Hayes v. J.M.S. Const.

• Decision Date: 05 June 1978
• Docket Number: No. 14110,14110
• Citation: 579 P.2d 1225,35 St.Rep. 722,176 Mont. 513
• Parties: Francis B. HAYES, Claimant and Respondent, v. J.M.S. CONSTRUCTION, Employer, and Aetna Insurance Company, Defendant and Appellant.
• Court: Montana Supreme Court

Page 1225

579 P.2d 1225

176 Mont. 513

Francis B. HAYES, Claimant and Respondent, v. J.M.S. CONSTRUCTION, Employer and Aetna Insurance Company, Defendant and Appellant.

No. 14110.

Supreme Court of Montana.

Submitted May 1, 1978.

Decided June 5, 1978.

Church, Harris, Johnson & Williams, Great Falls, Cresap S. McCracken (argued), Great Falls, for defendant and appellant.

Hoyt & Lewis, Great Falls, John C. Hoyt (argued), Great Falls, for claimant and respondent.

DALY, Justice.

Claimant Francis B. Hayes filed a petition seeking compensation and medical benefits pursuant to the provisions of the Workers' Compensation Act, sections 92-101 et seq., R.C.M.1947, due to an industrial accident sustained on or about October 23, 1975. Defendant carrier AETNA Insurance Company answered, admitting the occurrence of the accident, but alleging the injury had healed, and claimant was thereafter not entitled to compensation.

A hearing on the petition was held on August 16, 1977, before the Workers' Compensation Court. By its findings of fact and conclusions of law, dated November 10, 1977, the court determined claimant had suffered an industrial accident which rendered him totally disabled. It was also determined that claimant had not received proper notice of the termination of benefits, as required by section 92-615, R.C.M.1947. The court thereupon ordered that defendant pay all unpaid medical expenses incurred by claimant and all compensation accrued since the date of termination of payments, in addition to further compensation and any future medical expenses. It was also ordered that claimant be reimbursed for attorney fees and costs incurred as a result of the judicial determination of the claim. Defendant carrier appeals.

The pertinent facts are:

On October 23, 1975, while employed by J.M.S. Construction as a carpenter, claimant was injured when a roof he was working on collapsed. Claimant fell approximately 19 feet to the floor below, with a large truss falling upon him. It was determined during claimant's subsequent hospitalization, that he had sustained a fracture of his pelvis.

Dr. H. J. Borge, claimant's principal physician during the primary phase of recuperation, initially projected a healing period extending into April 1976. However, claimant began to report lower back pain on March 26, 1976. In a report dated April 28, 1976, Dr. Borge indicated claimant was yet unable to return to work.

Claimant continued to complain of serious lower back pain. He was therefore referred to Dr. John H. Avery, a Great Falls orthopedic surgeon. In a July 12, 1976 letter to Compensation Adjusters, Inc., Dr. Avery stated:

"The sciatic pain that Mr. Hayes is experiencing is indeed caused from the initial injury that he sustained on 10/12/75 (sic). * * * When he returns to work depends of course on his recuperative success."

It was subsequently determined that claimant should undergo a myelogram to determine whether he had sustained a herniated disc in his back. Dr. Charles P. Vaclavik, claimant's then attending physician, indicated such procedure could not be performed, nor impairment determined, for a period of six months to allow for a large weight loss on the part of claimant. Dr. Vaclavik indicated, however, he was of the impression that claimant was suffering from acute lumbar strain due to trauma incurred by the fall from the roof scaffolding.

Claimant continued to lose weight and receive medical and drug therapy. However, on November 11, 1976, defendant carrier indicated by letter that it was terminating claimant's compensation until the planned diagnostic tests were performed. The notice of termination was not forwarded to claimant but to his then attorney of record. Claimant later testified he received no notice of the termination of benefits until some weeks subsequent to the issuance of the actual notice. In any event, the carrier admits the notice of termination was improperly given.

Claimant continued to seek, and did receive, further medical treatment for his back problem from various specialists subsequent to the actual termination of benefits. Following a substitution of attorneys, claimant filed, on June 20, 1977, the petition for emergency hearing which ultimately led to this appeal.

At the hearing the Workers' Compensation Court indicated it would take judicial notice of the numerous medical reports contained in the court file; neither party offered objection. The sole witnesses to appear were claimant and his wife. Both witnesses testified claimant remained in a great deal of pain due to his back injury and was severely restricted in his daily activities. Following the hearing, defendant was given the opportunity to depose certain physicians who had treated claimant. However, no depositions were taken.

The Workers' Compensation Court determined claimant was entitled to further temporary total disability compensation and, in addition, attorney fees and costs. This appeal followed.

The issues on appeal are: 1. Whether claimant must prove his injury was proximately caused by an industrial accident through expert medical testimony. 2. Whether the evidence is sufficient to support the determination of the Workers' Compensation Court.

The essence of defendant's argument is that claimant failed to establish the causal connection between his fall from the scaffolding and his back ailment. Defendant contends a claimant must prove such proximate relation by competent medical testimony. Defendant claims error in the Workers' Compensation Court's reliance on the medical reports in the court file, because they are hearsay. Ronchetto v. Ronchetto (1977), Mont., 567 P.2d 456, 34 St.Rep. 797; Matter of Swan (1977), Mont., 567 P.2d 898, 34 St.Rep. 390; Matter of Moyer (1977), Mont., 567 P.2d 47, 34 St.Rep. 682 (District Court erred in relying on non-evidentiary reports of welfare workers in child custody matters); Groves v. Groves (1977), Mont., 567 P.2d 459, 34 St.Rep. 790 (trial court properly refused deposition where opportunity for refutation not available); State v. Nelson (1977), Mont., 560 P.2d 897, 34 St.Rep. 80 (consideration of sheriff's report improper due to hearsay nature of report).

This issue has been before this Court previously. In Brurud v. Judge Moving & Storage Co.,...