Kern Motor Company Inc v. David A Buckley ( 2003 )


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  •                         COURT OF APPEALS OF VIRGINIA
    Present: Chief Judge Fitzpatrick, Judges Benton and Kelsey
    Argued at Richmond, Virginia
    KERN MOTOR COMPANY, INC. AND
    VADA GROUP SELF-INSURANCE ASSOCIATION
    MEMORANDUM OPINION * BY
    v.      Record No. 1786-02-2          CHIEF JUDGE JOHANNA L. FITZPATRICK
    FEBRUARY 4, 2003
    DAVID A. BUCKLEY
    FROM THE VIRGINIA WORKERS' COMPENSATION COMMISSION
    Iris W. Redmond (Midkiff, Muncie & Ross,
    P.C., on brief), for appellants.
    No brief or argument for appellee.
    Kern Motor Company, Inc. (employer) contends the Workers'
    Compensation Commission (commission) erred in finding David A.
    Buckley (claimant) proved by clear and convincing evidence that
    his bilateral carpal tunnel syndrome was causally related to his
    work.     For the following reasons, we affirm the commission.
    I.   BACKGROUND
    Claimant worked as a "body man" for employer for fifteen
    years.     He used hand tools as well as air tools to paint and
    repair motor vehicles.     His duties were defined as follows:
    CLAIMANT: [Y]ou get a job, and it's got the
    front end wrecked, and you've got to take
    the whole front end off. You're constantly
    using your hands. If you've got a dent,
    * Pursuant to Code § 17.1-413, this opinion is not
    designated for publication.
    you've got to use your hands to do
    that. . . .
    DEPUTY COMMISSIONER: Give me some specifics
    as far as how you use your hands, what tools
    you're using, how you use those.
    CLAIMANT: Mostly air wrenches, air chisels,
    grinders. Most of our tools are air. We do
    have quite a few hand tools, but very seldom
    when you're working production you don't
    make a tendency of using hand tools. Mostly
    it's air stuff. When a car comes in, you're
    hammering, beating on them. It's like when
    they're wrecked, you've got to put them back
    in the proper position that they was before
    they was wrecked, and in order to do that,
    you've got to tear them apart and straighten
    some stuff, put other stuff back on.
    Claimant also stated that he "occasionally" worked on his own
    cars.    However, this evidence showed limited exposure outside
    his work.
    In November 2000, claimant first noticed numbness in his
    right hand, but no diagnosis was made at that time and he
    continued to perform his work.    On March 5, 2001 claimant sought
    further medical treatment with his family physician, Dr. Anthony
    A. Saweikis.    Dr. Saweikis diagnosed carpal tunnel syndrome and
    stated further that "workmen's comp most likely [sic]."     Dr.
    Saweikis advised claimant to file a workers' compensation claim.
    Further testing confirmed carpal tunnel syndrome.    Claimant had
    surgery on his left wrist and requires surgery on his right
    wrist.
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    The commission found that:
    [C]laimant has established that he suffers
    from bilateral carpal tunnel syndrome. We
    further find that he has shown by clear and
    convincing evidence that his carpal tunnel
    syndrome is causally related to his work as
    an auto body repairman.
    *     *    *        *     *      *   *
    In short, while the claimant's evidence of
    causation is not clear and unequivocal, it
    need not meet that rigid standard. Each
    statement addressing causation by
    Dr. Saweikis, standing on its own, may not
    be sufficient to establish causation by
    clear and convincing evidence. However,
    when his opinions are reviewed in
    conjunction with all of the other facts in
    the case, we are convinced that causation
    has been established. We find that the
    evidence is sufficient to establish in our
    minds a firm belief that the claimant's
    carpal tunnel syndrome was caused by his
    work for the employer.
    Employer appealed that decision.
    II.     ANALYSIS
    Employer contends that no credible evidence supports the
    commission's finding that claimant proved, by clear and
    convincing evidence, that his bilateral carpal tunnel syndrome
    arose out of his employment.    We disagree.
    "On appeal, we view the evidence in the light most
    favorable to the claimant, who prevailed before the commission."
    Allen & Rocks, Inc. v. Briggs, 
    28 Va. App. 662
    , 672, 
    508 S.E.2d 335
    , 340 (1998) (citations omitted).    "'Decisions of the
    commission as to questions of fact, if supported by credible
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    evidence, are conclusive and binding on this Court.'"     WLR Foods
    v. Cardosa, 
    26 Va. App. 220
    , 230, 
    494 S.E.2d 147
    , 152 (1997)
    (quoting Manassas Ice & Fuel Co. v. Farrar, 
    13 Va. App. 227
    ,
    229, 
    409 S.E.2d 824
    , 826 (1991)).   "Where reasonable inferences
    may be drawn from the evidence in support of the commission's
    factual findings, they will not be disturbed by this Court on
    appeal."   Hawks v. Henrico County School Board, 
    7 Va. App. 398
    ,
    404, 
    374 S.E.2d 695
    , 698 (1988).    "The commission, like any
    other fact finder, may consider both direct and circumstantial
    evidence in its disposition of a claim.   Thus, the commission
    may properly consider all factual evidence, from whatever
    source, whether or not a condition of the workplace caused the
    injury."   VFP, Inc. v. Shepherd, 
    39 Va. App. 289
    , 293, 
    572 S.E.2d 510
    , 512 (2002).   "[T]he appellate court does not retry
    the facts, reweigh . . . the evidence, or make its own
    determination of the credibility of the witnesses."     Wagner
    Enters. v. Brooks, 
    12 Va. App. 890
    , 894, 
    407 S.E.2d 32
    , 35
    (1991).
    Code § 65.2-400(C) provides that carpal tunnel syndrome is
    an "ordinary disease of life as defined in [Code] § 65.2-401."
    Code § 65.2-401 provides in pertinent part:
    An ordinary disease of life to which the
    general public is exposed outside of the
    employment may be treated as an occupational
    disease . . . if each of the following
    elements is established by clear and
    convincing evidence, (not a mere
    probability):
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    1. That the disease exists and arose out of
    and in the course of employment as provided
    in § 65.2-400 1 with respect to occupational
    diseases and did not result from causes
    outside of the employment, and
    2.   That one of the following exists:
    a. It follows as an incident of
    occupational disease as defined in this
    title; or
    b. It is an infectious or contagious
    disease . . . ; or
    1
    Code § 65.2-400(B) provides:
    A disease shall be deemed to arise out of
    the employment only if there is apparent to
    the rational mind, upon consideration of all
    the circumstances:
    1. A direct causal connection between the
    conditions under which work is performed and
    the occupational disease;
    2. It can be seen to have followed as a
    natural incident of the work as a result of
    the exposure occasioned by the nature of the
    employment;
    3. It can be fairly traced to the
    employment as the proximate cause;
    4. It is neither a disease to which an
    employee may have had substantial exposure
    outside of the employment, nor any condition
    of the neck, back, or spinal column;
    5. It is incidental to the character of the
    business and not independent of the relation
    of employer and employee; and
    6. It had its origin in a risk connected
    with the employment and flowed from that
    source as a natural consequence, though it
    need not have been foreseen or expected
    before its contraction.
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    c. It is characteristic of the employment
    and was caused by conditions peculiar to
    such employment.
    "Medical evidence is not necessarily conclusive, but is
    subject to the commission's consideration and weighing.    The
    testimony of a claimant may also be considered in determining
    causation, especially where the medical testimony is
    inconclusive."    Dollar General Store v. Cridlin, 
    22 Va. App. 171
    , 176, 
    468 S.E.2d 152
    , 152 (1996) (internal citations
    omitted).
    Clear and convincing evidence has been
    defined as that measure or degree of proof
    which will produce in the mind of the trier
    of facts a firm belief or conviction as to
    the allegations sought to be established.
    It is intermediate, being more than a mere
    preponderance, but not to the extent of such
    certainty as is required beyond a reasonable
    doubt as in criminal cases. It does not
    mean clear and unequivocal.
    Fred C. Walker Agency, Inc. v. Lucas, 
    215 Va. 535
    , 540-41, 
    211 S.E.2d 88
    , 92 (1975) (internal quotation and citation omitted)
    (emphasis in original).
    The commission reviewed the medical reports and found that
    Dr. Saweikis was "reasonably certain that the claimant's
    suspected carpal tunnel syndrome was due to his work as an auto
    body repairman" and that his findings were "corroborative of the
    claimant's own testimony."   While claimant's other doctors did
    not specifically address the source of claimant's carpal tunnel
    syndrome, this did not "undermine the other evidence of
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    causation in the record."   No evidence established any source
    other than his work as the causative agent.
    Therefore, we hold that credible evidence supports the
    commission's findings that claimant established by clear and
    convincing evidence that his carpal tunnel syndrome arose out of
    and in the course of his employment as an auto body repairman
    for fifteen years and that his injury did not result from causes
    outside his employment.   For the foregoing reasons, the decision
    of the commission is affirmed.
    Affirmed.
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