Opinion
No. QQ-246.
April 24, 1980. Rehearing Denied May 21, 1980.
Petition for review from the Judge of Industrial Claims.
H. George Kagan, of Miller Hodges, Miami, for appellant/cross-appellee.
Joseph L. Finkelstein, of Pelzner, Schwedock Finkelstein, P.A., Miami, for appellee/cross-appellant.
Appellant, Sears, Roebuck and Company, brings this appeal from a final workmen's compensation order entered September 29, 1978, awarding appellee Alfred Moreno temporary total and permanent partial disability benefits. Appellant presents the following points on appeal:
1. Whether the Judge of Industrial Claims erred, as both a matter of fact and matter of law, in finding appellee had sustained a compensable hernia on or about April 23, 1975.
The Order did not contain a finding as to the date claimant sustained the hernia.
2. Whether the Judge erred in suggesting appellee had satisfied the notice requirements of § 440.185, Fla. Stat. (1975).
3. Whether the Judge erred in failing to make any findings regarding the effects of appellee's noncompensable hernia upon his present disability.
4. Whether the Judge erred in failing to rule upon the pending claim for loss of wage-earning capacity.
Appellee raises on cross-appeal the single issue of whether the Judge erred both as a matter of fact and matter of law in finding appellee had not sustained a compensable hernia on or about December 8, 1975.
We affirm as to the point on cross-appeal, but reverse and remand as to Points 1, 2, 3 and 4. There is no competent, substantial evidence to support the award of benefits for the right-side hernia.
Appellee allegedly sustained two different inguinal hernias while working for Sears. He filed a claim for compensation for both hernias. The Judge of Industrial Claims awarded benefits for the right-side hernia allegedly sustained in April of 1975 but denied benefits for the left-side hernia allegedly sustained in December of 1975. Neither hernia was compensable.
Appellee testified he first hurt his right side picking up a barbell set about June 1974. He never noticed a lump, but felt sudden excruciating right-side pain. He also testified he told his manager about his pain, but the manager merely told him to go back to work. Appellee continued to work for Sears, but testified that the increased job activity attending the Christmas rush of 1974 aggravated his pain. Appellee first consulted a doctor in January 1975. The treating physician diagnosed a direct right-side hernia and surgically repaired the right-side hernia on April 23, 1975. (The record is unclear why the claim is for a hernia on or about April 1975 when the incident allegedly causing the hernia occurred in May or June 1974.)
Appellant correctly contends that appellee failed to prove by competent, substantial evidence the compensability of the right-side hernia. Section 440.15(6), F.S. provides in part:
(6) HERNIA. — In all claims for compensation for hernia resulting from injury by an accident arising out of and in the course of employment, it must be proved to the satisfaction of the division:
(a) That there was an injury resulting in hernia.
(b) That the hernia appeared suddenly.
(c) That it was accompanied by pain.
(d) That the hernia immediately followed an accident.
(e) That the hernia did not exist prior to the accident for which compensation is claimed.
The statutory prerequisites were discussed by the Florida Supreme Court in Garcia v. Continental Vending Machine Corporation, 176 So.2d 329, at 331 (Fla. 1965):
By the quoted section of the statute the Legislature has specifically required definite proof of the various conditions to an award for a hernia claim. The reason for such specificity was discussed in General Properties Co., Inc., et al. v. Greening et al., 154 Fla. 814, 18 So.2d 908. We there noted that these so-called statutory "safeguards" were included in the act in order to avoid potentially false claims for a hernia which has developed gradually as contrasted to one which is the immediate product of an industrial accident. The last cited case emphasizes that a hernia is most often the result of congenital weaknesses or gradually developed conditions. Accidental injury is must (sic) less frequent as a cause. Hence, it is that the Legislature has emphatically required detailed proof of the statutory elements as a condition to a hernia compensation award.
. . . . .
In the absence of proof of any one of these five essential prerequisites, recovery under the hernia section cannot be allowed. . . .
The Judge of Industrial Claims found that these prerequisites had been met as regards the right-side hernia. The evidence fails to support the findings that the "hernia appeared suddenly" and that the "hernia immediately followed an accident." Cf. Frohman Gear Company v. Fellows, 149 So.2d 557 (Fla. 1963).
The disposition of Point 1 on appeal renders Points 2, 3 and 4 moot.
The Point on Cross-Appeal requires affirmance because the Judge of Industrial Claims found from the evidence that the left-side hernia preexisted the incident appellee/cross-appellant claimed caused the left-side hernia. On September 24, 1975, the treating physician reported that appellee "now has a left inguinal hernia." Appellee alleged that he sustained the left-side hernia while lifting typewriters at work on or about December 8, 1975.
The Order is affirmed in part and reversed in part.
SHAW, J., concurs.
ERVIN, J., concurs and dissents with opinion.
I respectfully dissent to that portion of the majority's opinion holding claimant's right-side hernia noncompensable. I think there is competent and substantial evidence supporting the judge's implicit finding that the hernia occurred immediately following the accident. As observed by the majority, claimant testified that he felt excruciating right-side pain just after picking up a barbell during the course of his employment, and that his treating physician, upon hearing his history and examining him, diagnosed a right inguinal hernia which was surgically repaired in April 1975.
In my judgment the evidence also sufficiently supports the statutory requirement that the hernia appear suddenly. The fact that claimant never noticed a lump is not in my view fatal to his claim for compensation. A long line of cases recognize that a hernia need not be immediately visible after an accident. E.g., Atlantic Marine Boat Yard v. Daniel, 138 Fla. 864, 190 So. 612 (1939) (lump appeared one month following accident); Cost v. Texaco, Inc., 207 So.2d 437 (Fla. 1968) (lump discovered three weeks later); Exxon Co. v. Alexis, 370 So.2d 1128, 1130 (Fla. 1979) (injury apparent two months later). As noted in Cost, the statute's condition "can be met by evidence of immediate manifestations other than a visible lump." Id. at 438.
While I would affirm the judge's finding that the right-side hernia was caused by industrial accident, I otherwise concur in the remainder of the majority's opinion.