Decision #19/13 - Type: Workers Compensation
Preamble
The worker is appealing the decision made by Review Office of the Workers Compensation Board ("WCB") which determined that she had no loss of earning capacity effective April 28, 2011 or February 1, 2012 given that she chose to terminate her employment and the job duties she had been performing were within her compensable restrictions. A hearing was held on December 11, 2012 to consider the matter.Issue
Whether or not the worker has a compensable loss of earning capacity effective April 28, 2011 and/or February 1, 2012.Decision
The worker has no compensable loss of earning capacity effective April 28, 2011 and/or February 1, 2012.Decision: Unanimous
Background
In 2003, the worker filed a claim with the WCB for difficulties she was experiencing with both wrists. Her employer had recently introduced a new computer system and she related her condition to the change in her job duties which involved repetitive data entry. The claim for compensation was accepted based on the diagnosis of bilateral carpal tunnel syndrome ("CTS"), worse on the left. On March 16, 2004, the worker underwent left carpal tunnel release. File records showed that subsequently, the worker returned to work but from 2004 to 2011 continued to experience varying degrees of symptoms in both wrists.
On February 9, 2011, the worker sent an e-mail to her case manager advising that after struggling with CTS for a number of years, she and her doctor had come to the conclusion that the only way to relieve her pain was to stop doing the typing and mousing which her job required. She advised her last day of employment would be in April 2011 and asked for confirmation of her eligibility for continued treatment.
On February 10, 2011, the worker spoke with her WCB case manager and advised that her wrists were not getting better despite various forms of treatment. She said she wore a brace during the day and night and she would have surging pain when keyboarding. The worker felt her condition would not get any better when doing her job so she had given her notice at work. The worker said she was going to sell her city home as of March 1, 2011 and would be moving to her country home. She did not know whether she would find new employment but had told her employer that she would work until the end of April 2011.
On February 15, 2011, the case manager sent the worker an e-mail confirming the current status of approvals on file for medical treatment. The case manager also wrote:
At this time the WCB is not supporting you in your resignation from your job, however there has been very little contact from you in the last year and no updates from [family doctor], so I have been unable to provide a thorough review on this matter. If you feel your need to resign was related to the compensable injury and you wish to pursue anything further with the WCB please call me to discuss further, otherwise I will see this as a personal choice and will not become involved other than to continue to monitor any medical treatment.
On February 16, 2011, the worker's claim was referred to the WCB's healthcare branch for an opinion regarding work restrictions. The medical advisor indicated that the only restriction needed for CTS was no prolonged forceful grasp and limited exposure to vibration. The medical advisor noted that the worker "had tried multiple treatment options already, with no sustained benefit. She should continue with her splints, home exercises, and avoid the above noted factors that are known to aggravate the condition."
In March 2011, discussions took place between the worker and her WCB case manager regarding her job duties and ongoing difficulties with both hands. The worker indicated that the only way her hands have improved in the past was by doing absolutely nothing and that was the reason why she resigned from the workforce.
On April 6, 2011, the worker was examined by the WCB medical advisor at a call-in examination. The medical advisor noted that in the past, CTS had been adjudicated as being related to the worker's job duties in 2003, but that current literature no longer supported an association between typing, mouse work, or writing and CTS. With regards to restrictions, the only recommended restriction for carpal tunnel was avoidance of prolonged or repetitive forceful grasp.
By letter dated April 20, 2011, it was confirmed to the worker that her compensable permanent restrictions were to avoid prolonged and/or repetitive forceful grasp. The case manager indicated: "At current, the WCB is not able to accept any further restrictions or a complete abstinence from work. Your current job duties were reviewed as relayed by you and they are not deemed outside of the current compensable restrictions. As such, if you decide to resign from your current position, the WCB cannot support you with any wage loss benefits."
On September 23, 2011, the worker's family doctor provided a report indicating ongoing pain, numbness and tingling of fingers in right hand and sharp pain over the volar surface of right wrist. The worker could not write, grasp, comb hair or do up a button and was considered unable to work indefinitely.
On January 17, 2012, the WCB case manager confirmed to the worker that the WCB was unable to provide her with wage loss benefits resulting from her bilateral wrist injury. The case manager stated: "You informed me on November 8, 2011 that you resigned from your employment, as you felt you could not continue in your job. Your job duties at [employer's name] were not deemed outside of the current compensable restrictions. As the reason for the wage loss is due to you resigning your position and not your employers' inability to accommodate your restrictions, the WCB cannot support you with any wage loss benefits."
The worker underwent surgery to her right wrist on February 1, 2012 and the costs of the surgery were accepted as a WCB responsibility.
On April 23, 2012, the worker was advised by the WCB that she would not be entitled to payment of wage loss benefits related to her right wrist surgery effective February 1, 2012, as there was no loss of earning capacity based on the information that she had terminated her employment in 2011.
On May 25, 2012, a worker advisor requested reconsideration of the adjudicative decision dated April 23, 2012. The worker advisor was of the view that the worker resigning her position was unrelated to her recovery from a compensable treatment and therefore the worker should be provided with wage loss benefits from the time following the February 1, 2012 surgery until her physician determined her recovery was complete. The worker advisor also included a submission by the worker dated May 24, 2012. The worker noted that her last day of employment was April 28, 2011. The worker requested compensation benefits for the period April 28, 2011 to May 23, 2012 which was the date of her last medical appointment.
In a decision dated July 12, 2012, Review Office determined that the worker did not have a compensable loss of earning capacity as of April 28, 2011 or as of February 1, 2012. Review Office noted in its decision that the worker made a personal choice to end her employment as of April 28, 2011 and it was clear that the job duties she was involved with at the time were within the compensable restrictions involved in her claim. Review Office also noted the following comments by the worker in her submission dated May 24, 2012:
After discussing my options with my supervisor, I made the decision to resign and take care of my health. I am hoping that without the activities of a busy job, I can have a fairly normal life with a condition that I feel will always need to be taken into consideration before doing certain activities.
Review Office indicated it seemed clear the worker made a decision to not be a part of the workforce and that was her right. It was also clear that there was no lost income to be compensated arising from this personal decision. On July 18, 2012, the worker advisor appealed Review Office's decision to the Appeal Commission and a hearing was arranged.
Reasons
Applicable Legislation
The Appeal Commission and its panels are bound by The Workers Compensation Act (the “Act”), regulations and policies of the Board of Directors.
Under subsection 4(1) of the Act, where a worker suffers personal injury by accident arising out of and in the course of employment, compensation shall be paid to the worker by the WCB.
Subsection 39(1) of the Act provides that wage loss benefits will be paid: “…where an injury to a worker results in a loss of earning capacity…” Subsection 39(2) of the Act provides that the WCB will pay wage loss benefits until such a time as the worker’s loss of earning capacity ends, or the worker attains the age of 65 years.
Worker’s Position
The worker was represented by legal counsel at the hearing. The worker's position was that she ought to be entitled to compensation benefits for the restricted period from her last day of employment on April 28, 2011 until May 23, 2012, which was the date on which the worker was cleared by her surgeon to return to work, but at which point she voluntarily chose not to return to work. The worker was not making a claim for continued WCB wage loss benefits beyond that date.
The worker suffered from CTS and the causes of this condition were repetitive movements of the hand or wrist, which she did in the course of her job duties. The WCB had accepted the worker's claims for wage loss resulting from this condition both in 2003 and later at another instance in 2007/2008. It was submitted that the worker's CTS continued to worsen to the point in April 2011 when she was not longer able to work or function in the job she had been working at since 1994. The accident employer told her that there was nothing else for her to do at the company and so therefore she had no choice but to leave work. This was not a personal choice. It was only after the worker had surgery on her right wrist in 2012 and was cleared by her surgeon on May 23, 2012 for return to work that the worker made the conscious decision to discontinue working. The worker acknowledged that she was not entitled to wage loss benefits from this point in time onwards.
Analysis
The issue before the panel is whether or not the worker has a compensable loss of earning capacity effective April 28, 2011 and/or February 1, 2012. In order for the worker’s appeal to be successful, the panel must find that at the relevant time, the worker's earning capacity continued to be impaired by the effects of her workplace injuries. We are not able to make that finding.
The main issue for the panel is to determine the reason why the worker left the workforce on April 28, 2011. Did she leave because she was disabled by the effects of her CTS or did she leave as a result of a personal lifestyle decision? It is always difficult to make these types of determinations, but on a balance of probabilities, the panel feels that the evidence weighs more heavily in favour of the finding that the worker's decision to leave was a personal lifestyle decision. In reaching this conclusion, the panel relied on the following:
- The worker first advised the WCB of her intention to leave her employment in an email dated February 9, 2011. In the email, she indicated that she felt that the only way to relieve her pain was to stop the typing and mousing which her job required her to do. At that time, she had already given notice at her workplace that her last day of employment would be at the end of April 2011.
- One month prior to this email, on January 6, 2011, the worker had advised her WCB case manager that she was still having symptoms in her right hand but she continued to work her regular duties and was managing.
- The worker's evidence at the hearing was that she and her husband had owned a second home at the lake since the early 1980s and it had always been their intention to sell their larger house in Winnipeg and eventually move to their house at the lake. They had fixed up the lake house over the years and in the year prior, they had put in a new kitchen.
- The house in Winnipeg was sold with a possession date of March 1, 2011. They had put the house on the market in January. Based on this information, the panel finds that the worker's intention to move to the lake was formed by at least January 2011.
- The medical reports from late 2010 and early 2011 indicate continuing CTS symptomatology but do not indicate total disability at that time. There is no medical report indicating total disability until September 2011.
- The evidence did not disclose a pattern of repeated time missed from work or under-performance by the worker in her employment position, thus suggesting to the panel that the CTS was not preventing the worker from doing her job.
- On the contrary, the worker's evidence was that her employer had been very accommodating and the worker was given significant latitude to self-modify her work. If there were large amounts of keyboarding required, the worker was able to pass off that work to another staff person. The worker was in customer service and her main work was "troubleshooting" and taking customer calls. She would use a computer to look up information to answer questions. There was some handwriting in a log book required. The worker was provided with a headset and an ergonomic work station. The panel does not find that the worker's CTS symptoms would have prevented her from performing her job duties, particularly given the WCB medical advisor's advice that the only recommended restriction for carpal tunnel is avoidance of prolonged or repetitive forceful grasp. The job duties being performed by the worker did not involve these actions to any significant degree.
- Although the worker's legal counsel submitted articles regarding carpal tunnel syndrome which suggested a link between the condition and keyboarding/mousing, the panel understands that current medical literature no longer supports an association between typing, mouse work or writing and carpal tunnel syndrome.
- Overall, the panel does not accept that the worker's CTS symptoms would prevent her from continuing to work at her job duties beyond April 28, 2011.
- The worker's evidence was that it had always been her intention to work until age sixty. At the time she left her employment, she was fifty-six. While this was earlier than her stated intention, the panel does feel that the worker was in the age bracket where retirement is a real option.
- The worker's husband was present at the hearing as an observer. He advised the panel that he had been retired since 2005 and was working part time in early 2011. He did not continue to work part time after they moved to the lake. The panel feels that a decision by the worker to retire at the end of April 2011 would be consistent with her husband's lifestyle choices. While the panel acknowledges that this is not determinative, it is certainly relevant in considering the overall context.
- The fact that the worker chose not to return to work in May 2012 after recovering from her right wrist surgery also supports a predilection for this lifestyle choice and a desire to retire earlier than age 60.
- Correspondence on the WCB file indicates that the WCB case manager clearly advised the worker prior to her resignation that the WCB was not supporting her in her resignation from her job and would consider any such decision to be a personal choice.
In view of the foregoing, the panel finds on a balance of probabilities that the worker's decision to end her employment on April 28, 2011 was a personal decision and accordingly, her loss of earning capacity resulting from this decision is not compensable. Similarly, when the worker became disabled from working due to the right wrist surgery performed on February 1, 2012, she was, by choice, no longer working and therefore did not suffer any loss of earning capacity during the time of the surgery and corresponding recovery period. There was no compensable loss of earning capacity effective either April 28, 2011 or February 1, 2012. The worker's appeal is therefore dismissed.
Panel Members
L. Choy, Presiding OfficerA. Finkel, Commissioner
M. Lafond, Commissioner
Recording Secretary, B. Kosc
L. Choy - Presiding Officer
Signed at Winnipeg this 8th day of February, 2013