SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
A-2331-94T1
VITO VENTRE,
Petitioner-Appellee,
v.
CPC INTERNATIONAL, INC./
C.F. MUELLER CO.,
Respondent-Appellant.
___________________________________________________________________
Submitted November 1, 1995 - Decided December
11, 1995
Before Judges King, Landau and Kleiner.
On appeal from Division of Workers'
Compensation.
Bressler, Amery & Ross, attorneys for
appellant (Richard V. Jones, of counsel, and
on the brief).
No brief was filed on behalf of respondent.
The opinion of the court was delivered by
LANDAU, J.A.D.
Petitioner-appellee Vito Ventre was injured in an industrial accident while employed by respondent-appellant CPC International/C.F. Mueller Co. (CPC) and instituted a proceeding in the Division of Workers' Compensation. Jurisdiction and occurrence of the accident arising out of and in the course of his employment was stipulated, subject to determination of the nature and extent
of any permanent disability.
Ventre was injured when a piece of plexiglass he was cutting
"caught" on the table saw, forcibly striking him on the chin, upper
neck and wrist. He was hospitalized for two days, receiving
stitches in his chin and a wrist cast. Ventre suffered a
mandibular fracture for which no treatment was rendered. He also
lost two teeth. He was out of work for eighteen months, returning
to carpenter duties with the same employer.
Pursuant to practice in the Division, the matter proceeded on
medical reports filed by the parties' respective experts. Cross-examination of the experts was waived. The parties agreed that the
sole issue for determination was the nature and extent of any
permanent disability.
The judge of compensation credited Ventre's complaints in "all
of the areas of which he complains," finding impaired function in
"all of the same areas," a lessening to a material degree of his
working ability and his ability to engage in the activities of
daily living, and that "his disabilities are multiple and encompass
orthopedic, otological and cosmetic problems."
The judge agreed with the assessment made by Ventre's
orthopedic expert that Ventre exhibited a twenty-five percent
disability in his right hand, but not for reasons articulated by
the expert who, he found, "missed the boat." The judge concluded
that "as a result of the combination of the ununited carpal
naricular fracture and the laceration of his wrist ... a permanent
orthopedic disability of 25 percent of the right hand" had been
caused by the accident.
Fifteen percent of partial total was attributed to "the
fracture of the mandible," upon this finding:
I am satisfied that as a result of this blow
the petitioner suffered a fracture of the mid
portion of the mandible which was sufficient
for the purpose would not only affect his jaw
but his temporomandibular joints as well as
his binaural ear canals.
Ten percent of partial total, otological in nature, was
awarded "for residual effects of the TMJ syndrome, the bilateral
[ear] canal fracture and the tinnitus which accompanies the
injury."
Another ten percent of total was attributed to a cosmetically
disfiguring chin and lip scar.
The judge found a twenty-five percent binaural hearing loss,
not solely related to the accident, and apportioned twelve percent
of that loss as "chargeable to the effects of the trauma which Dr.
Freifeld has concluded resulted in a fracture of the ear canals and
Dr. West has concluded result[ed] from a cochlear injury." The
apportionment assertedly was made under authority of Baijnath v.
Eagle Plywood & Door Mfrs.,
261 N.J. Super. 309 (App. Div. 1993),
which discussed methods of apportioning the respective impact of
separate traumatic injuries occurring in different employments.
In addition, the judge awarded Ventre statutory benefits for
the loss of two teeth.
The statutory entitlements for these awards were then
totalled, resulting in a judgment for 303 1/4 weeks of compensation
at $283 per week, or $85,890.50, plus allocations of expert and
counsel fees.
CPC argues persuasively that some of the judge's findings were
unsupported by credible evidence in the record because they were
based upon surmise and conjecture in the submitted medical reports.
More specifically, the judge made a definitive finding of bilateral
ear canal fractures, resting it upon the report of CPC's expert,
Dr. Freifeld, who said that although Ventre "may have had a
fracture through that area as a result of the injury to his jaw, he
has not compromised the ear canals sufficiently that any surgical
intervention appears to be necessary." In a conclusory fashion,
Dr. Freifeld's report also referred to a "probable" anterior ear
canal fracture. No treating records were introduced respecting ear
canal fractures. The reports of other experts, including those
submitted by petitioner, showed either that external auditory
canals were within normal limits, or made no mention thereof.
CPC also complains that there was no basis in the record to
support the arbitrary allocation of roughly half of Ventre's
hearing loss to the traumatic injury caused by the plexiglass. One
expert concluded, without amplification of objective basis for the
conclusion, that Ventre's hearing loss was attributable to both
industrial noise (an occupational exposure) and the trauma. CPC's
expert, whose report speculated on some traumatic ear canal
fracture, nonetheless clearly discounted this as contributing to
any material hearing loss.
We agree that the submitted expert reports fall short of
providing an objective and rational evidential predicate for making
an apportionment as to the cause of hearing loss in this case.
See, e.g., Calabro v. Campbell Soup Co.,
244 N.J. Super. 149, 164
(App. Div. 1990)(discussing N.J.S.A. 34:15-35.13a and N.J.S.A.
34:15-12d), aff'd,
126 N.J. 278 (1991). We do not interpret
Baijnath, supra, as affording authority for simply adopting a
speculative allocation of cause in the absence of adequate
evidence. To the contrary, we observed in Baijnath that while
proofs respecting traumatic injury causation may not permit of
certainty, "an understanding of the need to present better
allocation proofs may obviate the theoretical difficulties in
traumatic injury situations." Baijnath, supra, 261 N.J. Super. at
316. After reviewing the medical reports, we see no objective
basis for a finding of roughly equal causative contribution as to
Ventre's hearing loss. Neither do we believe that an accurate
assessment of relative causation was shown to be so unascertainable
that a QuinnSee footnote 1-type equal allocation was warranted.
In other respects we believe that the several separate
findings of trauma-induced injury would find sufficient, though not
abundant, support in the record to warrant affirmance under Close
v. Kordulak Bros.,
44 N.J. 589 (1965).
We are concerned, however, with whether the compensation judge
gave sufficient consideration to the real possibility of overlap,
particularly in the two otologically related awards and the
separate TMJ and mandible awards, or to the need to ascertain the
true cumulative extent of impairment resulting from the various
injuries he found.
CPC points to the "stacking" problem considered in
Poswiatowski v. Standard Chlorine Chem. Co.,
96 N.J. 321 (1984), in
which the Court considered the effect of the new sliding scale
provided by the 1979 amendments, L. 1979 c. 283, § 5, upon the
schedule of benefits under N.J.S.A. 34:15-12(c). The Court noted
that the weekly dollar payments provided for a worker's disability
were designed to increase with the severity of disability,
consistent with the legislative purpose to afford more compensation
to severely injured workers while limiting awards for minor
injuries. Poswiatowski, supra, 96 N.J. at 328. Thus, for example,
workers with injuries resulting in entitlement to 180 or fewer
weeks of benefit payments receive a dramatically lower percentage
of the statewide average weekly wage (SAWW) than more severely
injured workers who receive awards in the higher spectrum (i.e., up
to 600 weeks) of benefit entitlement as their percentage of
disability increases. Id. at 322-24.
In Poswiatowski, the Court held that, rather than calculating
separately the weekly benefits for each of several concurrent
disabilities at the weekly rate applicable to each disability, the
number of weeks of benefits awarded for all of those benefits
should be added together, and the weekly benefits should then be
calculated based upon the cumulative number of weeks awarded. Id.
at 325.
The Court concluded that the legislative effort to put
significantly more money in the hands of the most seriously injured
workers would best be served by reflecting the cumulative effect of
several discrete areas of injury upon a petitioner's working
ability, rather than affording a weekly rate calculated on the
assumption that each was the only injury suffered. Id. at 329.
In so holding, however, the Court also made clear that:
Compensation judges must make findings that
reflect an evaluation of the multiple injuries
in determining whether there is a compensable
disability; they must treat the individual as
a whole in determining the statutory
disability. The method is familiar: "It is
not to be solved by adding up the fractional
parts, but upon the basis of the percentage of
total and permanent disability reasonably
found to be produced by the several injuries
considered collectively and with due regard to
their cumulative effect." Orlando v. F.
Ferguson & Son,
90 N.J.L. 553, 557-58 (E. & A.
1917)(evaluating loss of two or more major
members).
[Id. at 330.]
In consequence, the Court said:
We need not be concerned that a series of
niggling injuries will enable a worker to
obtain an unwarranted award. The breakoff
point never escalates dramatically until the
30" plateau is reached. We are confident that
compensation judges can evaluate the total
disability and give proper weight to the
multiple injuries when fashioning an award;
they will not allow the random presence of
stray weeks attributable, let us say, to an
extra lost tooth (4 weeks), artificially to
push a case over the top. They are as aware
as counsel of the sharp break in benefits
after 180 weeks. Employers need not fear
aberrational results because of our holding
that stacking is required.
[Id. at 333-34.]
and,
The compensation court is not to determine the
scheduled number of weeks for each injury
separately; rather, it is to look at the
effect of the injuries and to make a
reasonable assessment of the extent of the
combined disability in terms of a percentage
of permanent and total disability. This
requires the court to make a judgment about
the extent of impairment resulting from the
combined injuries without being limited by the
statutory schedules.
[Id. at 334.]
We can find no basis in the judge's opinion, nor in the
record, for his implicit conclusion that it was unnecessary to make
a careful finding as to the combined disabling effect of the
several injuries, large and small, rather than merely adding them
together to produce a cumulative total which vaulted Ventre into a
higher range of recovery.
CPC contends that there was insufficient weighing of the true
cumulative effect of Ventre's injuries from the accident. Ventre
is sixty-four and working full time at his old job, albeit with
assistance when heavy carrying is required. He has some observable
facial scarring, described by the judge; some degree of high
frequency hearing loss requiring the volume of his television set
to be turned higher; clicking of his jaw consistent with a TMJ
problem (but no other TMJ-type problems); and possible tinnitus
(the objective basis for this finding is not apparent to us). One
hand is weaker than before, so that Ventre says he cannot do
carpentry around the home, although he remains employed as a
carpenter at CPC. He complains of some pain. The lost teeth have
been restored. The fractured mandible has presumably healed, as
his jaw and mouth look and function normally.
While we do not presume to substitute our judgment for the
recognized expertise of the judge of compensation, we are unable to
ascertain any basis for the 303 1/4 weeks awarded by the judge,
other than a simple arithmetic accumulation of the separate awards.
The opinion does not "make a judgment about the extent of
impairment resulting from the combined injuries without being
limited by the statutory schedules," as required by Poswiatowski.
See id. at 334. Were a very high degree of permanent disability
(more than fifty percent of total) readily apparent to us in the
record presented, we might simply view this as a harmless omission.
However, while Ventre's injuries were unquestionably of sufficient
moment to merit a substantial compensation award, it is not so
readily apparent to us that the separate disabilities found by the
judge, even if supported by adequate objective medical proofs, have
cumulatively produced total permanent disability exceeding fifty
percent of total, i.e., a "severe loss of functional ability." See
id. at 332; Perez v. Pantasote,
95 N.J. 105, 116 (1984).
By way of illustration that this concern is well founded, we
note that when the statutory award of four weeks for Ventre's loss
of his now-restored two teeth was routinely added to the other
awards, it brought the cumulative total over the 301-week line set
by N.J.S.A. 35:15-12c for receipt of fifty-five percent of the
SAWW. This alone produces a $1300 annual difference in
compensation. The Poswiatowski Court's confidence, quoted above,
that the random presence of stray weeks occasioned by its identical
tooth example would not be allowed artificially to escalate
disability awards, can only be justified by careful adherence to
the requirement of focusing award findings upon the true cumulative
loss of functional and working ability objectively supported by the
record. See Poswiatowski, supra, 96 N.J. at 333-34.
A further salutary dividend realized by compliance with the
Poswiatowski requirement is that it will serve as a cross-check
against the duplication of disability awards when there are
separate, but overlapping, areas of disability. Needless to say,
such duplication is further compounded in its effect by the
escalating scale of benefits for cumulative awards.
We reverse and remand for reconsideration and for
amplification of the court's findings consistent with this opinion.
To the extent deemed necessary by the judge of compensation, expert
or other testimony may be taken to supplement the record where the
submitted reports are deemed inadequate.
Reversed and remanded for further proceedings. We do not
retain jurisdiction.
Footnote: 1See Quinn v. Automatic Sprinkler,
50 N.J. Super. 468, 481
(App. Div. 1958)(court concluded from the medical proofs that
remand could not produce better basis for accurate distribution of
liability and apportioned equally).