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Showing posts from June, 2018

Court of Appeals Affirms Ruling that Stipulated Work Injury Did Not Lead to Permanent Impairment

In Bahic v. Mercy Medical Center , No. 17-1374 (Iowa App. June 20, 2018), the commissioner had concluded that claimant, who had a stipulated work injury to her back, had not suffered a permanent impairment.  The commissioner's decision came in the wake of the deputy's decision, which had concluded that claimant was permanently and totally disabled as a result of the back injury.   Following the back injury, Dr. Boarini had concluded that claimant's injury was "extremely minimal."  Dr. Mendoza had found that the condition of claimant's back was such that she needed a fusion, which he performed.  Dr. Mendoza, however, concluded that the injury was not related to claimant's work. In reversing the deputy, the commissioner held that claimant had reached maximum medical improvement in February of 2014, before Dr. Mendoza had performed surgery.  The commissioner found Dr. Mendoza's opinions to be the most credible.  In reviewing the commissioner's

Supreme Court Issues Decision Addressing Beneficial Care Rule

In a 6-1 decision, the Iowa Supreme Court affirmed their earlier ruling in Bell Bros. v. Gwinn , 779 N.W.2d 193 (Iowa 2010) and held that in order to take advantage of the beneficial care rule, claimant must prove that care that was unauthorized is reasonable and beneficial and provides a more favorable medical outcome than the care authorized by the employer.  Brewer-Strong v. HNI Corp., No. 16-1364 (Iowa June 8, 2018).  The court also concluded that a an employer who initially denies liability of a claim, can later find that the claim is work-related and regain control of the claim, including authorization of medical care.  Finally, the court held that if care is provided to claimant outside of the workers' compensation process, healing period benefits may be lost if claimant does not prove that the care obtained provided a more favorable outcome than that offered by the employer. Claimant suffered carpal tunnel problems, which were thought to be work-related by her initial tre

Court of Appeals Affirms Denial of Second Injury Fund Benefits

The Court of Appeals, in Ginther v. Second Injury Fund , No. 17-0867 (Iowa App. June 6, 2018), affirmed the decision of the agency that claimant had not demonstrated a qualifying injury for second injury fund purposes.  Claimant's first injury was plantar fasciitis of the right foot.  Dr. Sassman had concluded that no ratable impairment existed for plantar fasciitis, but found that a 3% whole person impairment for pain was appropriate.  The deputy found that claimant did not have a qualifying first injury because Dr. Sassman's opinion that there was a 3% rating for pain was unconvincing.  The deputy also noted that since the rating was to the body as a whole, this was not a qualifying injury for SIF purposes.  The commissioner affirmed. The court found that because Dr. Sassman did not find that claimant had suffered a loss of use of the right foot, but had rather provided a whole person rating based on pain, he did not establish that he had lost the use of his right foot.  Ac

Court of Appeals Denies Review Reopening Claim Where Claimant was Transferred to a Different Position as a Result of his Injury and was Subsequently Laid Off

Linares v. Tyson Fresh Meats , No. 17-1409 (Iowa App. June 6, 2018) involved a situation where claimant was originally awarded a 40% industrial disability as a result of his injury.  As a result of the injury, claimant was sent to work on a line which involved less physical work.  The persons who were on this line were later laid off and claimant filed a review reopening petition, claiming that his economic circumstances had changed as a result of the layoff. Both the arbitration and appeal decisions concluded that the permanent work restrictions were known to the parties at the time of the arbitration decision and were considered at that time in determining claimant's industrial loss.  Since the restrictions had not changed, there was no physical change and there was no economic change, according to the commissioner because the layoffs were not related to claimant's condition, but affected all employees equally. The district court affirmed, finding that claimant's cond