Dyer, Destiny v. PetSmart, Inc.

2024 TN WC App. 5
CourtTennessee Workers' Compensation Appeals Board
DecidedMarch 1, 2024
Docket2023-05-0917
StatusPublished

This text of 2024 TN WC App. 5 (Dyer, Destiny v. PetSmart, Inc.) 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
Dyer, Destiny v. PetSmart, Inc., 2024 TN WC App. 5 (Tenn. Super. Ct. 2024).

Opinion

FILED Mar 01, 2024 06:50 AM(CT) TENNESSEE WORKERS' COMPENSATION APPEALS BOARD

TENNESSEE BUREAU OF WORKERS’ COMPENSATION WORKERS’ COMPENSATION APPEALS BOARD

Destiny Dyer ) Docket No. 2023-05-0917 ) v. ) State File No. 50156-2022 ) PetSmart, Inc., et al. ) ) ) Appeal from the Court of Workers’ ) Compensation Claims ) Thomas L. Wyatt, Judge )

Affirmed and Remanded

In this interlocutory appeal, the employer contests an order awarding medical benefits. The employee reported an injury to her shoulder and arm while grooming a dog, and the employer initially provided benefits. Several months later, at her first visit with an authorized pain management physician, the employee described having hit her head during the incident, and the physician referred her to a neurosurgeon for evaluation of symptoms in her cervical spine. After the neurosurgeon recommended surgery, the employer denied the procedure based on defective notice. Following an expedited hearing, the trial court ordered the employer to provide surgery as recommended by the employee’s neurosurgeon. The employer has appealed. After careful consideration, we affirm the trial court’s award of medical benefits and remand the case.

Judge Meredith B. Weaver delivered the opinion of the Appeals Board in which Presiding Judge Timothy W. Conner and Judge Pele I. Godkin joined.

A. Allen Grant and Benjamin T. Norris, Nashville, Tennessee, for the employer-appellant, PetSmart, Inc.

Cindy (Harris) Harlow, Nashville, Tennessee, for the employee-appellee, Destiny Dyer

Factual and Procedural Background

Destiny Dyer (“Employee”) was working as a dog groomer for PetSmart, Inc. (“Employer”), on June 25, 2022 when she reported suffering an injury. She was trimming the nails of a French Mastiff when the dog pushed his left paw forward, pulling her left arm and causing her to twist and be pulled backwards. Employee informed her supervisor

1 of the incident but declined medical treatment on that date. After two weeks, Employee had not improved and requested medical treatment. Employer documented the injury as “employee was clipping nails when a large dog kicked its leg and employee heard a pop in her shoulder.” Employee also spoke to a registered nurse with Employer’s insurance carrier and described left shoulder pain after a dog “yanked” her shoulder. Employer authorized Employee to visit an urgent care clinic, where she was diagnosed with a “strain of unspecified muscle, fascia[,] and tendon at shoulder and upper arm level.” On a later visit to urgent care on August 11, 2022, Employee described “constant pain of the neck.” During her last visit to urgent care, she reported left shoulder numbness and tingling. At that point, she was referred to an orthopedist.

Employer provided a panel of orthopedic physicians, and Employee selected Dr. Roderick Vaughan. At her initial appointment on September 12, 2022, she reported left- sided radiating pain from her shoulder to her forearm and tingling in her fingers after a work injury in which a French Mastiff pulled her left arm backward. Dr. Vaughan ordered an MRI of the left shoulder and nerve testing, both of which were normal. He referred Employee to a pain management specialist, and Employer provided a panel, from which Employee selected Dr. Jeffrey Hazlewood.

During her initial appointment with Dr. Hazlewood on October 24, 2022, Employee reported that when the dog pulled her arm, she “smacked” her head on a metal bar over the grooming table, which Dr. Hazlewood noted “may have caused a whiplash type” injury. This is the first medical documentation indicating that Employee hit her head at the time of the accident. At that time, Dr. Hazlewood ordered an MRI of the cervical spine and another nerve test of the left arm. The MRI revealed a large left-sided disc herniation at C6-7, and the nerve testing indicated radiculopathy extending from the C7 level. Dr. Hazlewood opined Employee’s condition was work related and referred her to Dr. George Lien, a neurosurgeon. Employer approved the referral and, following an evaluation, Dr. Lien recommended surgery.

Thereafter, Employer began to question the claim based on the new information in the medical records regarding Employee’s description of the accident, in particular Employee’s report that she struck her head. After reviewing the prior medical records at Employer’s request, Dr. Hazlewood noted there was no mention that Employee hit her head at the time of the accident. He completed a questionnaire on May 30, 2023 regarding causation of the neck injury and revised his opinion, noting that if there was no impact to Employee’s head, the incident with the French Mastiff would not, in his opinion, be the primary cause of the disc herniation and the need for surgery. Based on this response, Employer denied the surgery, and Employee filed a petition for benefit determination.

The parties deposed both Dr. Lien and Dr. Hazlewood in preparation for the expedited hearing. Dr. Lien, a board-certified neurosurgeon, testified that, based on his evaluation of Employee and her MRI and EMG results, he recommended an anterior

2 cervical discectomy at C6-7. Dr. Lien concluded that the disc herniation and Employee’s need for surgery were more than fifty percent caused by the work incident, considering all causes. Employer’s counsel presented Dr. Lien with all the prior medical records, including questionnaires, and questioned him regarding Employee’s initial reports of a shoulder injury and her later report to Dr. Hazlewood of having hit her head. Dr. Lien stated, “[C]ertainly it’s a relevant part of the history, but as far as . . . the importance of whether she may have suffered that sort of an injury or not, it’s not as relevant.” He went on to say that “just the jerking of the arm with the sudden movement is enough of a mechanism to create a cervical disc herniation,” and he concluded it was more likely than not that the reported injury was the cause of the disc herniation.

During his deposition, Dr. Hazlewood, who is board-certified in physical medicine, rehabilitation, and pain management, reiterated his opinion that without the impact to the head Employee related to him at her initial visit, he did not believe the mechanism of injury was the primary cause of the cervical herniation. Dr. Hazlewood stated, “[i]n my mind, pulling an arm and hyperextending the shoulder does not have any significant force on the cervical spine . . . . I think it’s going to have to be some kind of significant force applied to the spine to cause the disc herniation, not the yanking of an arm where the force is applied to the shoulder.” He further noted that Dr. Vaughan, who is an orthopedic physician specializing in the shoulder and neck, apparently did not believe Employee had suffered a neck injury at the time he evaluated her. Finally, Dr. Hazlewood noted that Employee presented with normal strength and had a normal EMG with Dr. Vaughan but had left extremity weakness and radiculopathy by the time she had her initial appointment with him, which he believed to be unusual. He testified he did not understand how weakness would not be present until over three months after the accident and that in “[his] mind, four weeks [after] would be the limit” for the weakness to begin. The implication of such testimony, according to Employer, is that the work incident as originally described by Employee was not the cause of the cervical disc herniation, but that some later unknown event must have been the cause.

On cross examination, Dr. Hazlewood admitted an individual does not have to hit her head to have a whiplash injury. He further stated the initial EMG performed at Dr. Vaughan’s request was not as thorough as his EMG and was “a basic screen . . . .

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Cite This Page — Counsel Stack

Bluebook (online)
2024 TN WC App. 5, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dyer-destiny-v-petsmart-inc-tennworkcompapp-2024.