Teresa Radzik v. ABM Janitorial Services
The petitioner alleged that on January 2, 2002, she had an accident arising out of and in the course of her employment with the respondent that injured her back. Except for a short period immediately following the accident, the petitioner has not worked since the incident. The case went to trial before Arbitrator Lammie, and Arbitrator Lammie found that the petitioner's present condition of ill-being is not causally related to the injury. He specifically found that the petitioner's testimony was not credible. She admitted seeing a doctor shortly before the alleged incident, which she had previously denied. The petitioner was seen by Avi Bernstein on behalf of the petitioner, who found that her back problems were causally connected to the June 2, 2002, accident. However, it was brought out that the petitioner had not told him about her prior back problems, and he based his opinion on the fact that the pain started on January 2, 2002. Dr. Alexander Ghanayem also testified, and he testified that the January 2, 2002, incident is irrelevant. He testified that the petitioner's condition was virtually the same before and after the alleged incident. The arbitrator found Dr. Ghanayem to be the only one who directly compared the petitioner's prior problems and findings with her condition after the alleged accident. He also considered all the records and reports that dispute the petitioner's allegations. The arbitrator found the opinions of Dr. Ghanayem to be persuasive and credible, and he adopted those opinions.
The petitioner claimed almost eight years of temporary total disability benefits, and over $100,000.00 in medical benefits.
Orlando Mendoza v. Bear Cartage and Intermodal, Inc.
The petitioner alleged in this case that he was an employee of Bear Cartage, and that he suffered an accident arising out of and in the course of his employment on October 27, 2009. While the respondent did not contest the incident, the respondent contested that the petitioner was an employee of Bear Cartage at the time of the incident. The respondent alleged that the petitioner was an independent contractor. After the trial of this case, Arbitrator Carlson found that the petitioner was an independent contractor and not an employee of the respondent, Bear Cartage, on the date of the accident.
The arbitrator found that there was no controversy regarding the petitioner's method of payment, as he was paid with no deductions taken out other than for insurance and communications. No income tax was withheld, and it was agreed that the petitioner drove his own truck, and not the truck of the respondent, to perform his duties. The petitioner told the admissions people at Christ Hospital after the accident that he was self-employed. The petitioner also applied for an EIN through the Internal Revenue Service for his own corporation. The arbitrator found there was no evidence in the record that anyone had direct control over the petitioner, other than to give him assignments. It was evident from the petitioner's own testimony that the respondent had no control over his actions. Bob Urso testified on behalf of the respondent that Bear Cartage had employee drivers and also owner-operators who were independent contractors. If the driver was an employee of Bear Cartage, they would direct him what route to take. If the driver was an owner-operator and not an employee, they would not tell him what route to take, they only cared about the fact that the trailer was brought from point A to point B. The arbitrator found that the petitioner himself testified that the respondent had no control over the route he took to complete his duties. Based upon the evidence, the arbitrator found that the petitioner was not an employee of the respondent at the time of the alleged accident.
Arbitrator adopts IME doctor over treater
Mark Vizza prevailed in the case of Jerry Pratt v. Vactor Manufacturing. The Arbitrator found that the petitioner's present condition of ill-being is not causally-related to any accident arising out of the course of the petitioner's employment with the Respondent.
Arbitrator Granada in his Decision noted that he was persuaded by the opinions of Dr. Breslow, respondent's Section 12 doctor, when compared to those of Dr. Chudik, the treating physician. Dr. Chudik had originally diagnosed a tear of the lateral cartilage of the meniscus current and an old bucket handle tear of the medial meniscus. He then performed orthopedic surgery and found that diagnosis was incorrect. He then performed a right chondroplasty with abrasionplasty. At no time prior to the operation did Dr. Chudik ever diagnose the petitioner with chondromalacia. The Arbitrator found that it was apparent that the petitioner suffered a contusion and had increased pain in his right knee. The Arbitrator found there is no indication that the chondromalacia found by Dr. Chudik was caused or aggravated by the accident. The petitioner was then seen by Dr. Rhode who stated he was unclear as to the condition the petitioner was suffering from at the time of the accident.
The petitioner in his Proposed Decision requested that the Arbitrator award the petitioner 12-2/7 weeks temporary total disability benefits, $18,374.50 in medical, and a hold harmless for the medical paid by the group carrier in the amount of $2,379.50. The petitioner then also requested that the Arbitrator find that the petitioner had suffered the loss of use of the right leg to the extent of 22.5% loss of use. The 22.5% loss of use of the leg had a dollar figure of $24,959.57. Arbitrator Granada did not award any temporary total disability benefits, awarded approximately $835.00 in medical expenses and 5% loss of use of the leg. The Decision resulted in a net savings to the client of approximately $45,000.00.
Union Painter's Neck
BCM's Peter Stavropoulos Secures Zero Award, Proving Union Painter's Neck Condition is Not Related to Work Activities
Peter J. Stavropoulos prevailed on a repetitive trauma claim brought by a union painter and secured a “zero” award from the Arbitrator on October 29, 2012, which was affirmed by the Illinois Workers' Compensation Commission on December 19, 2013. The petitioner claimed a neck injury as a result of painting a ceiling on an industrial painting job over the course of 5 months. Petitioner was seeking $83,097.50 in temporary total disability benefits accrued at the time of trial and continuing beyond that at a rate of $966.25 per week ($109,186.25 in additional temporary total disability at the time of the Commission Decision), $35,165.28 for incurred medical expenses and future medical including a 2-level cervical fusion.
The Arbitrator held that the petitioner did not suffer an accident. Petitioner claimed that his job duties required him to look up while painting a ceiling for 8 hours per day every day. The Arbitrator found the petitioner not to be credible and, instead, sided with the employer's witness, finding that the petitioner's job duties were credibly described by the insured and “did not result in a repetitive trauma to the petitioner.” The insured's witness testified about the variety of job duties performed by the painters on the project, the amount of down time, the time spent setting up and breaking down as well as the fact that the project required painting more than just ceilings.
Petitioner's failure to follow employer's reporting protocol helps prove accident did not occur
Noah Hamann recently obtained a favorable verdict from the Illinois Appellate Court in Mark Karnes v. Wright Tree Service, 03-13-0140WC. All issues were in dispute on an appeal by the petitioner following victories by the defense at Arbitration, the Commission and the Peoria County Circuit Court. During the appeal process petitioner's attorney was unwilling to settle for anything other than full trial value and continued medical treatment involving a left shoulder acromioplasty. Petitioner's last settlement demand was $100,000.00.
The case involved two alleged dated of accidents, 10/18/06 affecting the left shoulder and 4/7/07 affecting the right elbow and left shoulder. In the 2006 incident, petitioner claimed he was holding a chainsaw in his right hand while cutting branches that he was holding in his left hand. The petitioner claimed that when he sawed the branch, it dropped and the petitioner felt a pop in his left shoulder. With regard to the 2007 incident, the petitioner denied any acute injury but complained of general soreness to his right elbow and left shoulder as a result of his work duties. The petitioner attempted to argue that the 2007 condition was a continuation of the 2006 condition.
At arbitration, the alleged accident of 2006 was disputed in entirety. Through witness testimony, it was shown that the company had clear procedures in place for reporting injuries. The petitioner knew these procedures as he reported an injury following the alleged 2007 accident. In 2007 an accident report was filed, a workers' compensation claim was submitted to the insurance carrier and the petitioner was given medical treatment. Petitioner's supervisor testified petitioner did not report an injury in 2006.