Hepner, Charles v. MC Produce, LLC, d/b/a McCartney Produce

2024 TN WC 7
CourtTennessee Court of Workers' Compensation Claims
DecidedFebruary 12, 2024
Docket2022-07-0138
StatusPublished

This text of 2024 TN WC 7 (Hepner, Charles v. MC Produce, LLC, d/b/a McCartney Produce) 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
Hepner, Charles v. MC Produce, LLC, d/b/a McCartney Produce, 2024 TN WC 7 (Tenn. Super. Ct. 2024).

Opinion

FILED Feb 12, 2024 10:20 AM(CT) TENNESSEE COURT OF WORKERS' COMPENSATION CLAIMS

TENNESSEE BUREAU OF WORKERS’ COMPENSATION IN THE COURT OF WORKERS’ COMPENSATION CLAIMS AT JACKSON

CHARLES HEPNER, ) Docket No. 2022-07-0138 Employee, ) v. ) MC PRODUCE, LLC, d/b/a MCCARTNEY ) PRODUCE, ) Employer, ) State File No. 13148-2021 and ) ACCIDENT FUND INS. ) CO. OF AMERICA, ) Carrier, ) and ) Judge Allen Phillips TROY HALEY, as ADMINISTRATOR ) of the BUREAU OF WORKERS’ ) COMPENSATION, SUBSEQUENT INJURY ) & VOCATIONAL RECOVERY FUND. )

COMPENSATION ORDER

Mr. Hepner requested permanent disability benefits for neck and back injuries. He claimed permanent total disability, or alternatively entitlement to either extraordinary relief or increased benefits. MC contended Mr. Hepner only qualifies for increased benefits in a lesser amount than he claimed. The Court held a Compensation Hearing on February 1, 2024, and finds Mr. Hepner is entitled to increased benefits as described below.

History of Claim

Injury and treatment

Mr. Hepner injured his neck and low back in February 2021 when moving a box of produce. He initially treated with authorized orthopedic surgeon Dr. Kyle Stephens.

Dr. Stephens diagnosed cervical and lumbar strains. He ordered MRIs, which revealed arthritic changes at multiple levels. Because of continued complaints, Dr.

1 Stephens referred Mr. Hepner for a neurological evaluation. MC then gave Mr. Hepner a panel of physicians, and he chose neurosurgeon Dr. Jacob Schwarz.

Dr. Schwarz evaluated only Mr. Hepner’s neck. In July 2021, he described Mr. Hepner’s pain as radiating into his upper and lower arms and that it was “significantly disabling.” Mr. Hepner complained of dropping things and trouble writing and opening jars. Dr. Schwarz said the MRI showed loss of the normal curvature and disc bulges at the C4-5 and C5-6 levels. He gave Mr. Hepner the option of a two-level surgical fusion, but Mr. Hepner declined, since Dr. Schwarz could not guarantee it would alleviate his symptoms.

Mr. Hepner then returned to Dr. Stephens, who did not think surgery would help because he primarily had neck pain. He instead thought Mr. Hepner should have a functional capacity evaluation to determine appropriate work restrictions.

After the evaluation, Mr. Hepner told Dr. Stephens he was worse. He also disagreed with the examiner’s statement that he did not fully cooperate. The examiner concluded the evaluation was valid and showed Mr. Hepner could work “medium” category jobs. Based on that, Dr. Stephens released Mr. Hepner to full duty at MC.

On September 28, 2021, Dr. Stephens placed Mr. Hepner at maximum medical improvement and assessed a 1% impairment rating for both the lumbar and cervical spine injuries, a total of 2% impairment. He cited a table from the AMA Guides to the Evaluation of Permanent Impairment, 6th Ed.

Mr. Hepner did not see Dr. Stephens again but returned to Dr. Schwarz in June 2022. He reported his pain had increased since his visit one year earlier. Notably, the neck pain radiated into both arms. Dr. Schwarz recommended repeat MRIs.

The lumbar MRI again showed disc bulges and stenosis at two levels. The cervical MRI showed some improvement compared to the first, but it still showed multilevel findings. Dr. Schwarz told Mr. Hepner he did not believe surgery would help and referred him for a pain management evaluation.

MC offered a panel of pain management providers, and Mr. Hepner saw one of them in November 2022. His history included neck pain that “radiate[d] to his right upper and lower arms as well as the thumb.” The physician said that was consistent with a C6 radiculopathy, but the exam was not positive for radicular findings. The physician recommended an EMG to distinguish between radiculopathy and a peripheral nerve problem, but MC never authorized the EMG. Mr. Hepner received no further treatment with Dr. Schwarz. He later assessed a 25% impairment from a different category under the same Guides table Dr. Stephens used.

Mr. Hepner’s attorney referred him to orthopedic surgeon Dr. James Wiesman for an independent medical evaluation of the lumbar spine. Dr. Wiesman diagnosed a sprain. 2 He did not evaluate the cervical spine but found loss of grip strength in the right hand, which he attributed to either a cervical spine or peripheral nerve problem.

Dr. Wiesman assessed a 3% impairment rating for the lumbar spine under the same Guides table used by Dr. Stephens. He arrived at that number based on a history of a strain (like Dr. Stephens), non-verifiable radicular complaints (like Dr. Stephens), and the similar findings in previous examinations. However, unlike Dr. Stephens, Dr. Wiesman documented the higher rating by applying various modifiers.

Experts’ depositions

The parties deposed all three physicians. Dr. Stephens testified that he assigned 1% because of an absence of radicular complaints. However, Dr. Stephens did say Mr. Hepner complained of his right arm feeling weak and that he had multilevel degenerative disc disease. He made a neurological referral because he does not perform spinal surgery and said he would defer to Dr. Schwarz’s rating because he was in a better position to give one.

Dr. Schwarz explained the basis for his 25% rating by quoting the Guides criteria of: “Alteration of multiple motion segment lesions with residual bilateral or multiple level radiculopathy at the clinically appropriate levels.” He was “not sure how you would come up with a 1%,” as that rating would be appropriate for a whiplash or strain. He testified Mr. Hepner had motion segment lesions, not a “soft tissue” condition. Further, Dr. Schwarz said Mr. Hepner could not return to his job at MC because of the lifting required, but he offered no opinion regarding permanent restrictions. He also stated his evaluation was for a surgical consultation, not treatment.

Dr. Wiesman testified that Dr. Stephens did not use the appropriate Guides formulas when calculating the lumbar spine rating, including the physical examination factor. He noted Dr. Stephens’s records included no physical examination for the last “6, 7, 8 visits.” When asked about the cervical spine, Dr. Wiesman said he did not specifically evaluate it, but thought a 1% rating “sounds low compared to Schwarz.” He also said it appeared “Dr. Stephens, with respect, just did [the rating] very quickly,” and he did not see “how you can get a one” given Mr. Hepner’s “spine and history.” Dr. Wiesman testified some restrictions were appropriate “at the time that [he saw Mr. Hepner],” but he did not call them permanent.

Lay testimony and parties’ positions

At trial, Mr. Hepner testified he cannot work in his current condition. His work history consisted of jobs where he was required to lift 50 pounds, and he now feels he can lift only ten. He claimed he cannot sit or stand for more than 30 minutes. Mr. Hepner said his injuries affect his ability to exercise as he did before and his ability to do family activities. He believes he is totally disabled.

3 If not totally disabled, Mr. Hepner argued he should receive extraordinary benefits up to 275 weeks under Tennessee Code Annotated section 242(a)(2) (2023). He relied on Dr. Schwarz’s rating, which exceeded 10%, and the statement that he could not perform the MC job. MC countered section 242(a)(2)(B) requires that a treating physician complete a Bureau form certifying an employee cannot return to his pre-injury job. Mr. Hepner did not produce that form.

As a third alternative, Mr. Hepner asserted he should receive increased benefits under section 207(3)(B) equal to a 27% rating multiplied by factors of 1.35 for no return to work, 1.2 because he is over age 40, and 1.45 for lack of diploma or the equivalent. He claimed a 27% rating is accurate when combining Dr.

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Related

§ 50
Tennessee § 50
§ 50-6-239
Tennessee § 50-6-239(c)(6)

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Bluebook (online)
2024 TN WC 7, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hepner-charles-v-mc-produce-llc-dba-mccartney-produce-tennworkcompcl-2024.