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Roger Keith v. Muhlenberg County Coal - Workers' Compensation Appeal

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Filed March 20th, 2026
Detected March 21st, 2026
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Summary

The Kentucky Court of Appeals affirmed a Workers' Compensation Board decision regarding Roger Keith's claim against Muhlenberg County Coal. The court upheld the dismissal of cumulative trauma injury claims, citing substantial evidence from medical opinions attributing conditions to non-work-related factors.

What changed

The Kentucky Court of Appeals has affirmed a decision by the Workers' Compensation Board in the case of Roger Keith v. Muhlenberg County Coal. The appellate court upheld the Board's unanimous affirmation of an Administrative Law Judge's (ALJ) ruling, which awarded temporary total disability benefits, partial disability benefits, and medical expenses for a right shoulder injury sustained by the appellant, Roger Keith. Crucially, the ALJ's decision, supported by the Board, dismissed claims for cumulative trauma injuries to the lower back, knees, and left shoulder, finding that medical opinions attributed these conditions to non-work-related factors such as obesity and aging.

This ruling means that the original disposition stands, and Roger Keith will not receive workers' compensation benefits for the cumulative trauma claims. For employers, this case reinforces the importance of medical evidence in substantiating or refuting cumulative trauma claims. Compliance officers should ensure that their organizations have robust processes for gathering and presenting relevant medical documentation in workers' compensation disputes, particularly when pre-existing conditions or non-work-related factors are at play. No specific compliance actions are required for other entities as this is an individual case disposition.

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March 20, 2026 Get Citation Alerts Download PDF Add Note

Roger Keith v. Muhlenberg County Coal

Court of Appeals of Kentucky

Disposition

OPINION AFFIRMING

Combined Opinion

RENDERED: MARCH 20, 2026; 10:00 A.M.
NOT TO BE PUBLISHED

Commonwealth of Kentucky
Court of Appeals
NO. 2025-CA-1082-WC

ROGER KEITH APPELLANT

PETITION FOR REVIEW OF A DECISION
v. OF THE WORKERS’ COMPENSATION BOARD
ACTION NOS. WC-24-00571 AND WC-22-54400

MUHLENBERG COUNTY COAL;
HONORABLE JONATHAN R.
WEATHERBY, ADMINISTRATIVE
LAW JUDGE; AND WORKERS’
COMPENSATION BOARD OF
KENTUCKY APPELLEES

OPINION
AFFIRMING


BEFORE: CALDWELL, MCNEILL, AND MOYNAHAN, JUDGES.

MCNEILL, JUDGE: Appellant, Roger Keith (“Keith”), was formerly employed as

a driver by Appellee, Muhlenberg County Coal (“Employer”). While at work on

October 20, 2022, Keith injured his right shoulder while lifting a bucket of miner

bits. He filed a claim for workers’ compensation alleging an acute injury to his
right shoulder, and cumulative trauma injuries to his low back, knees, hands, and

left shoulder.

An Administrative Law Judge (“ALJ”) issued an Opinion and Order

awarding permanent temporary total benefits (“TTD”), partial disability benefits

(“PPD”), and medical expenses. The ALJ assessed the date of Keith’s maximum

medical improvement (“MMI”), to be December 16, 2024. A ten percent whole

person impairment rating was assessed. The ALJ awarded PPD benefits for the

right shoulder injury but found no evidence supporting cumulative trauma injuries.

He dismissed Keith’s claims for cumulative trauma injuries to his lower back,

bilateral knees, and left shoulder, citing the opinions of Drs. Austin Nabet and

Thomas O’Brien, who attributed these conditions to non-work-related factors such

as obesity and aging. The ALJ assessed the “two multiplier” based on the date he

was laid off after returning to work for Employer. KRS1 342.730(1)(c)2.

He appealed to the Workers’ Compensation Board (Board), which

unanimously affirmed the ALJ’s decision. The Board agreed that the opinions of

Drs. Nabet and O’Brien constituted substantial evidence supporting the dismissal

of Keith’s cumulative trauma claims. Keith now appeals to this Court as a matter

of right. Having reviewed the record and the law, we affirm.

1
Kentucky Revised Statutes.

-2-
STANDARD OF REVIEW

The ALJ has “the sole discretion to determine the quality, character,

weight, credibility, and substance of the evidence, and to draw reasonable

inferences from the evidence.” Bowerman v. Black Equipment Co., 297 S.W.3d

858, 866 (Ky. App. 2009). Therefore, “appellate courts may not second-guess or

disturb discretionary decisions of an ALJ unless those decisions amount to an

abuse of discretion.” Id. at 866 (citing Medley v. Bd. of Educ., Shelby County, 168

S.W.3d 398, 406 (Ky. App. 2004)). “If the reviewing court concludes the rule of

law was correctly applied to facts supported by substantial evidence, the final order

of the agency must be affirmed.” Kentucky Unemployment Ins. Comm’n v. Cecil,

381 S.W.3d 238, 246 (Ky. 2012) (citing Brown Hotel Co. v. Edwards, 365 S.W.2d

299 (Ky. 1962)). “Substantial evidence means evidence of substance and relevant

consequence having the fitness to induce conviction in the minds of reasonable

men.” Smyzer v. B.F. Goodrich Chem. Co., 474 S.W.2d 367, 369 (Ky. 1971)

(citation omitted). Therefore, we review Board decisions to determine if it “has

overlooked or misconstrued controlling statutes or precedent, or committed an

error in assessing the evidence so flagrant as to cause gross injustice.” Western

Baptist Hosp. v. Kelly, 827 S.W.2d 685, 687-88 (Ky. 1992). With this standard in

mind, we now turn to the merits of the present case.

-3-
ANALYSIS

Keith generally argues that he was entitled to benefits for cumulative

trauma. He specifically argues that “the medical opinions of Dr. Nabet and Dr.

O’Brien were not credible medical opinions on which the ALJ could rely . . . .” In

addition to the opinions of Drs. Nabet and O’Brien, the ALJ also considered

additional medical evidence and opinions provided by Keith and the Employer.

The ALJ as the fact finder, has the sole authority to determine the “quality,

substance, and character” of evidence. Whittaker v. Rowland, 998 S.W.2d 479,

481 (Ky. 1999). Also, “an ALJ may pick and choose among conflicting medical

opinions and has the sole authority to determine whom to believe.” Copar, Inc. v.

Rogers, 127 S.W.3d 554, 561 (Ky. 2003). Having considered the totality of the

evidence the ALJ in the present case found the opinions of Drs. Nabet and O’Brien

to be most reliable and explained, in part as follows:

Dr. Nabet documented his exhaustive review of Keith’s
medical history and diagnosed a work-related right
rotator cuff tear with a 10% whole person impairment
pursuant to the AMA Guides causally related to the acute
injury on October 20, 2022. He assessed no impairment
for cumulative trauma. This opinion has convinced the
ALJ because Dr. Nabet has demonstrated a greater
familiarity with Keith’s medical history.

In sum, the ALJ was entitled to decide which physicians’ opinions he found more

credible and reliable and/or entitled to more weight.

-4-
CONCLUSION

For the foregoing reasons, we hereby affirm the Board, affirming the

decision issued by the ALJ.

ALL CONCUR.

BRIEF FOR APPELLANT: BRIEF FOR APPELLEE
MUHLENBERG COUNTY COAL:
J. Casey Smith
McKinnley Morgan Donald Niehaus
London, Kentucky W. Clayton Stone, II
Lexington, Kentucky

-5-

Source

Analysis generated by AI. Source diff and links are from the original.

Classification

Agency
KY Courts
Filed
March 20th, 2026
Instrument
Enforcement
Legal weight
Binding
Stage
Final
Change scope
Minor
Document ID
NO. 2025-CA-1082-WC
Docket
2025-CA-1082-WC

Who this affects

Applies to
Employers
Industry sector
2120 Mining
Activity scope
Workers' Compensation Claims
Geographic scope
US-KY US-KY

Taxonomy

Primary area
Employment & Labor
Operational domain
Legal
Topics
Workers' Compensation Occupational Safety

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