McDaniel-Wesche v. Sun Behavioral Health

CourtSuperior Court of Delaware
DecidedMarch 6, 2024
DocketS23A-03-002 CAK
StatusPublished

This text of McDaniel-Wesche v. Sun Behavioral Health (McDaniel-Wesche v. Sun Behavioral Health) is published on Counsel Stack Legal Research, covering Superior Court of Delaware primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McDaniel-Wesche v. Sun Behavioral Health, (Del. Ct. App. 2024).

Opinion

IN THE SUPERIOR COURT OF THE STATE OF DELAWARE

STACY MCDANIEL-WESCHE, : Claimant Below-Appellant, : C. A. No. S23A-03-002 CAK v. : SUN BEHAVIORAL HEALTH, : Employer Below-Appellee. :

Submitted: February 15, 2024 Decided: March 6, 2024

On Appeal from Industrial Accident Board

AFFIRMED

MEMORANDUM OPINION AND ORDER

Jonathan B. O’Neill, Esquire, Kimmel, Carter, Roman, Peltz & O’Neill, P.A., 56 West Main Street, Suite 400, Plaza 273, Christiana, DE 19702, Attorney for Claimant/Appellant.

Nicholas E. Bittner, Esquire, Heckler & Frabizzio, 800 Delaware Avenue, Wilmington, DE 19899-0128, Attorney for Employer/Appellee.

KARSNITZ, R.J. PROCEDURAL BACKGROUND

On August 23, 2022, Stacy McDaniel-Wesche ( “Claimant”) filed a Petition to

Determine Additional Compensation Due (the “Petition”) with the Delaware

Industrial Accident Board (the “Board”), seeking payment of medical expenses and

permanent impairment to the neck and right upper extremity resulting from a work

accident.

On February 7, 2023, the Board held a hearing. Claimant testified on her own

behalf, while also submitting deposition transcripts of Dr. Ganesh Balu and Dr.

Jonathan Kates. Sun Behavioral Health, Inc. (“Employer”) submitted a

deposition transcript of Dr. Lawrence Piccioni. The Board issued its decision on

February 14, 2023, finding Claimant sustained a soft tissue injury to the neck,

with treatment through November 9, 2021 being compensable. Benefits for the

treatment of any other body parts were denied.

On March 9, 2023, Claimant filed a notice of appeal of the Board’s decision to

this Court, challenging the Board’s decision as to the denial of benefits. Claimant

filed her Opening Brief on October 9, 2023. Employer filed its Answering Brief on

October 26, 2023. Claimant filed her Reply Brief on November 13, 2023. I held oral

argument on February 15, 2024. This is my decision.

FACTS

On December 13, 2020, Claimant, a registered nurse, was involved in an

2 incident at work where she intervened in an assault and was grabbed and struck by a

patient. Claimant initially felt pain in her neck, and over the following week noticed

pain in other body parts. Claimant subsequently saw video footage of the incident,

but that video has since been recorded over in the normal course of business.

Following the incident, Claimant went to the emergency room, where she

declined X-rays. Indeed, Claimant did not want to seek treatment at all, but her

husband insisted. The records identify only abrasions and the only body parts treated

were the face and neck.

Before the work incident, Claimant had treated with a chiropractor for upkeep

on various other body parts.

After the work incident, Claimant was involved in a motor vehicle accident

on January 18, 2021. She initially did not recall whether she sought treatment for

that accident, although later she testified that she did not seek treatment.

Claimant began treatment with Dr. Balu on February 9, 2021. Dr. Balu’s

records do not show evidence of radiculopathy. Dr. Balu performed an injection into

the AC joint and the biceps tendon, even though the biceps tendon was shown to be

normal on the MRI. Although Dr. Balu gave a diagnosis of partial rotator cuff tear

and impingement, he never administered an injection into the rotator cuff. Because

the shoulder is compartmentalized, the other injections would not have reached the

subacromial space or the rotator cuff. The injections did not provide significant

3 relief. At a visit with Dr. Balu on July 20, 2021, Claimant was instructed to return in

four weeks, but she did not.

Instead, Claimant treated with a chiropractor for fifteen visits over a three-

month period. When she stopped treating with the chiropractor in October 2021, she

was doing fairly well.

Claimant returned to Dr. Balu on February 9, 2022, at which time her physical

examination findings were essentially the same as they had been at the July 2021

visit. However, despite Claimant identifying right shoulder complaints, Dr. Balu

did not perform a right shoulder examination. By November 9, 2022, Claimant’s

pain scores were higher than they had previously been.

Claimant saw Dr. Kates on February 2, 2022 for the purpose of evaluating

permanent impairment, and not for treatment. Claimant’s intervening motor vehicle

accident was not identified in Dr. Kates’ report, and Claimant never told Dr. Kates

about it. Dr. Kates did not have any records since July 2021, nor did he have

the EMG report. The physical examination findings were not consistent with a

partial rotator cuff tear. There was no atrophy noted, notwithstanding the significant

time elapsed since the work incident. Dr. Kates found no permanent impairment to

the lower back or right hip. He did find 11% permanent impairment to the neck, as

well as 11% permanent impairment to the right shoulder. His opinions were based

on Claimant’s history and subjective complaints and were subject to change if those

4 were not accurate. Claimant saw Dr. Kates again on October 24, 2022, at which time

he still had not seen updated medical records or the EMG. He did not provide her

with a full physical examination at that time.

Claimant visited Dr. Piccioni on November 9, 2021, after she had

discontinued chiropractic care and during the gap between visits with Dr. Balu. There

were no objective signs on physical examination. Her subjective symptoms did not

match prior EMG or MRI findings to support radiculopathy. At a second examination

with Dr. Piccioni on June 10, 2022, Claimant informed Dr. Piccioni that she had

returned to Dr. Balu. On examination, there were still no objective findings.

THE BOARD HEARING

The Board conducted a hearing on February 7, 2023. Claimant

acknowledged she did not identify her pre-accident treatment with a chiropractor.

She acknowledged prior low back and ACL issues. She did not identify the

intervening motor vehicle accident. Claimant testified that she told Dr. Balu about

the accident. However, Dr. Balu testified that she did not tell him about the accident,

and that he did not document the motor vehicle accident and, if Claimant had

reported it, he would have documented it.

Claimant acknowledged she did not voluntarily seek out treatment, and did

not stop working because of a doctor’s note. Claimant acknowledged her first

appointment with Dr. Balu was almost two months after the work incident, and she

5 only went when she felt it was necessary to do so, and that it had not been necessary

previously. As of the hearing date, she had not seen an orthopedic surgeon.

Dr. Piccioni testified on behalf of Employer, explaining the first 48 -72 hours

after an injury are the most painful, yet Claimant went back to work, did not receive

much care, and had no initial diagnostic studies. He confirmed that the important

diagnostic studies were performed after the intervening accident; therefore, it is

impossible to distinguish what was caused by the work accident and what was caused

by the car accident. Both Dr. Piccioni and Dr. Kates agreed the MRI findings for

Claimant predated the work accident, and the work accident did not cause any

structural changes. Dr. Balu was the only physician to document spasm, which was

the only objective finding.

Dr. Piccioni also discussed his concerns with Dr. Balu’s performing all

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McDaniel-Wesche v. Sun Behavioral Health, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mcdaniel-wesche-v-sun-behavioral-health-delsuperct-2024.