Lead Opinion
for the Court:
¶ 1. Jeremy Hamilton appeals from a decision of the Mississippi Workers’ Compensation Commission finding that Hamilton’s former employer, Southwire Company,
FACTS AND PROCEDURAL HISTORY
'¶ 2. In November 2005, Hamilton suffered compensable injuries to his foot and ankle, including a stress fracture and tendon strain, while in the course of his employment with Southwire. Hamilton maintains that his foot and ankle injuries also resulted in back pain; however, Southwire has denied that Hamilton suffered any compensable back injury. Hamilton was eventually diagnosed with “complex regional sympathetic dystrophy” (RSD), a chronic pain condition, and in 2006 he had a spinal cord stimulator implanted. South-wire voluntarily paid temporary total disability benefits. In 2012, Hamilton filed a petition to controvert, and the parties eventually settled his indemnity claim. This appeal relates only to a motion to compel medical treatment that Hamilton filed in March 2013..
¶ 3. In November 2012, Hamilton reported increased leg and lower back pain and sought treatment from Dr. Samuel Polk. He also complained of pain and discomfort in his lower back related to the spinal stimulator. Dr. Polk referred him to Dr. Daniel Hoit for a surgical “stimulator revision,” but Southwire did not approve the procedure. In his motion to compel, Hamilton asked the Commission to
¶ 4. Hamilton was also seeing Dr. Kevin Vance for pain management. Dr. Vance had prescribed the following medication: Depakote (as a mood stabilizer), Methadone, Lyrica, Baclofen, Celebrex, Provigil, Testim, Cialis, and Sprix. In his motion to compel, Hamilton allegéd that Southwire was either denying or delaying approval of these drugs. Hamilton asked the Commission to require Southwire to approve and pay for the drugs. '
¶ 5. Dr. Rahul Vohra performed an employer’s medical evaluation on Hamilton. Dr. Vohra concluded that Hamilton did-not have RSD because he had a normal objective physical examination and, for several years prior, his examinations by other physicians had been objectively normal. . Dr. Vohra concluded that Hamilton had reached maximum medical. improvement and had no residual impairments or restrictions to his right leg, foot, or ankle. Dr. Vohra suggested that Hamilton’s issues might be psychological, rather than physical, and he recommended several'procedures — a myelogram, a post-myelogram CT of the lumbar spine, a bilateral lower extremity EMG, and "'nerve conduction studies — to identify or rule out' possible physical ■ causes of Hamilton’s reported pain. TheSe tests were administered and, according to Dr. Vohra, revealed no physi-cal cause of Hamilton’s reported pain.
¶ 6. Based on his findings, Dr. Vohra recommended a psychological assessment. He further recommended that if the assessment revealed a somatization disorder, then Hamilton should discontinue his use of pain medications and attempt to limit his dependence on the medical system.
¶ 7. Dr. Mark Webb, a psychiatrist, performed an independent medical evaluation on Hamilton. Dr. Webb concluded that Hamilton’s present complaints are mental, not physical. In addition, Dr. Webb found that Hamilton suffered from bipolar disorder, which caused him to exaggerate his somatic complaints. Dr. Webb noted that a prior psychiatrist had treated Hamilton for bipolar disorder and prescribed medication. Dr. Webb also noted that Hamilton had been hospitalized for psychiatric reasons twice previously. Dr. Webb recommended psychiatric treatment and a tapering off of Hamilton’s pain medications.
¶ 8. After reviewing Dr. Webb’s report, Dr. Vohra concluded that Hamilton’s spinal stimulator whs unnecessary and could be turned off. Dr. Vorha' opined that, from a medical standpoint, further surgery to remove the stimulator was unnecessary.
¶ 9. • Based on the opinions and findings of Dr. Vohra and Dr. Webb, Southwire opposed Hamilton’s motion to compel medical treatment. Southwire argued that Hamilton could not show that the requested treatment and medications were causally related to his 2005 work injury. Therefore, Southwire asked the .Commission to deny Hamilton's motion. However, on May 10, 2013, an administrative-judge (AJ). of the Commission granted Hamilton’s motion. The AJ ordered Southwire to approve the referral to Dr. Hoit for evaluation and treatment related to a possible stimulator revision. The AJ also ordered Southwire to pay for all prescription medications identified in Hamilton’s motion to compel.
¶ 10. On May 17, 2013, Southwire filed a limited motion to reconsider in which it asked the AJ to revisit her order to the extent that it compelled Southwire to pay for Cialis and Testim, which are erectile dysfunction '(ED) medications. Southwire argued that there was no evidence of a causal link between Hamilton’s compensa-ble injury and his need for those medications. Hamilton filed a response and attached a letter from his attorney to Dr.
¶ 11. On May 30, 2013, Southwire filed a petition for review by the full Commission.- Southwire’s petition challenged all aspects of the AJ’s order. Southwire’s petition also specifically advised the full Commission of its pending .motion to. reconsider. Southwire explained its reasons for filing both a motion and a petition- as follows:
[We] have -filed a Motion to. Reconsider as to the issue-regarding approval and payment of erectile dysfunction medication, which was part of Claimant’s original Motion to Compel. This tolls the statute of limitations for appeal, but it is unclear as to whether it tolls appeal just as to the ED issue or all of the medical treatment the Claimant compelled; Thus, this Petition is being filed out of an abundance of caution.!
Subsequently, Southwire filed a brief in support of its petition, Hamilton filed a letter brief in response, and the full Commission heard oral argument on August 26, 2013.
¶ 12. On September 4, 2013, Hamilton and Southwire filed a petition to approve a settlement of Hamilton’s indemnity claim only. On September 24, 2013, the Commission approved the settlement. .
¶ 13. The Commission mistakenly believed that the settlement resolved the'issues raised in Hamilton’s motion "to compel medical treatment. Thus, six months later the Commission still had not ruled on the petition for review. Nor had the AJ ruled on Southwire’s motion to reconsider. On March 20, 2014; Hamilton wrote to the full Commission to clarify that the parties’ settlement resolved only the indemnity portion of Hamilton’s claim. Hamilton therefore requested that the full Commission “fast track” its ruling on Southwire’s petition.
¶ 14, On August 21, 2014, the full Commission entered an order affirming in part and reversing in part the AJ’s order. The Commission found “persuasive” Dr. Voh-ra’s opinion that Hamilton no longer needed a spinal stimulator. Accordingly, the Commission reversed the part of the AJ’s order compelling Southwire to approve treatment related to a possible surgical revision of the stimulator. The Commission affirmed the AJ’s order requiring Southwire "to continue páying for medications other than ED medications; however, the Commission also directed South-wire “to authorize treatment ... to assist [Hamilton] in tapering off [those] medications,” and the Commission ruled that Southwire was not required to pay for further treatment by Dr, Vance. Finally, the Commission ruled that Southwire was not required to pay. for Hamilton’s ED medications because there was “no medical evidence” that his need for those drugs Was causally related to his work injury. Hamilton filed a timely notice of appeal from the Commission’s ruling.
DISCUSSION
I. Whether This Court Has Jurisdiction to Decide the Appeal
¶ 15. Before discussing the merits of the appeal, we first address a jurisdictional question on which the Court ordered the parties to file supplemental briefs. Neither party raised the issue, but an appellate court must address issues of jurisdiction on its own motion. See, e.g., Gallagher v. City of Waveland,
¶ 16. The Mississippi Supreme Court has explained that “[t]he Legislature vested full responsibility for the handling of [workers’ compensation claims] in the [Mississippi Workers’ Compensation] Commission.” Walker Mfg. Co. v. Cantrell,
¶ 17. The Supreme Court has observed that “[t]he process and structure [of review by the full Commission of a decision by an AJ] bear a surface similarity to that of trial and appellate court, but this view is factually and legally mistaken.” Id. at 1246. Indeed, the Court has said that such an “analogy is clearly unfounded.” Day-Brite Lighting Div., Emerson Elec. Co. v. Cummings,
¶ 18. Thus, in this case,- the Commission possessed total and complete jurisdiction over Hamilton’s claim “[f]rom the moment of [its] filing.” Id. The Commission never lost jurisdiction to the AJ because the AJ acted only as a “facility” of the Commission itself. Id. Because the Commission maintained jurisdiction throughout, the Commission had authority to enter a final decision in the case regardless of whether the AJ had ruled on South-wire’s motion to reconsider. Stated differently, the Commission had discretion as to whether and when to rule on Southwire’s petition for review. Furthermore, this Court reviews the decision of the Commission, not the AJ. See, e.g., Smith v. Jackson Constr. Co.,
¶ 19. Moreover, Southwire clearly exhausted its administrative remedies by obtaining a final judgment from the Commission. Cf. Harper v. Cal-Maine Foods Inc.,
¶ 20. In addition, we cannot agree with the dissent that the Supreme Court’s decision in Day Detectives Inc. v. Savell,
¶21. Although Saveli establishes that the filing of ⅞ motion to reconsider tolls the twenty-day period for appealing an AJ’s decision, the Supreme Court did not hold or suggest that the pendency of such a motion deprives the full Commission of jurisdiction. As discussed above, the Commission retains full jurisdiction throughout the case, and the Commission also has authority 'to establish its own rules of practice and procedure. Miss. Code Ann. § 71-3-47 (Rev.2011); Barq’s Bottling Co. v. Broussard,
¶ 22.' We also note that Southwire not only clearly advised the full Commission that it had filed both a limited motion to reconsider and a petition for review but also explained why. See supra ¶ 11. This is the approach recommended by a well-known treatise, on Mississippi workers’ compensation law. The treatise’s authors note that a motion to reconsider is- not specifically authorized by statute or rule, so they suggest that “[t]he cautious lawyer will file, in the alternative [to a motion to reconsider], a petition for review by the Commission[.]” Bradley & Thompson, supra, § 6:38. In response to Southwire’s petition, Hamilton never suggested that full Commission review was premature. In fact, as noted above, Hamilton later urged the full Commission to “fast track” a decision on the petition, and he then appealed the full Commission’s decision to this Court. Hamilton first took the position that Southwire’s petition was premature only after this Court .raised the issue in our order requiring supplemental briefs.
II. Whether the Commission’s Decision Is Supported by Substantial Evidence
¶ 23. The Supreme Court has summarized the applicable standard of review as follows:
The standard of review in a workers’ compensation appeal is limited to whether the Commission’s decision is supported by substantial evidence. The ... Commission is the trier and finder of facts in a compensation claim, the findings-of the [AJ] to the contrary notwithstanding. This. Court will reverse an order of the ... Commission only where such order is clearly erroneous and contrary to the overwhelming weight of the evidence.
Lott v. Hudspeth Ctr.,
¶ 24. Furthermore, “[w]here there is conflicting medical testimony, the Commission has the responsibility to apply its expertise and determine which evidence .is more credible.” Washington v. Woodland Vill. Nursing Home,
¶25. Hamilton raises four issues on appeal. The first two may be combined and restated as whether, in denying his request for treatment by Dr. Hoit, the Commission erred by finding the opinions of Dr! Vohra and Dr. Webb more persuasive than the recommendations of his treating physicians. Next, Hamilton challenges the Commission’s rulings that Southwire must pay for treatment, recommended by Dr. Vohra, to assist him in tapering off his pain medications but is not responsible for continued treatment by Dr. Vánce. Hamilton argues that, in combination, these rulings effectively violate his statutory right to select his own physician. Finally, Hamilton argues that the Commission erred by refusing to compel South-wire to pay for erectile dysfunction medications. We address these issues in turn below. Applying our deferential standard of review, we find no reversible error and affirm.
¶26. Hamilton argues that the Commission erred by not compelling Southwire to approve and pay for treatment by Dr. Hoit related to a potential surgical revision of his spinal stimulator. Hamilton quotes and relies on the Supreme Court’s statement in Spann v. Wal-Mart Stores Inc.,
Spann was not given the surgery simply because his treating physician prescribed it, but because the Commission was not presented with any other credible evidence to the contrary. In Spann, the only difference between the two credible opinions [was] that one felt surgery was necessary, and the other thought there-was a 50/50 chance that surgery would be beneficial.
Hardaway Co.,
¶ 27. Here, Dr. Vohra provided a competent medical opinion that the surgery was not needed or causally related to Hamilton’s work injury. The Commission Was entitled to find his opinion credible and persuasive and to deny Hamilton’s motion to compel medical treatment on that basis. See Hardaway Co.,
28. The foregoing discussion provides a sufficient basis on which to affirm the Commission’s- decision,- but we also note that Spann is distinguishable for the additional reason that it involved a disagreement between a treating physician and a non-treating physician as to whether surgery was an effective and advisable course of treatment for what all agreed was a work-related injury. Here, in contrast, Dr. Yohra’s opinion, supported by Dr. Webb’s opinion, was that Hamilton did not have RSD and that his complaints of pain were manifestations of ■ non-work-related psychological issues, not any work-related injury. The Commission was entitled to find Dr. Vohra’s opinion more persuasive than other evidence in the record.
¶ 29. Finally, we note that the medical records submitted by Hamilton in support of his motion to compel simply recommend a course of treatment or prescriptions. Unlike Dr. Yohra’s opinions, these records do not address specifically the question whether Hamilton’s complaints are related to his original compensable injury. For this reason as well, the Commission was entitled to accept Dr. Vohra’s opinions as more persuasive than other evidence in the record.
B. Treatment by Dr. Vance
¶30. The immediately- preceding discussion applies equally to Hamilton’s arguments that the Commission erred by not
¶ 31. We also reject Hamilton’s contention that the Commission’s order deprived him of his right to select his own physician under Mississippi Code Annotated section .71-3-15(1) (Supp.2015). That provision requires the employer to “furnish such medical ... treatment ... as the nature of the injury or the process of recovery may require.” Id. (emphasis added). The Workers’ Compensation, Act does not require “payment for services not needed.” White v. Hattiesburg Cable Co.,
C. Erectile Dysfunction Drugs
¶32. Finally, Hamilton argues that the Commission erred by finding that there was “no medical evidence” that his prescriptions for certain erectile dysfunction drugs were related to his injury. Hamilton claims the Commission ignored Dr. Vance’s answer to his attorney’s letter. However, “[t]he Commission may even refuse to follow the uncontradicted evidence in the record” if there are apparent “reasons for rejecting” it.. Fortune Furniture Mfg. Co. v. Sullivan,
¶ 33. Moreover, as discussed above, there was substantial evidence before the Commission that Hamilton did not have RSD and that his prescription pain medications were not a necessary medical treatment of his original injury. Dr. Vance’s “x” indicates only that Hamilton’s erectile dysfunction was “related to the continued use of’ those same pain medications. If the pain medications were not a necessary medical treatment of the original injury, it necessarily follows that the ED drugs were not either. • Accordingly, Hamilton’s final issue is also without merit.
CONCLUSION
¶ 34. We have jurisdiction over Hamilton’s appeal, and the Commission’s decision is supported by substantial evidence. Accordingly, we affirm.'
¶ 35. THE JUDGMENT OF THE MISSISSIPPI WORKERS’ COMPENSATION COMMISSION IS AFFIRMED. ALL COSTS OF THIS APPEAL ARE ASSESSED TO THE APPELLANT.
. Similarly, if our Supreme Court permits an appeal of an interlocutory order denying sum-maty judgment, it may reverse and render a final judgment in favor of the petitioner.
Dissenting Opinion
dissenting:
¶ 36. Because I would find that the administrative remedies were not fully exhausted, I respectfully dissent. There was not a final, appealable order of the AJ due to Southwire’s pending motion to reconsider. As a result, Southwire’s petition for review to the Commission was premature. Therefore, I would dismiss this appeal for lack of jurisdiction. ' ■
FACTUAL BACKGROUND
¶ 37. On May 10, 2013, the AJ entered an order granting Hamilton’s motion to compel the payment of medical treatment. The AJ ordered Southwire to pay for Hamilton’s evaluation and treatment relating to a possible revision of Hamilton’s spinal stimulator. Specifically, the AJ’s order required Southwire to approve the referral by Dr. Polk to Dr. Hoit for evaluation and treatment related to a possible spinal-stimulator revision. The AJ also ordered Southwire to pay for medications prescribed by Dr. Vance, which included Depakote, Methadone, Lyrica, Baclofen, Celebrex, Provigil, Testim, Cialis, and Sprix.
¶ 38. On May 17, 2013, Southwire filed a motion to reconsider the 'AJ’s order. Southwire argued that it should not have to pay for certain erectile-dysfunction drugs, Cialis and Testim, prescribed to Hamilton by Dr. Vance. Southwire specifically noted in its motion: “[T]his motion is appropriate as additional information was learned following the hearing regarding the matter. As indicated during the hearing, [Southwire] had not previously been made aware that [Hamilton] was 'going to request that the erectile dysfunction be picked up as part of [his] workers’ compensation claim.”
¶ 39. On May 24, 2013, Hamilton filed a response to Southwire’s motion to reconsider arguing that a letter from Dr. Vance, which had been filed, confirmed that these medications were causally related to the work injury. Meanwhile, on May 30, 2013, Southwire filed a petition for review to the Commission. On June 5, 2013, Southwire filed a reply to Hamilton’s response to Southwire’s motion to reconsider. On June 7, 2013, Hamilton submitted a supplemental letter in support of his response to Hamilton’s motion to reconsider. On June 10, 2013, the Commission entered a notice scheduling a hearing before the full Commission on August 26, 2013. The AJ never ruled on Southwire’s pending motion to reconsider. A hearing was held before the. full Commission on August 26, 2013. On August 21, 2014, the Commission affirmed the AJ’s order in part and reversed in part. The Commission remanded the matter to the AJ for further proceedings consistent with its order.
DISCUSSION
¶ 40. Although “[n]either party has raised any jurisdictional issues regarding the finality of the judgment .., this Court has a duty to analyze its jurisdiction to entertain an appeal.” Harper v. Land O’ Lakes Inc.,
¶ 41. This Court, on its own initiative, entered an order requesting that the parties provide supplemental briefing addressing (1) whether all administrative remedies were exhausted before the Commission, including whether the Commission had authority to address the issues raised in Southwire’s motion to reconsider, which was never ruled on by the AJ; and (2) whether this Court has jurisdiction to hear this appeal. The parties submitted supplemental biiefing. After reviewing the briefs and record, I conclude that this
¶ 42. “When the order that is the subject of a [motion] for reconsideration is an [AJ’s] order, the Commission will consider that the [AJ’s] -order is not a final order until the [AJ] has ruled on the [motion] for reconsideration.” John R. Bradley & Linda A. Thompson, Miss. Practice Series: Miss. Workers’ Compensation § 6:38 (2015) (citing Day Detectives Inc. v. Savell, 291 So.2d.716 (Miss.1974)).
¶ 43. Southwire filed a motion to reconsider the AJ’s order entered on May 10, 2013. The AJ never ruled on that motion. Accordingly, the AJ’s order was not a final, appealable-order due to Southwire’s pending motion for reconsideration. See Savell,
We are of the opinion and so hpld that [the] claimant’s motion for the [C]om-mission to withdraw the [AJ’s] order of November 4,. 1970, tolled the running of the twenty-day'time within which a petition for review by the full [Commission' should be filed. There was no final order of the [AJ] from which to appeal until this motion was overruled on February 26,1971.
Id.
¶ 44. The majority opinion would eliminate the need to dispose of the motion to reconsider. However; the supreme court already addréssed this issue in Saveli. Like Saveli, there was not a final, appeal-able order of the AJ from which to appeal until the AJ had ruled on the pending motion to reconsider. Because there was no final, appealable order of the AJ, the petition for review was premature.
.¶45. Southwire argues that its motion to reconsider is now moot because the issue was also presented in its petition for review, which the Commission addressed in its order. The Commission ruled in favor of Southwire’s argument raised in its motion to reconsider, which was rejected by the AJ’s order. However, had the Commission affirmed the AJ’s order in its entirety, Southwire would be in a position to argue that the AJ’s order was not a final, appealable order because of-its unresolved motion.
¶ 46, Southwire also argues that in the interest of judicial economy and in order to prevent greater expense and time, this Court should address all the issues raised in the appellate briefs. At the same time, Southwire described its motion to reconsider as “unnecessary” and “superfluous.” Filing an unnecessary and superfluous motion to reconsider certainly does not promote judicial economy or prevent additional expense and time. Hamilton was compelled to incur greater expense and time by responding to Southwire’s motion to reconsider. Southwire then filed a reply to Hamilton’s response. In turn, Hamilton supplemented his response via a letter to the AJ. I am not persuaded by Southwire’s judicial-economy argument.
¶47. Southwire also clahns it filed a motion to reconsider and petition for review out of an abundance of caution and to avoid waiving the issue on appeal. However, the supreme court has held that filing a motion to reconsider tolls the twenty-day time period to file a petition for review. See Johnston v. Hattiesburg Clinic P.A.,
¶ 48. In general, a party must exhaust the administrative remedies available to him before resorting to the courts for resolution of his dispute. See State v. Beebe,
IRVING, P.J., JOINS THIS OPINION IN PART.
