Appeal from the Circuit Court of De Witt County; the Hon.
William C. Calvin, Judge, presiding.
JUSTICE KASSERMAN DELIVERED THE OPINION OF THE COURT:
Rehearing denied January 2, 1986.
Petitioner, Mervin Wolfe, filed an application for adjustment of claim under the Workers' Compensation Act (Ill. Rev. Stat. 1983, ch. 48, par. 138.1 et seq.) for injuries he allegedly sustained to his head, neck and right knee while he was employed by respondent Baldwin Associates. In a decision entered March 25, 1983, arbitrator Ruth W. White awarded petitioner 10 weeks of partial disability benefit under section 8(d)(2) of the Act (Ill. Rev. Stat. 1983, ch. 48, par. 138.8(d)(2)) based upon a finding that petitioner's neck injury resulted in 2% partial disability. No benefits were awarded for the injury to petitioner's knee. The arbitrator ordered respondent to pay $201 for necessary medical services under section 8(a) of the Act (Ill. Rev. Stat. 1983, ch. 48, par. 138.8(a)). However, in the process the arbitrator denied petitioner's claim for certain other medical expenses. Disallowed were expenses incurred in treatment of petitioner's knee. Also disallowed were expenses incurred in treatment of petitioner's neck injury because such treatment was provided by a third physician from whom petitioner had sought treatment. (See Ill. Rev. Stat. 1983, ch. 48, par. 138.8(a)(3).) Wolfe petitioned the Industrial Commission for review of the decision of the arbitrator. On review, the Industrial Commission affirmed the decision of the arbitrator; and petitioner then sought review of the decision of the Industrial Commission in the circuit court of DeWitt County. Respondent moved to quash summons and dismiss the appeal on the ground that petitioner had failed to file a written request for the summons that was issued in the cause. (See Ill. Rev. Stat. 1983, ch. 48, par. 138.19(f)(1).) That motion was denied. The circuit court subsequently confirmed the decision of the Industrial Commission. Petitioner has perfected the instant appeal to this court.
On appeal petitioner contends that the circuit court erred by not requiring the Industrial Commission to make a specific finding that petitioner's knee injury was not causally related to his accident. In the alternative, petitioner also contends that any finding that petitioner's knee injury was not causally related to his accident was contrary to the manifest weight of the evidence. Petitioner further contends that the award of 10 weeks partial disability and the denial of reimbursement for certain medical treatment were likewise contrary to the manifest weight of the evidence.
The record establishes that on March 2, 1981, while working as a pipe fitter, petitioner ran into and struck the end of a steel pipe with his head. Petitioner went to his employer's first aid station, but apparently, owing to the lateness of the hour, petitioner received no treatment that day. Petitioner did not receive any medical treatment until he returned to work the next day and again went to the first aid station. On this occasion he was treated for a bruise with a small scrape on his left forehead. Petitioner's only complaint at this time was that he had a sore neck.
Petitioner was later referred to Dr. Kolandai Velu and was examined by the doctor on March 6, 1981. Dr. Velu reported that petitioner complained of a sore forehead, a sore neck, a sore right hip and an unsteady right knee. Dr. Velu performed a physical examination and took X-ray photographs of petitioner's head and neck. The X-ray photographs revealed no visible damage to the head or neck, although Dr. Velu did diagnose a bruise-like head injury and neck strain. The doctor's physical examination disclosed no swelling or other injury to petitioner's knee, although the doctor indicated petitioner might have had some minor arthritis in the knee. The doctor prescribed an over-the-counter pain medication. Dr. Velu again examined petitioner on March 13, 1981. On this occasion the doctor reported petitioner again complained of a sore right knee. According to Dr. Velu, petitioner did not know how this soreness had come about but conjectured that when he hit his head he may have buckled and twisted the knee. Petitioner did not report having fallen on the knee. Dr. Velu testified that petitioner's condition could have been related to his accident.
Dr. Velu referred petitioner to Dr. Joseph Schrodt, an orthopedic surgeon, for further testing on petitioner's knee. Dr. Schrodt examined petitioner on March 20, 1981. The doctor reported that he found no indication of any loss of range of motion nor any effusion or swelling of the knee. The doctor was of the opinion that petitioner may have suffered a knee sprain but, as petitioner had been able to continue to work, the doctor saw no reason to restrict petitioner's activities.
On March 27, 1981, petitioner was examined by his family physician, Dr. M.T. Salaymeh. Dr. Salaymeh reported that petitioner complained of pain in the neck and the right knee. Petitioner told the doctor that he may have twisted his knee when he struck his head on the pipe. Dr. Salaymeh performed both physical and X-ray examinations of petitioner's neck and knee. The physical examination disclosed some tenderness and loss of range of motion of the neck and some tenderness and slight effusion of the knee. The X-ray photographs of petitioner's neck and knee were normal. Petitioner was given an elastic brace for his knee. Dr. Salaymeh again examined petitioner on April 17, 1981, at which time petitioner complained of numbness in his right arm and stiffness of his right knee. Dr. Salaymeh theorized that petitioner may be suffering from carpal tunnel syndrome in the arm and torn cartilage in the knee. The doctor referred petitioner to Dr. M.L. Mehra, a neurologist, and to Dr. Walter P. Baisier, an orthopedic surgeon.
Dr. Mehra examined petitioner on May 6, 1981, and performed a neurological examination of petitioner's right arm. The examination disclosed the existence of post-traumatic muscle pain but no evidence of any carpal tunnel syndrome.
Dr. Baisier first examined petitioner on April 30, 1981. Dr. Baisier reported that petitioner claimed to have twisted his back and knee at the time he injured his head. However, petitioner did not claim to have fallen on the knee. Petitioner complained that his knee would give way or be stiff and cause him pain. Petitioner also complained that his neck was sore and stiff and that it was painful to turn his head. Petitioner later testified before the arbitrator that he also experienced pain whenever he would use his right arm. The doctor reported that petitioner claimed his forehead had been "split open" in the accident. Dr. Baisier performed a physical examination. His examination disclosed some fluid in the knee, the presence of which prevented petitioner from being able to squat. The doctor explained that the presence of fluid would not be painful but that petitioner did experience pain if pressure was applied to the knee. The doctor found no evidence of arthritis. Further, diagnostic tests on the knee were scheduled. Dr. Baisier found no nerve damage in petitioner's neck and diagnosed petitioner's neck condition to consist of a strain and a contusion which could take several months to completely heal, but that it should be expected to heal completely.
Petitioner was again seen by Dr. Baisier on May 8, 1981, at which time petitioner underwent an arthrogram on his knee. Some fluid was removed and some small tears were found in the knee cartilage. Dr. Baisier recommended corrective knee surgery. The operation was performed on May 21, 1981 and as a result petitioner was hospitalized from May 20 to May 26, 1981. On subsequent visits petitioner still complained of some minor swelling. Petitioner was released to return to work by the doctor on August 3, 1981, and was told to return to the doctor if necessary. Petitioner never returned.
During questioning regarding whether petitioner's knee condition was causally related to the accident, Dr. Baisier seemed to indicate that if the knee condition were causally related to the accident petitioner would have manifested some symptoms shortly after the accident. The doctor stated, "I think what he told the nurse at that date [March 3, 1981] probably would be very important to know." Petitioner had made no mention of his knee at that time. The first recorded mention thereof was made to Dr. Velu on March 6, 1981. However, Dr. Velu's examination disclosed no swelling or other injury to petitioner's knee. The first recorded physical manifestation of any knee problem was observed by Dr. Salaymeh on March 27, 1981. In testimony before the arbitrator on January 4, 1983, petitioner stated that at the time he struck his head on the pipe he fell to the floor, landing on his right knee. Petitioner further testified that on the evening of his accident he went home and applied a heat pad to his right knee.
The arbitrator found that the injury to petitioner's neck was causally related to the accident but found that the injury to petitioner's knee was not. Accordingly, since the only time petitioner was off work was when he was hospitalized for knee surgery, the arbitrator denied petitioner's claim for temporary total disability benefits. Also denied was petitioner's claim for medical expenses related to treatment of the knee. Petitioner was awarded 10 weeks of partial disability benefits under section 8(d)(2) of the Act (Ill. Rev. Stat. 1983, ch. 48, par. 138.8(d)(2)) based upon a finding that petitioner's neck injuries resulted in 2% partial disability. The arbitrator ordered respondent to pay $201 for necessary medical services under section 8(a) of the Act (Ill. Rev. Stat. 1983, ch. 48, par. 138.8(a)); however, the arbitrator denied petitioner's claim for certain other medical expenses incurred in treatment of petitioner's neck injury.
Petitioner had received treatment for his neck from Dr. Harold B. Allen, a chiropractor. The arbitrator denied petitioner's claim for the cost of this treatment because the arbitrator found that such treatment was provided by a third physician from whom petitioner had sought treatment. Under section 8(a)(3) of the Act (Ill. Rev. Stat. 1983, ch. 48, par. 138.8(a)(3)), a claimant may be compensated for medical services provided by only the claimant's first and second choice of medical service providers. Prior to visiting Dr. Allen, petitioner had sought treatment on April 17, 1981, at the emergency room of St. Vincent's Memorial Hospital in Taylorville. Petitioner subsequently left the emergency room voluntarily after becoming dissatisfied with the treatment he was receiving and went to Dr. Salaymeh's office which had been open during this time. Petitioner had not been referred to the emergency room by any of his then current physicians. At both the emergency room and Dr. Salaymeh's office that day, petitioner's complaints consisted of numbness in his right arm and ...