Pryor v. Target Corporation

CourtCourt of Appeals of Kansas
DecidedDecember 27, 2024
Docket126978
StatusUnpublished

This text of Pryor v. Target Corporation (Pryor v. Target Corporation) is published on Counsel Stack Legal Research, covering Court of Appeals of Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pryor v. Target Corporation, (kanctapp 2024).

Opinion

NOT DESIGNATED FOR PUBLICATION

No. 126,978

IN THE COURT OF APPEALS OF THE STATE OF KANSAS

TYLESHA PRYOR, Appellant,

v.

TARGET CORPORATION, Appellee.

MEMORANDUM OPINION

Appeal from Workers Compensation Board. Oral argument held October 15, 2024. Opinion filed December 27, 2024. Affirmed.

Jeff K. Cooper, of Topeka, for appellant.

Michael P. Bandre and Stephen P. Doherty, of Hoffmeister & Doherty LLC, of Overland Park, for appellee.

Before COBLE, P.J., GARDNER, J., and CARL FOLSOM III, District Court Judge, assigned.

PER CURIAM: Tylesha Pryor was injured during the performance of her duties as an employee for the Target Corporation (Target). Pryor suffered from an umbilical hernia and underwent three surgeries to repair it. Pryor claimed that she suffered new and distinct injuries—myofascial pain and nerve injuries—from the initial hernia injury and the subsequent surgeries. The administrative law judge (ALJ) awarded Pryor compensation outside the scheduled injuries listed under K.S.A. 44-510d(b)(22), finding that Pryor's injuries went beyond the initial traumatic hernia. The Workers Compensation Board (Board) reversed the ALJ's decision, finding the medical testimony offered by

1 Pryor did not support the ALJ's decision. The Board found Pryor's injuries fell under K.S.A. 44-510d(b)(22) and ruled that she is only allowed compensation as prescribed under the scheduled injury list. Pryor appeals the Board's decision, raising two issues: (1) The Board erred in determining her impairment and limiting the benefits to K.S.A. 44- 510d(b)(22), and (2) in the alternative, K.S.A. 44-510d(b)(22) is unconstitutional. After reviewing the entire record, we affirm the Board's decision and reject Pryor's constitutional challenge to K.S.A. 44-510d(b)(22).

FACTUAL AND PROCEDURAL BACKGROUND

The Injuries and Surgeries

Pryor began working for Target in November 2017 in its warehouse. All parties agree she sustained a work-related umbilical hernia in November 2018, while lifting some boxes. Pryor was seen by Dr. Brennan Dixon and underwent surgery to repair the hernia on January 7, 2019. She returned to work on regular duty about a month later.

On March 19, 2019, while Pryor was moving boxes, several boxes fell on her back. Pryor said she tried to shield her abdomen, but she experienced instant pain and aggravated symptoms throughout her abdomen when the boxes struck her. As a result, she visited Dr. Dixon, who diagnosed her with abdominal wall strain. Pryor also experienced pain in her lower back after the second injury. Pryor was seen by other medical professionals, but they had differing opinions regarding whether Pryor developed a new hernia, reinjured her previous hernia, or had some other issue resulting from the recent injury.

Pryor's pain in her abdomen persisted, and as part of her workers compensation claim, she met with two additional doctors: Dr. Howard Aks, at her attorney's request on

2 June 3, 2019; and Dr. Vito Carabetta, an independent medical examiner ordered by the ALJ, on September 2, 2020.

When Pryor was initially evaluated by Dr. Aks on June 3, 2019, he diagnosed her with: (1) Chronic abdominal pain, (2) probable myofascial pain of the abdominal musculature, (3) possible neuropathic pain, and (4) possible but doubtful recurrence of ventral hernia. Dr. Aks noted no hernia was visible at the time of the evaluation. Dr. Aks opined that the second injury in March 2019 was the prevailing factor causing her new abdominal pain and recommended treatment including referral to a surgeon.

After Dr. Carabetta first evaluated Pryor, he opined that the prevailing cause for Pryor's pain was the original injury in November 2018, not the incident in March 2019. He believed the incident in March was an aggravating factor that hampered the standard recovery from the first injury. Dr. Carabetta questioned the integrity of the hernia mesh from the first repair surgery, and he recommended Pryor meet with a surgeon regarding the myofascial pain in her abdominal wall and for further treatment recommendations.

Pryor received an ultrasound on November 9, 2020, which revealed a small supraumbilical ventral hernia that required surgery. Pryor underwent a second hernia surgery on January 6, 2021. During this second surgery, the surgeon removed the mesh previously placed during her first hernia surgery and repaired the umbilical hernia. When Pryor's symptoms continued, she had a third hernia repair surgery on August 11, 2021.

Subsequent Examinations by Medical Professionals

At her deposition, Pryor testified she continued to experience pain in her abdomen, her sides, lower back, and her groin area. She also experienced muscle spasms in the surgical scar area below her belly button. Pryor was unable to lift anything heavy, twist or turn, kneel, squat, or bend without experiencing pain and muscle spasms.

3 Dr. Aks examined Pryor again in November 2021 at the request of her attorney. Pryor complained about abdominal pain and groin pain, along with pain and discomfort in her lower and mid back area. Based on this second evaluation, Dr. Aks diagnosed Pryor with: (1) Chronic intractable abdominal pain post multiple abdominal hernia repairs, (2) myofascial pain involving the abdominal wall, (3) possible neuropathic pain from umbilical hernia repairs, (4) bilateral flank pain, muscular in origin, and (5) lower back pain, probably muscular in origin. Dr. Aks opined that the original injury Pryor sustained in November 2018 and the consequences of the surgeries were the prevailing factors for her chronic intractable abdominal pain. Dr. Aks did not believe the injury sustained in March 2019 was an aggravation of her previous abdominal wall issue. During Dr. Aks' later deposition, when asked about his reference to Pryor's neuropathic pain, counsel said, "[W]hen you refer to the neuropathic pain, you refer to it as possible, not necessarily probable, is that also accurate?" Dr. Aks answered, "That is correct."

Dr. Aks calculated an impairment rating of 13% based on the guidelines provided in the Sixth Edition of the American Medical Association (AMA) Guides to the Evaluation of Permanent Impairment (6th ed. 2008).

On the request of the ALJ, Dr. Carabetta examined Pryor for a second time in June 2022. The AJL asked Carabetta to assess if there were any other injuries Pryor suffered because of the work injuries, but the second evaluation was solely limited to Pryor's complaint of back pain. Dr. Carabetta opined that he had trouble understanding the prevailing factor for the back pain because Pryor did not mention it during the previous examination. Dr. Carabetta also stated Pryor's back pain was not related to the work injuries and that it may have developed after the injuries, but its correlation with the work injuries remained undefined. According to Dr. Carabetta, the mesh removal was necessary following complications from the first surgery. Dr. Carabetta agreed that removal of the mesh affected Pryor's abdominal tissue and muscle, causing significant impacts such as a change in the physical structure of the abdominal tissue and bruising

4 and bleeding that would heal over time.

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