Court of Appeals Affirms Denial of Review Reopening Claim

 Barry v. John Deere Dubuque Works, No. 22-1000 (Iowa App. May 24, 2023)

Claimant suffered from bilateral carpal tunnel syndrome and was awarded an 11% whole person impairment rating following hearing.  Claimant subsequently developed additional problems with his bilateral hands and arms and sought review reopening based on changes in physical condition.  Dr. Mathew, who conducted an IME on the review reopening, concluded that claimant had additional permanent impairment and had also developed shoulder difficulties as a result of his work activities.  Additional restrictions were also imposed.  The agency concluded that claimant had not demonstrated a physical change in condition sufficient to justify additional benefits and the district court affirmed this holding.  The agency concluded that Dr. Mathew’s report was not credible because it was based on incorrect sections of the AMA Guides.

The Court concluded that the agency had not abused its discretion in discrediting Dr. Mathew’s report, finding that claimant’s descriptions of his condition was quite similar at both hearings, and that the medical evidence apart from Dr. Mathew’s report suggested that his condition had not changed.  The Court found no abuse of discretion in the rejection of Dr. Mathew’s report. Claimant also argued that the agency erred under 85.34(2)(x) in questioning the credibility of Dr. Mathew and that the agency abused its discretion in using theAMA Guides. The Court finds that there was little in the way of explanation for Dr. Mathew’s application of the Guides, particularly in contrast to the use of the Guides by claimant’s first IME doctor, Dr. Sassman. The Court finds that the agency did not abuse its discretion in applying the Guides.in determining the extent of loss or percent of impairment. The Court concluded that the decision of the agency was supported by substantial evidence and also found that claimant’s shoulder injury was a separate injury that should be pursued in a separate proceeding.

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