Pickett v. Advance Auto Parts , 245 N.C. App. 246 ( 2016 )


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  •              IN THE COURT OF APPEALS OF NORTH CAROLINA
    No. COA15-285
    Filed: 2 February 2016
    From the North Carolina Industrial Commission, I.C. No. Y21219
    ANTONIO PICKETT, Employee, Plaintiff,
    v.
    ADVANCE AUTO PARTS, Employer, ACE AMERICAN INSURANCE COMPANY,
    Carrier (SEDGWICK CMS, Third-Party Administrator), Defendants.
    Appeal by defendants from Opinion and Award of the North Carolina
    Industrial Commission entered 15 October 2014 by Commissioner Danny Lee
    McDonald. Heard in the Court of Appeals 9 September 2015.
    The Quinn Law Firm, by Nancy P. Quinn, for employee, plaintiff-appellee.
    McAngus, Goudelock & Courie, P.L.L.C., by Carolyn T. Marcus, for employer
    and third-party administrator, defendant-appellants.
    McCULLOUGH, Judge.
    Advance Auto Parts (“employer”) and ACE American Insurance Company
    (“carrier”) through Sedgwick CMS (“administrator”) (together “defendants”) appeal
    from an opinion and award of the North Carolina Industrial Commission (the
    “Commission”) awarding worker’s compensation benefits in favor of Antonio Pickett
    (“employee”). For the following reasons, we affirm.
    I.       Background
    Employee was employed by employer as a salesperson and driver and was
    working in the Advance Auto Parts store on Randleman Road in Greensboro on the
    PICKETT V. ADVANCE AUTO PARTS
    Opinion of the Court
    morning of 3 September 2012 when an armed robbery occurred at the store. That
    morning, shortly after nine o’clock, the perpetrator entered the store, pointed a gun
    at employee, and demanded money.        While the perpetrator pointed the gun at
    employee, the general manager, the only other person in the store at the time,
    removed the cash drawers from several registers and placed them on the counters.
    The perpetrator then grabbed the money and fled. Following the robbery, plaintiff
    complained of chest pains and a throbbing headache but was required by the
    assistant manager to work the remainder of his shift. Employee has not returned to
    work since that day.
    Subsequent to the robbery, employee sought treatment from Dr. Dean,
    employee’s primary care physician, from Dr. Morris, a psychologist, and from other
    medical professionals for symptoms including discomfort, vision and hearing loss,
    arm weakness, elevated blood pressure, chest pain, and various psychological issues.
    Dr. Dean and Dr. Morris both diagnosed employee as suffering from post-traumatic
    stress disorder as a result of the 3 September 2012 robbery.
    On 10 September 2012, a representative of employer completed a Form 19
    reporting employee’s injury to the Commission. In that form, employer documented
    that it knew of employee’s injury on 3 September 2012 and disability began on
    6 September 2012. On 24 October 2012, employer completed a Form 22 documenting
    the days worked by employee and employee’s earnings.           Employee completed a
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    PICKETT V. ADVANCE AUTO PARTS
    Opinion of the Court
    Form 18 on 18 December 2012 and initiated a workers’ compensation claim for a
    psychological injury resulting from the robbery by filing the Form 18 with the
    Commission on 21 December 2012.             Employer denied employee’s workers’
    compensation claim in a Form 61 dated 16 January 2013. In denying employee’s
    claim, employer reasoned that it “[had] not received any records that support that
    any indemnity ore [sic] medical benefits are causally related to the incident that
    occurred on [3 September 2012].” Upon employer’s denial of his claim, employee filed
    a Form 33 request that his claim be assigned for hearing, which the Commission
    received on 4 February 2013.         Employer responded by Form 33R dated
    14 February 2013.
    Employee’s case was assigned and came on for hearing before Deputy
    Commissioner Keischa M. Lovelace in Pittsboro on 29 August 2013. At the hearing,
    the Deputy Commissioner heard testimony from employee and the general manager.
    The record was then left open to allow the parties time to take additional testimony
    and to submit contentions, briefs, and proposed opinions and awards. The record was
    closed on 10 February 2014. By that time, the record included deposition testimony
    from Dr. Dean and Dr. Morris, both of whom diagnosed employee with post-traumatic
    stress disorder.
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    PICKETT V. ADVANCE AUTO PARTS
    Opinion of the Court
    On 11 March 2014, the Deputy Commissioner filed an opinion and award in
    favor of employee. Defendants gave notice of appeal from the Deputy Commissioner’s
    opinion and award on 27 March 2014.
    Following the filing of a Form 44 by defendants and briefs by both sides,
    employee’s case came on for hearing before the Full Commission on 11 August 2014.
    Upon review of the Deputy Commissioner’s opinion and award, the record of the
    proceedings before the Deputy Commissioner, and the briefs and arguments of the
    parties, the Full Commission filed an opinion and award on 15 October 2014 affirming
    the Deputy Commissioner’s opinion and award. Specifically, the Full Commission
    granted employee’s “claim for worker’s compensation benefits for injuries sustained
    on 3 September 2012” and ordered defendants to pay as follows: (1) “temporary total
    disability compensation in the amount of $163.66 beginning 3 September 2012 and
    continuing until [employee] returns to work or further Order of the Commission[;]”
    (2) a reasonable attorney’s fee as directed; (3) “all related medical or psychological
    treatment incurred or to be incurred for plaintiff’s psychological conditions which are
    reasonably necessary to effect a cure, provide relief and/or lessen the period of
    disability . . . [;]” and (4) “the hearing costs to the . . . Commission in the amount of
    $220.00.”
    Defendants gave notice of appeal from the Full Commission’s opinion and
    award on 14 November 2014.
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    PICKETT V. ADVANCE AUTO PARTS
    Opinion of the Court
    II.     Discussion
    Review of an opinion and award of the Commission “is limited to consideration
    of whether competent evidence supports the Commission’s findings of fact and
    whether the findings support the Commission’s conclusions of law. This ‘[C]ourt’s
    duty goes no further than to determine whether the record contains any evidence
    tending to support the finding.’ ” Richardson v. Maxim Healthcare/Allegis Grp., 
    362 N.C. 657
    , 660, 
    669 S.E.2d 582
    , 584 (2008) (citation omitted) (quoting Anderson v.
    Lincoln Constr. Co., 
    265 N.C. 431
    , 434, 
    144 S.E.2d 272
    , 274 (1965)). “The Commission
    is the sole judge of the credibility of the witnesses and the weight to be given their
    testimony.” 
    Anderson, 265 N.C. at 433-34
    , 144 S.E.2d at 274. The Commission’s
    conclusions of law are reviewed de novo. Coffey v. Weyerhaeuser Co., 
    218 N.C. App. 297
    , 300, 
    720 S.E.2d 879
    , 881 (2012).
    1.         Compensability
    In the first issue on appeal, defendants contend the Commission erred in
    determining employee met his burden to establish a compensable injury. Specifically,
    defendants contend employee failed to present sufficient competent evidence to
    establish that his injuries were causally related to the 3 September 2012 robbery.
    For an injury to be compensable under The North Carolina Workers’
    Compensation Act (“the Act”), it must be an injury by accident arising out of and in
    the course of the employment. N.C. Gen. Stat. § 97-2(6) (2013); see also Click v. Pilot
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    PICKETT V. ADVANCE AUTO PARTS
    Opinion of the Court
    Freight Carriers, Inc., 
    300 N.C. 164
    , 167, 
    265 S.E.2d 389
    , 391 (1980). This Court has
    acknowledged that “a mental or psychological illness may be a compensable injury[.]”
    Bursell v. General Elec. Co., 
    172 N.C. App. 73
    , 78, 
    616 S.E.2d 342
    , 346 (2005). “The
    burden of proving each and every element of compensability is upon the plaintiff.”
    Harvey v. Raleigh Police Dept., 
    96 N.C. App. 28
    , 35, 
    384 S.E.2d 549
    , 553, disc. review
    denied, 
    325 N.C. 706
    , 
    388 S.E.2d 454
    (1989). Our Supreme Court has explained as
    follows regarding causation:
    There must be competent evidence to support the inference
    that the accident in question resulted in the injury
    complained of, i.e., some evidence that the accident at least
    might have or could have produced the particular disability
    in question. The quantum and quality of the evidence
    required to establish prima facie the causal relationship
    will of course vary with the complexity of the injury itself.
    There will be many instances in which the facts in evidence
    are such that any layman of average intelligence and
    experience would know what caused the injuries
    complained of. On the other hand, where the exact nature
    and probable genesis of a particular type of injury involves
    complicated medical questions far removed from the
    ordinary experience and knowledge of laymen, only an
    expert can give competent opinion evidence as to the cause
    of the injury.
    
    Click, 300 N.C. at 167
    , 265 S.E.2d at 391 (internal quotation marks and citations
    omitted).
    However, when such expert opinion testimony is based
    merely upon speculation and conjecture, . . . it is not
    sufficiently reliable to qualify as competent evidence on
    issues of medical causation. The evidence must be such as
    to take the case out of the realm of conjecture and remote
    possibility, that is, there must be sufficient competent
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    Opinion of the Court
    evidence tending to show a proximate causal relation.
    Holley v. ACTS, Inc., 
    357 N.C. 228
    , 232, 
    581 S.E.2d 750
    , 753 (2003) (internal
    quotation marks and citations omitted).
    The admission of expert testimony is governed by Rule 702 of the North
    Carolina Rules of Evidence. That rule provides in pertinent part as follows:
    (a) If scientific, technical or other specialized knowledge
    will assist the trier of fact to understand the evidence
    or to determine a fact in issue, a witness qualified as an
    expert by knowledge, skill, experience, training, or
    education, may testify thereto in the form of an opinion,
    or otherwise, if all of the following apply:
    (1) The testimony is based upon sufficient facts or data.
    (2) The testimony is the product of reliable principles
    and methods.
    (3) The witness has applied the principles and methods
    reliably to the facts of the case.
    N.C. Gen. Stat. § 8C-1, Rule 702 (2013).
    In this case, after issuing findings regarding the evaluation and treatment of
    employee by Dr. Dean and Dr. Morris, the Full Commission made the following
    findings regarding causation:
    16.    Dr. Dean opined to a reasonable degree of medical
    certainty, and the Commission finds, that the
    3 September 2012 robbery was an acute event that was the
    main cause of [employee’s] acute anxiety and post-
    traumatic stress disorder. Dr. Dean also opined to a
    reasonable degree of medical certainty, and the
    Commission finds, that the acute anxiety, stress, blood
    pressure elevation, and reliving the robbery were a
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    PICKETT V. ADVANCE AUTO PARTS
    Opinion of the Court
    significant component to [employee’s] chest symptoms.
    [Employee’s] hearing loss and vision/perception issues
    were most consistent with a conversion reaction, “where
    your body responds physically to something that’s
    completely emotional -- emotionally distressing, but not
    really based on something neurological that we could
    diagnose.” Dr. Dean opined to a reasonable degree of
    medical certainty, and the Commission finds, that
    [employee’s] conversion reaction was caused by the
    3 September 2012 robbery.
    ....
    27.    Dr. Morris opined to a reasonable professional
    certainty that [employee’s] PTSD was caused by the
    3 September 2012 robbery, which further bolsters Dr.
    Dean’s causation opinion regarding the same.
    The Commission then concluded as follows:
    7.     On 3 September 2012, [employee] sustained a
    compensable injury by accident arising out of the course
    and scope of his employment with defendant-employer as
    the result of an armed robbery occurring at the store where
    [employee] was working.           The circumstances of
    [employee’s] injury on 3 September 2012 constituted an
    interruption of his normal work routine and the
    introduction thereby of unusual circumstances likely to
    result in unusual results. [Employee] sustained an injury
    by accident arising out of and in the course of his
    employment with defendant-employer resulting in mental
    injury. Based upon the preponderance of the evidence in
    view of the entire record, including Dr. Dean’s causation
    opinions and Dr. Morris’ diagnoses, [employee] has proven
    that his post-traumatic stress disorder and other
    psychological problems, including his conversion reaction,
    were caused or aggravated by the 3 September 2012 injury
    by accident.
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    PICKETT V. ADVANCE AUTO PARTS
    Opinion of the Court
    Defendants now challenge the portions of this conclusion relating to causation by
    attacking the competency of Dr. Morris’ and Dr. Dean’s expert testimony and the
    credibility of employee. We address these issues in reverse of the order defendants
    raise them on appeal.
    Defendants challenge the Commission’s reliance on Dr. Dean’s and Dr. Morris’
    opinions in part because “[their] decisions regarding [employee’s] diagnosis were
    based on [employee’s] subjective complaints[,]” which defendants assert are not
    credible because “[employee] exaggerated his version of the incident . . ., failed to
    reveal evidence of his prior workers’ compensation claim, and tried to deny pre-
    existing conditions . . . .” Specifically, defendants assert that “[employee] did not
    present as a credible witness and therefore, the information which he presented to
    his physicians cannot be trusted.” We hold this challenge to employee’s credibility is
    extremely injudicious.
    As noted above, it is a well settled principal in workers’ compensation cases
    that “[t]he Commission is the sole judge of the credibility of the witnesses and the
    weight to be given their testimony.” 
    Anderson, 265 N.C. at 433-34
    , 144 S.E.2d at 274.
    In this case, it is clear the Commission found employee to be credible as the
    Commission concluded in conclusion number two that “[employee’s] testimony
    regarding the circumstances of the 3 September 2012 armed robbery and [employee’s]
    statements to his health care providers regarding his physical and psychological
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    PICKETT V. ADVANCE AUTO PARTS
    Opinion of the Court
    condition following the armed robbery are found to be credible and convincing.” This
    Court    will   not   second-guess    the    Commission’s   credibility   determination.
    Furthermore, we will not hold that the testimony of Dr. Dean and Dr. Morris is
    incompetent on the basis that Dr. Dean and Dr. Morris relied on employee’s
    statements.
    Concerning Dr. Dean’s medical opinion as to causation, defendants contend the
    Commission erred in relying on Dr. Dean’s opinion because there was an insufficient
    basis for the opinion. Although Dr. Dean testified to a reasonable medical certainty
    that employee’s anxiety, PTSD, cardiac symptoms, and loss of vision and hearing
    were the result of the robbery after examining, diagnosing, and treating employee,
    defendants contend “Dr. Dean’s opinions are undermined by his own testimony,
    which establishes that his impressions of [employee’s] symptoms and their cause are
    based solely on [employee’s] own reports and the temporal link between the incident
    and their onset.” We are not persuaded by defendants’ arguments.
    At the outset, we reiterate that the Commission found employee to be credible
    and convincing. Thus, Dr. Dean did not err in relying on employee’s statements in
    forming his opinion on the cause of employee’s symptoms.
    As to the temporal component of defendants’ argument, defendants rely on
    Young v. Hickory Bus. Furniture, 
    353 N.C. 227
    , 
    538 S.E.2d 912
    (2000). In Young, our
    Supreme Court noted that the “Commission’s findings of fact with regard to the cause
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    PICKETT V. ADVANCE AUTO PARTS
    Opinion of the Court
    of [an employee’s] fibromyalgia were based entirely upon the weight of [a
    rheumatologist’s] opinion testimony as an expert in the fields of internal medicine
    and rheumatology.”      
    Id. at 230,
    538 S.E.2d at 914-15.        Upon review of the
    rheumatologist’s deposition testimony, the sole evidence pertaining to the
    rheumatologist’s opinion, the Court held the rheumatologist’s opinion in 1995 that
    the employee’s fibromyalgia was likely related to the employee’s 1992 work-related
    back injury was based entirely upon conjecture and speculation, and therefore was
    not competent evidence of causation. 
    Id. at 231,
    538 S.E.2d at 915. The Court
    explained that the rheumatologist had testified about the difficulty in ascribing a
    cause for fibromyalgia because of its uncertain etiology and had “acknowledged that
    he knew of several other potential causes of [the employee’s] fibromyalgia” but “he
    did not pursue any testing to determine if they were, in fact, the cause[.]” 
    Id. Where the
    record supported “at least three potential causes of fibromyalgia . . . other than
    [the employee’s] injury in 1992[,]” 
    id. at 232,
    538 S.E.2d at 916, the Court held the
    rheumatologist’s reliance on the maxim “post hoc, ergo propter hoc,” meaning “after
    this, therefore because of this[,]” to assign a cause or aggravation of fibromyalgia was
    improper. 
    Id. The Court
    reasoned that “[i]n a case where the threshold question is
    the cause of a controversial medical condition, the maxim of ‘post hoc, ergo propter
    hoc,’ is not competent evidence of causation[]” because the maxim “assumes a false
    connection between causation and temporal sequence.” 
    Id. - 11
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    PICKETT V. ADVANCE AUTO PARTS
    Opinion of the Court
    Upon review of the facts of the present case, we are not convinced that Young
    is controlling. First, the present case is distinguishable from Young because this case
    involves the diagnosis of a psychological injury with resultant physical symptoms. It
    is obvious to this Court that temporal sequence or proximity is not only relevant, but
    a necessary consideration in diagnosing psychological conditions such as post-
    traumatic stress disorder. (Emphasis added). Second, Dr. Dean did not merely rely
    on the temporal link. It is clear from Dr. Dean’s testimony and the Commission’s
    findings based on Dr. Dean’s testimony that Dr. Dean relied on employee’s account of
    the robbery and his symptoms to assign a cause to employee’s psychological and
    physical symptoms. Dr. Dean described how employee was anxious as he relived the
    robbery in vivid detail. Moreover, Dr. Dean was able to rule out other potential causes
    of employee’s symptoms. Dr. Dean testified that employee’s neurological symptoms
    were not consistent with a neurological exam, leading to initial diagnoses of an acute
    stress reaction and early conversion reaction.           Furthermore, upon employee’s
    complaints of chest pain, a cardiac catheterization was performed which revealed
    there were no cardiac causes for employee’s chest pain. Dr. Dean then testified again
    that employee’s symptoms were likely the result of a conversion reaction – a physical
    response to something completely emotional. Although Dr. Dean had been employee’s
    primary care physician for years and treated employee for various health issues prior
    to the robbery, including fluctuating blood pressure, anxiety, depression, and back
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    PICKETT V. ADVANCE AUTO PARTS
    Opinion of the Court
    pain, Dr. Dean’s testimony clearly linked employee’s psychological and physical
    symptoms, or the exacerbation of those symptoms, in the months following the
    3 September 2012 robbery to that event.
    Considering that Dr. Dean’s impressions were formed based on his impressions
    of employee’s account of the robbery and his symptoms, the exclusion of other
    potential causes, and the temporal link between the occurrence of the symptoms and
    the robbery, we hold Dr. Dean’s testimony was not based merely on speculation and
    conjecture; there was a sufficient basis for Dr. Dean’s expert opinion testimony as to
    the cause of employee’s injuries. Consequently, the Commission did not err in relying
    on Dr. Dean’s testimony regarding causation.
    Dr. Dean’s testimony alone would have been sufficient to support the
    Commission’s determination that employee suffered a compensable injury. Yet, as
    the Commission found, Dr. Morris’ causation opinion bolsters Dr. Dean’s opinion.
    In challenging the Commission’s reliance on Dr. Morris’ testimony as to the
    cause of employee’s injuries, defendants contend the Commission erroneously found
    and concluded that Dr. Morris is an expert in psychology and erroneously relied on
    Dr. Morris’ testimony as evidence of causation. Defendants rely solely on Rule 702
    and Young. Again, we are not persuaded by defendants’ arguments.
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    PICKETT V. ADVANCE AUTO PARTS
    Opinion of the Court
    Concerning the designation of Dr. Morris as an expert in psychology, the
    Commission found and concluded that Dr. Morris was an expert after summarizing
    Dr. Morris’ education and experience in finding of fact eighteen as follows:
    After obtaining his Ph.D., Dr. Morris has served as the
    assistant director of counseling at Purdue University, as an
    inpatient psychologist with the VA Hospital in Wisconsin,
    and as the clinical director of the mental health division of
    Child and Family Services in Raleigh, North Carolina.
    After moving to Charlotte, Dr. Morris became a member of
    the clinical faculty in the psychology department at UNC-
    Charlotte and served as the chief psychologist at Carolinas
    Medical Center with the responsibility of directing
    outpatient services. Dr. Morris has also served as a
    director of counseling centers in Iowa and Maryland and
    taught at the doctoral level in Oregon.
    Defendants do not dispute that finding of fact eighteen is supported by Dr. Morris’
    deposition testimony; in fact, defendants acknowledge that Dr. Morris additionally
    testified that he was trained and licensed to diagnose and treat patients. Instead,
    defendants attempt to lessen the relevance of Dr. Morris’ credentials in the present
    case by pointing out that the subject of Dr. Morris’ doctoral dissertation, “if there was
    a correlation between the race of the teacher and students’ perceptions of the
    classroom environment[,]” is of no significance in this case and by pointing out that,
    although Dr. Morris has worked in various positions, Dr. Morris has not worked in
    any position very long.     Defendants do not cite any authority to support the
    suggestion that the subject of Dr. Morris’ doctoral dissertation or the length of time
    that Dr. Morris worked at each position prevent Dr. Morris from qualifying as an
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    Opinion of the Court
    expert in psychology. Moreover, it is clear to this Court that the Commission did not
    err in determining Dr. Morris to be an expert in psychology. The Commission’s
    designation is supported by Dr. Morris’ education and experience as set forth in
    finding of fact eighteen.
    Yet, even if Dr. Morris was properly accepted as an expert, defendants further
    contend the Commission erred in relying on Dr. Morris’ causation opinion because
    Dr. Morris’ testimony did not meet the requirements of Rule 702.          Specifically,
    defendants contend Dr. Morris failed to provide sufficient facts and data to support
    his opinion and failed to demonstrate that his testimony was based on reliable
    principles and methods applied to the facts of the case. Defendants further assert
    that it is suspicious that Dr. Morris initially provided only one medical report and
    later produced undetailed records after defendants filed a motion to compel.
    Defendants contend the lack of detailed records indicates that Dr. Morris did not
    maintain medical records throughout the treatment of employee. Thus, defendants
    contend Dr. Morris’ testimony is not credible and should be given no weight.
    Upon review of the record, we hold the Commission did not err. We further
    note that defendants’ contention that Dr. Morris did not keep medical records is
    speculative and not supported by the evidence.
    Dr. Morris testified concerning his evaluations of employee that led to the post-
    traumatic stress disorder diagnosis, beginning with Dr. Morris’ initial assessment of
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    PICKETT V. ADVANCE AUTO PARTS
    Opinion of the Court
    employee on 10 October 2012. Based on Dr. Morris’ testimony, the Commission made
    finding of fact twenty-three summarizing Dr. Morris’ treatment. Finding of fact
    twenty-three provides as follows:
    23.    Throughout the fall of 2012, [employee] had weekly
    therapy sessions with Dr. Morris. During these sessions,
    Dr. Morris used clinical interviews, behavioral
    observations, and psychological diagnostic tools to develop
    a diagnosis and treatment recommendations.            In a
    24 January 2013 report, Dr. Morris comprehensively
    summarized his assessment and observations. Dr. Morris
    concluded that “it is an understatement to say that
    [employee] needs therapy.” [Employee] needs professional
    assistance to address his post-traumatic stress disorder
    symptoms and to restore his sense of personal and
    professional pride. Dr. Morris explained:
    The robbery has destabilized his emotional
    groundedness to the point where he experiences an
    unhealthy level of hypervigilance when confronted
    with individuals or situations that remind[] him of
    the situation, and a perpetual sense of unease when
    feeling overwhelmed by multiple stressors. Without
    therapy, and possibly medication, [employee] will be
    at considerable risk for further emotional,
    vocational, and social deterioration.
    Dr. Morris explained that hypervigilance is when a person
    is constantly looking around the room, taking everything
    in, trying to locate each door or each chair. A person with
    PTSD is hypervigilant as they are looking for a way to
    escape in case something occurs.
    This finding is supported by evidence in the record and we hold this finding is
    sufficient to support the Commission’s reliance on Dr. Morris’ testimony as evidence
    of causation.
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    PICKETT V. ADVANCE AUTO PARTS
    Opinion of the Court
    Where Dr. Dean and Dr. Morris both provided competent expert testimony as
    to the cause of employee’s injuries based on their evaluations and treatment of
    employee, the Commission did not err in relying on their opinions in determining that
    employee suffered a compensable injury. We will not second-guess the Commission’s
    credibility determinations and the weight it assigned to testimony.
    2.      Continuing Disability
    As detailed in the background above, the Commission ordered defendants to
    pay “temporary total disability compensation in the amount of $163.66 beginning
    3 September 2012 and continuing until [employee] returns to work or further Order
    of the Commission.” Even though we have held the Commission did not err in
    determining employee suffered a compensable injury, defendants contend that
    employee failed to establish disability lasting beyond 31 October 2012.          Thus,
    defendants contend the Commission erred in awarding temporary total disability
    benefits beyond 31 October 2012.
    In the Act, “[t]he term ‘disability’ means incapacity because of injury to earn
    the wages which the employee was receiving at the time of injury in the same or any
    other employment.” N.C. Gen. Stat. § 97-2(9). The employee bears the burden of
    proving disability. Russell v. Lowes Prod. Distrib., 
    108 N.C. App. 762
    , 765, 
    425 S.E.2d 454
    , 457 (1993).
    The employee may meet this burden in one of four ways:
    (1) the production of medical evidence that he is physically
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    PICKETT V. ADVANCE AUTO PARTS
    Opinion of the Court
    or mentally, as a consequence of the work related injury,
    incapable of work in any employment; (2) the production of
    evidence that he is capable of some work, but that he has,
    after a reasonable effort on his part, been unsuccessful in
    his effort to obtain employment; (3) the production of
    evidence that he is capable of some work but that it would
    be futile because of preexisting conditions, i.e., age,
    inexperience, lack of education, to seek other employment;
    or (4) the production of evidence that he has obtained other
    employment at a wage less than that earned prior to the
    injury.
    
    Id. (internal citations
    omitted).
    In support of the award of ongoing benefits in this case, the Commission
    concluded as follows:
    10.   Based upon the preponderance of the evidence in
    view of the entire record, and as the result of his
    3 September 2012 injury by accident and causally related
    psychological injuries, plaintiff has satisfied the first prong
    of Russell and is entitled to be paid by defendants
    temporary total disability compensation . . . beginning
    3 September 2012 and continuing until [employee] returns
    to work or further Order of the Commission.” (Citations
    omitted).
    Defendants do not specifically challenge any findings, but instead contend the
    Commission erred in determining employee met his burden of proving ongoing
    disability because the only evidence related to disability in this case was a note by
    Dr. Dean on 27 September 2012 removing employee from work until 31 October 2012.
    Thus, defendants claim employee was not entitled to benefits for any period beyond
    31 October 2012. We disagree.
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    PICKETT V. ADVANCE AUTO PARTS
    Opinion of the Court
    The evidence in this case shows that Dr. Dean did initially produce a note on
    27 September 2012 to excuse employee from work until 31 October 2012. Yet, Dr.
    Dean later testified that he wanted a psychologist to clear employee before employee
    returned to work. The Commission noted Dr. Dean’s testimony about employee’s
    return to work and “Dr. Dean’s impression [that] Advance Auto Parts posed a ‘very
    stressful situation’ and that [employee] would relive the [robbery] if he returned to
    that environment” in finding of fact fifteen.
    As defendants state in their brief, “[the] only testimony which supports a
    finding that [employee] is incapable of work in any employment as a consequence of
    the 3 September 2012 incident is that of Dr. Morris.” Defendants, however, rely on
    their previous argument that Dr. Morris does not qualify as an expert and did not
    provide competent opinion testimony. As we have already discussed, the Commission
    properly designated Dr. Morris as an expert in psychology and properly accepted his
    opinion testimony. As to employee’s return to work, the Commission made finding of
    fact twenty-five based on Dr. Morris’ testimony. Finding of fact twenty-five provides
    as follows:
    25.   In his opinion, Dr. Morris does not believe
    [employee] will be able to return to work for Advance Auto
    Parts due to its association with the robbery, his life being
    threatened, and that he could have been killed. Dr. Morris
    is unable to state whether [employee] can return to any
    employment at this time. As Dr. Morris explained:
    [A]n individual with PTSD, they almost need to have
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    Opinion of the Court
    a resting spot or like a place where they can sort of
    just pull everything together, reflect, because most
    of the time the mind is racing . . . once they arrive at
    that place where they feel comfortable, they feel that
    they’re making progress, that people understand
    them, that their story has been heard and they’ve
    been validated, then they can move forward.
    Dr. Morris further explained that [employee] has not yet
    reached this point in his therapy and, until he reaches this
    point, the kind of employment [employee] can handle
    cannot be determined.        Whether [employee] will be
    employable in the future depends upon how soon he can
    “resolve some of the feelings and thoughts that he has been
    carrying around in his head since the incident.”
    [Employee] has not yet reached maximum medical
    improvement. Based upon the preponderance of the
    evidence in view of the entire record and Dr. Morris’
    testimony, the Commission finds that [employee] cannot
    work in any employment as a result of his psychological
    conditions.
    Although the Commission did find that “Dr. Morris is unable to state whether
    [employee] can return to any employment at this time[,]” it is evident from a review
    of Dr. Morris’ testimony that Dr. Morris’ uncertainty was not concerning whether
    employee could return to work for another employer at that particular point in time,
    but whether employee would ever be able to return to work for another employer.
    The question asked to Dr. Morris was, “[D]o you have an opinion, based on your
    treatment of [employee] and your professional experience, whether [employee] would
    be able to return to work for another employer?” Dr. Morris responded, “I don’t know
    yet[,]” and continued to explain the progress he needed to see in employee’s therapy
    before he could determine if employee could return to work. When the Commission’s
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    Opinion of the Court
    finding is considered with Dr. Morris’ testimony, it is evident that the correct
    interpretation of the Commission’s finding is, at the time Dr. Morris gave his
    testimony, he was unable to state whether employee would ever be able to return to
    any employment. This interpretation is further supported by consideration of finding
    of fact twenty-five in its entirety.
    We hold finding of fact twenty-five, which is supported by the evidence,
    supports the Commission’s conclusion that employee has satisfied the first prong of
    Russell and is entitled to continuing temporary total disability compensation.
    III.   Conclusion
    For the reasons discussed, the opinion and award of the Full Commission is
    affirmed.
    AFFIRMED.
    Judges STEPHENS and ZACHARY concur.
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