Riley, Patrick v. Group Electric

2016 TN WC 106
CourtTennessee Court of Workers' Compensation Claims
DecidedMay 9, 2016
Docket2015-06-0886
StatusPublished

This text of 2016 TN WC 106 (Riley, Patrick v. Group Electric) 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
Riley, Patrick v. Group Electric, 2016 TN WC 106 (Tenn. Super. Ct. 2016).

Opinion

FILED May .9 , 201.6

TN COURT Of \VORKIRS' COl\IPENSATION CLAD. IS

Time: 3: 19 Pl\1

TENNESSEE BUREAU OF WORKERS' COMPENSATION IN THE COURT OF WORKERS' COMPENSATION CLAIMS AT NASHVILLE

Patrick Riley, ) Docket No.: 2015-06-0886 Employee, ) v. ) State File Number: 48657-2015 Group Electric, ) Employer. ) Chief Judge Kenneth M. Switzer

EXPEDITED HEARING ORDER GRANTING MEDICAL BENEFITS

This case came before the undersigned workers' compensation judge on the Request for Expedited Hearing filed by the employee, Patrick Riley, pursuant to Tennessee Code Annotated section 50-6-239 (2015). The present focus of this case is two-fold: 1) whether the Court should admit a causation letter and affidavit from physicians into evidence; and, 2) whether Mr. Riley is entitled to additional medical benefits and temporary disability benefits. 1 For the reasons set forth below, the Court admits the letter and affidavit into evidence and finds Mr. Riley satisfied his burden to show he sustained an injury in the course and scope of employment with the employer, Group Electric triggering its statutory obligation to provide a panel. 2

History of Claim

Mr. Riley is a fifty-six-year-old resident of Davidson County, Tennessee. He worked at Group Electric as a journeyman electrician. He testified that on June 8, 2015, while installing wire in a new school building, he injured his left hand and wrist. This occurred while handling thick wire, running it through conduits in the main disconnect and securing the wire to lugs in parallel sets of conduits. The general foreman, Arthur Stevens, assisted Mr. Riley. According to Mr. Riley, the weather was warm, possibly eight-five or ninety degrees, and his hands became sweaty. His left hand slipped due to

1 The Court considers the additional issues checked on the Dispute Certification Notice but not addressed at the expedited hearing as waived. 2 A complete listing of the technical record and exhibits admitted at the expedited hearing is attached to this Order as an appendix. perspiration and the top of his left wrist struck the aluminum lugs in the main disconnect. Mr. Riley completed the workday. However, on his way home, his wrist and hand began to swell. By the next morning, the swelling spread to his fingers. Group Electric did not refute Mr. Riley's testimony regarding the mechanism of injury.

Mr. Riley reported to work on June 9, 2016, and told Tommy Walker, the superintendent of the jobsite, about the injury as soon as he arrived. At approximately 9:00a.m., he told Mr. Walker he needed to go to the hospital and left the jobsite.

Mr. Riley went to the Summit Medical Center Emergency Room for unauthorized care. The reason for visit lists "left wrist pain, denies injury." (Ex. A at 2.) Under patient history, the records indicate: "Complaint: wrist injury (pain w/o injury) ... Timing-onset: days (3) ... Mechanism of injury: unknown ... reports no other injuries .. . c/o pain, swelling to left wrist for three days." !d. at 12. The notes additionally state, "Is This a Work Related Injury: No." !d. at 19.

Mr. Riley testified he told providers that his left elbow was "a little bit sore" about three days prior to the injury, and might have contributed to the work accident, but he maintained he did not suffer from wrist pain for three days prior to treatment at Summit. He stated he told the receptionist and "everyone I talked to" at Summit that he hurt his wrist at work. The Summit providers referred Mr. Riley for an orthopedic consult and diagnosed arthritis, possible gout of the left wrist, and bursitis. !d. at 17-18; 38. Mr. Riley did not introduce evidence of any expenses he paid relative to care at Summit. 3

Group Electric filed an unsigned "Notice of Controversy" form with the Bureau on June 25, 2015. 4 (Ex. G.)

Mr. Riley testified he spoke at some point to Group Electric's owner, H.P. Staley, who offered a panel. The "Choice of Physician" form is dated July 1, 2015, memorializing Mr. Riley's selection of Dr. Rosa Stone. (Ex. 1.) According to Mr. Riley, he subsequently gave Mr. Staley a copy of his work restrictions (Ex. C) 5 . He testified Mr. Staley told him Group Electric did not have light-duty work available and he could not return to work until he was released by a physician. Group Electric did not refute this

3 Mr. Riley attempted to introduce such evidence after the closing of evidence at the expedited hearing, prompting Group Electric to object. The Court sustained the objection. 4 The parties stipulated to the premarked exhibits prior to the commencement of the expedited hearing. Among them is Exhibit G, the Notice of Controversy. Counsel for Mr. Riley introduced another copy of the document into evidence during the hearing, upon which the Court marked it as Exhibit M for identification only. To clarify, the Court admits this document into evidence without limitation as Exhibit G, and strikes Exhibit M as redundant. 5 Immediately preceding the expedited hearing, counsel stipulated to add a page to Exhibit C, records from Dr. Stone, which lists Mr. Riley's work restrictions. This page is not sequentially numbered, but is the last page of the exhibit.

2 testimony.

Mr. Riley testified that Mr. Staley additionally directed him to receive treatment at Concentra, where he went on three occasions and saw three different providers. Records from the first visit of June 30, 2015, with Rosalyn Jones, N.P. state, "The patient presents - -------=o,....,.ay with left wrist injury. MOI: blunt trauma,'' and ..Patient was pullmg wtre and patient hit left wrist on underside of bus service disconnect." (Ex. B at 44.) In addition, "This is the result of a direct blow. Occurred while at work. Complaint of wrist pain." !d.

Mr. Riley's second Concentra visit took place on July 3, 2015, where he saw Dr. Joseph Speake. Dr. Speake agreed with the assessment of NP Jones that Mr. Riley suffered a left-wrist contusion, but also noted: "[P]atient got defensive today while asking more detailed questions about his history. Initially stating he saw a doctor in follow-up before changing answer moments later to say he didn't se [sic] doctor due to cost. Story of injury and exam don't seem to correlate very well." (Ex. B at 52.) Mr. Riley testified that Dr. Speake was not interested in treating him but rather wanted to disprove that he hurt himself at work. The third Concentra visit of July 10, 2015, was with Dr. Saritha Reddy, who ordered an MRI. (Ex. Bat 55.)

At Mr. Riley's only visit to Dr. Stone on July 23, 2015, she noted, "Stated he hit his left wrist on a switched gear on June the gth." (Ex. C at 58.) Records from this visit do not contain a statement regarding causation. Mr. Riley's counsel represented that he contacted Dr. Stone in an effort to ascertain her opinion on causation, but she declined to offer it. Mr. Riley underwent an MRI on July 29, 2016 (Ex. D), but he never reviewed the results with Dr. Stone because she refused to see him. Group Electric denied the claim on August 19, 2015. (Ex. K.) Mr. Riley testified he received no care after the denial and still experiences problems in his left hand and wrist. 6

Mr. Riley filed a Petition for Benefit Determination seeking medical and temporary disability benefits. The parties did not resolve the disputed issues through mediation, and the Mediating Specialist filed a Dispute Certification Notice. Mr. Riley filed a Request for Expedited Hearing, which took place on April 26, 2016. At the close of evidence at the expedited hearing, Group Electric moved for a directed verdict, which the Court denied. 7 6 Mr. Riley additionally called Wanda Dyer to testifY at the expedited hearing in his case in chief. Group Electric objected to Ms. Dyer's testimony, arguing Mr.

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2016 TN WC 106, Counsel Stack Legal Research, https://law.counselstack.com/opinion/riley-patrick-v-group-electric-tennworkcompcl-2016.