GOodman, Deborah v. Schwartz Paper Company

2016 TN WC 257
CourtTennessee Court of Workers' Compensation Claims
DecidedOctober 31, 2016
Docket2016-07-0051
StatusPublished

This text of 2016 TN WC 257 (GOodman, Deborah v. Schwartz Paper Company) 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
GOodman, Deborah v. Schwartz Paper Company, 2016 TN WC 257 (Tenn. Super. Ct. 2016).

Opinion

FILED

TNCOURTOf WORKERS 'OOJi,fili!:NSATION CLAIMS

Tim.e 9':50 Al\l

TENNESSEE BUREAU OF WORKERS' COMPENSATION COURT OF WORKERS' COMPENSATION CLAIMS AT JACKSON

DEBORAH GOODMAN, ) Docket No.: 2016-07-0051 Employee, ) v. ) ) SCHWARTZ PAPER COMPANY, ) State File Number: 95295-2014 Employer, ) And ) ) SEDGWICK CMS, ) JUDGE AMBER E. LUTTRELL Insurance Carrier/TP A. )

COMPENSATION HEARING ORDER

This matter came before the undersigned Workers' Compensation Judge for a Compensation Hearing on September 27, 2016, pursuant to Tennessee Code Annotated section 50-6-239 (2015). The parties stipulated Ms. Goodman sustained a compensable work injury on December 1, 2014. The remaining disputed issue concerns Ms. Goodman's degree of permanent impairment. The parties presented competing impairment ratings from Dr. John Masterson, the authorized treating physician, and Dr. Samuel Chung, Ms. Goodman's evaluating physician. The legal issue before the Court is whether Ms. Goodman successfully rebutted the presumption of accuracy afforded Dr. Masterson's permanent impairment rating by a preponderance of the evidence. 1 For the reasons set forth below, the Court holds Ms. Goodman failed to do so.

History of Claim

Ms. Goodman is a fifty-eight-year-old resident of Gibson County, Tennessee, employed by Schwartz Paper Company. 2 On December 1, 2014, Ms. Goodman worked as

1 The parties stipulated to pertinent findings of facts set forth in the Appendix of this Compensation Order and more fully set forth in the Technical Record as Exhibits 5 and 6. 2 Ms. Goodman presently works as a team leader at Schwartz Paper Company. a "lumping clerk" 3 and sustained an injury to her back and right hip. (T.R. 1.) She testified that, while walking and checking boxes, a forklift operator lifted a wooden skid that broke and boxes on the skid fell onto her right side. Ms. Goodman experienced pain in her back, hip, and right leg.

Schwartz accepted Ms. Goodman's injury as a compensable claim and provided authorized medical treatment with several providers. She eventually treated with her panel-selected orthopedist, Dr. John Masterson, and later underwent evaluation, at her attorney's request, by Dr. Samuel Chung. The parties took the depositions of both physicians in this case.

Treatment and Impairment Ratings

Dr. Masterson first saw Ms. Goodman on February 26, 2015. (Ex. 3 at 6.) He noted her history of injury and her complaints of right lower lumbar and sacroiliac pain and tingling into her fourth and fifth toes. On physical exam, he found no clinical evidence of radicular pain. !d. at 7. Specifically, Dr. Masterson noted a negative straight- leg raise test, intact light touch sensation, and no focal weakness on motor strength testing bilaterally. !d. at ex. 6.

Dr. Masterson reviewed the radiology reports and films of MRls performed on Ms. Goodman's lumbar spine and right hip. !d. at 7-8. The lumbar spine MRl revealed no disc herniation. !d. at 7. Dr. Masterson opined the hip findings, "were really non-specific, and they could have been found on somebody with no complaints of pain." !d. at 9. Based upon her history, exam, and MRl findings, Dr. Masterson diagnosed "lumbar sprain/strain with sacroiliitis." !d.

Ms. Goodman returned to Dr. Masterson on two more occasions prior to reaching maximum medical improvement (MMI). !d. Dr. Masterson did not find any evidence of radiculopathy on clinical exam. Dr. Masterson treated Ms. Goodman conservatively for her injury with medication, physical therapy, and modified duty restrictions, and placed her at MMI on April9, 2015. !d. at 10-11.

Ms. Goodman continued working for Schwartz throughout her treatment. !d. Dr. Masterson testified that, at the time of MMI, Ms. Goodman did not complain of any activities causing her discomfort. He noted her continued complaint of some pain down the right lower extremity and noted a previous sacroiliac injection provided temporary relief. !d. at 11. On exam, Dr. Masterson found no point tenderness on palpation of the lumbar spine. He noted most of her discomfort was localized in the right sacroilliac region. She still had a negative seated straight-leg raise test and her motor and sensory findings were intact bilaterally. !d. at ex. 6.

3 The lumping clerk ensures that all boxes removed from the semi-trucks are stacked and numbered correctly.

2 Following MMI, Ms. Goodman returned to Dr. Masterson, and he ordered an EMG-nerve conduction study (NCS) to check for a nerve issue based on her continued complaints. !d. at 13. The results of the EMG/NCS were unremarkable. Dr. Masterson maintained that he did not find any medically-defined radiculopathy. !d. On her last visit of June 18, 2015, Dr. Masterson refilled Ms. Goodman's prescription for Flexeril and continued her on full-duty work. !d. She did not report any problems with continuing full- duty work and has not returned since for any further treatment. !d. at 15-16.

Dr. Masterson assessed a 2% impairment to the body as a whole based upon a diagnosis of lumbar sprain/strain in Table 17-4 of the American Medical Association's Guides to the Evaluation of Impairment, 6th Edition ("AMA Guides"). !d. at 17. Dr. Masterson placed Ms. Goodman in Class 1, which is the class for a "documented history of sprain/strain type injury with continued complaints of axial and/or non-verifiable radicular complaints and similar findings documented in previous examinations and present at the time of evaluation." (Ex. 1.) Dr. Masterson testified Ms. Goodman's two return visits after MMI did not alter his impairment opinion. !d. at 18.

Dr. Masterson did not assign any impairment for Ms. Goodman's hip because he did not diagnose any injury specific to the hip. !d. at 21-22 and ex. 5.

Ms. Goodman subsequently underwent an independent medical examination (IME) with Dr. Samuel Chung. (Ex. 2 at 7.) He agreed the lumbar MRI clearly showed no findings of a herniated disc and the EMG/NCS was normal, showing no entrapment neuropathy, plexopathy, or radiculopathy. !d. at 11-12. Dr. Chung testified an MRI can confirm whether someone has radiculopathy, along with a history and clinical exam findings. !d. at 13. He stated an EMG/NCS can help rule in a condition like radiculopathy, but it cannot be used to completely rule it out. !d. at 11.

On physical exam of the lumbar spine, Dr. Chung noted decreased lumbar extension, rotation, and side bending on the right side. !d. at 15. He found a right-sided positive straight-leg raise test in both seated and supine positions. 4 Dr. Chung further noted decreased reflexes at the patella and Achilles and an absent medial hamstring reflex in the right lower extremity. !d. at 16. His sensory exam indicated decreased light touch sensation at the L5 dermatomal distribution. !d. He further noted Ms. Goodman exhibited pain in the right sacroiliac joint with deep palpation. !d. Dr. Chung testified that Dr. Bingham also performed a physical exam on the date of Ms. Goodman's EMG/NCS and noted decreased sensation at the posterior thigh, leg, and lateral foot. !d. at 28.

Dr. Chung diagnosed, "residual from low back injury secondary to traumatic event with ongoing right lumbar radiculopathy, and residual from trauma to the right sacroilium with ongoing right trochanteric bursitis." !d. at 24-25.

4 Dr. Chung testified the straight-leg raise exam tests the root tension sign. (Ex. 2 at 19.)

3 Concerning his hip diagnosis, Dr. Chung stated, "I really didn't necessarily use the right hip MRI to confirm or not confirm her diagnosis. I think that her trochanteric bursitis is not necessarily found in her imaging findings anyhow.

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Related

§ 50-6
Tennessee § 50-6
§ 50-6-116
Tennessee § 50-6-116
§ 50-6-239
Tennessee § 50-6-239(c)(6)
§ 506-207
Tennessee § 506-207(3)(A)

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2016 TN WC 257, Counsel Stack Legal Research, https://law.counselstack.com/opinion/goodman-deborah-v-schwartz-paper-company-tennworkcompcl-2016.