THATCHER GLASS COMPANY AND UNDERWRITERS ADJUSTING COMPANY, APPELLANTS/CROSS APPELLEES,
v.
LUVENIA JOSEPH, APPELLEE/CROSS APPELLANT
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Thatcher Glass Company and its insurance carrier appealed a workers' compensation modification order, arguing the deputy commissioner erred in finding a change in the claimant's condition warranting additional psychiatric disability benefits. The court reversed, holding that a mere difference of psychiatric opinion does not constitute the material change in condition required by statute.
The court reversed the modification order, holding that Dr. Fesler's testimony represented merely a difference of opinion with the previous psychiatric evaluation and did not constitute the new and positive evidence of a material change in condition required under Florida Statute § 440.28 to warrant modification.
[1] A petition for modification of a workers' compensation order requires new and positive evidence demonstrating a material change in the claimant's condition since the prio…
[2] A change in condition for modification purposes must be a progression of the injury not anticipated by the original diagnosis or a result of evidentiary factors unknown a…
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Join FLexlaw to unlock all legal intelligence“The change of condition provision is designed to afford relief to a claimant whose condition either becomes progressively worse when not anticipated by the original diagnosis or is the product of evidentiary factors not known at the time of the initial claim proceeding.”
Establishes the legal purpose and scope of modification under § 440.28
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Join FLexlaw to unlock all legal intelligenceClaimant sustained compensable shoulder injuries in April 1977 and back injuries in February 1978. A May 30, 1980 order found 6% permanent partial imp…
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McCORD, Judge.
By this appeal the employer/earrier argue that the deputy commissioner erred in granting the claimant’s petition for modification on the basis of a change in condition. We agree and reverse.
In April of 1977 and February of 1978, claimant sustained two compensable injuries to her left shoulder and back, respectively. An order was entered on May 30, 1980, finding that she had a 6% permanent partial impairment of the body as a whole from the shoulder injury and a 7% permanent partial impairment of the body as a whole from the back injury. However, the deputy specifically found that she had no permanent impairment on a psychiatric basis as a result of these two injuries.
Claimant subsequently filed a petition for modification alleging a change in condition on a psychiatric basis and seeking additional temporary total disability payments. In agreeing with claimant’s contention, the deputy relied upon the testimony of a psychiatrist, Dr. Fesler, who felt that she was totally disabled on a psychiatric basis. Specifically, he opined that she was suffering from severe depression that was an outgrowth of her compensable injury. However, he admitted that his psychiatric analysis was based upon the same complaints given to another psychiatrist, Dr. Forman, whose opinion was the basis of the deputy’s prior conclusion that she had suffered no permanent impairment on a psychiatric basis.
Section 440.28, Florida Statutes, provides for a modification of a previous compensation order on the ground that the claimant’s condition has materially changed since the entry of the previous order. The change of condition provision is designed to afford relief to a claimant whose condition either becomes progressively worse when not anticipated by the original diagnosis or is the product of evidentiary factors not known at the time of the initial claim proceeding.
General Elect. Co. v. Osborne, 394 So. 2d 1089, 1090 (Fla. 1st DCA 1981). Thus, it must be shown by new and positive evidence that the claimant’s condition has changed so that the conditions which were the foundation of the prior order no longer operate. Here, Dr. Fesler’s testimony did not show that the underlying conditions for Dr. Forman’s evaluation had changed. On the contrary, Dr. Fesler agreed that her complaints were the same as previously given. Accordingly, Fesler’s testimony regarding claimant’s present psychiatric condition represents but a difference of opinion with the previous evaluation. Further, the organic evaluation of her treating orthopedic physician, Dr. Eckart, remains the same, i.e., that she may return to work without any physical restrictions and/or limitations. There being no competent, substantial evidence of a change in condition, the deputy’s order must be REVERSED.
BOOTH, J., concurs.
WENTWORTH, J., dissenting and concurring in part.
WENTWORTH, Judge,
dissenting and concurring in part.
I respectfully disagree and would find the modification order to be supported by competent evidence which is not merely cumulative in character. The current psychiatric testimony does not in my opinion establish or concede that claimant’s earlier symptoms were identical in scope, but permits instead the deputy’s apparent conclusion that conditions evidenced at the first hearing had changed significantly in the degree to which claimant's functioning was affected.
As to the cross appeal, I agree that the deputy could properly deny an order for continuing temporary total disability compensation, because such benefits are not ordinarily assessable in futuro. The order is obscure, however, in predicating denial on “anticipated improvement after the hearing.” I would note the speculative character of that reference, as well as the problems inherent in evaluation of medical opinion, such as in this case, that a claimant is “as good as she’s going to get until her case is settled.” Cf., Bryant v. Elberta Crate, 156 So. 2d 844 (Fla.1963); Johnny’s Welding Shop v. Eagan, 143 So. 2d 470 (Fla.1962); Maffitt v. Henderson’s Portion-Pak, Inc., 132 So. 2d 410 (Fla.1961); Tampa Ship Repair & Dry Dock Co., Inc. v. Director, Office of Workers’ Compensation Programs, 535 F. 2d 936 (5th Cir.1976).
Cases With Similar Vibessemantic neighbors from the corpus
Citator
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Robinson v. JDM Country Club & Corporate Grp. Serv., 455 So. 2d 1077 (Fla. 1st DCA 1984)…anticipated by the original diagnosis or is the product of evi-dentiary factors not known at the time of the initial claim proceeding.” General Electric Co. v. Osborne, 394 So. 2d 1089, 1090 (Fla. 1st DCA 1981). Accord: Thatcher Glass Co. v. Joseph, 424 So. 2d 68, 69 (Fla. 1st DCA 1983). Although a claimant’s testimony of increased pain, standing alone, is insufficient to constitute grounds for modification due to changed condition,2 such grounds do exist when claimant’s testimony is taken in conjunction wit…
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Westwinds Transp., Inc. v. Murphy, 494 So. 2d 519 (Fla. 1st DCA 1986)…elief to a claimant whose condition either 1) becomes progressively worse when not anticipated by the original diagnosis or 2) is the product of evidentiary factors not known at the time of the initial claim proceeding. Thatcher Glass Co. v. Joseph, 424 So. 2d 68, 69 (Fla. 1st DCA 1982); Acree Oil Co. v. Peterson, 467 So. 2d 346, 347 (Fla. 1st DCA 1985). While cumulative evidence serves no purpose in mistake of fact cases, the rule against such evidence is uniquely applicable to such cases, not to those base…
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Starkman v. Bechtel Power Corp., 588 So. 2d 304 (Fla. 1st DCA 1991)…product of evidentiary factors not known at the time of the initial claim proceeding. Westwinds Transp., Inc. v. Murphy, 494 So. 2d 519 (Fla. 1st DCA 1986); Acree Oil Co. v. Peterson, 467 So. 2d 346 (Fla. 1st DCA 1985); Thatcher Glass Co. v. Joseph, 424 So. 2d 68 (Fla. 1st DCA 1982); City of Tampa v. Morales, 423 So. 2d 571 (Fla. 1st DCA 1982); General Electric Co. v. Osborne, 394 So. 2d 1089 (Fla. 1st DCA 1981). The aforementioned cases should not be construed to impose the requirement that a material chang…
Previewing 3 of 4 citing cases — full citator treatment, depth of discussion, and citing context are member features.
Join FLexlaw to unlock all legal intelligenceAuthorities Cited
- Gen. Elec. Co. & Elec. Mut. Ins. Co. v. Osborne, 394 So. 2d 1089 (Fla. 1st DCA 1981)
- Tampa Ship Repair & DRY Dock Co., Inc. v. Dir., Off. OF Workers' Comp. Programs, & James M. Duran, 535 F.2d 936 (5th Cir. 1976)
- Starling E. Bryant v. Elberta Crate & BOX Co. & Fla. Indus. Comm'n, 156 So. 2d 844 (Fla. 1963)
- Maffitt v. Henderson's Portion-Pak, Inc., 132 So. 2d 410 (Fla. 1961)
- Johnny's Welding Shop & Great Am. Ins. Co. v. Eagan, 143 So. 2d 470 (Fla. 1962)