Van Winkle v. Electric Hose & Rubber Co., 82-690

• Decision Date: 08 April 1983
• Docket Number: No. 82-690,82-690
• Citation: 214 Neb. 8,332 N.W.2d 209
• Parties: Ruth VAN WINKLE, Appellant, v. ELECTRIC HOSE & RUBBER CO., a Nebraska corporation, Appellee.
• Court: Nebraska Supreme Court

Page 209

332 N.W.2d 209

214 Neb. 8

Ruth VAN WINKLE, Appellant, v. ELECTRIC HOSE & RUBBER CO., a Nebraska corporation, Appellee.

No. 82-690.

Supreme Court of Nebraska.

April 8, 1983.

Syllabus By the Court

1. Workmen's Compensation. Compensation may be recovered for emotional or psychological conditions which are proximately caused by a work-related injury and result in disability.

2. Workmen's Compensation. Issues of causation in compensation cases are to be determined by the finder of fact.

3. Workmen's Compensation: Appeal and Error. Findings of fact made by the compensation court after rehearing will not be set aside unless clearly wrong.

4. Workmen's Compensation. Where there is nothing more than conflicting medical testimony, this court will not substitute its judgment for that of the Workmen's Compensation Court.

Jim Zimmerman of Atkins, Ferguson, Zimmerman, Carney & Law, Scottsbluff, for appellant.

Stephen W. Kay of Kay & Kay, North Platte, for appellee.

KRIVOSHA, C.J., and BOSLAUGH, McCOWN, WHITE, HASTINGS, and CAPORALE, JJ.

PER CURIAM.

This is an appeal in a proceeding under the Workmen's Compensation Act. The plaintiff, Ruth Van Winkle, was injured on May 20, 1981, while employed as an electricator at Electric Hose & Rubber Co. She felt something "pop" in her lower back while pushing a tub full of rubber hose during the course of her employment. In this proceeding plaintiff sought permanent and total disability benefits on the basis that the back injury which she suffered resulted in a hysteric conversion reaction which has left her paralyzed from the waist down.

After the initial hearing before a single judge, the cause was dismissed. On rehearing before a three-judge panel of the Workmen's Compensation Court, plaintiff received an award for temporary total disability for 9 weeks on the basis of the injury to her back. The court held that plaintiff had not sustained her burden of proof on the issue of the causal relationship between the injury and the conversion reaction. Thus, there was not sufficient evidence to warrant an award of permanent and total disability benefits.

It is undisputed that plaintiff sustained an injury to her back during the course of her employment. A myelogram revealed plaintiff had lesions at vertebrae L4-5 and L5-S1 suggesting herniated discs. It is likewise undisputed that the paralysis from which plaintiff suffers is out of proportion to the indications given by the myelogram, and is a result of a "hysteric conversion reaction." The issue to be determined on this appeal is whether the compensation court erred in determining that a causal nexus between the injury and the conversion reaction had not been proven. This requires an examination of the medical testimony in the record regarding the causation issue.

A conversion reaction occurs when a person who is under some type of stress handles anxiety by developing a physical defect. There is no organic basis to explain the disorder exhibited. Compensation may be recovered for emotional or psychological conditions which are proximately caused by a work-related injury and result in disability. Lee v. Lincoln Cleaning & Dye Works, 145 Neb. 124, 15 N.W.2d 330 (1944); Davis v. Western Electric, 210 Neb. 771, 317 N.W.2d 68 (1982); Erving v. Tri-Con Industries, 210 Neb. 339, 314 N.W.2d 253 (1982). Issues of causation in compensation cases are to be determined by the finder of fact. Hyatt v. Kay Windsor, Inc., 198 Neb. 580, 254 N.W.2d 92 (1977); Aguallo v. Western Potato, Inc., 208 Neb. 66, 302 N.W.2d 41 (1981).

The findings of fact made by the compensation court after rehearing will not be set aside unless clearly wrong. Davis v. Western Electric, supra. Where there is not sufficient competent evidence in the record to warrant the order or judgment of the compensation court, or the findings of fact do not support the same, the Supreme Court must modify, reverse, or set aside the decision of the compensation court. Neb.Rev.Stat. § 48-185 (Reissue 1978); Davis v. Western Electric, supra; Riha v. St. Mary's Church & School, Inc., 209 Neb. 539, 308 N.W.2d 734 (1981).

In the present case the plaintiff's condition was evaluated by several physicians. The depositions of these doctors were received in evidence at the rehearing.

Dr. Wendell Fairbanks, a physician who regularly examined defendant's employees when they sustained injuries on the job, examined plaintiff 7 days after her accident. Plaintiff testified that she had worked full shifts on the 2 days following the accident, but was in pain. She did not return to work after that time. When she was seen by Dr. Fairbanks, she complained of numbness in her leg. He hospitalized her at that time. Her condition did not improve, and by July she had little mobility in her legs. Dr. Fairbanks diagnosed her condition as a conversion reaction. He had no opinion as to the nature of the triggering mechanism for the reaction.

Dr. Louis J. Gogela, a neurosurgeon, examined plaintiff at the request of Dr. Fairbanks. He hospitalized her. Dr. Gogela testified that the paralysis was psychogenic in origin, as there was no apparent organic cause. Dr. Gogela testified that persons exhibiting a particular personality pattern are predisposed to this type of problem. He was unable to formulate an opinion as to whether this paralysis was due to a preexisting personality pattern, or an opinion as to how much effect the injury may have had in bringing about the conversion reaction.

Dr. Richard C. Sposato, a medical neurologist, examined plaintiff at the request of Dr. Gogela. He diagnosed her condition as paraparesis of a conversion reaction type. He testified that, in his opinion, there was no relationship between the on-the-job injury and the paraparesis. He testified he did not have an opinion as to what the triggering mechanism was.

Dr. Sposato requested a psychologist, Dr. Vernon Fisher, to read the Minnesota Multiphasic Personality Inventory (MMPI) which the nursing staff administered to plaintiff. This is a broad-range personality test measuring different aspects of, for example, mood and behavior. Dr. Fisher's diagnostic impression, after he read plaintiff's MMPI, was that she was suffering from "psychophysiologic or conversion disorder with mild to moderate depression and anxiety in a dependent, hysteroid personality." Dr. Fisher did not have an opinion as to the cause of her paralysis, but he felt that the test indicated a predisposition for this type of event.

Plaintiff was also examined by Dr. Ernest W. Beehler, a neurosurgeon. He hospitalized her. He diagnosed plaintiff as suffering from a conversion reaction. He testified to the following: "Q. And, doctor, did you have an opinion...