Davis v. HOSPICE & PALLIATIVE CARE

692 S.E.2d 631, 202 N.C. App. 660, 2010 N.C. App. LEXIS 377
CourtCourt of Appeals of North Carolina
DecidedMarch 2, 2010
DocketCOA09-306
StatusPublished
Cited by6 cases

This text of 692 S.E.2d 631 (Davis v. HOSPICE & PALLIATIVE CARE) 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
Davis v. HOSPICE & PALLIATIVE CARE, 692 S.E.2d 631, 202 N.C. App. 660, 2010 N.C. App. LEXIS 377 (N.C. Ct. App. 2010).

Opinion

HUNTER, JR., Robert N., Judge.

On 2 October 2008, the Full Commission of the North Carolina Industrial Commission (the “Commission”) found that Pamela S. Davis (“plaintiff’) suffers from Complex Regional Pain Syndrome (“CRPS”) secondary to the compensable back injury she sustained while working for Hospice & Palliative Care of Winston-Salem (“employer”). Employer and Key Risk Insurance Company (collectively “defendants”) appeal the Commission’s Opinion and Award arguing: (1) plaintiff’s temporary total disability payments were improperly reinstated after an unsuccessful return to work, because the issue was not properly before the Deputy Commissioner for determination; (2) plaintiff did not prove that she remains disabled; and (3) the Commission erred in designating plaintiff’s current physician, Dr. Richard Rauck, as an authorized treating physician given that plaintiff did not timely file an appeal from an order denying plaintiff’s Motion for a Change of Treating Physician. We affirm.

Facts

Plaintiff began working for employer on 28 October 2002 as a staff nurse and case manager; her duties primarily included visiting patients in their homes to assist them with physical needs. On occasion, plaintiff had to lift patients in order to help them, which sometimes required her to lift in excess of 100 pounds.

On 18 November 2004, plaintiff lifted a home patient out of his chair in order to assess whether the patient had been injured in a recent fall. The patient initially used his own strength to aid plaintiff in the lift. Plaintiff customarily expected assistance from her patients during these maneuvers to the extent they were able. The patient suddenly stopped helping plaintiff midway through the lift. Unable to bear the entire weight of the patient, both plaintiff and patient fell back into the chair. During the accident, plaintiff suffered “pain in her arm and left shoulder that felt like an electrical shock that went down her left arm.”

*662 Plaintiff did not initially seek medical treatment for her injury, because she thought that treatment for work-related injuries needed to be approved in advance. She continued working for employer through early December 2004, though her pain continued to remain the same after her accident on 18 November 2004. On 7 December 2004, plaintiff again tried to assist a patient by moving him into a bed in his home. The morning after, the pain in “her neck and left upper extremity . . . was unbearable.” Plaintiff then asked employer for authorization to see a physician, and she was referred by employer to PrimeCare of Highland Oaks (“PrimeCare”) for medical treatment.

On 9 December 2004, plaintiff had her first appointment at PrimeCare, and she presented to Mr. Ken Bush, a physician’s assistant being supervised by Dr. James T. Fink. Plaintiff told Mr. Bush that she had felt a pull on the left side of her neck radiating down her left arm on 18 November 2004, and that she had recently aggravated the injury. “She described the pain initially being sharp but that it later became a dull ache that radiated down into the fourth and fifth fingers of her left hand.” During Mr. Bush’s exam, he noted that plaintiff “exhibited positive tenderness to pressure applied to her left shoulder.” Mr. Bush diagnosed plaintiff with a strain of her neck and left trapezius muscle, and prescribed medication and physical therapy. Mr. Bush also restricted plaintiff from doing work requiring either the use of her left'arm or lifting overhead.

After learning of plaintiff’s work restrictions, employer informed plaintiff that they did not have a job open within her restrictions. On 16, 18, and 23 December 2004, plaintiff met with Mr. Bush, and showed no improvement in the condition of her neck and left arm. While meeting with her physical therapist during this time, plaintiff said that she was experiencing swelling in her left hand and arm. At plaintiff’s 23 December 2004 visit at PrimeCare, she reported that: (1) “she had been experiencing swelling in her left hand and particularly in her 4th and 5th fingers with decreased sensationf,]” (2) “she was not getting any relief with her oral pain medications[,]” and (3) “she was unable to sleep even with taking her prescribed Vicodin.”

Sometime after the 23 December 2004 appointment with Mr. Bush, employer offered plaintiff a clerical, light-duty position. Plaintiff returned to work for two days, but was unable to complete the duties of the job because it required the use of her left hand.The trial return to work caused plaintiff’s hand to swell, and she presented again to PrimeCare on 28 December 2004 for more treatment. *663 Plaintiff stated that the pain in her left arm had increased while trying to work, and that she could not take her pain medications during work hours. Mr. Bush noted during his exam “increased sensation over the last three fingers on [pjlaintiff’s left hand” and “tenderness to pressure along the left upper trapezius muscle.” Mr. Bush then restricted plaintiff from working at all until her upcoming initial appointment on 4 January 2005 with her physiatrist, 1 Dr. John G. Bentley.

At her appointment with Dr. Bentley on 4 January 2005, plaintiff rated her pain a seven out of ten. “On physical examination, Dr. Bentley observed that [p]laintiff had hyperhidrosis, which is excessive sweating, of both palms, but she had no hyperemia[ 2 ] in her left hand.” Dr. Bentley noted that plaintiff suffered from diminished sensation in her fifth finger on her left hand, and noticed that an MRI scan of plaintiff’s cervical spine showed “disc bulges at several levels.” These observations led Dr. Bentley to conclude that plaintiff was “suffering from left neck and upper extremity pain”; but because he could not locate the source of plaintiff’s symptoms, he opined instead “that Reflex Sympathetic Dystrophy (RSD)[ 3 ] or Complex Regional Pain Syndrome (CRPS)[ 4 ] might be a differential diagnosis although he felt that the obvious characteristics of RSD or CRPS were not present at that time.” Dr. Bentley continued to restrict plaintiff from work completely.

Following her appointment on 4 January 2005, plaintiff received an epidural steroid injection in an effort to relieve her pain and an EMG study to find out whether she was suffering from nerve irritation or damage. The injection provided plaintiff no significant relief, and the EMG study came back normal. Due to the results of the EMG, Dr. Bentley began to entertain “the idea that [plaintiff] might be suffering from [CRPS].”

*664 Plaintiff met with Dr. Bentley again on 9 February 2005, and plaintiff described pain that was “intermittent, sharp, aching and burning” in her left hand and shoulder in addition to swelling in her fingers. Dr. Bentley found hyperhidrosis on plaintiffs left palm, but did not observe any swelling in the fingers of her left hand. “Dr. Bentley remarked that while he was not completely convinced of the diagnosis of CRPS[,] ...

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Bluebook (online)
692 S.E.2d 631, 202 N.C. App. 660, 2010 N.C. App. LEXIS 377, Counsel Stack Legal Research, https://law.counselstack.com/opinion/davis-v-hospice-palliative-care-ncctapp-2010.