Lurz, Sally A. v. International Paper Company

2018 TN WC App. 8
CourtTennessee Workers' Compensation Appeals Board
DecidedFebruary 14, 2018
Docket2015-02-0462
StatusPublished

This text of 2018 TN WC App. 8 (Lurz, Sally A. v. International Paper Company) 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
Lurz, Sally A. v. International Paper Company, 2018 TN WC App. 8 (Tenn. Super. Ct. 2018).

Opinion

TENNESSEE BUREAU OF WORKERS’ COMPENSATION WORKERS’ COMPENSATION APPEALS BOARD

Sally A. Lurz ) Docket No. 2015-02-0462 ) v. ) ) State File No. 62185-2015 International Paper Company, et al. ) ) ) Appeal from the Court of Workers’ ) Compensation Claims ) Brian K. Addington, Judge )

Affirmed and Certified as Final – Filed February 14, 2018

The employee, a machine operator, reported a fall while working on a production line, resulting in pain and other symptoms in her right shoulder and right knee. The employer initially provided a panel of physicians, but later denied the claim, relying on video evidence from security cameras inside the facility suggesting that the employee was “guarding” her right upper extremity prior to the alleged work accident and, therefore, must have injured her shoulder outside of work. Following a review of the video evidence, the authorized treating physician acknowledged that it “raised questions about the causality of her injury,” but, despite these misgivings, he opined that the work accident was, more likely than not, primarily responsible for the shoulder injury and the need for medical treatment. Following a compensation hearing, the trial court determined the employee’s claim was compensable and awarded temporary disability benefits, permanent disability benefits, and medical benefits. The employer has appealed. We affirm the decision of the trial court and certify the order as final.

Judge Timothy W. Conner delivered the opinion of the Appeals Board in which Presiding Judge Marshall L. Davidson, III, and Judge David F. Hensley joined.

Mary C. DeCamp, Chattanooga, Tennessee, and J. Matt Drake, Knoxville, Tennessee, for the employer-appellant, International Paper Company

Jeffrey C. Taylor, Morristown, Tennessee, for the employee-appellee, Sally A. Lurz

1 Factual and Procedural Background

Sally A. Lurz (“Employee”) worked for International Paper Company (“Employer”) at its manufacturing facility in Hamblen County, Tennessee. On July 30, 2015, Employee was working on a machine called a Jumbo Folder Gluer, which forms cardboard boxes. As she was attempting to free a unit that had become stuck on the conveyor line, she fell forward into the box, reportedly striking her right shoulder on the box and her right knee on the rollers. The incident was unwitnessed. Employee continued working for another thirty minutes until a scheduled break. At that time, she informed a co-worker what had happened. She then reported the incident to a supervisor, Joey Bolinger, and a manager, David Weiss.

After Employee reported the incident, Employer provided a panel of physicians, from which Employee selected Dr. Shannon Hancock. Dr. Hancock examined Employee, ordered x-rays, and referred her to an orthopedic specialist. Thereafter, Employee selected Dr. Brian Holloway from a panel of orthopedic physicians. Upon review of an MRI, Dr. Holloway diagnosed a full thickness tear in the right rotator cuff and recommended surgery. In a September 9, 2015 report, Dr. Holloway opined that “there is a greater than 50% chance this was related to that injury with that fall. Certainly it fits her diagnosis, fits her findings on the MRI[,] and fits her clinical and diagnostic exam.”

Thereafter, Employer provided Dr. Holloway with excerpts from security camera footage taken near the time clock on the day prior to, as well as the morning of, the alleged accident. Dr. Holloway noted that the footage taken on July 29 showed Employee using both arms, swinging her right arm, using her right arm to open the door, and using her right arm at the time clock. However, on the morning of July 30, prior to the alleged accident, the video suggested she was protecting her right arm and not using it as she had the previous day. In a November 4, 2015 letter, Dr. Holloway commented as follows:

[I]t looks like she may have had an injury to that right arm although you cannot say [with] any [certainty] when actually the injury occurred but she is certainly holding her right arm in a more protected position, using her left arm to perform all tasks[,] and she is not swinging that right arm. . . . [C]ertainly the tape does show that potentially she could have injured it outside work since she does look like she is protecting the arm at the time that she checks into work that day. . . . At this point, certainly that does raise questions about the causality of her injury.

In his letter, Dr. Holloway reiterated that Employee “does absolutely have a tear in her rotator cuff” and “[i]t looks like it is probably secondary to an injury or a fall.” He then indicated his intent to address these issues with Employee.

2 As a result of Dr. Holloway’s November 4 letter, Employer’s insurer issued a letter to Dr. Holloway’s office on November 20, 2015, declining to authorize any further medical treatment for Employee. Nevertheless, Employee underwent surgery to repair her right rotator cuff on December 22, 2015.

In a March 11, 2016 report, Dr. Holloway noted that Employee had done “remarkably well” following the surgery, had no complaints of pain, and wanted to return to work. Dr. Holloway recommended a strengthening program and released Employee to return to work with restrictions for two weeks. He placed her at maximum medical improvement as of that date.

In response to a letter from Employee’s attorney dated August 31, 2016, Dr. Holloway indicated that, in his opinion, Employee’s rotator cuff tear was “more likely than not” the result of her alleged July 30, 2015 work accident. On July 5, 2017, Dr. Holloway completed a Standard Form Medical Report (Form C-32), on which he identified Employee’s “fall unjamming conveyor belt” as the “specific incident . . . that brought about the injury.” He further indicated that this incident caused the need for medical treatment and that her employment activity was “more likely than not primarily responsible for the injury or primarily responsible for the need for treatment.” He assigned a permanent medical impairment rating of 7% to the body as a whole.

Employer took Dr. Holloway’s deposition to clarify the perceived inconsistencies regarding his various causation statements. In response to questioning regarding his causation opinion in light of the additional videos he reviewed during the deposition, Dr. Holloway responded as follows:

[W]ell, all I have to go by is the history, you know, and then, of course, the tapes throw some doubt in there. But then that’s why this is one of the more difficult cases where you have a history, everything fits the history, everything the patient says fits her injury and her care, but then you have some doubt because . . . that one tape shows some doubt because she’s using her other arm in that one instance. So that’s why there is doubt. But I guess all I can do as a physician is do the best I can and I think it’s, at least within a reasonable degree of medical certainty, it seemed like it happened with this fall at work. (Emphasis added.)

On cross-examination, the following colloquy occurred:

Q. And as we sit here today, at no time has [Employee] or the insurance company for [Employer] or [Employer] ever provided you with any history of any other acute injury or cause for this right shoulder other than the work-related injury she reported to you, is that right?

3 A. Yeah. I don’t have any, any other known injury, no.

Q. And when you assess the cause of a patient [sic], you say you rely upon their history?

A. Uh-huh.

Q. Did [Employee] ever give you any indication that she was anything other than an honest patient?

A. I mean, that’s why I confronted her with the tape, you know, because the tape . . . does raise some questions . . . .

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Cite This Page — Counsel Stack

Bluebook (online)
2018 TN WC App. 8, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lurz-sally-a-v-international-paper-company-tennworkcompapp-2018.