Brees, Sarah v. Escape Day Spa & Salon

2015 TN WC 16
CourtTennessee Court of Workers' Compensation Claims
DecidedFebruary 10, 2015
Docket2014-06-0072
StatusPublished

This text of 2015 TN WC 16 (Brees, Sarah v. Escape Day Spa & Salon) 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
Brees, Sarah v. Escape Day Spa & Salon, 2015 TN WC 16 (Tenn. Super. Ct. 2015).

Opinion

COURT OF WORKERS’ COMPENSATION CLAIMS DIVISION OF WORKERS' COMPENSATION

EMPLOYEE: SARAH BREES DOCKET NO. 2014-06-0072

STATE FILE NO. 74650-2014

EMPLOYER: ESCAPE DAY SPA & DATE OF INJURY: SEPTEMBER 10, 2014 SALON

INSURANCE CARRIER: THE TRAVELERS

EXPEDITED HEARING ORDER

THIS CAUSE came before the undersigned Workers' Compensation Judge upon the Request for Expedited Hearing filed by Sarah Brees, the Employee, pursuant to Tennessee Code Annotated section 50-6-239(d), on January 12, 2015. Ms. Brees requested an evidentiary hearing pursuant to Rule 0800-02-21-.14(1)(b) of the Tennessee Comprehensive Rules and Regulations. The undersigned convened a hearing of this matter via telephone on January 26, 2015. Ms. Bree’s proceeded pro se and Employer, Escape Day Spa and Salon (Escape), was represented by attorney Vanessa Hall. Upon review of Employee’s request, the evidence submitted, the testimony at the hearing and the parties’ arguments, and in consideration of the applicable law, the Court enters the following order for medical benefits.

Issues

Employee has presented the following issues for adjudication in her request for expedited hearing:

1. Whether Escape should be required to provide Ms. Brees additional medical treatment.

2. Whether Escape should be required to reimburse Ms. Brees the cost of medical bills which she paid out-of-pocket.

3. Whether Escape should be required to provide Ms. Brees past and ongoing temporary total or temporary partial disability benefits. Evidence Submitted

The Court entered the following exhibits into evidence upon the parties’ stipulation of their admissibility:

1. Medical records of Tennessee Orthopedic Alliance 2. Medical records of Hillsboro Imaging 3. Medical records of Care Spot 4. Medical records of Dr. Paul Abbey 5. Receipts from co-pays made by Ms. Brees 6. Wage statement 7. Choice of physician form completed by Ms. Brees 8. Notice of claim denial dated October 20, 2014

History of Claim

Ms. Brees worked as a massage therapist for Escape. Her work activities included providing massages of varying intensity to patrons. The work required significant use of her hands and wrists. Ms. Brees testified that she had worked as a massage therapist for thirteen years and that she worked six days per week. Ms. Brees claimed that she performed a lot of deep tissue massages.

On September 12, 2014, Ms. Brees experienced significant pain in her right wrist and hand. She went to Care Spot, a walk-in clinic, who advised her that she likely had an overuse injury. Care Spot instructed Ms. Brees to rest her “left wrist” and apply ice to it in fifteen- minute intervals several times each day.1 (Exh. 3) (emphasis added).

On September 15, 2014, Ms. Brees notified her supervisor of the injury and requested that it be reported to workers’ compensation. Escape provided Ms. Brees a panel of physicians and she selected Dr. Jane Siegel of Tennessee Orthopedic Alliance as the authorized treating physician (ATP). (Exh. 7).

Dr. Siegel ordered an MRI of Ms. Brees’s right wrist and hand. (Exh. 1). The MRI results were essentially normal. (Exh. 2). Dr. Siegel diagnosed Ms. Brees with inflammation of the right wrist and restricted her from using her right hand at work. (Exh. 1). She placed a splint on the right hand and wrist and recommended rest and physical therapy. Id. Concerning the cause of Ms. Brees’s pain, Dr. Siegel wrote the following response on a letter from Travelers: “Impossible to say there is ‘no injury’—Pt[.] has pain in wrist of unknown etiology—all inflammation cause is multifactorial—without a specific injury I cannot pinpoint the cause.” (Exh. 1, Traveler’s Letter dated October 16, 2014). One section of the letter asked Dr. Siegel to provide her opinion “within a reasonable degree of medical certainty” of whether Ms. Brees’s “diagnosis and need for treatment arose primarily out of and in the course and scope of her employment with [Escape.]” Id. Dr. Siegel did not complete this section of the letter. Id.

1 The undersigned assumes that the naming of the left wrist is an error on the part of the medical provider as the parties never disputed Ms. Brees injured her right wrist.

2 On October 20, 2014, Travelers issued a notice of denial that terminated Ms. Brees’s medical benefits. (Exh. 8). Travelers stated the following reasons for denying the claim: “No medical evidence of injury; not major contributing cause; no injury per statutory definition; right to reserve[.]” Id.

After Travelers terminated Ms. Brees’s medical benefits, she continued to receive care from Dr. Siegel and utilized her private insurance to cover the costs. (Exh. 2, 5). On November 13, 2014, Dr. Siegel completed a form that bears the heading “Sarah Brees DCN.pdf.” (Exh. 2). In that form, Dr. Siegel completed the section entitled “Primary diagnosis for disability and ICD code” by writing: “wrist tenosynovitis[,] wrist pain 727.05, 719.43.” Id. Dr. Siegel also indicated that Ms. Brees’s disability began on September 12, 2014, and that she had not been cleared to return to work. Id. Ms. Brees’s medical records do not indicate that received further treatment from Dr. Siegel. (Exh. 2).

After Ms. Brees’s last visit with Dr. Siegel, she rested her wrist for several weeks but did not notice any improvement. So on December 13, 2014, Ms. Brees sought a second opinion from Dr. Paul Abbey. (Exh. 4). She utilized her private medical insurance to cover the costs. (Exh. 4, 5).

At the first appointment, Ms. Brees told Dr. Abbey that she had been experiencing wrist pain for the last several months but did not disclose a specific injury. (Exh. 4). Ms. Brees told Dr. Abbey that she worked as a massage therapist. Id. Although Ms. Brees testified that she provided the MRI report to Dr. Abbey, the medical records indicated that Dr. Abbey did not review it.

Like Dr. Siegel, Dr. Abbey also diagnosed Ms. Brees with tenosynovitis. Id. He injected her arm with steroids and told her to follow up in two-to-three weeks if her symptoms did not improve. Id. In his medical notes, Dr. Abbey wrote the following concerning causation: “Her tendonitis is more likely caused by her present employment.” Id. Dr. Abbey did not restrict Ms. Brees’s activities. Id.

Ms. Brees returned to Dr. Abbey on January 21, 2015. At that appointment, Dr. Abbey prescribed oral steroids as well as a steroid compound cream. Id. Dr. Abbey also confirmed the diagnosis of tenosynovitis. Id.

At the hearing, Ms. Brees testified that Dr. Abbey took her off work at the January 21, 2015 visit. The office notes from that visit, however, do not mention her work. In his notes, Dr. Abbey wrote only that Ms. Brees should reduce her “activities” for two weeks and could then “resume her activities” if her symptoms improved. Id.

Ms. Brees presented receipts showing that she paid $25.00 in copays to Dr. Siegel and to Dr. Abbey. She also presented a medical bill showing that she owed $502.41 to Dr. Siegel’s as of December 1, 2014. (Exh. 5).

At the time of the injury, Ms. Brees earned $950.76 per week which results in a compensation rate of $633.87. (Exh. 6).

3 Employee’s Contentions

Employee alleges that she suffered a compensable workplace injury and is entitled to temporary disability and medical benefits. She argues that the opinion of Dr. Paul Abbey proves that her wrist pain and need for treatment is related to her work. She further argues that Dr. Siegel and Dr. Abbey each restricted her from work and that she is, therefore, entitled to temporary disability benefits.

Employer’s Contentions

Escape argues that Ms. Brees has not suffered a compensable injury. Her request for temporary disability and medical benefits should be denied. In support of this position, Escape relies upon the statement of Dr.

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Cite This Page — Counsel Stack

Bluebook (online)
2015 TN WC 16, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brees-sarah-v-escape-day-spa-salon-tennworkcompcl-2015.