Summary
stating that a claimant's failure to make reasonable efforts to enhance his/her rehabilitation re-employment potential "can be" a factor in a PTD determination
Summary of this case from State ex Rel. Formica Corp. v. Indus. Comm.Opinion
No. 95-2118
Submitted June 9, 1998.
Decided September 23, 1998.
APPEAL from the Court of Appeals for Franklin County, No. 94APD09-1409.
Appellant-claimant Dimitrios Paraskevopoulos's workers compensation claim was allowed for "[l]ower back, neck injury, lumbosacral strain and cervical sprain; chronic pain syndrome with chronic myofascial strains to the cervical, thoracic and lumbar regions." In 1993, he moved appellee, Industrial Commission of Ohio, for permanent total disability compensation ("PTD"). Claimant's chiropractor, Thomas E. Ehopulos, D.C., assessed a forty-six percent permanent partial impairment and opined that claimants combined medical and nonmedical factors rendered him unable to work. Dr. Eliopulos did not state whether claimants medical conditions alone permitted sustained remunerative employment. Another examiner, Dr. Janalee K. Rissover, felt that claimant could perform sedentary sustained remunerative employment, as did Dr. Kenneth R. Hanington, who assessed a twenty-percent permanent partial impairment.
The Bethesda Work Capacity Center also prepared a report that described claimants rehabilitation potential as "guarded." Claimant also underwent a nineteen-day course of treatment at the Jewish Hospital of Cincinnati Pain Center. At discharge, three of five physical therapy goals had been met. The Pain Center's Discharge Summary stated regarding claimants vocational rehabilitation:
"The patient voices positive re-activation and pain management gains from the Pain Center Program participation * * *. During this program he was able to identify his basic interest areas and begin exploring potential vocational options. He was also able to gain insight into the importance of educational pursuits. Thus it is recommended [that] he pursue his GED to improve his academic skills and expand potential vocational options. It is also recommended he re-apply for Bureau of Worker[s] Compensation Rehabilitation Division services as well as make application to Ohio Bureau of Vocational Rehabilitation for potential supplemental vocational rehabilitation services. In addition, contacts can be made with community small business agencies to explore personal business options and interests. The physical rehabilitation process should continue with a structured re-conditioning program to maximize potential work/activity tolerances."
The commissions staff hearing officers, on June 6, 1994, denied PTD, writing:
"The claimant was examined by Dr. Hanington at the request of the Industrial Commission. Dr. Hanington opined that the industrial injury does prevent the claimant from returning to his former position of employment. He further opined that the claimant should avoid activities that involve repetitive bending, stooping, lifting, squatting, or carrying objects weighing more than 20 pounds. Dr. Hanington further opined that the claimant should have no difficulty with the use of his upper extremities nor any difficulty with walking, sitting or standing, as long as the latter two were not required constantly throughout the work day.
"The Staff Hearing Officers find that the claimant is unable to return to his former position of employment as a result of the industrial injury. The Staff Hearing Officers further find that the claimant is capable of performing light and sedentary employment within the restrictions as set forth in the medical report of Dr. Hanington.
"The Staff Hearing Officers find that the claimant is 48 years old, has a 9th grade education and work experience as a painter and sandblaster. The Staff Hearing Officers further find that the claimant was born and raised in Greece and is unable to read or write English. The Staff Hearing Officers further find that the claimant participated in a Pain Center Program at the Jewish Hospital of Cincinnati in August of 1993. The Staff Hearing Officers find that part of the Pain Center Program was an evaluation by a rehabilitation consultant as to the claimants rehabilitation potential. Rehabilitation consultant Gary Bittle reported that the claimant would benefit from pursuing his GED certificate to improve his academic skills and expand potential vocational options. Mr. Bittle recommended that the claimant apply for the Bureau of Workers Compensation Rehabilitation Division Services as well as make application to the Ohio Bureau of Vocational Rehabilitation for supplemental vocational rehabilitation services. * * *
"The Staff Hearing Officers find that the claimants age is an asset which would enable him to participate in further rehabilitation programs and enhance his academic skills and expand his vocational options. The Staff Hearing Officers further find that the claimants age is an asset which would enable him to acquire the skills to perform light and sedentary employment within his physical limitations as a result of the industrial injury. Accordingly, the Staff Hearing Officers find that the claimant is able to engage in sustained remunerative employment."
Claimant filed a complaint in mandamus in the Court of Appeals for Franklin County, alleging that the commission abused its discretion in denying PTD. The court of appeals disagreed and denied the writ.
This cause is now before this court upon an appeal as of right.
AP. Anninos, for appellant.
Betty D. Montgomery, Attorney General, and Steven P. Fixler, Assistant Attorney General, for appellee.
For the most part, the parties do not dispute claimants medical ability to perform sustained remunerative employment. While claimant does assert that the commission abused its discretion in failing to expressly factor pain into its medical analysis, his argument is negated by State ex rel. Unger v. Indus. Comm. (1994), 70 Ohio St.3d 672, 640 N.E.2d 833, which held that the factor of pain was sufficiently considered when the complaints about the pain were acknowledged in the medical evidence on which the commission relied. Because the relied-upon evidence made such an acknowledgment in this case, claimants proposition lacks merit.
The rest of the dispute involves the commissions nonmedical review. Claimants initial challenge is procedural. Claimant asserts that the commission abused its discretion by failing to consider the Bethesda Work Capacity Center rehabilitation report. This argument is unpersuasive.
Nonconsidered evidence, as a general rule, prompts a return of the cause to the commission for additional consideration. State ex rel. Fultz v. Indus. Comm. (1994), 69 Ohio St.3d 327, 631 N.E.2d 1057. However, in some cases, the content of the evidence relied upon can eliminate the need for a return of the cause. For example, a return of the cause has been dispensed with where the evidence not considered was incapable of supporting a conclusion contrary to that reached by the commission. State ex rel. Shields v. Indus. Comm. (1996), 74 Ohio St.3d 264, 658 N.E.2d 296. In this case, we find that the Bethesda report adds little new information to the PTD determination. Concededly, if one looks only at its "guarded" assessment of claimants rehabilitation potential, the report could support an outcome contrary to that reached by the commission. However, when viewed as a whole, the value of the Bethesda report is diminished by the passage of time and the existence of other sources of similar information. As to the latter, much of the Bethesda report — which is only three pages long — is in part a recitation of claimants nonmedical profile — information that is contained in other evidence that the commission did consider.
Equally important, many of the findings in the Bethesda report — particularly the assessment of claimants then current physical capacities — no longer were valid after claimants completion of the nineteen-day pain management program at Jewish Hospital. The detailed thirteen-page discharge summary that followed claimants participation in the pain management program showed improvement in some of the areas cited in the Bethesda report. Therefore, what information that may have been unique to the Bethesda report was not necessarily reliable at the time PTD was considered.
We find, therefore, that the commissions failure to consider the Bethesda report was ameliorated by the commissions consideration of other evidence of record. Accordingly, a return of the cause for further consideration of that report is unnecessary.
Turning to the remaining substantive argument, the commission successfully argued below that its order satisfied State ex rel. Noll v. Indus. Comm. (1991), 57 Ohio St.3d 203, 567 N.E.2d 245, and should not be disturbed. We affirm that finding.
Two factors are central to the commissions finding — illiteracy and time. The latter has two elements: (1) claimants age and (2) the amount of time claimant has had and continues to have to remedy his illiteracy. The commission used claimants age to ameliorate the effects of his illiteracy. Standing alone, however, age is insufficient to justify a PTD denial. As we observed in State ex rel. Hall v. Indus. Comm. (1997), 80 Ohio St.3d 289, 292, 685 N.E.2d 1245, 1247, "[a]ge * * * is immaterial if claimant lacks the intellectual capacity to learn."
In Hall, we ultimately ordered relief consistent with State ex rel. Gay v. Mihm (1994), 68 Ohio St.3d 315, 626 N.E.2d 666, citing claimants sixth grade education and illiteracy. There is, however, an important distinction between this case and Hall. Here, claimants illiteracy relates more to his status as an immigrant than to any intellectual deficit. To the contrary, testing has revealed claimant to have above-average intelligence. Therefore, unlike Hall, there is no evidence that claimant is incapable of learning to read and write English.
This is particularly important when combined with the other facet of time noted above — the time that claimant has had and continues to have to learn English. Claimant has not worked since 1990. Since then, claimant has related that a typical day consists of "sitting in a chair watching television, smoking and drinking coffee."
A claimants failure to make reasonable efforts to enhance his/her rehabilitation reemployment potential can be a factor in a PTD determination. In State ex rel. Bowling v. Natl. Can Corp. (1996), 77 Ohio St.3d 148, 153, 672 N.E.2d 161, 165, we upheld the commissions denial of PTD to a sixty-six-year-old claimant with a fifth grade education, writing:
"The commissions independent review of claimants nonmedical factors determined that claimants age, education, and work history, while not entirely favorable, were not insurmountable barriers to re-employment. The commission stressed the claimants failure to make any effort to enhance his re-employment prospects.
"The commission — as do we — demands a certain accountability of this claimant, who, despite the time and medical ability to do so, never tried to further his education or to learn new skills. There was certainly ample opportunity. At least fifteen years passed between the plant closure and claimants application for permanent total disability compensation, and claimant was only age forty-seven when the plant shut down. Under these circumstances, we do not find that the commissions decision constituted an abuse of discretion."
The current claimant was only age forty-four at the time that he last worked. He was only age forty-eight when PTD was denied, and is only age fifty-two now. There are no physical impediments to his undertaking remedial education, and testing establishes him as having above-average intelligence. The commissions determination that claimant is capable of enhancing his reemployment potential is not, therefore, an abuse of discretion.
The judgment of the court of appeals is affirmed.
Judgment affirmed.
MOYER, C.J., DOUGLAS, RESNICK, F.E. SWEENEY, PFEIFER, COOK and LUNDBERG STRATTON, JJ., concur.