HomeMy WebLinkAboutRynberk 93-12-30
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Concerning an arbitration
Between:
Oaklands Regional Centre
and
Ontario Public Service Employees Union
Grievance of Pam Switzer (now Rynberk), sick plan
Board of Arbitration
J. W. Samuels, Chairman
J. E. Roffey, Employer Nominee
J. D. McManus, Union Nominee
For the Parties
Union
M. Bevan, Grievance Officer
S. Walker, Local President
P. Honsberger, Local Vice-President
C. Case, Unit Steward
P. Rynberk, Grievor
Employer
G.1. Campbell, Representative
J. F. Bedell
Hearings in Burlington,
December 2, 1992; April 7, November 29 and 30, 1993
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The grievor claims sick pay for a two-month period during which
she was off work in the summer of 1991.
Article 13 of the collective agreement provides for a sick leave plan
and Article 13:02(a) says that "The Employer agrees to provide and the
Union agrees to accept the Hospitals of Ontario Disability Income Plan and
the benefits and regulations pertaining thereto". Thus, the parties have
established HOODIP as tlieìr sick plan.
Article 5.01 of HOODIP sets out the conditions of entitlement for the
Sick Pay Benefit:
Benefits shall be paid to a Member who satisfies
the following conditions:
a. he is Totally Disabled on the date his Waiting
Period, if any, expires;
b. he supplies proof of Total Disability
satisfactory to the Participating Hospital when
he has been absent for three(3) or more days.
However, such proof may be required at any
time in order for him to qualify for benefits.
And the words "Totally Disabled" and "Total Disability" are defined in
HOODIP in Article 1.19:
"Total Disability" and "Totally Disabled" mean,
with respect to an insured person for the first two
years of absence, a state of incapacity as a result
of bodily injury or disease which prevents the
insured person from performing the regular
duties of the occupation in which the insured
person was engaged immediately prior to the
commencement of disability.....
So the issue for us is whether the grievor met the conditions for
entitlement under HOODIP for the two months she was off work.
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2
The grievor is a residential counselor in a home for the
developmentally handicapped. On July 6, 1991, she was involved in an
incident with a resident, during which she called on a fellow employee (we
will call her "F") to assist her. F and the grievor did not get along. F did
not come to the grievor's assistance. The grievor was upset by this.
However, the resident was dealt with and the grievor suffered no injury.
The grievor did not think that the incident with the resident, and F's
failure to assist, were serious enough to file an Incident Report (which is
necessary if an event could affect the health of a resident or an employee),
but she did write out a formal complaint about F's failure to assist, and
submitted the complaint to her Residential Manager, L. Locke. Ms. Locke
investigated the complaint the next day, July 7, speaking to both the grievor
and F, and to another employee who had been involved. Ms. Locke
concluded that there was a personality conflict between the grievor and F,
and she advised both to act professionally and not to let their differences
get in the way of their relationships with residents and fellow staff.
In her testimony before us, Ms. Locke also said that the resident's
behaviour during the July 6 incident was not unusual at Oaklands. The
residential counselors face this sort of thing regularly.
The grievor continued to work normally for the following week.
On July 11, at around 3 PM (shift change time), she went to the
Residential Manager on duty, Mr. M. Geisterfer, and asked him to prepare
an Employee Incident Report. She dictated the description of the problem
to Geisterfer, and he wrote it down on the Report:
The last three months have been particularly
stressful for Pam and she has found it increasingly
difficult to relax and maintain an emotional
equilibrium. Her tolerance level has diminished
considerably and this has affected her capacity to
maintain personal and objective relationships with
her colleagues and the residents.
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After the words "Describe actions taken to prevent recurrence", Geisterfer
wrote "Pam will be consulting her physician on a regular basis".
Mr. Geisterfer told us in his testimony that he had no opinion on the
contents of what he had been asked to write. He didn't know the grievor
well. He had seen her before and she was behaving as usual, as far as he
was concerned.
The next day, July 12, thegrievor brought in a note from her
personal physician, Dr. G. B. Lamb, which read:
This is to certify that Pam is suffering from
excess stress which I feel is work related. I
recommend time off for an indeterminate period.
And she was off for the next two months. She claimed Workers'
Compensation for the period, but in November, the WCB wrote to say that
her claim was denied-" the evidence does not indicate that you suffered a
work related disablement".
On September 9, before she had heard from the WCB, the grievor
came to see the new Residential Manager, Ms. G. Fowler, in the house in
which the grievor had been working before going off work. The grievor
told Ms. Fowler that she hadn't yet received any money from the WCB and
needed money, and that she was ready to return to work, and that she
would like to change her claim with respect to the time off work into a
claim for sick pay. Ms. Fowler suggested that she transfer to another
house to get away from F, but the grievor said that she wasn't keen to do
this, because she liked the residents in' her original house. On September
11, Ms. Fowler told the grievor she could return to work immediately.
The grievor brought in a certificate from Dr. Lamb dated September 13-
"Pam will return to work on a trial basis". And the grievor returned to
work on September 14.
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What was the grievor's condition while she was off work?
Dr. Lamb has been a general practitioner since 1989, so he had been
at the job for about two years when the grievor came to him to consult
about her "stress". She told him about the incident on July 6. She
complained of decreased sleep and decreased appetite and decreased
concentration. He told us that these are vegetative signs of stress. He
prescribed a sleeping pill to 'help her sleep, and he thought that she should
not return to work, because she wouldn't be capable of performing her
normal duties, especially with the stress at work.
A week later, he saw her and she complained of mood swings, from
normal to depressed or elated. He said it was fine for her to go away on
vacation for ten days. She mentioned that her father was a physician and
that he had suggested she was under stress. Dr. Lamb asked her if she
wanted to take an anti-depressant, but she refused (probably because of the
side-effects associated with the drug).
At the end of July, she visited Dr. Lamb again and they discussed her
financial situation. Her concentration was fine, her mood was better and
her appetite was better. The sleeping pill was helping her sleep. She had
no suicidal or homicidal tendencies. Dr. Lamb didn't think she was fit to
return to work.
On the August 9 visit to Dr. Lamb, the grievor was complaining of
frontal headaches daily, of two to three hours duration. She said they were
related to thinking about work. Again, she refused an anti -depressant.
On August 21, she complained to the doctor about her lack of money
from the WCB. She told him she was having panic attacks when she drove
near Oaklands-palpitations, sweaty, shaky, light-headed. She complained
of decreased concentration, decreased appetite at times, mood swings, and
crying. Dr. Lamb suggested she see a psychiatrist, Dr. S. Naidoo. Dr.
Lamb thought the grievor was getting worse, she had some sort of
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5
traumatic stress syndrome. He was able to make an appointment on an
urgent ~asis with Dr. N aidoo for September 6.
On August 29, the grievor discussed her money problems with Dr.
Lamb.
On September 6, the grievor saw Dr. Naidoo, who discussed the
situation at length with the grievor, and who concluded (in her written
report of September 12) that "It appears that the issues at present seem to
be more of a political and administrative one than a diagnostic one". In
short, there was nothing wrong with the grievor.
On September 7, the grievor visited Dr. Lamb again. She told him
that Dr. Naidoo thought it was a traumatic syndrome, but not post-
traumatic stress syndrome. But money and the law seems to have been the
main topic of discussion. The doctor suggested she get a lawyer or talk
with management about her deteriorating financial situation. He diagnosed
a depressed mood, and stress related to a traumatic event (this was the day
after Dr. Naidoo, a specialist, saw the grievor and concluded that there was
nothing wrong with the grievor! Of course, to be fair to Dr. Lamb, he
hadn't yet seen Dr. Naidoo's conclusion. All he knew was what the grievor
told him-that Dr. Naidoo though it was a traumatic syndrome.)
On September 13, Dr. Lamb agreed to let her try to return to work.
He scaled down his diagnosis to a "situational crisis". It is interesting that
he came to this conclusion the day after Dr. Naidoo wrote in her report "It
appears that the issues at present seem to be more of a political and
administrative one than a diagnostic one".
Throughout the entire period, Dr. Lamb did nothing but listen to
what the grievor told him and his entire assessment was predicated on the
truth of what she told him. He did no objective physical or other tests
whatsoever.
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6
In our view, with the greatest respect to Dr, Lamb, he was wrong in
his ass~ssment, and what happened in early September is critical to our
VIew. On September 6, the grievor saw Dr. Naidoo, a psychiatric
specialist, who concluded that there was nothing diagnostically wrong with
the grievor, The grievor had gone to Dr. Naidoo on an "urgent" basis,
because, in late' August, Dr. Lamb thought the grievor was getting worse
and was suffering from some sort of traumatic stress syndrome. The day
after the grievor saw Dr. Naidoo, Dr. Lamb concluded that she was
suffering from a depressed mood, and stress related to a traumatic event.
The assessments by the two doctors are entirely incompatible. We think
Dr. Naidoo was correct at that time, and therefore Dr. Lamb has to be
wrong. And we think that Dr. Naidoo's assessment at that time would have
been the same, at whatever point in the piece Dr. Naidoo had seen the
grievor. From all of the evidence we heard, there was ever only one
problem which affected the grievor, having to work with F. For a week
after the July 6 incident, the grievor had no trouble working even with F.
At any time, if she really couldn't work with F, the Employer could have
reassigned her to another house, away from F, and we have no hesitation in
concluding that the grievor could have worked.
When the grievor finally decided to return to work in mid-
September, not because anything had changed in her medical condition, but
because she was now having severe financial problems, Dr. Lamb was
hesitant. He would let her try to return to work. And when she returned,
she had no problems. What is even more significant, the Employer
suggested she work in a house away from F, but the grievor insisted that
she liked the residents in her original house and wanted to stay there,
working with F. This did work out for awhile, then the two were
separated; the grievor was transferred to another house.
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In sum, we conclude that the grievor was never "totally disabled", as
this tef!11 is defined in HOODIP, and therefore is not entitled. to benefits
under the plan. For these reasons, the grievance is dismissed
Done at London, Ontario, this 5Vll. day of /1..C-t-- t-. ,1993.
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J. E. Roffey, Employer Nominee
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J. D. McManJs, Om on ominee (WL c. ~ )
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Oaklands Regional Centre
and
Ontario Public Service Employees Union
Grievance of Switzer (now Rynberk)
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Having read the award of the majority, I have concurred in the final
decision.
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My concurrence is based solely on the evidence presented at the
hearing-in particular the evidence of Dr. Naidoo (see page 6 of the award),
who was called as a specialist in this matter, has to be preferred over the
evidence of Dr. Lamb, a general practitioner attending the grievor.
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My decision to concur in no way detracts from my view that, in certain
situations, work-related stress should be and can be a compensable injury.