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  "name": "BENJAMIN FIERKE, Appellant, v. THE INDUSTRIAL COMMISSION et al. (Transport Service, Inc., Appellee.)",
  "name_abbreviation": "Fierke v. Industrial Commission",
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    "parties": [
      "BENJAMIN FIERKE, Appellant, v. THE INDUSTRIAL COMMISSION et al. (Transport Service, Inc., Appellee.)"
    ],
    "opinions": [
      {
        "text": "JUSTICE RARICK\ndelivered the opinion of the court:\nClaimant, Benjamin Fierke, sought benefits pursuant to the Workers\u2019 Compensation Act (Act) (820 ILCS 305/1 et seq. (West 1992)) for injuries allegedly sustained while in the employ of Transport Service, Inc., employer. The arbitrator determined claimant\u2019s injuries arose out of and in the course of his employment and awarded 24/? weeks of temporary total disability, medical expenses and 38 weeks of permanent partial disability. On review, the Industrial Commission (Commission) reversed the decision of the arbitrator finding no causal connection between claimant\u2019s condition of ill-being and his employment. The circuit court of Will County confirmed the decision of the Commission. Claimant appeals, contending the decision of the Commission, as confirmed by the circuit court of Will County, is against the manifest weight of the evidence. We agree.\nClaimant worked for employer as a commercial tank truck driver. Claimant mainly drove local routes but once a week made long runs to either Indiana, Michigan, Wisconsin or Minnesota. He worked between 50 and 80 hours per week, spending between 30 and 35 hours a week driving. The balance of his work time was spent filling and emptying the tanker. While driving, claimant used his right hand to shift gears. At the time of arbitration claimant had worked for employer some 24 years.\nIn the fall of 1992, claimant noticed that while driving his right hand would go completely numb. At night his hand would become so numb or so painful that he could not sleep. During a doctor\u2019s visit for an unrelated problem on September 18, 1992, claimant complained of his problems with his right hand. On September 22, 1992, claimant underwent an electromyogram nerve conduction test (EMC), which revealed median nerve entrapment or carpal tunnel syndrome. On September 25, claimant was again examined by Dr. Augustin for the unrelated medical problem. According to the doctor\u2019s office notes, claimant argued with the doctor that his unrelated problem was work related. The doctor disagreed. At the end of the notes for that day, Dr. Augustin commented: \u201cPlan \u2014 Refer to Ortho. M.D. for carpal tunnel synd.\u201d Directly under this comment is written and circled: \u201cThis is related to work directly \u2014 under Workmen\u2019s Comp.\u201d Claimant was next examined by Dr. Loughran, who recommended surgical release of the carpal tunnel. Employer then requested that claimant be examined by another physician, Dr. Shermer, in October 1992. Dr. Shermer agreed that claimant had carpal tunnel syndrome and needed surgery. In his report, Dr. Shermer noted: \u201cThe relationship to [claimant\u2019s] work duties is not clear, although the theory of cumulative and repetitive stress, over a period of time, has been used to link these conditions of trauma at work.\u201d Surgery was ultimately performed on June 3, 1993, by Dr. Loughran. Claimant returned to full duty without restrictions on June 21, 1993. Claimant testified he still experiences pain and numbness in his hand although reduced. He further reported reduced strength over all and intermittent pain at night and when shifting the truck.\nClaimant\u2019s examining physician, Dr. Charles Carroll, \u201ca renowned hand specialist,\u201d found evidence of industrial impairment. As to causation, he noted Dr. Augustin\u2019s comments that claimant\u2019s carpal tunnel syndrome was related to his occupation. Dr. Carroll did not challenge or otherwise contradict this opinion.\nEmployer presented some evidence through cross-examination of claimant that he had done some remodeling work on five rooms of his house in and prior to 1992 consisting primarily of painting and trim work.\nThe arbitrator concluded claimant\u2019s repetitive trauma accident arose out of and in the course of his employment and awarded benefits. The Commission, with one dissent, concluded otherwise and reversed the decision of the arbitrator. The Commission specifically stated:\n\u201cA key element to proving a repetitive trauma theory is producing clear and detailed evidence of the manner and means in which the work activities alleged to have constituted the repetitive trauma were performed. It does not appear from the record that the Petitioner presented a clear and detailed evidence of the manner and means in which the work activities alleged to have constituted the repetitive trauma were performed. The Petitioner merely stated that shifting gears was the cause of his carpal tunnel syndrome. He did not describe the pressure needed to shift the gears, how long the gears had to be held, how often he shifted the gears in an eight hour day, any vibration caused by the gear shift, etc. Additionally, the medical evidence presented did not include any opinion from any provider that the Petitioner\u2019s carpal tunnel syndrome was causally related to his occupation. In a repetitive trauma *** case, there must be a showing that the injury is work related and not the result of the normal degenerative aging process.\u201d\nNunn v. Industrial Comm\u2019n, 157 Ill. App. 3d 470, 510 N.E.2d 502 (1987).\nIt is the province of the Commission to weigh and resolve conflicts in the evidence and to choose among conflicting inferences therefrom. Dexheimer v. Industrial Comm\u2019n, 202 Ill. App. 3d 437, 442, 559 N.E.2d 1034, 1037 (1990). Only when the decision of the Commission is without substantial foundation in the evidence or its findings are against the manifest weight of the evidence should the Commission\u2019s decision be set aside. 202 Ill. App. 3d at 442-43, 559 N.E.2d at 1037. While we are reluctant to set aside a Commission decision on a factual question, we must not hesitate to do so when the clearly evident, plain and indisputable weight of the evidence compels an apparent, opposite conclusion. Montgomery Elevator Co. v. Industrial Comm\u2019n, 244 Ill. App. 3d 563, 567, 613 N.E.2d 822, 825 (1993). An opposite conclusion is apparent in this instance, and, accordingly, we must reverse the decision of the Commission.\nUnder the Act, compensation may be awarded for a claimant\u2019s condition of ill-being even though the conditions of his or her employment do not constitute the sole, or even the principal, cause of injury. Lasley Construction Co. v. Industrial Comm\u2019n, 274 Ill. App. 3d 890, 893, 655 N.E.2d 5, 8 (1995); Teska v. Industrial Comm\u2019n, 266 Ill. App. 3d 740, 742, 640 N.E.2d 1, 3 (1994). In order to constitute an accidental injury within the meaning of the Act, the claimant need only show that some act or phase of the employment was a causative factor of the resulting injury. Teska, 266 Ill. App. 3d at 742, 640 N.E.2d at 3; Mendota Township High School v. Industrial Comm\u2019n, 243 Ill. App. 3d 834, 837, 612 N.E.2d 77, 79 (1993). Additionally, an injury is considered accidental even though it develops gradually over a period of time as a result of a repetitive trauma, without requiring complete dysfunction, if it is caused by the performance of claimant\u2019s job. Cassens Transport Co. v. Industrial Comm\u2019n, 262 Ill. App. 3d 324, 330, 633 N.E.2d 1344, 1348 (1994). A nonemployment-related factor that is a contributing cause with the compensable injury in an ensuing injury does not break the causal connection between the employment and claimant\u2019s condition of ill-being. Teska, 266 Ill. App. 3d at 742, 640 N.E.2d at 3. See also International Vermiculite Co. v. Industrial Comm\u2019n, 77 Ill. 2d 1, 4, 394 N.E.2d 1166, 1167 (1979). The fact that other incidents, whether work related or not, may have aggravated claimant\u2019s condition is irrelevant. Lasley Construction, 274 Ill. App. 3d at 893, 655 N.E.2d at 8.\nAt the time of the accident, claimant had worked for employer over 20 years as a truck driver. Claimant spent some 30 to 35 hours of each work week driving, and the majority of his driving was done locally. Claimant testified he used his right hand continuously to shift, help steer the truck and operate various ancillary hydraulic equipment on the vehicle. He also testified his symptoms worsened in proportion to the amount of time spent operating the truck. He had had no prior injuries to his right arm or hand, but by the fall of 1992, claimant testified his right hand often would go completely numb while driving. At night his hand would become so painful or numb that he could not sleep. His treating doctor noted in claimant\u2019s treatment reports that claimant\u2019s\u2019 carpal tunnel syndrome was directly related to work. Dr. Carroll, the renowned hand specialist who examined claimant, restated this conclusion without comment or contradiction. It would therefore appear, as the arbitrator concluded, that claimant\u2019s condition of ill-being was causally connected to his employment. The Commission, however, found fault with the fact that causation was not directly established by any of the medical evidence. Ignoring the treating doctor\u2019s notes, there is no requirement that there be any doctor\u2019s testimony to establish causation when the record contains medical evidence consistent with claimant\u2019s testimony and the findings of the treating doctor. See Gubser v. Industrial Comm\u2019n, 42 Ill. 2d 559, 564, 248 N.E.2d 75, 78 (1969).\nIn denying claimant benefits, the Commission also pointed to the fact that claimant did remodeling work on his home. The evidence as to how much time, when and what exactly claimant did during these projects is scanty at best. Even if these tasks combined with claimant\u2019s job duties resulted in his present condition of ill-being, claimant is still entitled to compensation. Again, claimant must only prove that some act or phase of his employment was a causative factor, not the sole cause of injury. Clearly claimant met his burden. The quantitative proof improperly demanded by the Commission as to the repetitive n\u00e1ture of claimant\u2019s employment was more than the Commission required of the evidence it relied upon to conclude claimant\u2019s symptoms arose from his home remodeling activities. See Darling v. Industrial Comm\u2019n, 176 Ill. App. 3d 186, 194-95, 530 N.E.2d 1135, 1141-42 (1988). The record before us simply does not support the Commission\u2019s conclusion. We therefore conclude the decision of the Commission is against the manifest weight of the evidence.\nFor the aforementioned reasons, we reverse the decision of the Commission, as confirmed by the circuit court, and further reinstate the decision of the arbitrator.\nReversed.\nRAKOWSKI, COLWELL, and HOLDRIDGE, JJ., concur.",
        "type": "majority",
        "author": "JUSTICE RARICK"
      },
      {
        "text": "PRESIDING JUSTICE McCULLOUGH,\ndissenting:\n\u25a0 I disagree with the majority\u2019s decision, which reversed the trial court\u2019s order confirming the Commission\u2019s decision.\nThis case is not about whether claimant had carpel tunnel syndrome. All of the doctors agree that claimant did have carpal tunnel. What this case is about is whether the Commission\u2019s decision finding \u201cthat he failed to prove this current condition of ill-being is causally related[,] *** arising out of and in the course of the Petitioner\u2019s employment.\u201d\nThe majority cites Dexheimer in support of overturning the Commission\u2019s decision. Dexheimer makes it clear that \u201ca reviewing court will not discard the findings of the Commission, even though it might have decided differently on the same facts, unless such findings are contrary to the manifest weight of the evidence.\u201d Dexheimer, 202 Ill. App. 3d at 443, 559 N.E.2d at 1037.\nThe majority relies on an entry of Dr. Augustin, September 25, 1992, \u201cThis is related directly under Workmen\u2019s Comp.\u201d There is nothing in that entry concerning an examination and claimant was simply referred to an \u201cOrtho-MD.\u201d As pointed out by the majority, the entry above these statements is \u201cStill wants to argue that his rt. inguinal hernia exacerbation, was mainly caused by his work.\u201d\nThe majority also states that Dr. Carroll did not challenge Dr. Au-gustin\u2019s comments that claimant\u2019s carpal tunnel syndrome was related to his occupation. I respectfully suggest that this statement by the majority is incorrect for two reasons. First, Dr. Augustin did not examine claimant as to any carpal tunnel syndrome and, second, Dr. Carroll\u2019s report does not make any reference to Dr. Augustin.\nWith respect to the medical reports, Dr. Loughran, by entry of September 20, 1993, states: \u201cPatient was just examined by me 9/28/93 and gave a history of carpal tunnel syndrome for the past few mo. He gave no specific date of injury, nor stated any work related accident at that time. Nothing was documented at that time as to any injury.\u201d\nA prior entry of June 12, 1993, states: \u201cHere for evaluation of carpal tunnel. Needs professional opinion as to whether condition is work related or not.\u201d\nIn reviewing the report of Dr. Carroll, he stated in his report in part:\n\u201cThe patient has undergone appropriate care for right carpal tunnel syndrome. He has reached maximum medical improvement. Treatment has been appropriate. He has some mild residual subjective symptoms and minimal evidence of continued median nerve irritation on examination. He. has reached maximum medical improvement. There is evidence of industrial impairment. He has been released to full duty and should remain working at a normal level. On a note in the chart it was determined that this was directly related to his occupation. No follow up was coordinated. His diagnosis is right carpal tunnel syndrome and his prognosis is good.\u201d\nIn the report of Dr. Shermer with respect to the history given as to the claimant:\n\u201cThe patient is fifty-nine years old.\nThe patient states that he works as a driver and states that he has a problem with the right wrist and hand which have been going numb with considerable pain involving the wrist, going up the arm to the shoulder. The patient states that this problem has been present for approximately eight months, but in the past couple of months the symptoms have become progressively worse. The patient states that the problem has awakened him at night. He did see a Union Health Clinic and the patient was referred for electro-myogram. The patient states that he was told that he had a carpal tunnel syndrome and required surgery.\u201d\nThe date of this report is October 15, 1992. Dr. Shermer\u2019s report shows no other history and nothing with respect to the job duties of the claimant.\nWith respect to a right wrist and hand examination, Shermer stated:\n\u201cThe right wrist contours are normal. There is no thickening present.\nThe patient is able to flex the right wrist to 80\u00b0. Pronation, supi-nation, radial and ulnar deviation are intact.\nThenar and hypothenar muscles are intact. The skin is well callused for both hands. The patient does have a significant positive Tinel sign. The Phalen sign is questionably positive.\nThe patient does have intact sensation for all digits. He does note a variable diminished sensation to pinwheel and touch over the palmar aspect of the hand, involving primarily the thumb, index and long fingers.\nThe grasp strength, however, is quite good for the right hand, with the fingers closing completely into the palm and resisting opening. Finger abductor and adductor strength remains intact and thumb pinch is excellent.\nThe wrist circumference measures 7\u201d on the left and 7\u201d on the right.\nThe left wrist shows the same excursion levels. Grasp strength is excellent for the left hand. The Tinel and Phalen signs are negative.\u201d\nIt is significant to note that in Dr. Shermer\u2019s summation as to disability he states as follows:\n\u201cThe relationship to his work duties is not clear, although the theory of cumulative and repetitive stress, over a period of time, has been used to link these conditions and trauma at work.\u201d\nThe Commission\u2019s findings with respect to the medical records of Shermer, Loughran, and Carroll are correct. These findings make it clear that the Commission\u2019s decision is not against the manifest weight of the evidence. Repetitive trauma is uniquely an area of expertise for the Commission.\nI also disagree with the majority\u2019s reliance on Darling as a rationale to reverse the Commission. In Darling, there was a substantial amount of evidence as to claimant\u2019s work activities, \u201c[t]he medical reports *** contain a myriad of statements clearly depicting the repetitive nature and frequency of the movements.\u201d Darling, 176 Ill. App. 3d at 195, 530 N.E.2d at 1142. Here, the statements comparing the proof as to claimant\u2019s employment and home improvement activities is not a basis for finding the Commission\u2019s decision is against the manifest weight of the evidence.\nEveryone, the Commission, the circuit court, and this court, agrees this claimant had carpal tunnel syndrome. However, it is clear that the record supports a finding of no causal connection between the injury and claimant\u2019s work.",
        "type": "dissent",
        "author": "PRESIDING JUSTICE McCULLOUGH,"
      }
    ],
    "attorneys": [
      "Michael J. Evers, of Kleiman, Whitney, Wolfe & Elfenbaum, EC., of Chicago, for appellant.",
      "William S. Allen, of Melrose Park, for appellee."
    ],
    "corrections": "",
    "head_matter": "BENJAMIN FIERKE, Appellant, v. THE INDUSTRIAL COMMISSION et al. (Transport Service, Inc., Appellee.)\nThird District\nNo. 3\u201499\u20140044WC\nOpinion filed January 14, 2000.\nMcCULLOUGH, EL, dissenting.\nMichael J. Evers, of Kleiman, Whitney, Wolfe & Elfenbaum, EC., of Chicago, for appellant.\nWilliam S. Allen, of Melrose Park, for appellee."
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