35 S.E.2d 677 | W. Va. | 1945
Claimant, John Johnson, appeals from an order of the Workmen's Compensation Appeal Board affirming an order of the Workmen's Compensation Commissioner, refusing to reopen his case under Code,
On July 10, 1942, claimant was injured in the course of and as a result of his employment in a mine of Lillybrook Coal Company. His injury was first reported as a left inguinal hernia, but later as a right indirect hernia and a left direct hernia. For a time, because he was not considered a good operative risk, he was carried on a total temporary disability basis. Later examining physicians recommended that the hernias could be safely reduced by a radical operation. Claimant, being reluctant to submit thereto, was referred to Dr. Ball of Charleston, who gave him twenty-one injection treatments, commonly known as the ambulatory method of treatment. He was then referred to Dr. Halloran of the Raleigh General Hospital for the purpose of determining whether a cure had been effected by the injections, and for his recommendation as to what degree, if any, of permanent partial disability claimant had. On December 22, 1943, Dr. Halloran reported that he found "bulging in right inguinal region due to general weakness of structures through this area. There is no indirect *39 hernia noted. The ring has become small. The left side presentsa fairly normal appearance, and no hernia noted." (Italics supplied.) The report further showed that "The claimant is suffering with a hypertensive vascular condition, and it is largely because of his physical condition generally that he remains unable to return to work". Dr. Halloran recommended a thirty per cent permanent partial disability rating, but it is to be noted that his finding as to claimant's disability and his recommendation are based upon claimant's physical condition as it appeared to him after the injection treatment had been given. On the basis of Dr. Halloran's report the commissioner, on December 29, 1943, made an award of thirty per cent permanent partial disability. To this finding claimant protested and demanded a hearing. Later he withdrew his request for a hearing, and on January 19, 1944, the commissioner entered an order affirming the award of thirty per cent. The last payment under this award was on October 27, 1944.
On December 9, 1944, a petition for reopening was filed, supported by the report of Dr. R. W. Chambers of Beckley. Dr. Chambers reported that claimant had a far-advanced case of "arterio sclerosis and hypertension which would make him a poor operative risk." This doctor recommended that claimant be paid the maximum amount for "bilateral hernias, as he is totally disabled from doing manual labor due to other physical defects." On December 15, 1944, the commissioner advised claimant, by letter, that he had not made a proper showing for reopening. This letter further advised claimant that "if you do not desire to appeal at this time and desire to present evidence in accordance with Section 1-A, Article 5, Chapter 23 of the Code to the effect that there has been a progression or aggravation in your condition, or submit some fact or facts not considered by the Commissioner in his former findings, such evidence will be carefully reviewed and a further ruling made thereon, if submitted within the statutory period." Later, on *40 March 17, 1945, claimant applied again for reopening and submitted the report of Dr. J. M. Coram of Beckley, dated March 7, 1945. This report stated, in part, that claimant had high systolic and diastolic blood pressure, and that he "is too poor a surgical risk to merit repair of his hernia." The report further stated: "Abdomen: Lower abdomen there are tenderinguinal glands on the left side. Indirect inguinal hernia onthe rt. side which is reducible." (Italics supplied.) On March 22, 1945, the commissioner notified claimant that he had failed to make a proper showing for reopening. An appeal was taken to the appeal board, which affirmed the finding of the commissioner.
This case is governed by the provisions of Code,
"(7) Hernia. — * * * In case the injured employee refuses to undergo the radical operation for the cure of said hernia, no compensation will be allowed during the time such refusal continues. If, however, it is shown that the employee has some chronic disease, or is otherwise in such physical condition that it is considered unsafe for him to undergo such operation, he shall be paid as provided in section six."
Section 6, referred to above, provides for a schedule of compensation. Subsection (c) thereof provides for award for permanent partial disability based on various percentages of disability to total disability; subsection (d) provides a table of percentages of disability, where the injury results in the total loss by severance of the members of the body named in that subdivision; subsection (f) provides: "The award for permanent disabilities intermediate to those fixed by the foregoing schedule and permanent disability of from two per cent to eighty-five per cent shall be in the same proportion and shall be computed and allowed by the commissioner"; and, subsection (g) provides: "The percentage of all *41 permanent disabilities other than those enumerated in subdivisions (c), (d), (e), and (f) of this section shall be determined by the commissioner, using as a basis the loss of an arm at or above the elbow, and award made in accordance with the schedule in subdivision (c)."
In the appraisement of this case we note that Dr. Halloran's report was based upon claimant's condition after claimant had been given the injection treatment. Dr. Halloran did not take into consideration, as provided by Code,
Inasmuch as Code,
For the foregoing reasons the orders of the appeal board and compensation commissioner are reversed.
Reversed.