White v. Mount Carmel Medical Center

780 N.E.2d 1054, 150 Ohio App. 3d 316
CourtOhio Court of Appeals
DecidedNovember 26, 2002
DocketNo. 02AP-381 (REGULAR CALENDAR).
StatusPublished
Cited by34 cases

This text of 780 N.E.2d 1054 (White v. Mount Carmel Medical Center) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
White v. Mount Carmel Medical Center, 780 N.E.2d 1054, 150 Ohio App. 3d 316 (Ohio Ct. App. 2002).

Opinion

Brown, Judge.

{¶ 1} Elise White, plaintiff-appellant, appeals from a judgment of the Franklin County Court of Common Pleas granting a motion for summary judgment filed by Mount Carmel Medical Center (“Mount Carmel”), defendant-appellee.

{¶ 2} Appellee is a hospital located in Columbus, Ohio, and is a self-insured employer for the purposes of administering workers’ compensation claims. Appellant began working for appellee on October 16, 1995, as a part-time mammog-rapher and became a full-time employee on June 9, 1996. Thereafter, appellant began working in appellee’s mobile mammography unit, operating a van containing a motorized mammography unit and performing mammographies at various locations. In September 1998, appellant resigned from appellee to take another job; however, she returned to appellee on November 22, 1998, and resumed her previous duties.

{¶ 3} On January 6, 1999, appellant slipped on ice while operating the mobile unit and sustained a wrist injury. On that same date, appellee approved appellant’s request for medical leave of absence. In an operative note for the January 12, 1999 surgical procedure, the injury was diagnosed as a comminuted distal radial fracture with significant dorsal comminution. Appellant filed a workers’ compensation claim with appellee, a self-insured employer, indicating that she had sustained a wrist fracture. On January 26, 1999, appellee certified *321 appellant’s claim for “Fracture, right -wrist.” It also approved various surgeries, treatments, and physical therapy.

{¶ 4} On March 4, 1999, Dr. Karl Kumler indicated in his treatment notes that appellant’s wrist fracture was progressing well and that he had a “slight concern” of possible reflex sympathetic dystrophy (“RSD”). He also indicated that he was concerned about appellant’s hand function due to finger stiffness and referred her to a hand therapist. He completed a C-9 Form and returned it to appellee. The form indicated, among other things, that appellant had finger swelling. On March 11, 1999, Tammy Riggenbach, a certified hand therapist, opined that appellant may have RSD. On March 12, 1999, Riggenbach wrote a letter to Dr. Kumler, appellant’s treating physician, indicating that she believed that appellant had RSD relating to her wrist injury and suggested that Dr. Kumler to consider using stellate ganglion block injections (“blocks” or “block injections”) to arrest the RSD. Riggenbach also related to Dr. Kumler that such injections would be complicated by the fact that appellant had vagal response, which may cause a person to go into shock when pricked with needles.

{¶ 5} In a March 15, 1999 C-9 statement, Dr. Kumler requested that stellate ganglion blocks be permitted to arrest the RSD. Appellee denied any treatment of blocks. Riggenbach claims that appellee told her that the claim was denied because RSD was a pre-existing condition. On March 18, 1999, Riggenbach prepared a report for Dr. Kumler, and appellee expressing her concern that RSD was denied on the basis of a pre-existing condition. Riggenbach also expressed that appellant’s hand was not functional due to pain and RSD symptoms. On March 19, 1999, Riggenbach spoke with Charlene Cordle at Mount Carmel East regarding RSD literature she could provide to Patricia Rutter, supervisor of appellee’s Employee Health Services. Apparently, a record of the heated conversation was made, and Riggenbach was told by her supervisor that a complaint had been made regarding the conversation.

{¶ 6} On March 22, 1999, Dr. Kumler requested in a C-9 that appellee allow the RSD in appellant’s workers’ compensation claim and authorize consultations for appellant with Dr. Claire Wolfe and Dr. Scott Berliner to diagnose RSD. On that same day, appellee approved consultations with Drs. Wolfe and Berliner. Appellee claims that it denied the allowance of RSD as part of appellant’s workers’ compensation claim because no test or doctor had ever diagnosed RSD.

{¶ 7} On March 24, 1999, Dr. Berliner, an anesthesiologist, examined appellant. Dr. Berliner issued a report to Dr. Kumler and appellee indicating that appellant had signs of autonomic instability and block injections may be used to see whether her sympathetic system was playing a role in her symptoms.

{¶ 8} On April 1, 1999, appellant had a consultation with Dr. Wolfe. Dr. Wolfe authored a report to Dr. Kumler and appellee, in which she opined that *322 there was “no question” that appellant had RSD and indicated that there was a real possibility of loss of major function if not treated aggressively. Dr. Wolfe also stated that the most consistent diagnostic test for RSD was a triple-phase bone scan. She also indicated that she believed such a test was not necessary, as appellant’s clinical picture was so classic and dramatic. Further, she believed that appellant should be given the option to receive block injections.

{¶ 9} Appellee’s Human Resources Policies and Procedures Manual (“manual”) contains a leave of absence policy, under which an employee may take a maximum of twenty-six weeks of medical leave, which includes twelve weeks’ leave under the Family Medical Leave Act. In April 1999, appellee maintains that it began to prepare for appellant’s return to work after the twenty-six-week medical leave by attempting to find temporary modified duty work for appellant. Appellee sent appellant’s treating physicians forms requesting that they indicate appellant’s work restrictions. The doctors never responded.

{¶ 10} On April 7, 1999, appellee wrote a letter to appellant requesting that she undergo a triple-phase bone scan consistent with Dr. Wolfe’s report. Appel-lee indicated that after receiving the results of the scan, it would determine whether to allow RSD as part of the workers’ compensation claim. Appellant did not undergo the triple-phase bone scan, citing as her reason her vagal response and the invasiveness of the procedure.

{¶ 11} On April 12, 1999, appellant’s counsel sent a letter and fax to appellee indicating that appellant was in dire need of block injections. On April 13, 1999, appellee approved one block injection from Dr. Berliner in order to diagnose RSD. His report after the April 20, 1999 block was inconclusive, but appellee approved two more blocks on April 26, 1999. On May 5, 1999, Dr. Kumler requested an undefined number of block injections due to appellant’s good response to the previous three, which appellee denied. However, appellee did approve three additional blocks.

{¶ 12} On May 7, 1999, appellant filed a motion with the Industrial Commission of Ohio (“commission”) to have her workers’ compensation claim allowed for the additional conditions of RSD and right frozen shoulder syndrome. Also, on May 7, 1999, Sheila Harris, manager for appellee’s Employee Health Services, wrote to Dr. Kumler explaining that she was trying to find temporary modified duty work for appellant and asking him for appellant’s work restrictions.

{¶ 13} On May 12, 1999, appellee informed appellant that all further treatments would be put on hold pending a commission decision. Appellant then contacted her private health insurance carrier, Holy Cross Insurance (“Holy Cross”) and requested further block injections.

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Cite This Page — Counsel Stack

Bluebook (online)
780 N.E.2d 1054, 150 Ohio App. 3d 316, Counsel Stack Legal Research, https://law.counselstack.com/opinion/white-v-mount-carmel-medical-center-ohioctapp-2002.