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HomeMy WebLinkAbout2000-71309 Benefits Claimant 01-07-15 Decision IN THE MATTER OF AN APPEAL BEFORE THE SUBCOMMITTEE OF THE JOINT INSURANCE BENEFITS REVIEW COMMITTEE REGARDING CLAIM # 71309 CHAIR LORETTA MIKUS APPEARING FOR THE UNION MARK BARCLAY APPEARING FOR THE EMPLOYER HIROKO SAW AI Included In the most recent collectIve agreement between the partIes are the folloWIng CLAIM # 71309 1 provIsIOns Article 22 - Grievance Procedure Article 22.9 - Insured Benefits Grievance 22 9 1 An allegatIOn that the Employer has not provIded an Insured benefit that has been contracted for In thIS Agreement shall be pursued as a Umon gnevance filed under ArtIcle 22 13 (Umon Gnevance) 22 9 1 Any other complaInt or dIfference shall be referred to the Claims ReVIew SubcommIttee of JOInt Insurance Benefits RevIew CommIttee (JIBRC) establIshed under AppendIx 4 (JOInt Insurance Benefits RevIew CommIttee) for resolutIOn. Appendix 4 JOINT INSURANCE BENEFITS REVIEW COMMITTEE 1 Name of Committee The CommIttee shall be referred to as the JOInt Insurance Benefits RevIew CommIttee 2. Purpose of Committee The purpose of thIS CommIttee IS to facIlItate commumcatIOns between the Employer and the OPSEU on the subJect of Group Insurance, IncludIng BaSIC LIfe Insurance, Supplementary LIfe Insurance, Extended Health Insurance, Long Term Income ProtectIOn Insurance and such other negotIated benefits as may from tIme to tIme, be Included In the Group Insurance Plane It IS understood that the Group Insurance benefits to be provIded to employees and the cost shanng arrangements between the Employer and ItS employees shall be as set out In any applIcable collectIve agreement or arbItratIOn award, and the matters for consIderatIOn by thIS CommIttee shall be only as set out In these terms of reference 3 Composition of Committee The CommIttee shall be composed of an equal number of representatIves from the Employer and from the OPSEU wIth not more than eIght (8) representatIves In total At meetIngs of the CommIttee, each party may be accompamed by an Actuary to provIde techmcal advIce and counsel 4 Duties of the Committee CLAIM # 71309 2 3 The dutIes of the CommIttee shall consIst of the folloWIng (I) Development of the specIficatIOns for the publIc tendenng of any negotIated benefits whIch may be Included In the Group Insurance Plan (to cover the bargaInIng umt only) (iI) DetermInatIOn of the manner In whIch the specIficatIOns wIll be made avaIlable for publIc tendenng; (ill ) ConsIderatIOn and eXamInatIOn of all tenders submItted In response the specIficatIOns for tender and preparatIOn of a report thereon, (iv) RecommendatIOn to the Government of Ontano on the selectIOn of the Insurance carner or carners to underwnte the Group Insurance Plans (v) ReVIew of the semI-annual financIal reports on the Group Insurance Plan, and (VI) RevIew of contentIOus claims and recommendatIOns thereon, when such claim problems have not been resolved through the eXIstIng admInIstratIve procedures The specIficatIOns for tender wIll describe the benefits to be provIded, the cost shanng arrangement between the Employer and ItS employees, the past financIal hIStOry of the Insurance plans, the employee data, the format for the retentIOn IllustratIOn for each coverage and the financIal reportIng reqUIrements Tenders shall be entertaIned by the CommIttee from any IndIVIdual Insurance carner actIng solely on ItS own behalf ThIS shall not preclude such carner from arrangIng reInsurance as may be necessary The basIs for recommendatIOn of an Insurance carner(s) wIll Include the abIlIty of the carner(s) to underwnte the plan, complIance of the carner's quotatIOn wIth the specIficatIOns for tender the carner's servIce capabIlItIes and the expected long term net cost of the benefits to be provIded. 1 Experience Review 2. Claims Review Subcommittee (a) There shall be a subcommIttee whose mandate IS to reVIew and make decIsIOns on, complaInts or dIfferences InvolvIng the demal of Insured benefits under the Central CollectIve Agreement, when such Issues have not been resolved through the eXIstIng admInIstratIve procedures, save and except a complaInt or dIfference ansIng under ArtIcle 22 9 1 (Insured Benefits Gnevance) of the Central CollectIve Agreement. The subcommIttee shall be composed of CLAIM # 71309 4 two (2) representatIves selected by the Employer two (2) representatIves selected by OPSEU and an Independent thIrd party who IS agreed to by both partIes (b) Appropnate ImpartIal medIcal consultants shall be avaIlable to the subcommIttee In an advIsory capacIty to provIde InformatIOn on the nature of specIfic Illnesses or dIsabIlItIes ( a ) MembershIp on the subcommIttee shall be for one (1) year penod, and IS renewable at the dIscretIOn of the nomInatIng party or partIes In the case of the renewal of the term of the Independent thIrd party (d) DeCISIOns of the subcommIttee are final and bIndIng. (e) The fees and expenses of the medIcal consultants referred to In clause (b), and the Independent thIrd party referred to In clause (a) shall be dIvIded equally between the Employer and the Umon. Article 42 - Long Term Income Protection Total dIsabIlIty means the contInUOUS InabIlIty as the result of Illness, mental dIsorder or InJury of the Insured employee to perform the essentIal dutIes of hIS or her normal occupatIOn dunng the qualIficatIOn penod, and dunng the first twenty- four months of the benefit penod' and thereafter dunng the balance of the benefit penod, the InabIlIty of the employee to perform the essentIal dutIes of any gaInful occupatIOn for whIch he or she IS reasonably fitted by educatIOn, traInIng or expenence Subsequent to the sIgmng of thIS collectIve agreement the partIes negotIated and sIgned terms of reference regardIng the establIshment of a subcommIttee to deal wIth dIsputes between the partIes regardIng Long Term Income ProtectIOn (hereInafter referred to as "L TIP") That memorandum stated JIBRIC CLAIMS REVIEW SUBCOMMITTEE TERMS OF REFERENCE AUTHORITY CLAIM # 71309 5 The JIBRC subcommIttee IS establIshed under ArtIcle 2292 and AppendIx 4 of the collectIve agreement between The Crown In Right of Ontano and the Ontano PublIc ServIce Employees Umon. PURPOSE OF SUBCOMMITTEE To reVIew and make decIsIOns on appeals from employees on claims InvolvIng the demal of Insured benefits under the collectIve agreement whIch have prevIOusly been removed from JIBRC REFERRAL TO THE SUBCOMMITTEE Employees wIth claims that have been removed from JIBRC wIll be notIfied of such, In a tImely manner by letter (referred to as the "NotIce Letter") to theIr last known address An employee whose claim has been removed, has 45 days, from the date of the notIce letter to submIt a request In wntIng to OPSEU askIng that OPSEU refer theIr case to the subcommIttee ThIS letter must be copIed to the Management Co-Chair of the JIBRC OPSEU has 90 days from the date of the notIce letter to advIse the Management Co- Chair of JIBRC of theIr decIsIOn to agree or deny the request to appeal If notIce IS not receIved from OPSEU wIthIn 90 days from the notIce letter then the claim wIll be deemed to be wIthdrawn. SCOPE OF COMMITTEE The SubcommIttee represents the final stage In the appeal process The SubcommIttee wIll clanfy medIcal eVIdence as needed, wIth a medIcal consultant agreed to by both MBS and OPSEU DeCISIOns of the SubcommIttee are final and bIndIng. Upon receIpt of the decIsIOn, a Memorandum of Settlement (as attached) wIll be prepared and sIgned by the partIes and forwarded to the Insurer SUBCOMMITTEE MEMBERSHIP The subcommIttee wIll consIst of resource representatIves from OPSEU and MBS CLAIM # 71309 6 and an Independent thIrd party "Chair" to be named by MBS and OPSEU ROLE OF THE CHAIR" To reVIew case representatIOns from MBS and OPSEU To make a determInatIOns In wntIng wIth respect to each case DeCISIOns must be In accordance wIth the OPS CollectIve Agreement between the Employer and OPSEU and consIstent WIth the group Insurance plans In place at the tIme facts gIVIng nse to the dIspute arose ROLE OF MEDICAL CONSULTANTS Appropnate ImpartIal medIcal consultants wIll be agreed by the partIes and shall be avaIlable to the SubcommIttee In an advIsory capacIty If the partIes cannot agree on a medIcal consultant, the Chair may call on a consultant from a roster supplIed by the College of PhysIcIans and Surgeons The medIcal consultants wIll provIde InformatIOn on the nature on of specIfic Illnesses or dIsabIlItIes The Chair may request an InterpretatIOn of medIcal reports, test results and other medIcal documentatIOn on file The medIcal consultant IS not a member of the commIttee and wIll not provIde an OpInIOn related to a decIsIOn on the appeal FEES Fees and expenses, as approved by the partIes, of medIcal consultants and the Chair shall be dIvIded equally between MBS and OPSEU FORMA T OF MEETINGS Each appeal wIll be dealt wIth separately Both partIes, through theIr representatIves wIll provIde, full dIsclosure of the supportIng documentatIOn upon whIch they Intend to rely ThIS dIsclosure wIll take place at least two weeks In advance of the meetIng of the subcommIttee dealIng wIth the subJ ect matter of the appeal If the Chair reqUIres clanficatIOn of medIcal eVIdence, a meetIng of the CLAIM # 71309 7 SubcommIttee wIll be arranged wIth a medIcal consultant agreed to by both MBS and OPSEU or faIlIng such agreement, wIth a medIcal consultant called by the Chair MBS and OPSEU wIll JOIntly present a statement of agreed upon facts (to the extent possIble) for the appeal to the Chair ASIde from the ImpartIal medIcal consultant dIscussed above, no other wItnesses wIll be called, except by request of the Chair However the IndIVIdual claimant wIll be allowed to file a wntten statement In lIeu of testIfYIng If the IndIVIdual claimant chooses to file a statement It must be provIded to the Management Co-Chair of JIBRC at the same tIme as OPSEU's request for appeal MBS has the nght to Introduce a wntten response to thIS statement. OPSEU wIll present ItS posItIOn on the case wIth supportIng arguments to the Chair MBS wIll present ItS posItIOn on the case wIth supportIng arguments to the Chair and wIll respond to OPSEU' s posItIOn. OPSEU wIll have nght of reply PresentatIOn by both partIes wIll be based upon the InfOrmatIOn/record on file before the Insurance carner at the tIme the matter IS removed from the JIBRC the employee statement If any and MBS's response to the statement. EIther party may If necessary request the attendance of the claimant, who shall be allowed a leave of absence wIthout pay wIth no loss of credIts, to attend the sub- commIttee meetIng as an observer only The Chair wIll render a wntten decIsIOn wIth supportIng ratIOnale FREQUENCY OF MEETINGS On an as needed basIs as determIned by MBS and OPSEU JOIntly The partIes agree to these Terms of Reference In support of the ImplementatIOn of ArtIcle 22 9 2 and AppendIx of the collectIve agreement. Dunng the term of the prevIOUS collectIve agreement, the partIes attempted to resolve these dIsputes between themselves Not surpnsIngly there were a number of Instances whereIn they were unable to agree Those matters sImply remaIned unresolved. Those outstandIng matters are now beIng brought forward before the subcommIttee as set out above In accordance wIth the agreement of the partIes, ArbItrator FelIcIty Bnggs and I were asked to act as the thIrd party or Independent chair CLAIM # 71309 8 At the first day of heanng the partIes agreed that the Chair should render a decIsIOn statIng that the claim was properly or Improperly demed wIthout elaboratIng on the quantum of the remedy but remaIn seIzed of the matter Subsequent to the Issuance of the decIsIOn the partIes wIll negotIate and hopefully agree upon a memorandum of agreement as to the appropnate remedy There was also dIscussIOn between the partIes about the extent and content reqUIred In decIsIOns Issued by the ChaIr(s) I thInk IS It fair to say the partIes agreed that, at the begInmng the ChaIr(s) wIll attempt to set out In some detaIl the dIspute and the reasons for the decIsIOn. The partIes' antIcIpate that the ChaIr(s) wIll establIsh some pnncIples they can be gUIded by In asseSSIng future dIsputes It IS hoped that as the Junsprudence develops, there wIll be less need for lengthy decIsIOns because the fundamental pnncIples wIll already by establIshed. The claimant, Mrs LG has been employed as an Assessment Clerk (OAG 7) wIth the Mimstry of FInance SInce 1975 Her last day of work was March 14 1997 Her absences are the result of a long standIng dIagnosIs of rheumatOId arthntIs wIth addItIOnal and attendIng complIcatIOns The first medIcal report IS dated 1994 and IS a bone scan that IndIcated she had stress fractures at the proxImal aspects of the femora and that the bones of her pelvIs appeared to be generally osteoponc Her rheumatologIst, Dr Thompson, saw her In June of 1994 and concurred wIth the prevIOUS findIng that she had suffered two fractured nbs and two fractured hIpS At the tIme he quened a dIagnosIs of osteoporosIs A subsequent appoIntment In July reported the findIngs of another bone scan of that same month whIch showed reduced bone mIneral densIty In the lumbar vertebrae and femoral neck whIch placed her In the hIgh nsk category For that reason he suggested she be referred to a specIalIst In treatIng osteoporosIs CLAIM # 71309 9 In January of 1996 she was seen agaIn by Dr Thompson whose report stated that she was dOIng "extremely well," At the tIme she was takIng ten mIllIgrams of Methotrexate weekly and four mIllIgrams ofPredmsone dally Ms LG complaIned of general thoracIc achIng that worsened as the day progressed because her Job reqUIred her to SIt at a computer for most of the eIght hours of her work day He felt that her paIn was lIkely fibromyalgOId even, though she dId not exhIbIt the reqUIsIte tngger pOInts to JustIfy a dIagnosIs of fibromyalgIa. In January of 1996 she also saw Dr Peppen, an orthopaedIc surgeon, for a semI-hard mass on her heel that was tender to touch and caused paIn on walkIng. He belIeved It was a possIble rheumatOId nodule and advIsed It be surgIcally excIsed. A subsequent Apnl1996 bone scan IndIcated exceedIngly thIn bones wIth very low hIp densIty measurements placIng her agaIn at the hIgh nsk category for future fractures Throughout thIS tIme there had been comments In the medIcal reports about the fact that the complaInant was depressed and In February of 1997 she was referred to Dr McNeIl, a psychIatnst, for a consultatIOn. In addItIOn to reVIeWIng her medIcal hIStOry he noted that she reported frequent tensIOn headaches, tachycardIa and palpItatIOns under stress, sIgmficant IndIgestIOn and heartburn, chromc constIpatIOn, dry mouth, dry eyes and Impaired VI SIOn Most Importantly she reported constant fatIgue Her sleep was restless and on wakIng she expenenced Intense paIn that persIsted throughout the day She was often short- tempered and IrrItable WIth decreased concentratIOn WIth the result that she could read or watch TV very lIttle Although she was tearful dunng the IntervIew he also noted she showed a sense of humour was forthnght and answered hIS questIOns WIthout heSItatIOn. He concluded that she was clImcally depressed secondary to her rheumatOId arthntIs process and dId not belIeve she could contInue to work because of her physIcal and emotIOnal problems She had been takIng AmItnptylIne for her paIn, whIch he dIscontInued In the hopes of allevIatIng her depressIve symptoms CLAIM # 71309 10 Her prognosIs was very guarded In March of 1997 The claimant ceased workIng due to her medIcal and psychIatnc problems In Apnl of that same year A letter from Dr Gorrell at the Four Oaks FamIly Care ClImc stated at that tIme "she IS mentally and emotIOnally exhausted by the chromc paIn of her dIsease and IS not able to SIt for any prolonged penod and IS findIng It IncreasIngly dIfficult to concentrate for any useful penod of tIme There IS as yet no sIgn of her dIsease gOIng Into remISSIOn. It would appear that thIS lady IS now totally dIsabled. " In May of 1997 the claimant filed an applIcatIOn for group dIsabIlIty benefits wIth ManulIfe The AttendIng PhysIcIan's Statement dated May 22 and completed by Dr Gorrell noted that the symptoms first appeared In October of 1989 and that the dIsabIlIty commenced on March 3 1997 The pnmary dIagnosIs was rheumatOId arthntIs and depressIOn, the secondary dIagnosIs was osteoporosIS and spInal fractures Under physIcal Impairment he noted that she was ambulatory but was confined to medIUm functIOnal capacIty or capable only of lIght actIvIty He remarked that she could not SIt at the computer due to paIn In her back and shoulders accompamed by very paInful JOInts In her elbows, wnsts and wnsts AddItIOnally she was unable to concentrate due to her paIn. Her dIsabIlIty prevented her from performIng her regular occupatIOn or any occupatIOn and he noted that she would never recover sufficIently to perform her dutIes It was hIS OpInIOn that she was not sUItable for tnal employment on the basIs that there was no cure for her dIsease and because of the complIcatIOns from the medIcatIOns that she needed to take to manage her dIsease Under final remarks he noted "thIS lady IS not able to be gaInfully employed agaIn." Another bone densIty study was done at the OsteoporosIs ClImc In May of 1997 whIch noted that she had shown a sIgmficant Improvement In her bone densIty over the last year whIch was encouragIng. In August of 1997 Dr Thompson submItted an AttendIng PhYSIcIan's Statement but rather CLAIM # 71309 11 than fillIng In the appropnate sectIOns of the applIcatIOn wrote a narratIve report. In that report he revIewed her medIcal hIstOry IncludIng the precIpItatIng IncIdent In 1989 of the onset of her dIsease and her treatment SInce then. He noted that he had last seen her In January of 1996 when he notIced her fibromyalgIc tender areas but that on hIS eXamInatIOn of that day of August 1997 she only had one tender area. He stated that "It seems clear therefore that neIther fibromyalgIa nor rheumatOId arthntIs are overtly but perhaps surreptItIOusly related to her InabIlIty to work. He contInued as follows Her work, as you know mvolves sIttmg at her desk all da, Long prolonged sIttmg results m mcreased stIffuess and soreness generalh and If she gets up on her feet and IS standmg for an, sIgmficant penod of tIme she has faIrh marked metatarsalgia. As well, the kevboardmg mvolved results m nght palmer forearm, wnst and long finger pam - an overuse syndrome that could well be aggravated b, the underlvmg rheumatOId diatheSIS More than thIS, however what seems to mterfere wIth her abIht, to work, IS profound fatIgue (she finds herself nappmg around mIdda, roughh one da, out of two) and an mabIht, to concentrate She also describes extreme ImtabIht, m mappropnate SItuatIOns and frequent tearfulness I do know that she has seen a psvchIatnst who has stated that she IS chmcalh depressed and thIS IS certamh mterfenng wIth her abiht, to work. From m, observatIOn I can onh agree wIth hIS conclUSIOn. Accompanvmg the Manuhfe FmancIal Request for InformatIOn was a physIcal capacItIes form whIch I sImph find Impossible to complete I would doubt If there are man, phYSICIanS (If an, ) who are adequateh tramed or ommSCIent to complete such a form If thIS kmd of mformatIOn IS sought, the best place to get It would be m a work assessment settmg under the dIrect supervISIOn of an occupatIOnal therapIst - and such do eXIst (I can sa, that all actIvItIes of daIh hvmg - from dressmg to gettmg m and out of bed to eatmg, to tOlletmg, to runmng errands, etc are all associated wIth some dIscomfort and some dIfficult,) Her Help Assessment QuestIOnnaire Score IS lOon a 0 - 3 0 scale) ThIS realh hasn t changed over the last year or so The Health Assessment QuestIOnnaire he referred to In hIS letter asked about the claimant's abIlIty In areas such as dreSSIng, nSIng, eatIng, walkIng, hygIene, reachIng, gnppIng actIVItIes In most of the categones It was marked that she could do the actIVIty but wIth some dIfficulty Probably as a result of that letter an appoIntment was arranged for the claimant to attend at the Acute InJunes RehabIlItatIOn and EvaluatIOn Centre for a functIOnal abIlItIes evaluatIOn. The testIng commenced on October 8 1997 was completed on October 16 1997 and was performed on the basIs of a dIagnOSIS of rheumatOId arthntIs, osteoporOSIS and spInal CLAIM # 71309 12 fractures of the vertebrae and depressIOn. The medIcatIOns she was takIng at the tIme were Predmsone, Methotrexate, Fosamax, HydroxyzIne, Amatnptolyene, Premanne, Provera, Tylenol and AnacIn The physIOtherapy screen dealt wIth IntermIttent bIlateral paIn In the shoulders, fingefJoInts, wnsts, hIpS and feet, altered posture, decreased sharp/dull sensatIOn In the sole of the left heel, bIlaterally decreased actIve ranges of motIOn In the shoulders (functIOnal, but not full) decreased lumbar flexIOn (lImIted by hamstnng tIghtness) and bIlaterally decreased strength In the arms and legs The summary of performance noted that she had completed three seSSIOns for a total of approxImately ten hours and that she had been able to match the J ob dutIes of the Property Assessment Clerk based on her lIftIng, carryIng, pushIng and pullIng capacItIes The assessment found that she was currently workIng wIthIn the sedentary range of that J ob and also noted that she had completed more than SIX hours of SIttIng and had been observed to SIt contInuously for more than an hour at a tIme on a chair wIth an Obus Form. She completed approxImately 39 mInutes of standIng, demonstratIng good posture, and walked a total of approxImately 140 metres of Indoor even terraIn USIng a steady gait. She ascended and descended a set of fourteen stairs once, USIng a recIprocal gait and weIght beanng lIghtly on the nght hand raIlIng. She demonstrated functIOnal lumbar flexIOn to bend forward at the Waist and reachIng to Just below Waist level and was able to get down and crouch to work on a floor level task for approxImately 2 1Iz mInutes but demonstrated dIfficulty In gettIng up She completed a work sImulatIOn of approxImately 96 mInutes duratIOn consIstIng of 42 mInutes of straight wntIng/copIng, 10 mInutes of combIned wntIng and cataloguIng, 6 mInutes of calculatIng USIng an electromc calculator 13 mInutes of foldIng paper and stuffing envelopes and 25 mInutes of keyboardIng. She completed the sImulatIOn wIthout takIng any break penods and demonstrated good follow- through on InstructIOns, orgamzatIOnal skIlls and complIance Under the category of conclusIOns and recommendatIOns It was stated that she was complIant, pleasant and focused. At no tIme was she seen to have demonstrated dIfficulty concentratIng on tasks, despIte the fact that vanous actIvItIes were gOIng on In the room at CLAIM # 71309 13 the same tIme It was decIded that her current functIOnal abIlItIes were compatIble wIth the physIcal demands of the Property Assessment Clerk PosItIOn and that she was able to tolerate prolonged penods of SIttIng, rarely needIng to get up and stretch. She completed standIng tasks wIth no observable sIgn of dIfficulty wIth weIght-beanng and although her overall speed, dextenty and coordInatIOn was slow It was concluded that It was due to InactIvIty and fatIgue GIven the nature of her medIcal condItIOn, whIch was controlled by medIcatIOn, the recommendatIOn was that she return to work on a part-tIme baSIS, approxImately 3-4 hours a day for eIght weeks In addItIOn she would benefit from an opportumty to SIt or stand as necessary mImmIZIng low level or above shoulder work, rotatIng tasks so they were not repetItIve or sustaIned, havIng access to a cart to transport obJects as opposed to carryIng them, and stretchIng her JOInts IntermIttently throughout the shIft. It was suggested she would also benefit from a structured condItIOmng program of pool exerCIses and educatIOn on JOInt protectIOn and energy conservatIOn. An ergonomIc assessment was recommended to IdentIfy modIficatIOns to her work statIOn wIthIn the first week of her return to work. Those recommendatIOns, It was belIeved, would allow her to buIld up her endurance, strength and actIvIty tolerance F 011 OWIng the eIght week transItIOn penod It was expected that she could resume full tIme actIvItIes on the condItIOn that her medIcatIOns contInued to keep her rheumatOId arthntIs and osteoporosIs under control At about the same tIme, that IS In October of 1997 the claimant underwent an Independent medIcal assessment by Dr Durnen, a specIalIst In physIcal medICIne and rehabIlItatIOn. His report of October 20 1997 noted that the claimant presented wIth complaInts of paIn In both wnsts, paIn In the left nbs and IntermIttent paIn In the hIpS, knees and fairly chromc paIn In the feet. It was noted that the wnst had been the most bothersome for the past year and the nbs most bothersome for the past three years The paIn In the wnst and hand was IntermIttent and was brought on or aggravated by tYpIng, vacuumIng, somewhat by meal preparatIOn and opemng Jars and the lIke In addItIOn, she was expenenCIng shoulder paIn In the front, pnmanly on the nght sIde on an IntermIttent basIs, whIch was relIeved by rest. CLAIM # 71309 14 In the lower extremItIes she reported steady paIn In the feet, IntermIttent paIn In the knees and IntermIttent paIn In the lateral aspect of the nght buttocks ThIS paIn was aggravated by walkIng and relIeved by lYIng down. She also noted that If she sat for long penods of tIme she felt Increased paIn In her feet and Increased stIffness when she first rose He noted that on a functIOnal enqUIry the patIent was markedly depressed and complaInIng of easy fatIgue On eXamInatIOn he noted that she had a very mImmal paIn on resIsted abductIOn of her nght extremItIes, no eVIdence of osteoarthntIs, no eVIdence of any cynovIal thIckemng and no deformIty In the fingers He found no tenderness wIth pressure on the SpInUS processes, paraspInal muscles or facets and no trapezIUs dIscomfort. The lower extremItIes were normal and there was no InstabIlIty of the knees Hip range of motIOn appeared full, wIth no apparent deformIty of the feet. On the basIs of these findIngs he concluded she had some mIld nght rotator cufftendomtIs and possIble mIld nght trochantenc tendomtIs but that the medIcatIOn she was on seemed to be suppreSSIng symptoms of her rheumatOId arthntIs qUIte well He then answered the questIOns put to hIm by the Insurer as follows 1 )What IS the medial conditIOn that limits the patient's workmg ability? ThIS appears to be her rheumatoId arthntIs, whIch seems to be under control There IS ven httle eVIdence of thIS now She does seem to have a nght rotator cuff problem and nght trochantenc tendomtIs to a mIld extent. She does complam of ease offatIgue and thIS ma, be a factor however obJectIveh there IS not much to find that explams her mabIht, to work. 2 ) Do you anticipate the present level of disfunctIOn would Improve With further medical treatment? No She seems to be domg well WIth her medIcal treatment and I cannot see an, need to change It. CLAIM # 71309 15 3 ) Do you concur with the diagnosIs and treatment to this date? Yes, I would concur the medIcal treatment seems to be controlhng her rheumatoId arthntIs problems qUIte well. 4 ) Is the patient's medical conditIOn now stable? Yes, It appears to be I would not expect an, further recoven Actualh on the baSIS of the eXaIUmatIOn she appears to be domg qUIte well 5 ) Is the patient's conditIOn such that engagmg m her normal occupatIOn could result m harm to herself or risk to others? I do not thmk that thIS would cause an, harm to others SImIlarh I do not see It causmg harm to herself" although she ma, have trouble carrvmg out her Job The problems would seem to be her ease of fatIgue her hIston of depreSSIOn and the problems wIth her Jomts, whIch however do appear to be under control 6) Does the patient have a defimtlve Impairment that would prevent the ability to perform the duties of her Job adequately and predictably? Agam, on the baSIS of exammatIOn but not hIston It would appear that she would be able to do her Job adequatel, and predIctabh However on the baSIS of her hIston she would have problems domg repetItIve kevboardmg and possibh workmg WIth her arms up Her Job IS sedentan so her dIscomfort m her feet should not be a factor 7 ) What are the patient's present limitatIOns and tolerances for her work activities? Agam, thIS appears to be pureh subJectIve Agam there IS no obJectIve eVIdence of sIgmficant pathology Based on her hIston her wnst and finger pam and shoulder pam would be a factor m hmItmg her actIvItIes and her fatIgue abIhn would also be a factor However as noted before there IS no obJectIve eVIdence of sIgmficant pathology CLAIM # 71309 16 8 ) What temporary or permanent workplace accommodatIOns should enable the claimant to safely return to work durmg or after recovery? Other than makmg sure that the workplace IS set up wIth proper ergonomIcs wIth the keyboard at the proper heIght, a SupportIve chair and reduced stress on the shoulders, there IS not much else that can be done 9) If the claimant IS permanently disabled from performmg the pre-disability Job IS she fit to undergo a vocatIOnal assessment? Yes I thmk thIS patIent IS able to undergo a vocatIOnal assessment. AN ovember 5 1997 letter from Dr Cnlly an Intermst at Parkwood HOspItal, noted that he had first seen the claimant In 1994 for an assessment of pOSSIble osteoporosIs At the tIme It was hIS OpInIOn that she suffered from some reductIOn of bone mass and should start on hormone replacement therapy Between 1994 and 1996 her bone densIty contInued to fall and she was treated wIth Fosamax. A later bone densIty In May of 1997 showed a sIgmficant Improvement of the bone densIty of the spIne and InsIgmficant Improvement In the hIp wIth the follOWIng conclusIOn Her prognosIs IS probabh relatIveh good. She does have ven thm bones, but as she seems to be respondmg to the bIsphosphonate therap, one would antICIpate that she would have good fracture protectIOn for future years She wIll, however always be at some nsk and needs to avoId actIVItIes whIch put her at nsk for falhng or an, actIvIn whIch reqUIres bendmg and hftmg ActIVItIes or employment free of these nsk should not be a maJor problem for her I should emphasIse however that I aIU talkmg pureh from the VIew of her osteoporosIs and her bone strength and I have not taken mto account her arthntIs Dr Cnlly also suggested that she would lIkely have to remaIn on therapy for her osteoporosIs for the rest of her lIfe On the baSIS on all the forgOIng InformatIOn, a letter was sent from the Insurer to the claimant dated November 25 1997 denYIng her claim for long term dIsabIlIty benefits The letter revIewed all of the PhysIcIan's Statements provIded to the Insurer whIch IndIcated that she was capable of lIght actIVIty compatIble WIth the phYSIcal demands of her Job CLAIM # 71309 17 A letter dated January 5 1998 from Dr Thompson noted that although she suffered from rheumatOId arthntIs, It was sufficIently suppressed at the tIme and had been for the past two years that so there was no overt eVIdence of It. He dId, however state as follows That IS not to say that the profound fatIgue and the shoulder gIrdle paIn that she finds so debIlItatIng mIght not be caused by low grade rheumatOId InflammatIOn that sImply Isn't beIng expressed wIth JOInt swellIng. The Issue IS also confused by the fact that she has had a number of fibromyalgIa tender areas - almost to the pOInt where one could make a dIagnosIs offibromyalgIa (whIch of course could be related to her underlYIng rheumatOId dIsease) Further complIcatIng the Issue IS the fact that she does have many symptoms of depressIOn, whIch she finds very dIfficult to deal wIth. In January of 1998 the claimant filed an appeal wIth the Insurer of the demal of her benefits A March 27 1998 letter from Dr Gorrell was sent to the Umon In response to Inqumes about her dIsabIlIty He noted that she had prevIOUS dIagnoses of rheumatOId arthntIs, osteoporosIs and compressed spInal fractures, whIch were compounded by depressIOn due to ongOIng paIn and mental and emotIOnal exhaustIOn. He also noted that It was unfortunate that, when she underwent her evaluatIOn by Dr DurnIn, she was takIng Increased amounts of Predmsone, whIch mIght have affected the results He suggested that It was InterestIng that the functIOnal abIlItIes evaluatIOn covered a three hour penod on Increased medIcatIOn and resulted In the conclusIOn that she was capable of workIng a SIX hour day after a gradual return to work of three hours a day over eIght weeks Further he stated as follows I have to take exceptIOn as to the dIstmctIOn between suppreSSIOn of rheumatoId arthntIs as regards to the appearance of the Jomts as bemg hot and swollen and whether or not the patIent has pam. As It IS well know the latter IS qUIte subJectIve and we have no defimtIve wa, of measunng the aIUount of pam a patIent mIght have It must be pomted out that thIS lad, stIll takes a sIgmficant aIUount of medIcatIOn to control her rheumatoId arthntIs she stIll takes 1 ) Methotrexate 2 4 mg, 4 per week 2 ) Pregmzone 3 0 mg daIh CLAIM # 71309 18 3 ) Amatnptolene 50 mg qhs 4 ) Phosamax. 10 mg daIh 5 ) Premann. 0 09 mg daIh 6) Provera. 10 mg even three months I aIU m no doubt that thIS lad, stIll has consIderable pam and dIscomfort m her lower back, hands and feet whIch makes It dIfficult to SIt and type for an, penod of tIme She does demonstrate normal mtelhgence and as she IS fort, -mne years old It would be wonderful If she could find sUItable employment where she IS able to get up and move at wIll and perform tasks that do not mvolve a lot of finger work. She IS not capable of an, manual work or hftmg or cam'mg and should avoId an, stress to her vertebral column. A letter dated March 31, 1998 from Dr Thompson to the Umon stated as follows I aIU enclosmg a cop, of m, vanous recent consultatIOn notes on LG commencmg m March 1995 and carn'mg through Januan 1996 and August 1997 Lookmg back on m, expenences wIth her I would have to sa, that the mItIal problem - rheumatOId arthntIs - has been reasonabh well suppressed wIth medIcatIOn, but that she has developed secondan fibromvalgm. In man, respects It would be better were she to have contmued rheumatoId arthntIs mflammatIOn - that IS much eaSIer to treat than fibromvalgm, and IS accepted b, more of the vanous partIes as bemg a legItImate reason for dIsabiht, In the case of fibromvalgm, the problem IS persIstmg pam and fatIgue - thmgs that are extremel, dIfficult to quantItate and almost Impossible to reduce to obJectIve paraIUeters It doesn t surpnse me therefore that Dr Durnm mIght have found her capable of domg all sorts ofthmgs, mcludmg fine motor dextent, coordmatIOn, reachmg etc I thmk It mIght be helpful to Ms LG to have her current status reVIewed b, a rheumatologIst who accepts the vahdIt, of the dIagnOSIS offibromvalgm (the msurance companIes seem to have no dIfficult, findmg phYSICIanS who for a fee are wilhng to den, that partIcular chmcal construct) Although It ma, take some tIme to have her seen, the three mdIvIduals at the London Health SCIences Centre UmversIt, CaIUpUS (Drs Bell, WhIte Hearth) have partIcular expertIse m thIS area. By letter dated Apnl 2, 1998 the Insurer Informed the claimant that on the basIs of the medIcal documentatIOn avaIlable her claim for benefits was beIng demed. A subsequent letter dated July 23 1998 from ManulIfe set out more fully the reasons for the demal of her appeal It referred to Dr Cnlly's VIew that, because she would always be at nsk because of her thIn bones, she should aVOId actIvItIes that reqUIre bendIng and lIftIng or the possIbIlIty of fallIng. However actIvItIes or employment free of those nsks would not be a problem It referred to Dr McNeIl's January 1998 comment whIch noted that the depreSSIOn was CLAIM # 71309 19 secondary to her rheumatOId Illness, chromc paIn, chromc sleep loss, chromc dIsabIlIty and that he had not expected her to return to work In February 1997 However It noted that, at that tIme, she was stIll workIng and contInued to do so for another month. The Insurer also noted that In 1996 she was only absent for Illness for 15 days and that there had been no sIgmficant change In her condItIOn In 1997 that would suggest that she would be unable to maIntaIn that attendance The Insurer advIsed her that the employer had confirmed that she would be able to get up and move away from her computer when necessary and that any of the lImItatIOns mentIOned by the consultIng physIcIans had been or could be accommodated. On that basIs, she was not totally dIsabled from performIng the essentIal dutIes of her occupatIOn and her claim was therefore demed. A January 7 1999 letter from Dr Gorell to the Canada PenSIOn Plan agaIn revIewed her medIcal hIStOry and medIcatIOns and then commented that "consequently I feel It may be very dIfficult for her to be employable In a workplace" In January of 1999 she was seen as an outpatIent at the FIbromyalgIa ClImc of the London Health SCIences Centre After reVIeWIng her medIcal hIStOry they noted that she had twelve fibromyalgIc tender pOInts In addItIOn, there were nodules In several locatIOns, IncludIng the dorsal of the left second PIP J OInt, the first MTP J OInt over the medIal aspect and the planter surface of the first MTP JOInt. TheIr assessment was as follows I would agree wIth you that thIS patIent has fibromvalgIa. She m her own mmd, IS somewhat confused b, thIS and she has some dIfficult, clearh m determmmg whIch of her musculoskeletal symptoms are related to fibromvalgIa and whIch ma, reflect the effects of the rheumatoId arthntIs Chmcalh her rheumatoId arthntIs seems to be relatIveh qUIescent, although there are a few actIve Jomts wIth obJectIve findmgs She has nodules whIch ma, be methotrexate reduced. I don t know whether she IS seno-posItIve or seno-negatIve and whether her x-rays have ever shown erosIve changes I am not certam whether her rheumatoId arthntIs has worsened smce you saw her a year ago or not. It ma, be that some of her symptoms of dIsabIht, are contributed to b, her rheumatoId arthntIs Accordmgh I ordered a x-ra, of feet to assess daIUage CBC sed rate and a rheumatoId factor test toda, CLAIM # 71309 20 She has fibromvalgIa and thIS Itself IS mcapacItatmg to her affectmg her level of energy and she does have wIdespread pam. She certamh has several reasons to be dIsabled. At the present tIme I thmk It would be necessan to do a work assessment to determme whether she could ever return to work m a sItuatIOn whIch mvolved repetItIve use of her hands m the capacIt, whIch was related to her prevIOUS employment as a computer operator That letter was SIgned by Dr Bell He followed up wIth a letter to Dr Thompson suggestIng that the test had IndIcated InactIve rheumatOId arthntIs dIsease but propOSIng that the claimant conSIder becomIng a partICIpant In the fibromyalgIa day care program. A February 25 1999 letter from Dr Gorrell noted the folloWIng As her rheumatoId arthntIs has contmued unchanged for the conSIderable penod of tIme the outlook m her case IS somewhat guarded as at no tIme has she gone mto a remISSIOn. In addItIOn, as she IS now further troubled wIth fibromvalgIa, chromc obstructIve pulmonan dIsease bIlateral metatarsalgIa and ongomg depreSSIOn, I feel It would be ven dIfficult for her to be employable m the workplace A May 1999 bone denSIty study from the OsteoporosIs ClImc IndIcated that her condItIOn was stable and that the results were very satIsfactory In June of 1999 the claimant was asked to complete an ActIvItIes of Dally LIVIng Form and a Claimant QuestIOnnaire wIth respect to her abIlIty or dIsabIlIty Her comments on those forms are conSIstent WIth the symptoms that she had been reportIng over the years In July of 1999 Dr Thompson wrote a letter to Dr Gorrell In whIch he noted that he was beIng asked to see the claimant as part of her ongOIng struggle to obtaIn some acknowledgement of dIsabIlIty from the Insurance company or the CanadIan Government. He noted that aSIde from the metatarsalgIa, there was no eVIdence of actIve rheumatOId arthntIs at the tIme he saw her and he concurred wIth Dr Bell's conclUSIOn that the maJor Issue was fibromyalgIa. For that reason It was hIS VIew that he dId not need to see her agaIn unless her rheumatOId arthntIs flared up CLAIM # 71309 21 In September of 1999 she was referred for another mobIle functIOnal abIlItIes evaluatIOn whIch was conducted on September the 13 and 14 of that year Dunng the test It was observed that her performance was InCOnsIstent WIth the test results, whIch, It was suggested, could be attributed to self lImItIng effort and paIn behavIOur Those InCOnsIstencIes Included phYSIOlogIcal responses that dId not support the paIn reports, an a-tYPIcal lack of an Increase In the heart rate wIth paIn and a perceptIOn of her abIlItIes that was not consIstent WIth her observed abIlItIes It was concluded that she demonstrated the abIlIty to meet the outlIned sedentary Job demands of her posItIOn and the abIlIty to perform self care adequately She was able to walk 596 metres at an average pace of 3 2 kIlometres an hour wIthout any Increase In heart rate or any complaInts of paIn or physIcal dIstress Her walkIng test results were 67 3% of a normal healthy person's capacIty whIch, It was determIned, was sufficIent to meet the energy demands of Industnal Jobs In a sedentary category In September of 1999 the Insurer engaged the servIces of an InVestIgatIOn company to observe the claimant to determIne whether there where any InCOnsIstencIes In her actual actIvItIes and her purported dIsabIlIty The claimant was never advIsed about eIther the fact of or the results of the InVestIgatIOn, whIch IS troublIng. She was gIven no opportumty to explaIn what was on the vIdeo tapes More sIgmficantly It does not appear that the Insurance company relIed on that InVestIgatIve report In reachIng ItS decIsIOn to deny her benefits There IS no reference to It In any of the letters sent to the claimant and I conclude from that omISSIOn that the Insurer dId not rely on It In It'S decIsIOn to deny her claim AddItIOnally It should be noted that there was nothIng In the InVestIgatIve report that would have assIsted the Insurance company In any event. On October 18 1999 the claimant was advIsed that they had revIewed her entIre file and concluded the folloWIng her rheumatOId arthntIs was under control and, whIle she complaIned of paInful feet, x-rays of both her feet showed no erosIve changes or sIgns of CLAIM # 71309 22 cartIlage loss It was recommended she use orthotICS to exerCIse more comfortably The Inescapable conclusIOn was that she was not dIsabled because of her rheumatOId arthntIs Her osteoporosIs was now stable and, whIle It Imposed some lImItatIOns agaInst heavy lIftIng, there was no such reqUIrement In her posItIOn. With respect to her chromc obstructIve pulmonary dIsease, the findIngs were IndIcatIve of someone who was capable of at least lIght exertIOn and, SInce her Job was sedentary It was concluded that she retaIned the functIOnal abIlIty to perform the dutIes of her own occupatIOn. Although she had been dIagnosed as suffenng from depressIOn, she was last seen by a psychIatnst In February of 1997 and the Insurance company concluded that her symptoms were not totally dIsablIng or she would have sought more aggressIve and frequent treatment by a specIalIst In psychIatry Although she had been dIagnosed wIth fibromyalgIa the functIOnal capabIlItIes test performed IndIcated that she was able to do sedentary work, IncludIng SIttIng for eIght hours a day and was fit to return to her posItIOn. REASONS FOR DECISION HavIng consIdered the reports referred to In thIS decIsIOn and the submIssIOns of the partIes, I have come to the conclusIOn that the Insurer has made the nght decIsIOn In denYIng long term dIsabIlIty benefits to Mrs LG It IS clear that as far back as 1989 and certaInly In 1994 she was suffenng from a senous medIcal condItIOn that reqUIred large amounts and vanetIes of medIcatIOn to allevIate the paIn and reduce the nsks of further damage to her bones However two years later her rheumatIOd arthntIs and osteoporosIs were beIng treated successfully and she was dOIng "extremely well" accordIng to her rheumatologIst. The subsequent medIcal reports consIstently noted the absence of any further complIcatIOns concermng her osteoporosIs The claimant was also dIagnosed as suffenng from depressIOn and was seen by a psychIatnst CLAIM # 71309 23 In 1997 Although he concluded she was unable to work, hIS OpInIOn was that her depressIOn was secondary to her rheumatOId arthntIs, wIch was the pnmary cause of her physIcal and emotIOnal problems In any event, she only saw a psychIatnst that one tIme and, although there are subsequent references to her depressIOn, the faIlure to seek treatment on an ongOIng basIs suggests that It was not the pnmary reason for her InabIlIty to return to work. Her maJor complaInts dunng thIS tIme were related to her rheumatOId arthntIs, whIch was sufficIently paInful to cause InteruptIOns In her sleep patterns, her abIlIty to concentrate and her abIlIty to return to work. It was thIS paIn and ItS accompanYIng complIcatIOns that were responsIble for her depressIOn. In fact, It was sometIme In 1997 that references began appeanng In the reports to fibromyalgIa and fibromyalgOId type tngger pOInts However dunng thIS same penod of tIme, she underwent a functIOnal abIlItIes evaluatIOn that acknowledged she had some lImItatIOns on her physIcal abIlItIes and dIfficulty wIth concentratIOn but nevertheles showed she was capable of performIng the dutIes of her own posItIOn of Assessment Clerk, albeIt wIth some modIficatIOns SpecIfically she reqUIred a work hardemng program to enable her to buIld up endurance, strength and tolerance All of these recommendatIOns were based on the premIse that her rheumatIOd arthntIs and osteoporosIs contInued to be controlled by medIcatIOn. An Independent medIcal assesment performed at the same tIme came to the same conclusIOn. It too acknowledged some problems wIth her rheumatIOd arthntIs and osteporosIs but found them to be controlled well by medIcatIOn and found her able to perform the dutIes of her posItIOn WIth modIficatIOn. These findIngs prompted the first demal of benefits In November of 1997 The reports filed after that demal are consIstent WIth the earlIer reports referred to In thIS appeal For example, a letter from her own physIcIan, whIle supportIng her claim for dIsabIlIty benefits, CLAIM # 71309 24 concludes wIth the comment aIU m no doubt that thIS lad, still has consIderable pam and dIscomfort m her lower back, hands and feet whIch makes It dIfficult to SIt and type for an, penod of tIme She does demonstrate normal Intelligence and as she IS forty-mne years old It would be wonderful If she could find SUitable employment where she IS able to get up and move at will and perform tasks that do not Involve a lot of finger work. She IS not capable of any manual work or lIftmg or carrymg and should aVOid any stress to her vertebral column. (M, emphasIs) These comments suggest that, subJ ect to the lImItatIOns set out In the report, she was capable of some lIght sedentary work. AddItIOnally a letter from her rheumatolgIst In 1998 does not state In clear terms that she In unable to return to modIfied dutIes He confirms her ImtIal problem, that IS rheumatIOd arthntIs, has been suppressed wIth medIcatIOn but states that her maJor problem IS now fibromyalgIa. He accepts Dr DurnIn's findIngs wIth respect to her abIltIty to perform some work-related dutIes, but suggests she see a specIalIst In the treatment offibromyalgIa. An eXamInatIOn by the FIbromyalgIc ClImc confirmed Dr Thompson's dIagnosIs, agreeed that she has reason to be dIsabled but does not state uneqUIvocally that she IS dIsabled. Rather It was recommended she undergo another functIOnal abIlItIes assessment to determIne the possIbIlIty of returnIng to work. That assessment was conducted In September of 1999 and agaIn showed that she was capable of meetIng the energy demands of an Industnal J ob In the sedentary category WhIle I accept the reports to the extent that they express concerns about the repetItIve nature of her posItIOn as Assessment Clerk, In partIcular the keyboardIng component, the employer had IndIcated It was prepared to modIfy her posItIOn to aVOId the repetItIve and lIftIng demands of the her dutIes All of the functIOnal abIlItIes assessments done between 1997 and 1999 show that she would have been able to return to modIfied dutIes Whether her dutIes could have been modIfied enough remaInS to be seen. Nevertheless the Inescapable conclusIOn from these reports IS that she could have returned to her posItIOn In some capacIty and was able to perform the essentIal dutIes of her own occupatIOn. Her appeal IS therefore CLAIM # 71309 25 demed. Dated thIS 15th day of July 2001 Loretta Mikus ~- ,'- ...._~ CLAIM # 71309