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Williams v. Topps Appliance City

Decided: December 14, 1989.


On appeal from Division of Workers' Compensation.

J. H. Coleman and Brody. The opinion of the Court was delivered by Coleman, J. H., P.J.A.D.


In this workers' compensation case, the petitioner has appealed from that portion of an order dated December 11, 1986, which denied him temporary disability for certain intervals between June 27, 1985 and April 23, 1986. Petitioner also contends that a 25% penalty pursuant to N.J.S.A. 34:15-28.1 should have been assessed against the respondent. We reverse the denial of temporary disability benefits and direct that petitioner be paid temporary from June 8, 1985 to July 18, 1986, less a credit for payments made heretofore. We remand for a redetermination of the penalty claim.

On June 8, 1985 petitioner injured his lower back while unloading a refrigerator. The employer has admitted the compensability of the accident and paid 2 5/7ths weeks of temporary disability immediately following the accident. Petitioner was treated initially by Dr. Boehn. After the 2 5/7ths weeks, Dr.

Robert Bercik evaluated petitioner and informed him that he could do light duty work. But the employer had no light duty work for petitioner.

Petitioner was also awarded additional temporary disability benefits from August 21, 1985 through September 4, 1985, for 2 1/7th weeks. In addition, petitioner was awarded temporary disability benefits from April 24, 1986 through July 18, 1986, or 12 1/7th weeks. The respondent's expert, Dr. Harold N. Fischer, evaluated a permanent partial disability of 5% on November 24, 1986. Petitioner's expert, Dr. David M. Meyer, evaluated a permanent partial disability of 30% on March 27, 1986. Petitioner sought and was denied additional temporary disability benefits from June 27, 1985 to August 20, 1985, which is 7 6/7ths weeks; and from September 5, 1985 to April 23, 1986, which is 33 4/7ths weeks for a total of 40 4/7ths weeks.

The medical treatment and the recommendation of the authorized treating and examining doctors influenced the judge's decision to deny temporary disability benefits for the periods in question. Immediately following the accident, petitioner was treated by Dr. Boehn for pain in the left lower back which radiated down the left leg to the knee. X-rays of the lumbosacral area were reported as normal. Dr. Boehn treated petitioner conservatively; his treatments consisted of medication for pain and a muscle relaxor.

Dr. Bercik first examined petitioner on July 10, 1985 ostensibly to give an opinion as to whether petitioner was capable of working. He diagnosed a lumbosacral sprain. He stated that petitioner "may do light duty, as long as he does not do any heavy lifting or twisting." He suggested that Dr. Boehn continue with the conservative treatment but that if the pain persisted, a C.A.T. scan, a bone scan and possibly a myelogram should be performed. He reexamined petitioner on August 7, 1985 at which time petitioner complained that the pain still radiated down the posterior aspect of his left thigh. Dr. Bercik decided to obtain a C.A.T. scan and bone scan to rule out a

herniated disc. He said petitioner was to continue with medication, exercise, hot packs and ultrasound treatment. He recommended that petitioner continue on light duty and return to his office in two weeks. By the time Dr. Bercik reexamined petitioner on August 21, 1985, petitioner had undergone a C.A.T. scan which did not show any lesions of his discs. He had not obtained a bone scan. Dr. Bercik felt that petitioner's condition required an electromyogram with "NVC's" to rule out lesions. He said petitioner's conservative treatment should continue for two more weeks.

Still another reevaluation was conducted by Dr. Bercik on September 4, 1985. His report states that petitioner "injured himself the end of August. He has been treated for lumbosacral sprain since that time." That was obviously an incorrect date of the accident and when the treatment was commenced. Petitioner informed the doctor that his condition had worsened in terms of the pain. The doctor concluded that petitioner's low back condition had not improved. He recommended four weeks of physical therapy and that petitioner remain on "light duty work status." The doctor also recommended that if petitioner's condition had not improved after four weeks, he should be hospitalized for a myelogram. His last reevaluation was on October 2, 1985 which revealed essentially no changes. Because petitioner had not obtained physical therapy due to the lack of money for transportation, Dr. Bercik ordered physical therapy for three more weeks. The doctor also directed that petitioner continue "bed rest and heating pad at home as necessary. . . . He may continue on his light duty status again, avoiding any lifting or bending."

On November 7, 1985, petitioner's treating physician was now Dr. Albin Leonhardt. The doctor's treatment consisted of physical therapy and medication. He admitted petitioner to the Overlook Hospital where a myelogram was performed on March 14, 1986. The myelogram was interpreted as showing a minimal bulge at the L5-S1 level, but it ...

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