Opinion

State ex rel. Pate v. Indus. Comm.

  • 97 Ohio St. 3d 89
  • 2002 Ohio 5444
Court
Ohio Supreme Court
Filed
Oct 23, 2002
Status
Published
Cited by
3 cases
Authority
More cited than 54.1%

The opinion

[This decision has been published in Ohio Official Reports at 97 Ohio St.3d 89.]

THE STATE EX REL. PATE, APPELLANT, v. INDUSTRIAL COMMISSION OF OHIO,

APPELLEE.

[Cite as State ex rel. Pate v. Indus. Comm., 2002-Ohio-5444.]

Workers’ compensation—Application for permanent and total disability

compensation—Industrial Commission denies claimant’s motion to

depose examining bureau doctor—Industrial Commission did not abuse

its discretion in denying claimant’s request to depose examining bureau

doctor, when.

(No. 2001-2236—Submitted September 25, 2002—Decided October 23, 2002.)

APPEAL from the Court of Appeals for Franklin County, No. 01AP-76.

__________________

Per Curiam.

{¶1} The workers’ compensation claim of appellant-claimant, Sandra J.

Pate, has been recognized for, among other things, depression and anxiety. In 1997,

she applied to appellee, Industrial Commission of Ohio, for permanent and total

disability compensation. Attending psychiatrist Dr. Norman I. Hirsch opined that

claimant’s psychiatric condition, “[e]specially in relation to her age and her

physical disabilities,” rendered her permanently and her totally disabled.

{¶2} Dr. Donald L. Brown also examined claimant. Excluding claimant’s

physical condition and nonmedical disability factors from consideration, he

commented exclusively on claimant’s psychiatric condition and concluded that it

did not bar her from all sustained remunerative work.

{¶3} Claimant moved to depose Dr. Brown. The commission denied the

motion, stating:

{¶4} “The Staff Hearing Officer finds that Dr. Brown evaluated the

claimant for the allowed psychological conditions in this claim at the request of the

SUPREME COURT OF OHIO

Industrial Commission on the issues raised by the claimant’s Permanent Total

Disability Application. The Staff Hearing Officer further finds that Dr. Brown

considered only the allowed psychological conditions and expressed his opinion to

the questions posed in a clear and unambiguous manner. The Staff Hearing Officer

further finds that there is no substantial disparity between the opinions of Dr. Brown

and Dr. Hirsch. While Dr. Hirsch opines that the claimant is permanently and

totally disabled, he considers the claimant’s non-medical disability factor of ‘her

age’ in combination with her physical disabilities. Dr. Brown confined his opinion

to the claimant’s impairment related to the allowed psychological conditions only.

The Staff Hearing Officer finds that any difference of opinion with respect to the

claimant’s limitations considering the allowed psychological conditions is evidence

to be considered and weighed in the hearing process.”

{¶5} Claimant petitioned the Court of Appeals for Franklin County for a

writ of mandamus to compel the commission to permit her to depose Dr. Brown.

She was unsuccessful, prompting her appeal as of right to this court.

{¶6} Claimant seeks to depose Dr. Brown, alleging both internal

inconsistency in his report and a substantial disparity between Dr. Brown’s report

and Dr. Hirsch’s. Although an inconsistent report and substantial disparity among

experts were once recognized as legitimate factors for determining the

reasonableness of a request to depose a physician, they have since been sharply

criticized. In State ex rel. Cox v. Greyhound Food Mgt., Inc., 95 Ohio St.3d 353,

2002-Ohio-2335, 767 N.E.2d 1155, at ¶ 18-19, we discussed the problems with

using substantial disparity as a justification for deposition:

{¶7} “{¶ 18}The term ‘substantial disparity’ is undefined in the context of

permanent total disability. In our only two encounters with the term, ‘substantial

disparity’ was approached from a strictly numerical standpoint, comparing the

percentages of doctor-assessed impairment. This approach worked in State ex rel.

General Motors Corp. v. Indus. Comm. (1976), 47 Ohio St.2d 244, 251-252, 1

2

January Term, 2002

O.O.3d 141, 351 N.E.2d 442, where the issue was permanent partial disability

(“PPD”), partly because in PPD cases, ‘substantial disparity’ is defined as a

difference of fifteen percent or more. Ohio Adm.Code 4121-3-15(3)(c). The

approach did not work in Williams v. Moody’s of Dayton, Inc., (1982), 1 Ohio St.3d

238, 1 OBR 260, 438 N.E.2d 1162, a temporary total disability case. The

Administrative Code speaks to a ‘substantial disparity * * * on the issue that is

under contest.’ The key to eligibility for temporary total disability benefits is not

the percentage of disability—it is whether the claimant can return to the former

position of employment. Substantial disparity between percentage figures can be

irrelevant in such cases. Doctors can assign wildly different disability percentages,

yet agree that a claimant can work, which is the scenario here.

{¶8} “{¶ 19}Moreover, even without numerical comparison, the

substantial-disparity criterion often does not recognize the fundamentals of the

hearing process. Disability hearings occur precisely because there is a disparity in

the medical evidence. Unanimity does not usually generate a hearing. To the

contrary, the need for a hearing generally arises when one doctor says that a

claimant can work and the other disagrees. They are completely opposite opinions

and that is why there is a hearing—to debate a disputed report’s strengths and

weaknesses. Once the hearing is concluded, the commission can accept the

disputed report or reject it as unpersuasive.” (Emphasis sic.)

{¶9} We made a similar observation on the issue of internal inconsistency:

{¶10} “[T]he commission, in its prerogative, can disqualify as fatally

flawed a report that is so internally inconsistent as to negate its credibility. Because

this is a potential problem that the commission can address and remedy without

resort to deposition, it is not an abuse of discretion for the commission to elect to

do so.” Cox, 95 Ohio St.3d 353, 2002-Ohio-2335, 767 N.E.2d 1155, at ¶ 27.

3

SUPREME COURT OF OHIO

{¶11} Finally, cognizant that a reasonableness standard is used to evaluate

a motion to depose a commission or bureau doctor, Ohio Adm.Code 4121-3-

09(A)(6)(c) and (d), we concluded:

{¶12} “[T]he code’s [Ohio Adm.Code 4121-3-09(A)(6)(d)] first two

criteria [(1) whether a substantial disparity exists between various medical reports

on the issue that is under contest, and (2) whether one medical report was relied

upon to the exclusion of others], in most cases, are not very useful in determining

the reasonableness of a deposition request. Fortunately, Ohio Adm.Code 4121-3-

09(A)(6)(d)’s use of the word ‘include’ in listing criteria implies that other factors

may be considered as circumstances dictate. In this case, we indeed rely on two

other criteria: (1) Does a defect exist that can be cured by deposition? and (2) Is the

disability hearing an equally reasonable option for resolution?” Id. at ¶ 24.

{¶13} In the present case, Dr. Brown and Dr. Hirsch disagree on claimant’s

ability to work. This disagreement, however, is capable of resolution through a

hearing where the commission may accept or reject Dr. Brown’s report as

persuasiveness dictates. We also find any alleged internal inconsistency amenable

to resolution by the same process.

{¶14} Accordingly, we find that the commission did not abuse its discretion

in denying claimant’s request to depose Dr. Brown. The judgment of the court of

appeals is therefore affirmed.

Judgment affirmed.

MOYER, C.J., RESNICK, F.E. SWEENEY, COOK and LUNDBERG STRATTON,

JJ., concur.

DOUGLAS, J., dissents.

PFEIFER, J., dissents and would allow the taking of the doctor’s deposition.

__________________

Butkovich, Schimpf, Schimpf & Ginocchio Co., L.P.A., James A.

Whittaker and Stephen P. Gast, for appellant.

4

January Term, 2002

Betty D. Montgomery, Attorney General, and Daniel M. Hall, Assistant

Attorney General, for appellee.

__________________

5

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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