Claim of Bunnell v. Sangerfield Inn
In the Matter of the Claim of John E. Bunnell v. Sangerfield Inn, Workers' Compensation Board
Full Opinion (html_with_citations)
Appeal from a decision of the Workersâ Compensation Board, filed May 12, 2004, which ruled that there had been no change in claimantâs medical condition and denied his application to reopen his workersâ compensation claim.
After sustaining work-related injuries to his back in February 1992, claimant was granted workersâ compensation benefits. In 1998, the Workersâ Compensation Board approved a lump-sum
Pursuant to Workersâ Compensation Law § 15 (5-b), a lump-sum nonschedule adjustment effectively closes the claim unless the Board finds proof âthat there has been a change in condition or in the degree of disability of claimant not found in the medical evidence and, therefore, not contemplated at the time of the adjustmentâ (see Matter of Babalola v Olsten Temporary Staffing Corp., 8 AD3d 917, 917-918 [2004], lv dismissed 3 NY3d 752 [2004]). Here, while claimantâs treating orthopedic surgeon testified that in February 2002 claimantâs symptoms were âworse and were slightly different than they had been before,â he also testified that claimantâs back pain was due to degenerative changes that were progressive in nature, that a worsening of his condition would have been anticipated at the time of the settlement, that depression was a common consequence of such an injury and that, prior to the settlement, he had contemplated that claimant would suffer from clinical depression. The physician testifying on behalf of the State Insurance Fund also opined that claimant had degenerative disc disease and that there had been no significant change between claimantâs 1996 MRI and his 2002 MRI, and no change in his medical condition that was not contemplated at the time of the lump-sum settlement.
Although claimant submitted other medical reports and opinions, including a January 2003 psychiatristâs report diagnosing him with, among other things, a pain disorder associated with both psychological factors and a general medical condition, it is within the province of the Board to resolve conflicting medical evidence (see Matter of Casiano v CCIP/Union Settlement Home Care, 19 AD3d 719, 721 [2005]). In doing so, âthe Board may selectively adopt or reject portions of a medical expertâs testimonyâ (Matter of Grucza v Waste Stream Tech., 252 AD2d 901, 903 [1998]). Even where the evidence might be sufficient
Peters, J.P, Rose, Lahtinen and Kane, JJ., concur. Ordered that the decision is affirmed, without costs.