Williams v. Wilson Cnty. Bd. of Educ.
Opinion
An unpublished opinion of the North Carolina Court of Appeals does not constitute controlling legal authority. Citation is disfavored, but may be permitted in accordance with the provisions of Rule 30(e)(3) of the North Carolina Rules of Appellate Procedure.
NO. COA13-481
NORTH CAROLINA COURT OF APPEALS
Filed: 7 January 2014
TIFFANY WILLIAMS, Individually and as Guardian Ad Litem for ONESTY BENNETT, Minor, Plaintiff,
v. North Carolina Industrial Commission
I.C. No. TA-22046
WILSON COUNTY BOARD OF EDUCATION, Defendant.
Appeal by plaintiff from decision and order entered 11 March 2013 by the North Carolina Industrial Commission. Heard in the Court of Appeals 26 September 2013.
Attorney General Roy Cooper, by Associate Attorney General Christopher R. McLennan, for Wilson County Board of Education.
Tanner and Romary, P.A., by Jeremy Tanner, for plaintiffappellant .
BRYANT, Judge.
Where there is competent evidence on the record to support the Full Commission’s findings of fact and those findings in turn support the Commission’s conclusions of law, we affirm the Decision and Order of the Full Commission.
On 13 October 2010, Tiffany Williams, serving as guardian ad litem for her daughter, plaintiff Onesty Bennett, a minor, filed suit against the Wilson County Board of Education in the North Carolina Industrial Commission under our Tort Claims Act. Evidence presented before Deputy Commissioner J. Brad Donovan on 25 April 2012 tended to show that on 4 May 2010, then twelve- year-old plaintiff was a passenger in a Wilson County school bus when the bus turned a corner, ran off the road, and traveled through a ditch. Plaintiff was jostled, and her head struck the bus window. Plaintiff testified that by the time she got to school, her head hurt. She informed her teachers of her headache but did not see a school nurse. “I couldn't really keep my head up so I just laid down.” Plaintiff testified that at home that evening, she went to sleep earlier than usual, and when she awoke, her head still hurt. Two to three days later, plaintiff told her mother that she was still having headaches. Williams, testified that she called plaintiff’s pediatrician, Dr. Debra Tetreault, but the first available appointment was not until 20 May 2010 – sixteen days after the accident. Williams then took plaintiff to see Dr. Melissa Roccos at Elite Chiropractic.
Dr. Roccos testified before Deputy Commissioner Donovan as an expert in the field of chiropractic medicine. Dr. Roccos examined plaintiff on 14 May 2010. After an interview during which she took plaintiff’s history, Dr. Roccos performed an examination and took x-rays of plaintiff’s neck.
Dr. Rocco testified using notes from her examination of plaintiff and concluded that plaintiff was “neurologically sound” but gave “musculoskeletal signs and closed musculoskeletal injury.”
A. . . . When [plaintiff] came in to the office, she showed indications of muscular spasm in several areas. The muscle spasms that she had at the front of the neck, characteristically, because these muscles attach from the outside of the neck up to the front bones in the collar bone, as they spasm, they shorten. And as they shorten, they tend to increase the patient's forward head carriage. That forward head carriage will change or increase the curve of the spine. And that's what we - we noticed on her x-ray. The other thing that [plaintiff]
had was spasm underneath the rim of the skull in these little muscles called suboccipitals. And when the muscles in the suboccipital area spasm, again, because of their attachment points from the skull to the spine, oftentimes they will cause the skull to drop, which is, again, something that we noticed on x-ray of [plaintiff]. She also had muscle spasms in through the upper muscle - we have big muscles in our back that attach all the way up into our skull, like the trapezius muscle or the Levator spaculae. And these are big muscles that go
from one area of the body to the other. So oftentimes when people hear the word back, they think back down here. But in truth, the back is all of the back body. And [plaintiff] had indications of muscular spasm in the muscles from the upper mid-back into the base of the neck.
Q. Would all those findings be consistent with someone who had a sudden jerk of their head or either hit their head on a window?
A. Yes. . . .
Q. And do you remember what your final diagnosis was?
A. It was a strain--- Well, she had some indications of mild concussive symptoms with the fatigue, the lethargy, the focus difficulties, and the headaches. And it was a strain of her neck, a strain of her back and muscular spasm.
. . .
Q. All right, and based on your education, training, experience, and the history that [plaintiff] gave you, and the history that her mom gave you, do you have an opinion to a reasonable degree of chiropractic certainty as to whether it was more likely than not that the injuries you described were caused by the bus - school bus accident on May 4th, 2010?
A. Yes. Q. What is that opinion?
A. I believe it was the cause of [plaintiff’s] injuries.
. . .
Q. And based on your education, training and experience, do you have an opinion as to whether your treatment of [plaintiff’s]
injuries were reasonable and necessary?
A. Yes, they were.
When asked why her notes reflect that plaintiff struck the right side of her face while plaintiff testified that she struck the left side of her face, Dr. Roccos stated that she could not attest to why there was a discrepancy but mentioned that “[p]atients have a lot of difficulty remembering things immediately.”
Despite receiving chiropractic treatment from Dr. Roccos, Williams took plaintiff to her pediatrician, Dr. Tetreault, for an examination on 20 May 2010.
Dr. Tetreault was deposed on 1 March 2012, and the transcript from her deposition submitted as evidence during Deputy Commissioner Donovan’s proceedings. Dr. Tetreault was proffered without objection to testify as an expert witness in pediatric medicine. Dr. Tetreault testified that she examined plaintiff on 20 May 2010. During the examination plaintiff related that she had hit her head when her school bus ran off the road and afterward she had headaches. Based on the
interview, Dr. Tetreault’s impression was that plaintiff’s headaches began “fairly soon or immediately” after the school bus accident. Plaintiff did not complain of other symptoms. Dr. Tetreault did not observe any objective signs of physical injury to plaintiff, such as bruising or lacerations. During the interview, Dr. Tetreault also noted plaintiff’s statement that she had prescription lenses but did not wear them.
Q. And what happens with a person requiring prescriptive corrective lenses does not regularly wear them?
A. They get headaches.
Q. And does the degree to which a person’s vision is impaired impact the severity of these symptoms?
A. Yes, it can.
. . .
Q. Okay. And how impaired is [plaintiff’s]
vision without her glasses?
A. When we asked her to do a standard eye chart reading, she could not read any of the letters on the chart without her glasses.
During her deposition, Dr. Tetreault was presented with Dr.
Rocco’s observations of plaintiff recorded over the course of three visits that occurred prior to plaintiff’s 20 May 2010 examination by Dr. Tetreault. When asked if she would agree
with the chiropractor’s opinion that muscle spasms, trigger points, and other observations noted in the record resulted from the bus accident, Dr. Tetreault testified she could not speak to that since she did not see plaintiff right after her accident. “When I saw her, she did not have any of those tenderness or any problems.”
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