Mitchell, Michael v. Bunge North America

2018 TN WC App. 36
Tennessee Workers' Compensation Appeals Board·Decided August 7, 2018·No. 2016-08-1131·Published

Opinion

TENNESSEE BUREAU OF WORKERS’ COMPENSATION WORKERS’ COMPENSATION APPEALS BOARD (HEARD JULY 10, 2018 AT NASHVILLE) 1

Mattie Mitchell ) Docket No. 2016-08-1131 as representative for the Estate of ) Michael Mitchell ) State File No. 92588-2015 ) v. ) ) Bunge North America, et al. ) ) ) Appeal from the Court of Workers’ ) Compensation Claims ) Deana C. Seymour, Judge )

Affirmed and Remanded - Filed August 7, 2018

This is the second interlocutory appeal of this case, which involves a claim for death benefits brought by a surviving spouse following her husband’s heart attack and subsequent death. The surviving spouse asserted the employee’s death arose primarily out of his employment and offered multiple theories to support her claim. The first appeal followed the trial court’s denial of the employer’s motion for summary judgment, wherein the court concluded there were genuine issues of material fact “regarding each theory raised by [the surviving spouse].” We vacated the trial court’s order and remanded the case because the trial court did not sufficiently state the grounds for its decision to deny the motion as contemplated by Rule 56.04 of the Tennessee Rules of Civil Procedure. The trial court subsequently issued an amended order denying the employer’s motion for summary judgment, and the employer has again appealed the trial court’s denial of its motion. We affirm the trial court’s decision and remand the case, concluding there are material factual disputes as to whether the decedent’s heart attack and death arose primarily out of the employment.

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

1 We wish to extend our appreciation to the Nashville School of Law for allowing us the use of its facilities for oral argument in this case.

1 S. Newton Anderson, Memphis, Tennessee, for the employer-appellant, Bunge North America

Julian T. Bolton, Memphis, Tennessee, for the employee-appellee, Mattie Mitchell, as representative for the Estate of Michael Mitchell

Factual and Procedural Background

The facts underlying this claim for death benefits remain as they were presented to us in the first appeal. 2

Michael Earl Mitchell (“Employee”) worked for thirty-four years at Bunge North America (“Employer”), an agricultural business. He spent approximately ten years prior to his death working as a superintendent. During harvest season, Employee was required to work longer hours, sometimes twelve hours a day, seven days a week. On November 1, 2015, while at work in the “scale office,” Employee suffered a fatal heart attack. The parties dispute the extent, duration, and intensity of Employee’s physical activities on the day of his heart attack. Employer maintained that Employee did not engage in any strenuous activity on the day of the heart attack, but had “an easy laid back day.” The surviving spouse responded that Employee was “the only superintendent on site” that day and he had been “all over the place that day.” She further alleged that Employee was “really stressed out” about a computer program he was having difficulty learning.

Following Employee’s death, the surviving spouse requested a private autopsy to verify the cause of death. The autopsy findings of Dr. Thomas Deering indicated Employee had suffered from “extensive cardiac disease with prior stent placement,” as well as “hypertension and a remote muscle injury of the thigh.” Dr. Deering also found evidence of aortic atherosclerosis and “pulmonary edema of the lungs,” which he associated with the heart disease. Employee also suffered from mild pulmonary emphysema. The autopsy did not reveal a work-related lung disease. Dr. Deering concluded that “the cause of death is atherosclerotic and hypertensive cardiovascular disease.” He further noted that “[c]ontributing to the death is pulmonary emphysema” and that “the manner of death is natural.”

2 Mitchell v. Bunge North America, No. 2016-08-1131, 2018 TN Wrk. Comp. App. Bd. LEXIS 3 (Tenn. Workers’ Comp. App. Bd. Feb. 7, 2018).

2 Employee also obtained expert medical opinions from two board- certified cardiologists, Dr. Joseph Weinstein and Dr. Jesse McGhee. Dr. Weinstein, Employee’s treating cardiologist prior to his death, performed a records review. In his June 14, 2017 report, Dr. Weinstein noted “increased workload” and “stress in the workplace,” and he concluded that “because his death occurred at work, his myocardial infarction and subsequent death were work related.” In his subsequent deposition, Dr. Weinstein opined that stress “increases your blood pressure” and “can lead to something called plaque rupture, which we feel in the majority of instances is how a heart attack occurs.”

On cross-examination, Dr. Weinstein admitted that Employee suffered from a number of pre-existing medical conditions unrelated to his work, including obesity, a history of tobacco use, coronary atherosclerosis, left ventricular dysfunction, and hyperlipidemia. When asked about work- related stressors, Dr. Weinstein testified that he would describe those as “contributing” but not necessarily “precipitating” causes of Employee’s heart attack. Finally, Dr. Weinstein admitted he was unaware of any “acute sudden or unexpected event” on the day of the heart attack.

Employee then submitted the expert medical opinion of Dr. McGee, who also performed a records review. In his November 8, 2016 report, Dr. McGee described Employee’s physical stress and environmental conditions at work as “a primary contributor” to his death. In his deposition, Dr. McGee noted that Employee suffered from “physical and emotional stress on his job.” He also opined that this work-related stress was a “significant contributing factor” to the heart attack. He testified that “[s]omething happened that stressed him out, and when you become stressed, your heart rate and your blood pressure can go up and that certainly can contribute to a plaque rupture.” This led to his conclusion that “[Employee’s] physical, environmental, and emotional stress related to his employment over time contributed [to] and aggravated his coronary atherosclerotic heart disease.”

On cross-examination, Dr. McGee admitted it was not possible to tell from the autopsy findings whether Employee’s heart attack was caused by acute or chronic factors. He further admitted he was unaware of any specific acute event that occurred on the day of Employee’s death. Finally, he agreed that when he described in his report Employee’s physical stress and environmental conditions at work as “a primary contributor” to his death, he was referring to “long term exposure . . . over years” to such conditions, and not any acute event.

3 Employer filed a motion for summary judgment and relied, in part, on the expert medical opinion of Dr. Keith Anderson. In Dr. Anderson’s May 8, 2017 report, he concluded that “exposure to grain dust” and “emotional stress” at work “did not contribute to the development of atherosclerotic heart disease or the progression of this disease.” He further opined that “there is no relationship between grain dust exposure or between chronic work stress and his myocardial infarction.” Because there was “no identifiable activity preceding this event which could be identified as a trigger for his myocardial infarction,” Dr. Anderson concluded that “[t]o a reasonable degree of medical certainty, [Employee’s] employment had no causal relationship to his death.”

Mitchell, 2018 TN Wrk. Comp. App. Bd. LEXIS 3, at *5-6 (footnote omitted).

In the first interlocutory appeal, we vacated the trial court’s order and remanded the case for additional findings consistent with the requirements of Rule 56 of the Tennessee Rules of Civil Procedure.

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Mitchell, Michael v. Bunge North America, 2018 TN WC App. 36 (Tenn. Super. Ct. 2018).

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