Court Opinion

ID: 9391323
Source: CourtListenerOpinion
Date Created: 2023-05-01 20:11:53.520213+00
Date Added: 2024-06-11T17:18:40.807563
License: Public Domain

IN THE INTERMEDIATE COURT OF APPEALS OF WEST VIRGINIA

                                                                               FILED
WILLIAM WAGNER,                                                              May 1, 2023
Claimant Below, Petitioner                                                EDYTHE NASH GAISER, CLERK
                                                                        INTERMEDIATE COURT OF APPEALS
                                                                              OF WEST VIRGINIA
vs.) No. 22-ICA-307         (JCN: 2020025663)

STARVAGGI INDUSTRIES, INC.,
Employer Below, Respondent

                             MEMORANDUM DECISION

       Petitioner William Wagner appeals the November 18, 2022, order of the Workers’
Compensation Board of Review (“Board”). Respondent Starvaggi Industries, Inc.
(“Starvaggi”) filed a timely response.1 Mr. Wagner did not file a reply. The issue on appeal
is whether the Board erred in affirming the Workers’ Compensation Office of Judges’
(“OOJ”) June 29, 2022, order, which affirmed the claim administrator’s denial of the
request to add back pain, right foot drop, left foot drop, and lumbar radiculopathy as
compensable components of the claim.

       This Court has jurisdiction over this appeal pursuant to West Virginia Code § 51-
11-4 (2022). After considering the parties’ arguments, the record on appeal, and the
applicable law, this Court finds no substantial question of law and no prejudicial error. For
these reasons, a memorandum decision affirming the Board’s order is appropriate under
Rule 21 of the Rules of Appellate Procedure.

       Mr. Wagner suffered an injury to his right arm on June 11, 2020, while employed
by Starvaggi. Mr. Wagner reported that he was shoveling concrete when his foot got caught
in wire mesh and he fell, landing on his right arm. Mr. Wagner was seen at the Weirton
Center Emergency Department the next day, June 12, 2020, and he was diagnosed with an
unspecified fracture of the upper end of his right radius.

       Prior to his 2020 injury, Mr. Wagner had been seen in 2015 for a work injury that
caused leg pain. Mr. Wagner had also previously been seen by Aaron P. Orlosky, D.O., on
January 10, 2017, for lower back and right hip pain and on January 5, 2018, for a separate
work injury where he had fallen on his right hip. Mr. Wagner was seen on June 29, 2020,
by Dr. Orlosky. Mr. Wagner reported that his back pain radiating down his right leg began

       1
         Mr. Wagner is represented by James T. Carey, Esq. Starvaggi is represented H.
Dill Battle, III, Esq. and Charity K. Lawrence, Esq.

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two days after the workplace injury. Dr. Orlosky opined that the back pain was not related
to the workplace injury. Dr. Orlosky diagnosed Mr. Wagner with back pain, right foot drop,
left foot drop, lumbar degenerative disc disease, and lumbar radiculopathy.

     On June 29, 2020, the claim administrator issued an order holding the claim
compensable for a nondisplaced right radial head fracture.

       Mr. Wagner followed up with Dr. Orlosky on August 19, 2020. Mr. Wagner
reported burning pain in his back and balance issues. Mr. Wagner underwent a lumbar X-
ray and MRI, which revealed disc bulges without stenosis at the L1-L3 and L5-S1 vertebrae
and disc bulges with stenosis at the L3-L4 and L4-L5 vertebrae. It was noted that Mr.
Wagner’s degenerative disc disease had worsened compared to a 2017 MRI.

       On September 2, 2020, Mr. Wagner was seen by Mark A. Frye, M.D. Dr. Frye
opined that the workplace injury had aggravated Mr. Wagner’s preexisting lumbar stenosis
causing weakness in both lower extremities. Dr. Frye recommended that Mr. Wagner have
L3-L5 laminectomy surgery. Dr. Frye opined that the work injury caused Mr. Wagner’s
need for surgery.

       Mr. Wagner was seen by Damian Rispoli, M.D., several times between June 17,
2020, and September 16, 2020. Dr. Rispoli diagnosed Mr. Wagner with trauma to the right
upper extremity, nondisplaced radial head fracture, and decreased sensation in the C6 and
C7 vertebrae. Dr. Rispoli noted radiographic evidence of degenerative issues in Mr.
Wagner’s wrist, shoulder, cervical spine, and elbow. Dr. Rispoli noted that Mr. Wagner
had returned to work with no restrictions by September 16, 2020.

       On January 5, 2021, Mr. Wagner submitted a Diagnosis Update form completed by
Dr. Orlosky,2 which requested the addition of back pain, right foot drop, left foot drop, and
lumbar radiculopathy as compensable components of the claim.

      Rebecca Thaxton, M.D., reviewed Mr. Wagner’s records and drafted a report dated
January 28, 2021. Dr. Thaxton opined that the medical evidence did not support adding the
diagnoses of back pain, right foot drop, left foot drop, and lumbar radiculopathy as
compensable components of the claim. Dr. Thaxton noted Mr. Wagner’s complaints of
back and leg pain prior to the injury and the degenerative changes noted on a 2017 MRI.

       2
        We note that Dr. Orlosky previously opined that Mr. Wagner’s back pain was not
associated with the compensable injury in this claim, and he is now requesting the addition
of back pain and lumbar radiculopathy as compensable conditions of this claim with no
explanation of these contradictory findings.
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      On March 31, 2021, the claim administrator issued an order denying the addition of
back pain, right foot drop, left foot drop, and lumbar radiculopathy as compensable
components of the claim. Mr. Wagner protested this order.

       On June 29, 2022, the OOJ issued an order affirming the claim administrator’s
denial of the addition of back pain, right foot drop, left foot drop, and lumbar radiculopathy
as compensable components of the claim. The OOJ found that Mr. Wagner had not
established that the diagnoses of back pain, right and left foot drop, and lumbar
radiculopathy were received in the course of and resulting from the compensable injury.
The Board issued an order dated November 18, 2022, which affirmed the OOJ’s order. Mr.
Wagner now appeals the Board’s order.

        Our standard of review is set forth in West Virginia Code § 23-5-12a(b) (2022), in
part, as follows:

       The Intermediate Court of Appeals may affirm the order or decision of the
       Workers’ Compensation Board of Review or remand the case for further
       proceedings. It shall reverse, vacate, or modify the order or decision of the
       Workers’ Compensation Board of Review, if the substantial rights of the
       petitioner or petitioners have been prejudiced because the Board of Review’s
       findings are:
       (1) In violation of statutory provisions;
       (2) In excess of the statutory authority or jurisdiction of the Board of Review;
       (3) Made upon unlawful procedures;
       (4) Affected by other error of law;
       (5) Clearly wrong in view of the reliable, probative, and substantial evidence
       on the whole record; or
       (6) Arbitrary or capricious or characterized by abuse of discretion or clearly
       unwarranted exercise of discretion.

Duff v. Kanawha Cnty. Comm’n, 247 W. Va. 550, __, 882 S.E.2d 916, 921 (Ct. App. 2022).

       On appeal, Mr. Wagner argues that his medical records show that his back pain, left
and right foot drop, and lumbar radiculopathy are related to the compensable injury. Mr.
Wagner further argues that despite his prior back problems, he had not suffered any
symptoms for some time prior to the compensable injury.

        The OOJ found that Mr. Wagner suffered from preexisting lumbar symptoms,
numbness, and difficulty walking. The OOJ further found that Mr. Wagner had not
identified a back injury on his Report of Injury form dated July 14, 2020. Based on Mr.
Wagner’s medical records, the OOJ determined that he would have required lumbar
surgery even if he had not suffered the compensable injury in this claim.

                                              3
       In order for a claim to be held compensable under the Workmen’s Compensation
Act, three elements must coexist: (1) a personal injury (2) received in the course of
employment, and (3) resulting from that employment. Syl. Pt. 1, Barnett v. State
Workmen’s Comp. Comm’r, 153 W.Va. 796, 172 S.E.2d 698 (1970).

       After review, we conclude that the OOJ, as affirmed by the Board, did not err in
finding that Mr. Wagner has not established that the diagnoses of back pain, bilateral foot
drop, and lumbar radiculopathy were received in the course of and resulting from the
compensable injury in this claim.

      Finding no error in the Board’s November 18, 2022, order, we affirm.

                                                                                Affirmed.

ISSUED: May 1, 2023

CONCURRED IN BY:

Chief Judge Daniel W. Greear
Judge Thomas E. Scarr
Judge Charles O. Lorensen

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