{ "id": 12170012, "name": "CASSIE LEE BUCK, Employee v. PROCTER & GAMBLE MANUFACTURING COMPANY, Employer: Self-Insurer Common Defendant", "name_abbreviation": "Buck v. Procter & Gamble Manufacturing Co.", "decision_date": "1981-05-19", "docket_number": "No. 8010IC817", "first_page": "88", "last_page": "96", "citations": [ { "type": "official", "cite": "52 N.C. App. 88" } ], "court": { "name_abbreviation": "N.C. Ct. App.", "id": 14983, "name": "North Carolina Court of Appeals" }, "jurisdiction": { "id": 5, "name_long": "North Carolina", "name": "N.C." }, "cites_to": [ { "cite": "189 S.E. 2d 804", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1972, "opinion_index": 0 }, { "cite": "15 N.C. App. 253", "category": "reporters:state", "reporter": "N.C. App.", "case_ids": [ 8549521 ], "year": 1972, "opinion_index": 0, "case_paths": [ "/nc-app/15/0253-01" ] }, { "cite": "64 S.E. 2d 265", "category": "reporters:state_regional", "reporter": "S.E.2d", "opinion_index": 0 }, { "cite": "233 N.C. 372", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8608280 ], "opinion_index": 0, "case_paths": [ "/nc/233/0372-01" ] }, { "cite": "246 S.E. 2d 743", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1978, "opinion_index": 0 }, { "cite": "295 N.C. 527", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8564809 ], "year": 1978, "opinion_index": 0, "case_paths": [ "/nc/295/0527-01" ] }, { "cite": "276 S.E. 2d 404", "category": "reporters:state_regional", "reporter": "S.E.2d", "weight": 2, "year": 1981, "opinion_index": 0 }, { "cite": "302 N.C. 458", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8567436 ], "year": 1981, "opinion_index": 0, "case_paths": [ "/nc/302/0458-01" ] }, { "cite": "273 S.E. 2d 232", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1981, "opinion_index": 0 }, { "cite": "302 N.C. 14", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8563691 ], "year": 1981, "opinion_index": 0, "case_paths": [ "/nc/302/0014-01" ] }, { "cite": "265 S.E. 2d 389", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1980, "pin_cites": [ { "page": "390-91" } ], "opinion_index": 0 }, { "cite": "300 N.C. 164", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8559969 ], "year": 1980, "pin_cites": [ { "page": "166-67" } ], "opinion_index": 0, "case_paths": [ "/nc/300/0164-01" ] }, { "cite": "139 S.E. 2d 753", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1965, "pin_cites": [ { "page": "759-60" } ], "opinion_index": 0 }, { "cite": "263 N.C. 317", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8569848 ], "year": 1965, "pin_cites": [ { "page": "324-25" } ], "opinion_index": 0, "case_paths": [ "/nc/263/0317-01" ] }, { "cite": "237 S.E. 2d 542", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1977, "pin_cites": [ { "page": "545" } ], "opinion_index": 0 }, { "cite": "34 N.C. App. 177", "category": "reporters:state", "reporter": "N.C. App.", "case_ids": [ 8547727 ], "year": 1977, "pin_cites": [ { "page": "181" } ], "opinion_index": 0, "case_paths": [ "/nc-app/34/0177-01" ] }, { "cite": "138 S.E. 2d 541", "category": "reporters:state_regional", "reporter": "S.E.2d", "weight": 5, "year": 1964, "pin_cites": [ { "page": "669" }, { "page": "546" }, { "page": "545" } ], "opinion_index": 0 }, { "cite": "262 N.C. 663", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8570996 ], "weight": 2, "year": 1964, "pin_cites": [ { "page": "668" } ], "opinion_index": 0, "case_paths": [ "/nc/262/0663-01" ] }, { "cite": "269 S.E. 2d 667", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1980, "opinion_index": 0 }, { "cite": "48 N.C. App. 489", "category": "reporters:state", "reporter": "N.C. App.", "case_ids": [ 8551366 ], "year": 1980, "opinion_index": 0, "case_paths": [ "/nc-app/48/0489-01" ] }, { "cite": "271 S.E. 2d 364", "category": "reporters:state_regional", "reporter": "S.E.2d", "weight": 2, "year": 1980, "pin_cites": [ { "page": "367" } ], "opinion_index": 0 }, { "cite": "301 N.C. 226", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8564944 ], "weight": 2, "year": 1980, "pin_cites": [ { "page": "232" } ], "opinion_index": 0, "case_paths": [ "/nc/301/0226-01" ] }, { "cite": "144 S.E. 2d 272", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1965, "opinion_index": 0 }, { "cite": "265 N.C. 431", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8575582 ], "year": 1965, "opinion_index": 0, "case_paths": [ "/nc/265/0431-01" ] }, { "cite": "232 S.E. 2d 449", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1977, "opinion_index": 0 }, { "cite": "292 N.C. 210", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8567907 ], "year": 1977, "opinion_index": 0, "case_paths": [ "/nc/292/0210-01" ] }, { "cite": "271 S.E. 2d 516", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1980, "opinion_index": 0 }, { "cite": "49 N.C. App. 301", "category": "reporters:state", "reporter": "N.C. App.", "case_ids": [ 8521054 ], "year": 1980, "opinion_index": 0, "case_paths": [ "/nc-app/49/0301-01" ] }, { "cite": "266 S.E. 2d 676", "category": "reporters:state_regional", "reporter": "S.E.2d", "weight": 2, "year": 1980, "opinion_index": 0 }, { "cite": "300 N.C. 329", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8561147 ], "weight": 2, "year": 1980, "opinion_index": 0, "case_paths": [ "/nc/300/0329-01" ] } ], "analysis": { "cardinality": 879, "char_count": 18995, "ocr_confidence": 0.843, "pagerank": { "raw": 4.5792477263298053e-07, "percentile": 0.9253093520124146 }, "sha256": "07739460a875f624ebfb5efebd1e3109cd31b74205200d61a6117bd3884ca03a", "simhash": "1:59e1aefb32bb424e", "word_count": 3093 }, "last_updated": "2023-07-14T23:00:28.379499+00:00", "provenance": { "date_added": "2019-08-29", "source": "Harvard", "batch": "2018" }, "casebody": { "judges": [ "Judges Wells and Becton concur." ], "parties": [ "CASSIE LEE BUCK, Employee v. PROCTER & GAMBLE MANUFACTURING COMPANY, Employer: Self-Insurer Common Defendant" ], "opinions": [ { "text": "VAUGHN, Judge.\nAt the outset, we must determine the applicable scope of judicial review on this appeal. G.S. 97-86 states the review standard for awards of the Industrial Commission. The statute provides that such awards \u201cshall be conclusive and binding as to all questions of fact; but either party to the dispute may . . . appeal from the decision of said Commission to the Court of Appeals for errors of law under the same terms and conditions as govern appeals from the superior court to the Court of Appeals in ordinary civil actions.\u201d (Emphasis added.) G.S. 97-86, in effect, requires appellate courts to limit their review of workers\u2019 compensation awards for legal errors to a two fold determination of whether the Commission\u2019s findings are supported by any competent evidence and whether its subsequent legal conclusions are justified by those findings. See Barham v. Food World, 300 N.C. 329, 266 S.E. 2d 676 (1980); Walston v. Burlington Industries, 49 N.C. App. 301, 271 S.E. 2d 516 (1980). Clearly, it is not the function of any appellate court to retry the facts found by the Commission or weigh the evidence received by it and decide anew the issue of compen-sability of an employee\u2019s claim. Inscoe v. Industries, Inc., 292 N.C. 210, 232 S.E. 2d 449 (1977); Anderson v. Construction Co., 265 N.C. 431, 144 S.E. 2d 272 (1965); see G.S. 97-86, supra. The Supreme Court has recently reiterated these well established restrictions upon the appellate review of such awards in Morrison v. Burlington Industries:\nthe Industrial Commission has the exclusive duty and authority to find the facts relative to disputed claims and such findings are conclusive on appeal when supported by any evidence. Moreover, where the evidence before the Commission is such as to permit either one of two contrary findings, the determination of the Commission is conclusive on appeal and the mere fact that an appellate court disagrees with the findings of the Commission is not grounds for reversal.\n301 N.C. 226, 232, 271 S.E. 2d 364, 367 (1980). We shall now proceed to address the merits of defendant\u2019s appeal in accordance with these sound principles of judicial review.\nIn the instant case, defendant essentially contends that the Commission committed an error of law in affirming the award because plaintiff did not present sufficient evidence to establish a prima facie case demonstrating her entitlement to compensation. We disagree and affirm the Commission\u2019s opinion and award.\nIt is, of course, true that plaintiff had to prove that she was injured \u201cby accident arising out of and in the course of the employment\u201d with defendant to recover compensation for her alleged disability under the Workers\u2019 Compensation Act. G.S. 97-2(6); Hollar v. Furniture Co., 48 N.C. App. 489, 269 S.E. 2d 667 (1980). Since defendant has conceded that plaintiff suffered an accident in the course of her employment, however, the only question raised here is whether plaintiff\u2019s injuries did, in fact, arise out of that accident.\nThe term \u201carising out of\u201d requires an employee to demonstrate a causal connection between the injury complained of and an accident which occurred in the course of employment. Barham v. Food World, 300 N.C. 329, 266 S.E. 2d 676 (1980). The deputy commissioner specifically found, as a matter of fact, that plaintiff established a direct causal link between her bladder, leg and back problems and her slip and fall accident at defendant\u2019s plant. Nonetheless, defendant argues that the commissioner\u2019s findings cannot be sustained because there was no competent expert testimony in the record which established, within the required degree of reasonable probability, that plaintiff\u2019s back injuries were caused by the work-related accident of 21 September 1975. Contrary to defendant\u2019s contention, however, the commissioner found that Dr. Timmons expressed an opinion, \u201cbased on reasonable medical certainty,\u201d that plaintiff\u2019s disc defect could have been caused by her fall at work and that the defect also could have been the result of an aggravation, caused by the fall, of a preexisting back condition. Defendant excepted to this finding on the ground that Dr. Timmons\u2019 testimony, viewed as a whole, disclosed that his opinion as to the cause of plaintiffs disc defect was based upon mere speculation and not medical probability. Our review of the content of Dr. Timmons\u2019 expert testimony compels us to overrule defendant\u2019s exceptions to this evidence.\nIn Lockwood v. McCaskill, 262 N.C. 663, 138 S.E. 2d 541 (1964), the Supreme Court held that an expert\u2019s opinion that a particular cause \u201ccould\u201d or \u201cmight\u201d have produced the result indicates that the result is capable of proceeding from the particular cause within the realm of reasonable probability. The Court further stated that the fact finder is not required \u201cto make subtle and refined distinctions\u201d and that it is within his discretion to admit expert testimony whenever \u201cit reasonably appears to him that the expert witness, in giving testimony supporting a particular causal relation, is addressing himself to reasonable probabilities according to scientific knowledge and experience, and the testimony per se does not show that the causal relation is merely speculative and mere possibility. . . .\u201d Id. at 669, 138 S.E. 2d at 546. Defendant contends that Dr. Timmons\u2019 testimony in the instant case per se demonstrated the speculative nature of the causal relation between plaintiffs disc injury and the work accident. We cannot agree.\nIn response to two separate hypothetical questions on direct examination, Dr. Timmons affirmatively stated, as required by Lockwood v. McCaskill, supra, that plaintiff\u2019s accident at defendant\u2019s plant could have caused the disc protrusion that produced the nerve root compression and pain. Though he later testified, on cross-examination, that it was \u201cequally possible\u201d that \u201cthe defect was degenerative in nature\u201d and could have been caused by \u201crecurrent and chronic stress,\u201d Dr. Timmons never retracted his prior opinion, based on a reasonable medical certainty, that plaintiffs slip and fall \u201ccertainly could have\u201d caused the disc defect. In fact, Dr. Timmons also said, in the course of defense counsel\u2019s questioning about the degenerative process, that \u201cnobody knows the cause of degeneration and it of course could be repeated [stress] or chronic trauma that is repeated or an injury.\u201d (Emphasis added.)\nDefendant, nevertheless, argues that Dr. Timmons admitted that his opinion on causation was not based upon medical probability when he said that \u201c[a]n attempt to determine today that it was the fall or that this degenerative condition existed over a substantial period of time would be mere speculation.\u201d This statement, standing alone, is insufficient to show that Dr. Timmons was \u201ctestifying in terms of possibilities rather than probabilities.\u201d See Kennedy v. Martin Marietta Chemicals, 34 N.C. App. 177, 181, 237 S.E. 2d 542, 545 (1977). It seems obvious to us that the doctor was not saying that the fall could not have caused the disc protrusion nor was he saying that the protrusion could not have been the result of a degenerative condition. Dr. Timmons was simply stating that he could not choose which of the two, the event of a fall or the existence of a degenerative condition, was the single most probable cause without engaging in speculation. Indeed, medical experts are not required to make such a choice in order to render their opinion testimony competent and admissible. In Lockwood v. McCaskill, the Court recognized that \u201c[a] result in a particular case may stem from a number of causes.\u201d 262 N.C. at 668, 138 S.E. 2d at 545. All that is necessary is that expert express an opinion that a particular cause was capable of producing the injurious result. Id. It is manifest that this requirement was fulfilled in the instant case. For instance, Dr. Timmons proceeded, on redirect examination, to restate his opinion that it was \u201cequally likely or equally probable that the slip and fall on the stairs could or might have caused the disc defect that [he] discovered.\u201d Moreover, he also stated \u201c[t]o a reasonable degree of medical certainty\u201d that plaintiffs fall could have (1) made a degenerated disc protrude and caused nerve root pressure and pain or (2) aggravated a preexisting degenerative condition and caused the disc to rupture.\nThis is not, therefore, a case where the record is devoid of a \u201cscintilla of medical evidence that plaintiffs ruptured disc might, with reasonable probability, have resulted from the accident,\u201d and we do not believe that the commissioner was \u201cleft to speculate about a matter which frequently troubles even orthopedic specialists.\u201d See, e.g., Gillikin v. Burbage, 263 N.C. 317, 324-25, 139 S.E. 2d 753, 759-60 (1965). Rather, we believe that, viewing the totality of the expert testimony in the light most favorable to plaintiff, there was \u201csome evidence that the accident at least might have or could have produced the particular disability in question,\u201d and the commissioner\u2019s finding, with respect to the sufficiency of Dr. Timmons\u2019 opinion on causation, is, therefore, conclusive on this appeal. Click v. Freight Carriers, 300 N.C. 164, 166-67, 265 S.E. 2d 389, 390-91 (1980).\nIn sum, we hold that the commissioner\u2019s critical findings and conclusions that were amply supported by competent evidence in the record consisting both of the expert testimony of Dr. Tim-mons, as well as that of Dr. Gavigan (the urologist), and the lay testimony of plaintiff that after the fall, she began to experience sharp pains in her back.\nDefendant\u2019s assignments of error are overruled, and the opinion and award of the Industrial Commission is affirmed.\nAffirmed.\nJudges Wells and Becton concur.\n. In two recent opinions of the Supreme Court, Justice Carlton has indicated that \u201cthe reviewing court should make clear the review standard under which it proceeds\u201d when the appeal concerns the decision of an administrative agency. Utilities Commission v. Oil Company, 302 N.C. 14, 273 S.E. 2d 232 (1981); In Re Savings and Loan League, 302 N.C. 458, 276 S.E. 2d 404 (1981). Clarification of the scope of review necessarily requires the appellate court to determine, as a preliminary matter, whether the particular agency involved is governed by the Administrative Procedure Act, G.S. Chapter 150A. Id. In this case, that Act does not apply because the Industrial Commission is specifically exempted from its coverage. G.S. 150A-l(a).\n. The disc injury would be compensable if either theory of causation were sufficiently established, i.e., that the defect was directly caused by the accident or that the accident materially aggravated a preexisting disease and proximately contributed to the disability. Little v. Food Service, 295 N.C. 527, 246 S.E. 2d 743, (1978); Anderson v. Motor Co., 233 N.C. 372, 64 S.E. 2d 265 (19511; Mabe v. Granite Corp., 15 N.C. App. 253, 189 S.E. 2d 804 (1972). See generally 1 Larson, Workmen's Compensation Law \u00a7 12.20 (1978).\n. We also note that Dr. Timmons further qualified what he meant by \"speculation\u201d in his very next sentence: \u201cI think that\u2019s speculation on the basis that this is answering a hypothetical question.\u201d\n. We would again emphasize that we may not reverse the findings of the Industrial Commission just because there may be other evidence in the record which would support findings to the contrary. Click v. Freight Carriers, supra; Morrison v. Burlington Industries, 301 N.C. 226, 271 S.E. 2d 364 (1980).", "type": "majority", "author": "VAUGHN, Judge." } ], "attorneys": [ "Lanier, McPherson and Miller, by Jeffrey L. Miller, for plaintiff appellee.", "Maupin, Taylor and Ellis, by Albert R. Bell, Jr., and Jane Fox Brown, for defendant appellant." ], "corrections": "", "head_matter": "CASSIE LEE BUCK, Employee v. PROCTER & GAMBLE MANUFACTURING COMPANY, Employer: Self-Insurer Common Defendant\nNo. 8010IC817\n(Filed 19 May 1981)\nMaster and Servant \u00a7 65.2\u2014 back injury \u2014 causal connection between injury and accident-sufficiency of evidence\nThere was sufficient competent evidence to support the conclusion of the Industrial Commission that plaintiff sustained an injury by accident arising out of and in the course of her employment with defendant which resulted in a fifteen percent permanent partial disability of the back where an expert medical witness expressed an opinion, \u201cbased on reasonable medical certainty,\u201d that plaintiffs disc defect could have been caused by her fall at work and that the defect also could have been the result of an aggravation, caused by the fall, of a preexisting back condition.\nAppeal by defendant from the North Carolina Industrial Commission opinion and award of 5 March 1980. Heard in the Court of Appeals 10 March 1981.\nThe Full Commission affirmed the opinion and award filed 27 April 1979, wherein the deputy commissioner concluded that plaintiff had sustained an injury by accident arising out of and in the course of her employment with defendant which resulted in a fifteen percent permanent partial disability of the back entitling her to compensation at the rate of $80.00 per week for forty-five weeks.\nThe following evidence, in pertinent part, was presented at the hearing held before the deputy commissioner to determine the compensability of plaintiffs claims against her former employer. Plaintiff slipped and fell on some oily stairs at defendant\u2019s plant while she was fulfilling her normal work duties as a salter cooler technician on 21 September 1975. She testified that her back became sore, but the pain was not severe. She, however, continued to experience sharp pains in her back whenever she attempted to straighten up after sitting down during the next few months. She stated that:\n[f]rom the time I fell and afterwards as I sat down, I felt the sharp pain in my back, tried to straighten up and move it on out after a few seconds. Any time I tried to do any work, even around my house or around the yard, I could tell a difference. And that was the biggest thing I could tell, a big difference. Prior to that time I could do any kind of work. I never had anything to bother me.\nThus, in December, she went to see her family doctor, Dr. Joseph M. Ward, about some pain she was having in the back of her leg. She said that he told her that she might have a pinched nerve or rupture.\nDr. Ward testified that plaintiff had a prior medical history of back discomfort. Specifically, some x-ray reports taken in 1970 showed that plaintiff had a mild narrowing of the L-4 and L-5 in-terspaces in her back. Dr. Ward concluded that this narrowing \u201cmeant Mrs. Buck would likely have disc trouble.\u201d Dr. Ward further testified that he next saw plaintiff on 4 September 1975. During this visit, she mentioned lower back pain and said that she had had back trouble off and on \u201call [her] life.\u201d Dr. Ward\u2019s diagnosis on 4 September 1975 was acute recurrent low back syndrome. Dr. Ward again examined plaintiff in December 1975 (after the accident) with regard to her complaint about radicular pain in the area of her thighs. He concluded that her problem was due to \u201cradicular syndrome pressure on the nerve roots causing her to have pain in the lower extremities\u201d and that this symptom was \u201cmore suggestive in regard to disc trouble.\u201d On cross-examination, Dr. Ward stated that plaintiff had a preexisting back condition \u201cto some degree or another\u201d when she started working for defendant in 1974. Nevertheless, he also admitted that he did not know whether or not she aggravated that condition subsequent to her employment.\nDr. Richard Gavigan subsequently treated plaintiff on 12 February 1976 on referral from defendant\u2019s plant physician concerning her complaints about involuntary loss of control of urination and a six-month history of pain in her lower back radiating into her right lower extremity. As a medical expert in urology, Dr. Gavigan responded to a hypothetical question that plaintiff\u2019s urinary incontinence could have or might have been caused by her slip and fall in 1975.\nDr. Robert L. Timmons, a medical expert in neurosurgery, began treating plaintiff for her back problems in May 1976. His associate, Dr. Hardy, examined plaintiff on 31 March 1976 and performed a myelography on 11 May 1976 which revealed a disc defect between the fourth and fifth lumbar vertebra, L-4, L-5 in-terspace on both sides. Dr. Timmons concluded that the defect was \u201cmost likely\u201d due to a herniated or protruded disc. During the subsequent surgery performed on 17 May 1976, Dr. Timmons noted that the L-4 and 5 disc was protruded under the nerve root.\nOn direct examination at the hearing, Dr. Timmons testified that plaintiffs fall at defendant\u2019s plant could have or might have caused this disc protrusion. On cross-examination, however, he stated that it was equally possible that the defect was caused by a degenerative condition. Nevertheless, on redirect examination, he said that it was probable that the fall of 21 September 1975 could have aggravated that degenerative condition and caused the disc to rupture ultimately. Finally, on recross-examination, Dr. Timmons stated that the fall could have caused the protrusion but that it would not have caused the damage to the disc.\nAt the conclusion of the hearings, the deputy commissioner awarded plaintiff compensation for the permanent partial disability to her back. The critical findings made by the commissioner to support this award are as follows:\n10. Dr. R. L. Timmons expressed an opinion, which was based on reasonable medical certainty, that the plaintiffs defect at the L4-L5, bilateral could or might be the result of the fall on September 21, 1975. It was also the opinion of Dr. Timmons that the fall on September 21, 1975 could have aggravated a pre-existing back condition thereby resulting in the defect at the L4-L5, bilateral.\n15. There was a showing of an interruption of the plaintiffs regular work routine. The plaintiff did in fact, at the time complained of, sustain an injury by accident arising out of and in the course of her employment.\n16. The plaintiffs bladder, leg and back difficulties were the direct and natural result of the injury by accident on September 21, 1975.\n17. The plaintiff was out of work and temporarily totally disabled from March 31, 1976 to September 27, 1976, as a result of the injury by accident arising out of and in the course of her employment.\n18. The plaintiff sustained a fifteen percent permanent partial disability of the back as a result of the injury by accident arising out of and in the course of her employment.\nDefendant took exception to each of these findings and now appeals from the opinion of the Full Commission which, after review of the record, found no reversible error and affirmed the award of the deputy commissioner on 5 March 1980.\nLanier, McPherson and Miller, by Jeffrey L. Miller, for plaintiff appellee.\nMaupin, Taylor and Ellis, by Albert R. Bell, Jr., and Jane Fox Brown, for defendant appellant.\n. A former co-employee of plaintiff at defendant\u2019s plant corroborated her testimony about the slip and fall at work. Further facts concerning the incident are omitted because defendant has conceded any issue regarding the actual occurrence of the accident in September 1975." }, "file_name": "0088-01", "first_page_order": 116, "last_page_order": 124 }