opined that Henry was at maximum medical

improvement (“MMI”), and assessed a 3% impairment rating for the left shoulder

condition.

             Paschall also filed the July 14, 2021, report of Dr. Ronald Burgess.

Dr. Burgess also did not believe the right shoulder injury was caused by any of

Henry’s work activities. As for the alleged left shoulder injury, Dr. Burgess’s

report states: “within medical probability, there was no acute change to [Henry’s]

left shoulder as a result of the reported injury on 05/30/20.” He also did not agree

that Henry needed left shoulder surgery.

             Following a final evidentiary hearing, the ALJ rendered an opinion

and order dismissing both claims on October 24, 2021. With respect to Claim No.

2019-54871, the ALJ determined that Henry had “failed to satisfy his burden to

establish the occurrence of a work-related harmful change to the human organism.”

To this end, the ALJ specifically indicated that he was relying on Dr. Jacob’s

report. The ALJ also noted that Henry’s ER records from October 31, 2019, failed

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to reference a shoulder injury, and instead only indicated a throbbing headache and

right-sided neck tightness of two days’ duration, which placed Henry’s credibility

in question. With respect to Claim No. 2020-01320, the ALJ, again relying on Dr.

Jacob, concluded Henry “did not suffer a harmful change to the human organism

due to a work-related injury.”

             Henry appealed the ALJ’s dismissals to the Board. By its opinion

entered August 29, 2022, the Board affirmed the ALJ’s dismissal of Claim No.

2019-54871, but vacated and remanded the dismissal of Claim No. 2020-01320.

The Board’s opinion states in relevant part:

                    In dismissing Henry’s claim for an alleged work-
             related right shoulder injury occurring on October 31,
             2019, the ALJ relied upon Dr. Jacob’s opinions as set
             forth in the December 9, 2020, report. The language Dr.
             Jacob uses regarding Henry’s alleged work-related right
             shoulder injury is unequivocal – “I do not believe he
             sustained a harmful change to the human organism as a
             result of his 10/31/2019 injury. I do not believe that the
             condition for which he was treated for the right shoulder
             was related to his work activities.” Even though there is
             medical evidence in the record supporting Henry’s claim
             for an alleged work-related right shoulder injury, the ALJ
             is not obligated to rely upon this evidence. . . . Since Dr.
             Jacob’s opinions, set forth in his December 9, 2020,
             report, regarding Henry’s alleged work-related October
             31, 2019, right shoulder injury support the ALJ’s
             findings and dismissal of his claim for this alleged injury,
             we must affirm.

                   The ALJ also relied upon Dr. Jacob’s opinions as
             support for the dismissal of Henry’s claim for the alleged
             work-related May 30, 2020, left shoulder injury. In the

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             October 25, 2021, Opinion and Order, the ALJ concluded
             Dr. Jacob “found that the Plaintiff did not suffer a
             harmful change to the human organism due to a work-
             related injury.” However, in his December 9, 2020,
             report, Dr. Jacob, in pertinent part, stated as follows: “In
             reference to his left shoulder, he sustained a work-related
             injury on 05/30/2020 where he alleged [sic] felt a pop in
             the shoulder with associated pain.” Importantly, at no
             point in his report does Dr. Jacob retreat from his opinion
             that Henry sustained a work-related injury to his left
             shoulder. Dr. Jacob’s subsequent language referencing a
             “near normal MRI” and “findings [that] were
             exceedingly minimal” lend support to a finding of a left
             shoulder injury. Consequently, we vacate the ALJ’s
             dismissal of Henry’s claim for an alleged May 30, 2020,
             work-related left shoulder injury and remand for
             additional findings.

                   On remand, the ALJ cannot rely upon Dr. Jacob’s
             opinions in support of a dismissal of Henry’s alleged left
             shoulder injury claim. If the ALJ is unable to identify
             any evidence supporting dismissal, he must conclude
             Henry sustained a work-related left shoulder injury on
             May 30, 2020, and enter an appropriate award.

(Record (“R.”) at 926-27). This appeal followed.

                             II. STANDARD OF REVIEW

             Pursuant to KRS 342.285, the ALJ is the sole finder of fact in

workers’ compensation claims. Our courts have construed this authority to mean

the ALJ has the sole discretion to determine the quality, character, weight,

credibility and substance of the evidence and to draw reasonable inferences from

that evidence. Paramount Foods, Inc. v. Burkhardt, 695 S.W.2d 418, 419 (Ky.

1985); McCloud v. Beth-Elkhorn Corp., 514 S.W.2d 46, 47 (Ky. 1974). Moreover,

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an ALJ has sole discretion to decide whom and what to believe and may reject any

testimony and believe or disbelieve various parts of the evidence, regardless of

whether it comes from the same witness or the same adversary party’s total proof.

Caudill v. Maloney’s Discount Stores, 560 S.W.2d 15, 16 (Ky. 1977). On review,

neither the Board nor the appellate court can substitute its judgment for that of the

ALJ as to the weight of evidence on questions of fact. Shields v. Pittsburgh &

Midway Coal Mining Co., 634 S.W.2d 440, 441 (Ky. App. 1982).

             If the fact finder finds in favor of the person having the burden of

proof, the burden on appeal is only to show that there was some substantial

evidence to support the decision. See Special Fund v. Francis, 708 S.W.2d 641,

643 (Ky. 1986). However, if the ALJ finds against the party having the burden of

proof, the appellant must “show that the ALJ misapplied the law or that the

evidence in [his] favor was so overwhelming that it compelled a favorable

finding.” Gray v. Trimmaster, 173 S.W.3d 236, 241 (Ky. 2005).

             On appeal, our role “is to correct the Board only where . . . the Board

has overlooked or misconstrued controlling statutes or precedent, or committed an

error in assessing the evidence so flagrant as to cause gross injustice.” ViWin Tech

Windows & Doors, Inc. v. Ivey, 621 S.W.3d 153, 157 (Ky. 2021) (quoting Western

Baptist Hosp. v. Kelly, 827 S.W.2d 685, 687-88 (Ky. 1992)).

                                         -7-
                                    III. ANALYSIS

             On appeal, Henry argues that the Board erred in affirming the ALJ’s

dismissal of his right shoulder injury. He asserts that multiple pieces of evidence

in his claim file support his version of the events, and that the ALJ did not

appropriately examine and consider all the evidence.

             Henry, as the claimant, had the burden of proving every element of his

claim, including that his right shoulder was injured in the course and scope of his

employment. Williams v. White Castle Systems, Inc., 173 S.W.3d 231, 235 (Ky.

2005). Because the ALJ found against Henry on this issue, and because he carried

the burden of proof, Henry must establish on appeal “that the unfavorable finding

was clearly erroneous because overwhelming evidence compelled a favorable

finding, i.e., that no reasonable person could have failed to be persuaded by the

favorable evidence.” Kroger v. Ligon, 338 S.W.3d 269, 273 (Ky. 2011) (citation

omitted); Wilkerson v. Kimball Int’l, Inc., 585 S.W.3d 231, 236 (Ky. 2019).

“Evidence that would have supported but not compelled a different decision is an

inadequate basis for reversal on appeal.” Gaines Gentry Thoroughbreds/Fayette

Farms v. Mandujano, 366 S.W.3d 456, 461 (Ky. 2012) (citation omitted).

             Thus, while Henry is correct that there is evidence in his claim file

that supports his version of events, this is not sufficient to support reversal because

the evidence as a whole does not compel a decision in Henry’s favor. As noted by

                                          -8-
the ALJ, Henry’s ER intake records are inconsistent with the allegations in his

Form 101 and with his testimony. Additionally, Dr. Jacob determined that the

injury could not have been produced in the way described by Henry. This

evidence supports the ALJ’s dismissal. Neither this Court nor the Board have the

authority to set aside an ALJ’s opinion that is properly supported by the evidence.

                In its appellate brief, Paschall urges us to reverse the Board’s decision

with respect to Claim No. 2020-01320. We decline to take up any issues related to

this claim. Henry’s appeal did not include any arguments regarding Claim No.

2020-01320, which the Board decided in his favor. If Paschall wished any such

issues to be considered by this Court, it was incumbent upon it to file a cross-

petition pursuant to RAP1 49(H).2 By not having done so, Paschall has forfeited

the opportunity to present any argument to this Court on that issue and is bound by

the Board’s adverse decision with respect to Claim No. 2020-10320. Wright v.

House of Imports, Inc., 381 S.W.3d 209, 212, n.4 (Ky. 2012).

                                      IV. CONCLUSION

                For the reasons set forth above, we affirm the August 29, 2022,

opinion of the Workers’ Compensation Board.

1
    Kentucky Rules of Appellate Procedure.
2
  For the sake of clarity, we note here that RAP 49(H) is the current rule addressing cross-
petitions in workers’ compensation claims. At the time the parties in this case sought review, the
appropriate rule governing such cross-petitions was Kentucky Rule of Civil Procedure (“CR”)
76.25(9). The change in codification of the rule does not alter our analysis.

                                               -9-
          ALL CONCUR.

BRIEF FOR APPELLANT:         BRIEF FOR APPELLEE PASCHALL
                             TRUCK LINES INC.:
Kendall Henry, pro se
Columbia, South Carolina     Sharlott K. Higdon
                             Paducah, Kentucky

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