Debbie Schinbeckler v. Express Scripts, Inc. and Travelers Insurance Co. (mem. dec.)

Indiana Court of Appeals·Decided January 22, 2016·No. 93A02-1503-EX-176·Published

Opinion

MEMORANDUM DECISION

Pursuant to Ind. Appellate Rule 65(D), Jan 22 2016, 8:01 am this Memorandum Decision shall not be regarded as precedent or cited before any court except for the purpose of establishing the defense of res judicata, collateral estoppel, or the law of the case.

ATTORNEY FOR APPELLANT ATTORNEY FOR APPELLEE Gabriel J. Quearry Sonia Das Quearry Law, LLC Rocap Law Firm, LLC Greenwood, Indiana Indianapolis, Indiana

IN THE

COURT OF APPEALS OF INDIANA

Debbie Schinbeckler, January 22, 2016 Appellant-Plaintiff, Court of Appeals Case No.

93A02-1503-EX-176

v. Appeal from the Worker’s Compensation Board of Indiana Express Scripts, Inc. and The Honorable Linda Peterson Travelers Insurance Co., Hamilton, Chairperson Appellees-Defendants. Application Cause Nos.

C-222046, C-222742

Mathias, Judge.

[1] Debbie Schinbeckler (“Schinbeckler”) appeals the order of the Full Indiana Workers Compensation Board (“the Board”) denying her claim that Travelers Insurance Company (“Travelers”) acted with a lack of due diligence in

adjusting her claim for worker’s compensation. On appeal, Schinbeckler Court of Appeals of Indiana | Memorandum Decision 93A02-1503-EX-176 | January 22, 2016 Page 1 of 17 presents four issues for our review, which we consolidate and restate as whether the Board clearly erred in denying her claim.

[2] We affirm.

Statement of Facts

[3] The facts most favorable to the decision of the Board reveal that Schinbeckler was employed by Express Scripts, Inc. (“Express”). On October 31, 2011, she sprained her left ankle when she tripped on a raised floor in the kitchen area at Express. The injury caused a significant amount of swelling and bruising. Although Schinbeckler reported her injury to her immediate supervisor and coworkers, she did not file an accident report at the time, nor did she immediately seek medical treatment. When the swelling and bruising subsided after approximately six weeks, Schinbeckler still had difficulty with the range of motion in her foot.

[4] Schinbeckler first saw a physician on January 23, 2012, when she was treated for her ankle injury by Dr. Corey Kendall (“Dr. Kendall”) at Ortho Indy. Schinbeckler told Dr. Kendall that she had “rolled her ankle on Halloween, and had a severe ankle sprain.” Appellant’s App. p. 48. She also indicated that she had difficulty walking without tripping because she could not lift her foot. Dr. Kendal took an x-ray of Schinbeckler’s left ankle and conducted a physical exam. This revealed Schinbeckler’s left ankle did not have a fracture and that the pain and swelling had subsided. Evidence of an old metatarsal fracture was

Court of Appeals of Indiana | Memorandum Decision 93A02-1503-EX-176 | January 22, 2016 Page 2 of 17 present, and the report states that Schinbeckler had a “history of ankle surgery.” Appellant’s App. p. 50. Dr. Kendall’s report concluded:

We reviewed her x-ray and exam. We discussed the nature of the foot drop, and that we need to determine where the nerve is being affected. We are going to send her for an EMG, and fit her with an AFO [ankle foot orthosis]. She is going to call us after her test is complete so we may refer her to the appropriate provider for care. She is aware this may or may not improve. Her questions were answered today to her satisfaction.

Id. at 50.

[5] As recommended, Schinbeckler had an EMG on January 31, 2012. The results of the EMG indicated “electrodiagnostic evidence of a left fibular mononeuropathy1 located at the fibular head with acute denervation and axon loss. Clinical correlation required.” Appellee’s App. p. 1. The EMG further revealed, “evidence of a polyneuropathy2 in the bilateral lower extremities as well. Clinical correlation required. This most likely represents an incidental finding as patient was asymptomatic on the right lower extremity.” Id. at 2. The EMG report recommended repeated testing in nine to twelve months if the symptoms persisted or worsened, “solely for prognostic value.” Id.

1 Mononeuropathy is “a nerve disease affecting only a single nerve.” Merriam-Webster, http://www.merriam- webster.com/medical/mononeuropathies. 2 Polyneuropathy is “the simultaneous malfunction of many peripheral nerves throughout the body.” Merck Manual, http://www.merckmanuals.com/home/brain,-spinal-cord,-and-nerve-disorders/peripheral-nervedisorders /polyneuropathy.

Court of Appeals of Indiana | Memorandum Decision 93A02-1503-EX-176 | January 22, 2016 Page 3 of 17

[6] Schinbeckler then saw her family physician, Dr. Rebecca Small (“Dr. Small”), on February 13, 2012. Dr. Small noted in her report that Schinbeckler had reduced sensation in her feet and toes. Also indicated in the report is that Schinbeckler had “reduced strength with dorsiflexion[3] in her LLE [lower left extremity].” Appellee’s App. p. 7. Dr. Small’s notes indicate that Schinbeckler had a prior surgical history that included “repair of the leg.” Id. at 5. On February 15, 2012, Schinbeckler asked Dr. Small if she should continue to go to Ortho Indy for her ankle, as she was not sure if her ankle issues were related to Dr. Small having recently diagnosed her with diabetes mellitus. Dr. Small recommended that she continue going to Ortho Indy because her ankle issues could be something other than complications arising out of her diabetes.

[7] On February 23, 2012, Schinbeckler was seen by Dr. Bradley Jelen (“Dr. Jelen”) at Ortho Indy. Dr. Jelen noted that Schinbeckler sprained her ankle on October 31, 2011. Dr. Jelen also diagnosed Schinbeckler with left foot drop secondary to mononeuropathy of the left peroneal nerve4 at the fibula.5 His

3 Dorsiflection is “flexion in a dorsal direction; especially: flexion of the foot in an upward direction.” Merriam-Webster, http://www.merriam-webster.com/medical/dorsiflexion. 4 “The peroneal nerve is a branch of the sciatic nerve, which supplies movement and sensation to the lower leg, foot and toes.” MedlinePlus, U.S. National Library of Medicine, https://www.nlm.nih.gov/medlineplus/ency/article/000791.htm. 5 The fibula is:

the outer or postaxial and usually the smaller of the two bones of the hind or lower limb below the knee that is the slenderest bone of the human body in proportion to its length, articulates above with the external tuberosity of the tibia and below with the talus, and has its lower end forming the external malleolus of the ankle—called also calf bone.

Merriam-Webster, http://www.merriam-webster.com/medical/fibula.

Court of Appeals of Indiana | Memorandum Decision 93A02-1503-EX-176 | January 22, 2016 Page 4 of 17 report also indicates that there may have been compression of the nerve above the fibula “that could have been a result of the trauma that she sustained previously[.]” Appellant’s App. p. 54. Dr. Jelen discussed the possibility of surgical decompression of the nerve but recommended that Schinbeckler get an MRI to rule out the possibility of a lesion in the affected area. He instructed Schinbeckler to return to him after having the MRI. He also noted that Schinbeckler had an unstable gait and was at risk for falling due to her foot drop issues.6 Schinbeckler had an MRI of her ankle performed on February 28, 2012. The MRI revealed a sharp angulation of the left peroneal nerve near the proximal fibula, with no lesions present.

[8] Schinbeckler completed her first Accident Report with her employer on March 2, 2012, over four months after her accident occurred. Schinbeckler admits that this date is the date that her employer’s worker’s compensation carrier, Travelers, first learned of her accident. See Appellant’s Br. p. 11 (“[O]n March 2, 2012, Travelers became aware of Schinbeckler’s left ankle injury.”). Travelers then began an attempt to determine whether Schinbeckler’s mononeuropathy was caused by her October 31 accident.

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Debbie Schinbeckler v. Express Scripts, Inc. and Travelers Insurance Co. (mem. dec.), (Ind. Ct. App. 2016).

Debbie Schinbeckler v. Express Scripts, Inc. and Travelers Insurance Co. (mem. dec.) (Debbie Schinbeckler v. Express Scripts, Inc. and Travelers Insurance Co. (mem. dec.)) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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