Phillips, Julian V. Carolina Construction Solutions

2016 TN WC 8
CourtTennessee Court of Workers' Compensation Claims
DecidedJanuary 13, 2016
Docket2015-01-0208
StatusPublished

This text of 2016 TN WC 8 (Phillips, Julian V. Carolina Construction Solutions) 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
Phillips, Julian V. Carolina Construction Solutions, 2016 TN WC 8 (Tenn. Super. Ct. 2016).

Opinion

FILED January 13, 2016 TN COURT OF WORKERS' COMP£ 'SATION CLAl\!S

TIM£ 9:02AM

IN THE COURT OF WORKERS' COMPENSATION CLAIMS AT CHATTANOOGA

Julian Phillips ) Docket No.: 2015-01-0208 Employee, ) v. ) State File Number: 58335-2015 Carolina Construction Solutions ) Employer, ) Judge Audrey A. Headrick And ) Guarantee Insurance ) Insurance Carrier. ) )

EXPEDITED HEARING ORDER DENYING REQUESTED MEDICAL AND TEMPORARY DISABILITY BENEFITS (REVIEW OF THE FILE)

This matter came before the undersigned Workers' Compensation Judge on the Request for Expedited Hearing filed by the employee, Julian Phillips, on November 2, 2015. On November 25, 2015, Mr. Phillips filed Employee's Motion to Amend his Request for Expedited Hearing. On December 3, 2015, the Court entered an Agreed Order amending Mr. Phillips' request for an in-person evidentiary hearing to a review of the file. The central legal issue is whether Mr. Phillips is likely to prevail at a hearing on the merits. CCS disputes that Mr. Phillips is entitled to the requested cervical surgery or to any additional temporary disability benefits. For the reasons set forth below, the Court finds Mr. Phillips is not entitled to the requested medical and temporary disability benefits. 1

History of Claim

Mr. Phillips is a sixty-year-old resident of Hamilton County, Tennessee. (T.R. 1.) He worked for CCS as a construction engineer? !d. Mr. Phillips seeks medical benefits

1 A complete listing of the technical record and exhibits is attached to this Order as an -appen dix. 2 The Court notes that pl ead in.gs filed on behal f of the emplo er identifY it as "Cen tury Employer Organization, LLC," a temporary staffing agency. However, all other filings identifY the employer as "Carolina Construction Solutions." Patriot Risk Services is the third-party administrator identified for both entities. Additionally, the payroll voucher filed on behalf of the employer identifies it as "CCS Construction Staffing, Inc." (Ex. 2 at Ex. 1.)

1 and past and ongoing temporary disability benefits for an alleged cervical injury that occurred on November 21, 2014, while operating vibrating machinery. 3 ld.

Based upon the briefs submitted by the parties, Mr. Phillips initially sustained a work-related low-back injury on October 15, 2014, while working for CCS. (T.R. 4 and T.R. 6.) On October 23, 2014, Mr. Phillips provided a handwritten note to "Jason" at CCS documenting his verbal notice of reporting his low-back injury to Sam Harvey, his supervisor. (Ex. 2 at 7.) CCS accepted Mr. Phillips' low-back injury as compensable and authorized treatment. (T.R. 4.) On November 5, 2014, the treating physician for Mr. Phillips' back injury released him to full duty. ld.

In Mr. Phillips' affidavit, he stated that on November 21, 2014, he "was repeatedly operating a vibrating drill (similar to a jack hammer) to place rods ten (10) feet into the ground." (T.R. 6, Ex. 1.) Mr. Phillips stated he, "immediately began to experience upper back pain with left arm numbness and tingling into [his] left hand." He stated he, "did not know that the cause of [his] upper back pain with left arm numbness and tingling into [his] left hand was the result of a neck injury." Mr. Phillips stated he had not experienced upper back or left arm numbness and tingling in his left hand until November 21, 2014, which was the last day that he worked.

On December 1, 2014, Mr. Phillips sought treatment on his own with Dr. Brian Smith complaining of left elbow pain that radiated "up into his shoulder and numbness in his middle and index finger for about two weeks and pain in his 'funny bone."' (Ex. 1 at 5.) Dr. Smith noted that Mr. Phillips did "not recall an injury" and denied having neck pain. Mr. Phillips told Dr. Smith he went to the emergency room twice and received steroid injections. Dr. Smith stated he needed to "rule out possible carpal tunnel syndrome, ulnar neuropathy and/or cervical radiculopathy." He recommended a nerve conduction study and a cervical MRI "to rule out radicular pain." Mr. Phillips postponed the tests, since he did not have medical insurance at that time.

On December 24, 2014, Mr. Phillips submitted a handwritten letter to Jason at CCS. (Ex. 2 at 7.) He enclosed two pages of discharge instructions from Erlanger hospital regarding back pain and degenerative joint disease. Mr. Phillips stated the report "contains the diagnosis of degenerative back disease." In his letter, Mr. Phillips stated Erlanger performed a CT scan of his back. There is no mention in his letter of an incident occurring on November 21, 2014. Mr. Phillips also did not express any complaints in the letter regarding left arm pain or numbness.

Additionally, the Agreed Order entered by the Court lists "Carolina Construction Solutions" in the caption. (T.R. 8.) Therefore, the Court finds that Carolina Construction Solutions and Century Employer Organization, LLC are the same company, and the Court will refer to the employer as CCS throughout the Order. 3 On the PBD, Mr. Phillips, who was initially a self-represented litigant, checked all of the boxes for every type of benefit listed with the exception of death benefits.

2 On January 2, 2015, Mr. Phillips went to Doctors Express, which listed the visit as "Work. Camp. F/U." 4 (Ex. 2 at Ex. 3.) Mr. Phillips complained of having left arm pain for two months with numbness and tingling in his left hand. He also told the medical provider he "started having pain while carrying heavy conduit pipes at work on [his] shoulder." The medical provider diagnosed Mr. Phillips with cervical radiculitis and recommended that he "follow up with orthopedic surgeon for MRI to rule out nerve impingement." It is undisputed by the parties that CCS provided Mr. Phillips with a panel pursuant to the referral, from which he selected Dr. Jason Eck. (T.R. 4.)

On January 21, 2015, Mr. Phillips saw Dr. Eck complaining "of numbness/tingling in his left upper extremity and somewhat in the right extremity, weakness in the left upper extremity and pain in the neck and low back with coughing/sneezing." (Ex. 1 at 11.) Mr. Phillips told Dr. Eck "his pain started by using a jack hammer at work." He also told Dr. Eck his low-back pain began in October 2014 and his upper back and left arm pain began on November 21, 2014. Mr. Phillips indicated his upper back, neck, and left arm symptoms were new.

At the January 21, 2015 visit, Dr. Eck reviewed Mr. Phillips' cervical CT scan and thoracic CT scans previously performed at Erlanger hospital on December 18, 2014. !d. at 12-13. He diagnosed Mr. Phillips with left upper extremity weakness, C5-C7 degenerative disc disease and stenosis, and radiculopathy. !d. at 13. Dr. Eck opined Mr. Phillips' "[c]urrent symptoms are likely related to his work injury aggravating pre- existing asymptomatic degenerative changes." !d. He took Mr. Phillips off work and recommended that he have an anterior cervical discectomy anterior interbody fusion performed at C5-C7. !d. On January 23, 2015, Dr. Eck prepared an order for Mr. Phillips' recommended surgery. !d. at 26. On January 27, 2015, CCS denied the surgical request. (T.R. 4.)

On February 16, 2015, Mr. Phillips saw Dr. Eck and complained his symptoms had "progressively worsened since November." (Ex. 1 at 14.) Dr. Eck noted that Mr. Phillips' "surgery was denied by worker's compensation." !d. He ordered physical therapy, kept Mr. Phillips off work, and continued to recommend the ACDF. !d. at 15.

On March 9, 2015, Mr. Phillips returned to see Dr. Eck. !d. at 16. Dr. Eck kept Mr. Phillips off work. He noted that Mr. Phillips had "failed all non-operative treatments." !d. at 17. Dr. Eck kept Mr. Phillips off work. !d.

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Bluebook (online)
2016 TN WC 8, Counsel Stack Legal Research, https://law.counselstack.com/opinion/phillips-julian-v-carolina-construction-solutions-tennworkcompcl-2016.