Wigdor, Brad v. ELECTRIC RESEARCH & MFG. COOPERATIVE, INC

2023 TN WC 54
CourtTennessee Court of Workers' Compensation Claims
DecidedAugust 4, 2023
Docket2022-07-0416
StatusPublished

This text of 2023 TN WC 54 (Wigdor, Brad v. ELECTRIC RESEARCH & MFG. COOPERATIVE, 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
Wigdor, Brad v. ELECTRIC RESEARCH & MFG. COOPERATIVE, INC, 2023 TN WC 54 (Tenn. Super. Ct. 2023).

Opinion

FILED Aug 04, 2023 08:32 AM(CT) TENNESSEE COURT OF WORKERS' COMPENSATION CLAIMS

TENNESSEE BUREAU OF WORKERS’ COMPENSATION IN THE COURT OF WORKERS’ COMPENSATION CLAIMS AT JACKSON

BRAD WIGDOR, ) Docket No. 2022-07-0416 Employee, ) v. ) ) ELECTRIC RESEARCH & MFG. ) State File No. 41066-2021 COOPERATIVE, INC. ) Employer, ) And ) ) SENTRY CAS. CO., ) Judge Robert Durham Insurer. )

COMPENSATION ORDER GRANTING BENEFITS

The Court held a Compensation Hearing on July 20, 2023, to determine the appropriate impairment rating to use in assessing Mr. Wigdor’s permanent disability. 1 Mr. Wigdor contends that he has submitted clear and convincing evidence to rebut the impairment rating assessed by the Medical Impairment Rating Registry (MIRR) doctor, Dr. Michael Calfee. The Court holds he did not do so, and that Dr. Calfee’s rating of five percent impairment is the appropriate rating to use in determining Mr. Wigdor’s permanent partial disability.

History of Claim

Mr. Wigdor suffered a dislocated patella in his right knee when he slipped and fell at work on May 7, 2021. 2 The injury caused severe pain and significant swelling in his right

1 Mr. Wigdor also made an offer of proof to contest the constitutionality of the workers’ compensation statute. The Court has no jurisdiction to consider such an issue, and this order will not address it. 2 The parties stipulated that Mr. Wigdor suffered a compensable injury and had returned to work for ERMCO at his pre-injury wage or greater. They also stipulated to a compensation rate of $707.02 and that ERMCO is entitled to a credit of $481.68 due to overpayment of temporary disability benefits. 1 leg. He received authorized treatment from Jason Hutchison, M.D., who is a board-certified orthopedist with twenty years of experience. Dr. Hutchison performed surgery to repair the patella and remove several loose chondral bodies.

Mr. Wigdor continued to suffer from significant swelling and severe pain in his right leg and foot that was disproportionate to his injury. He eventually exhibited skin and joint changes that led Dr. Hutchison to diagnose complex regional pain syndrome (CRPS). He referred Mr. Wigdor to his partner, Dr. Eric Homburg, for evaluation and treatment. Dr. Homburg confirmed Dr. Hutchison’s CRPS diagnosis and began treating Mr. Wigdor with physical therapy and a series of lumbar nerve blocks.

Dr. Hutchison placed Mr. Wigdor at maximum medical improvement on February 9, 2022. He felt that Mr. Wigdor’s CRPS had “resolved” and additional treatment was unnecessary. He released Mr. Wigdor to return to work with no restrictions.

Dr. Hutchison gave Mr. Wigdor a five percent lower extremity impairment for the displaced patella. He also placed Mr. Wigdor in Class One for CRPS Type-1 due to having “all the vasomotor changes in his lower leg” and gave him an additional seven percent lower extremity impairment. Dr. Hutchison combined the two ratings and converted them to a five percent whole body impairment. He later confirmed this rating in a C-32 Standard Form Medical Report.

Mr. Wigdor challenged Dr. Hutchison’s impairment through an independent medical examination conducted by Dr. Samuel Chung, D.O., in July 2022. Dr. Chung is a physiatrist with almost thirty years of experience and is board-certified as a physical medicine and rehab specialist and independent medical evaluator.

In his deposition, Dr. Chung described Mr. Wigdor’s examination. He found that Mr. Wigdor had swelling and loss of sensation, strength, and motion in his right knee and ankle when compared to the left. He also noted that the skin temperature felt cooler on the right, the skin was smoother, and there appeared to be less hair on the right shin and ankle area compared to the left.

Based on his exam, Dr. Chung agreed with Dr. Hutchison that Mr. Wigdor suffers from CRPS Type-1 in his right leg. However, he differed in his opinion on impairment. Referring to Table 16-13 of the American Medical Association’s Guide to the Evaluation of Anatomic Impairment, 6th edition, Dr. Chung determined that Mr. Wigdor met six of the “objective diagnostic criteria points” in his right leg as described in Table 16-14. He had mottled and cyanotic skin color. 3 His skin was cool, dry, and smooth and non-elastic when

3 Dr. Chung did not mention this symptom in his testimony about Mr. Wigdor’s examination. Further, the testimony in the deposition was qualified by the phrase “(as said).” Although not explained, the Court took this to mean that while he did not observe the discoloration, Mr. Wigdor told him about it, or he noted it 2 compared to the left leg. He felt Mr. Wigdor also suffered from joint stiffness and hair growth change.

Dr. Chung then turned to Table 16-15 of the Guides. Since Mr. Wigdor had six “criteria points,” Dr. Chung determined that he belonged in Class Two, which provides a range of impairment from fourteen to twenty-five percent to the lower extremity. He felt that Mr. Wigdor’s functional history and clinical studies placed him under Grade Modifier II and the physical exam gave him a Grade Modifier III, providing him with an overall net adjustment of +1. Thus, Dr. Chung placed Mr. Wigdor in Class Two, Grade D for a twenty- three percent lower extremity impairment, which converts to nine percent whole body impairment.

Dr. Chung also addressed the difference in his impairment and that of Drs. Hutchison and Calfee. He said that CRPS symptoms may change depending on the time of the exam, and that there are some subjective components to symptoms, like temperature and skin smoothness and elasticity, but the important thing is for the examiner to carefully compare both extremities and note the differences. He added that differences in medical evaluations could be due to the evaluating doctor’s “clinical astuteness” in seeing symptoms and identifying “nuances of clinical manifestations.”

Finally, Dr. Chung recommended that Mr. Wigdor avoid prolonged and extensive use of the right leg. He said that Mr. Wigdor’s knee could worsen with continued use and eventually require a knee replacement.

Upon receiving Dr. Chung’s opinion, ERMCO requested an evaluation through the MIRR. Michael Calfee, M.D., performed the evaluation in September 2022. Dr. Calfee is board-certified in orthopedic surgery and sports medicine and has been in practice for over twenty years. He has also provided dozens of MIRR evaluations.

The parties took Dr. Calfee’s deposition about his findings. He agreed that Mr. Wigdor suffers from CRPS Type-1 due to his work-related knee injury. On examination, he found that Mr. Wigdor had normal sensation in his right leg, but the leg was slightly cooler to touch than the left. He observed that the right leg’s skin was slightly drier than the left but felt the elasticity was equal. The color was “definitely mottled and cyanotic” when compared to the left. Dr. Calfee did not see any soft tissue atrophy or joint stiffness. He did not see any nail changes, and hair growth appeared to be normal when compared to the left leg. Finally, he noted “palpable crepitance” in the right knee.

Dr. Calfee then testified how he calculated Mr. Wigdor’s impairment based on his exam. First, he pointed out that the AMA Guides direct that a CRPS impairment is a “stand-

from the medical records.

3 alone impairment” in that if it is used to determine impairment, no other impairment may be added to it. Thus, while Mr. Wigdor suffers from knee issues, that condition cannot be used to determine impairment.

Dr. Calfee went on to say that Mr. Wigdor’s leg met four of the criteria necessary for rating CRPS. The skin color was mottled; it was cooler than the left; it was drier; and it was swollen. Given that he only met four criteria, Mr.

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

Related

William H. Mansell v. Bridgestone Firestone North American Tire, LLC
417 S.W.3d 393 (Tennessee Supreme Court, 2013)

Cite This Page — Counsel Stack

Bluebook (online)
2023 TN WC 54, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wigdor-brad-v-electric-research-mfg-cooperative-inc-tennworkcompcl-2023.