Yarbrough, James v. Protective Services Co., Inc.

2016 TN WC 84
CourtTennessee Court of Workers' Compensation Claims
DecidedApril 13, 2016
Docket2015-08-0574
StatusPublished

This text of 2016 TN WC 84 (Yarbrough, James v. Protective Services Co., 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
Yarbrough, James v. Protective Services Co., Inc., 2016 TN WC 84 (Tenn. Super. Ct. 2016).

Opinion

IN THE COURT OF WORKERS' COMPENSATION CLAIMS AT MEMPHIS

James Yarbrough, Docket No.: 2015-08-0574 Employee, v. State File No.: 48061-2015 Protective Services Co., Inc., Employer, Judge: Jim Umsted And

Builders Mutual Insurance Co., Insurance Carrier.

EXPEDITED HEARING ORDER FOR MEDICAL AND TEMPORARY DISABILITY BENEFITS

This case came before the undersigned Workers' Compensation Judge on March 30, 2016, upon the Request for Expedited Hearing filed by the employee, James Yarbrough, pursuant to Tennessee Code Annotated section 50-6-239 (2015). The central legal issue is whether the employer, Protective Services Co., Inc., must provide medical and temporary disability benefits for Mr. Yarbrough's alleged work-related right- shoulder injury. For the reasons set forth below, the Court finds Mr. Yarbrough is entitled to continued medical treatment for his right shoulder as well as ongoing temporary disability benefits beginning September 4, 2015. 1

History of Claim

Mr. Yarbrough is a fifty-six-year-old resident of Shelby County, Tennessee. Protective hired him as a flooring installer on or about January 15, 2005. Mr. Yarbrough claimed he injured his right shoulder on April 16, 2015, after striking it on an overhead cabinet while at work. According to Mr. Yarbrough, he reported his injury the following day to Protective's Operations Manager, Parker Moore. However, Protective asserts it did not receive notice of the alleged work injury until June 19, 2015. On that date, Protective filed a First Report of Work Injury with its workers' compensation insurance carrier, Builders Mutual. Thereafter, on June 22, 2015, Builders Mutual sent Mr.

1 A complete listing of the technical record and exhibits is attached to this Order as an appendix.

1 Yarbrough a panel of physicians from which he selected Dr. Robert Riley Jones as his authorized treating physician.

Mr. Yarbrough presented to Dr. Jones for the first time on June 26, 2015. He advised Dr. Jones he "raised up while working on a cabinet and hit his right shoulder at the acromioclavicular joint and anterior shoulder." (Deposition of Dr. Jones, Page 8, line 6-8). Dr. Jones diagnosed Mr. Yarbrough with biceps tendinitis, ordered x-rays of his right shoulder, and injected the shoulder. Dr. Jones also released Mr. Yarbrough to full- duty work.

Dr. Jones treated Mr. Yarbrough conservatively through September 4, 2015. During his September 4, 2015 visit, Mr. Yarbrough indicated his symptoms were worsening and he had been unable to work. Accordingly, Dr. Jones ordered an MRI and took Mr. Yarbrough completely off work. Mr. Jones had the MRJ performed on September 21, 20 15. It showed "narrowing of the subacromial space with impression on the supraspinatus musculotendinous junction by degenerative changes of the acromioclavicular joint" but no rotator cuff tear. Based on these findings, Dr. Jones recommended surgery and kept Mr. Yarbrough off work on September 22, 2015.

On September 25, 2015, Builders Mutual sent correspondence to. Dr. Jones, asking him to address whether Mr. Yarbrough's injury arose primarily out of his employment. Dr. Jones responded by marking, "Yes" and noting, "Direct trauma to Right AC joint- Continued pain & popping." Despite Dr. Jones' opinion and an October 6, 2015 Utilization Review decision approving the surgery, Builders Mutual filed a Notice of Controversy with the Bureau on October 8, 2015, denying the requested surgery based on causation. The notice indicated the surgery was requested to repair a pre-existing condition not causally related to an alleged injury.

Mr. Yarbrough returned to see Dr. Jones on October 19, 2015. In his office note, Dr. Jones reiterated his opinion that Mr. Yarbrough's right-shoulder injury arose primarily out of his employment. Dr. Jones specifically stated,

In reviewing this patient's record he probably did have some pre-existing problems. However, when he injured the shoulder he primarily injured the acromioclavicular joint and also caused an impingement causing pain in the biceps tendon. If he had not had this injury, then he would not have had any problems. Based on my best medical judgment this is greater than 50.1% related to his on-the-job injury and will require surgery to resolve his problem.

Dr. Jones changed Mr. Yarbrough's diagnosis to impingement syndrome of the right shoulder, contusion of right shoulder, and biceps tendinitis and indicated this diagnosis was consistent with Mr. Yarbrough's mechanism of injury. He also continued Mr.

2 Yarbrough's off-work status.

Mr. Yarbrough saw Dr. Jones once more on November 9, 2015. Dr. Jones noted Mr. Yarbrough continued to have problems with his right shoulder. Once again, Dr. Jones reiterated his causation opinion. He kept Mr. Yarbrough off work and indicated he would provide Mr. Yarbrough with some pain medication.

During the Expedited Hearing held on March 30, 2016, Mr. Yarbrough testified he hit his right shoulder on an overhead cabinet while working for Protective on April 16, 2015. He experienced immediate and intense pain that made him feel woozy but managed to finish the workday. According to Mr. Yarbrough, he spoke to his operations manager, Mr. Moore, the following day and asked for a lighter workload because he had injured his shoulder. Mr. Moore gave Mr. Yarbrough a lighter workload but did not offer Mr. Yarbrough any medical treatment for his shoulder or tell him to report the injury to anyone else. Mr. Yarbrough further testified he spoke to Mr. Moore prior to seeking medical treatment on his own on May 1, 2015. Mr. Yarbrough advised Mr. Moore he needed to see a doctor for his shoulder and renewed his request for a lighter workload. Once again, Mr. Moore assisted Mr. Yarbrough with his workload but did not offer medical treatment or tell him to report his injury to anyone. Mr. Yarbrough stated it was not until he brought in medical bills from his May 1, 20 15 treatment that he received a panel of physicians, from which he selected Dr. Jones.

Mr. Yarbrough noted he has not been able to work a full week since the injury. He further mentioned Dr. Jones had not yet released him back to work since taking him off work on September 4, 2015. Mr. Yarbrough indicated he continued to have problems with his shoulder and asked the Court to order Protective to pay for the surgery Dr. Jones recommended.

Protective's Operations Manager, Parker Moore, and Office Manager, Leslie Hays, both testified on its behalf at the hearing. Mr. Moore testified he first learned of Mr. Yarbrough's injury in late May or early June. According to Mr. Moore, he asked Mr. Yarbrough about the status of a job, and Mr. Yarbrough advised he had injured his shoulder on another job several weeks earlier. Mr. Yarbrough indicated, however, he would work through it and finish the project as soon as possible. Thereafter, when Mr. Yarbrough brought in medical bills for payment, Mr. Moore directed him to Ms. Hays. Mr. Moore testified he knew of no written policies or rules associated with reporting a workers' compensation claim, but he typically referred injured employees to Ms. Hays. Mr. Moore stated he did not tell Mr. Yarbrough to report his injury to Ms. Hays when he first learned of it because Mr. Yarbrough stated he would work through it. Mr. Moore did not recall Mr. Yarbrough asking for lighter work or taking off work for a shoulder InJury.

Ms. Hays testified she first learned of Mr. Yarbrough's injury when he came in to

3 file a First Report of Injury on June 19, 2015. According to Ms. Hays, Mr. Yarbrough advised he was moving a stove, and when he raised up, he hit his shoulder on a cabinet above him. While Ms.

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2016 TN WC 84, Counsel Stack Legal Research, https://law.counselstack.com/opinion/yarbrough-james-v-protective-services-co-inc-tennworkcompcl-2016.