Sadler James v. Tyson Foods, Inc.

2015 TN WC 200
CourtTennessee Court of Workers' Compensation Claims
DecidedDecember 23, 2015
Docket2015-07-0105
StatusPublished

This text of 2015 TN WC 200 (Sadler James v. Tyson Foods, Inc.) 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
Sadler James v. Tyson Foods, Inc., 2015 TN WC 200 (Tenn. Super. Ct. 2015).

Opinion

FILED December 23, 2015 TN COURT OF WORKIRS ' Cm!PENSATION CLAThlS

TThiE 8:14 AM

IN THE COURT OF WORKERS' COMPENSATION CLAIMS AT JACKSON

James Sadler, ) Docket No.: 2015-07-0105 Employee, ) v. ) State File Number: 25829-2015 Tyson Foods, Inc., ) Employer, Self-Insured. ) Judge Allen Phillips )

EXPEDITED HEARING ORDER DENYING MEDICAL BENEFITS

This matter came before the undersigned Workers' Compensation Judge on the Request for Expedited Hearing filed by the employee, James Sadler, pursuant to Tennessee Code Annotated section 50-6-239 (2014). Mr. Sadler seeks medical benefits for alleged bilateral carpal tunnel injuries. The employer, Tyson Foods, denied th.e compensability of Mr. Sadler's injuries. The central legal issue is whether Mr. Sadler's alleged carpal tunnel injuries are causally related to his employment at Tyson. For the reasons set forth below, the Court finds that Mr. Sadler is not entitled to the requested benefits at this time. 1

History of Claim

Mr. Sadler is a thirty-eight-year-old resident of Weakley County, Tennessee. He works for Tyson in maintenance. On November 22, 2014, Mr. Sadler sustained an injury when a bag of chicken nuggets fell on his right forearm. Tyson provided a panel of physicians from which he chose Dr. Michael Calfee. Dr. Calfee diagnosed a ruptured distal biceps tendon and ultimately performed a surgical repair.

Over the ensuing weeks, Mr. Sadler voiced complaints of bilateral carpal tunnel symptoms. 2 Specifically, Mr. Sadler reported symptoms consistent with right carpal

1 A complete listing of the technical record and exhibits admitted at the Expedited Hearing is attached to this Order as an appendix. 2 The parties stipulate an injury date of March 30, 2015. However, as discussed hereafter, the evidence is contradictory as to when an injury might have occurred. Whether March 30,2015, is the precise date of injury is not outcome-determinative.

1 tunnel to Dr. Calfee on January 19, 2015, and he reported an alleged left carpal tunnel injury to Tyson on March 30,2015.

On January 19, 2015, Mr. Sadler reported "numbness" in an area of his right hand Dr. Calfee described as, "the median nerve distribution." (Ex. 2 at 6.) Dr. Calfee stated, "I think this probably is carpal tunnel which I do not think would be related to his distal biceps injury." He ordered a "nerve study" to rule out any nerve injury related to the biceps tendon surgery but, stated any carpal tunnel revealed by the study would not be related to the biceps tendon injury. ld. A nerve conduction study by Dr. Ronald Bingham on January 23, 2015, revealed "severe median neuropathy at the right wrist." (Ex. 3 at 15.)

At Mr. Sadler's return visit to Dr. Calfee on February 19, 2015, Dr. Calfee noted the diagnosis of severe right carpal tunnel syndrome and stated:

The question comes into causality of his carpal tunnel. He has worked as a mechanic at Tyson for 6 years, and I am 100% certain that his severe carpal tunnel was not caused by the injury that caused his distal biceps rupture. I say this with a degree of medical certainty. The question is going to be causation, is this another claim. If he is going to be seen for carpal tunnel syndrome, it would have to be done under another claim in my opinion. So I am going to treat him for his distal biceps and he needs to address the carpal tunnel with his employer.

(Ex. 2 at 5.) A return visit to Dr. Calfee on March 19, 2015, noted continued median nerve distribution complaints and Dr. Calfee's reiteration that the numbness, "is not related to his distal biceps repair." ld. at 4.

On March 30, 2015, Mr. Sadler reported to Tyson that he was, "tightening a belt and felt shock in left hand." (Ex. 12)(Emphasis added.) Tyson provided another panel of physicians from which Mr. Sadler again chose Dr. Calfee. A return visit to Dr. Calfee on April 23, 2015, contains no reference to the event reported by Mr. Sadler on March 30. Instead, on April23, Dr. Calfee noted that:

[he] spent a long time with [Mr. Sadler] going over his job. He says really during the week, for the most time, his job is not that labor intensive. He said sometimes when he gets into production, that he does have to do a lot. Most of his work is not terribly labor intensive or hand intensive.

Dr. Calfee recommended carpal tunnel surgery on the right wrist and again stated, "I do not think that his right carpal tunnel syndrome is work compensable. I think it is greater than a 51% chance that his employment at Tyson did not cause his carpal tunnel syndrome. I say this with a degree of medical certainty. (Ex. 2 at 3). On April27, 2015,

2 Tyson denied the March 30, 2015 claim on grounds that, "per the authorized physician, injury not primarily caused by employment at Tyson." (Ex. 10).

On June 25, 2015, Dr. Calfee released Mr. Sadler from treatment for the right distal biceps tendon injury and assessed a permanent rating for that injury. There was no mention of either right or left carpal tunnel syndrome in that record. (Ex. 2 at 1.) In a letter dated the next day, June 26, 2015, Tyson's counsel corresponded with Dr. Calfee to inquire as to his opinion regarding any relation of the left carpal tunnel to the belt tightening event of March 30, 2015. The question from counsel read: "Is your diagnosis of left CTS primarily caused by (51% or more) [by] the claimant's reported, acute incident of tightening a belt on March 30, 20 15?" The reply: "No," in the indicated response line with an added notation of, "carpal tunnel was not caused by the acute injury." (Ex. 2.)

On August 26, 2015, Dr. Apurva Dalal performed an independent medical evaluation of Mr. Sadler at the request of Mr. Sadler's counsel. Dr. Dalal recorded the date of injury as "November 2014" and the Mechanism of Injury" as a box of chicken nuggets being dropped on Mr. Sadler's right arm. Mr. Sadler described his injury causing the distal biceps rupture as, "he hyperextended his right elbow which resulted into a distal biceps tendon rupture." He complained of tingling and numbness of both hands, worse on the right. He had no feeling or sense of touch in the right hand. Further, he had been "overusing his left hand and that has caused numbness in his left hand." (Ex. 7 at 1.)

Dr. Dalal reviewed the above-described medical records of Dr. Calfee. On physical examination, he found Mr. Sadler had, "literally no feeling in the right median nerve distribution" and that he had "lost his superficial touch sensation." (Ex. 7 at 2.) Mr. Sadler had "clinical evidence of carpal tunnel syndrome in the left hand." Id. After diagnosing, "status post distal biceps tendon repair right elbow, severe right carpal tunnel syndrome and carpal tunnel syndrome left hand," Dr. Dalal assigned separate impairment ratings for each of the conditions. !d.

Mr. Sadler filed a Petition for Benefit Determination on June 4, 2015, seeking medical benefits. The parties did not resolve the disputed issues through mediation, and the Mediating Specialist filed a Dispute Certification Notice (DCN) on July 21, 2015. Mr. Sadler failed to file a Request for an Expedited or Initial Hearing within sixty days of the filing of the DCN and this matter was placed on the Court's show cause docket. On November 17, 20 15, the Court heard the matter at a show cause hearing and, based upon Mr. Sadler's stated intention of pursuing the case, allowed him until the end of November, a period of thirteen days, to file a request for hearing. On November 23, 2015, Mr. Sadler filed a Request for Expedited Hearing, and this Court conducted the hearing on December 16, 2015.

At the Expedited Hearing, Mr. Sadler asserted he sustained bilateral carpal tunnel

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