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Davis v. BF Goodrich
826 P.2d 587
Okla.
1992
Check Treatment

*1 Petitioner, DAVIS, B. Ronnie risk, GOODRICH, own

B.F.

the Workers’

Court, Respondents.

No. 72080.

Supreme of Oklahoma. 4, 1992.

Feb.

As Corrected Feb.

day smoking and had been for about 15 years at that There was no rate.” limit to walk. distance he could He had not any breathing missed work because of problems. taking any He was not medi- cation, prescription either or over-the-coun- ter, Further, breathing problems. for he breathing for prob- had never seen a doctor he productive lems. He stated that had a cough “very but was minimal.” trial, At the both the claimant and the employer submitted written medical re- ports. Objections competency probative value made to report. were each judge objection did not take under advisement that but stated she would con- arguments sider the claimant’s medi- report. objections by cal on the She ruled admitting reports both without reservation and did not the admission. withdraw Nei- party ther the trial addressed tribu- ruling nal’s on the claimant's or the competency probative value of that re- port appeal. in this that Because issue was appealed, judge’s ruling the trial Bell, Norman, final and is petitioner. Richard not an issue before this Court. A. Wallace, Wilson, Owens, W. Neil Lan- expert, Miller, The claimant’s medical Dr. ders, Morrow, Gee, Wilson, Watson & having impair- rated the claimant as 20% James, Miami, respondent, B.F. Good- lungs impairment ment to his and 10% rich Co. upper system, his respiratory resulting in impairment body. employ- to the 30% HODGES, Justice. Vice Chief expert, Mahaffey, er’s medical Dr. rated the claimant’s The issue on is whether there zero. any competent Dr. reported Miller that claimant had Compensation Court’s day smoked cigarettes about 20 for 20 not sustain or claimant did suffer years. cigarette smoking He testified that arising out injury of and in could cough cause a and shortness of employment. the course of his We find breath. Dr. Miller testified that restric- that the Workers’ Court’s lung tive vital capacity disease the forced supported by competent order is evidence. (FVC) should be and that in decreased ob- (claimant) Ronnie Davis filed a workers’ lung disease, expirato- structive the forced alleging injury claim to his (FEVi) ry volume in the first second should lungs upper system caused be decreased. He testified the claim- by exposure to continuous hazardous chem- “very ant’s FVC test was close to normal” icals, talc, fumes, including industrial (mild but that the into fell class two FEVi employed by (employ- while B.F. Goodrich impairment), indicating lung obstructive er). began working Claimant for the em- “[cjigarette disease. Dr. Miller stated ployer on 1971 and March worked there smoking generally most causes obstruc- years. for fifteen lung exposure tive” disease and that to talc following. probably claimant testified would cause restrictive and both pack cigarettes lung he “a smoked obstructive disease. comply permanent any of ates did not examine

Dr. Miller argues His re- 1984 Guide.3 The claimant prior medical records. claimant’s sputum cough requires results of not indicate the 1984 Guide port did any wheezing as in the medical production included of Per- Evaluation rating A.M.A. Guide of zero report before *3 Guide)1 if (1984 the Impairment manent given employer’s and the medical can be Therefore, it must present. are symptoms of a expert failed include the results complain that claimant did be assumed rating report gave which of test the Dr. Mil- though symptoms. Even of these impairment. zero upper res- report did indicate ler’s Guide, heading under the The gave the problems, he piratory system requires personal history, and medical of that impairment rating to claimant 10% severity of physician the estimate the that body. his part of requires The 1984 dyspnea. Guide also Dr. Ma- expert, The medical spu physician cough the include haffey, rated claimant’s wheezing, production, and environmen tum Mahaffey claimant’s Dr. noted the zero. exposure, chronological tobacco tal use He that at no smoking habit. observed Likewise, occupational history. data the claimant during the test did the time requires physician the 1984 Guide the Dr. appear of breath. short wheeze a number of other data such as record spirometry Mahaffey administered the rates, pressure, heart and blood results tests were of those tests. breathing, x-rays results. patients’ the Mahaffey’s range. the normal Dr. within expert medical should also evaluate the pulmonary compared the report claimant’s However, degree degree dyspnea. of the through Au- functions from October 1979 may not criteria for dyspnea be the sole pul- 1985 with the claimant’s current gust impairment.4 evaluation monary no substantial functions and found change. testing spe Step physiologic I of the requires expiratory cifically a forced medi- respondent At trial the submitted test, maneuver, simple spirometry include a VO2 evaluation which did not cal perma in all “performed examinations objected or a test. claimant Dco is used to impairment.”5 This test nent compe- probative value and to its report’s capacity of the ventilatory measure tence. parts this lungs. component The three The trial tribunal found that the (1) capacity the forced vital test are: injury aris- had not suffered (FVC), expiratory forced volume employ- his ing of and course of out (FEVi), the ratio first second Appeals found the The Court of ment. expressed as a measurements the first two report competent medical ratio). (FEVi/FVC This ma percentage tribunal. sustained described should be neuver the decision uphold This Court will (American Society) 1978 ATS Thoracic if Compensation Court of the Workers’ Project. To Epidemiology Standardization any competent evidence to there is if the test results within determine compe Our that decision.2 review limits, predi locates a normal limited to report the medical tence of value). (predicted from a cated value chart non-compliance 1984 Guide. facial values, range is a normal Because there Interval” Act re the value of “95% Confidence The Workers’ predicated from the evalu- must be subtracted a medical quires that 3(11) Association, (Supp.1986). TO tit. GUIDE 3. Okla.Stat. American Medical PERMANENT IMPAIR- THE EVALUATION OF 1984). (2d ed. MENT Guide, supra at 85. 4. Hosp., 684 P.2d 548 Parks v. Norman Mun. Id. at 87-88. Step physiologic II of the evaluation the “nor- This result establishes value. three mea- range. One of the above though Step mal” test.11 Even is the Dco the normal be outside surements should range, if results are within the normal rated as im- range patient to be patient’s respiratory complaints are incon test is used as the paired if the range, then the sistent with Dco rating.7 It sole basis of the given. physician’s must be It is within the if all three values are within follows that expertise to determine if the com range and the sole resource for the normal plaints are inconsistent with the pa- evaluating impairment, then the require results.12 The 1984 Guide does not zero impairment could be rated as tient’s prerequisite a zero test as matter the results no what VO2 rating in all circumstances.13 tests, indicating that the 1984 Guide did *4 predicate given a zero If the not intend to the test is results Dco being giv- rating on the tests value, predicated than the are less 40% V02 Dco fall en. If the three measurements within patient may severely the rated as then range the normal or the severe impaired testing.14 If the without further range, testing generally further is not re- equal greater result to or than 40% quired unless the claimant’s value, predicated physician the then the greater severity complaints are of than the proceeds Step physiologic III of the test- spirometry indicate.8 test results ing capacity is the estimated exercise the If is less than 40% (estimated test).15 The estimated FEVi test V02 value, predicated the FVC is less than 50% test involves the use of a treadmill or V02 value, predicated and the ratio is of the cycle ergometer and is not recommended value, predicated pa- then the 40% Otherwise, certain individuals.16 severely impaired tient can be rated as given test should be when: V02 FVC, testing.9 If further and Dco (1) spirometry an individual’s FEVi, of the two are and the ratio within measurement are not within the con- 95% intervals, pa- confidence then the 95% age fidence interval for his or her having impair- tient can be rated as zero (2) height; spirometry his or her OR unless the claimant asserts that he is ment measurements do not indicate severe Dco job unable to meet the demands of the or [by as defined the 1984 performed properly spiro- he has not Guide]; OR the individual states metry complainant’s respirato- test. If the physically he or she is unable to meet the greater ry complaints are than the results specific job demands of a because of indicate, spirometry test then the breathlessness; Step the individual has physician proceed II.10 OR Orrell, at 6. Id. at 86 Table and at 89. 12. 787 P.2d 854. Goodrich, v. B.F.

7. Orrell 854; Guide, supra 13. Id. at note at Figure 2. Guide, supra 8. note at 97. Figure 2. 14. Id. at Guide, Figure supra at note Guide, Figure supra 15. 1984 note at 98 Guide, test, single capacity Under the 10. Id. at 97. In the estimated exercise “[t]he person placed for the breath should be used evaluation on either a treadmill or a Dco impairment." ergometer. V02, oxygen cycle American Medical all levels of con- Association, minute, sumption per TO THE EVALUATIONOF GUIDE is not measured direct- (3rd 1988) through relationship ly ed. PERMANENTIMPAIRMENT but is determined its Guide). (1988 power output, which is measured in kilo- (KPM/min). power pond meters/min provides: 11. The 1988 Guide “The measures grade speed Dco output is related to the the amount of CO which diffuses across the treadmill. specified alveolar-capillary membrane in a Id at 97. Guide, supra amount of time.” 1984 16. Id. at 97. physiologic schema for The test correctly maximally or performed clearly indicates that when the testing tests.17 Dco FEVi, of the two are and the ratio the FVC test is The estimated V02 (the predicated limits the normal within tests have been spirometry and if the interval) confidence value minus 95% are not within results of both given and the respiratory complaints are patient’s states that ranges, the claimant specified measurements, those consistent with specific job because perform a he cannot required, physician is not under the 1984 breathlessness, “has not or the claimant Guide, test or a to administer a V02 correctly in the maximally or earlier, if the results of the test. As stated The determi or the tests.” FEVi, FVC, and the ratio of the two per claimant has of whether the nation range and consistent within the normal correctly is within the maximally or formed complaints, then the with the claimant’s the doctor.18 Other discretion of zero physician give can a classification of req wise, is not estimated unnecessary V02 impairment, and it would be physician If has doubts about of the other two tests. administer either uired.19 test, accuracy of the estimated require a simply does not V02 The 1984 Guide (mea capacity the measured exercise then give or the always the Dco V02 *5 test) should be administered. sured giving impair 1 zero test before Class V02 circumstances, the under the above rating. Even ment on a performed not test should V02 four recent case There have been who, opinion of the exam “in the report given a zero medical which the contraindica ining physician, has medical considering rating without to such test.”20 tions They are Branstetter v. TRW/Reda test. V02 Burgess-Norton p,24 York v. Pum “gold standard” Spirometry is Co.,25 Refinery and Gaines v. Sun Mfr. determining lung disease be- obstructive v. B.F. Goodr Marketing,26 and Orrell nature and extent of an it detects the cause ich.27 also used for Spirometry is obstruction.21 lung Orrell, disease be- determining restrictive decided first. was Orrell “lung volume or expert gave it detects whether the claim- cause per gas rating per- moved volume of that can be ant a zero gener- is the extent of test forming is reduced and test. breath” Dco required as ally given measure- reduction. The FVC before FEVi V02 held that was ments, are the above. Orrell and the ratio of the two discussed give the before lung always necessary to disfunc- not most useful indications Dco given. rating could be a zero other hand the tion.22 On the Dco test recognized that widely.23 This may vary test measurements Dco V02 Guide, Figure supra added.) note at (Emphasis The 1988 Guide 17. Id. states: Guide, supra note at 97. 20. 1984 capacity Testing exercise should to measure individual’s done when an not be Attorney’s Medicine Textbook 4A impair- severe indicate measurements Dco 1989). (R. Gray 3rd ed. 204A.31 ¶ testing capacity exercise ment. Measured com- the individual’s be done when 22. Id. at 204.63. ¶ spiro- dyspnea plaint is more severe than indicate; indi- metry OR would Guide, supra note 97-98. 23. 1984 physically un- he or she is vidual states that specific job demands of a able to meet the (Okla.1991). P.2d 1305 24. 809 breathlessness; (3)OR the individ- because correctly maximally not ual has (Okla.1990). P.2d 697 25. 803 spirometry or tests. Guide, (emphasis supra at 113-14 (Okla.1990). P.2d 1073 26. 790 added). P.2d 848 27. 787 See Id. at 854. admittedly perform if the forced did given maximally must be results of the on (the simple spirome- expiratory York, maneuver test. Consistent try test) range and were the normal within this Court held that the test had to be V02 complaints the claimant’s were inconsistent performed. York, Neither Branstetter nor with those results. Gaines, required like test be V02 given as to whether com- decision such under all circumstances before a

plaints actually or of having inconsistent claimant could be rated as zero im- greater severity objective than the more pairment. results, physiologic so that DCO test require None of the would factors which performed, the 1984 should be under examining physician perform the Dco Guides an area of medical are within present test or the test is in this case V02 expertise generally subject are not they were in York and Branstetter. guessing to second a court. For all of competent The medical perceive error above reasons we no supporting the trial tribunal’s failure perform [the doctor’s] job-related, no injury. there was DCO test.28 The trial tribunal’s order is sustained. Orrell, this After Court decided Gaines CERTIORARI PREVIOUSLY GRANT- held that test had to be V02 ED; OF APPEALS’ COURT OPINION given expert before the medical rate could VACATED; ORDER OF WORKERS’ impairment. claimant at zero As dis- COMPENSATION COURT SUSTAINED. earlier, cussed the 1984 Guide does always require given that a test be V02 OPALA, C.J., LAVENDER, SIMMS, rating impairment.

before of zero To the HARGRAVE, JJ., DOOLIN and extent concur. that Gaines inconsistent with this rejected. holding, it is *6 SUMMERS, J., concurs in result. Gaines, After York In was decided. York, admittedly per- the claimant not did KAUGER, JJ., ALMA WILSON and spirome- form or maximally correctly in the dissent. try employer’s expert test. The medical OPALA, Justice, concurring. Chief did employ not the test or test. the V02 expert’s court held that the failure Today the court that in a holds denied impermissible conduct further tests was an respirato- claim for deviation from the 1984 Guide. The 1984 ry injury which the Guides’1 ver- requires per- Guide test V02 applies, expert’s sion the medical evalua- when, alia, formed “the individual inter upon tion impairment” rating which a “zero performed has maximally correctly not is based need not include “carbon the mo- the or the tests.” How- (or Dco). diffusing capacity” noxide ever, Orrell, under whether the individual today’s I embrace pronouncement While performed maximally correctly subjec- is interpretation applicable the correct of and, thus, expert’s tive the medical within requirements,2 Guides’ I concur sustain- discretion. ing claim’s the the denial for reasons ex- Branstetter, pressed dissenting

The last four cases in Part I my opinion is York, which like involved a who in Refinery Gaines v. Sun and Market- ed. 1984) employer's Id. at 854. 97. The medical appears to contain no indication this test 1. The term refers “Guides” to the American necessary. was had determined Medical Association’s "Guides to the Evaluation that the claimant’s test results are Impairment," of Permanent whose edi- second complaints consistent absence re (or version) applies tion to this claim. garding shortness of normal breath with activi "within an ties. This determination lies area of single "The breath should be expertise... generally subject patient not complaints when a greater severity spiro- guessing by are of Orrell than the observed second court.” v. B.F. Goodrich, Okl., (2d metry results would indicate.” AMAGuides by I the stated am was neither advanced briefs nor ing.3 the reasons to be For goes beyond in the suggests preserved record the join in the dissent which unable to Reynolds Special limits of the phy Indemni legislation requiring that we invalidate exception. Reynolds ty Fund7 teaches of the AMA Guides. sicians’ use public-law controversy ag if in a the party’s wrong grieved brief advances I reversal, reviewing court reason for Gaines, case, as in this the claimant grant free to corrective relief from that the zero solely on the contention relied theory on an urged applicable error cho impairment rating given by the sponte i.e., theory that sup sua sen — unexplained, and from an doctor stems ports assigned error but was neither from the impermissible, deviation hence below nor on and is advanced dis- In neither did the claimant Guides. case by aggriev issue positive raised judge’s finding that no question the trial inapposite party. Reynolds here. ed injury had “This job-related occurred. The reversible error of a constitutional di a discussion a claimed devi- alone makes by sponte isolated sua mension the dissent purely the Guides academic ation from (a) assigned argued by neither scope of issues tendered dehors below, aggrieved party, either here or nor Indeed, per- “an assessment of review.”4 (b) predicate clearly rest on a laid by does it disability the exist- presupposes manent Reynolds trial tribunal’s record.8 Our on-the-job injury.”5 ence of some disposi- sponte choose sua freedom public-law wrong theory tive when one II to identify is advanced does not extend my by I stand in Branstette While views urged ing by a constitutional not flaw9 r,6 expressed about the below, where doubt party here or aggrieved either open- constitutionality legislature’s supplying a deficiency nor to delegation private entity to a jurisdictional ended record.10 Unlike tribunal’s —the infirmities, stan presence Medical Association—of its we American into whose urged dards-setting responsibility they for evaluation even when examine parties,11 physical impairment, I can constitutional compensable upon us appellate today join calling for invali flaws not be corrected dissent rule sponte sponte. prudential process the AMA Guides. A sua sua dation of *7 and question necessity, adhered to all state feder review of a constitutional 1073, Okl., (1990) authority (Opala, permitting review in a Extant case 790 P.2d 1082-1083 9. V.C.J., dissenting). controversy public-law of a constitutional issue sup lends no which was not dealt with below Marketing, supra Refinery v. Sun Gaines port dissenting view. The constitutional V.C.J., (Opala, dissenting). at 1083 note 3 cases, urged though not reached in those flaw tribunal, clearly assigned as Refinery Marketing, supra error 5. Gaines v. Sun V.C.J., dissenting). (Opala, e.g. appellate Simons v. note 3 at 1083 court. See before Okl., Storage, 344 P.2d Brashears Transfer Okl., Pump, P.2d 6. Branstetter v. 809 TRW/Reda 1107, (1959); Bank v. Southland 1113 First Nat'l C.J., 1305, (1991) (Opala, concurring in 1308 9, Co., (1941), 1087 189 Okl. 112 P.2d Prod result). 11, State, Magnolia citing Pet. 175 Okl. 52 Co. v. (1935), Refining Indemnity Co. Reynolds, Okl. Oil & v. Special Fund v. 199 P.2d 81 Shaffer 841, (1948). Treasurer, 6, (1935). Reynolds 842 See v. 76 County 188 P.2d P.2d 175 Okl. 52 Fund, Okl., 1265, 1270 Special Indem. 725 P.2d (1986), application Reynolds public- Okl., Hosp. So. v. 10. See Memorial Muncrief exception. issue law Okl., (1988); Chamberlin v. 767 P.2d 402 Okl., (1986). Chamberlin, 723-724 720 P.2d Okl., Brooks, Drilling Company 451 v. Lewis (1969); Tank Truck Ser P.2d 960 Bostick inquire sponte into sua its 11. This court Okl., Nix, (1988); see v. 764 P.2d 1349 vice Co., Inc., Okl., jurisdiction. Cate v. Archon Oil Monday, Okl.App., P.2d Food Co. v. Johnston Hill, Okl., (1985); AMOCO, (1985); Pointer Okl.App., Edwards v. (1975). (1989). 536 P.2d courts, al commands that constitutional is have to showing negative be based on a sues not be resolved in advance of strict all of the three. Hence we from results necessity.12 nega concluded that the Guides finding tive of zero V02

SUMMARY impairment. sum, though by my I stand views may practical Our conclusion have led to Branstetter,13 today’s I concur in decision difficulties denying to sustain the order this claim workplace. Apparently many physicians’ medical evidence “[b]ecause spirometry offices where (ventilatory func- supports finding the trial tribunal’s tion) testing equipped is done are not injuries the claimant’s do not result from Also, administer the it is clear that VO2. working harm in and incurred about the not, may some claimants for other health environment.”14 reasons, safely placed on á treadmill or cycle ergometer, the device used in measur- SUMMERS,Justice, concurring in result. ing Guides, event, any P. 97. In VO2. majority may states that a majority now concludes our earlier patient impaired rate a as zero reading of incorrectly the Guides over- (1) testing FVC, FEVi, further when Respondent’s loaded the physician, normal, (2) pa are all FEVi/FVC prepared accept am repudia- the Court’s tient has appro the tests in the tion of that facet of opinion. the Gaines manner, priate patient’s complaint’s results, are consistent such principal objection Claimant’s here was patient has not stated that he or Respondent’s she is doctor failed to adminis- physically unable meet the demands of a ter the test.1 The Guides describe Deo specific job breathlessness, because of requirement cit administering thus: Dco ing 1, 97, at 86 Guides Table and 98. single “The breath per- should be departure This is a from one of our patient earlier formed when a com- conclusions Refinery, plaints Gaines Sun greater severity that are of a than (Okl.1990). P.2d 1073 Therein we noted spirometry the observed results would indi- (Table 86) that the Guides appeared at P. explained cate.” We have that whether finding to allow a particular complaints based on do not correlate with positive any results from one of the three require results so as to appearing standards therein: Dyspnea, or test calls for the exercise of medical Ventilatory (FVC, FEV, Tests of Function discretion that guess. we will not second FEVi/FVC) finding or the Max. If Goodrich, Orrell v. B.F. 787 P.2d 848 VO2 could positive be based on holding recognizes that with three, results from we any given reasoned normal and attendant that a of zero patient complaints, would one doctor think a *8 Chadha, 919, 937, 341, Okl., 267, 12. I.N.S. v. 462 U.S. 103 S.Ct. Re Initiative Petition No. 796 P.2d 2764, 2776, (1983); V.C.J., 77 L.Ed.2d 317 (1990) Ashwander (Opala, result). concurring in 288, 347, Valley Authority, v. Tennessee 297 U.S. 466, 483, (1936) (Brandeis, 56 S.Ct. 80 L.Ed. 688 Supra note 6. J., concurring); In Re Initiative Petition No. 347 639, Okl., Question State (1991) No. 813 P.2d Refinery Marketing, supra 14. Gaines v. Sun and C.J., (Opala, concurring); Smith v. West V.C.J., (Opala, dissenting). at3 Okl., inghouse Corp., Elec. 732 P.2d 467 n. 3 (1987); Diehl, Okl., 568 P.2d Schwartz 1. The test measures the amount of carbon (1977); State, Department Dablemont v. alveolar-capil- Okl., monoxide that diffuses across the Safety, Public 543 P.2d 564-565 lary specified (1975); membrane in a amount of time. see also In re Initiative Petition No. Okl., 772, 781, Although variability Guides at (1991) the in the (Opala, 820 P.2d 782 n. 4 C.J., large result); compared concurring Walters, test is in to other tests the Guides Johnson v. Okl., 694, 708, especially state (Opala, 819 P.2d that the test is useful: "It is n. 26 C.J., concurring part dissenting detecting part); gas in and useful in abnormalities that limit Okl., transference, Lobaugh, State ex rel. Okl. Bar Ass'n v. such as interstitial fibrosis of the J., (Opala, dissenting); lung parenchyma.” In Id. competent, is suffi- probative evidence and another doctor is indicated while compensa- record us cient to a denial of the Nothing in the before may not. However, employer’s that doctor was tion unless this cause is suggests the claim. remanded, give given to test. See Orrell v. will no- the claimant never be Goodrich, supra. sufficiency legal B.F. tice of the of his medical evidence, oppor- he an nor will be afforded that agree majority the order tunity replace supplement to his medical Compensation Court is of the Workers’ evidence. by competent evidence. supported recently We have remanded several WILSON, Justice, dissenting. ALMA claims for further proceedings of medical because failure are to fair and consistent in our If we be Zebco, compensation proof. In Houston v. application the workers’ (Okla.1991), trial court law, parties in this cause must af- O.B.J. 3662 the the be 1) competency the and ruled claimant’s medical evidence was forded notice of that incompetent wholly probative medical and probative value of the and court, 2) on the the opportunity agreed to stand evidence value. with trial but We to the evidence. In supplement proceedings adduced or remanded for further trial be claimant and the em- judge this cause both the afforded cause the trial should have reports be admit- ployer opportunity offered medical her claimant an to stand on compe- Objections the report ted into evidence. incompetent supplement medical tency probative value of each medical prior compensation. In denying it Bran report judge were at trial. made Pump, stetter 809 P.2d 1305 v. TRW/Reda Court admitted (Okla.1991), objected the claimant reports, taking objections the medical evidence, employer’s the trial medical but judge did not rule under advisement. appeal, claim. court denied the On both Rather, objections. judge upon these Appeals and this Court found Court of claim, denying setting entered order employer’s was medical evidence only one the claimant forth probative competent, not evidence. —that injury arising no out of suffered In cause remanded for trial. was new employment only in the course of Burgess-Norton Manufacturing York v. —and ruling compensation is one denied.1 (Okla.1990), the 803 P.2d 697 Company, —that judge trial the claimant’s medical found appealed, challenging the The claimant competent. not The claimant evidence was competency probative value of em- employer’s appealed. found We report. in the ployer’s medical Victorious competent medical evidence was court, employer challenge did not a new trial. remanded for Gaines report appeal. on the claimant’s medical objections Refinery Marketing2, Sun Appeals Upon review the Court Court, to all evidence. were made at trial medical today has this notice objections under employer’s report The trial took these medical constitutes court I., report Any attempt der Part to arrive at conclusion as to competent I do the trial court be instant is not evidence. evidence considered would cause speculation. join today’s overruling on The record does of Part I. of mere overruled, However, trial court not reveal considered it is Gaines. if to be whether applica- either medical or whether trial court prospective should be overruled reports compe- determined both medical May Cer- mandated tion. Gaines was allowing greater weight probative, tent and granted tiorari in this cause on December *9 report. employer's medical Gaines, objections we (Okla.1990). In Part II. of held P.2d In I. of 2. Part Gaines, Workers’ report to offered at trial before the evidence this that a medical Court held spec- Compensation comply evaluating with the respiratory impairment Court a claimant’s O.S.1981, ificity requirements facially comply does not with the 1984 at 0% Noting past precedent, we departure from clear Guides Evaluation of Permanent A.M.A. to the application prospective this hold- competent Impairment un- announced ing. and is not contemplates judge holding report that "three re- [are less the quired shows tests Compensation will rule Court that an examinee fits that to] confirm Id., (Class one)_” objections parties p. specific category at on the and the 1076. Un- (Okla.1989), The trial court then denied employer, imprecise advisement. in injury, terms, the claim no work-related objected probative to the value of appealed. in the case The claimant at bar. the claimant’s medical evidence. The trial incompe We found all the medical evidence implicitly court objection resolved the in proceedings tent and remanded for further employer. three-judge pan favor A parties opportunity to allow the to el affirmed. Appeals Court of re present competent further evidence as is versed, finding the claimant's medical evi necessary definitely to settle the In claim. competent. dence is We found the claim Houston, (Okla.1990), Zebco v. 800 P.2d 245 ant’s medical evidence proba to be without appealed ruling the trial court’s value and tive remanded with directions to probative that her medical evidence has no opportunity allow claimant an to stand on court, agreed value. We with the trial but her medical evidence or substitute another proceedings remanded for further trial to evaluation for the report.3 flawed medical opportunity allow the claimant another to And, Affording prove compensation opportuni- her claim. a claimant another Manor, Heritage Wheat ty present 784 P.2d 74 competent, probative Yes, preserve objection appellate Honor, then competency review. MR. GEE: Your objections general made at trial herein were probative competency objection, value. The nature, comply based on a failure to Honor, goes Your to the fact he admits his so, AMA Guidelines. Even the Workers' Com- spirometer comply did not with the ATS stan- pensation judge should have ruled on the dards and therefore the AMA Guidelines. The objections rulings given with notice of the probative questions— party. each you talking THE COURT: Just a minute. Are And, Gaines, in Part III. of we overruled our report deposi- about the medical or is this in the Zebco, “jackpot" (Okla.1989) LaBarge rule in P.2d proper? tion Perlinger Rogers v. J.C. Con- deposition MR. GEE: In the where he admits Co., struction 753 P.2d 905 We spirometer comply. that the did not reasoned that it would be inconsistent to reward you page THE COURT: Do have a number on trial, litigants who remain silent at but then that? successfully nullify opposition’s the victorious quick, MR. GEE: Let me find that real Your cause, only appeal. medical evidence on In this sorry, Honor. I’m I should have made a note objection court’s failure to rule on the on that. Okay, I made a note on one of the others. effectively to claimant’s medical evidence has nullified claimant’s Honor, page Your right and anothér right. THE COURT: All opportunity present competent, probative MR. GEE: I would also call to the Court’s medical evidence. probative objection, attention —this is a Your Tulsa, transcript proceeding 3. The Honor; page deposition 10 of the the answers Oklahoma, before the Honorable Ozella M. Wil- gave regard cigarette that the doctor to the lis, Court, Judge of the Workers’ smoking exposure. and the industrial 19, 1988, on October does not the state- Page THE COURT: 10? majority opinion Judge ment in the Willis deposition. MR. GEE: Of the The answers objections by admitting ”... ruled on the both gave questions that the doctor to our about the reports without reservation and did not with- cigarette smoking exposures; and the industrial law, the admission.” draw strictly probative. it’s separated this Court has ity the issues of admissibil- it, THE COURT: I’ll read sir. See, probative value of evidence. Whit- MR. GEE: I would call to the Court’s atten- Authority, ener v. South Central Solid Waste though attempted tion that even Dr. Miller 1248, 1249, (Okla.1989), distinguish- note 1 upper airway impairment evaluate he admits ing probative objection value from an admissi- ears, nose, the nose and throat were bility objection. requires Judge Whitener Willis report within normal limits and his reflects objections probative to rule on the to the value that. though of the medical evidence even the medi- that, objection THE COURT: What kind of Judge cal evidence has been admitted. Willis Mr. Gee? probative objections. did not rule on the value transcript, primarily probative pages MR. GEE: It’s 20-24 reads: in that he objective pathology admits that there’s no Doty you anything THE COURT: Mr. do have nose and throat. else? Yes, Talking Honor, THE COURT: about the medical MR. DOTY: Your we would in- now? deposition troduce the of Dr. G.C. Miller which Yes, ma’am, MR. GEE: was taken on the medical December deposition pathology. THE COURT: Claimant’s 1 is itself reflects there’s no *10 day may respond you Dr. G.C. Miller taken on the 2nd THE COURT: You if Decem- care ber, ’87; to, any objections? Doty. Mr. You don't have to.

597 private parties,1 I from spirit of the duties to dissent keeping with and notions laws workers’ majority’s opinion gives efficacy should be afford- Ronnie Davis fairness.4 American Medical Association’s claim support his opportunity another ed to the Evaluation of Permanent “Guides Accordingly, I compensation. workers’ (AMA Guides). Impairment” dissent. respectfully required by 12 O.S.1981 Court KAUGER, Justice, dissenting: judicial the consti- 2201 to take notice of § all tution.2 Courts to consider Legislature is constitutional- Because constitutional, legislative applicable statutory, and de- precluded delegating from its ly Honor, always provided he is aware of Your the Doctor states we’ve them. He MR. DOTY: [report] according produce print- to the American that his did his state the fact machine does Society’s; page note on Thoracic also I would out. comply No, only reason his did not machine MR. DOTY: I’m not. I have never cross the, Society’s Thoracic Mahaffey. with American Dr. [sic] examdined spirometer have a is that his did not Okay, somebody your standards of- MR. GEE: over just digital. printout; it was has. fice digital acceptable, Is THE COURT: not the go THE COURT: I’ll ahead and admit it. admitted.) Mr. Gee? (Repondent’s Exhibit 1 standards, admits GEE: The ATS and he else, MR. Anything gentlemen? Is THE COURT: for in the ATS standards which are called that this case submitted? Guidelines, print- require producing a the AMA MR. GEE: Case submitted as far as we are out. concerned, Your Honor. I’ll and take it THE COURT: read all that you, you may COURT: be ex- THE Thank else, Anything Mr. Gee? consideration. under cused. objections? your all Are those (End Proceedings.) Yes, sorry. I’m MR. GEE: compen- The intended results of our workers’ (Claimant’s admitted.) Exhibit No. 1 provide laws are to a "workable means of sation securing compensation else, Doty? Anything COURT: Mr. THE injured employees DOTY: We MR. rest. industry of the wear and to have bear its burden right, All Mr. Gee. THE COURT: power.” man and tear on the human machine or please: If the We would ask MR. GEE: Commis- & McDannald v. State Industrial Smith Mahaffey’s mark the Court Dr. sion, (1928). [Em- 133 Okl. P. 25th, report of November as an exhibit and results, phasis accomplish To these added.] into be introduced evidence. "compensation be con- laws should Respondent’s 1 is a medical THE COURT: liberally, fairly, of the indeed in favor strued 25th, Dr. dated 1987 from November the workman_” injured v. State Indus- Stasmos Mahaffey; any objections? Commission, P. 762 80 Okl. Yes, Honor, object to the MR. DOTY: Your I [Emphasis added.] incompetent probative report that it's and lacks object comply to it with value. I that it does not Homsey, Corp. 1. American Home Prod. speculative. Guides and it’s the AMA State, (Okla.1961); Potter v. P.2d comply to COURT: does it not THE Where (Okla.Ct.Crim.App.1973). The the AMA Guides? Const, provides: § art. Okla. test; give DOTY: He did not a D.C.O. MR. government powers of the State of “The brought up Gee’s ATS standards since Mr. separate shall be into three Oklahoma divided give any spirome- note that the Doctor doesn’t Executive, Legislative, departments: The printout be- in this evaluation and I don’t tric Judicial; except provided Con- in this complied page his with 160 in lieve he Table Executive, stitution, Legislative, and Judi- airways. upper But evaluation sepa- government departments shall be cial probative would be a value in that. distinct, shall exercise and neither Okay. response, rate you THE COURT: Do have properly belonging powers to either response? a brief Yes, ma’am, others.” very Dr. Ma- MR. GEE: brief. Const, pertinent provides art. 1§ The Okla. part: printout haffey’s produce does and it machine compliance He ATS standards. is in authority Legislative the State shall “The he it. If he it attached all did not attach wanted Legislature, consisting of a Senate in a vested have to have done was ask us and we could had Representatives...” House of and a provided it to him. Why you attach THE COURT: didn’t pertinent provides in Title 12 O.S.1981 2201 though? part: whenever it MR. GEE: It wasn’t sent to me by the notice be taken exam- "A. Judicial shall came to me and whenever he has cross law, Mahaffey constitutions them and court of the common ined Dr. he’s asked for *11 598 repeated of presentation applica to a cause.3 applicable

cisional law Since bility in of the AMA workers’ Guides com in 1941 in this Court’s decision First Nat’l pensation employ causes the fact that Co., 9, Bank v. Prod. 189 Okl. Southland rely upon employees ers as well as (1941), 112 we P.2d 1098-99 have compensation system protec for recognized importance considering of on-the-job tion for injuries warrants consid for the first question constitutional time on question eration of the constitutional public if the welfare and interest so presented. Additionally, at least two re require: opinions cent indicate issue is a public questions policy “Thus where of recurring v. one — Dosh TRW/REDA widespread public or interest are in- (Okla.1991) Pump, 810 1284 P.2d appellate may volved an court review a Pump, Branstetter v. TRW/REDA 809 theory presented cause on a (Concurring in opin result Magnolia tribunal. Pet. Co. by Opala, C.J.). ion State, 81; 52 P.2d Okl. Shaffer THE AUTHORITY DELEGATION OF TO County Oil & Co. v. Treasurer Ref. of DETERMINE PERMANENT IMPAIR- Okl. County, Creek 52 P.2d 76. MENT PURSUANT TO O.SSUPP.im See also 3 35. The wisdom AmJur. 3(11) A ENTITY TO PRIVATE IS AN § is, think, exemption self-evident, this we UNCONSTITUTIONAL DELEGATION practice for the rule is one of itself THE OF LEGISLATIVE AUTHORITY. designed scope inquiry limit the on Legislature enacted appeal'strictly controversy as it Compensation Act, seq., 85 O.S.1981 1 et § presented lower tribunal. It provide system comprehensive of com- however, parties, fair to the when the workers, pensation employed by partici- for question is of such nature that pating injured employers, in who present people large, welfare of or employment.4 replaced course of their It thereof, portion a substantial is involved large damage the often but erratic awards rights the consideration of their through negligence available law common departure general merits a from the rule relatively quick predicta- actions with a in authorizes the court its discretion recovery statutorily injuries ble set sus- general to direct to the its attention wel- employment in tained the course of fare, rather the interests regard than of the O.S.Supp. to fault.5 to 85 Pursuant parties 3(H),6 to the immediate cause.” evaluating a medical state, public every impairment’ statutes in force territo- ... ‘Permanent means ry, jurisdiction abnormality of the United anatomical or functional or loss States....” after reasonable medical treatment has been See, Uhls, Eason Oil Co. 518 P.2d 50-51 achieved, abnormality phy- which or loss the capable being sician considers to be evalu- rating Except ated at the is made. time the as 4. Title 85 O.S.Supp.1985 provides perti- 11§ herein, any provided examining otherwise part: nent only shall evaluate "Every subject employer provisions to the publication latest accordance with the Compensation pay, the Workers’ provide Act shall American ‘Guides Medical Association’s to the by Compen- as the Workers’ Impairment’ Evaluation of Permanent in ef- Act, Compensation according sation to the fect at the time the incident for Compensation schedules of the Workers’ Act However, sought. revisions disability employee for the death of his guides by made American Medical resulting personal injury from published January Association after which are employee arising sustained out of and operative twenty one 1989 shall be hundred employment, in the course of his without re- day days after the last month of gard injury to fault as a cause of such ...” publication. examining physician shall guides not follow the based on race or Sears, Co., ethnic 5. Miller v. & Roebuck origin, but otherwise shall not deviate from denied, (Okla.1976), cert. 429 U.S. guides specifically except pro- said be S.Ct. 50 L.Ed.2d guides. officially vided for in the These provides O.S.Supp.1990 perti- 6. Title 3§ adopted guides shall the exclusive basis part: nent testimony regard per- and conclusions exception "As used in the Workers’ manent Act: *12 American Medical Association with the comply permanent authority Any from the to determine the standards for deviation the AMA Guides. provided permanent impairment specifically must be the evaluation of AMA Guides —a by power Legislature acting AMA Guides. for reserved capacity. making its law governmental powers The are allocated government among three branches —the executive, legislative, judicial.7 and the authority the three of each of branches guarded prevent to cen- jealously

must be power department. one

tralization Legis- long recognized that the

It been may delegate authority primarily not

lature Delegation legislative of the character.8 Petitioner, BOND, Albert E. to is for- legislative power private entities v. bidden.9 SUPPLY, St. Paul In- FOX BUILDING 3(11) private purely vests in a Section Co., surance Oklahoma Work- organization, the American Medical Associ- Court, Respondents. Compensation ers’ ation, authority set stan- the unbridled to permanent dards for No. 72400. right to com- govern employee’s collect Supreme Court of Oklahoma. del- pensation on-the-job injuries. for guides, restric- egation made 11, Feb. tions or standards. It has resulted requiring unnecessary expen- of often but of the

sive tests which increase cost

system, cost of

insurance, business, doing the cost of products

the cost of to the ultimate con- Legislature may delegate

sumers. legislative power privately con- organization.10

trolled national Section

3(11) it vests is unconstitutional because note, Walker, title, supra; relating Refining paragraph v. see this 3 of Section 22 of this Co. 934, loss; State, supra. The injury or im- v. see note 1 at member Potter scheduled provides strength, limits pairment, including pain loss Act no or profession may injuries parameters respect to the medical awarded with to those be promulgation of body specifically direction in the of the covered inclusion or areas by guides_” AMA Guides. said 3(11) has been revised since the instant Section However, controlling Corp. Homsey, cause ute, filed. stat- see Prod. v. 9. American Home Annot., 3(11) 1; State, 1, O.S.Supp.1986 requires supra; also eval- see § note "Delegation Potter Legislative Nongovern Medi- accordance with the American uations in Power to Prices, Agencies Regards Wages, cal "Guides to the Evaluation Association mental Hours,” 188, (1949). Impairment”. Homsey, In Permanent A.L.R.2d delegation of as an unlawful we struck down Const, supra. Act, see note § Okla. art. legislative power the Oklahoma Fair Trade seq., delegated 41 et because 78 O.S.1951 persons right prescribe Walker, private a rule Sterling Refining 165 Okl. Co. v. Annot., governing which bound (1933); conduct the future Lim- "Permissible Potter, nonconsenting Power,” parties. the Oklahoma Delegation Legislative its of 79 L.Ed. Legis Appeals of Criminal found Only those administrative right private entity delegation lature’s implementation of incidental to the functions pictures motion could to determine what legislative other intent be vested in an unconstitution distributed in Oklahoma was accompanied must be bodies. These functions delegation legislative authority. Legisla- al prescribed by the well-defined limits Arnold, Okl. ture. Herrin v. State, 977, 982, supra. (1938); Sterling Potter see note 119 A.L.R.

Case Details

Case Name: Davis v. BF Goodrich
Court Name: Supreme Court of Oklahoma
Date Published: Feb 12, 1992
Citation: 826 P.2d 587
Docket Number: 72080
Court Abbreviation: Okla.
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