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St. Luke's Midland Regional Medical Center v. Kennedy
653 N.W.2d 880
S.D.
2002
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*1 brоught and claims could be third-party viable, perforce cannot Carstensen

still be evidence that all satisfactory [law “furnish paid, ... have been dis obligations ful] that, It follows ac charged, or waived.” contract, Mid- cording to the terms payment withhold Carsten- may Dakota M’s outstanding claims of J & sen until the dis paid, in fact been suppliers have chargеd, or waived.8 Reversed. GILBERTSON, Justice, Chief Justices, SABERS, ZINTER, and and and Justice, AMUNDSON, Retired concur. 2002 SD 137 MIDLAND LUKE’S REGIONAL ST. CENTER, Avera St. MEDICAL n/k/a Presentation Sisters Trust, Em- Workers’ ployer, Appellees, Insurer and

Maty KENNEDY, Claimant Beth Appellant. 22223, 22224.

Nos. Dakota. Supreme Court of South May Argued 13, 2002. Decided Nov. work, Mid-Dakota, Carstensen, among sup- in connection with the second-tier la- suppliers may borers and enforce the contrаct carte giving pliers. suppliers We are not party N.W. at 452. as third beneficiaries. blanche they obtain whatever demand. As attorney argued for Mid-Dakota before true, asserts, It as Carstensen court, duty the circuit it was Carstensen's suppli- by & some of the costs claimed J M’s pay "anything [supplies, under 6.1 to legitimately were in- ers as reimbursable not labor, incorporated ‍‌‌‌​​‌​​‌​‌​​‌‌​‌​‌​‌​​​‌​​​‌​​​​‌​‌​‌​‌​​‌​​​​‌‍pro- that was in the etc.] Disagreements curred. over these matters subject ject.” properly of further resolution *2 McKnight

Michael and Lisa Hansen S. Boyce, Murphy, McDowell & Marso Dakota, Falls, Greenfield. Sioux South Attorneys appel- insurer and employer, lees. Fuller, Shultz, Woods,

J.G. Shultz of & Falls, Dakota, Attor- South Smith. Sioux neys appellant. for claimant and WALD, Judge. Circuit VON (Kennedy) Mary Kennedy Beth reversing judgment a circuit court appeals compensation an award workers’ bene- Dakota De- Kennedy by fits to the South (DOL). Avera St. partment of Labor Regional Medical Center Luke’s Midland (St.Luke’s) review. filed a notice of We reverse.

FACTS time initiated At proceedings, she

workers’ Falls Memo- as a nurse with employed was Falls, Minne- in International Hospital rial sota. This casе stems from Minnesota In late moved to Falls, compensation hearing workers’ which International Minnesota with her family. denied benefits because her inabil- Her employer, Hospital, was was ity directly caused an aware of to work her to latex. *3 allergic that occurred while she was em- next suffered January reactions on 22, 21, ployed by St. Luke’s Aberdeen. 1997 and March 1997 followed 31, closely by another on March 1997. Kennedy history allergic has a The January reaction occurred at her pollens reactions to and animal danders home and the two reactions in March oc- a history and of childhood eczema and at curred International Hospital. allergies. diag- various food She was first Kennedy has not returned to work since allergy August nosed with a latex her last reaction in March 1997. After employed while Luke’s. After the St. reactions, sought these the advice»of diagnosis, treating physician her informed allergists who stay away instructed her to Kennedy that she should avoid contact from aerosolized latex and to remаin in a with all products. physician latex latex-free environment. They further ad- advising wrote a letter to St. Luke’s vised that these reactions are so life- Kennedy allergy had a severe latex and threatening that stay she should within prod- should avoid all contact with latex driving distance emergency medical fa- responded giving ucts. St. Luke’s Ken- cilities. nedy gloves. Kennedy non-latex was un- aware severity of her or that It episodes was after these particles may latex Kennedy pursued become airborne. a workers’ claim in Minnesota. The claim was de- Although employed by St. Luke’s Expert nied. testimony from the Minne- nurse, allergic had no reac- sota hearings Kennedy’s on claim placed August tiоns to latex between 1994 and of her allergic cause severe July during 1996. On an obstet- injury. initial According to all of the c-section, ric emergency Kennedy pulled a experts, return,” “point of no injury, glove latex glove over her non-latex occurred at the time of Kennedy’s first avoid contact. opening blood While anaphylactic in July reaction 1996 at St. gloves, Kennedy latex came into contact point, Luke’s. At reactivity her with a large amount of airborne latex dust permanently threshold was lowered mean- particles that partially were caused ing that a smaller pro- dose of latex will powder that the used inside manufacturers response. duce a It was after the denial gloves. Shortly taking after the e- claim by her the Minnesota Workers’ room, baby delivery section out of the Board that decid- anaphylactic1 suffered an acute ed to a claim against make St. Luke’s for reaction, required emergency and permanent and total benefits anaphylactic attention. This was her first upon in July 1996. reаction allergy. from her latex Luke’s St. paid the related Kennedy’s medical bills and workers’ compensa- workers’ compensation claims and the file was against tion case brought St. Luke’s was 5,1996. closed on November before hearing DOL. A was held on De- ' sudden, "[A]naphylactic 1. foreign shock. A [allergen] pre- severe to a substance after а and sometimes fatal reaction marked liminary exposure.” Heritage The American urticaria, by sharp drop pressure, in blood (3d 1997). College Dictionary, 48 ed breathing and by exposure difficulties caused the actions of a decision issue is a DOL issued cember fully agency reviewable.” Id. of fact on June Hyman Freightways, law on June 2000. DOL Loewen v. conclusions Inc., total disabil- Kennedy permanent awarded 62-1-1(7). 766). findings, reviewing agency St. When benefits under SDCL

ity reverse, if, only decision to the circuit we “will after careful appealed that record, issued on October review of the entire we are defi- court. A nitely firmly the fact that convinced mistake It affirmed (citation omitted). disease, has been mаde.” Id. condition was by ruling reversed DOL however it Center, Healthcare Mary’s Gordon v. St. caused disease was not *4 the ¶ 130, 16, 2000 SD 617 N.W.2d by ruling decision It also reversed DOL’s in notice SDCL that the statutes ONE ISSUE general the applied and 13 over 62-8-29 Kennedy’s allergic Was reac- 62-7-10, thereby pre- statutes in notice inju- compensable a tion ‍‌‌‌​​‌​​‌​‌​​‌‌​‌​‌​‌​​​‌​​​‌​​​​‌​‌​‌​‌​​‌​​​​‌‍compensa- award of workers’ cluding the 62-1-K7)?2 ry under SDCL Kennedy appeals that Kennedy. tion to by Luke’s raises two issues decision. St. Determining whether of review. notice compensable injury reaction is a impression a matter of first for this Court. REVIEW

STANDARD OF a concluded that in standard of review work- 8.] Our injury under 62-1- compensable compensation cases is well settled. ers’ l(7)(b), preexisting holding she had which, cаses, with latex allergies this when combined compensation In workers’ work, produced anaphylactic the shock and gives great weight to Court consequences factual the thereof. DOL decided inferences made DOL on ongoing was and was Wagaman v. Sioux questions. Const., ina ¶12, major Kennedy’s present the cause of SD 576 N.W.2d a matter of the bility R to work. As (citing Sopko C & Transfer Co., Inc., circuit court reversed DOL’s 225). 1-26-37, holding the had an when “Under SDCL properly failed to then the clear- disease for which she issue is a of fact and that she could not recover applied give standard is to the notice ly erroneous however, benefits. when the workers’ agency’s findings; 62-1-1(7) disability, impairment, or need for treаt- provides: 2. SDCL ment, complained com- the of is condition (7) "personal injury,” only inju- "Injury” or employment employment pensable if the or arising ry out of and in the course of injury major con- related is and remains employment, and does not include a disease disability, tributing impair- cause of except any form as it results from ment, or need for treatment. injury. injury compensable only if it An (c)If preex- injury with a combines evidence, subject is established medical compensable injury, isting related work following to the conditions: subsequent disability, impairment, or (a) compensable em- injury is unless the No subsequent injury compensable if the employment activities ployment or related subsequent employment employment or contributing major cause of the condi- independent- of; related activities contributed complained tion ly disability, impairment, or need (b) to the preexist- injury combines with a If prolong ing for treatment. disease or condition to cause allergists In that who testified the claimant was faced with July 1996 agreed exposure that the was symptomology increased associated with no return” for “point workplace. latex in the Her doctors ad- major was the contrib that this permanently partially vised she was disability. of her Since that uting cause workplace disabled because her could not major to latex is now a point, any exposure be made latex-free. Kеnnedy. Is life or death situation Although Kennedy in South Dakota? this reaction was, predisposed her allergy to no in compares this to back Claimant doubt, suffering from the disease of latex

juries disease where the cause or heart allergy, injury may preex occur when a occasion, linked to one but a cannot be isting employee disease makes an more leading up to of occasions the disabl series susceptible to a work-related As history Dakota has a ing injury. South stated in Court Elmstrand v. G. & G. claimants, awarding compensation Rug Company, & Furniture 77 S.D. though they prove any specific cannot (1958): trauma, they prove history if In so far as the pre-existing condition is body that occurs the normal course *5 employee concerned must take the as employment. e.g. See Caldwell v. John we find him. If a compensable event (S.D.1992) Co., Morrell & 489 N.W.2d 353 disability, contributed to the final recov- (man compensated for back condition with ery may not be denied ‍‌‌‌​​‌​​‌​‌​​‌‌​‌​‌​‌​​​‌​​​‌​​​​‌​‌​‌​‌​​‌​​​​‌‍because of the incident); out a work Sudrla v. condition, pre-existing though such Materials, Asphalt & Commercial 465 condition was the immediate cause of (S.D.1991).3In Kiman v. N.W.2d 620 Da disability. (S.D. Hosp., kota Midland 331 72 N.W.2d 1983), compensated this Court a man who Again, in Hendrix v. Graham Tire 520 a heart attack at work. See also (S.D.1994), N.W.2d 879 this de- Court Winner, Baptist Hosp. Westergren v. preexisting termined that conditions are (carpal 1996 SD 549 N.W.2d 390 tunnel not an disqualification automatic for work- syndrome). However, compensation. ers’ an injury is alwаys a question of fact to be determined This Court also look to oth- Department upon evidence guidance er state courts for on the issue of testimony. allergic inju- reaction as an classifying ry. Recently, Hosp. in Luke’s v. A Gray, pre-existing St. medical infir- condition or (Iowa 2000), mity 604 N.W.2d 646 the Iowa disqualify does not a claim under Supreme that a “arising Court ruled nurse suffer- out of employment” require- a ing allergy employment from latex was entitled to ment if the aggravated, ac- celerated, coverage for a work-related rather or combined with the condi- occupational infirmity than an disease. Id. at 650. or produce disability tion Sudrla, observed: Hosp., In Court ment. Kiman v. Dakota Midland (S.D. 1983); Larson, 74 1A requires South Dakota law further a show Compensation, The Law Workmen's Sec. employment ing contributing be a fac 12.26, (1985); at 3-348.71 Harden v. S.D. injuty tor in the suffered. It must be estab Inc., League, Credit Union 87 [injury] S.D. 209 brought lished that on (1973); Dairy N.W.2d 665 Oviatt v. Oviatt strain or overexertion incident to the em Inc., (1963). ployment, though the exertion 80 S.D. or strain Sudrla, (emphasis origi- need not be unusual or other than that 465 N.W.2d at 621 nal). occurring employ in the normal course of second-guess will not This Court sought. is which they factual of DOL unless Transportation, Dept. Guthmiller Gordon, (S.D.1993) (Sabers, supra. clearly erroneous. 586, 590 Larson, found that the re- Work J., dissenting) “ 12.25.) closely recognized action 1996 was more ‘Whether Comp. men’s accelerated, inju- workplace injury a rather than aggravated, employment The occupational to an disease. ry due internal weakness with the combined at the time of became produce disease disease, but on fact, finding occupational and a not question just aggra- that was based was still by [Department] condition point fact on this workplace. events at the ... not vated testimony will аny on ” clearly are not erroneous findings of DOL Id. appeal.’ on disturbed not barred because of the and this Hendrix, N.W.2d at 879. statutes, disease SDCL ch factual made a 14.] DOL 62-8. reaction of significant allergic Kennedy’s injury under compensable July 1996 was THREE ISSUE 62-1-1(7) causing subsequent all subsequent Does to latex. This deci- anaphylactic hospital bar at the Minnesota on solid legally sound and based sion was against her claim St. Luke’s? ruling is not DOL’s medical evidence. we ad The last issue be dis- and will not clearly erroneous notice of its dress is St. turbed. predicated The answer review. *6 injurious exposure Dakota’s last South ISSUE TWO adopted this rule rule. South Dakota Kennedy’s allergy an Occu- Is [¶ injuries. dealing when with successive by pationаl ch Disease as defined “ rule, disability devel ‘[w]hen Under the 62-8? as a result gradually, or when it comes ops accidents, insurance the succession found that 16.] DOL time of the covering the risk at the carrier allergy might indeed be bearing a injury recent most prev more latex disease because usually disability to the causal relation Being di industry.4 alent in the medical ” En compensation.’ for the entire liable would decrease with this condition agnosed ¶70, 12, FMC, N.W.2d 1997 565 ger v. SD in the finding employment the chances 79, Morrell & (quoting Schuck v. John 83 However, upon the field. medical (S.D.1995)) 894, ‍‌‌‌​​‌​​‌​‌​​‌‌​‌​‌​‌​​​‌​​​‌​​​​‌​‌​‌​‌​​‌​​​​‌‍Co., 900 N.W.2d 529 Kennedy’s allergy was experts, Son, Grossenburg & 89 ovak C.J. N have been threatening and could not life 464-65 S.D. At up until 1996. controlled (1975)). time, latex at St Kennedy’s exposurе to Truck Ins. In recent case of the longer can no great was so ¶¶ 17-18, CNA, Exchange v. 2001 SD experts products. latex The exposed to 705, 709, N.W.2d 705. 624 N.W.2d irreversible. this condition as diagnosed determining the criteria for un reiterated injury, Kennedy was At the time of injury is a succes the last known whether dangers of this illness. aware of the allergy. latex suffers from the health- care workforce to 4. Studies reveal 17% 6% injury 1) sive or a recurrence original of the evidence must show: there have been injury: persistent symptoms of injury; the 2) injurious no application indepen

The of the last ex- incident that can posure dently explain rule a particular claim is based the second onset of on a symptoms. factual detеrmination: whether the Id. injury Because an is a condition, injury subjective successive is mere expert recurrence opinion is or an independent aggravation required to establish a causal connection first between the incident injury and dis ability. Day cases, v. John injury In Morrell & original successive the (S.D.1992). N.W.2d employer/insurer if remains liable injury second is a mere recurrence of ¶ Track Exchange, Ins. 2001 SD 46 at If injury first. the second is an 624 at N.W.2d 709. aggravation indepen- that contributes According guidelines dently disability to the final then the Court, set clearly was not subsequent employer/insurer is liable. erroneous in its factual determination that Schuck, 529 N.W.2d at 900. Hospital Minnesota meaning distinction between the did not independently contribute to the concepts gray. these two Enger v. final Kennedy. In EMC, stead, these “ reactions were caused injury ‘If the second takes the injury at St. Luke’s and were recurrences. first, merely form of a recurrence of the cases, “In injury successive original and if the second incident does not con- employer/insurer remains liable if the sec tributе slightly to the causation ond ais mere recurrence of the condition, disabling the insurer on Schuck, first.” original the risk at the time of the remains liable for the second.’” Id. CONCLUSION Larson,

(quoting 9 Arthur Larson’s 95.23.) Workmen’s Law [¶ 23.] Because essentially this case turns on determination, ‍‌‌‌​​‌​​‌​‌​​‌‌​‌​‌​‌​​​‌​​​‌​​​​‌​‌​‌​‌​​‌​​​​‌‍a factual DOL’s was un- ruling will stand unless clearly erroneous. aware after the first she would *7 Nothing in the record indicates that is the prone to more allergic reactions. Medi- Therefore, case. the findings and conclu- cal testimony indicated the cause of sions of DOL are affirmed judg- and the the subsequent reactions in Minnesota was ment of the circuit court is reversed. directly linked to the reaction at St. determination, Luke’s. To make such a

this court guidelines: has set out GILBERTSON, Justice, Chief KONENKAMP, Justice,

To determine that an ag MILLER, Justice, gravation of Retired prior episode, concur. the evi 1) dence must show: second AMUNDSON, Justice, Retired jurisdiction; term is used in this dissents. 2) this second contribut ed independently to the final disability. WALD, VON [¶26.] Circuit Judge, for Paulson v. Packing Black Hills SABERS, Justice, disqualified. To determine that episode MILLER, second Retired for Justice was a ZINTER, of the prior injury Justice, recurrence disqualified. (dissent- ap- for AMUNDSON, meaningful In order Retired Justice review, Findings the circuit court’s ing). pellate must be Fact and Conclusions of Law we appeals, In administrative 28.] [¶ our deci- record before can render be a in order for there to held that have Therefore, I case would remand this sion. the tri where meaningful appellate review Fact Findings that the circuit court’s so reversed the administrative has al court decision, Law incorporat- Fact and can be Findings of and Conclusions agency’s Law must be entered Find- into the record. the event no Conclusions ed Dep’t Schroeder v. Soc. trial court. Fact and of Lаw ings of Conclusions have (S.D.1995). Serv., 529 N.W.2d necessary it is that such be prepared been meaningful that this review completed so reveals A review of this record be made this Court. signed Order Nov. circuit court circuit court which states Findings of Fact and Conclu- its

entered setting forth its rationale of Law sions Department’s Findings of reversal June signed of Law Fact and Conclusions The record does not contain Law Fact and Findings of Conclusions in the circuit court’s Order. as mentioned

Case Details

Case Name: St. Luke's Midland Regional Medical Center v. Kennedy
Court Name: South Dakota Supreme Court
Date Published: Nov 13, 2002
Citation: 653 N.W.2d 880
Docket Number: None
Court Abbreviation: S.D.
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