Mart E. Kobeck v. Murray, Inc.

This workers' compensation appeal has been referred to the Special Workers' Compensation Appeals Panel of the Supreme Court in accordance with Tenn. Code Ann. _ 5-6-225(e)(3) for hearing and reporting to the Supreme Court of findings of fact and conclusions of law. Plaintiff injured his neck at work in October of 1991 and subsequently underwent anterior cervical disc removal, dissection and fusion after which he did not recover. The trial judge found the plaintiff to be 8 percent vocationally impaired as a result of his work injury. We affirm the judgment of the trial court. Plaintiff had worked for Murray, Inc. for 35 years when, on October 21, 1991, he injured his neck on the job while working overhead repairing lawn mowers. The company sent him to see Dr. Norman Henderson, who then referred him to Dr. Rex Arendall, neurosurgeon, on April 1, 1992. Dr. Arendall diagnosed cervico-thoracic radiculopathy and prescribed physical therapy and pain medications, but plaintiff did not improve. On April 23, 1992, Dr. Arendall performed anterior cervical discectomy, anterior cervical fusion and microscopic dissection at C4-5 and C5-6. Post-operatively, plaintiff continued to have increasing pain and weakness in his right arm and shoulder. He also developed loss of balance. Dr. Arendall re-admitted plaintiff for investigation of the continuing symptoms, and MRI of the brain then revealed small areas of infarction. Dr. Arendall referred plaintiff to his medical practice partner and neurologist, Dr. Mary Clinton, for a second opinion, and then to another neurologist, a Dr. Rubinowicz. Neither examiner could find a neurological basis for plaintiff's problems except for the brain infarctions. Dr. Arendall stated that after the second hospitalization, plaintiff "seemed to go progressively downhill." His right arm and hand atrophied. Dr. Arendall thought that plaintiff might be exhibiting early onset symptoms of amyotrophic lateral sclerosis or multiple sclerosis, but there were no objective findings to indicate either disease. On October 21, 1992, Dr. Arendall saw the patient and opined that he was totally and permanently disabled as a result of his medical problems. He opined that 15 percent of the disability was "purely for his work-related findings." Plaintiff testified that for many years prior to his accident, he had worked without missing a day and that he had no prior medical problems that required him to 2