Anthony v. Kelly Foods, Inc.

704 S.W.2d 303
CourtTennessee Supreme Court
DecidedJanuary 20, 1986
StatusPublished

This text of 704 S.W.2d 303 (Anthony v. Kelly Foods, Inc.) is published on Counsel Stack Legal Research, covering Tennessee Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Anthony v. Kelly Foods, Inc., 704 S.W.2d 303 (Tenn. 1986).

Opinion

OPINION

FONES, Justice.

In this worker’s compensation case plaintiff, John Anthony, appeals from the decree of the trial court denying his claim that he sustained a permanent partial disability. Plaintiff was injured in the course and scope of his employment on April 20, 1981, and also claims to have suffered a re-injury on August 10, 1981. There was no denial that he suffered a work injury on April 20, 1981, and defendants paid temporary total disability and medical expenses for treatment by doctors on the employer’s list.

In this Court there are only two issues, whether plaintiff’s request for findings of fact was timely and whether there is any material evidence to support the trial judge’s denial of plaintiff’s claim of a permanent partial disability.

Doctor Warmbrod, an orthopedic surgeon, testified by deposition that he first saw plaintiff on April 25, 1981; that Dr. Lane had referred plaintiff to him after plaintiff failed to respond to Dr. Lane’s therapy. Plaintiff complained of low back pain but no leg pain. Doctor Warmbrod thought at that time he was dealing with a lumbar sacral strain. He recommended an anti-inflammatory medication and encouraged him to walk at least two miles per day. He determined that plaintiff had no disc disease nor any kind of nerve root irritation. When plaintiff returned to Dr. Warmbrod on June 15, 1981, he reported that he was much improved and was able to walk a mile or two several times a day. On that visit Dr. Warmbrod told him to continue his walking and arranged for outpatient physical therapy at the hospital and told him to return in three weeks.

Plaintiff returned on July 7 and reported that his back was still hurting. Doctor Warmbrod testified that he thought plaintiff had had plenty of time to get over the [306]*306injury he had sustained on April 20 and tried to encourage plaintiff. He fitted him with a lumbar sacral corset, gave him a mild pain medication and told him he could return to work on July 13 and return to the doctor’s office in three weeks. Plaintiff returned in two weeks and for the first time complained of leg pain. Doctor Warmbrod told him to continue with Motrin, the anti-inflammatory medication and return in three weeks. Plaintiff returned in eight days and said he couldn’t work because of his back and leg pains. Doctor Warmbrod hospitalized him the next day, July 29, 1981.

In the hospital Dr. Warmbrod performed a lumbar myleogram, an electromyoence-phalogram, a nerve conduction study, and each test was entirely within normal limits. He consulted with a neurosurgeon and both concluded that they were dealing with a muscular problem and that the recommendation to the patient should be that he try to resume normal activities as soon as possible. Doctor Warmbrod described plaintiff’s reaction to that advice as follows:

“When I tried to talk to the patient and explain what we had found I felt like our relationship rapidly deteriorated. The patient strongly felt that there was something seriously wrong with him. And we have tried to talk to him and explain to him that we have done the tests, we have examined him and we could not find any evidence of any serious back injuries.
I tried to encourage him to resume activities. He said I had insulted him by not finding anything wrong with him. And at that time he requested to go home and he requested to see Dr. Robert Barnett. I just — I told him I would not refer him to this doctor. I told him if he shopped around long enough, he would eventually find someone that would operate on his back; and I felt like this would be a big mistake.
I tried to explain to him again that we had found nothing seriously wrong with him, that he was a young man, and I would hate to see him become a back cripple. So, he was discharged.”

The discharge date was August 5, 1981. Doctor Warmbrod testified that he next saw plaintiff on August 10, 1981, in the emergency room at the hospital where plaintiff said that about one and one-half hours after he went to work he fell down some steps and injured his back. He was very uncooperative with the nurses, vague about how far he had fallen, but was complaining of severe pain and moaning and groaning. Doctor Warmbrod talked to plaintiff’s supervisor who reported that the company had no history of a fall at work on that date. Doctor Warmbrod testified that plaintiff would moan and groan and complain but at other times would stop and seem to be comfortable; that one time he tried to pick up his leg and plaintiff groaned and would not allow it and later he picked up his leg to about seventy-five degrees. Doctor Warmbrod could find no motor weakness; plaintiff’s deep tendon reflexes were equal and he concluded that his problems were psychological since there were no objective findings to substantiate plaintiff’s subjective complaints.

Doctor Robert Winston testified by deposition. In giving his professional background he stated that he served a one year residence-internship in internal medicine and a two year residency in internal medicine, but did not say that he was Board Certified in internal medicine. He saw plaintiff for the first time on July 25, 1981, at his office. Plaintiff was complaining of back pain from an injury at work on April 20, 1981. His finding was that plaintiff had muscle spasm in the lumbar spine area. He acknowledged that a “diagnosis of muscle spasm is a subjective one. You can’t really tell the extent of the muscle-ligamen-tal injury that you are dealing with.” He testified that the normal treatment for muscle spasm was anti-inflammatory agents, muscle relaxants, physical therapy and hot packs and that the average patient would be expected to recover from a muscle spasm within four to eight weeks.

Doctor Winston next saw plaintiff in the hospital on August 10. Apparently Dr. [307]*307Warmbrod advised Dr. Winston that he was withdrawing from the care of plaintiff. Doctor Winston testified that he consulted with Dr. Warmbrod on August 10, and in addition to the normal treatment he recommended that plaintiff see a psychiatrist because he had severe depression. His depression, according to Dr. Winston, was brought about by his feeling that he was permanently injured and would not be able to make a living and care for his family. The record contains no evidence of the result of any psychiatric examination or treatment.

Doctor Winston saw plaintiff twenty-two times in his office between August 10, 1981 and January 26, 1983. Although as time went on plaintiff expanded his complaints to neck pain, pain radiating down both legs to his heels, headaches, etc., Dr. Winston testified that his physical finding was “a moderate amount of tenderness of the lumbar sacral area,” that was essentially unchanged throughout that period. Also, his treatment was essentially unchanged although for a short period he prescribed steroids and at another time Valium.

Doctor Winston’s deposition was taken on January 20, 1983, and again on February 9, 1983. In the interim he had seen plaintiff on January 26, 1983. The entire direct examination of Dr. Winston on February 9, 1983, was as follows:

Q. Doctor, I have one question for you on the John Anthony case. I understand that you gave him a rating of twenty-five percent disability. Is that true?
A. Yes.
Q. And in your opinion do you think that is a fair and reasonable percentage of disability?
A. Yes.

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Bluebook (online)
704 S.W.2d 303, Counsel Stack Legal Research, https://law.counselstack.com/opinion/anthony-v-kelly-foods-inc-tenn-1986.