Duignan, Duwan v. Stowers Machinery Corporation

2018 TN WC App. 25
CourtTennessee Workers' Compensation Appeals Board
DecidedMay 29, 2018
Docket2017-03-0080
StatusPublished

This text of 2018 TN WC App. 25 (Duignan, Duwan v. Stowers Machinery Corporation) is published on Counsel Stack Legal Research, covering Tennessee Workers' Compensation Appeals Board primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Duignan, Duwan v. Stowers Machinery Corporation, 2018 TN WC App. 25 (Tenn. Super. Ct. 2018).

Opinion

TENNESSEE BUREAU OF WORKERS’ COMPENSATION WORKERS’ COMPENSATION APPEALS BOARD (HEARD APRIL 26, 2018 AT KNOXVILLE)

Duwan Duignan ) Docket No. 2017-03-0080 ) v. ) State File No. 42192-2016 ) Stowers Machinery Corporation, et al. ) ) ) Appeal from the Court of Workers’ ) Compensation Claims ) Pamela B. Johnson, Judge )

Reversed and Remanded—Filed May 29, 2018

The employee, a delivery driver, injured his back when he picked up a box in the course of his employment. The employer accepted the injury as compensable and provided light duty work until the employee reached maximum medical improvement. The sole issue at trial was whether the employee was entitled to permanent total disability benefits or permanent partial disability benefits. The trial court concluded the employee was permanently totally disabled and ordered the employer to pay benefits accordingly. The employer has appealed. We reverse the trial court’s decision and remand the case for a determination of the employee’s permanent partial disability.

Presiding Judge Marshall L. Davidson, III, delivered the opinion of the Appeals Board in which Judge David F. Hensley joined. Judge Timothy W. Conner dissented.

G. Gerard Jabaley, Knoxville, Tennessee, for the employer-appellant, Stowers Machinery Corporation

Link A. Gibbons, Morristown, Tennessee, for the employee-appellee, Duwan Duignan

Factual and Procedural Background

The facts of this case are largely undisputed. Duwan Duignan (“Employee”), a sixty-one-year-old resident of Loudon County, Tennessee, was employed by Stowers Machinery Corporation (“Employer”), a heavy equipment dealer for Caterpillar in Knoxville. He is a high school graduate and worked for Employer for some thirty-seven years before retiring in 2016.

1 While performing his job duties as a parts delivery driver on June 1, 2016, Employee lifted a box and felt “pressure” in his low back. Thinking nothing of it, he completed his shift and went home. When he woke up the following day, he noticed some discomfort but believed it would improve throughout the day. He completed his shift and, upon arriving home, informed his wife of his complaints. He also contacted his supervisor and was offered medical care.

Employee was provided a panel of physicians from which he selected Dr. Patrick Bolt as his authorized doctor. He saw Dr. Bolt, an orthopedic surgeon, on July 27, 2016, with complaints of low back pain radiating into his right leg. Dr. Bolt diagnosed a herniated disc and provided conservative care, including epidural steroid injections. Employee continued to experience pain in his low back, although by September 2016, the radiation of pain into his leg had improved. Dr. Bolt believed Employee was not a surgical candidate and ordered a Functional Capacity Evaluation (“FCE”) to determine what, if any, work restrictions were appropriate. Dr. Bolt reviewed the results of the FCE and adopted the restrictions recommended by that evaluation as Employee’s permanent work restrictions. He placed Employee at maximum medical improvement with a seven percent permanent anatomical impairment rating. 1

Employer had provided light duty work during Employee’s recovery period, and it allowed him to continue to perform that work through October 2016, at which time he retired. He did not seek employment elsewhere.

Dr. Bolt testified about Employee’s use of a cane, which he had begun using almost immediately after his injury. According to Dr. Bolt, the use of a cane by someone with low back pain is not indicated by the medical literature and he never recommended it. When questioned about whether using a cane was appropriate, Dr. Bolt stated, “I’m going to be very specific about that. I would not recommend use of a cane for a patient with back pain.” He went on to state that the cane

literally is a crutch. That’s what we call it. When something becomes a crutch, it become[s] something that you rely on to get by. And I continue to maintain that that is not an ideal situation for someone with back pain. And it is something that he selected, not something that was given to him by his practitioners.

Employee obtained an evaluation from Dr. William Kennedy, also an orthopedic surgeon, who agreed with Dr. Bolt that Employee was not a surgical candidate. He also 1 Dr. Bolt initially assigned a six percent anatomical impairment rating. However, during his deposition, he acknowledged that he had inadvertently relied on the portion of the AMA Guides related to cervical injuries rather than lumbar injuries and that, when utilizing the correct section of the Guides, Employee’s anatomical impairment was actually seven percent rather than six percent. 2 agreed with Dr. Bolt’s treatment and conclusions, though he assigned a nine percent anatomical impairment rating and imposed restrictions more severe than those imposed by Bolt. Dr. Kennedy described these restrictions as prophylactic rather than determined by Employee’s measured abilities. He acknowledged that he assigns similar restrictions to everyone he evaluates with this type of injury without regard to the individual’s age, work environment, fitness level, or other factors. Importantly, he also agreed that there was not “anything within the restrictions [he] outlined that [he] would say would absolutely prevent [Employee] from being gainfully employed.”

The parties also obtained the opinions of vocational experts regarding the extent of Employee’s vocational disability. Employee retained Michael Galloway who, after interviewing Employee over the phone and reviewing his medical records, Dr. Kennedy’s report, and the depositions of the physicians, concluded that he was 75% vocationally disabled if the court adopted Dr. Bolt’s restrictions. If the court accepted the restrictions of Dr. Kennedy, Mr. Galloway concluded Employee was totally disabled.

Employer selected Anthony Enoch to perform a vocational assessment. When considering Dr. Bolt’s restrictions, Mr. Enoch identified ten job classifications that would be suitable for Employee. He was initially unable to identify any positions when applying Dr. Kennedy’s restrictions. However, after performing a labor market survey of the area where Employee resides, Mr. Enoch identified jobs which would meet Employee’s vocational limitations, and he concluded Employee was capable of gainful employment in the Knoxville area.

After Employee was placed at maximum medical improvement, the parties agreed he could not return to work in his position as a parts delivery driver. However, Employer identified an available warehouse position that could be modified to accommodate Employee’s restrictions. Although the job description for the position exceeded the weight limits of the work restrictions assigned by Dr. Bolt, Employer offered to provide lifting devices and to allow Employee to seek co-workers’ assistance when needed. Employee expressed concern about being required to walk and stand continuously, and Employer agreed to allow him to sit down when needed, within reason.

However, the parties were unable to agree regarding Employee’s use of a cane, as it was not recommended or prescribed by Dr. Bolt. Employee refused to accept the offered position unless he could use his cane. Employer refused to allow Employee to use the cane in the warehouse because it was a hazard to others and because he needed both hands to perform his duties. Employee declined the offer to work in the warehouse, and his employment ended October 31, 2016.

Following a trial, the court concluded that Dr. Kennedy’s opinion was insufficient to rebut the statutory presumption of correctness afforded to Dr. Bolt’s opinion with respect to anatomical impairment. In addition to accepting Dr. Bolt’s seven percent

3 impairment rating as the applicable anatomical impairment, the court also adopted Dr.

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Bluebook (online)
2018 TN WC App. 25, Counsel Stack Legal Research, https://law.counselstack.com/opinion/duignan-duwan-v-stowers-machinery-corporation-tennworkcompapp-2018.