SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
A-4255-00T3
MARIA PRATA,
Petitioner-Respondent,
v.
BANNER PHARMACAPS, INC.,
Respondent-Appellant.
__________________________________________________________
Argued October 7, 2002 - Decided November 19, 2002
Before Judges PetrellaSee footnote 11 Braithwaite and Parker.
On appeal from a judgment of the Division of
Workers' Compensation, Department of Labor,
97-038962, 97-030469.
Francis T. Giuliano argued the cause for appellant.
Charles I. Turner argued the cause for respondent
(Kirsch, Gelband & Stone, attorneys; Mr. Turner,
on the brief).
The opinion of the court was delivered by
PARKER, J.A.D.
This is an employer's appeal from a workers' compensation
judgment in favor of the employee for seven and one-half percent
permanent partial disability resulting from low back strain. The
judgment amounted to $5,940, plus $800 in doctors' fees and $1,000
in counsel fees.
The facts elicited during the compensation court hearing
indicate that the petitioner had been employed as a packaging
inspector by respondent for seventeen and one-half years. Her job
responsibilities included lifting parcels weighing about thirty
pounds. She left employment with respondent in April 1997 and began
working for American Vitamin Products, Inc. (Intergel) on July 7,
1997, doing the same work she had done with respondent. When she
applied for her position at Intergel, she claimed that her health
was "excellent," that she had no physical or mental condition which
would limit her ability to work at Intergel, and that her medical
history involved nothing more than "checkups."
In September 1997, however, she filed a petition against
respondent, claiming "injury to pulmonary and internal system,
eyes, ears, back[,] upper and lower extremities[,] pulmonary[,]
internal[,] opthalmological[,] otolarynological[,] and ortho in
nature with neuro and neuropsych complications."
In December 1997, when she was three months pregnant, she was
examined by Dr. Jack Haberman, who found "a flattening of the
lumbar curve ... [and] diffused hardness and tenderness of the
paravertebral musculature of the lumbo dorsal, lumbar and lumbo
sacral region."
On February 1, 1999, after her baby was born, she was examined
by Dr. David E. Gross on behalf of respondent. Dr. Gross found
normal spinal curvatures, no swelling or spasm anywhere, normal
neck and trunk motions and "no finding for any permanent orthopedic
disability resulting from this alleged exposure."
On July 18, 2000, petitioner underwent an independent
evaluation at the University of Medicine and Dentistry of New
Jersey (UMDNJ). During that examination, for the first time, she
told physicians that her symptoms began in 1996, a year before she
left her employment with respondent. The report from the UMDNJ
examination stated:
Ms. Prata is a 38-year-old woman, employed in
the pharmaceutical industry for the last 20
years, who is complaining of 2 distinct
symptom constellations. One involves neck,
upper back and upper chest pain which she is
concerned may be associated with an injury
that occurred at work 4 years ago. Further
complaints involve dizziness and some ataxia
and electrical sensations in her head which
have been occurring over the last
approximately 19 years, which she believes may
be associated with her exposure to solvents
including alcohol and Naphtha at Banner
Pharmacaps .... She is able to work at her
present job as a packaging supervisor without
any impairment .... Her condition appears to
be a muscular strain.
....
Concerning her dizziness and ataxia, .... [a]t
the present time she has no determinable
impairment.
Petitioner testified at the February 6, 2001, workers'
compensation hearing that "[a]bout two years ago, the pain in [her]
leg [got] worse. So I thought [it] was not the problem from work.
But the problem now, it's from my back; the leg hurts because I
have a problem in my back." Petitioner attributed the problem to
her employment with respondent. She testified that she visited a
doctor for the pain and received an injection two years ago. She
received another injection one year ago, but since then had no
further treatment. In response to her attorney's question as to
whether the pain interfered with her work in any way, she
responded, "I couldn't write .... for ... about two months." When
asked whether the condition caused any problem at home, petitioner
responded that five months before when she was washing clothes and
hanging them up, she experienced pain in her arm. She testified
further that when she cleans the house she can only move furniture
a little bit and her "husband has to do .... [t]hings like that
.... "
The evidence included three medical evaluations: the December
1997 report by petitioner's physician, Dr. Haberman; the February
1999 report by respondent's physician, Dr. Gross; and the July 2000
report from the independent examination at UMDNJ. The judge of
compensation rendered an oral decision on March 20, 2001, in which
he found "the petitioner's testimony [] credible ... as well as the
doctors['] as reflected in their reports." He went on to conclude
that "any pulmonary disability ... resolved itself and thus is not
a permanent injury." With respect to the orthopedic claim, however,
he found "that the petitioner suffered a permanent disability of 7-
1/2 percent resulting from a back strain."
Apparently, the judge based his decision on petitioner's
testimony that "she did lifting at work for the entire time period
that she worked for respondent[.] [S]he did relate a particular
incident of back strain, but the date of same is not clear. She
believes that her back is getting worse. The pain in her back
remains when lifting and moving. The pain goes down her right leg."
In this appeal, respondent argues:
POINT I
THE PETITIONER FAILED TO ESTABLISH PERMANENT
IMPAIRMENT OF HER LOW BACK AND RIGHT LEG BY
DEMONSTRABLY OBJECTIVE MEDICAL EVIDENCE.
POINT II
THE PETITIONER FAILED TO ESTABLISH PERMANENCY,
AND THEREFORE SHE WAS NOT ENTITLED TO AN AWARD
FOR PERMANENT DISABILITY BENEFITS.
POINT III
THE DIVISION OF WORKERS' COMPENSATION DID NOT
HAVE JURISDICTION TO ENTER AN AWARD FOR
PERMANENT PARTIAL DISABILITY IN PETITIONER'S
FAVOR FOR AN ACCIDENT.
POINT IV
THE DECISION OF THE TRIAL COURT IS LEGALLY
DEFECTIVE IN THAT IT FAILS TO ADDRESS IN ANY
WAY WHATSOEVER THE ADDITIONAL PRECONDITIONS OF
N.J.S.A. 34:15-36 FOR AN AWARD OF PERMANENT
PARTIAL DISABILITY.
Respondent initially contends that
N.J.S.A. 34:15-36 requires
a finding of permanent impairment based upon demonstrable objective
medical evidence, which restricts the function of the body or its
members or organs. Perez v. Pantasote, Inc.,
95 N.J. 105 (1983). In
Perez, the Court held that "objective medical evidence is
understood to mean evidence exceeding the subjective statement of
the petitioner." Id. at 116.
In Saunderlin v. E.I.DuPont Co.,
102 N.J. 402 (1986), the
Court reiterated and re-emphasized its holding in Perez that the
determination of permanent partial disability can no longer rest
upon petitioner's subjective complaints. In Saunderlin, the Court
stated, "[I]n no event will a medical doctor's mere 'parroting' of
the patient's statement be sufficient." Id. at 416. In a claim for
permanent partial disability, therefore, the threshold question is
whether the petitioner has presented demonstrable objective medical
evidence of a functional limitation.
Here, the judge of compensation accepted all of the medical
reports as credible. While he properly concluded that petitioner's
respiratory ailments had resolved over time, he failed to consider
the chronological significance of the orthopedic reports to
determine whether that injury had resolved, as well.
Petitioner argued that objective medical evidence was
demonstrated by Dr. Haberman's report of his December 1997
examination. In that report, Dr. Haberman found "a flattening of
the lumbar curve ... [and] diffused hardness and tenderness of the
paravertebral musculature of the lumbo dorsal, lumbar and lumbo
sacral region." By February 1999, however, Dr. Gross found nothing
indicating "any permanent orthopedic disability resulting from this
alleged exposure." Even more significantly, the independent
evaluation done at UMDNJ in July 2000, six months before the
hearing, found:
At the present time she has symptoms that
occur on an irregular basis, associated with
particular arm movements. She is able to work
at her present job as a packaging supervisor
without any apparent impairment .... She is
not complaining of paresthesias, numbness or
weakness in her arms, which would be
suggestive of nerve pathology.
The statement in the UMDNJ report that "her condition appears to be
muscular strain," is related to plaintiff's reporting, rather than
objective medical findings.
Our scope of review of workers' compensation awards is limited
to whether the judge's decision was based upon sufficient credible
evidence. Close v. Kordulak Bros. Inc.,
44 N.J. 589, 599 (1965).
Here, however, there was no current demonstrable objective medical
evidence in the record to support a finding of permanent
disability. As with petitioner's pulmonary complaints, any back
injury she may have suffered apparently resolved between the
February 1997 examination by Dr. Haberman and the July 2000
examination at UMDNJ.
In Allen v. Ebon Services Int'l, Inc.,
237 N.J. Super. 132
(App. Div. 1989), we addressed the issue of timely medical reports
in a workers' compensation claim. There, petitioner's accident
occurred on December 6, 1985, and petitioner submitted orthopedic
and neurological reports from February 13, 1986, examinations. At
the hearing three years later in January 1989, both physicians
testified that they had not examined the petitioner since February
1986. Relying on the physician's opinions from their 1986
examinations, the judge of compensation awarded petitioner
permanent partial disability. We reversed on the ground that the
petitioner failed to present demonstrable objective evidence of a
permanent disability at the time of the hearing. We held that "the
validity of a medical finding of a permanent injury may decrease
with the passage of time. Surely the Legislature, in making minor
injuries noncompensible, did not intend that awards routinely be
made on the basis of medical examinations performed shortly after
the accidents and well before the hearings in the absence of recent
objective medical evidence of continued impairment." Id. at 136
(citation omitted). Similarly, petitioner here failed to present
timely objective medical evidence of permanent disability.
Based upon our conclusion that petitioner failed to present
current objective medical evidence of permanent impairment, we are
constrained to reverse. Accordingly, we need not address the
remaining points raised in this appeal.