Graves, Chad v. Southall Adventures, LLC

2025 TN WC App. 37
CourtTennessee Workers' Compensation Appeals Board
DecidedAugust 25, 2025
Docket2024-50-5540
StatusPublished

This text of 2025 TN WC App. 37 (Graves, Chad v. Southall Adventures, LLC) 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
Graves, Chad v. Southall Adventures, LLC, 2025 TN WC App. 37 (Tenn. Super. Ct. 2025).

Opinion

FILED Aug 25, 2025 01:55 PM(CT) TENNESSEE WORKERS' COMPENSATION APPEALS BOARD

TENNESSEE BUREAU OF WORKERS’ COMPENSATION WORKERS’ COMPENSATION APPEALS BOARD

Chad Graves Docket No. 2024-50-5540

v. State File No. 25190-2024

Southall Adventures, LLC, et al.

Appeal from the Court of Workers’ Heard August 1, 2025, Compensation Claims in Nashville, Tennessee Thomas L. Wyatt, Judge

Affirmed in Part, Reversed in Part, and Remanded

In this interlocutory appeal, both parties have filed notices of appeal. At an expedited hearing, the employee sought additional medical treatment and temporary disability benefits related to injuries he sustained when he slipped and fell at work. The court ordered the employer to provide the requested benefits but declined to order the employer to authorize treatment with the employee’s unauthorized physician for his alleged cervical spine injury. In its notice of appeal, the employer contends the trial court erred when it ordered additional medical and temporary disability benefits for the employee’s alleged left knee injury. In his notice of appeal, the employee asserts the trial court erred in declining to compel the employer to approve his unauthorized physician as his authorized treating physician moving forward. Having carefully reviewed the record, we affirm the trial court’s order in part, reverse it in part, and remand the case.

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

Nicholas J. Peterson and Brady Allen, Knoxville, Tennessee, for the employer- appellant/appellee, Southall Adventures, LLC

Adam Brock-Dagnan, Nashville, Tennessee, for the employee-appellee/appellant, Chad Graves

Factual and Procedural Background

Chad Graves (“Employee”) worked as a pool cleaner for Southall Adventures, LLC (“Employer”), when, while cleaning a whirlpool, he slipped and fell, landing on a hard

1 surface on his head, right arm, and the right side of his body. Employee attempted to continue working but had to stop when his nose began to bleed. He reported the injury to Employer and was seen at the Williamson County Medical Center emergency room that same day. While there, Employee complained of nausea, fatigue, headaches, and left knee and foot pain, but he did not report a loss of consciousness after his fall. Diagnostic studies were interpreted as normal, and Employee was discharged home with instructions to follow up with an orthopedic doctor.

Employer provided a panel of physicians from which Employee selected Dr. Jeffrey Lawrence, whom he first saw on April 15, 2024. During that visit, Employee complained of pain and an inability to move his right arm. Dr. Lawrence noted Employee’s history of preexisting tendinitis and a previous right shoulder injury from approximately ten years before the work incident. Imaging studies revealed “some cystic change at the attachment site of the rotator cuff,” but no fractures or dislocations were noted. Based on Employee’s clinical presentation, Dr. Lawrence believed Employee had “pseudo paralysis [and] full- thickness tear of his rotator cuff” and ordered an MRI of the right shoulder. In his report, Dr. Lawrence opined that Employee’s “present shoulder injury is work-related and in the course of his normal work activities.”

Employee returned to Dr. Lawrence on April 24 with continued complaints of right shoulder pain, neck pain, headaches, burning pain in his trapezial muscle and posterior scapula, pain down his right arm, right wrist and elbow pain, and left knee pain, which he said was “aggravated” during his fall. X-rays of Employee’s neck were normal, and the MRI of his right shoulder revealed tendinitis but no full thickness tear of the rotator cuff. Dr. Lawrence diagnosed Employee with a “[c]ervical whiplash type injury” to his neck, right radiculopathy, right shoulder pain, and a concussion. He noted that Employee would need to be evaluated for his concussion and was not to return to work until after he had been cleared.

Employee selected Dr. James Mosly from the original panel for evaluation of his concussion-type symptoms. He first saw Dr. Mosly on May 1 and reported headaches, nausea, and dizziness, as well as neck, shoulder, and left knee pain. Due to Employee’s high blood pressure, he was referred to an emergency room so that his blood pressure could be stabilized. Thereafter, Employee was seen at a Vanderbilt walk-in clinic to be evaluated for his concussion and complained of left knee pain, dizziness, headaches, and anxiety, including nightmares and depression. X-rays of his knee revealed osteoarthritic changes in the medial and patellofemoral joints. The provider recommended cognitive behavioral therapy for post-traumatic stress and an orthopedic evaluation of his knee. Due to Employee’s co-morbid conditions, the medical providers were unable to evaluate his concussion symptoms.

2 On May 15, Employee returned to Dr. Lawrence with continued complaints of headaches, anxiety, and “a lot of hypertension.” 1 He told Dr. Lawrence that he had been to an urgent care clinic for his concussion and was treated at an emergency room for hypertension. Employee brought Dr. Lawrence a note from the walk-in clinic that described posttraumatic stress, left knee injury, pain, and hypertension. The note referred Employee to an orthopedic specialist for evaluation of his knee complaints, and Dr. Lawrence then “recommend[ed] that he be allowed to be seen for his knee from Workers’ Comp.” Dr. Lawrence noted that Employee had been to therapy for his shoulder, which was improving; however, he still had pain in the right side of his neck, shoulder, and posterior scapula. The MRI of Employee’s cervical spine revealed a C6-7 central disc protrusion and some foraminal stenosis at C4-5 and C5-6. Dr. Lawrence diagnosed Employee with right rotator cuff tendinosis and cervical degenerative disc disease with a herniated cervical disc. Dr. Lawrence reiterated that Employee needed to be seen by a neurologist to rule out a concussion. He also recommended an authorized evaluation of Employee’s left knee complaints, continued physical therapy, and authorization for Employee to see Dr. Robert Lowe, III, another physician in his practice, for Employee’s neck complaints.

In the interim, Employer obtained Employee’s past medical records, which documented a 2010 surgical repair to the quadriceps tendon in Employee’s left knee. These records also revealed prior treatment for depression and anxiety stemming from a 2020 workers’ compensation case. Employer then retained Dr. Junaid Makda to perform a records review in May 2024. Dr. Makda’s review included records pertaining to Employee’s previous left knee injury along with negative x-rays from the date of injury and May 2024. Ultimately, Dr. Makda opined that the April 10, 2024 incident was not the primary cause of Employee’s left knee condition or need for medical treatment of that knee.

Pursuant to Dr. Lawrence’s referral, Dr. Lowe initially saw Employee on May 24 and diagnosed him with a cervical disc herniation at C6-7. Dr. Lowe wrote that it was “certainly reasonable to assume that this is an acute injury.” He recommended continuing physical therapy but did not believe Employee needed surgery. Dr. Lowe noted that Employee should see a neurologist for concussion symptoms and recommended an EMG.

Thereafter, Employer scheduled an employer’s examination with Dr. Jeffrey Hazlewood in July 2024. Following that examination, Dr. Hazlewood opined that Employee’s neck and right arm issues were caused by a disc herniation at C6-7 and cervical whiplash that were caused by the work accident. He also opined that Employee’s headaches likely were the result of a concussion caused by his fall. However, Dr.

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Bluebook (online)
2025 TN WC App. 37, Counsel Stack Legal Research, https://law.counselstack.com/opinion/graves-chad-v-southall-adventures-llc-tennworkcompapp-2025.