Cannon, Dorothy v. Spring Hill Residential, LLC , 2019 TN WC 167 ( 2019 )


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  • FILED
    Nov 21, 2019
    01:14 PM(CT)
    TENNESSEE COURT OF
    WORKERS' COMPENSATION
    CLAIMS
    TENNESSEE BUREAU OF WORKERS’ COMPENSATION
    IN THE COURT OF WORKERS’ COMPENSATION CLAIMS
    AT NASHVILLE
    Dorothy Cannon, ) Docket No. 2018-06-2049
    Employee, )
    V. )
    Spring Hill Residential, LLC, ) State File No. 5562-2018
    Employer, )
    And )
    Safety National Casualty Corp., ) Judge Kenneth M. Switzer
    Carrier. )
    EXPEDITED HEARING ORDER
    Dorothy Cannon filed a hearing request seeking medical benefits, specifically
    treatment for her neck.’ Spring Hill Residential asserts that her neck condition is
    unrelated to the work accident. After an expedited hearing on November 20, 2019, the
    Court denies Ms. Cannon’s requested relief.
    History of Claim
    Ms. Cannon works as a cook at Spring Hill Residential. On January 16, 2018, she
    slipped and fell in the parking lot, hurting her low back.
    Spring Hill Residential accepted the claim. Rather than offering a panel of
    physicians, it provided authorized treatment with a walk-in clinic. Later, Ms. Cannon
    asked to return to a doctor. She testified that the adjuster did not return her calls, but
    eventually Spring Hill offered a panel of orthopedists. Ms. Cannon chose Dr. Robert
    " The dispute certification notice additionally lists temporary disability benefits as an issue, but Ms.
    Cannon offered no proof on this issue at the hearing. Ms. Cannon stated at the hearing that she also seeks
    payment of a medical bill, but she likewise provided no proof on that question. The Court considers these
    requests waived at this time. Ms. Cannon further asked that the Court order Spring Hill Residential to
    offer a panel of surgeons for her low back, but she conceded on cross-examination that it already did so.
    The Court considers this request moot. Notably, Spring Hill Residential agreed on the record that if Ms.
    Cannon wishes to return to Dr. Snowden, it will authorize it.
    1
    Clendenin and saw him in June, complaining of back, hip and leg pain. Dr. Clendenin’s
    records are silent regarding any problems with Ms. Cannon’s neck. In January 2019, he
    recommended a surgical evaluation.
    Spring Hill Residential offered a panel of orthopedic surgeons, and Ms. Cannon
    chose Dr. Ryan Snowden. Ms. Cannon saw him twice. After her second visit in April,
    he wrote:
    At this point, I think she has exhausted all options. She has been dealing
    with this for well over a year and is really only complaining of low back
    pain. She does have significant degenerative changes that can contribute to
    this and I see no evidence of radicular symptoms today and certainly no
    surgery would help. At this point, I have given her [a] significant amount
    of treatment and [she is] really plateauing of relief and the fact that she
    continues to work full duty without functional limitations.
    Dr. Snowden placed Ms. Cannon at maximum medical improvement. He assigned a
    seven-percent impairment rating to the body as a whole and checked a box indicating that
    he does not anticipate the need for future medical treatment. His notes do not mention
    her complaining of neck problems.
    Ms. Cannon also saw her primary care physician, Dr. Heather Rowe. The medical
    records document visits in April 2018, and February and July of 2019. At the first visit,
    she told Dr. Rowe about her work accident and complained of leg pain. On exam of Ms.
    Cannon’s neck, Dr. Rowe noted nothing unusual. She diagnosed low-back pain, among
    other conditions. In February 2019, Dr. Rowe wrote that Ms. Cannon’s lumbar spine was
    being treated as a workers’ comp injury and again noted normal findings while
    examining her neck. At the July 2019 visit, Ms. Cannon complained of a “cervical or
    thoracic problem,” and Dr. Rowe ordered an x-ray of her cervical spine. The radiology
    report documented “‘multilevel degenerative changes of the cervical spine without acute
    fracture.”
    Afterward, Ms. Cannon saw a neurosurgeon, Dr. Ross Dawkins. His September
    2019 notes state that she suffers from “chronic neck and low back pain.” He ordered
    copies of previous MRI images. After reviewing them, Dr. Dawkins wrote:
    I received an MRI of the lumbar spine from May 2018. This demonstrates
    multilevel degenerative changes without any significant stenosis. I do not
    see any surgical pathology. There is no recent imaging of the lumbar spine
    and there is no imaging of the cervical spine. I’ve discussed the results
    with the patient over the phone. She states today that her main problem is
    the lower back and not so much the neck. . . . I do not think she needs
    cervical imaging at this time.
    On cross-examination, Spring Hill Residential introduced medical records from
    2003, 2007 and 2017 in which Ms. Cannon received treatment for her neck. It also
    introduced a settlement agreement from a 2005 workers’ compensation claim involving a
    neck injury.
    Findings of Fact and Conclusions of Law
    Ms. Cannon must show that she is likely to prevail at a hearing on the merits. See
    Tenn. Code Ann. § 50-6-239(d)(1) (2019); McCord v. Advantage Human Resourcing,
    2015 TN Wrk. Comp. App. Bd. LEXIS 6, at *7-8, 9 (Mar. 27, 2015).
    Ms. Cannon seeks medical benefits regarding an alleged neck injury. An
    employer must provide, free of charge to the employee, medical treatment made
    reasonably necessary by accident “as defined in this chapter.” Tenn. Code Ann. § 50-6-
    204(a)(1)(A). Therefore, the Court looks to the statutory definition of “injury” to
    determine whether Ms. Cannon’s neck condition falls within it. The Workers’
    Compensation Law defines an injury as one that arises “primarily out of and in the course
    and scope of employment.” Tenn. Code Ann. § 50-6-102(14). Ms. Cannon must
    establish this by a “reasonable degree of medical certainty,” and it must be by more than
    “speculation or possibility.” Jd.
    Here, no one disputes that Ms. Cannon suffered low-back injuries at work on
    January 17, 2018. Spring Hill Residential provided authorized treatment for it, directing
    her to the walk-in clinic, and then it offered panels from which she chose orthopedic
    specialists. While Ms. Cannon expressed dissatisfaction regarding delays on the
    adjuster’s behalf as well as with the authorized physicians’ care, the Court finds that
    Spring Hill Residential’s provision of medical benefits for her low back satisfied its
    obligation under the law.
    Spring Hill Residential argued that Ms. Cannon’s neck condition did not arise
    primarily from her employment but rather is a pre-existing condition. Ms. Cannon
    argued that her previous treatment occurred long ago and is not related to her condition in
    2019. The Court agrees with Ms. Cannon on this point.
    However, the Court carefully reviewed records from the authorized treating
    physicians, which at no time mention complaints of a neck injury. Further, Dr. Rowe’s
    records document that at the first two office visits, the doctor examined her neck and
    found nothing unusual. At the third visit in July 2019, Ms. Cannon mentioned neck
    * Several days before the hearing, Spring Hill Residential filed a motion to dismiss. Counsel clarified at
    the outset of the hearing that the motion sought only to dismiss Ms. Cannon’s request for expedited
    hearing and not the entire case. The Court denied the motion and allowed the parties to present their
    evidence at this interlocutory stage.
    problems for the first time. Dr. Rowe ordered x-rays; the report of her cervical spine
    found degenerative changes and no signs of fracture.
    But perhaps the most compelling medical evidence is Dr. Dawkins’s notes, where
    he stated that the MRI of her lumbar spine revealed degenerative changes and he saw no
    surgical pathology. He did not recommend cervical imaging and wrote: “She states
    today that her main problem is the lower back and not so much the neck.”
    In sum, the only proof the Court has that Ms. Cannon’s neck condition is related to
    her fall at work is her own testimony. Her testimony, while sincere, is insufficient to
    succeed at a hearing on the merits in proving a work-related neck injury, due to the
    absence of a medical opinion stating that causal link. Therefore, Ms. Cannon has not
    satisfied her burden.
    IT IS ORDERED as follows:
    1. Ms. Cannon’s request for medical benefits is denied at this time.
    2. This case is set for a scheduling hearing on January 28, 2020, at 10:15 a.m.
    Central. You must call 615-532-9552 or toll-free at 866-943-0025 to participate.
    Failure to call might result in a determination of the issues without your
    participation.
    ENTERED November 21, 2019.
    lide,
    AUDGE KENNETH
    Court of Workers’ Compensatiop Claims
    APPENDIX
    Exhibits:
    1. Affidavit of Dorothy Cannon
    First Report of Injury
    Choice of Physician form
    Wage statement
    Employer’s submission of medical records
    Final Medical Report, Dr. Snowden
    X-ray, cervical spine
    Dr. Dawkins; Dr. Rowe, July 22, 2019
    9. Dr. Milek, September 22, 2003
    10. Dr. Morris, April 12, 2007
    11. Workers’ Compensation Mediated Settlement Agreement, December 19, 2005
    12.Dr. McGehee, February 21, 2017
    13.Dr. Mosley, January 27, 2019
    14. Dr. Rowe, April 27, 2018
    15. TOA Information Sheet, June 8, 2018
    16. Dr. Clendenin, June 8, 2018
    17. TOA Follow Up Visit, July 12, 2018
    18. Dr. Clendenin, July 12, 2018
    19. Ashley Hall, ANP, December 6, 2018
    20. TOA Follow Up Visit, January 31, 2019
    21.Dr. Clendenin, January 31, 2019
    22. Dr. Rowe, February 4, 2019
    aS Se ee be be
    Technical record:
    1. Petition for Benefit Determination, November 14, 2018, and Dispute Resolution
    Statement
    Petition for Benefit Determination, June 4, 2019
    Dispute Certification Notice
    Show Cause Order
    Request for Expedited Hearing
    Order on Show Cause Hearing
    Motion to Dismiss
    aa eS
    CERTIFICATE OF SERVICE
    I certify that a copy of the Expedited Hearing Order was sent as indicated on
    November 21, 2019.
    Name Certified | Regular | Email | Sent to
    Mail mail
    Dorothy Cannon, xX X 371 9" Ave. N.
    self-represented Franklin TN 37064
    employee dotcannon@ymail.com
    Kitty Boyte, x kboyte@constangy.com
    employer’s attorney
    dmecorkle@constangy.com
    Pinch Deanail colntel
    Penny Shrum, Clérk of Court!
    Court of Workers’ Compensation Claims
    WC.CourtClerk@tn.gov
    Expedited Hearing Order Right to Appeal:
    If you disagree with this Expedited Hearing Order, you may appeal to the Workers’
    Compensation Appeals Board. To appeal an expedited hearing order, you must:
    1. Complete the enclosed form entitled: “Expedited Hearing Notice of Appeal,” and file the
    form with the Clerk of the Court of Workers’ Compensation Claims within seven
    business days of the date the expedited hearing order was filed. When filing the Notice
    of Appeal, you must serve a copy upon all parties.
    2. You must pay, via check, money order, or credit card, a $75.00 filing fee within ten
    calendar days after filing of the Notice of Appeal. Payments can be made in-person at
    any Bureau office or by U.S. mail, hand-delivery, or other delivery service. In the
    alternative, you may file an Affidavit of Indigency (form available on the Bureau’s
    website or any Bureau office) seeking a waiver of the fee. You must file the fully-
    completed Affidavit of Indigency within ten calendar days of filing the Notice of
    Appeal. Failure to timely pay the filing fee or file the Affidavit of Indigency will
    result in dismissal of the appeal.
    3. You bear the responsibility of ensuring a complete record on appeal. You may request
    from the court clerk the audio recording of the hearing for a $25.00 fee. If a transcript of
    the proceedings is to be filed, a licensed court reporter must prepare the transcript and file
    it with the court clerk within ten business days of the filing the Notice of
    Appeal. Alternatively, you may file a statement of the evidence prepared jointly by both
    parties within ten business days of the filing of the Notice of Appeal. The statement of
    the evidence must convey a complete and accurate account of the hearing. The Workers’
    Compensation Judge must approve the statement before the record is submitted to the
    Appeals Board. If the Appeals Board is called upon to review testimony or other proof
    concerning factual matters, the absence of a transcript or statement of the evidence can be
    a significant obstacle to meaningful appellate review.
    4. If you wish to file a position statement, you must file it with the court clerk within ten
    business days after the deadline to file a transcript or statement of the evidence. The
    party opposing the appeal may file a response with the court clerk within ten business
    days after you file your position statement. All position statements should include: (1) a
    statement summarizing the facts of the case from the evidence admitted during the
    expedited hearing; (2) a statement summarizing the disposition of the case as a result of
    the expedited hearing; (3) a statement of the issue(s) presented for review; and (4) an
    argument, citing appropriate statutes, case law, or other authority.
    For self-represented litigants: Help from an Ombudsman is available at 800-332-2667.
    LB-1099
    EXPEDITED HEARING NOTICE OF APPEAL
    Tennessee Division of Workers’ Compensation
    www. tn.gov/labor-wid/weomp.shtml
    wce.courtclerk@tn.gov
    1-800-332-2667
    Docket #:
    State File #/YR:
    Employee
    Vv.
    Employer
    Notice
    Notice is given that
    [List name(s) of all appealing party(ies) on separate sheet if necessary]
    appeals the order(s) of the Court of Workers’ Compensation Claims at
    to the Workers’ Compensation Appeals
    Board. [List the date(s) the order(s) was filed in the court clerk’s office]
    Judge
    Statement of the Issues
    Provide a short and plain statement of the issues on appeal or basis for relief on appeal:
    Additional Information
    Type of Case [Check the most appropriate item]
    L] Temporary disability benefits
    L] Medical benefits for current injury
    LC Medical benefits under prior order issued by the Court
    List of Parties
    Appellant (Requesting Party): At Hearing: LJEmployer LJEmployee
    Address:
    Party’s Phone: Email:
    Attorney's Name: BPR#:
    Attorney’s Address: Phone:
    Attorney's City, State & Zip code:
    Attorney’s Email:
    * Attach an additional sheet for each additional Appellant *
    rev. 10/18 Page 1 of 2 RDA 11082
    Employee Name: SF#: DOI:
    Appellee(s)
    Appellee (Opposing Party): At Hearing: L]JEmployer LJEmployee
    Appellee’s Address:
    Appellee’s Phone: Email:
    Attorney’s Name: BPR#:
    Attorney’s Address: Phone:
    Attorney’s City, State & Zip code:
    Attorney’s Email:
    * Attach an additional sheet for each additional Appellee *
    CERTIFICATE OF SERVICE
    I,
    Expedited Hearing Notice of Appeal by First Class, United States Mail, postage prepaid, to all parties
    and/or their attorneys in this case in accordance with Rule 0800-02-22.01(2) of the Tennessee Rules
    of Board of Workers’ Compensation Appeals on this the day of , 20
    , certify that | have forwarded a true and exact copy of this
    [Signature of appellant or attorney for appellant]
    LB-1099 rev. 10/18 Page 2 of 2 RDA 11082
    Tennessee Bureau of Workers’ Compensation
    220 French Landing Drive, I-B
    Nashville, TN 37243-1002
    800-332-2667
    AFFIDAVIT OF INDIGENCY
    I, , having been duly sworn according to law, make oath that
    because of my poverty, | am unable to bear the costs of this appeal and request that the filing fee to appeal be
    waived. The following facts support my poverty.
    1. Full Name: 2. Address:
    3. Telephone Number: 4. Date of Birth:
    5. Names and Ages of Ail Dependents:
    Relationship:
    Relationship:
    Relationship:
    Relationship:
    6. lam employed by:
    My employer’s address is:
    My employer’s phone number is:
    7. My present monthly household income, after federal income and social security taxes are deducted, is:
    $
    8. | receive or expect to receive money from the following sources:
    AFDC $ per month beginning
    ssl $ per month beginning
    Retirement $ per month beginning
    Disability $ per month beginning
    Unemployment $ per month beginning
    Worker's Comp.$ per month beginning
    Other $ per month beginning
    LB-1108 (REV 11/15) RDA 11082
    9. My expenses are:
    Rent/House Payment $ permonth Medical/Dental $ per month
    Groceries $ per month Telephone $ per month
    Electricity $ per month School Supplies $ per month
    Water $ per month Clothing $ per month
    Gas $ per month Child Care $ per month
    Transportation $ per month Child Support $ per month
    Car $ per month
    Other $ per month (describe: )
    10. Assets:
    Automobile $ (FMV)
    Checking/Savings Acct. $
    House $ __ (FMV)
    Other $ Describe:
    11. My debts are:
    Amount Owed To Whom
    | hereby declare under the penalty of perjury that the foregoing answers are true, correct, and complete
    and that I am financially unable to pay the costs of this appeal.
    APPELLANT
    Sworn and subscribed before me, a notary public, this
    day of , 20
    NOTARY PUBLIC
    My Commission Expires:
    LB-1108 (REV 11/15) RDA 11082
    

Document Info

Docket Number: 2018-06-2049

Citation Numbers: 2019 TN WC 167

Judges: Kenneth M. Switzer

Filed Date: 11/21/2019

Precedential Status: Precedential

Modified Date: 1/10/2021