Opinion

State ex rel. Gwiazda v. Indus. Comm.

  • 2016 Ohio 5153
Court
Ohio Court of Appeals
Filed
Jul 28, 2016
Status
Published
On the bench
Sadler
Cited by
1 cases
Authority
More cited than 65.8%

The opinion

[Cite as State ex rel. Gwiazda v. Indus. Comm., 2016-Ohio-5153.]

IN THE COURT OF APPEALS OF OHIO

TENTH APPELLATE DISTRICT

State of Ohio ex rel. Stephen J. Gwiazda, :

Relator, :

v. : No. 15AP-882

Industrial Commission of Ohio : (REGULAR CALENDAR)

and ABC Distribution Company,

:

Respondents.

:

D E C I S I O N

Rendered on July 28, 2016

Nager, Romaine & Schneiberg Co. L.P.A., Jerald A.

Schneiberg, Jennifer L. Lawther, and Corey J. Kuzma, for

relator.

Michael DeWine, Attorney General, and Eric J. Tarbox, for

respondent Industrial Commission of Ohio.

IN MANDAMUS

ON OBJECTIONS TO THE MAGISTRATE'S DECISION

SADLER, J.

{¶ 1} Relator, Stephen J. Gwiazda, brings this original action seeking a writ of

mandamus ordering respondent Industrial Commission of Ohio ("commission") to vacate

its May 1, 2015 order denying relator's motion for a total loss of use award and ordering

the commission to find that he is entitled to a total loss of use award for his left lower

extremity.

No. 15AP-882 2

{¶ 2} Pursuant to Civ.R. 53 and Loc.R. 13(M) of the Tenth District Court of

Appeals, we referred this matter to a magistrate who rendered a decision and

recommendation that includes findings of fact and conclusions of law, which is appended

hereto. Therein, the magistrate concluded the commission did not abuse its discretion in

denying relator's motion for the total loss of use award.

{¶ 3} In order for this court to issue a writ of mandamus as a remedy from a

determination of the commission, relator must show a clear legal right to the relief sought

and that the commission has a clear legal duty to provide such relief. State ex rel.

Pressley v. Indus. Comm., 11 Ohio St.2d 141 (1967). A clear legal right to a writ of

mandamus exists where the relator shows that the commission abused its discretion by

entering an order which is not supported by any evidence in the record. State ex rel.

Elliott v. Indus. Comm., 26 Ohio St.3d 76 (1986).

{¶ 4} Relator sets forth the following objection to the magistrate's decision:

The Magistrate erred in denying Relator's request for a writ of

mandamus by relying on the Staff Hearing Officer Order of

May 1, 2015.

{¶ 5} The magistrate found that relator sustained a work-related injury on

February 5, 2009, when he was pinned between a tow-motor and a truck. On October 28,

2014, the commission granted relator's application for permanent total disability

compensation. Relator subsequently filed a C-86 motion requesting a loss of use award

for his left lower extremity. Relator supported his motion with the March 4, 2015 report

from his treating physician, Todd S. Hochman, M.D., who opined that "for all intents and

purposes, lost complete functional use of his left lower extremity as a result of his

February 5, 2009, work accident." Teresa Kay Larsen, D.O., performed an independent

medical examination of relator, and she issued a report on January 30, 2015. Dr. Larsen's

report concludes as follows: "While there is partial impairment of the left lower limb,

there is not a total loss of use of the left lower limb in this individual."

{¶ 6} In denying relator's motion, the commission relied on Dr. Larsen's report

and the decision of the Supreme Court of Ohio in State ex rel. Alcoa Bldg. Prods. v. Indus.

Comm., 102 Ohio St.3d 341, 2004-Ohio-3166. In his objection, relator contends that the

No. 15AP-882 3

magistrate's decision is "inconsistent with the standard set forth in Alcoa." (Obj. to Mag.

Decision at 4.) We disagree.

{¶ 7} In Alcoa, the Supreme Court established that in a non-amputation loss of

use case, the inquiry is whether the injured worker has suffered the permanent loss of use

of the injured body part for all practical intents and purposes. The magistrate concluded

that Dr. Larsen's report provided some evidence to support the commission's finding that

relator did not sustain a permanent loss of use of the left lower extremity for all practical

intents and purposes. In reaching this conclusion, the magistrate made the following

observations regarding Dr. Larsen's report:

Dr. Larsen found that relator had full knee and ankle

extension and flexion, had the ability to activate and use his

left knee, ankle and foot, had partial ability to use his left hip

flexors, and had a lack of thigh/leg muscle atrophy. Further,

Dr. Larsen noted that, on indirect examination, relator shifted

his weight through the left hip and bore weight equally at

times through the left leg and foot while wearing an [ankle

foot orthosis]. The magistrate finds that Dr. Larsen did not

misapply the Alcoa standard.

(Emphasis added.) (Mag. Decision at ¶ 36.)

{¶ 8} Dr. Larsen also expressed disagreement with some of Dr. Hochman's

findings and with his opinion regarding loss of use. Dr. Larsen's report provides, in

relevant part, as follows:

While it is noted in the report of Dr. Hochman that Mr.

Gwiazda has no active flexion or extension of the hip or knee,

both my examination and review of the records, as discussed

in the history section of this report, reveals that he does have

good knee and ankle extension and flexion although there is

significant weakness of the gluteal hip girdle muscles with

partial hip flexor activation. Although his performance is

variable on my examination, there is definite ability to

activate and use the left knee, ankle, and foot, and a partial

ability to use the left hip flexors, to change positions, bear

weight at times and assist during position changes, standing,

and ambulation. While there is partial impairment of the left

lower limb, there is not a total loss of use of the left lower

limb in this individual.

(Ex. J at 3, Dec. 22, 2015 Stipulated Record.)

No. 15AP-882 4

{¶ 9} An appellate court will not determine that the commission abused its

discretion when there is some evidence in the record to support the commission's

findings. State ex rel. Medina v. Indus. Comm., 10th Dist. No. 15AP-29, 2016-Ohio-173,

¶ 11, citing State ex rel. Rouch v. Eagle Tool & Machine Co., 26 Ohio St.3d 197, 198

(1986); State ex rel. Barnett v. Indus. Comm., 10th Dist. No. 14AP-628, 2015-Ohio-3898,

¶ 9. "The some evidence standard 'reflects the established principle that the commission

is in the best position to determine the weight and credibility of the evidence and disputed

facts.' " Id., quoting State ex rel. Woolum v. Indus. Comm., 10th Dist. No. 02AP-780,

2003-Ohio-3336, ¶ 4, quoting State ex rel. Pavis v. Gen. Motors Corp., 65 Ohio St.3d 30,

33 (1992).

{¶ 10} Our review of Dr. Larsen's report leads us to the same conclusion reached

by the magistrate. We find that Dr. Larsen's report evidences compliance with the Alcoa

standard even though Dr. Larsen did not use the precise language employed in the Alcoa

decision. See, e.g., State ex rel. Holderman v. Indus. Comm., 10th Dist. No. 12AP-32,

2012-Ohio-6022 (medical report relied on by the commission in denying loss of use

award evidenced compliance with Alcoa standard even though the report did not use the

phrase "for all practical purposes" in concluding that the injured worker had not

sustained a total loss of use of her right hand). Accordingly, we agree with the magistrate

that Dr. Larsen's report constitutes "some evidence" to support the commission's

determination that relator did not sustain a total loss of use of his left lower extremity, as

the report indicates some functionality of relator's lower limbs. See State ex rel. Robinette

v. Indus. Comm., 10th Dist. No. 12AP-502, 2013-Ohio-2453, ¶ 8 (in denying an

application for loss of use of claimant's right leg, the commission did not abuse its

discretion by relying on the report of an examining physician who stated that "[t]here is a

distinct and significant difference between making a decision to not ambulate and actually

not being able to ambulate").

{¶ 11} Following an independent review of the magistrate's decision and the

objection filed by respondent, we find that the magistrate has determined the pertinent

facts and properly applied the relevant law. Accordingly, we adopt the magistrate's

decision as our own, including the findings of fact and conclusions of law contained

No. 15AP-882 5

therein. For the reasons set forth in the magistrate's decision and those expressed herein,

relator's objection is overruled.

Objection overruled;

writ of mandamus denied.

BROWN and KLATT, JJ., concur.

______________

No. 15AP-882 6

APPENDIX

IN THE COURT OF APPEALS OF OHIO

TENTH APPELLATE DISTRICT

State of Ohio ex rel. Stephen J. Gwiazda, :

Relator, :

v. : No. 15AP-882

Industrial Commission of Ohio : (REGULAR CALENDAR)

and ABC Distribution Company,

:

Respondents.

:

MAGISTRATE'S DECISION

Rendered on March 25, 2016

Nager, Romaine & Schneiberg Co. L.P.A., Jerald A.

Schneiberg, Jennifer L. Lawther and Corey J. Kuzma, for

relator.

Michael DeWine, Attorney General, and Eric J. Tarbox, for

respondent Industrial Commission of Ohio.

IN MANDAMUS

{¶ 12} Relator, Steven J. Gwiazda, has filed this original action requesting that

this court issue a writ of mandamus ordering respondent, Industrial Commission of

Ohio ("commission"), to vacate its order which denied his motion for total loss of use of

his left lower extremity, and ordering the commission to find that he is entitled to that

award.

Findings of Fact:

{¶ 13} Relator sustained a work-related injury on February 5, 2009, when he was

pinned between a tow-motor and a truck, and his workers' compensation claim has been

allowed for the following conditions:

No. 15AP-882 7

Open wound of left hip/thigh-complicated; fracture of

sacrum, rectum injury-open; large open wound

gluteal/peroneal area; perineal laceration; bilateral carpal

tunnel syndrome; impotence, organic origin; sprain

sacroiliac; sprain lumbar region; substantial aggravation of

pre-existing degenerative joint disease left knee; traumatic

arthritis left leg; tear left meniscus-current; tear left medial

collateral ligament; adjustment reaction; dental caries.

{¶ 14} 2. In an order mailed October 28, 2014, the commission granted relator's

application for permanent total disability ("PTD") compensation.

{¶ 15} 3. On March 27, 2015, relator filed a C-86 motion requesting a finding of

loss of use left lower extremity.

{¶ 16} 4. Relator's motion was supported by the May 22, 2014 evaluation and

reports from his treating physician Todd S. Hochman, M.D. Dr. Hochman noted the

following physical findings upon examination:

He has extreme weakness noted throughout his left lower

extremity. In fact, he had difficulty with active flexion and

extension throughout his left hip. He had extreme difficulty

with active flexion and extension throughout his left knee.

There is some atrophy throughout the musculature in the left

lower extremity. He was able to actively dorsiflex and plantar

flex the left ankle. He ambulated with an antalgic gait with

the assistance of a walker. When he elevated from a seated

position, he was unable to do anything with his left lower

extremity and was dependent on his right lower extremity.

When he walks with the walker, he utilizes the walker and his

right lower extremity. He uses momentum and pelvic

movements in order to move his left lower extremity.

{¶ 17} In his May 22, 2014 report, Dr. Hochman opined that relator had lost the

functional use of his left lower extremity, stating:

First, it must be established that Mr. Gwiazda reports that he

was asymptomatic and working full duty prior to

February 05, 2009. As you know, Mr. Gwiazda sustained

significant injuries as the result of his February 05, 2009

work accident, and he has required numerous surgeries.

Subsequent to the February 05, 2009 work injury, Mr.

Gwiazda has developed a significant left lower extremity

impairment. Mr. Gwiazda has essentially no active flexion or

extension throughout his left knee or left hip. Mr. Gwiazda is

No. 15AP-882 8

dependent on his right lower extremity in order to elevate

from a seated position. Mr. Gwiazda ambulates with a walker

and his right lower extremity, and does not utilize his left

lower extremity for any purposeful part of ambulation. Mr.

Gwiazda appears to use momentum and pelvic movements

in order to move his left lower extremity. It is my medical

opinion, within a reasonable degree of medical probably,

that Mr. Steven Gwiazda has, for all intents and purposes,

lost functional use of his left lower extremity as a result of his

February 05, 2009 work accident.

{¶ 18} 5. An independent medical examination was performed by Teresa Kay

Larsen, D.O. In her January 30, 2015 report, Dr. Larsen noted the allowed conditions in

relator's claim and provided her findings on physical examination:

On physical examination, this is an alert and cooperative

pleasant middle aged male in no distress. His affect is

normal in range, and his body habitus is overweight.

Examination of his left hip area reveals a long surgical scar

from the gluteal area to the posterior thigh with significant

loss of left gluteal muscle bulk. Passive range of motion of

the left hip reveals normal motion in all planes. There is no

thigh or leg muscle atrophy. Circumferential measurement of

the left thigh is 51 cm and the right thigh is 50 cm, at 10 cm

about the knees. Circumferential measurement of the calves

is 36.5 cm bilaterally, at 20 cm below the tibial tuberosities.

Examination of the left knee reveals full extension and

flexion without discomfort. Surgical scars are not apparent.

There is no joint tenderness, effusion, or instability. There

are mild knee joint hypertrophic changes consistent with

degenerative joint disease. Motor strength testing is limited

by voluntary effort, as he initially did not perform any

motion at the hip, knee, or ankle when requested. However,

after discussion that it was noted that prior examiner's had

documented motion and strength in these areas, he

demonstrated 4/5 strength at the knee extensors, 5/5 at the

ankle dorsiflexors, and brief but good strength (he was able

to provide good resistance to manual muscle testing but

briefly and at partial range) at the hip flexors. There was no

active motion demonstrated in hip abduction or extension.

Reflexes are 2/4 at the patella and achilles bilaterally.

Sensation is described as diminished to light touch

throughout the left lower limb circumferentially. There is

trace pretibial pitting edema in the bilateral lower limbs. He

is observed to use the left lower limb to push himself up

No. 15AP-882 9

along the exam table by actively flexing the hip and flexing

and extending the knee and ankle and similarly while

changing positions to side lying. He ambulates with use of a

walker, swinging the left leg through with touch down weight

bearing on the left foot and appeared to be avoiding putting

weight through the left leg on direct examination. On

indirect observation as he entered the examination room and

left the office, it is noted that he did shift his weight through

the left hip and weight bear equally at times through the left

leg and foot while wearing an AFO.

{¶ 19} Thereafter, Dr. Larsen opined that relator did not have a total loss of use of

his left lower limb, stating:

Based on a reasonable degree of medical certainty, it is my

opinion that the allowed injury has not resulted in the total

permanent loss of use of the left lower limb such that the

effected part is useless for all practical purposes. Although

there is significant loss of left gluteal musculature and

muscle function in regard to left hip extension and abduction

and to a partial degree in hip flexion, there is functional use

of the left lower limb at the knee, ankle and foot. While it is

noted in the report of Dr. Hochman that Mr. Gwiazda has no

active flexion or extension of the hip or knee, both my

examination and review of the records, as discussed in the

history section of this report, reveals that he does have good

knee and ankle extension and flexion although there is

significant weakness of the gluteal/hip girdle muscles with

partial hip flexor activation. Although his performance is

variable on my examination, there is definite ability to

activate and use the left knee, ankle, and foot, and a partial

ability to use the left hip flexors, to change positions, bear

weight at times and assist during position changes, standing,

and ambulation. While there is partial impairment of the left

lower limb, there is not a total loss of use of the left lower

limb in this individual.

{¶ 20} 6. The record before the commission includes the October 1, 2014 report

of Eli Fink, M.D., prepared to assist the commission in its consideration of maximum

medical improvement, permanent partial impairment, and PTD. Dr. Fink found that

relator had significant left hip girdle weakness, that his "left knee has been

asymptomatic since * * * 2010," that he "ambulates with a very forward-flexed posture

* * * dragging the left leg," and that his "[q]uadriceps strength is 4+ on the left, 5 on the

No. 15AP-882 10

right," and "[a]nkle dorsiflexion and plantar flexion strength is normal." Dr. Fink

assessed a 60 percent whole person impairment for relator's hip.

{¶ 21} 7. Following the denial of the motion by a district hearing officer ("DHO"),

a hearing was held before a staff hearing officer ("SHO") on April 28, 2015. The SHO

relied on the report of Dr. Larsen and denied relator's motion, stating:

The Staff Hearing Officer affirms the District Hearing

Officer's DENIAL of the request for payment for LOSS OF

USE OF THE LEFT LOWER EXTREMITY. This order

relies on the report and opinion of Teresa Larsen, D.O. Dr.

Larsen indicates that the Injured Worker appears to balance

himself with the left lower leg while using his walking during

limited daily activities. She also reports functional use of the

left ankle and knee. Dr. Larsen also observed the Injured

Worker pushing himself up on the exam table by actively

flexing the hip and flexing and extending the knee and ankle

and similarly while changing position to his side.

(Emphasis sic.)

{¶ 22} 8. Relator's further appeal was refused by order of the commission mailed

May 20, 2015.

{¶ 23} 9. Thereafter, relator filed the instant mandamus action in this court.

Conclusions of Law:

{¶ 24} For the reasons that follow, it is this magistrate's decision that this court

should deny relator's request for a writ of mandamus.

{¶ 25} The Supreme Court of Ohio has set forth three requirements which must

be met in establishing a right to a writ of mandamus: (1) that relator has a clear legal

right to the relief prayed for; (2) that respondent is under a clear legal duty to perform

the act requested; and (3) that relator has no plain and adequate remedy in the ordinary

course of the law. State ex rel. Berger v. McMonagle, 6 Ohio St.3d 28 (1983).

{¶ 26} In order for this court to issue a writ of mandamus as a remedy from a

determination of the commission, relator must show a clear legal right to the relief

sought and that the commission has a clear legal duty to provide such relief. State ex

rel. Pressley v. Indus. Comm., 11 Ohio St.2d 141 (1967). A clear legal right to a writ of

mandamus exists where the relator shows that the commission abused its discretion by

No. 15AP-882 11

entering an order which is not supported by any evidence in the record. State ex rel.

Elliott v. Indus. Comm., 26 Ohio St.3d 76 (1986). On the other hand, where the record

contains some evidence to support the commission's findings, there has been no abuse

of discretion and mandamus is not appropriate. State ex rel. Lewis v. Diamond

Foundry Co., 29 Ohio St.3d 56 (1987). Furthermore, questions of credibility and the

weight to be given evidence are clearly within the discretion of the commission as fact

finder. State ex rel. Teece v. Indus. Comm., 68 Ohio St.2d 165 (1981).

{¶ 27} Relator asserts that all of the medical evidence establishes that he has lost

the use of his left lower extremity for all practical purposes and Dr. Larsen failed to

apply this standard. Relator argues that the only purpose his left leg now serves is for

balance, stating: "Just as if Relator's leg was amputated and replaced with a prosthetic,

he is able to balance on it but not be afforded any functionality beyond that ability to

balance." (Relator's Brief, 11-12.)

{¶ 28} In order to qualify for a loss of use award, relator was required to present

medical evidence demonstrating that, for all intents and purposes, he had lost the use of

his left upper extremity. State ex rel. Alcoa Bldg. Prods. v. Indus. Comm., 102 Ohio

St.3d 341, 2004-Ohio-3166.

{¶ 29} In Alcoa, at ¶ 10, the court set forth the historical development of

scheduled awards for loss of use under R.C. 4123.57(B) as follows:

Scheduled awards pursuant to R.C. 4123.57(B) compensate

for the "loss" of a body member and were originally confined

to amputations, with the obvious exceptions of hearing and

sight. In the 1970s, two cases—State ex rel. Gassmann v.

Indus. Comm. (1975), 41 Ohio St.2d 64, 70 O.O.2d 157, 322

N.E.2d 660, and State ex rel. Walker v. Indus. Comm.

(1979), 58 Ohio St.2d 402, 12 O.O.3d 347, 390 N.E.2d 1190—

construed "loss," as similarly used in R.C. 4123.58, to include

loss of use without severance. Gassmann and Walker both

involved paraplegics. In sustaining each of their scheduled

loss awards, we reasoned that "[f]or all practical purposes,

relator has lost his legs to the same effect and extent as if

they had been amputated or otherwise physically removed."

Gassmann, 41 Ohio St.2d at 67, 70 O.O.2d 157, 322 N.E.2d

660; Walker, 58 Ohio St.2d at 403-404, 12 O.O.3d 347, 390

N.E.2d 1190.

No. 15AP-882 12

{¶ 30} In Alcoa, the claimant, Robert R. Cox, sustained a left arm amputation just

below his elbow. Due to continuing hypersensitivity at the amputation site, Cox was

prevented from ever wearing a prosthesis. Consequently, Cox filed a motion seeking a

scheduled loss of use award for the loss of use of his left arm.

{¶ 31} Through videotape evidence, Alcoa established that Cox could use his

remaining left arm to push open a car door and to tuck paper under his arm. In spite of

this evidence, the commission granted Cox an award for the loss of use of his left arm.

{¶ 32} Alcoa filed a mandamus action which this court denied. Alcoa appealed as

of right to the Supreme Court of Ohio.

{¶ 33} Affirming this court's judgment and upholding the commission's award,

the Supreme Court explained, at ¶ 10-15:

Alcoa urges the most literal interpretation of this rationale

and argues that because claimant's arm possesses some

residual utility, the standard has not been met. The court of

appeals, on the other hand, focused on the opening four

words, "for all practical purposes." Using this interpretation,

the court of appeals found that some evidence supported the

commission's award and upheld it. For the reasons to follow,

we affirm that judgment.

Alcoa's interpretation is unworkable because it is impossible

to satisfy. Walker and Gassmann are unequivocal in their

desire to extend scheduled loss benefits beyond amputation,

yet under Alcoa's interpretation, neither of those claimants

would have prevailed. As the court of appeals observed, the

ability to use lifeless legs as a lap upon which to rest a book is

a function unavailable to one who has had both legs

removed, and under an absolute equivalency standard would

preclude an award. And this will always be the case in a

nonseverance situation. If nothing else, the presence of an

otherwise useless limb still acts as a counterweight—and

hence an aid to balance—that an amputee lacks. Alcoa's

interpretation would foreclose benefits to the claimant who

can raise a mangled arm sufficiently to gesture or point. It

would preclude an award to someone with the hand strength

to hold a pack of cards or a can of soda, and it would bar—as

here—scheduled loss compensation to one with a limb

segment of sufficient length to push a car door or tuck a

newspaper. Surely, this could not have been the intent of the

No. 15AP-882 13

General Assembly in promulgating R.C. 4123.57(B) or of

Gassmann and Walker.

Pennsylvania defines "loss of use" much as the court of

appeals did in the present case, and the observations of its

judiciary assist us here. In that state, a scheduled loss award

requires the claimant to demonstrate either that the specific

bodily member was amputated or that the claimant suffered

the permanent loss of use of the injured bodily member for

all practical intents and purposes. Discussing that standard,

one court has written:

"Generally, the 'all practical intents and purpose' test

requires a more crippling injury than the 'industrial use' test

in order to bring the case under section 306(c), supra.

However, it is not necessary that the injured member of the

claimant be of absolutely no use in order for him to have lost

the use of it for all practical intents and purposes." Curran v.

Walter E. Knipe & Sons, Inc. (1958), 185 Pa.Super. 540, 547,

138 A.2d 251.

This approach is preferable to Alcoa's absolute equivalency

standard. Having so concluded, we further find that some

evidence indeed supports the commission's decision. Again,

Dr. Perkins stated:

"It is my belief that given the claimant's residual hyper-

sensitivity, pain, and tenderness about his left distal forearm,

that he is unable to use his left upper limb at all and he

should be awarded for the loss of use of the entire left upper

limb given his symptoms. He has been given in the past loss

of use of the hand, but really he is unable to use a prosthesis

since he has had the amputation, so virtually he is without

the use of his left upper limb * * *."

{¶ 34} In denying him a loss of use award, the commission specifically relied on

the independent medical evaluation of Dr. Larsen who specifically noted as follows in

her physical examination:

Passive range of motion of the left hip reveals normal motion

in all planes. There is no thigh or leg muscle atrophy. * * *

Examination of the left knee reveals full extension and

flexion without discomfort. * * * There is no joint tenderness,

effusion, or instability. * * * Motor strength testing is limited

by voluntary effort, as he initially did not perform any

No. 15AP-882 14

motion at the hip, knee, or ankle when requested. However,

after discussion that it was noted that prior examiner's had

documented motion and strength in these areas, he

demonstrated 4/5 strength at the knee extensors, 5/5 at the

ankle dorsiflexors, and brief but good strength (he was able

to provide good resistance to manual muscle testing but

briefly and at partial range) at the hip flexors. * * * He is

observed to use the left lower limb to push himself up along

the exam table by actively flexing the hip and flexing and

extending the knee and ankle and similarly while changing

positions to side lying. He ambulates with use of a walker,

swinging the left leg through with touch down weight bearing

on the left foot and appeared to be avoiding putting weight

through the left leg on direct examination. On indirect

observation as he entered the examination room and left the

office, it is noted that he did shift his weight through the left

hip and weight bear equally at times through the left leg and

foot while wearing an AFO.

{¶ 35} Dr. Larsen noted further:

While it is noted in the report of Dr. Hochman that Mr.

Gwiazda has no active flexion or extension of the hip or knee,

both my examination and review of the records, as discussed

in the history section of this report, reveals that he does have

good knee and ankle extension and flexion although there is

significant weakness of the gluteal/hip girdle muscles with

partial hip flexor activation. Although his performance is

variable on my examination, there is definite ability to

activate and use the left knee, ankle, and foot, and a partial

ability to use the left hip flexors, to change positions, bear

weight at times and assist during position changes, standing,

and ambulation.

{¶ 36} Contrary to Dr. Hochman's report, Dr. Larsen found that relator had full

knee and ankle extension and flexion, had the ability to activate and use the left knee,

ankle, and foot, had partial ability to use his left hip flexors, and had a lack of thigh/leg

muscle atrophy. Further, Dr. Larsen noted that, on indirect examination, relator shifted

his weight through his left hip and bore weight equally at times through the left leg and

foot while wearing an AFO. The magistrate finds that Dr. Larsen did not misapply the

Alcoa standard.

No. 15AP-882 15

{¶ 37} Although relator asserts that all of the evidence shows that he is only able

to use his left leg to help him balance, Dr. Larsen's report indicates that relator is able to

use his left leg more than just to provide balance. Further, Dr. Larsen found that he had

full use of his left knee and ankle. To the extent that relator points to Dr. Fink's report,

his report supports some of Dr. Larsen's findings and contradicts others. There is no

dispute here that relator has a significant loss of use of his left lower extremity. Relator

requires a walker in order to ambulate. According to Dr. Larsen, relator is able to move

his left leg, bear weight on his left leg, and push himself up by actively flexing his hip

and flexing and extending his knee and ankle. Although relator asserts that the

commission required him to demonstrate that the leg was completely useless, with no

functionality whatsoever, the magistrate disagrees.

{¶ 38} Credibility and the weight to be given evidence are within the discretion of

the commission as fact finder and it is immaterial whether other evidence, even if

greater in quality and/or quantity, supports a decision contrary to the commission's.

Teece; State ex rel. Pass v. C.S.T. Extraction Co., 74 Ohio St.3d 373 (1996). Because

there is some evidence in the record to support the commission's determination, relator

has not demonstrated that the commission abused its discretion.

{¶ 39} Based on the foregoing, it is this magistrate's decision that relator has not

demonstrated that the commission abused its discretion in denying his motion for total

loss of use of his left lower extremity and this court should deny relator's request for a

writ of mandamus.

/S/ MAGISTRATE

STEPHANIE BISCA

NOTICE TO THE PARTIES

Civ.R. 53(D)(3)(a)(iii) provides that a party shall not assign as

error on appeal the court's adoption of any factual finding or

legal conclusion, whether or not specifically designated as a

finding of fact or conclusion of law under Civ.R. 53(D)(3)(a)(ii),

unless the party timely and specifically objects to that factual

finding or legal conclusion as required by Civ.R. 53(D)(3)(b).

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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