Thornton v. C & J Carriage House

795 S.E.2d 155, 2017 WL 163781, 2017 N.C. App. LEXIS 35
CourtCourt of Appeals of North Carolina
DecidedJanuary 17, 2017
DocketNo. COA16-538
StatusPublished

This text of 795 S.E.2d 155 (Thornton v. C & J Carriage House) is published on Counsel Stack Legal Research, covering Court of Appeals of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thornton v. C & J Carriage House, 795 S.E.2d 155, 2017 WL 163781, 2017 N.C. App. LEXIS 35 (N.C. Ct. App. 2017).

Opinion

ZACHARY, Judge.

C & J Carriage House and its workers' compensation insurance carrier, Ohio Casualty Group/Liberty Mutual Insurance Co. (collectively, with C&J Carriage House, defendants), appeal an Opinion and Award of the Industrial Commission granting plaintiff Elizabeth Thornton's (Thornton) request for compensation for medical treatment related to ongoing pain in her lower back. Defendants' primary argument on appeal is that they successfully rebutted the evidentiary presumption enunciated in Parsons v. Pantry, Inc. , 126 N.C. App. 540, 485 S.E.2d 867 (1997), which provides that once a plaintiff meets her initial burden of demonstrating a causal relationship between an injury and a work-related accident, she is entitled to a presumption that her current symptoms and associated medical treatment are directly related to her compensable injury (the Parsons presumption). For the reasons that follow, we conclude that defendants failed to rebut the Parsons presumption, and that even if they had, Thornton presented evidence demonstrating that the lower back pain and related treatment for which she now seeks compensation are directly related to her compensable injury. Accordingly, we affirm the Commission's Opinion and Award.

I. Background

This case arises out of an admittedly compensable back injury that Thornton suffered while employed with defendant C & J Carriage House. In July 1998, Thornton sat down in a chair at work, heard a sudden "pop," and fell to the floor. Defendants accepted Thornton's workers' compensation claim, and paid medical and indemnity benefits following her injury.

After receiving an extensive course of conservative treatment, Thornton underwent a bilateral lumbar laminectomy and resection of the L4-L5 disc on 4 January 1999. When Thornton continued to experience pain and debilitating symptoms related to her injury and treatment, she was referred to Dr. David Kee, who performed further surgical intervention on Thornton's spine in the form of an "inter-body spinal fusion with hardware placement" at L4-L5. In July 2001, Dr. Kee determined that Thornton had reached maximum medical improvement, and he assigned a 20% partial disability rating to her spine. Several months later, in January 2002, Thornton saw Dr. Kee and reported significant pain in her left hip and left leg. Dr. Kee treated Thornton with lumbar spine injections and multiple prescription pain medications. Thornton returned to Dr. Kee in March 2002, and she reported an "acute onset" of extreme pain in her left leg after she opened a refrigerator door and experienced a "pop" in her lower back that caused her to fall down. Consequently, a CT myelogram was performed, which showed "that bone graft material [was] extending into the canal on the right side at L4-L5, possibly compressing the right L5 nerve root."

On 8 November 2002, the parties entered into a Compromise Settlement Agreement (CSA) that resolved the indemnity portion of Thornton's claim. However, the medical portion of her claim remained open, and the CSA authorized ongoing medical treatment related to her compensable lower back injury. After an August 2004 CT myelogram showed probable loosening of the hardware placed at L4-L5, Thornton underwent three-level (L3-L5) fusion surgery on her spine in March 2005.1 When Thornton continued to experience chronic lower back pain, she was referred to Dr. Kenneth Wenz, a pain management specialist whose treatment was authorized by defendants. Dr. Wenz treated Thornton by managing her medication and administering periodic epidural steroid injections. Thornton experienced some pain relief during this course of treatment, but her patient-doctor relationship with Dr. Wenz was compromised when she tested positive for cocaine in October 2006. Once an additional drug screen confirmed the prior positive results for cocaine, Dr. Wenz discharged Thornton from treatment, weaned her off narcotic pain medications, and referred her to substance abuse counseling.

Because Thornton could not afford the drug rehabilitation programs that were recommended, she never attended one. As a consequence, defendants suspended her medical benefits for approximately a year and a half. The record reveals that Thornton abused alcohol and cocaine from 2006 through late 2009. During this period, Thornton was hospitalized several times with severe health problems-including organ failure-that were caused by acute cocaine intoxication.

In February 2008, defendants authorized Thornton to seek treatment for her compensable injury with Dr. Jason Rosenburg, who recommended the "implantation of a spinal cord stimulator." To that end, Thornton was referred to Dr. Leonard Goldschmidt for a psychological evaluation during which Thornton reported that she took up to 30 Tylenol Arthritis tablets per day to control her lower back pain. It was eventually determined that Thornton was not a candidate for spinal cord stimulation.

Thornton fell down several times in 2008 when stabbing pain in her back caused her left leg to give way. Particularly relevant to this appeal, on 26 February 2009, Thornton felt a popping sensation in her back while descending a flight of stairs. As a result, she sought treatment at a local hospital's emergency room for "left flank pain radiating into [her] left leg." The next day, Thornton returned to the emergency room after someone knocked her down in a store.2 Medical records from this emergency room visit reveal that Thornton reported her previous lower back surgeries, including the 2005 lumbar fusion surgery, and stated that she "had been doing better, only with intermit [t]ent pain control[l]ed with [T]ylenol until this injury."

Over the next three years, Thornton consistently reported and sought various treatments for musculoskeletal pain. In January 2012, Dr. William Richardson, a board-certified anesthesiologist and pain management specialist, diagnosed Thornton with post-laminectomy pain syndrome of the lumbar spine, lumbar radiculitis, lumbar spondylosis, and lumbar degenerative disc disease. On 21 February 2013, Thornton underwent an L5-S1 bilateral medial branch block-a diagnostic procedure authorized and paid for by defendants-which allowed her to achieve a short-term, 90 percent improvement in her pain. Based on the results of the medial branch block, Dr. Richardson recommended that Thornton undergo rhizotomy, a surgical procedure in which nerve roots in the spinal cord are destroyed in order to provide longer-term relief from chronic pain. However, defendants refused to authorize this course of treatment.

In April 2013, defendants obtained a peer review of the rhizotomy recommendation from board-certified neurologist Dr. Bruce LeForce, who "agreed that the proposed rhizotomy treatment was related to [Thornton's] original compensable injury, but [who] disagreed that the recommendation was 'medically necessary[.]' " Defendants then obtained a second opinion from Dr. Mark Foster, an orthopaedic surgeon, who reviewed Thornton's medical records and provided written responses to specific questions regarding the potential effectiveness of rhizotomy in treating Thornton's pain. In a report dated 14 May 2014, Dr. Foster concluded, inter alia

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Perkins v. U.S. Airways
628 S.E.2d 402 (Court of Appeals of North Carolina, 2006)
Parsons v. Pantry, Inc.
485 S.E.2d 867 (Court of Appeals of North Carolina, 1997)
Horne v. Universal Leaf Tobacco Processors
459 S.E.2d 797 (Court of Appeals of North Carolina, 1995)
Adams v. AVX Corp.
509 S.E.2d 411 (Supreme Court of North Carolina, 1998)
Perez v. American Airlines/AMR Corp.
620 S.E.2d 288 (Court of Appeals of North Carolina, 2005)
Click v. Pilot Freight Carriers, Inc.
265 S.E.2d 389 (Supreme Court of North Carolina, 1980)
Hobbs v. Clean Control Corp.
571 S.E.2d 860 (Court of Appeals of North Carolina, 2002)
Calloway v. Memorial Mission Hospital
528 S.E.2d 397 (Court of Appeals of North Carolina, 2000)
Roper v. J. P. Stevens & Co.
308 S.E.2d 485 (Court of Appeals of North Carolina, 1983)
Johnson v. Herbie's Place
579 S.E.2d 110 (Court of Appeals of North Carolina, 2003)
Holley v. Acts, Inc.
581 S.E.2d 750 (Supreme Court of North Carolina, 2003)
State v. Hudgins
672 S.E.2d 717 (Court of Appeals of North Carolina, 2009)
Anderson v. LINCOLN CONSTRUCTION COMPANY
144 S.E.2d 272 (Supreme Court of North Carolina, 1965)
Reinninger v. Prestige Fabricators, Inc.
523 S.E.2d 720 (Court of Appeals of North Carolina, 1999)
Jones v. Candler Mobile Village
457 S.E.2d 315 (Court of Appeals of North Carolina, 1995)
Richardson v. Maxim Healthcare/Allegis Group
669 S.E.2d 582 (Supreme Court of North Carolina, 2008)
Hedges v. Wake County Public School System
699 S.E.2d 124 (Court of Appeals of North Carolina, 2010)
Carr v. Department of Health & Human Services
720 S.E.2d 869 (Court of Appeals of North Carolina, 2012)
Miller v. Mission Hospital, Inc.
760 S.E.2d 31 (Court of Appeals of North Carolina, 2014)
Gilmore v. . Board of Education
23 S.E.2d 292 (Supreme Court of North Carolina, 1942)

Cite This Page — Counsel Stack

Bluebook (online)
795 S.E.2d 155, 2017 WL 163781, 2017 N.C. App. LEXIS 35, Counsel Stack Legal Research, https://law.counselstack.com/opinion/thornton-v-c-j-carriage-house-ncctapp-2017.