                     COURT OF APPEALS OF VIRGINIA


Present:    Judges Frank, Clements and Senior Judge Bray


PHILIP MORRIS USA AND
 LUMBERMENS MUTUAL CASUALTY COMPANY
                                             MEMORANDUM OPINION*
v.   Record No. 1983-02-2                         PER CURIAM
                                               DECEMBER 3, 2002
ROBERT E. KENNEY



           FROM THE VIRGINIA WORKERS' COMPENSATION COMMISSION

             (Thomas J. Mitchell; Hunton & Williams, on
             brief), for appellants.

             (Zenobia J. Peoples, on brief), for appellee.


     Philip Morris USA and its insurer contend the Workers'

Compensation Commission (commission) erred in finding that

Robert E. Kenney's (claimant) right shoulder rotator cuff tear

was a compensable consequence of his compensable April 11, 2000

left shoulder injury.     Upon reviewing the record and the

parties' briefs, we conclude that this appeal is without merit.

Accordingly, we summarily affirm the commission's decision.

Rule 5A:27.

             [The] doctrine [of compensable
             consequences], also known as the chain of
             causation rule, provides that "'where the
             chain of causation from the original
             industrial injury to the condition for which
             compensation is sought is direct, and not

     * Pursuant to Code § 17.1-413, this opinion is not
designated for publication.
          interrupted by any intervening cause
          attributable to the [employee's] own
          intentional conduct, then the subsequent
          [condition] should be compensable.'"

Food Distributors v. Estate of Ball, 24 Va. App. 692, 697, 485

S.E.2d 155, 158 (1997) (citation omitted).      "The simplest

application of this principle is the rule that all the medical

consequences and sequelae that flow from the primary injury are

compensable."   American Filtrona Co. v. Hanford, 16 Va. App.

159, 163, 428 S.E.2d 511, 513 (1993) (citation omitted)

(emphasis added).

     On appeal, we view the evidence in the light most favorable

to the prevailing party below.     R.G. Moore Bldg. Corp. v.

Mullins, 10 Va. App. 211, 212, 390 S.E.2d 788, 788 (1990).

Factual findings made by the commission will be upheld on appeal

if supported by credible evidence.       See James v. Capitol Steel

Constr. Co., 8 Va. App. 512, 515, 382 S.E.2d 487, 488 (1989).

     On April 11, 2000, claimant sustained a left rotator cuff

tear as a result of a compensable injury by accident while

working for employer.

     On August 21, 2001, at a time when claimant was still

undergoing physical therapy for his left shoulder injury, he

reported to his treating physician, Dr. Stephen J. Leibovic,

that he was developing pain in his right shoulder.      Dr. Leibovic

ordered an MRI of claimant's right shoulder.      Based upon the MRI

results, Dr. Leibovic concluded that claimant had sustained a

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torn rotator cuff of his right shoulder.   In his October 11,

2001 report, Dr. Leibovic opined as follows:

            With respect to cause, [claimant] first told
            me about pain in the right shoulder in
            September of this year. That was quite some
            time after this initial injury at work. He
            says that he thinks he was overusing his
            right shoulder as a result of his left
            shoulder problems, and this is certainly
            reasonable, but whether or not it was
            entirely responsible for his tear in the
            right rotator cuff is difficult to say. It
            probably contributed, but probably was not
            the only cause.

     Claimant testified that he had not suffered any accidents

or injuries involving his right shoulder after April 11, 2000

and that there were no unusual incidents relating to that

shoulder.   He stated that he had never experienced any problems

with his right shoulder prior to the April 11, 2000 compensable

injury by accident.   Claimant testified that he first noticed

symptoms in his right shoulder in August 2001.   No evidence

contradicted claimant's testimony.

            "[A] doctor's statement that a certain
            condition is probably connected to the
            injury means there is a reasonable
            likelihood of causation, which 'is
            sufficient to permit a trier of fact to
            accord the statement probative weight.'"
            "The testimony of a claimant may also be
            considered in determining causation . . . ."

Henrico County School Bd. v. Etter, 36 Va. App. 437, 444, 552

S.E.2d 372, 375 (2001) (citations omitted).

     Dr. Leibovic opined that claimant's overuse of his right

arm, which the commission could reasonably infer was caused by
                                - 3 -
claimant's compensable left shoulder injury, probably

contributed to cause the right rotator cuff tear, although it

was not the only cause.   "The principle is well established that

'where a disability has two causes: one related to the

employment and one unrelated [to the employment] . . . full

benefits will be allowed.'"   Ford Motor Co. v. Hunt, 26 Va. App.

231, 237-38, 494 S.E.2d 152, 155 (1997) (citation omitted).

Thus, Dr. Leibovic's medical records and opinions, coupled with

claimant's testimony, constitute credible evidence to support

the commission's finding that claimant proved that his right

shoulder condition was a compensable consequence of his

compensable April 11, 2000 left shoulder injury.

     For these reasons, we affirm the commission's decision.

                                                          Affirmed.




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