                      NOTICE: NOT FOR OFFICIAL PUBLICATION.
  UNDER ARIZONA RULE OF THE SUPREME COURT 111(c), THIS DECISION IS NOT PRECEDENTIAL
                  AND MAY BE CITED ONLY AS AUTHORIZED BY RULE.



                                     IN THE
              ARIZONA COURT OF APPEALS
                                 DIVISION ONE


                      TERRY L. COX, Petitioner Employee,

                                         v.

      THE INDUSTRIAL COMMISSION OF ARIZONA, Respondent,

             SUNTERRA BUILDERS LLC, Respondent Employer,

            EMC INSURANCE COMPANY, Respondent Carrier.

                              No. 1 CA-IC 18-0038
                                FILED 1-29-2019


                Special Action - Industrial Commission
                      ICA Claim No. 20163-280220
                     Carrier Claim No. Z10274699
         The Honorable Paula R. Eaton, Administrative Law Judge

                                   AFFIRMED


                                    COUNSEL

Greenberg Law Center, LLC, Phoenix
By Justin A. Greenberg
Counsel for Petitioner

Industrial Commissioner of Arizona, Phoenix
By Gaetano J. Testini
Counsel for Respondent

Jardine Baker Hickman & Houston, PLLC, Phoenix
By Terrence Kurth
Counsel for Respondent Employer, Respondent Carrier
                        COX v. SUNTERRA/EMC
                          Decision of the Court



                      MEMORANDUM DECISION

Presiding Judge David D. Weinzweig delivered the decision of the Court,
in which Chief Judge Samuel A. Thumma and Judge James P. Beene joined.


W E I N Z W E I G, Judge:

¶1           This is a special action review of an Industrial Commission of
Arizona (“ICA”) decision that denied Terry L. Cox additional workers’
compensation benefits, finding his industrial injury had become stationary
with no permanent impairment or need for supportive care. Cox argues
the administrative law judge (“ALJ”) erred by relying on an invalid expert
medical opinion. Because he has shown no reversible error, we affirm.

             FACTS AND PROCEDURAL BACKGROUND

¶2            Cox worked as a carpenter for Sunterra Builders, LLC. He
slipped and fell down an embankment while building a deck in November
2016, injuring his lower back, right knee and right elbow. He filed a
worker’s compensation claim, which the insurance carrier accepted.

¶3            Cox visited Dr. Eric Novack, an orthopedic surgeon, within
three weeks of the accident. Dr. Novack recommended MRIs of the lower
back and right knee, and later the right elbow. The MRIs indicated a mild
herniated disc in the back and a partial tear in the elbow, but no clear
structural abnormality in the knee. Dr. Novack treated the knee and elbow
injuries, but referred Cox to Dr. Jonathan Landsman, a spine surgeon,
because he did “not do a lot of treatment of” acute back issues. Drs. Novack
and Landsman both recommended physical therapy.

¶4            Cox continued to complain of knee and elbow pain. Dr.
Novack ultimately performed arthroscopic surgery on the knee, which
improved Cox’s motion but did not eliminate the pain. Surgery was never
recommended for the back or elbow. In July 2017, Dr. Novack determined
that physical therapy was no longer needed for the elbow or knee. Dr.
Novack’s records from July 2017 indicate that Cox’s knee “symptoms
continue to be difficult to explain based on objective findings,” and his
elbow symptoms were “vague” and “difficult to explain.” Dr. Novack
testified he wanted to see Cox again to determine if his elbow and knee
were stationary. Meanwhile, Dr. Landsman continued to recommend



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                        COX v. SUNTERRA/EMC
                          Decision of the Court

physical therapy in July 2017, when he last examined Cox’s lower back, and
indicated Cox was not in acute distress. Dr. Landsman felt that Cox could
return to work with various restrictions, including no carrying, lifting or
crawling.

¶5            Cox received an independent medical examination on July 19,
2017 from Dr. Amit Sahasrabudhe, a board-certified orthopedic surgeon
with more than 10 years of experience and specialized training in sports
medicine. Dr. Sahasrabudhe performed a physical examination of Cox and
reviewed all medical records associated with his injury claim, including
hospital, physician and diagnostic testing records. His ten-page report
concluded that Cox’s physical condition was stationary without permanent
impairment or need for supportive care. He noted the absence of any
objective findings. The insurance carrier closed Cox’s claim effective July
19, 2017.

¶6            Cox protested the termination of his benefits and requested a
hearing. The ALJ heard testimony over four days from Dr. Sahasrabudhe,
Dr. Novack, Dr. Landsman and Cox. The ALJ considered and resolved the
conflicts in medical testimony in favor of Dr. Sahasrabudhe, finding his
opinion was “more probably correct and well founded.” The ALJ
concluded that Cox’s “industrial injury was medically stationary as of July
19, 2017 with no permanent impairment and no need for supportive care.”
Cox requested review and the ALJ affirmed its findings and award. This
timely special action followed. We have jurisdiction pursuant to A.R.S. §§
12-120.21(A)(2), 23-951(A), and Arizona Rule of Procedure for Special
Actions 10.

                              DISCUSSION

¶7           Cox argues the ALJ’s findings and award are incorrect
because they are based on the expert opinion of Dr. Sahasrabudhe, which
Cox claims is not based on an accurate factual foundation or findings of
medical fact. Cox only contests the ALJ’s finding and expert medical
opinion associated with his back injury, not his elbow or knee injuries. Cox
has shown no error.

¶8            We defer to the ALJ’s factual determinations, Brown v. Indus.
Comm’n, 199 Ariz. 521, 523, ¶ 10 (App. 2001), and view the evidence in the
light most favorable to upholding the award, Lovitch v. Indus. Comm’n, 202
Ariz. 102, 105, ¶ 16 (App. 2002). “We will not set aside an award unless it
cannot be supported by any reasonable theory of the evidence.” Gamez v.
Indus. Comm’n, 213 Ariz. 314, 315, ¶ 9 (App. 2006).



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                        COX v. SUNTERRA/EMC
                          Decision of the Court

¶9           To support an award of worker’s compensation benefits, a
medical opinion must rely on findings of medical facts gleaned from
medical records, medical histories, diagnostic tests and physical
examinations. Royal Globe Ins. Co. v. Indus. Comm’n, 20 Ariz. App. 432, 434
(1973). The ALJ has the exclusive duty of resolving conflicts in expert
medical testimony. Kaibab Indus. v. Indus. Comm’n, 196 Ariz. 601, 609, ¶ 25
(App. 2000).

¶10            Cox first challenges Dr. Sahasrabudhe’s experience and
credentials to render a medical opinion about his back injury. He argues
that Dr. Sahasrabudhe is not a “back specialist,” claiming that even Dr.
Sahasrabudhe testified that back specialists should determine whether
patients are stationary or require active treatment. We reject the challenge.
Dr. Sahasrabudhe is an experienced orthopedic surgeon who has
performed back surgery and treated many patients with lower-back pain.
Dr. Sahasrabudhe never testified he would send Cox to a back specialist to
determine whether his condition was stationary, but instead agreed it
“makes sense” to see a back specialist if a patient has “MRI findings of disc
herniations” and “verifiable radicular complaints,” which Dr.
Sahasrabudhe did not find here.

¶11           Cox next contends Dr. Sahasrabudhe’s opinion must be
disregarded because it is premised on the false assumption that Cox’s
herniated disc lacked nerve root impingement, making it a simple sprain.
Cox insists that a “plain reading” of the MRI contradicts this assumption
because the MRI findings mention “lateral recess stenosis” and it is
“common medical knowledge” that this condition indicates the
impingement of a spinal root nerve.

¶12           Dr. Sahasrabudhe’s opinion is supported by sufficient
medical findings and accurate facts. To begin, Dr. Sahasrabudhe conducted
a physical examination of Cox and reviewed all relevant medical records,
including hospital, physician and diagnostic testing records. He also
reviewed and considered Cox’s medical history. Based on that universe of
information, Dr. Sahasrabudhe determined that Cox had “mild
degenerative changes” and a herniated disc that might cause stenosis to the
left lateral recess, but he found no “nerve root impingement.” Dr.
Landsman likewise testified that extruded discs “potentially” could settle
on the nerve and cause pressure and pain. Cox has not shown it was
“wholly unreasonable” for the ALJ to rely on Dr. Sahasrabudhe’s opinion.
Gamez, 213 Ariz. at 316, ¶ 15.




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                        COX v. SUNTERRA/EMC
                          Decision of the Court

¶13            Finally, Cox insists Dr. Sahasrabudhe incorrectly said Cox did
not have any radicular complaints, one of the bases for the doctor’s
conclusion that Cox suffered no more than a back strain. Cox points to
documents that he believes support his allegations of radicular symptoms,
including numbness and pain just above his buttocks that radiated down
his left leg and into his toes. But the medical records are inconsistent. For
instance, the medical records from November 2016 and May 2017 show that
Cox denied “radicular leg pain” and had “[n]o radicular symptoms.”
Moreover, Dr. Sahasrabudhe considered the very symptoms raised by Cox
in forming his medical opinion, and concluded the subjective complaints
were not (1) radicular symptoms, (2) anatomically related to the disc
herniation or (3) objectively verifiable. At bottom, the ALJ heard and
resolved conflicting medical evidence and opinions and found that Dr.
Sahasrabudhe’s was “more probably correct.” Cox has not shown the ALJ’s
finding was unfounded. Id.

¶14           In sum, the ALJ outlined the evidence presented, recounted
the qualifications of each medical expert and accepted the opinions she
found most credible. Because the ALJ has discretion to resolve any conflicts
in evidence and her findings are supported by reasonable and substantial
evidence, Cox has not shown the ALJ’s decision was unreasonable. See
Hopper v. Indus. Comm’n, 27 Ariz. App. 732, 735 (1976).

                              CONCLUSION

¶15          We affirm.




                          AMY M. WOOD • Clerk of the Court
                          FILED: AA




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