JAMES LEE STEELE, Conservator for Christopher L. Mason v. SUMMIT CONSTRUCTORS, INC.

2023 TN WC 59
CourtTennessee Court of Workers' Compensation Claims
DecidedAugust 29, 2023
Docket2021-04-0251
StatusPublished

This text of 2023 TN WC 59 (JAMES LEE STEELE, Conservator for Christopher L. Mason v. SUMMIT CONSTRUCTORS, INC.) 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
JAMES LEE STEELE, Conservator for Christopher L. Mason v. SUMMIT CONSTRUCTORS, INC., 2023 TN WC 59 (Tenn. Super. Ct. 2023).

Opinion

FILED Aug 29, 2023 07:00 AM(CT) TENNESSEE COURT OF WORKERS' COMPENSATION CLAIMS

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

JAMES LEE STEELE, ) Docket No 2021-04-0251 Conservator for Christopher L. ) Mason, Employee, ) v. ) SUMMIT CONSTRUCTORS, INC. ) State File No. 68572-2020 Employer, ) And ) BERKLEY CAS. CO., ) Carrier. ) Judge Robert Durham

COMPENSATION ORDER GRANTING BENEFITS

The Court held a Compensation Hearing on August 14, 2023, to determine whether Mr. Mason’s dementia primarily arose out of his work-related accident and the extent of his vocational disability from his injury. 1 The Court holds that Mr. Mason proved he is permanently and totally disabled from his ankle injury but did not prove his dementia primarily arose from his accident.

History of Claim

Mr. Mason, a heavy equipment mechanic, flipped his car at work on October 15, 2020, severely breaking his right ankle. 2 At the emergency room, he reported that he thought he fell asleep before driving off the road. 3 He denied any injury other than his 1 A neurologist deemed Mr. Mason incompetent to testify, so he did not attend the hearing. 2 The parties stipulated that Mr. Mason’s car accident occurred in the course and scope of employment and that Mr. Mason’s ankle fracture arose primarily from this accident. They also agreed that Mr. Mason reached maximum medical improvement on January 11, 2022, his compensation rate is $994.00, his permanent partial disability benefits began to accrue on March 14, 2022, and his date of birth is April 9, 1962. 3 The parties submitted an “Agreed Medical Records Exhibit” and stipulated to the admissibility of the records. 1 ankle fracture. X-rays showed a comminuted and severely displaced tibia/fibula fracture. A head CT scan did not show an acute injury but did reveal some “white matter disease” consistent with age.

The next day, Mr. Mason seemed “very drowsy” and had difficulty giving his history. Hospital notes described him as “disoriented and confused.” The notes also recorded that Mr. Mason suffered from preexisting swelling and cellulitis in his legs and had been diagnosed with deep venous thrombosis the previous April.

Dr. Geoffrey Watson, an orthopedist specializing in foot and ankle injuries, saw Mr. Mason at the emergency room. Mr. Mason told him that he fell asleep at the wheel. Dr. Watson observed that Mr. Mason had both broken and dislocated his right ankle, which he attributed to the accident. He also noted redness and cellulitis in both legs that Mr. Mason related to a tree falling on him several months before.

The cellulitis affected Mr. Mason’s treatment. Instead of an internal fixation, Dr. Watson decided to use an external fixator instead. When asked if an internal fixation would have produced a better outcome, Dr. Watson said it was hard to predict, but “typically, yes.”

Two days after his accident, Mr. Mason gave a statement to Summit’s adjuster. He told the adjuster that he remembered “every bit” of the accident. He said he “wasn’t confused. . . . I remember the whole wreck and everything that happened.” He further answered “no” when asked whether he injured his head in the accident, and he did not list his head or neck as injured body parts.

Mr. Mason’s recovery was complicated by contracting COVID, developing an infection, and DVT. Dr. Watson did not remove the fixator until mid-December. When he met with Mr. Mason to discuss removing the hardware, he noted that Mr. Mason fully understood and wished to have the surgery. The record did not mention any mental deficits or problems. Dr. Watson’s physician’s assistant also saw Mr. Mason in January, February, and March of 2021 to monitor his progress from the hardware removal. The records did not mention any problems with memory loss or cognitive function.

Dr. Watson said that the dislocation made the injury worse because Mr. Mason quickly developed traumatic arthritis. This was due to the stress being placed on the cartilage, which made it more painful and difficult for Mr. Mason to bear weight on his ankle.

Mr. Mason saw Dr. Watson again in May 2021. He did not document Mr. Mason’s range of motion but observed that he needed a cane to walk due to arthritis. He believed the arthritis was primarily caused by the fracture. Dr. Watson wanted Mr. Mason to consider a fusion to relieve pain. He also noted that Mr. Mason was exhibiting “slight

2 confusion,” had trouble sleeping, and was scheduled to see a neurologist. He recommended that Mr. Mason undergo the neurological evaluation and be seen by a vascular surgeon for his DVT before the fusion. However, Mr. Mason never underwent the fusion.

Dr. Watson rated Mr. Mason’s impairment under Table 16-2 of the American Medical Association Guides. He placed Mr. Mason in Class 2 for moderate malalignment, which equals 10 percent impairment. While Dr. Watson did not specifically measure loss of motion, he recalled that Mr. Mason had “relatively limited range of motion” based on his difficulty in walking, which justified the Grade 2 rating.

He also gave restrictions against lifting twenty pounds and said Mr. Mason should stand for less than one-third of his workday. He additionally signed a C-42 certifying that Mr. Mason is no longer able to perform his pre-injury occupation due to his permanent restrictions. This remains his opinion.

On cross-examination, Dr. Watson said he could not recall whether Mr. Mason told him he hit his head during the accident, but he did not see any neurocognitive deficiencies at the time of his initial treatment.

At Summit’s request, physiatrist Jeffery Hazlewood, M.D. reviewed Mr. Mason’s records to provide an impairment for the fractured ankle. Dr. Hazlewood felt hampered in assessing impairment because he did not personally examine Mr. Mason, and Dr. Watson did not measure range of motion. Without that, the best Dr. Hazlewood could do was estimate an impairment of five to nine percent, although he agreed it could be ten percent. He believed that the cellulitis and DVT, which he felt were non-work related, made the prognosis for a successful fusion “very guarded.”

Mr. Mason also underwent an impairment evaluation through the Medical Impairment Rating Registry with orthopedist Robert Landsberg, M.D. Dr. Landsberg examined Mr. Mason, reviewed records, and took repeated ankle range of motion measurements. Based on his exam and review, he placed Mr. Mason in Class Three of Table 16-2 and assigned a ten-percent impairment.

Both parties also used experts to testify as to Mr. Mason’s vocational disability from his ankle injury. Michael Galloway testified on Mr. Mason’s behalf, and Michelle Weiss testified for Summit. Their methods and conclusions were quite similar.

Neither gave any vocational tests due to Mr. Mason’s mental deficiencies, and neither assessed vocational disability for these deficiencies. Both used Dr. Watson’s restrictions for the ankle fracture and resulting arthritis. They agreed that with those restrictions; Mr. Mason fell in the “light” category for work activities and could only perform sedentary, unskilled labor for which very few jobs are available within his job

3 market. Both experts agreed that Mr. Mason was totally disabled from working.

In addition to the ankle injury, Mr. Mason also submitted considerable lay evidence regarding Mr. Mason’s cognitive abilities.

Mr. Mason’s sister, Lesa DeLong, said that before his accident, her brother was one of the hardest-working people she knew. His job history was primarily as a mechanic, but he also had a cattle farm, which he managed alone. Before the injury, he was talkative and enjoyed visiting their parents on the weekends. The last time Ms. DeLong saw him before the accident was the first of September.

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2023 TN WC 59, Counsel Stack Legal Research, https://law.counselstack.com/opinion/james-lee-steele-conservator-for-christopher-l-mason-v-summit-tennworkcompcl-2023.