Lewallen, Denise v. Home Healthcare of East Tennessee, Inc.

2022 TN WC App. 11
CourtTennessee Workers' Compensation Appeals Board
DecidedMarch 10, 2022
Docket2019-01-0366
StatusPublished

This text of 2022 TN WC App. 11 (Lewallen, Denise v. Home Healthcare of East Tennessee, 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
Lewallen, Denise v. Home Healthcare of East Tennessee, Inc., 2022 TN WC App. 11 (Tenn. Super. Ct. 2022).

Opinion

FILED Mar 10, 2022 01:24 PM(CT) TENNESSEE WORKERS' COMPENSATION APPEALS BOARD

TENNESSEE BUREAU OF WORKERS’ COMPENSATION WORKERS’ COMPENSATION APPEALS BOARD

Denise R. Lewallen ) Docket No. 2019-01-0366 ) v. ) State File No. 14833-2018 ) Home Healthcare of East ) Tennessee, Inc., et al. ) ) ) Appeal from the Court of Workers’ ) Heard January 25, 2022 Compensation Claims ) via Microsoft Teams Audrey A. Headrick, Judge )

Affirmed and Certified as Final

The employee suffered multiple injuries when she was involved in a car accident while in the course and scope of her employment. The employer accepted the claim as compensable and provided workers’ compensation benefits, including extensive medical care. Upon reaching maximum medical improvement, the parties were unable to agree regarding the extent of the employee’s vocational disability. After a trial, the court found the employee to be permanently and totally disabled. The employer has appealed. Having carefully reviewed the record, we affirm the trial court’s decision and certify the trial court’s order as final.

Judge Pele I. Godkin delivered the opinion of the Appeals Board in which Presiding Judge Timothy W. Conner and Judge David F. Hensley joined.

Tiffany B. Sherrill, Knoxville, Tennessee, for the employer-appellant, Home Healthcare of East Tennessee, Inc.

Tony Farmer, Knoxville, Tennessee, for the employee-appellee, Denise Lewallen

Factual and Procedural Background

Denise Lewallen (“Employee”), a fifty-three-year-old resident of Monroe County, Tennessee, worked as a CNA for Home Healthcare of East Tennessee, Inc. (“Employer”). Her job involved traveling to clients’ homes to provide home healthcare services such as preparing meals, assisting with personal hygiene, and other similar services. On February 20, 2018, while on her way to a client’s home, Employee was involved in a car accident

1 and suffered multiple injuries. She was transported via helicopter to UT Medical Center in Knoxville and was seen by Dr. Scott Smith, the orthopedic surgeon on call. Medical providers determined she suffered injuries to her right ankle and foot, her left tibia, and her left clavicle. She also complained of right forearm pain, which was later determined to be caused by a fractured ulna.

Dr. Smith performed surgery on Employee’s right ankle and foot and left tibia on the day of the accident. One week later, Dr. Smith performed additional surgery to address Employee’s other injuries, including her fractured left clavicle. Employee continued to receive care from Dr. Smith for her injuries and remained off work. Dr. Smith initially projected that Employee would be out of work for six months; however, on May 10, 2018, Employee requested Dr. Smith to allow her to return to work, which he did as of June 1, 2018. Dr. Smith imposed work restrictions limiting her work to four hours a day with a maximum of standing and walking for two hours in fifteen-minute intervals. Dr. Smith also allowed Employee to resume working in the field but limited her to half days. On June 14, Employee requested that she be allowed to return to work performing her home healthcare duties. Dr. Smith subsequently allowed Employee to return to work full time, recommending that she start in the office and transition to working in clients’ homes. On July 12, 2018, Dr. Smith allowed Employee to return to work full time with no restrictions.

On September 18, 2018, Employee underwent additional surgery on her right ankle and foot involving a bone graft with bone harvested from her iliac crest. Employee remained off work until January 28, 2019, when Dr. Smith allowed her to return to work with no restrictions. At that time, Dr. Smith noted that Employee had been progressing more slowly than anticipated but wanted to return to work. After working for approximately two weeks, however, Employee resigned, stating that she was in too much pain and believed she was unable to perform the job in a manner safe to her and her clients.

On March 11, 2019, Employee saw Dr. Smith for treatment of an infection in her right forearm related to the surgery he had performed to treat her ulnar fracture. He noted she may need to have the wound debrided and hardware removed if the infection was not controlled by medication. He also noted that Employee had resigned from her employment due to safety concerns and being unable to perform her job duties. He recorded that her right ankle continued to give her significant problems and that, as a result, she was not able to perform the duties of a home healthcare worker. He further noted that she would be “better served in a more sedentary role.” Nonetheless, Dr. Smith concluded Employee had reached maximum medical improvement, and he assigned no work restrictions despite the ongoing infection in Employee’s right forearm. In addition, he assigned a six percent anatomical impairment rating. Four weeks later, Employee underwent surgery to remove the hardware in her right forearm due to the persistent infection.

The last medical record from Dr. Smith, dated February 22, 2021, reflects that Employee still had complaints of pain and weakness in her right forearm, shoulder, and

2 ankle. He noted that she had developed posttraumatic arthrosis and subtalar arthrodesis with scarring and pain in the right foot and ankle. He stated that she still had disability from the injuries and would benefit from strengthening exercises. Dr. Smith observed that Employee was limited in her activity as a result of the injuries but found there was no need for additional surgery. He recommended Employee undergo a Functional Capacity Evaluation (“FCE”) to assess her ability to return to work.

On April 28, 2021, Employee underwent the FCE. The report of the evaluation states that Employee demonstrated full and consistent effort and was able to meet the demands of a job in the “light” physical demand category. The following day, Dr. William Kennedy authored a report based on a records review requested by Employee for the purpose of determining Employee’s permanent medical impairment. He assigned permanent anatomical impairments to the body as a whole of ten percent for Employee’s right lower extremity injuries, eight percent for her left lower extremity injuries, two percent for her right upper extremity injuries, and two percent for her left clavicle injury.

In addition to the injuries that Dr. Smith treated, Employee complained of neck pain that radiated into her right arm. She saw Dr. Paul Johnson, another orthopedic surgeon in the same practice as Dr. Smith, for those complaints beginning on June 25, 2019. Although the claim for the cervical spine was initially disputed, Dr. Johnson provided correspondence in which he stated that the

spinal condition I am treating and recommending surgery to address was primarily caused by the 2-20-2018 motor vehicle accident. That is, the motor vehicle accident contributed more than fifty percent (50%) in causing the underlying condition, considering all causes. Likewise, it is my opinion[] that the recommended surgical procedure is treatment that is reasonably derived from the ODG Guidelines.

The recommended surgery was ultimately approved, and Dr. Johnson performed a cervical fusion at C4-5, C5-6, and C6-7 on December 16, 2019. At a follow-up visit on February 11, 2020, Dr. Johnson noted that Employee was back to her pre-surgical level of activity and that her radicular pain had resolved. On September 29, 2020, Dr. Johnson placed Employee at maximum medical improvement and assigned a six percent permanent medical impairment rating for her cervical condition.

Employee followed up with Dr. Johnson on March 30, 2021, with questions regarding her work status. Dr.

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Cite This Page — Counsel Stack

Bluebook (online)
2022 TN WC App. 11, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lewallen-denise-v-home-healthcare-of-east-tennessee-inc-tennworkcompapp-2022.