                     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 UNDER ARIZONA RULE OF THE SUPREME COURT 111(c), THIS DECISION IS NOT PRECEDENTIAL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


         HARVEST MADISON MEADOWS, Petitioner Employer,

 LIBERTY MUTUAL FIRE INSURANCE COMPANY, Petitioner Insurance
                          Carrier
                            v.

     THE INDUSTRIAL COMMISSION OF ARIZONA, Respondent,

                  BENJAMIN TAFT, Respondent Employee.


                              No. 1 CA-IC 19-0023
                                FILED 2-13-2020


               Special Action - Industrial Commission
                    ICA Claim No. 20170-650216
                  Carrier Claim No. WC608-C88253
        The Honorable Michelle Bodi, Administrative Law Judge

                                  AFFIRMED


                                   COUNSEL

Lundmark, Barberich, La Mont & Slavin P.C., Phoenix
By Lisa M. LaMont, Danielle S. Vukonich
Petitioner Employer

Industrial Commission of Arizona, Phoenix
By Gaetano J. Testini
Counsel for Respondent
Taylor & Associates, P.L.L.C., Phoenix
By Chris Gulinson
Counsel for Respondent Employee



                      MEMORANDUM DECISION

Presiding Judge Paul J. McMurdie delivered the decision of the Court, in
which Judge Jennifer B. Campbell and Vice Chief Judge Kent E. Cattani
joined.


M c M U R D I E, Judge:

¶1             Petitioners Harvest Madison Meadows (“Harvest”) and
Liberty Mutual Fire Insurance Company (“Liberty Mutual”) seek review of
an Industrial Commission of Arizona (“ICA”) Award finding that
Respondent Benjamin Taft’s 2017 lower-back injury was not medically
stationary. Petitioners argue that the Administrative Law Judge (“ALJ”)
should not have relied on Taft’s medical expert witness because his opinion
lacked foundation. Petitioners also argue that Taft failed to prove a
necessary element of his claim—an organic change in his underlying back
condition. Because we do not find support for Petitioners’ arguments in
either the factual record or caselaw, we affirm the award.

             FACTS AND PROCEDURAL BACKGROUND

¶2            At the time of injury, Taft worked as an executive chef for
Harvest. In 2015, while working for a prior employer, Taft injured his lower
back at work. This industrial injury resulted in a 7% permanent impairment
of Taft’s lower back. That claim was closed in 2016 after a finding that the
injury had become medically stationary, but Taft continued to suffer from
lower-back and right-leg pain of varying intensities.

¶3            On January 16, 2017, while moving heavy items in a walk-in
freezer for Harvest, Taft’s back froze up, and he could not move without
pain. Others had to help him out of the freezer to a place where he could
rest and recover. He sought medical treatment and filed a claim for benefits.
He received epidural steroid injections in his back, physical therapy, and
medications. These treatments helped, but he was not able to get back to
the condition he was in before the 2017 accident.




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                 HARVEST MADISON/LIBERTY v. TAFT
                        Decision of the Court

¶4           In February 2018, Harvest and workers’ compensation
insurance carrier Liberty Mutual issued a Notice of Claim Status accepting
Taft’s claim and closing it as of February 15, 2018, without permanent
impairment. The Notice of Claim Status was based on an Independent
Medical Examination (“IME”) that found Taft’s back condition to be
medically stationary. Taft challenged that finding by requesting a hearing.

¶5            The ALJ heard testimony from Taft, a supervisor, and two
medical experts. In his testimony, Taft described his back condition before
the 2017 incident. He stated that his back was “holding up” from the 2015
injury, meaning that he was managing the back pain by trading shifts when
needed and staying off his feet as much as he could by doing paperwork
and other non-physical tasks as much as possible. He testified that on
January 16, 2017, he was loading heavy items onto shelves in the freezer
when his back gave out. He testified that after the incident, he has not been
able to get back to where he was before it happened. He returned to
working as a sous chef. He puts ice on his back “two or three times a day”
and uses medical marijuana to help with the pain. The ALJ also heard
testimony from Taft’s current supervisor, Chris Falconer, a person that Taft
had worked for before the 2017 incident. Falconer testified that Taft is a
hard worker but is more limited by his back condition now than he was
before the 2017 injury.

¶6            As noted, two medical experts testified, one called by Taft and
the other by Harvest and Liberty Mutual. Taft’s expert, Dr. Daniel
Lieberman, a neurosurgeon, testified that he performed a telephonic
interview with Taft and reviewed medical records to give his opinion. He
testified that Taft’s description of how the injury occurred and Taft’s
reaction were typical of a further injury at the same place as the prior injury.
He also found it significant that Taft had not returned to the condition he
was in before the 2017 injury. He recommended additional active medical
care, including further diagnostic treatments, steroid injections, and a
possible surgical procedure.

¶7            Harvest’s expert, Dr. Terry McLean, an orthopedic spine
surgeon, testified that he performed an IME on Taft in August 2018, which
included reviewing medical records. He opined that the 2017 injury caused
a lumbar strain and temporary worsening of the pre-existing injury but was
medically stationary as of the IME with no need for further treatment,
maintenance, or work restrictions, and no greater permanent impairment
of the lower back.




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                 HARVEST MADISON/LIBERTY v. TAFT
                        Decision of the Court

¶8            The ALJ determined that Dr. Lieberman’s testimony was
more probably correct and well-founded, and issued an award accordingly.
She concluded that Taft was not medically stationary and awarded
continuing active medical and disability benefits. Harvest and Liberty
Mutual requested an administrative review, arguing that Dr. Lieberman’s
medical opinion was flawed because he did not physically examine Taft,
relied on Taft’s credibility in describing his symptoms, and did not review
both pre-injury and post-injury MRIs. Petitioners also argued that a
pre-existing condition becomes the responsibility of an employer only if
work activity causes an organic change in the underlying condition. The
ALJ reviewed the evidence, and summarily affirmed her decision.

¶9            Petitioners then sought review. We have the authority to
review an award of the ICA under Arizona Revised Statutes (“A.R.S.”)
sections 12-120.21(B) and 23-951 and Rule 10 of the Arizona Rules of
Procedure for Special Actions.

                                DISCUSSION

¶10              In reviewing a workers’ compensation award, we defer to the
ALJ’s factual findings but review questions of law de novo. Young v. Indus.
Comm’n, 204 Ariz. 267, 270, ¶ 14 (App. 2003). The burden is on the injured
employee to establish each element of a claim. Yates v. Indus. Comm’n, 116
Ariz. 125, 127 (App. 1977). When an injury would not be apparent to a
layperson, expert medical testimony is required to establish “not only the
causal connection between a claimant’s medical condition and the
industrial accident, but also the existence and extent of any permanent
impairment.” Gutierrez v. Indus. Comm’n, 226 Ariz. 1, 3, ¶ 5 (App. 2010), aff’d
in part, 226 Ariz. 395 (2011). When a conflict in medical expert testimony
arises, it is the responsibility of the ALJ to resolve it, and we will not disturb
that resolution unless it is “wholly unreasonable.” Stainless Specialty Mfg.
Co. v. Indus. Comm’n, 144 Ariz. 12, 19 (1985). Viewing the evidence in the
light most favorable to sustaining an award, we will affirm the ALJ’s
decision unless there is no reasonable basis for it. Lovitch v. Indus. Comm’n,
202 Ariz. 102, 105, ¶ 16 (App. 2002).

¶11           Petitioners first argue that because Dr. Lieberman’s opinion
lacked foundation, it was error for the ALJ to rely on it. Contrary to
Petitioners’ assertion, the record provides ample foundation. Dr.
Lieberman reviewed medical records of treatment Taft received after the
2017 injury. He considered an MRI from May 2017. He also took a medical
history from Taft and interviewed him. Based on that evidence, he made
his diagnosis and recommended active treatment. Petitioners’ criticisms of


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                        Decision of the Court

Dr. Lieberman’s opinion because he did not perform a physical
examination or compare the 2015 MRI with the 2017 MRI goes to the weight
of Dr. Lieberman’s opinion. Petitioners had the opportunity to argue to the
ALJ why their expert’s opinion was more credible. We will not re-weigh the
evidence. Jaramillo v. Indus. Comm’n, 203 Ariz. 594, 596, ¶ 6 (App. 2002)
(“[W]e view factual determinations in the light most favorable to affirming
the award. . . . [and do] not [re]weigh the evidence . . . .”). The record
contains evidence to support the ALJ’s conclusion that Dr. Lieberman’s
medical opinion was more probably correct and consistent with the
evidence.

¶12             Petitioner’s second argument is that a pre-existing condition
becomes the responsibility of an employer only if the work activity causes
an organic change in the underlying condition. A review of the caselaw
cited by Petitioners is instructive and does not support their assertion. In
Caganich v. Industrial Commission, 108 Ariz. 580 (1972), an injured worker
had a previous arm injury from 1958 when, in 1968, he was lifting a heavy
object and injured his arm again. The “unequivocal” medical testimony was
that the new event produced “a mere extension of the old injury.” Id. at 581.
The Arizona Supreme Court had to determine whether the 1968 event was
an “exacerbation” of the prior injury or a new injury. The court found that
it was a new injury because the new incident involved an accident in which
“a sudden change in [the worker’s] arm” occurred as a result of his attempt
to lift the object. Id. The court distinguished between medical causation and
legal causation, noting that in workers’ compensation law the employer
takes the employee as is. Id. at 582. The court concluded: “In legal
contemplation, if an injury, operating on an existing bodily condition or
predisposition, produces a further injurious result, that result is caused by
the injury.” Id. (quoting Murray v. Indus. Comm’n, 87 Ariz. 190, 195 (1960)).
Thus, if the second event produces an injury arising by accident out of and
in the course of employment, it is a covered injury. See A.R.S. § 23-1021
(“[e]very employee . . . who is injured . . . by accident arising out of and in
the course of his employment” is entitled to workers’ compensation
benefits).

¶13           The question in some instances, however, is whether the
second event produced a new injury or was merely a manifestation of
symptoms from the prior injury. This question was addressed in New Pueblo
Constructors v. Industrial Commission, 115 Ariz. 236 (App. 1977). There, a
construction worker hurt his lower back twice, first in September 1974 after
loading items onto a truck when he felt a “stiffness” in his back, and then
in the following month when, after assisting in the lifting and moving of a
beam, he could not straighten up. Id. at 236–37. The ICA found that the first


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                 HARVEST MADISON/LIBERTY v. TAFT
                        Decision of the Court

injury was not compensable but that the second injury was compensable
because his work activity aggravated a pre-existing back condition and
resulted in a herniated disc. Id. at 237. Three medical experts testified. One
could not give an opinion on causation, and another was not sure which of
the two events produced the injury. Id. at 237–38. The third medical expert
testified that the first incident, a non-industrial injury, caused a disc
extrusion and the second incident merely involved bodily movement by the
worker that manifested symptoms of pain related to that earlier injury. Id.
at 238. Therefore, the evidence did not support a conclusion that there was
an injury produced by the second event.

¶14             The final case presented to us by Petitioners on this issue is
this court’s decision in Industrial Indemnity Co. v Industrial Commission, 152
Ariz. 195 (App. 1986). In that case, the court addressed the question of
“whether there is a new injury if the sole effect of recent work activity is to
exacerbate the symptoms of an already symptomatic back condition, but
where this exacerbation requires new medical treatment and causes
increased disability.” Id. at 196. Under the facts in that case, the worsening
was a new injury. Id. The facts involved a carpet-layer who hurt his back in
1975 under the responsibility of one carrier and then again in 1984 under a
different carrier. The first carrier urged this court to apply the “successive
injury doctrine,” which is “a rule of liability preference: as between two or
more potentially liable parties, the last in the chain is liable for the whole
injury.” Pearce Dev. v. Indus. Comm’n, 147 Ariz. 598, 602 (App. 1985), opinion
adopted in part, vacated in part, 147 Ariz. 582 (1985) (successive injury
doctrine adopted). Concerning the issue of whether the exacerbation of
symptoms constituted a new injury, we agreed with the first carrier that “if
recent work activity causes the need for new medical treatment or increased
disability, there is a new injury.” Indus. Indem. Co., 152 Ariz. at 198–99. We
explicitly found that neither a specific incident nor an organic change was
required to show a new injury, although showing either one would be
sufficient. Id. at 199. We stated that a gradual injury could be a compensable
injury and, even without an organic change, a worsening of symptoms can
be a compensable consequence of recent work activity. Id. We applied the
successive injury doctrine, thereby making the second carrier responsible
because we found that the injured worker had increased disability after the
second event. Id. at 200. No organic change was required.

¶15           Applying these principles to the facts before us, we conclude
that Dr. Lieberman’s medical opinion supports the ALJ’s finding of an
injury for which medical care is correctly placed on Petitioners.




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        HARVEST MADISON/LIBERTY v. TAFT
               Decision of the Court

                      CONCLUSION

¶16   The award is affirmed.




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




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