Adams, Pamela v. LHC Group, a/k/a SunCrest Companion Services

2024 TN WC 36
CourtTennessee Court of Workers' Compensation Claims
DecidedApril 25, 2024
Docket2024-60-0763
StatusPublished

This text of 2024 TN WC 36 (Adams, Pamela v. LHC Group, a/k/a SunCrest Companion Services) is published on Counsel Stack Legal Research, covering Tennessee Court of Workers' Compensation Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Adams, Pamela v. LHC Group, a/k/a SunCrest Companion Services, 2024 TN WC 36 (Tenn. Super. Ct. 2024).

Opinion

FILED Apr 25, 2024 07:00 AM(CT) TENNESSEE COURT OF WORKERS' COMPENSATION CLAIMS

TENNESSEE BUREAU OF WORKERS’ COMPENSATION IN THE COURT OF WORKERS’ COMPENSATION CLAIMS AT NASHVILLE

Pamela Adams, ) Docket No. 2024-60-0763 Employee, ) v. ) LHC Group, a/k/a SunCrest ) State File No. 19187-2023 Companion Services, ) Employer, ) And ) Judge Kenneth M. Switzer Indemnity Insurance Co. of N.A., ) Carrier. )

EXPEDITED HEARING ORDER DENYING REQUESTED RELIEF (DECISION ON THE RECORD)

Pamela Adams requested an expedited hearing on the record without objection from SunCrest Companion Services. Ms. Adams seeks panels of ear, nose, and throat specialists and ophthalmologists, temporary disability benefits, and attorney’s fees. For the reasons below, the Court denies her requests at this time.

Claim History

Ms. Adams, a licensed practical nurse, was assisting a patient on March 3, 2023, when she injured her shoulder as she fell backward before landing on her elbows and right arm. She also hit her head on a door as she fell. SunCrest accepted the claim, and Dr. Matthew Willis performed shoulder surgery in May.

For the head injury, Ms. Adams chose Dr. Subir Prasad from a panel. At her first visit in October, Dr. Prasad ordered an MRI and prescribed medication. He noted visual changes and tinnitus and wrote that he might order evaluations by an ophthalmologist and ENT if the MRI results were normal and her symptoms did not improve from the medication.

1 In November, Dr. Prasad made referrals to both an ENT and ophthalmologist after the MRI results were normal, but apparently Ms. Adams’s symptoms continued.1

Letters to Dr. Prasad

Both attorneys sent Dr. Prasad letters asking about the referrals, which this decision turns on.

SunCrest sent the first letter to Dr. Prasad asking about the referrals and causation. In his response, Dr. Prasad checked “yes” when asked, “Would you agree that a referral to the ENT specialist for a diagnosis of tinnitus is not more than 50% related to the work incident, which occurred on March 3, 2023?” (Emphasis in original). Dr. Prasad likewise checked “yes” when asked, “Would you agree that the referral for blurry vision to an ophthalmologist was not more than 50% related to the work incident on March 3, 2023?” Based on these responses, SunCrest did not honor the referrals.

Ms. Adams sent a follow-up letter to Dr. Prasad. The initial questions dealt with the ENT referral as it relates to vestibular disorder. She asked, “Do you agree or disagree that based on clinical findings and reports to you by Ms. Adams that she has dizziness[,] which may be some form of vestibular disorder, you opine that she needs to see an ENT specialist?” Dr. Prasad wrote “yes.” She then asked, “That because you profess not to be an expert in vestibular disorders, do you agree or disagree that you cannot render an opinion as to whether or not the causation of a potential vestibular disorder is causally related to striking her head at work?” Dr. Prasad wrote, “disagree—I can opine on neurologic etiologies of vestibular disorder.”

The next pair of questions asked about tinnitus. “Do you agree or disagree that based upon clinical findings and reports to you by Ms. Adams that she suffers from ringing in her ears[,] which could be tinnitus, you opine that she needs to see a specialist most likely an ENT, who can diagnose and treat tinnitus?” Dr. Prasad wrote “yes.” She then asked, “That because you profess not to be an expert in tinnitus, do you agree or disagree that you cannot render an opinion as to whether or not the causation of the tinnitus is causally related to striking her head in her work injury?” Dr. Prasad wrote, “disagree—I can opine on neurologic etiologies of tinnitus.”

Ms. Adams’s final questions touched on her blurred vision. She asked, “Do you agree or disagree that based upon clinical findings or reports by your patient that she suffers from blurred vision, which may or may not be a consequence of a vestibular disorder or tinnitus, that she should be referred to an ophthalmologist for that blurred vision?” Dr. Prasad wrote “yes.” Finally, she asked, “That because you profess not to be an expert in

1 The parties only offered slips documenting the referrals and not the complete medical records from this visit. 2 blurred vision[,] which could be a consequence of trauma, vestibular disorder, or tinnitus, do you agree or disagree that you cannot render an opinion as to whether or not the blurred vision is causally related to her striking her head at work?” Dr. Prasad wrote, “disagree— I can opine on neurologic etiologies of visual symptoms.”

Evidence regarding temporary disability benefits

After the shoulder surgery, Dr. Willis placed work restrictions; his last note dated December 5 stated that Ms. Adams cannot lift more than ten pounds. None of Dr. Prasad’s records specifically states that he took her off work or limited her to restricted duty.

In her petition for benefit determination, Ms. Adams alleged that she received temporary disability benefits until December 14. She did not testify in her declaration about the circumstances of SunCrest offering her modified duty and her response. Rather, the parties submitted written communications as the sole proof on this issue.

In a December 14, 2023 letter, SunCrest’s human resources specialist, Laney Guidry, sent Ms. Adams a letter offering her nursing work beginning December 18 within her ten-pound lifting restriction. The letter assured Ms. Adams that the tasks would be within her restrictions and instructed her to contact Ms. Guidry or a supervisor if she were asked to work beyond her restrictions.

Later, a January 5 email from Ms. Adams to Ms. Guidry stated that Ms. Adams recently received “new restrictions” from Dr. Willis, although Ms. Adams did not submit records documenting them. Ms. Adams additionally wrote that she is “willing and ready to work within those restrictions.” Ms. Guidry asked if she could return the very next day, but Ms. Adams declined, stating she had doctor appointments (unrelated to the injury).

Ms. Adams also asked about her work duties. Ms. Guidry responded, “We can accommodate you starting tomorrow working in the field with patient care within your restrictions.” The next email, from Ms. Adams, stated, “Per our phone conversation at 10:47am today, you will inform me of the assignments available by the end of the day.”

On January 8, Ms. Adams emailed Ms. Guidry again to state that she had not heard back from her. Ms. Adams wrote, “I have followed all of your instructions to email medication list and restrictions. I have not denied or refuse[d] any work within the restrictions in December 2023 nor have I refused or denied to work within my restrictions since our last conversation January 4th at 10:47 am [sic].”

Ms. Guidry disagreed with these statements in her same-day response. She wrote that Ms. Adams “indicated when [they] spoke in December that [she] would not be able to accept the light duty offered due to medication, which [she] believed impaired [her] ability to drive, although this limitation was not notated [sic] by [her] physicians.” Ms. Guidry

3 then offered a light-duty position visiting patients, where she would not have to work outside of her restrictions. She added that this position had a “focus on medication or otherwise will be hands off visits that will not require you to carry a nurse’s bag.” If these visits were unavailable, Ms. Guidry wrote that Ms. Adams would perform “administrative work, which will primarily include answering phones or auditing files.” No response to this offer was included in the record, and Ms. Adams filed her petition on February 1. 2

Findings of Fact and Conclusions of Law

To obtain the requested relief, Ms.

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Related

§ 50-6-239
Tennessee § 50-6-239(c)(6)

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Bluebook (online)
2024 TN WC 36, Counsel Stack Legal Research, https://law.counselstack.com/opinion/adams-pamela-v-lhc-group-aka-suncrest-companion-services-tennworkcompcl-2024.