Claimant appeals from a Workers’ Compensation Board order denying compensation for injuries he received as a result of a fall at work. The issue is whether claimant’s fall was “unexplained” in the sense that the reason for falling is unknown, or whether his fall was “idiopathic,” that is, the reason is known but is personal to claimant rather than work-related. As the Supreme Court pointed out in Phil A. Livesley Co. v. Russ,
Dr. Franks, claimant’s treating physician, determined that claimant had suffered a spontaneous fainting spell but was unable to determine the cause, despite extensive testing. Dr. Franks stated in his February 20, 1981 report: “The etiology of the patient’s fall is in question. It appears to have been associated with a syncopal type episode.” In his June 8, 1981, report he stated further: “I don’t know how it is work-related except that it happened at work.” SAIF denied the claim. The referee, after hearing, found it to be compensable. The Board reversed.
In Phil A. Livesley Co. v. Russ, supra, the claimant was walking down a crowded aisle from his work station to the time-clock to punch out when he fell and broke his hip. There was no evidence that the fall resulted from idiopathic causes; the employer conceded that it was not, but contended that an unexplained fall is not compensable. The court said:
“In the present case, the Court of Appeals agreed with the findings of the Workers’ Compensation Board that the medical reports and lay testimony persuasively eliminated all idiopathic factors of causation. Under the Court of Appeals’ neutral risk analysis, a fall due to idiopathic causes is not compensable; neither is one where it is equally possible that its cause was idiopathic or work-related. However, a truly unexplained fall that occurs on the employer’s premises, during working hours, while the employee is performing required duties is compensable if the employee can eliminate idiopathic causes. We agree.”296 Or at 30 .
In MacKay v. SAIF,
The only evidence, both medical and lay, in this case is that the cause of claimant’s fall was idiopathic, although Dr. Franks was unable to document the cause of claimant’s fainting spell. He stated that claimant had no previous history of passing out, but both of his reports conclude that claimant did faint. There is no medical evidence that he fainted as a result of a risk of his employment. His supervisor stated that, when he told claimant to wait for him, he appeared to be drowsy and was leaning against a pallet load of merchandise.
Unlike Livesley, all idiopathic factors of causation have not been eliminated here. As in MacKay, the most that claimant’s evidence shows is that it was equally possible that the cause of his fall, his fainting spell, was idiopathic as that it was work-related. That is not enough to satisfy
Affirmed.
Notes
When this case was argued, our decision in Phil A. Livesley Co. v. Russ,
