349 S.E.2d 70 | N.C. Ct. App. | 1986
Adolphus HEFFNER, Plaintiff-Employee,
v.
CONE MILLS CORPORATION, Defendant-Employer, and
Lumbermens Mutual Ins. Co., Defendant-Carrier.
Court of Appeals of North Carolina.
*72 Michaels Law Offices by John Alan Jones, Raleigh, for plaintiff-appellant.
Smith, Helms, Mulliss & Moore by J. Donald Cowan, Jr., Greensboro, for defendant-appellee.
EAGLES, Judge.
The plaintiff-appellant makes two basic arguments: (1) that the Commission erred in failing to make specific findings regarding his entitlement to future medical expenses; and (2) that the Commission's findings on the issue of plaintiff's incapacity for work are insufficient.
I
In addressing plaintiff's right to have the defendant pay his medical expenses, the *73 Commission included in its award the following:
2. Defendant shall pay all medical expenses incurred by plaintiff as a result of his occupational disease when bills for same have been submitted to the Commission through the insurance carrier.
The quoted language would allow one reasonably to conclude that plaintiff's future medical expenses were included. However, we agree with the plaintiff that this portion of the award is somewhat ambiguous, that necessary findings of fact on the issue are absent, and that the case should be remanded for clarification.
While the Commission is not required to make findings on each detail of the evidence or each inference which can be drawn from the evidence, its findings of fact must be sufficient to resolve all of the issues the evidence raises. Pardue v. Tire Co., 260 N.C. 413, 132 S.E.2d 747 (1963); Anderson v. Century Data Systems, 71 N.C.App 540, 322 S.E.2d 638, disc. rev. denied, 313 N.C. 327, 327 S.E.2d 887 (1984). G.S. 97-59 requires the Commission to award expenses for future medical treatment to an employee who suffers from an occupational disease for so long as that treatment will either "lessen the period of disability" or "provide needed relief." Smith v. American & Efird Mills, 305 N.C. 507, 290 S.E.2d 634 (1982); G.S. 97-59. The Commission's finding that the plaintiff suffered no incapacity for work, if correct, would obviously preclude them from making any finding on the first grounds. Yet, the Commission, though the plaintiff produced evidence on the issue, failed to find either that further treatment would or would not provide him with "needed relief." For the reasons stated we remand the case for clarification of this finding. Perry v. Furniture Co., 296 N.C. 88, 249 S.E.2d 397 (1978).
We note that the only evidence on the issue of whether future medical treatment would provide needed relief came from Dr. Clinton D. Young. Dr. Young testified that continuing medical treatment would be of "substantial benefit" to the plaintiff. He testified that the most important treatment plaintiff should receive is "bronchodilator" medication which allows the plaintiff to breathe easier. Indeed, Dr. Young had testified earlier that, before bronchodilator treatment, plaintiff had a 50% to 75% impairment of his breathing, but that after the treatment, his impairment dropped into the 25% to 35% range. Undoubtedly, this evidence clearly establishes that continuing medical treatment is reasonably necessary to provide plaintiff with needed relief. Our review of the record discloses no evidence to support a contrary finding.
Defendant argues that Dr. Young's testimony that continuing treatment would be of "substantial benefit" to the plaintiff does not meet the statute's requirement that it provide "needed relief." We disagree. There is nothing talismanic about the phrase "needed relief"; where his testimony is otherwise clear, as here, a medical expert is not required to use those particular words to justify an award for future medical expenses. Dr. Young's choice of words, if anything, clearly exceeds the requirements of G.S. 97-59.
II
The plaintiff next argues that the Commission erred in limiting his compensation to an award for damage to an internal organ under G.S. 97-31(24). Specifically, plaintiff contends that the award was made under a misapprehension of the law and that the Commission's findings are insufficient to determine his entitlement to disability compensation. We agree and remand the case for further consideration and findings as to whether plaintiff may recover compensation under G.S. 97-29 for total disability or under G.S. 97-30 for partial disability.
Whether an employee is disabled within the meaning of G.S. 97-2(9) is a question of law which must be based on findings of fact supported by competent evidence. Peoples v. Cone Mills Corp., 316 N.C. 426, 342 S.E.2d 798 (1986). The test of disability is whether, and to what *74 extent, an employee's earning capacity is impaired. Robinson v. J.P. Stevens, 57 N.C.App. 619, 292 S.E.2d 144 (1982). Here, the Commission concluded that the plaintiff's occupational disease did not result in a loss of capacity to earn wages and found, as fact, that "[p]laintiff has sustained no incapacity for work resulting from his occupational disease." We believe that the latter statement is merely a restatement of the former and that, as conclusions of law, they are based on insufficient findings of fact.
In order for the Commission to award disability compensation, the plaintiff must prove: (1) that he was incapable of earning the same wages he had earned before his injury in the same employment, (2) that he was incapable of earning the same wages he had earned before his injury in any other employment, and (3) that his incapacity was caused by his injury or occupational disease. Hilliard v. Apex Cabinet Co., 305 N.C. 593, 290 S.E.2d 682 (1982). Here, however, the Commission's findings are insufficient to show that plaintiff has failed to meet his burden under Hilliard.
In denying plaintiff's claim for disability compensation, the Commission apparently placed great reliance on its conclusion, which would more appropriately be labeled a finding of fact, that the plaintiff's lack of earnings was due to his desire to retire and the closing of the plant where he was working. In doing so, we believe the Commission acted under a misapprehension of the law. Because disability measures an employee's present ability to earn wages, Webb v. Pauline Knitting Industries, 78 N.C.App. 184, 336 S.E.2d 645 (1985), and is unrelated to a decision to withdraw from the labor force by retirement, the Commission may not deny disability benefits because the claimant retired where there is evidence of diminished earning capacity caused by an occupational disease. So long as the disease has, in some way, diminished the employee's ability to earn wages, he may recover disability compensation. See Preslar v. Cannon Mills Co., 80 N.C.App. 610, 343 S.E.2d 209 (1986) and Donnell v. Cone Mills Corp., 60 N.C.App. 338, 299 S.E.2d 436 (1983). Therefore, the plant's closing and plaintiff's "retirement" may not serve as a basis for denying plaintiff disability compensation.
Similarly, the Commission's other findings are insufficient to support its conclusion that the plaintiff was not disabled. The only findings which relate to the issue were that plaintiff worked the last twelve years without missing any time from work, that plaintiff would have continued to work had the plant not closed, and that the plaintiff felt that he was able to continue working at the time he quit his job. Those findings, however, are not enough to support the Commission's conclusion. Instead, their cumulative effect is to show, albeit indirectly, that plaintiff could have continued to work in the machine shop at the plant. Even if the Commission had made that finding, it would not fully dispose of the disability issue.
Whether an employee is disabled is a broad question which cannot be competently answered by merely stating that the plaintiff was physically capable of continuing in the same kind of work. See Hall v. Chevrolet Co., 263 N.C. 569, 139 S.E.2d 857 (1965) (disability refers not to physical infirmity but to a diminished capacity to earn wages.) Even if plaintiff could have continued to work in his job with the defendant, the plant's closing precluded his doing so. Consequently, his disability must be considered in light of that fact.
In addition, the Commission's findings are inadequate on the issue of plaintiff's capacity to earn wages in other employment. It is axiomatic that the Commission must decide the disability issue based on the particular characteristics of the individual employee. Little v. Food Service, 295 N.C. 527, 246 S.E.2d 743 (1978); Gibson v. Little Cotton Mfg. Co., 73 N.C.App. 143, 325 S.E.2d 698 (1985). This necessitates a consideration of the employee's age, work experience, training, education, and any other factors which might *75 affect his ability to earn wages. Little v. Food Service, supra; Peoples v. Cone Mills, supra. Here, the plaintiff was 65 years old at the time he left his job, had a tenth grade education, and had no other work experience outside of the mill. Further, the evidence indicates that he was subject to certain physical and environmental limitations. The Commission's findings do not indicate that the Commission considered whether, and to what extent, those factors affected his ability to earn wages.
Finally, the defendant has argued that the plaintiff has failed to prove his incapacity for other employment because the evidence shows that he has failed to look for other employment. The Commission, however, did not make a finding to that effect. Furthermore, in Peoples v. Cone Mills, supra, decided after the Commission's decision here, the Court held that the employee can meet his burden by showing that because of his age, education, training, physical and environmental limitations, it would be futile for him to look for other employment. Therefore, the fact that plaintiff failed to look for other employment, if true, would merely create another factual issue for the Commission to decide.
The Commission here failed to make specific findings on the crucial questions which necessarily underlie any conclusion as to whether the claimant has suffered any disability. Accordingly we remand this case for additional findings necessary to support a conclusion on the disability issue and to clarify claimant's entitlement to compensation for future medical expenses.
Reversed and remanded.
WEBB and BECTON, JJ., concur.
