Findings of Fact, Conclusions of Law and Judgment - Workers ...
Findings of Fact, Conclusions of Law and Judgment - Workers ...
Findings of Fact, Conclusions of Law and Judgment - Workers ...
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6 On May 24, 1993, Dostal suffered an industrial injury to her ankles <strong>and</strong> her back<br />
when she fell <strong>of</strong>f a ro<strong>of</strong> while performing her job duties as a ro<strong>of</strong>er for R<strong>and</strong>y Crowley<br />
Construction in Harlowton, Montana. 3<br />
7 Dostal’s employer was uninsured at the time <strong>of</strong> her industrial injury <strong>and</strong> therefore<br />
the UEF administers her claim. The UEF accepted liability <strong>and</strong> has paid medical<br />
benefits relating to Dostal’s right foot <strong>and</strong> ankle, left ankle, <strong>and</strong> lumbosacral spine. 4<br />
The parties’ disputes regarding Dostal’s medical treatment<br />
8 In August 2004, Dostal began treating with Alan K. Dacre, M.D. 5 Dr. Dacre has<br />
performed three surgeries on Dostal’s back. He performed each surgery in Billings. 6<br />
The first, an anterior lumbar interbody fusion, occurred on December 7, 2004. 7<br />
However, Dr. Dacre regularly saw Dostal in Lewistown when he traveled there to see<br />
patients. 8<br />
9 On April 12, 2006, Dr. Dacre sent a letter to the patients he treated in Lewistown<br />
<strong>and</strong> stated that he would no longer conduct bimonthly clinics in Lewistown. Dr. Dacre<br />
explained that Gregory S. McDowell, M.D., would conduct monthly clinics in Lewistown<br />
<strong>and</strong> would be available to provide spine care. Dr. Dacre further stated that he would<br />
continue to treat patients who were able to travel to Billings for treatment. 9<br />
10 On July 18, 2006, Dr. Dacre performed a second surgery on Dostal’s spine – a<br />
posterior spinal instrumented fusion with posterolateral decompression at L5-S1 –<br />
because <strong>of</strong> a non-union. 10<br />
11 On April 9, 2009, Dr. Dacre operated on Dostal for a third time to remove some<br />
<strong>of</strong> the hardware associated with her 2006 fusion surgery <strong>and</strong> to explore her lumbar<br />
fusion. 11<br />
3 Pretrial Order, Uncontested <strong>Fact</strong>s, at 1.<br />
4 Pretrial Order, Uncontested <strong>Fact</strong>s, at 1-2.<br />
5 Pretrial Order, Uncontested <strong>Fact</strong>s, at 2; Trial Test.<br />
6 Id.<br />
7 Pretrial Order, Uncontested <strong>Fact</strong>s, at 2; Ex. 3 at 33-35.<br />
8 Trial Test.<br />
9 Ex. 3 at 74.<br />
10 Pretrial Order, Uncontested <strong>Fact</strong>s, at 2; Ex. 3 at 80-82.<br />
11 Pretrial Order, Uncontested <strong>Fact</strong>s, at 2; Ex. 3 at 154-55.<br />
<strong>Findings</strong> <strong>of</strong> <strong>Fact</strong>, <strong>Conclusions</strong> <strong>of</strong> <strong>Law</strong> <strong>and</strong> <strong>Judgment</strong> – Page 3