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Order Resolving Respondent's Motion in Limine and Findings of ...

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work per week. Clapham testified that he regularly lifted 10 to 15 pounds, <strong>and</strong> rarelylifted more than 20 to 25 pounds because he used a crane to move heavier pieces. 16 15 Clapham testified that he first aggravated his back on October 15, 2002. He<strong>in</strong>itially treated with Georgia Milan, M.D., <strong>and</strong> he also sought chiropractic treatment. Hedid not miss any work from the <strong>in</strong>jury. 17 16 On May 19, 2003, Clapham underwent a lumbar MRI which revealed mild tomoderate degenerative changes from L3 through S1 with a slight narrow<strong>in</strong>g <strong>of</strong> the canalat L3-4, disk desiccation <strong>and</strong> diffuse bulg<strong>in</strong>g <strong>of</strong> the disk annulus without focal protrusionat L4-5, <strong>and</strong> disk desiccation <strong>and</strong> diffuse bulg<strong>in</strong>g <strong>of</strong> the disk annulus at L5-S1 with morefocal central disk protrusion extend<strong>in</strong>g to the ventral surface <strong>of</strong> the thecal sac. 18 17 On June 3, 2003, Clapham signed a First Report <strong>of</strong> Injury (FROI), claim<strong>in</strong>g thaton October 15, 2002, he stra<strong>in</strong>ed his lower back while lift<strong>in</strong>g a lathe bed <strong>in</strong>to position. 19 18 On August 18, 2003, Chriss A. Mack, M.D., op<strong>in</strong>ed that Clapham was at MMI foracute my<strong>of</strong>ascial pa<strong>in</strong> syndrome. Dr. Mack op<strong>in</strong>ed that Clapham’s symptoms werecaused by one <strong>of</strong> two bulg<strong>in</strong>g disks <strong>and</strong> he assigned Clapham a 7% whole personimpairment rat<strong>in</strong>g. 20 Clapham testified that he cont<strong>in</strong>ued to have periodic flare ups <strong>of</strong> hisback condition after Dr. Mack placed him at MMI. 21 19 On August 23, 2004, John C. Schumpert, M.D., MPH, issued an <strong>in</strong>dependentmedical exam<strong>in</strong>ation (IME) report regard<strong>in</strong>g Clapham’s condition <strong>and</strong> whetherClapham’s ongo<strong>in</strong>g chiropractic care should be considered “ma<strong>in</strong>tenance or curative <strong>in</strong>nature.” Dr. Schumpert op<strong>in</strong>ed that chiropractic care would be palliative <strong>in</strong> nature <strong>and</strong>that it was helpful <strong>in</strong> ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g Clapham’s level <strong>of</strong> function<strong>in</strong>g. Dr. Schumpert furtherop<strong>in</strong>ed that Clapham was at MMI <strong>and</strong> he did not believe more aggressive treatment waswarranted. 2215 Trial Test.16 Trial Test.17 Trial Test.18 Ex. 1 at 135.19 Ex. 1 at 152.20 Ex. 1 at 130.21 Clapham Dep. 53:13-15.22 Ex. 1 at 115-120.<strong>Order</strong> <strong>Resolv<strong>in</strong>g</strong> Respondent’s <strong>Motion</strong> <strong>in</strong> Lim<strong>in</strong>e <strong>and</strong>F<strong>in</strong>d<strong>in</strong>gs <strong>of</strong> Fact, Conclusions <strong>of</strong> Law <strong>and</strong> <strong>Order</strong> - 7

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