Cockrell v. City of Broken Arrow

Opinion by KENNETH L. BUETTNER, Chief Judge. T1 Petitioner John Cockrell seeks review of an order of a three-judge panel of the Workers' Compensation Court which affirmed the trial court's denial of Cockrell's claim for compensation. - Cockrell sought compensation for an alleged heart injury. Respondent City of Broken Arrow (Employer) argued that Cockrell did not prove an injury. Competent evidence supports the finding that Cockrell suffered temporary symptoms but not an injury. We sustain the panel's order. T2 Cockrell filed his Form 3 December 2, 2008. He alleged he sustained a single incident injury to the heart arising out of and in the course of his employment. Employer denied that Cockrell had suffered an injury arising out of employment. At trial, held October 19, 2004, the parties confined the issue to whether Cockrell had sustained a compensable injury July 30, 2003,1 and particularly whether the 11 0.8.8upp.2002 § 491099 110(A) presumption had been triggered and/or rebutted.2 T3 Cockrell testified that he is employed as a firefighter and paramedic with Employer's fire department. - Cockrell explained that in July 2003, he was under investigation for possible sexual harassment and conduct unbecoming a firefighter. Cockrell had been told that he would learn the outcome of the investigation July 30, 2008, and he was under great stress that day as a result of the pending investigation. - Cockrell explained that in 2001 he had two episodes of supraven-tricular tachycardia (SVT), which he described as a rapid heart rate of over 150 beats per minute. Cockrell went to the emergency room on both occasions and a cardiologist later determined the SVT episodes were the result of diet pills or stress. Cockrell testified that he stopped taking the diet pills that caused the 2001 SVT episodes. 1 4 In July 2008, he was seeing a different doctor and was taking a different kind of diet medication.3 - On July 30, 2003, after Cockrell and his co-workers returned from lunch, their supervisor spoke on the phone with the Fire Chief about the investigation of Cock-rell. The supervisor called Cockrell in and announced that he had learned the investigation was not completed. Cockrell testified that the news was upsetting because he was under stress waiting for the outcome of the investigation. He went upstairs and his heart began to race. Cockrell went back downstairs to the ambulance and tested himself with the heart monitor. He testified he discovered he "was in a form of SVT, which is atrial fibrillation." Cockrell's co-workers then drove him to the emergency room. Cockrell's heart rate was 200 beats per minute. Cockrell's heart rate had not returned to normal after he was at the Broken Arrow hospital for a few hours, and he was therefore transferred to the cardiac unit at Saint Francis Hospital in Tulsa. That night his heart rate returned to normal. T5 The trial court issued its Order Denying Compensability October 26, 2004. The court recognized that "injury" for purposes of workers' compensation includes injury to the heart if caused by stress, arising out of and in the course of employment, in excess of that experienced by a person in the conduct of everyday living, citing 85 0.8.2001 § 3(12)(b).4 The court also recognized that the 11 0.8.8upp.2002 § 49-110(A) presumption has been applied to firefighters seeking workers' compensation benefits5 The trial court noted that the stress caused by awaiting the outcome of an internal investigation caused his SVT episode July 30, 2008, and that the SVT occurred within ten minutes of learning that the Deputy Fire Chief "had done all that he could do and that the matter [1100] was in the hands of the City Council." The trial court found that the internal investigation of Cockrell was an event which arose out of and in the course of his employment. The trial court held, however, that the SVT was a temporary rise in heart rate which did not cause any physical damage. The court determined that a rapid or irregular heartbeat does not constitute an injury for workers' compensation purposes. The trial court found the 11 0.8. § 49-110(A) presumption was rebutted and that Cockrell had failed to prove he suffered an injury to his heart July 30, 2008. A three-judge panel affirmed the denial of compensability in an Order filed January 28, 2005. $6 The Workers' Compensation Act provides for compensation for accidental physical iyjury to the employee arising out of and in the course of employment. 85 ©.8.2001 § 11. We will sustain the finding that Cockrell did not sustain a physical injury if that finding is supported by competent evidence. Parks v. Norman Municipal Hosp., 1984 OK 53, 684 P.2d 548. T7 Cockrell's Exhibit 3 is the report of Dr. Hastings, who described the events of July 30, 20083, during which Cockrell's heart rate increased, he was transported to one hospital and then another, where his heart rate returned to normal and he was released. Dr. Hastings noted that at the time of his examination, Cockrell reported he did not have an irregular heart beat, nor chest pain, shortness of breath, or wheezing. Dr. Hastings opined that Cockrell's SVT episode of July 30, 2003 was an injury arising out of and in the course of his employment. T8 Employer's Exhibit 1 is the report of Dr. Mitchell, who noted Cockrell had not experienced any other episodes of rapid heartbeat after July 30, 2008. Dr. Mitchell's report states that "Mr. Cockrell denied any current cardiac difficulties. Furthermore, he indicated he sustained no known impairment to his heart as a result of the events of July 30, 2008." Dr. Mitchell reported that Cock-rell's pulse was 66 when he examined him. Dr. Mitchell found Cockrell had a "regular heart rate and rhythm without murmurs, rubs, or gallops." Dr. Mitchell opined that Cockrell experienced an episode of SVT, or rapid heart rate, on July 30, 2008, but also that Mr. Cockrell did not incur injury to his cardiovascular system as a result of his recurrent episode of SVT. During (Cock-rell's) episode of SVT, his heart beat at an elevated rate, but did not sustain tissue damage. - Electrocardiograms performed subsequent to his cardioversion 6 substantiated this fact. Dr. Mitchell found Cockrell had sustained 0% impairment. T 9 In his brief filed in this review proceeding, Cockrell has not explained what his injury is. Rather, he asserts that it is undisputed that work-related stress caused his heart rate to increase for a few hours on July 30, 2008. Cockrell asserts that he must have some "permanent condition" because Dr. Bare prescribed Atenolol and both medical experts, Dr. Hastings and Dr. Mitchell, agreed that Cockrell should continue to take Atenolol. The records indicate Atenolol, a beta blocker, was prescribed to prevent future SVT episodes. 1 10 The medical reports support a finding that Cockrell's heart rate increased for a few hours on July 80, 2008. The records do not indicate Cockrell sustained an injury. As the Oklahoma Supreme Court has previously explained: This Court has long recognized that "(al disease of the mind or body which arises in the course of employment, with nothing more" is not an accidental injury and, thus, not compensable. Claimant argues that the additional element requirement of "nothing more" is satisfied by the fact that the event which caused his stress is a definite and identifiable occurrence. This is not the case. This Court has consistently held that physical injury must be present for a disability to be compensable. Just as physical symptoms such as pain, tingling of the limbs, and nausea do not constitute accidental injury, neither does mental stress. Because there is no evidence in the present case that Claimant [1101] suffered any physical injury, he has not shown that he suffered an accidental injury. Therefore, his disability is not com-pensable under the Act. Fenwick v. Oklahoma State Penitentiary, 1990 OK 47, 792 P.2d 60, 62 (citations omitted).7 11 Competent evidence supports the panel's finding that Cockrell suffered temporary symptoms, but not a heart-related injury or illness. We therefore sustain the denial of compensability. SUSTAINED. JOPLIN, P.J., concurs, and HANSEN, J., dissents with separate opinion. Footnotes [1] Cockrell indicated he was not temporarily or permanently disabled by announcing that he was entitled to the maximum wage rate for TTD and PTD "if and when those two become appropriate." [2] That subsection provides, in pertinent part: .. Any member of the fire department of any municipality who is disabled as a result of heart disease, injury to the respiratory system, infectious disease, or the existence of any cancer which heart disease, injury to the respiratory system, infectious disease, or cancer was not revealed by the physical examination passed by the member upon entry into the department, shall be presumed to have incurred the heart disease, injury to the respiratory system, infectious disease, or cancer while performing the firefighter's duties as a member of such department unless the contrary is shown by competent evidence.... [3] Cockrell later clarified that the diet medications he was taking in 2003 were "vitamins and supplements," as well as a "water pill." He testified those products had not caused an SVT episode. [4] 85 O.S.Supp.2003 § 3(12)(b), applicable on July 30, 2003, provided: b. "Injury" or "personal injury" includes heart-related or vascular injury, illness or death only if resultant from stress in excess of that experienced by a person in the conduct of everyday living. Such stress must arise out of and in the course of a claimant's employment. This subsection has since been amended. 85 O0.S.Supp.2005 § 3(13)(b) provides: "Compensable injury" includes heart-related or vascular injury, illness or death only if an accident or the claimant's employment is the major cause of the heart-related or vascular injury. - Such injury shall be compensable only if it is demonstrated that the exertion necessary to produce the harm was extraordinary and unusual in comparison to other occupations and that the occupation was the major cause of the harm. The injury must be established by objective medical evidence, as defined in this section. [5] The Oklahoma Supreme Court first applied the 11 O.S. § 49-110(A) presumption to workers' compensation cases in Johnson v. City of Woodward, 2001 OK 85, 38 P.3d 218, 225-226. [6] The medical records indicate "cardioversion" refers to the heart reverting to a normal pace. [7] We recognize that 85 0.$.Supp.2003 § 3(12)(b) provides that "injury" includes heart related injury or illness, but nothing in the record here indicates that Cockrell has any heart related illness. In Johnson v. City of Woodward, supra note 5, the claimant experienced stress-induced angina while working as a firefighter. The claimant went to the hospital the next day where he underwent cardiac catheterization, angioplasty, and placement of a stent in a coronary artery. On that date, the claimant was diagnosed with coronary artery disease. The Supreme Court found that coronary artery disease affects the general soundness of the heart and its health and is not a temporary condition. The court concluded that coronary artery disease constitutes a compensable heart-related illness. 38 P.3d at 223-224. Johnson is distinguishable from this case, where the evidence shows Cock-rell did not sustain injury or illness.