Court Opinion

ID: 4669686
Source: CourtListenerOpinion
Date Created: 2021-03-19 19:16:59.543786+00
Date Added: 2024-06-11T08:00:07.533640
License: Public Domain

STATE OF WEST VIRGINIA                                       FILED
                                                                                         March 19, 2021
                           SUPREME COURT OF APPEALS                                 EDYTHE NASH GAISER, CLERK
                                                                                    SUPREME COURT OF APPEALS
                                                                                        OF WEST VIRGINIA
JOHN C. KESSLER,
Claimant Below, Petitioner

vs.)   No. 20-0049 (BOR Appeal No. 2054466)
                   (Claim No. 2018017624)

WV DIVISION OF HIGHWAYS,
Employer Below, Respondent

                              MEMORANDUM DECISION
       Petitioner John C. Kessler, by Counsel Reginald D. Henry, appeals the decision of the West
Virginia Workers’ Compensation Board of Review (“Board of Review”). WV Division of
Highways, by Counsel Jillian L. Moore, filed a timely response.

       The issue on appeal is compensability. The claims administrator rejected the claim on
February 23, 2018. The Workers’ Compensation Office of Judges (“Office of Judges”) affirmed
the decision in its August 8, 2019, Order. The Order was affirmed by the Board of Review on
December 9, 2019.

        The Court has carefully reviewed the records, written arguments, and appendices contained
in the briefs, and the case is mature for consideration. The facts and legal arguments are adequately
presented, and the decisional process would not be significantly aided by oral argument. Upon
consideration of the standard of review, the briefs, and the record presented, the Court finds no
substantial question of law and no prejudicial error. For these reasons, a memorandum decision is
appropriate under Rule 21 of the Rules of Appellate Procedure.

        Mr. Kessler, a mechanic, alleges that he developed carpal tunnel syndrome in the course
of and resulting from his employment. Bilateral carpal tunnel syndrome was first found during a
May 29, 2012, EMG/NCS. On January 30, 2018, Mr. Kessler underwent a second EMG/NCS,
which was interpreted as showing bilateral carpal tunnel syndrome. There was no evidence of
cervical radiculopathy. The Employees’ and Physicians’ Report of Injury was completed on
January 30, 2018, and indicates Mr. Kessler’s work required him to change tires and use impact
wrenches, sledgehammers, and hand tools. His date of last exposure was December 7, 2017. The
physicians’ section was completed by Michael Kominksy, D.C., who diagnosed occupational
bilateral carpal tunnel syndrome.
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        Dr. Kominsky completed a BrickStreet Carpal Tunnel Syndrome Physician Questionnaire
on February 6, 2018, in which he noted that Mr. Kessler was previously diagnosed with cervical
spondylosis/arthritis. Dr. Kominsky opined that Mr. Kessler sustained a bilateral wrist/hand
repetitive strain injury as a result of his work duties, which included using hammers, impact
wrenches, torches/welders, hand wrenches, and vibrating hydraulic tools. Mr. Kessler completed
a BrickStreet Carpal Tunnel Syndrome Claimant Questionnaire on February 12, 2018, in which he
stated that he had tingling/numbness, loss of sensation, cold hands, right hypersensitivity, arm
weakness, and difficulty using both hands. He noted that he was previously diagnosed with
rheumatoid arthritis. Mr. Kessler’s hobbies included automotive/motorcycle mechanics,
gardening, using hand and power tools, and occasional carpentry and construction.

        In a February 19, 2018, Physician Review, Syam Stoll, M.D., performed a Physician
Review in which he opined that the claim should not be held compensable for carpal tunnel
syndrome. Dr. Stoll found that Mr. Kessler worked for the employer for fifteen years but was not
a mechanic the entire time. He also found that Mr. Kessler was previously diagnosed with cervical
spondylosis and arthritis. Further, he was severely obese. Dr. Stoll concluded that there was
insufficient evidence for a diagnosis of occupational carpal tunnel syndrome.

        Prasadarao Mukkamala, M.D., performed an independent medical evaluation on February
19, 2018, in which he found that Mr. Kessler had symptoms suggestive of peripheral neuropathy.
Dr. Mukkamala did not believe Mr. Kessler suffered from carpal tunnel syndrome. In support, Dr.
Mukkamala noted that Mr. Kessler reported numbness in all fingers, not just the ones supplied by
the median nerve. Dr. Mukkamala opined that if Mr. Kessler had carpal tunnel syndrome, his
numbness would be along the median nerve distribution, not in the entire hand. Dr. Mukkamala
reviewed the EMG/NCS and found that findings were not consistent with carpal tunnel syndrome.
He also reviewed a 2012 diagnostic study and opined that it also did not show carpal tunnel
syndrome. Dr. Mukkamala asserted that Mr. Kessler did not have carpal tunnel syndrome, but, if
he did, it certainly was not the result of his work duties. Mr. Kessler had an extremely significant,
nonoccupational risk factor for carpal tunnel syndrome in the form of obesity. The claims
administrator rejected the claim on February 23, 2018.

         Mr. Kessler testified in a March 7, 2019, deposition that he was a mechanic for fifteen
years. He stated that he sometimes worked seventeen hours a day. From November to April every
year, he worked as needed. Mr. Kessler testified that his job duties varied day to day. He used hand
tools, impact wrenches, a motor grader, torchers, a welder, a tire machine, a tire balancer, and a
metal lathe. Mr. Kessler stated that he used a lot of impact tools. He asserted that his symptoms
progressed to the point that he could not use his right hand to do his duties and had to switch to
the left. Eventually, Mr. Kessler had to wear padded leather gloves. He asserted that he used his
hands repeatedly and forcefully daily. He had no symptoms or problems with his
wrists/hands/fingers when he started working for the employer in 2003. Mr. Kessler testified that
he began noticing symptoms in 2007 or 2008 but was not aware that he had a real problem until
2012 or 2013 when he was evaluated by Dr. Vaught. Mr. Kessler asserted that his symptoms
progressively worsened. He ceased working on December 7, 2017, after sustaining a separate
work-related injury. Mr. Kessler testified that his symptoms had improved since he stopped
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working. He denied any preexisting upper extremity injuries, other than a 2012 left thumb injury.
Mr. Kessler stated that he has received no treatment for carpal tunnel syndrome and missed no
work due to his symptoms.

        In a March 22, 2019, treatment note, Dr. Kominsky noted that a prior EMG showed carpal
tunnel syndrome. Acute and chronic cervical radiculopathy was ruled out. Dr. Kominsky opined
that Mr. Kessler’s job duties caused him to develop carpal tunnel syndrome. He stated that job
required him to use vibratory tools and constantly flex and extend his wrist. This caused irritation
of the median nerve, causing carpal tunnel syndrome.

        The Office of Judges affirmed the claims administrator’s rejection of the claim on August
8, 2019. It found that Dr. Mukkamala noted in his independent medical evaluation that Mr.
Kessler’s median and ulnar nerves were equally affected, which is indicative of neuropathy, not
carpal tunnel syndrome, because carpal tunnel only affects the median nerves. The Office of Judges
determined that Dr. Mukkamala performed a more complete review of the medical records. It
further determined that Dr. Mukkamala properly considered Mr. Kessler’s obesity in arriving at
his conclusion that Mr. Kessler does not have carpal tunnel syndrome, and, if he did, it was not the
result of his work duties. By Order entered December 9, 2019, the Board of Review adopted the
findings of fact and conclusions of law of the Office of Judges and affirmed the August 8, 2019,
Order of the Office of Judges.

        After review, we agree with the reasoning and conclusions of the Office of Judges as
affirmed by the Board of Review. In order to obtain workers’ compensation benefits for an
occupational disease, a claimant must show that the disease developed in the course of and
resulting from his employment. Barnett v. State Workmen’s Compensation Commissioner, 153
W.Va. 796, 172 S.E.2d 698 (1970). Mr. Kessler failed to show that he developed carpal tunnel
syndrome in the course of and resulting from his employment. Further, it was not clearly wrong
for the Board of Review to affirm the Office of Judges’ determination that Dr. Mukkamala’s
opinion is more reliable than that of Dr. Kominsky.

        For the foregoing reasons, we find that the decision of the Board of Review is not in clear
violation of any constitutional or statutory provision, nor is it clearly the result of erroneous
conclusions of law, nor is it based upon a material misstatement or mischaracterization of the
evidentiary record. Therefore, the decision of the Board of Review is affirmed.

                                                                                          Affirmed

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ISSUED: March 19, 2021

CONCURRED IN BY:
Chief Justice Evan H. Jenkins
Justice Elizabeth D. Walker
Justice Tim Armstead
Justice John A. Hutchison
Justice William R. Wooton

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