Adame v. Aerotek

809 S.E.2d 922
CourtCourt of Appeals of North Carolina
DecidedFebruary 20, 2018
DocketNo. COA16-1118
StatusPublished

This text of 809 S.E.2d 922 (Adame v. Aerotek) is published on Counsel Stack Legal Research, covering Court of Appeals of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Adame v. Aerotek, 809 S.E.2d 922 (N.C. Ct. App. 2018).

Opinion

STROUD, Judge.

Because the Industrial Commission erred in determining plaintiff had failed to carry his burden of demonstrating the first two prongs of disability, we remand to the Industrial Commission for further proceedings.

I. Background

Beginning around June of 2011, "Plaintiff worked sporadically through [defendant], a temporary staffing agency." In June of 2013, "[p]laintiff injured his lower back ... when he was moving heavy plates with a coworker and the coworker dropped his end." The Industrial Commission described plaintiff's claim and course of evaluation and treatment as follows:

6. On or about July 9, 2013, Defendants filed an Industrial Commission Form 60, Employer's Admission of Employee's Right to Compensation, and directed Plaintiff's medical treatment to Dr. Daniel J. Albright at Raleigh Orthopaedic Clinic, P.A. Dr. Albright first examined Plaintiff on July 16, 2013, when he diagnosed Plaintiff with a lumbar strain and mild lumbar nerve irritation.
7. Dr. Albright referred Plaintiff to physical therapy and also recommended a lumbar epidural steroid injection. Dr. Albright outlined a graduated schedule within which he recommended Plaintiff return to work. On October 15, 2013, after participating in physical therapy and receiving the steroid injection, Dr. Albright placed Plaintiff at maximum medical improvement, and allowed Plaintiff to return to full duty work.
8. Defendants filed a Form 24 Application to Terminate Benefits on October 17, 2013. On November 19, 2013, Special Deputy Commissioner Michael R. Kelly allowed Defendants to terminate Plaintiff's TTD benefits. Plaintiff did not appeal the November 19, 2013 Administrative Order.
9. On December 12, 2013, Plaintiff attended a second opinion evaluation with Dr. T. Craig Derian. Physical examination of the plaintiff revealed that he was "very comfortable." Dr. Derian reported that there was no tenderness to palpation in the lumbar spine, and negative straight leg raises bilaterally. Dr. Derian also reviewed the June 18, 2013 MRI scan. At the conclusion of the evaluation, Dr. Derian diagnosed Plaintiff with a remote burst fracture at L3, associated lateral recess stenosis at L2-3 and L3-4, and a symptomatic aggravation/activation of underlying spinal stenosis. Dr. Derian opined that it appeared as though Plaintiff was at maximum medical improvement, and assigned a 5% permanent partial impairment (5% PPI) rating.
10. On February 19, 2014, Plaintiff attended an evaluation with Dr. Dina Eisinger of Triangle Orthopaedic Associates, P.A. Dr. Eisinger agreed that Plaintiff was at maximum medical improvement from a surgical perspective, and agreed with Dr. Derian's assessment that Plaintiff had a five percent permanent partial impairment (5% PPI) to his back. Dr. Eisinger suggested that Plaintiff may require further physical therapy and injections, and assigned work restrictions of no lifting, pushing, or pulling over 30 pounds.
11. On June 12, 2014, Plaintiff attended an evaluation with Dr. Gary L. Smoot of Cary Orthopaedics & Sports Medicine Center. Dr. Smoot advised that: (1) no additional physical therapy was indicated; (2) additional epidural steroid injections would not provide any further benefit; (3) a prescription for Tylenol No. 3 was provided; and (4) a Functional Capacity Examination (FCE) was ordered.
12. On June 16, 2014 and June 17, 2014 Plaintiff attended the FCE. The therapist noted that the FCE was invalid due to "inconsistencies and pattern of behavior demonstrated during the FCE," and recommended that the FCE not be utilized for the assignment of permanent work restrictions....
13. On June 26, 2014, Plaintiff attended a follow-up appointment with Dr. Smoot where it was noted that the use of the Tylenol No. 3 was effective. Dr. Smoot advised Plaintiff that he could return to full duty work, as Dr. Smoot could not assign any work restrictions based on the invalid FCE results. Dr. Smoot noted Plaintiff was not at maximum medical improvement from a pain management perspective.
14. On September 15, 2014, Plaintiff returned to Dr. Eisinger, where he was prescribed a trial of Lorzone for spasms, referred for a repeat MRI scan, and assigned work restrictions of no lifting, pushing, or pulling over 25 pounds and no repetitive bending, stooping, lifting, or twisting. On October 13, 2014, Plaintiff underwent a repeat MRI scan. According to Dr. Eisinger, the scan revealed moderate central canal stenosis secondary to retropulsion of the L3 vertebral body, moderate central canal stenosis secondary to the retropulsed L3 vertebral body at L3-4, and a small anterior annular fissure and mild bilateral neural foraminal stenosis at L4-5.
....
17. On October 22, 2014, Plaintiff attended an Independent Medical Examination with Dr. Michael Gwinn. Dr. Gwinn diagnosed Plaintiff with lumbar spinal stenosis ; mechanical low back pain, most likely related to facet arthrosis ; a remote L3 compression fracture, not related to the work accident; and probable aggravation of pre-existing degenerative changes and spinal stenosis. Dr. Gwinn opined that Plaintiff would "likely" benefit from a work conditioning program and repeat FCE, and further advised that Plaintiff was capable of medium work with no lifting over 50 pounds.
....
19. On December 8, 2014, Plaintiff attended a follow up evaluation with Dr. Gwinn. At the conclusion of the examination. Dr. Gwinn recommended that Plaintiff receive a bilateral L3 transforaminal epidural steroid injection and participate in a work conditioning program. Dr. Gwinn also prescribed Lorzone for pain. He assigned, work restrictions of no lifting more than 50 pounds, no frequent lifting or carrying of objects over 25 pounds, no frequent bending or twisting, and a 2-3 minute break every 30 minutes when sitting or standing. On January 6, 2015, Plaintiff received the epidural steroid injection.
....
21. On January 19, 2015, Plaintiff returned to Dr. Gwinn and reported that the injection did not provide any relief. Dr. Gwinn recommended that Plaintiff undergo one additional lumbar epidural steroid injection at the L4 level. On January 23, 2015, Plaintiff received the injection.
22. On January 21, 2015, Plaintiff was evaluated for work conditioning at Job Ready Services. At the conclusion of the evaluation, it was determined that Plaintiff would benefit from work conditioning "to improve his strength, improve general fitness and improve patient's confidence in his ability to return to work." ...
23. ... On January 27, 2015, Dr. Gwinn requested that Plaintiff be "excuse[d] from work while in work hardening program." The work conditioning program was scheduled for four weeks with a start date of January 21, 2015. From January 22, 2015 until February 8, 2015, Plaintiff attended work conditioning sessions. During this time, Plaintiff could not work full time and also participate in work conditioning; therefore, it was reasonable for Plaintiff to be excused from work.
....
28. On February 20, 2015, Plaintiff returned to Dr. Gwinn, who reviewed the therapists, work conditioning re-evaluation report. Dr.

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Cite This Page — Counsel Stack

Bluebook (online)
809 S.E.2d 922, Counsel Stack Legal Research, https://law.counselstack.com/opinion/adame-v-aerotek-ncctapp-2018.