Manuel, Darrell v. A-1 Workforce, Inc.

2015 TN WC 150
CourtTennessee Court of Workers' Compensation Claims
DecidedOctober 28, 2015
Docket2015-02-0108
StatusPublished

This text of 2015 TN WC 150 (Manuel, Darrell v. A-1 Workforce, 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
Manuel, Darrell v. A-1 Workforce, Inc., 2015 TN WC 150 (Tenn. Super. Ct. 2015).

Opinion

FILED October 28, 2015 D C Ol.iRTOF WORKIRS' CO:\IPEC\SATIOC\ CL.~iS

Time: 9:37 A-'1

IN THE COURT OF WORKERS' COMPENSATION CLAIMS AT KINGSPORT

DARRELL MANUEL ) Docket No.: 2015-02-0108 Employee, ) v. ) State File Number: 11930/2015 A-1 WORKFORCE, INC. ) Employer, ) Judge Brian K. Addington And ) TECHNOLOGY INSURANCE ) Insurance Carrier. )

EXPEDITED HEARING ORDER DENYING BENEFITS

This matter came before the undersigned Workers' Compensation Judge on the Request for Expedited Hearing filed by the Employee, Darrel Manuel, on June 23 , 2015 . The present focus of this case is the compensability of Mr. Manuel's exposure injury. The central legal issue is whether the injury arose primarily out of and in the course and scope of employment. For the reasons set forth below, the Court finds the injury not compensable and denies the requested relief at this time. 1

History of Claim

Mr. Manuel is a thirty-five--year-old resident of Washington County, Tennessee. (T.R. 1 at 1.) Prior to the alleged injury addressed by this Order, Mr. Manuel presented to Johnson City Medical Center (JCMC) on December 1, 2012, for non-cardiac chest wall pain and bronchitis. (Ex. 2, JCMC records at 275.) The provider at JCMC prescribed a Z-pack and Vento lin, an inhaler. !d. at 277.

Mr. Manuel testified he worked as a temporary worker performing "bag-out" on an assembly line at Fiber Innovation Technology (FIT). He had previously worked at this site without any issues. Mr. Manuel returned to FIT on Thursday, February 6, 2015, and noticed his worksite contained diesel boom-trucks, which were installing electrical parts and machines. Mr. Manuel smelled diesel fumes and reported the smell and a 1 A complete listing of the technical record and exhibits admitted at the Expedited Hearing is attached to this Order as an appendiX'

1 headache to A-1 Workforce, his employer. Mr. Manuel worked on February 7, 2015, without incident. The diesel trucks were not in use that day.

On February 10, 2015, Mr. Manuel went to work, and the diesel trucks were in use again. He opened a bay door of the plant for ventilation because he felt nauseous, but a FIT employee told him the door must remain closed. Mr. Manuel complained about his heart racing, so a FIT maintenance man told him where to find aspirin in the plant. Mr. Manuel took them and also ate a pack of crackers. Mr. Manuel felt worse after eating the crackers. He told Chad Defriece, a FIT employee, that he was feeling ill, and Mr. Defriece went outside with him to get some air. Mr. Manuel felt better outside.

When Mr. Manuel returned inside, his stomach started rolling and he vomited the crackers in the bathroom. Mr. Manuel started sweating, and his chest became tight. Mr. Defriece took Mr. Manuel back outside. Mr. Defriece checked Mr. Manuel's pulse, and told him it was high. Mr. Manuel requested to speak to a nurse. Mr. Defriece told his supervisor, and the supervisor asked Mr. Manuel if he needed to be examined. Mr. Manuel replied he might need to be examined elsewhere if there were no nurse on-site. Mr. Defriece's supervisor told him to call someone. Mr. Manuel called his mother-in- law, and she took him to JCMC.

When Mr. Manuel arrived at JCMC, he informed the intake worker that he suffered chest pain. /d. at 18. He testified he told the intake workers that he suffered diesel smoke inhalation and was rushed to an observation room. JCMC records reflect he told the admitting physician, Dr. Garik Misenar, that the chest pain started one day prior to admission would last for one to two hours before stopping and then would reoccur. /d. at 21. The providers noted substance abuse and possible family history of CAD as risk 2 factors. Mr. Manuel reported smoking one pack of cigarettes a day and occasional marijuana usage. /d.

Mr. Manuel underwent several tests on February 11, 2015, and the consulting physician, Dr. Kais Al Balbissi, decided to do a heart catheterization. /d. at 22. While undergoing tests, and for the entire time he was at the hospital, Mr. Manuel testified he suffered a bitter taste in his mouth, his chest was tight, and he constantly smelled diesel. Nurse records from February 11, 2015, indicate the following: 7:30 a.m. Mr. Manuel denied any needs; 10:08 a.m. he ate; 11:39 a.m. he was sitting in bed, denied any needs and had no complaints; 5:06p.m. he had no needs and no complaints, 7:20p.m. he was sitting in bed watching television with no needs or complaints. !d. at 168-9.

Dr. AI Balbissi performed the heart catheterization on February 12, 2015. The results were normal. !d. at 28. Dr. AI Balbissi recommended, "Aggressive risk factor modification. Imdur 15 mg po qday considering possibility of vasopastic angina (Patient

2 CAD is coronary artery disease.

2 CP was precipitated by inhalation of fumes). Patient counseled and advised to discontinue smoking." /d. JCMC discharged Mr. Manuel later that day. !d. at 18. JCMC provided Mr. Manuel a work excuse until February 17, 2015, with work restrictions of limited use of the groin for four days and personal restrictions of no lifting over thirty-five pounds until February 15, 2015. (Ex. 6.) These restrictions came from his heart catheterization.

On February 17, 2015, Mr. Manuel and several FIT employees filled out an accident investigation form. The report noted the "sweet smell" Mr. Manuel complained about. (Ex. 5.) FIT acknowledged ventilation issues and recommended that a door be left open. ld.

A-1 Workforce was unable to accommodate Mr. Manuel's restrictions. It provided him a letter on February 23, 2015, stating it had no work for him until a doctor released him to full duty. (Ex. 7.)

Mr. Manuel saw Dr. Al Balbissi again on March 2, 2015. Mr. Manuel complained of chest pain. (Ex. 1, ETSU Physicians at 1.) His blood pressure was very high. Mr. Manuel reported smelling diesel and other chemical smells at work for a fracking company. !d. He did not want to return to work due to pain in his leg. !d. Dr. AI Balbissi noted, "He was started on Isosorbide for possible vasospastic angina. He is having severe HA (headache) on it." Id. Dr. AI Balbissi stopped the Isosorbide. ld. at 3. Dr. AI Balbissi's assessment was atypical chest pain, hypertension, and right-groin pain. ld. at 2. Dr. AI Balbissi provided Mr. Manuel a work excuse until March 16, 2015. /d. at 31.

On March 3, 2015, A-1 Workforce offered Mr. Manuel work he previously performed in a kitchen at a conference center. Mr. Manuel declined the offer. (Ex. 8.)

On March 18, 2015, Dr. AI Balbissi examined Mr. Manuel again. Mr. Manuel complained of leg pain. (Ex. 2, ETSU Physicians at 55.) Dr. AI Balbissi noted prescription medication had helped Mr. Manuel's chest pain. ld. Mr. Manuel reported only suffering chest pain when he was anxious. !d. Dr. AI Balbissi' s assessment was hypertension and atypical chest pain. !d. at 57.

On April1, 2015, Dr. AI Balbissi re-examined Mr. Manuel. Dr. Al Balbissi noted, "Mr. Manuel is a 34 year old male who recently underwent a heart cath that showed no CAD and possible vasospastic angina related to inhalation of fumes." ld. at 47. Mr. Manuel continued to complain of right-leg pain. ld. Dr. AI Balbissi's assessment was hypertension and right-leg pain. !d. at 49.

Dr. Thomas Perry examined Mr. Manuel at the request of Dr. AI Balbissi. Mr. Manuel's history to Dr. Perry included exposure to carbon monoxide via diesel fumes at

3 work. (Ex. 2, Tri-State Mtn. Neurology at 3.) Dr. Perry examined Mr. Manuel's leg and recommended an EMG. !d. at 4. On April 15, 2015, Dr. Perry issued a letter stating that Mr. Manuel should refrain from any heavy lifting or vigorous activity for four to six months. !d. at 1. Mr. Manuel provided the note to A-1 Workforce.

Dr.

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Bluebook (online)
2015 TN WC 150, Counsel Stack Legal Research, https://law.counselstack.com/opinion/manuel-darrell-v-a-1-workforce-inc-tennworkcompcl-2015.