Miller, Linda v. We Care Services/Comfort Keepers

2016 TN WC 44
CourtTennessee Court of Workers' Compensation Claims
DecidedFebruary 25, 2016
Docket2015-08-0326
StatusPublished

This text of 2016 TN WC 44 (Miller, Linda v. We Care Services/Comfort Keepers) 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
Miller, Linda v. We Care Services/Comfort Keepers, 2016 TN WC 44 (Tenn. Super. Ct. 2016).

Opinion

IN THE COURT OF WORKERS' COMPENSATION CLAIMS AT MEMPHIS

LINDA MILLER, ) Docket No.: 2015-08-0326 Employee, ) v. ) State File Number: 37214-2015 ) WE CARE SERVICES/COMFORT ) Judge Allen Phillips KEEPERS, ) Employer, ) An~ ) ) ACCIDENT FUND INS. CO. ) Carrie~ ) )

EXPEDITED HEARING ORDER DENYING MEDICAL AND TEMPORARY DISABILITY BENEFITS

This matter came before the undersigned Workers' Compensation Judge on February 3, 2016, upon the Request for Expedited Hearing filed by the employee, Linda Miller, pursuant to Tennessee Code Annotated section 50-6-239 (2014). Ms. Miller seeks medical and temporary benefits for an alleged injury to her arms. Comfort Keepers asserts that if Ms. Miller has sustained any injury, then the date of injury is correctly dated April 12, 2015. Accident Fund contends that Ms. Miller has failed to establish causation of her injury but, if she has, then the date of injury is not April 12, 2015, but rather a later date.

The central legal issues are: one, whether Ms. Miller has established that her injury arose primarily from her employment and two, the correct date of injury. For the reasons set forth below, the Court finds Ms. Miller has not come forward with sufficient evidence at this time to show her injury arose primarily out of and in the course and scope of her employment and, accordingly, will not prevail at a hearing on the merits in establishing entitlement to the requested benefits. Because of this finding, the Court need

1 not decide the precise date ofinjury. 1

History of Claim

Ms. Miller is a fifty-three-year-old resident of Shelby County, Tennessee who had worked for Comfort Keepers as a home health care professional since 2005. Her duties included preparing meals, housekeeping, and personal care of homebound patients.

Comfort Keepers filed a Petition For Benefit Determination on August 13, 2015, and listed under "Disputed Issues" the following: "Accident Fund has denied the claim stating the injury occurred outside of our coverage period. Our coverage ended May 1, 2015. The injury occurred 4/12/15, but was reported late to employer. ' 2 Ms. Miller agreed with the April 12, 2015 date of injury; Accident Fund did not. After an unsuccessful mediation, the mediator issued a Dispute Certification Notice (DCN) listing several disputed issues. The controlling issue here is causation. 3

Ms. Miller testified she had worked primarily at the home of the same client for approximately six months prior to her alleged injury. Including both her care of the primary client and some a~ditional work with another client, Ms. Miller claimed to have worked as much as seven days per week for twelve hours each day. Though an assistive device was available to lift her bed-ridden client, she was required physically to "tum" the client. The turning of the client, either repetitively, or perhaps on one undefined occasion, is the basis for Ms. Miller's claim of injury to her arms.

Ms. Miller stated in an affidavit supporting her hearing request that she, "on or about April 12, 2015 ... experienced a specific event causing injury including, but not limited to, my right wrist during the course and scope" of her work with Comfort Keepers. (Ex. 2). However, at the hearing, she testified the injury happened "sometime in April" and was "around April12." On cross-examination, she admitted she ~id not tell Comfort Keepers of a specific incident on April 12 and, moreover, did not know where the April 12 date "came from." But, she did testify to having carpal tunnel syndrome in the past and that her pain in April was "different." These changed symptoms prompted her to buy a wrist brace in April and ultimately, on May 10, 2015, report to Comfort Keepers that she had sustained an injury.

1 A complete listing of the technical record and exhibits admitted at the Expedited Hearing is attached to this Order as an appendix. 2 As discussed hereafter, the actual date that Accident Fund's coverage ended was May 2, 2015, rather than May 1, 2015. Further, the evidence presented did not establish that Ms. Miller provided late notice under law despite the characterization by Comfort Keepers of the injury being "reported late"; Ms. Miller reported an alleged injury within thirty days of its occurrence. Tenn. Code Ann. § 50-6-20 I(20 15). 3 The DCN also listed as disputed issues whether Tennessee has jurisdiction over the claim, the date of alleged injury, whether Ms. Miller is entitled to medical and/or temporary disability benefits, whether Ms. Miller is entitled to payment of past medical expenses and proper calculation of the compensation rate.

2 Comfort Keepers presented testimony from Ms. Jessica Tate, its benefits coordinator, who confirmed that Ms. Miller called Comfort Keepers' telephone reporting number May 10, 2015. In her message, Ms. Miller reported she had injured herself in April2015. On May 11, 2015, Ms. Miller advised Ms. Tate directly that she sustained an injury "several weeks ago" when turning a client.

Ms. Miller testified that Ms. Tate directed her to see Baptist One Care for evaluation. Ms. Miller reported to a nurse practitioner at Baptist that she had pain in both wrists. She further stated she "regularly lifts and turns patients at her work but does not recall any specific injury causing these symptoms. The pain started one week ago and became severe three nights ago." (Ex. 3 at 2). At the hearing, Ms. Miller did not recall discussing a specific injury with the provider. The diagnoses were a right wrist contusion and left wrist strain. !d. at 6.

She returned to Baptist one week later and reported to a physician that her pain began one month earlier and occurred at work because of repetitive motion. (Ex. 3 at 7). The diagnoses were right wrist and left thumb pain. !d. at 9. Because of the persistence of the reported problems, the physician recommended an orthopedic referral. !d. at 11. Accident Fund paid for the care at Baptist, provided a panel of orthopedic specialists and scheduled an appointment with the chosen specialist. Before Ms. Miller attended the orthopedic appointment, Accident Fund denied her claim. Accident Fund's adjuster, Janette Mayer, stated in an affidavit that Ms. Miller's history at Baptist on May 12 was, "there was no specific injury and the onset of symptoms was one week prior." (Ex. 6 at 2). Accordingly, Accident Fund took the position that Ms. Miller's claim arose after its coverage ended since her symptoms began only one week before May 12, 2015.

On May 29, 2015, Ms. Miller saw Dr. Christian Fahey, the orthopedic surgeon chosen from Accident Fund's panel, on her own. Dr. Fahey noted Accident Fund on the record and recorded Ms. Miller's history of right wrist pain since "April2015." (Ex. 3 at 16). She recalled no injuries "except for lifting patients" and recalled a "specific event lifting a patient [but] she is not sure when." !d. Dr. Miller diagnosed a cervical strain and recommended therapy for her neck. He noted that, "[her] wrists should improve on their own." !d. at 17.

After the visit to Dr. Fahey, Ms. Miller continued care on her own. She saw Dr. Kallol Saha at Nova Medical Center on June 10, 2015, and reported, "lifting and turning patients caused radiating pain and numbness in hands." (Ex. 3 at 20). Dr. Saha diagnosed a cervical strain and bilateral tenosynovitis of the hands and wrists. !d. at 21. Return visits on June 16 and June 23, 2015, note identical histories and diagnoses. !d. at 24 and 28.

On June 29, 2015, Ms. Miller saw Dr. Nahum Beard, an orthopedic surgeon. (Ex. 3 at 33). Her history was a gradual onset of "pain in the hand and wrist" that had "been

3 going on since April." Dr.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Lon Cloyd v. Hartco Flooring Company
274 S.W.3d 638 (Tennessee Supreme Court, 2008)
Hill v. Eagle Bend Manufacturing, Inc.
942 S.W.2d 483 (Tennessee Supreme Court, 1997)
Parker v. Ryder Truck Lines, Inc.
591 S.W.2d 755 (Tennessee Supreme Court, 1979)

Cite This Page — Counsel Stack

Bluebook (online)
2016 TN WC 44, Counsel Stack Legal Research, https://law.counselstack.com/opinion/miller-linda-v-we-care-servicescomfort-keepers-tennworkcompcl-2016.