Tusa, Jos v. Volkswagen Group of America

2016 TN WC 280
CourtTennessee Court of Workers' Compensation Claims
DecidedNovember 29, 2016
Docket2015-07-0259
StatusPublished

This text of 2016 TN WC 280 (Tusa, Jos v. Volkswagen Group of America) 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
Tusa, Jos v. Volkswagen Group of America, 2016 TN WC 280 (Tenn. Super. Ct. 2016).

Opinion

FILED

TNCOURTOF ll\rOR.KI.RS 'OOllP!ENS.LmON C1An.rs

Time ll:47PM

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

JOETUSA, ) Docket No.: 2015-07-0259 Employee, ) v. ) VOLKSWAGEN GROUP OF ) State File Number: 34226-2015 AMERICA, ) ) Employer, ) Judge Thomas Wyatt And ) XL SPECIALITY INSURANCE CO., ) Carrier. )

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

This matter came before the undersigned Workers' Compensation Judge on November 17, 2016, upon the Request for Expedited Hearing filed by Joe Tusa pursuant to Tennessee Code Annotated section 50-6-239 (2015). Mr. Tusa requested a review of the file without an evidentiary hearing, 1 seeking medical and temporary disability benefits for an alleged work injury caused by repetitive duties he performed in Volkswagen's paint shop. The focal issue at this stage of the claim is whether the submitted evidence establishes that Mr. Tusa's injury is compensable under statutory definitions, which Volkswagen denies. For the following reasons, the Court determines Mr. Tusa is not, at this time, entitled to the requested interlocutory relief. 2

1 In determining the appropriateness of deciding this claim on the record, the Court noted Volkswagen did not ask for an evidentiary hearing. The Court reviewed the submitted evidence and determined it did not need additional evidence to make a decision. Also, the Court reviewed all evidence submitted into the record because neither party objected to the evidence submitted. 2 A complete listing of the technical record and the exhibits admitted into evidence is attached as an appendix to this Order.

1 History of Claim

Mr. Tusa is a fifty-nine-year-old resident of Rossville, Georgia who worked at Volkswagen's plant near Chattanooga, Tennessee. As of April 13, 2015, Mr. Tusa had worked as team leader in the paint shop for more than four years. (T .R. 1 at 1; Ex. 4 at 1, 3, 5, 7; Ex. 5 at 1.) During the weeks preceding April 13, while performing his duties at Volkswagen, Mr. Tusa began experiencing low back pain radiating into his legs, left arm pain extending into his fingers, pain in both knees and pain in his left foot. (Ex. 5 at 2, 8.) On April13, he called in sick because he could hardly walk due to pain. Id. at 8. Mr. Tusa returned to work the next day but reported a work injury to Volkswagen on April 16, when his pain continued to intensify as he worked. !d.

Volkswagen offered Mr. Tusa a panel from which he selected Dr. Jaime Recasens as authorized treating physician. (Ex. 9.) Dr. Recasens is located "on-site" at Volkswagen and Mr. Tusa saw him immediately. (Ex. 5 at 2; Ex. 11 at 1.) Dr. Recasens' note indicates Mr. Tusa mainly complained of back pain radiating down his left leg, but reported no trauma, falls, heavy lifting or known mechanism of injury. (Ex. 11 at 1.) Dr. Recasens assessed that Mr. Tusa had lumbar back pain with suspected sciatica but returned him to work without restrictions. Id. at 2, 3. He also opined that Mr. Tusa's injury did not arise primarily out of and in the course and scope of employment. I d. at 2.

On May 7, Mr. Tusa gave a recorded statement to Volkswagen's carrier. (Ex. 5 at 5.) In response to a question about how he was injured, Mr. Tusa stated:

I am being 100% honest with you. I mean, they're calling it an injury. I'm not sure I did anything to my body, I mean I didn't hit anything, or anything like that. It's just I started feeling pain ... and I reported it. ... All I know is I hurt and it's not going away.

ld. at 11. Mr. Tusa also stated he was not satisfied with Dr. Recasens' decision to return him to work and that he intended to see his personal doctor about his pain. Id. at 9. Volkswagen denied the compensability of the claim on the ground it did not primarily arise from his employment. (Ex. 1.)

Mr. Tusa saw his personal physician, Dr. Melanie Blake, on May 11, reporting the same symptoms he reported to Dr. Recasens. (Ex. 6 at 1.) Dr. Blake noted Mr. Tusa reported that his job required manual labor and he was "aware that his job contributes to his pain." !d. Over the next several weeks, Mr. Tusa underwent x-rays of his neck and knees, an MRI of his neck, an EMG/NCS of his left arm, and numerous sessions of physical therapy, all prescribed by Dr. Blake. (Ex. 2; Ex. 3, Ex. 5 at 6, 7, 18-19.)

On August 17, Dr. Blake completed a Medical Questionnaire sent to her by Mr. Tusa's attorney. (Ex. 7.) In response to a question about work restrictions, she opined

2 that Mr. Tusa "is unable to perform manual labor" and that she had so restricted his work activities since May 2015. !d. Dr. Blake also answered affmnatively to a question whether "Mr. Tusa's employment at Volkswagen more likely than not contribute[d) more than 50% in causing Mr. Tusa's injury, considering all causes." (Ex. 7.)

Volkswagen sought its own causation opinion from Dr. David Darden, an osteopath practicing in the area of occupational and environmental medicine, whom it asked to review Mr. Tusa's treatment records. (Ex. 10 at 4.) Dr. Darden opined that Mr. Tusa's pain derives from pre-existing, non-work-related osteoarthritis and polyneuropathy. !d. at 3. While he recognized that a person with osteoarthritis will experience pain during and after the performance of repetitive physical activity, Dr. Darden concluded that Mr. Tusa did not sustain an injury that arose primarily out of and in the course and scope of employment by Volkswagen. !d.

In his Petition for Benefit Determination seeking medical and disability benefits, Mr. Tusa described his mechanism of injury as, "[r]epeatedly [and] forcefully struck in the back hundreds of times each day." (T.R. 1 at 1.) When the parties could not resolve their dispute through mediation, the mediating specialist filed a Dispute Certification Notice, after which Mr. Tusa filed his Request for Expedited Hearing. (T.R. 2, 5.)

In the affidavit he filed in support of his Request for Expedited Hearing, Mr. Tusa stated he had not worked at Volkswagen since May 11. (Ex. 5 at 3.) He also stated he had worked at an amusement park within the work restrictions set by Dr. Blake. !d. at 4.

Findings of Fact and Conclusions of Law

The Court applies the following legal principles in determining the issues in this Expedited Hearing. Mr. Tusa bears the burden of proof on all essential elements of his claim. Scott v. Integrity Staffing Solutions, No. 2015-01-0055, 2015 TN Wrk. Comp. App. Bd. LEXIS 24, at *6 (Tenn. Workers' Comp. App. Bd. Aug. 18, 2015). He need not, however, prove every element by a preponderance of the evidence in order to obtain relief at an Expedited Hearing. McCord v. Advantage Human Resourcing, No. 2014-06- 0063, 2015 TN Wrk. Comp. App. Bd. LEXIS 6, at *7-8, 9 (Tenn. Workers' Comp. App. Bd. Mar. 27, 2015). Rather, he must come forward with sufficient evidence from which the Court can determine he is likely to prevail at trial in establishing his injury arose primarily out of and in the course and scope of employment. !d. This lesser evidentiary standard does not relieve Mr. Tusa from the burden of producing evidence of a compensable injury, but allows the Court to grant some relief if that evidence does not rise to the level of a preponderance of the evidence. Buchanan v. Car/ex Glass Co., No. 2015-01-0012, 2015 TN Wrk. Comp. App. Bd. LEXIS 39, at *6 (Tenn. Workers' Comp. App. Bd. Sept. 29, 2015).

The statutory definition of a compensable injury governs the Court's decisional

3 analysis here.

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

Related

§ 50-6-102
Tennessee § 50-6-102(14)(C)

Cite This Page — Counsel Stack

Bluebook (online)
2016 TN WC 280, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tusa-jos-v-volkswagen-group-of-america-tennworkcompcl-2016.