                             STATE OF WEST VIRGINIA
                                                                                   FILED
                          SUPREME COURT OF APPEALS                             December 11, 2015
JULIE STOVER,                                                               RORY L. PERRY II, CLERK
                                                                          SUPREME COURT OF APPEALS
Claimant Below, Petitioner                                                    OF WEST VIRGINIA



vs.)   No. 15-0178	 (BOR Appeal No. 2049736)
                   (Claim No. 2012030544)

GENERAL MILLS, INC.,
Employer Below, Respondent


                             MEMORANDUM DECISION
       Petitioner Julie Stover, by Stephen New, her attorney, appeals the decision of the West
Virginia Workers’ Compensation Board of Review. General Mills, Inc., by Daniel Murdock, its
attorney, filed a timely response.

        This appeal arises from the Board of Review’s Final Order dated January 28, 2015, in
which the Board affirmed an August 7, 2014, Order of the Workers’ Compensation Office of
Judges. In its Order, the Office of Judges affirmed the claims administrator’s October 30, 2013,
decision denying Ms. Stover’s request to add lumbar disc protrusion, lumbar degenerative disc
disease, lumbar radiculopathy, and lumbago as compensable components of the instant claim.
The Court has carefully reviewed the records, written arguments, and appendices contained in
the briefs, and the case is mature for consideration.

       This Court has considered the parties’ briefs and the record on appeal. The facts and legal
arguments are adequately presented, and the decisional process would not be significantly aided
by oral argument. Upon consideration of the standard of review, the briefs, and the record
presented, the Court finds no substantial question of law and no prejudicial error. For these
reasons, a memorandum decision is appropriate under Rule 21 of the Rules of Appellate
Procedure.

       On March 27, 2012, Ms. Stover injured her back while loading boxes into her vehicle in
the course of her employment as a retail sales representative. The claim was subsequently held
compensable for a lumbar sprain. Following the injury, Ms. Stover sought treatment for lower
back pain with Paul Oar, M.D., her primary care physician. On April 12, 2012, Dr. Oar noted
that Ms. Stover was experiencing lower back pain after lifting a box in the course of her
employment. On April 18, 2012, a lumbar spine MRI was performed which revealed left
foraminal disc herniations at L3-4 and L4-5. Additionally, lumbar spine x-rays were obtained on
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April 18, 2012, which revealed mild degenerative changes. Subsequently, Ms. Stover began
receiving treatment from Abed Koja, M.D., who noted on May 7, 2012, that the results of the
lumbar spine MRI are consistent with degenerative disc disease at L3-4 and L4-5 with mild
foraminal stenosis on the left side at L3-4 and L4-5. He diagnosed Ms. Stover with lumbar
spondylosis with radiculopathy. An EMG was performed on June 6, 2012, which revealed
modest evidence of L4-5 radiculopathy.

       Paul Bachwitt, M.D., performed an independent medical evaluation on August 10, 2012.
He diagnosed Ms. Stover with a lumbar sprain/strain and opined that a physical examination
revealed no evidence of radiculopathy or an operative disc lesion. On September 11, 2012, a CT
scan of the lumbar spine was performed and revealed degenerative disc disease at L3-4 with an
asymmetric disc bulge and moderate left foraminal stenosis, along with an L4-5 disc osteophyte
complex with mild canal stenosis.

       On November 13, 2012, Prasadarao Mukkamala, M.D., performed an independent
medical evaluation. He opined that the diagnosis of a lumbar sprain is causally related to the
March 27, 2012, injury. He further opined that the L3-4 and L4-5 disc herniations shown on the
April 18, 2012, lumbar spine MRI are not causally related to the March 27, 2012, injury. Finally,
Dr. Mukkamala opined that although the June 6, 2012, EMG revealed evidence of radiculopathy,
no objective evidence of radiculopathy was identified during his examination of Ms. Stover.

       On November 14, 2012, Ms. Stover was examined by Rajesh Patel, M.D., at the request
of Dr. Oar. Dr. Patel diagnosed Ms. Stover with lumbar degenerative disc disease, right L4-5
radiculopathy, bulging discs at L3-4 and L4-5, and neural foraminal stenosis at L4-5. He treated
Ms. Stover with transforaminal and epidural injections.

        On January 8, 2013, Bruce Guberman, M.D., performed an independent medical
evaluation. He gave no opinion regarding which diagnoses are related to the March 27, 2012,
injury, however he did include impairment ratings for the diagnoses of radiculopathy and
multiple disc herniations in rendering his opinion regarding the amount of Ms. Stover’s whole
person impairment. On September 24, 2013, Dr. Oar requested that lumbar disc protrusion,
lumbar degenerative disc disease, lumbar radiculopathy, and lumbago be added as compensable
diagnoses in the instant claim. On October 30, 2013, the claims administrator denied Dr. Oar’s
request to add lumbar disc protrusion, lumbar degenerative disc disease, lumbar radiculopathy,
and lumbago as compensable diagnoses in the instant claim.

        In its Order affirming the October 30, 2013, claims administrator’s decision, the Office of
Judges held that the preponderance of the evidence does not demonstrate that the diagnoses of
lumbar disc protrusion, lumbar degenerative disc disease, lumbar radiculopathy, and lumbago are
related to the compensable March 27, 2012, lumbar sprain/strain. The Board of Review affirmed
the reasoning and conclusions of the Office of Judges in its decision dated January 28, 2015. On
appeal, Ms. Stover asserts that the evidence of record demonstrates that lumbar disc protrusion,
lumbar degenerative disc disease, lumbar radiculopathy, and lumbago should be added as
compensable components of the instant claim.

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        The Office of Judges noted that although Dr. Guberman included impairment ratings for
radiculopathy and displaced lumbar discs when making his recommendations regarding the
amount of Ms. Stover’s whole person impairment, his opinion was rejected by the Office of
Judges in its August 20, 2013, decision determining the amount of Ms. Stover’s permanent
impairment arising from the March 27, 2012, injury.1 Further, both Dr. Bachwitt and Dr.
Mukkamala opined that only the diagnosis of lumbar sprain/strain is causally related to the
March 27, 2012, injury. Neither Dr. Bachwitt nor Dr. Mukkamala found any objective evidence
of radiculopathy on physical examination, and Dr. Mukkamala opined that the disc herniations
revealed via MRI are unrelated to the March 27, 2012, injury. Finally, the Office of Judges
concluded that the evidence of record does not support Dr. Oar’s request for the inclusion of
lumbar disc protrusion, lumbar degenerative disc disease, lumbar radiculopathy, and lumbago as
compensable diagnoses in the instant claim. We agree with the reasoning and conclusions of the
Office of Judges as affirmed by the Board of Review.




1
  The issue of Ms. Stover’s permanent impairment arising from the March 27, 2012, injury,
including the Office of Judges August 20, 2013, rejection of Dr. Guberman’s opinion, was not
appealed to this Court.
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        For the foregoing reasons, we find that the decision of the Board of Review is not in clear
violation of any constitutional or statutory provision, nor is it clearly the result of erroneous
conclusions of law, nor is it based upon a material misstatement or mischaracterization of the
evidentiary record. Therefore, the decision of the Board of Review is affirmed.

                                                                                        Affirmed.

ISSUED: December 11, 2015

CONCURRED IN BY:
Chief Justice Margaret L. Workman
Justice Robin J. Davis
Justice Brent D. Benjamin
Justice Menis E. Ketchum
Justice Allen H. Loughry II




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