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Recent Case Law
Nebraska Workers' Compensation Decisions of Note
Ludwick v. TriWest Healthcare Alliance and Physicians Clinic, Inc., 267 Neb. 887, 678 NW2d 517 (2004) (April 29, 2004)
Facts: Plaintiff alleged that she developed a latex allergy
arising out of and in the course of her employment with defendants,
which she claimed required her to cease her employment as a nurse and
pursue other employment on or about February 12, 1999. At trial,
the evidence offered indicated that plaintiff first experienced
symptoms related to her allergy in 1992 while working for a different
employer, Bergan Mercy, who was not a named defendant in her workers
compensation claim. Plaintiff eventually left this employment and
from December of 1994 to June of 1997, was employed by defendant
Physicians Clinic. During her employment with Physicians Clinic,
plaintiff had continued symptoms requiring treatment and was diagnosed
with a latex allergy in 1995. At this time she was advised to
avoid latex. Plaintiff then began working for defendant
TriWest. After accepting employment at TriWest plaintiff alleged
that her symptoms progressively worsened and that she had to resign on
February 10, 1999. A report by Dr. Wampler was offered stating
that plaintiff's allergy developed in 1992. The report further
opined that any symptoms suffered by plaintiff after leaving Bergan
Mercy were simply recurrences of the latex hypersensitivity and did not
represent a worsening of her condition. Relying on Dr. Wampler's
report, the trial court dismissed plaintiff's petition against
defendants. Plaintiff appealed and the decision was affirmed.
Issue: The appropriate date of injury for occupational diseases.
Rule: A worker becomes disabled, and thus injured, from an
occupational disease at the time when a permanent medical impairment or
medically assessed work restrictions result in labor market access loss.
Holding/Reasoning: The court reasoned that the "discontinuation
of employment" standard was framed in the context of establishing an
identifiable point in time when an accident occurs "suddenly and
violently" within the meaning of §48-151(2). The court held
that such an inquiry is unnecessary in an occupational disease
case. The court further clarified that the phrase "no longer able
to render further service" language applied in the occupational disease
context refers to nothing other than the date of disability, partial or
total, as that term is commonly understood in workers' compensation
law. Taking into consideration the report of Wampler which opined
that plaintiff's latex allergy developed during her employment at
Bergan and that any reaction after that was recurrent, the court
affirmed the judgment of the Court of Appeals and concluded that
plaintiff's latex allergy was not causally related to her employment
with the named defendants.
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