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Workers Compensation claims
Workers Compensation Claims

The insurance companies are bringing up Dr. Scot Youngblood for “independent” medical evaluations again.

How “Independent” is Dr. Youngblood?

Dr. Scot Youngblood has become one of the new go-to doctors so called "independent" medical evaluations.  There is a reason for that. He can be relied upon to issue an opinion that there was no work injury, or work injury is not the cause of the ongoing need for treatment or disability, or that any problems are caused by “age and genetics.” As of 2017, Also, Dr. Youngblood was performing 15 to 20 "independent" medical evaluations per month which would earn him approximately $85,000 per month. Because of his incentive to curry his opinion to please his insurance employers, his opinion was given less weight. Piasini-Branchflower v Anchorage School District, AWCB Dec. No. 17-0041 (April 11, 2017)

Dr. Youngblood: Pain behavior and symptom magnification

Tobar v Liberty Insurance Co, 447 P 3rd 747 (Alaska 2019). In July 2013, a hotel housekeeper injured her back while lifting a pile of linens. She was taken by ambulance from her workplace to the hospital because she had difficulty walking. An MRI showed a bulging disc in her lumbar spine. She was given an epidural and prescribed physical therapy. In March of 2014, the insurer sent her to see Dr. Scot Youngblood for an "independent" medical evaluation who opined  that she had a low back strain in July 2013, had “pain behavior and symptom magnification” and that the work injury was not the substantial cause of her degenerative disc disease. The case went to hearing before the Board in June 2017 where the claimant was not represented by counsel. She lost. She lost again in front of the Commission. The Employee Won.

Dr. Youngblood: Pre-existing degenerative disc disease

Reuer v New Hampshire Ins Co., AWCB Dec. 16-0033 (April 22, 2016). On October 26, 2010, the Employee was injured in a motor vehicle accident as a school bus driver. He reported injury to the neck, back, shoulders, and arms. On July 1, 2015, the Employer sent him to Dr. Scot Youngblood for an an "independent" medical evaluation who opined that he had suffered cervical sprain/strain in the work injury, now resolved and medically stable, and that he had “multilevel degenerative disc disease, pre-existing, age and genetics related” and not caused by the industrial injury. The Board ordered a Second Independent Medical Evaluation (SIME). 

For more information on SIME procedure: https://www.keenanpowell.com/blog/2017/08/28/negotiating-the-maze-iii-second-independent-medical-evaluations-sime/

The Board's website is a good resource: https://labor.alaska.gov/wc/wc-and-you.htm

Dr. Youngblood: Age, genetics, gender, and obesity

Corona v State of Alaska, AWCB Dec. 20-0032 (May 21, 2020). On June 30, 2017, the Employee reported carpal tunnel syndrome symptoms in both wrists. She was seen by a number of doctors who were uncertain about the diagnosis and treatment. On September 15, 2017, the State sent her to Dr. Scot Youngblood for an an "independent" medical evaluation who opined that her carpal tunnel syndrome symptoms were related to her “age, genetics, gender, and obesity” and not substantially caused by industrial activities on June 3, 2017. In its decision, the Board pointed out that there was no family history of carpal tunnel syndrome and that Dr. Youngblood’s risk-factors did not conform to the statute and case law. The Employee won.

Dr. Youngblood: Age and genetics

Campoamor v Berkshire Hathaway, AWCB Dec. 19-0014 (November 8, 2019). The Employee slipped on melted ice on stairs at work and stopped his fall by grabbing a handrail. He ended up having five shoulder surgeries. His treating physicians also believed that he had injured his neck. The insurer sent him to Dr. Youngblood for an "independent" medical evaluation who opined that “age and genetics” were the cause of cervical disc disease and that there was no further need for shoulder treatment. He also opined that there was no explanation for the continued pain symptoms. The SIME doctor diagnoses a brachial plexus injury. Th Board found that Dr. Youngblood’s opinions were not supported by the evidence and that it did not conform to legal requirements. The Employee won.

Dr. Youngblood: Cannot explain her pain

Longway-Marotta v Liberty Insurance Co., AWCB Dec. No. 17-0137 (December 8, 2017). On August 18, 2016, the Employee was working as a flagger when a bus drove through a construction zone striking her sign paddle, causing right arm and shoulder to hyperextend. She was diagnosed with shoulder impingement and rotator cuff tendinopathy. On November 16, 2016, she was sent to Dr. Youngblood for an an "independent" medical evaluation who opined that she had suffered a sprain which was resolved and required no further treatment. At his deposition, he testified that her subjective complaints of pain were in excess of objective findings (i.e. she is lying) and that her shoulder was not injured at all. He also testified that she had age-related arthritis in her neck and mild rotator cuff tendinopathy “which just means that, you know, like the rest of us, she’s getting older.” He could not explain her pain so the Board gave his opinion less weight and was against the weight of the evidence. The Employee won.

Dr. Youngblood: Age and genetics, psychological issues

Piasini-Branchflower v Anchorage School District, AWCB Dec. No. 17-0041 (April 11, 2017). The Employee, a teacher, slipped on the ice and fell twisting her back neck to hips, also injuring her right knee and right hand on January 2, 2009. The Employer sent her to Dr. Scot Youngblood for an an "independent" medical evaluation who opined that her right knee meniscus tear was preexisting, related to age and genetics, and not related to the fall. He stated that she had multilevel degenerative disc disease, not caused or aggravated by work, and that her ankle sprain and thumb injury were not related. He also found significant psychological issues and there were no objective findings to support her ongoing pain complaints. The Board found that her hand injury and right knee injuries were work-related and specifically discounted Dr. Youngblood’s “age and genetics” causation opinion because it was conclusory, he didn’t understand the mechanics of the fall, and he behaved more like an advocate for the Employer than as an objective medical evaluator. The Employee won.

Dr. Youngblood: Strain resolved, no need for further medical treatment

Contreras-Mendoza v Alaska National Insurance Co, AWCB Dec. No. 18-0023 (March 6, 2018). On January 21, 2016, the Employee twisted her left ankle during a work basketball game. She was diagnosed with a peroneus brevis tear and surgery was recommended. On October 21, 2016, the Employee sent her to see Dr. Scot Youngblood for an an "independent" medical evaluation who opined that her ankle strain was resolved and medically stable, that her subjective complaints were in excess of objective findings, and she did not need treatment. The Board ordered a Second Independent Medical Evaluation (SIME).

Dr. Youngblood: Pre-existing knee problems

Blakeslee-Edwards v State of Alaska, AWCB Dec. No 16-0097 (October 27, 2016). The Employee, who suffered from cerebral palsy, tripped at work on April 28, 2008, December 14, 2011, and February 10, 2012. On March 20, 2014, her Employer sent her to see Dr. Eugene Wong and Dr. Scot Youngblood for an an "independent" medical evaluation. They concluded her knee problems were pre-existing. The Board ordered a Second Independent Medical Evaluation (SIME).

Dr. Youngblood: Age, genetics, and inherent foot anatomy

In Lena v Fred Meyer Stores, AWCB Dec. No 16-0135 (December 30, 2016), Dr. Younblood's an "independent" medical evaluation report stated that the Employee’s shoes could not have caused her condition (without examining the shoes) and the potential causes were “age, genetics, and inherent foot anatomy”. He opined she was medically stable, and needed no further treatment. His opinion was given less weight because of the inadequate basis.

Moral of the Story

There are two morals of this story:

  1. Dr. Youngblood’s opinion will be used against Employees,
  2. The Alaska Workers Compensation Board, more often than not, does not agree with his opinions.

If the insurance company in your case is sending you to see Dr. Youngblood for an an "independent" medical evaluation, it is because it plans to controvert your benefits. You should collect all your medical records and find an attorney now.

Keenan Powell has practiced Workers Compensation law in the State of Alaska for nearly 40 years and has dedicated her practice to Workers Compensation representing injured Alaskans handling hundreds of cases. http://www.keenanpowell.com/past-verdicts-settlements

All consultations are free. 

To make an appointment, email keenan@keenanpowell.com or call:  907 258 7663.

"Independent" Medical Evaluations: The Boys Are Back in Town!

independent medical examination
Insurance Doctor

Word has it that so called "independent medical evaluations" are taking place again in Alaska. One of the doctors being flown up to evaluate injured workers is Dr. David Bauer. Odds are if the insurance company has scheduled an appointment for you to see Dr. Bauer, he is going to deny your claim.

Dr. Bauer's History of "Independent Medical Evaluations"

Doctor Bauer has been evaluating injured Alaskans for several years and a number of cases involving him have gone to hearing before the Workers Compensation Board. Take a look and see if any of these cases sound like yours. In each case, Dr. Bauer denied the employee was entitled to benefits. And in each of these cases, the Employee won.

Lifting injury, herniated disc.

In Serafin v Denali AK Fed Credit Union and Liberty Mutual AWCB 17-0032 (3/21/17), the Employee injured her back lifting and moving a small refrigerator at work. She was diagnosed with a herniated disc and annular tear. Dr. Flanum performed a microdisctomy.

The Second Independent Medical Evaluator (SIME), Dr. Coulter, found the injury was work-related and treatment reasonable and necessary.

She continued to have pain and had a second surgery.

The insurance company sent her to see Dr. Bauer who concluded the February 24, 2010 work injury was not the substantial cause of any then-current disability or need for medical treatment, including surgery. Dr. Flanum disagreed with Bauer’s opinion. The SIME doctor, too, disagreed with Dr. Bauer. After the SIME doctor’s deposition, Bauer wrote a rebuttal letter stating: I do not believe the work injury from February 24, 2010, is the substantial cause of the need for medical treatment from January 19, 2012, through January 31, 2014. In my medical opinion, Ms. Serafin's occasional back symptoms between 2012 and 2013 were due to the progression of degenerative disease consistent with age. The symptoms from mid-2013, when she had the disk herniation, through 2014 are due to a sudden and unrelated event. Therefore, the 2010 work injury is not the substantial cause of her disability or need for medical treatment.

At his deposition, Dr. Bauer testified the 2010 MRI study as revealing a disc “bulge” rather than herniation. He believed the February 24, 2010 work injury was not the substantial cause of Employee's need for treatment, but only an aggravation of a pre-existing degenerative condition which resolvedBecause disk bulges can be caused by aging, Dr. Bauer believes the disc bulge was present prior to and not caused by the 2010 work injury.  Employee had an “age appropriate” spine on the imaging ….Referencing academic literature, 70-80 percent of studied individuals with one-level disc herniation had no identifiable, known cause. The majority of these injuries are caused by a “wrong move” or even turning over in bed.

The case went to hearing. The Board found Employee credible and her physicians credible. Further, it found that the lack of treatment prior to injury, employee’s credible testimony, the medical records, her doctors’ credible testimony outweighed Holly and Bauer. It held that the disability and need for treatment was work-related. Ordered Liberty Mutual to reimburse for past medicals.

The Employee won!

Dr. Bauer had "no explanation"

In Henson v Apicda Joint Ventures, Liberty Mutual AWCB 18-0044 (5/11/18), the Employee tripped in a freezer container in the course of his employment and injured his leg and back.

The Employee was examined by Dr. Kirkham, who recommended Employee find sedentary work, based on the April 20, 2016 FCE. Dr. Kirkham states “... chef is a light duty position and not a sedentary duty position, so he would not be able to return to work as a chef.” 

The Employee attended an EME with R. David Bauer, M.D. Dr. Bauer found no objective or physiological basis for Employee's pain complaints, no objective or physiological reason Employee could not return to his job at the time of the injury, or other heavy-duty work.

The Employee won a remand to the RBA for modification of her previous denial. While the Board did not address the credibility of Dr. Bauer’s report specifically, it found instead that the Employee and her treating physician were credible.

The Employee won!

Dr. Bauer a "no show" at the hearing!

In Cavitt v D&D Services and Ohio Casualty Company AWCB 18-0060 (6/25/18), the employee fell from scaffolding at work and fractured his elbow.  He had partial elbow replacement surgery. He had a second surgery because hardware came loose due to osteomyletis (infection.) His treating physician recommended continuing follow-ups every year or two because of infection and stated that in future there would be additional surgeries and that he could not go back to the job he was doing at time of injury or subsequently.

On January 25, 2018, Employee was seen by Dr. Bauer for a second EME. In addition to examining Employee, Dr. Bauer reviewed medical records dated after his April 26, 2017 EME. Dr. Bauer's diagnosis was unchanged since his April 2017 EME report, and he continued to find the work injury was the substantial cause of Employee's disability and need for medical treatment, and treatment to date had been reasonable and necessary. However, Dr. Bauer found Employee had reached medical stability as of the date of his examination and the only further treatment needed was a home exercise program and continued use of his elbow brace, although a functional capacity evaluation would aid in determining appropriate restrictions for future employment. Dr. Bauer rated Employee with an eight percent permanent partial impairment. 

When the Employee filed a claim and took the case to hearing, the insurance company, Ohio Casualty (a Liberty Mutual company) withdrew its controverson and refused to produce Dr. Bauer for testimony.

The Employee won!

Dr. Bauer said back injury was not work-related, only degeneration.

In LaBlanc v Alaska Inga’s Gallery Dec. No 20-0098 (10/23/20), Dr. Bauer opined that the back injury was not work-related and instead the result of degeneration. The Board found Dr. Bauer’s testimony deserved less weight in this analysis:   

Dr. Bauer opined Employee's pain complaints were not consistent with the L3-4 herniation because it required pain radiating into her thigh and she did not report it to him during his examination. His opinion is given less weight than Drs. Bursell's and Pohlman's because the medical record is clear that Employee has experienced anterior thigh pain. AS 23.30.122SmithMoore. The preponderance of the lay and medical evidence is the work injury was the substantial cause of Employee's past and current need for low back medical treatment. Saxton.

And again, in regards to his opinion on acupuncture:

Dr. Bauer's opinion is given less weight than Dr. Hess's because he testified he did not discuss the effect of acupuncture with Employee. AS 23.30.122SmithMoore.

The Employee won!

Dr. Bauer diagnosed a pre-existing condition.

In Wise v Wolverine Dec. 20-0095 (10/13/20), Dr. Bauer opined the cervical condition was pre-existing. As in Cavitt, the Employer failed to produce him for testimony. His opinion was excluded. The Employee won!

Dr. Bauer said there was no need for treatment.

In Elardo v Walmart Dec. 19-0057 (5/8/19), Dr. Bauer opined the condition was not-worked related degeneration, there was no need for medical treatment and the Employee was medically stable. The Board held his opinion would be given less weight:

Dr. Bauer testified “all the findings on this MRI were due to aging”; they were related to the progression of the degenerative condition that would have occurred regardless of the work injury. He explained that a person constantly degenerates so his steady state is not a straight line across the bottom, but rather, a line of steadily increasing impairments and disabilities as he gets older. A 2015 study showed someone in his fourth decade of life would be 40 to 50 percent likely, even if asymptomatic, to have all the findings of Employee's MRI. Thus, just because Employee had an injury, it does not mean that everything that followed was caused by that injury. However, Dr. Bauer's opinions are given little weight and credibility as he neither addressed why degeneration would only show at one disc, and not in others, nor provided the basis for his conclusion degeneration pre-existed the work injury. AS 23.30.122Smith. He did not consider other potential causes of degeneration; he did not explain why Employee would belong to the 40 to 50 percent group, rather than the 50 to 60 percent group, absent the work injury. Id. Emphasis added.

The Employee won!

For More Information on Dr. Bauer

A more detailed list of cases in which Dr. Bauer has issued reports can be found here: Gang of Seven: Insurance “Independent” Experts

Call an Experience Workers Compensation Attorney!

If the insurance company set up an appointment for you to see Dr. Bauer or someone like him, chances are they are preparing to cut off your benefits. Call an experienced Workers Compensation attorney.

Check out my past verdicts & settlements page here: http://www.keenanpowell.com/past-verdicts-settlements

And for updated verdicts and settlements, check out these posts: Never Give Up, Never Surrender – 2019 Victories, Never Give Up, Never Surrender 2020!

Keenan Powell has practiced Workers Compensation law in the State of Alaska for over 35 years and has dedicated her practice to Workers Compensation representing injured Alaskans handling hundreds of cases. www.keenanpowell.com.

All consultations are free.  To make an appointment, email: keenan@keenanpowell.com or call:  907 258 7663.

At the Law Office of Keenan Powell, we received several favorable decisions from the Alaska Workers Compensation Board and the Alaska Workers Compensation Commission during 2019-2020 in addition to settling a number of cases.

Whisamore v Tekmate and Alaska National Insurance, LLC, Dec. No. 19-0128 (12/6/19). In this case, Employee’s counsel requested a copy of the insurance adjuster’s file. When it was finally delivered, it was heavily redacted. The Employee filed a petition to compel the records and the insurance company was ordered to produce unredacted notes to Board in camera. After review, the Board ordered the release of certain records to the Employee’s counsel.

Harrison v Ice Services and Liberty Northwest Insurance, Dec. No. 20-0008 (2/26/20).  A grizzly bear broke into the kitchen at Little Red Camp in Deadhorse. The Employee, a kitchen helper, ran away, slipped and fell, breaking his foot. The fracture took an unusually long time to heal which made the insurance company suspicious. They hired two different private investigators to follow the Employee around, getting very little video as he couldn’t walk and stayed at home mostly. Eventually the doctors diagnosed complex regional pain syndrome (CRPS), a chronic painful debilitating condition. The claim was controverted. The insurance company’s expert, Dr. Dennis Chong, was deposed. A SIME was ordered. After hearing, the Board found that Dr. Chong’s report and testimony was inadequate to rebut the presumption of compensability and it awarded the Employee temporary total disability, medical and transportation benefits, and a permanent partial impairment rating.

Meili v Sterling Assisted Living and Liberty Northwest Insurance, Dec. No 20-0010 (2/28/20). This case went to hearing in late 2019 and the Board awarded the Employee benefits including a recommended back surgery. After the Board’s decision, Liberty Mutual hired Dr. Todd Fellars as an “independent” medical expert to dispute the treating physician’s recommendations upon which the Board had relied. Not surprisingly, Dr. Fellar disagreed with the recommendations. Liberty filed a motion to modify Meili I, holding that the insurance company was not entitled to a “second bite” at fighting the case. It should have brought all its evidence to the first hearing but had chosen not to hire an “independent” medical examiner because it thought it was going to win.

Cavitt v D&D Services and Ohio Casualty Insurance Co, Dec. No 20-0012 (3/6/20). The insurance company paid eight weeks of TTD late in 2018 and failed to include penalties, as it is required to do under the statute, with the check. The amount involved was $575.84. A claim was filed for penalties. It went to hearing in 2018. The Board believed that it did not have jurisdiction to decide the issue because of another pending appeal in the case and refused to award penalties. That decision was appealed. The Commission held that the Board was wrong. It did have jurisdiction and ordered the Board to consider the claim. Note that only $575.84 was at issue. The insurance company could have paid it at any time but it didn’t. The claim went to hearing again and, after two hearings and an appeal, the Board awarded the penalties.

Guerrissi v State of Alaska, Dec. No 20-0013 (3/16/20). After his claim was controverted, the Employee filed a claim and a petition for second independent medical evaluation. His former employer, the State of Alaska, opposed the SIME arguing that it was premature. The Employee argued that if the State had enough information to controvert the benefits, it had enough information to proceed to SIME. The petition went to hearing and the Employee won. A SIME was ordered.

Keenan Powell has practiced Workers Compensation law in the State of Alaska for over 35 years and has dedicated her practice to Workers Compensation representing injured Alaskans handling hundreds of cases. www.keenanpowell.com. All consultations are free.  Email keenan@keenanpowell.com or call 907 258 7663

Despite the pandemic, some people are working, getting injured at work, and their employers are obliged to provide benefits for work-related injuries. The Alaska Workers Compensation Board is “open” but the buildings are locked and most employees are working from home. The system for litigating claims has made adjustments.

Hearings – Most hearings are being conducted telephonically.

Depositions – Most depositions are being taken on Zoom.

Mediations – Most mediations are being done on Zoom.

“Independent” Medical Evaluations – When travel was shut down, the insurance companies stopped scheduling “independent” medical evaluations. (Ain’t nothing independent about them.) That changed mid-summer when they began bringing doctors up to Alaska and also started scheduling telemed evaluations. They are also now scheduling these examinations Outside.

Second Independent Medical Evaluations – When the insurance doctor disagrees with your treating physician, you can request the Alaska Workers Compensation Board to appoint its expert to examine you and review your file. This is a “Second Independent Medical Evaluation.” The Board is not scheduling these examinations unless the injured worker is not high risk for COVID and both parties agree to send the employee out of state for the examination.

Statutes of Limitations – All the rules regarding deadlines are still in place.

Controversions - If the insurance company refuses to pay benefits, it must issue a controversion notice within a certain period of time. If it doesn’t issue a controversion notice, then its refusal is deemed a “controversion-in-fact.” If you disability benefits are not arriving on time or if the insurer is refusing to pay your medical benefits, whether you have received a controversion notice or not, you have been controverted. Call an experienced workers compensation attorney.

Filing a Claim – The deadlines for filing a claim are complicated. Best practice is to file as soon as you realize the insurance company is not treating you fairly such as not paying your disability on time, not paying you the correct amount, or not pre-approving medical benefits preventing you from getting treatment.  If any of these things have happened to you, call an experienced workers compensation attorney.

Requesting a Hearing – The pandemic crisis does not excuse injured workers from requesting hearings. The rules for this are complicated. Don’t delay in pursuing your claim.

Keenan Powell has practiced Workers Compensation law in the State of Alaska for over 35 years and has dedicated her practice to Workers Compensation representing injured Alaskans handling hundreds of cases. www.keenanpowell.com

All consultations are free.  To make an appointment, email: keenan@keenanpowell.com or call:  907 258 7663.

How do you know if your employer or its insurer is treating you fairly? Here are the top seven signs when they aren’t and it’s time to find a lawyer.

1.            Your employer doesn’t report the injury to the Alaska Workers Compensation Board. The report of injury is due within 10 days. This report triggers payment of your medical bills and time loss. In other words, if your employer doesn’t report the injury, your case didn’t get opened.

2.            Your employer offers to pay your medical bills if you don’t report the injury. He won’t.  

3.            Your temporary total disability check is late. The first check is due 14 days after your turn in the doctor’s work release to your employer.

4.            Your doctors are calling you about paying the bills. The insurance company is supposed to pay them. It’s against the law for the doctors to demand money from an injured worker.

5.            The insurance company sends you to an “independent” medical evaluation. There’s nothing independent about them. The insurance company picks the doctor, controls what medical records he sees, and asks only the questions it wants answered.

6.            The insurance company makes an offer to settle your case.

7.            The insurance company controverts your benefits. You should receive a form called “Controversion Notice” stating what benefits are controverted and why.

Keenan Powell has practiced Workers Compensation law in the State of Alaska for over 35 years and has dedicated her practice to Workers Compensation representing injured Alaskans handling hundreds of cases. www.keenanpowell.com

All consultations are free.  To make an appointment, email: keenan@keenanpowell.com or call:  907 258 7663.

Dr. Scot Youngblood has become one of the new go-to doctors for insurance defense.  There is a reason for that. He can be relied upon to issue an opinion that there was no work injury, or work injury is not the cause of the ongoing need for treatment or disability, or that any problems are caused by “age and genetics.” As evidence, I hereby provide you with quotes from a number of reported cases in which he gave this opinion:

Shutterstock Image of Actor Playing Doctor

Tobar v Liberty Insurance Co, 447 P 3rd 747 (Alaska 2019). In July 2013, a hotel housekeeper injured her back while lifting a pile of linens. She was taken by ambulance from her workplace to the hospital because she had difficulty walking. An MRI showed a bulging disc in her lumbar spine. She was given an epidural and prescribed physical therapy. In March of 2014, the insurer sent her to see Dr. Scot Youngblood who opined  that she had a low back strain in July 2013, had “pain behavior and symptom magnification” and that the work injury was not the substantial cause of her degenerative disc disease. The case went to hearing before the Board in June 2017 where the claimant was not represented by counsel. She lost. She lost again in front of the Commission. Then Employee Won.

Reuer v New Hampshire Ins Co., AWCB Dec. 16-0033 (April 22, 2016). On October 26, 2010, the Employee was injured in a motor vehicle accident as a school bus driver. He reported injury to the neck, back, shoulders, and arms. On July 1, 2015, the Employer sent him to Dr. Scot Youngblood who opined that he had suffered cervical sprain/strain in the work injury, now resolved and medically stable, and that he had “multilevel degenerative disc disease, pre-existing, age and genetics related” and not caused by the industrial injury. The Board ordered a Second Independent Medical Evaluation (SIME).

Corona v State of Alaska, AWCB Dec. 20-0032 (May 21, 2020). On June 30, 2017, the Employee reported carpal tunnel syndrome symptoms in both wrists. She was seen by a number of doctors who were uncertain about the diagnosis and treatment. On September 15, 2017, the State sent her to Dr. Scot Youngblood who opined that her carpal tunnel syndrome symptoms were related to her “age, genetics, gender, and obesity” and not substantially caused by industrial activities on June 3, 2017. In its decision, the Board pointed out that there was no family history of carpal tunnel syndrome and that Dr. Youngblood’s risk-factors did not conform to the statute and case law. The Employee won.

Campoamor v Berkshire Hathaway, AWCB Dec. 19-0014 (November 8, 2019). The Employee slipped on melted ice on stairs at work and stopped his fall by grabbing a handrail. He ended up having five shoulder surgeries. His treating physicians also believed that he had injured his neck. He opined that “age and genetics” were the cause of cervical disc disease and that there was no further need for shoulder treatment. He also opined that there was no explanation for the continued pain symptoms. The SIME doctor diagnoses a brachial plexus injury. The Board found that Dr. Youngblood’s opinions were not supported by the evidence and that it did not conform to legal requirements. The Employee won.

Longway-Marotta v Liberty Insurance Co., AWCB Dec. No. 17-0137 (December 8, 2017). On August 18, 2016, the Employee was working as a flagger when a bus drove through a construction zone striking her sign paddle, causing right arm and shoulder to hyperextend. She was diagnosed with shoulder impingement and rotator cuff tendinopathy. On November 16, 2016, she was sent to Dr. Youngblood who opined that she had suffered a sprain which was resolved and required no further treatment. Amber Creeger, a Liberty adjuster, testified that Dr. Youngblood is “very fair” and “a lot of times” he opines in the injured worker’s favor. At his deposition, he testified that her subjective complaints of pain were in excess of objective findings (i.e. she is lying) and that her shoulder was not injured at all. He also testified that she had age-related arthritis in her neck and mild rotator cuff tendinopathy “which just means that, you know, like the rest of us, she’s getting older.” He could not explain her pain so the Board gave his opinion less weight and was against the weight of the evidence. The Employee won.

Piasini-Branchflower v Anchorage School District, AWCB Dec. No. 17-0041 (April 11, 2017). The Employee, a teacher, slipped on the ice and fell twisting her back neck to hips, also injuring her right knee and right hand on January 2, 2009. The Employer sent her to Dr. Scot Youngblood who opined that her right knee meniscus tear was preexisting, related to age and genetics, and not related to the fall. He stated that she had multilevel degenerative disc disease, not caused or aggravated by work, and that her ankle sprain and thumb injury were not related. He also found significant psychological issues and there were no objective findings to support her ongoing pain complaints. The Board found that her hand injury and right knee injuries were work-related and specifically discounted Dr. Youngblood’s “age and genetics” causation opinion because it was conclusory, he didn’t understand the mechanics of the fall, and he behaved more like an advocate for the Employer than as an objective medical evaluator. The Employee won.

Contreras-Mendoza v Alaska National Insurance Co, AWCB Dec. No. 18-0023 (March 6, 2018). On January 21, 2016, the Employee twisted her left ankle during a work basketball game. She was diagnosed with a peroneus brevis tear and surgery was recommended. On October 21, 2016, the Employee sent her to see Dr. Scot Youngblood who opined that her ankle strain was resolved and medically stable, that her subjective complaints were in excess of objective findings, and she did not need treatment. The Board ordered a Second Independent Medical Evaluation (SIME).

Blakeslee-Edwards v State of Alaska, AWCB Dec. No 16-0097 (October 27, 2016). The Employee, who suffered from cerebral palsy, tripped at work on April 28, 2008, December 14, 2011, and February 10, 2012. On March 20, 2014, her Employer sent her to see Dr. Eugene Wong and Dr. Scot Youngblood. They concluded her knee problems were pre-existing. The Board ordered a Second Independent Medical Evaluation (SIME).

There are two morals of this story:

  1. Dr. Youngblood’s opinion will be used against Employees,
  2. The Alaska Workers Compensation Board, more often than not, does not agree with his opinions.

If the insurance company in your case is sending you to see Dr. Youngblood, it is because it plans to controvert your benefits. You should collect all your medical records and find an attorney now.

Keenan Powell has practiced Workers Compensation law in the State of Alaska for over 35 years and has dedicated her practice to Workers Compensation representing injured Alaskans handling hundreds of cases. www.keenanpowell.com.

All consultations are free.  To make an appointment, use the contact form on this website or call:  907 258 7663.

We went to hearing again in the Cavitt case recently and won our sixth favorable decision. So far, we have gone to hearing and appeal as follows:

Cavitt I, AWCB Dec. No 17-0109 (September 13, 2017). After fighting the case, the Employer agreed at hearing that the injury was work-related. The Employer agreed to continue medical benefits. The Board ordered payment of TTD. A win.

Cavitt v D&D Services, AWCAC Dec. No 248 (May 4, 2018). On appeal from Cavitt I, the Commission reversed the Board’s award of attorney fees as inadequate. In addition, the Commission awarded fees on appeal. A win.

Cavitt II, AWCB Dec. No 18-0060 (June 25, 2018): The Board awarded continuing TTD and increased the attorney fees awarded in Cavitt I. The Board refused to order life-time medical benefits. A win and a loss.

The denial of life-time medical benefits was appealed leading to the Commission’s Decision No 259 (March 29, 2019) affirming the Board’s denial. That decision has been appealed to the Supreme Court and is ripe for an opinion.

In Cavitt III, AWCB Dec. No 18-0103 (October 15, 2018), the Board held it did not have jurisdiction to award penalties arising from late-paid TTD because an appeal was pending on a similar issue. The Commission reversed the Board on appeal leading to the hearing and win in 20-0012.

D&D Services v Cavitt, 444 P 3rd 165 (Alaska, 2019). After paying fees ordered in AWCAC Dec. No 248, Liberty appealed the fees award to the Supreme Court. The Court affirmed those fees and further awarded additional fees for the Supreme Court appeal. A double win.

Cavitt v D&D Services, AWCAC Dec. No. 264 (July 8, 2019): The Commission reversed Cavitt III and ordered the Board to consider penalties for late-paid TTD. A win.

Cavitt IV, Dec. No 20-0012 (March 6, 2020) awarded penalties and interest for the late-paid TTD which was the Board originally refused to consider in Cavitt III resulting in the Commission’s reversal in Dec. No 264. Link: http://appeals.dol.alaska.gov/docs/workerscomp/2020/D&O%2020-0012.pdf

I blogged about this case on July 18, 2018 and again on January 6, 2020. https://www.keenanpowell.com/blog/2018/07/16/employee-wins-again-6/,

The moral of the story is: If your claim is insured by Ohio Casualty, Liberty Mutual or Liberty Northwest, you’re in for a fight. You need to speak with an experienced workers compensation attorney as soon as possible.

Keenan Powell has practiced Workers Compensation law in the State of Alaska for over 35 years and has dedicated her practice to Workers Compensation representing injured Alaskans handling hundreds of cases. www.keenanpowell.com

All consultations are free.  To make an appointment, email: keenan@keenanpowell.com or call:  907 258 7663.

Last year, I blogged about our win in Meili v Liberty Northwest. https://www.keenanpowell.com/blog/2019/09/10/employee-wins-meili-v-liberty-northwest/

The employee, a personal care attendant, had injured her back in 2009 while working in an assisted living home. She had two back surgeries and was sufficiently recovered to return to work on a full-time basis without restriction although she continued to experience chronic pain.

When working for a new employer in 2017, her pain increased to the point that another surgery was recommended. The new employer hired Dr. David Bauer as its “independent” medical evaluation who opined that her back problem was the result of natural degeneration exacerbated by her surgeries for the 2009 injury. In Alaska Workers Compensation law, when a work-related injury combines with, accelerates or aggravates a pre-existing condition, the injury is compensable as a workers compensation injury. The second employer controverted.

As it happens, all of the employee’s treating physicians also stated that the 2009 injury was the cause of her ongoing symptoms and need for treatment. So we filed a claim against the 2009 employer. The 2009 employer didn’t hire an “independent” medical expert of its own, later stating that it wanted to save the $10,000. So all the medical evidence supported the Board’s ruling that the 2009 injury was the substantial cause of the employee’s need for treatment. Meili v Sterling Assisted Living/Liberty Northwest, Dec. No 19-0092.

The day after Decision No 19-0092 came out, the 2009 employer and its insurer noticed an “independent” medical evaluation with Dr. Todd Fellars. Dr. Fellars opined that the 2009 injury was not the cause for the current need for treatment. On the basis of that, Liberty Northwest controverted and has refused to pay for any benefits although there is an outstanding Board order, Decision 19-0092, that says it must pay benefits and further it was unable to obtain a stay of that order.

The case went to hearing again before the Board on December 18, 2019.  Liberty claimed that the new “independent” medical evaluation was “newly discovered evidence” justifying the Board reconsidering its earlier decision.

The Board disagreed. The Board reasoned that Liberty had made a strategic decision before the first hearing not to hire its own expert, it could have, and it did not justify its failure to do so. Dr. Fellars’ report was excluded from the record and the Board refused to modify Meili I. Meili v Sterling Assisted Living/Liberty Northwest, Dec. No 20-0010 (February 28, 2020).

Interestingly, this is the same insurance company and the same defense firm which lost the following cases in 2019: D&D Services and Liberty Mutual v Cavitt 444 P 3rd 165 (Alaska 2019), Cavitt v Liberty Mutual, AWCAC No 264 (July 8, 2019), Bruketta v Liberty Mutual, RBA Dec. No 19-0002 (March 19, 2019) and Bruketta v Liberty Mutual, Dec. No. 19-0096 (September 23, 2019). See my blog post: https://www.keenanpowell.com/blog/2020/01/06/never-give-up-never-surrender-2019-victories/

Additionally Liberty lost Cavitt again on March 6, 2020. I’ll blog about that in the near future.

The moral of the story is: If your claim is insured by Liberty Mutual or Liberty Northwest, you’re in for a fight. You need to speak with an experienced workers compensation attorney as soon as possible.

Keenan Powell has practiced Workers Compensation law in the State of Alaska for over 35 years and has dedicated her practice to Workers Compensation representing injured Alaskans handling hundreds of cases. www.keenanpowell.com

All consultations are free.  To make an appointment, email: keenan@keenanpowell.com or call:  907 258 7663.

Complex Regional Pain Syndrome (CRPS) is nasty stuff. In every day terms, it happens when the body's nervous system overreacts to an injury. It can happen to an injury as slight as a broken toe.

Also known as "reflex sympathetic dystrophy (RSD)," it was first diagnosed during the American Civil War. https://en.wikipedia.org/wiki/Complex_regional_pain_syndrome

Since that time, data has been collected and treatments have been developed but there is no known cure. The patient will suffer pain and motor dysfunction for the rest of his or her life.

Not only does the patient suffer extreme pain in a body part, that body part will also change color, swell (edema), have a different temperature, develop a different hair pattern, the nails will grow differently, and there will be weakness and disrupted motor function. These are all objectively measurable changes. In other words, even though there is no x-ray or MRI that can point to what is causing the pain, other physical symptoms support the diagnosis.

This is what happened in Harrison v Liberty Northwest, AWCB Dec. No 20-0008 (2/26/20). http://appeals.dol.alaska.gov/docs/workerscomp/2020/D&O%2020-0008.pdf

Mr. Harrison was working at a camp when a bear broke in to the building. He ran away, as one would. As he was running his toe caught on something and was fractured.

The toe was splinted but the fracture took an unusually long time to heal. Once it did, he still suffered pain. Eventually his doctors diagnosed him with CRPS.

Liberty Northwest hired Dr. Dennis Chong, who has spent most of his career working for insurance companies. For more information on Dr. Chong, check out my blog post here: https://www.keenanpowell.com/blog/2019/04/29/gang-of-seven-episode-iii-dennis-chong-md-career-insurance-doctor/

Dr. Chong performed an "independent" medical evaluation and wrote a report stating that there was nothing was wrong with Mr. Harrison, he didn't need any more treatment, and he could go back to work. Based on that report, Liberty Northwest controverted his benefits. They cut off his disability payments and medical treatment.

We filed a claim, obtained a second independent medical evaluation, and went to hearing.

The Board disagreed with Dr. Chong. In fact, the Board found that Dr. Chong's testimony was inadequate to rebut the presumption that Mr. Harrison was entitled to benefits and further that Dr. Chong's deposition testimony supported the need for medical treatment. The Board also awarded TTD because it found Dr. Chong's report failed to rebut the presumption.

The Employee won!

Keenan Powell has practiced Workers Compensation law in the State of Alaska for over 35 years and has dedicated her practice to Workers Compensation representing injured Alaskans handling hundreds of cases. www.keenanpowell.com.

All consultations are free.  To make an appointment, email: keenan@keenanpowell.com or call:  907 258 7663.

2019 was a very good year at the Law Office of Keenan Powell. Following are a list of Board decisions and appeals in which I had the honor to represent injured workers. You will note that all but one of the cases were against Liberty insurance.

Cavitt v Liberty Mutual, Alaska Supreme Court Op. No. 7383, July 5, 2019

In August of 2017, the Cavitt case went to hearing before the Alaska Workers Compensation Board. The Board ordered Liberty to continue paying temporary total disability (TTD) and interest for late-paid TTD. It awarded $500 in attorney fees. An appeal was filed and the Commission reversed the fees award holding that the award of future TTD was a valuable benefit which the Board had undervalued for purposes of attorney fees. Then the Commission awarded $6,000 in fees, one-half of what was sought, to the Employee’s attorney. Liberty appealed the award to the Supreme Court and lost. Attorney fees are an important benefit to Employees to make sure that there are experienced skilled counsel available to take their claims.

The Employee won.

Cavitt v Liberty Mutual, Alaska Workers’ Compensation Appeals Commission Dec. No 264, July 8, 2019

On May 15, 2018, the case went to hearing before the Board seeking temporary total disability and medical benefits. On the morning of the hearing, Liberty’s attorney represented to the Board that it had withdrawn all its controversions as of May 10, 2018 and would pay eight weeks of back-TTD. Amongst other things, the Board ordered that if the TTD was not paid within 14 days of May 10, i.e. May 24, then Liberty owed the Employee 25% penalties.

The TTD was paid late, after May 24; however Liberty refused to pay the penalties. A new claim was filed for penalties and went to hearing on September 27, 2018. The Board ruled that because there was another appeal pending in Cavitt on the issue of penalties, it did not have jurisdiction to hear the case.

An appeal was filed to the Commission. The Commission ruled that the issues in the first appeal were different than the second appeal therefor the Board had jurisdiction to decide the penalties issue. It remanded the case to the Board instructing it to award penalties.

The Employee won.

Bruketta v Liberty Mutual, Reemployment Benefits Administrator Dec. 19-0002, March 19, 2019

The Employee entered into a settlement agreement with Liberty Mutual on April 25, 2017 by which they agreed that he was eligible for reemployment benefits. The agreement, drafted by Liberty’s counsel Holmes, Weddle & Barcott stipulated “the employee agrees to immediate participation in the reemployment plan process and agrees to continue participation per medical advice and evidence. Soon thereafter, he had another surgery and additional complications and was not able to go to school. On August 27, 2018, his physician requested that the plan be put on hold until he recovered. The Reemployment Specialist notified Liberty and the Reemployment Benefits Administrator (RBA) that the plan was on hold for medical reasons, attaching the doctor’s note.

On February 4, 2019, Liberty filed a petition with the RBA to have Mr. Bruketta deemed non-compliant in the reemployment process because he had not begun school yet. As of that date, the doctor had not released him to start classes.

Liberty’s petition went to hearing before the RBA who ruled that Mr. Bruketta was not in non-compliance as he was following medical advice, as was permitted under the settlement agreement Liberty’s own attorney drafted.

The Employee won.

Meile v Liberty Northwest, AWCB Dec. No 19-0092, September 9, 2019

The Employee injured her back while working for an assisted living home in 2009. As a result, she had two surgeries but was eventually released to return to work as a personal care attendant. However, her physician told her that she would continue to suffer pain for the rest of her life. And she did continue to suffer pain intermittently. When she was working for a new employer in 2017, she had two more injuries to her back. That second employer hired Dr. David Bauer to say that her problems were caused by the 2009 injury. Two of her physicians also said the 2009 injury was the cause. A claim was filed against the first employer, insured by Liberty. Liberty did not send her to a defense medical examination.

The case went to hearing on July 17, 2019. Liberty insisted that it needed to depose one of the treating physicians so the Board kept the record open for thirty days. On the thirtieth day, Liberty’s attorney filed a notice that it would not be deposing the doctor.

The Board ruled that the Employee had proven that her current need for medical treatment was the result of the 2009 injury and awarded her medical benefits, future temporary total disability if she needed and permanent partial impairment benefits if she had a new PPI.

The Employee won.

Bruketta v Liberty Mutual, AWCB Decision 19-0096, September 23, 2019

After winning the reemployment benefits case, the Employee sought attorneys fees. The petition went to hearing on August 22, 2019. The Board ruled the Employee was entitled to have his attorney paid.

The Employee won.

Campoamor v Berkshire Hathaway, AWCB Decision 19-0114, November 8, 2019

While at work, the Employee slipped on stairs wet from melting snow and grabbed a handrailing to keep from falling, injuring his shoulder. After complications that required five surgeries, his physician recommended a total shoulder replacement. Berkshire Hathaway hired Dr. Youngblood to state his opinion that further treatment was not necessary.

At his deposition, Dr. Youngblood admitted that he charged $600 per hour for reading medical records, performing “independent” medical examinations, and writing his reports, and $650 per hour for depositions and that he typically performed 15 such evaluations per month. In an earlier case, the Board had estimated that Dr. Youngblood has the potential of earning $85,000 per month performing “independent” medical evaluations. Piasini-Branchflower v ASD, AWCB Dec. No 17-0041 (April 11, 2017). His rate had increased since the Piasini-Branchflower case.

The Board held that Dr. Youngblood’s report was unreliable. He failed to consider symptoms clearly documented in the medical records and failed to explain the Employee’s symptoms. Because Berkshire Hathaway had relied on his opinion to controvert, the Board held that the controverion was unfair and/or frivolous.

The Employee won.

Keenan Powell has practiced Workers Compensation law in the State of Alaska for over 35 years and has dedicated her practice to Workers Compensation representing injured Alaskans.. www.keenanpowell.com.

All consultations are free.  To make an appointment, email: keenan@keenanpowell.com or call:  907 258 7663.