The opinion
FILED
Aug 13, 2024
07:00 AM(CT)
TENNESSEE COURT OF
WORKERS' COMPENSATION
CLAIMS
TENNESSEE BUREAU OF WORKERS’ COMPENSATION
IN THE COURT OF WORKERS’ COMPENSATION CLAIMS
AT NASHVILLE
Man Thi Le, ) Docket No. 2023-06-6704
Employee, )
v. )
Sumitomo Electric Wiring Systems, )
Inc., ) State File No. 72362-2023
Employer, )
And )
Mitsui Sumitomo Ins. USA, Inc., )
Carrier. ) Judge Kenneth M. Switzer
EXPEDITED HEARING ORDER DENYING BENEFITS
Man Thi Le requested benefits at an expedited hearing on August 8, 2024. She
suffers from carpal tunnel syndrome that she claimed resulted from her work at Sumitomo.
Sumitomo denied the claim, contending that her condition did not arise primarily out of
her employment. The Court finds she is unlikely to prove at a hearing on the merits that
her work was the primary cause of her injury and denies her request.
Claim History
Per Ms. Le’s affidavit, she reported suffering a repetitive motion injury to her hands
on September 16, 2023. She had worked approximately 60 hours per week rolling and
coiling electrical wiring. According to Ms. Le, Sumitomo immediately denied her request
for treatment. She testified that she went to the emergency room twice on her own but
offered no records from either visit.
Ms. Le saw Dr. Clinton Morgan on her own on September 25, where she reported
weakness in her hands and 2/5 hand grip strength. Dr. Morgan wrote, “She is losing
function in her hands and cannot do her work. She has visible atrophy in her hands as well
on the right side, worse than the left side, which is now starting to progress to the left side.”
Ms. Le saw her regular provider, a nurse practitioner, in early October, who
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diagnosed bilateral carpal tunnel syndrome. Release surgery was scheduled but never
performed because Sumitomo denied the claim on November 10.
Ms. Le offered a note from Dr. Morgan, where he later gave the following opinion:
Ms. Le testified that she has been fully disabled from working since September 19,
2023. She requested a panel of hand-specialist physicians. Sumitomo countered, in part,
that her requests should be denied because the injury did not arise primarily out of
employment.
Sumitomo also contended that her carpal tunnel syndrome preexisted her
employment with it and pointed to medical records from March and June, 2023. In the
earlier visit, she reported “multiple joints pain” in several body parts including her hands.
She also complained of numbness in all fingertips of both hands. At the follow-up, she
reported the same complaints, which were worsening. The nurse practitioner diagnosed
“multiple joint pain” and “numbness of hand.” He wrote, “[R]efer to hand orthopedic for
further evaluation. Likely CTS?”1
1
Sumitomo offered detailed testimony from Ms. Le’s supervisor and its human resources director about the
circumstances of Ms. Le reporting the alleged injury and her termination. However, Sumitomo has not
raised a notice defense. Further, given the ruling that Ms. Le is unlikely to prove at a hearing on the merits
that her carpal tunnel syndrome arose primarily out of her employment, the Court need not recount this
testimony.
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Findings of Fact and Conclusions of Law
To grant Ms. Le’s requests, she must show she is likely to prevail at a hearing on
the merits. Tenn. Code Ann. § 50-6-239(d)(1) (2023); McCord v. Advantage Human
Resourcing, 2015 TN Wrk. Comp. App. Bd. LEXIS 6, at *7-8, 9 (Mar. 27, 2015).
As a threshold issue, Ms. Le must show that her carpal tunnel syndrome meets the
definition of “injury” under the Workers’ Compensation Law. Section 50-6-102(12)
specifically lists as compensable “carpal tunnel syndrome . . . arising primarily out of and
in the course and scope of employment, that causes . . . disablement or the need for medical
treatment.” Further, she must show “to a reasonable degree of medical certainty” that her
work “contributed more than fifty percent (50%) in causing the . . . disablement or need
for medical treatment.” Id. at -102(12)(B)-(C). “Shown to a reasonable degree of medical
certainty” means that in the physician’s opinion, “it is more likely than not, considering all
causes, as opposed to speculation or possibility.” Id. at -102(12)(D).
Here, the Court has only Dr. Morgan’s medical opinion. Sumitomo argued that his
opinion does not meet the above definition. Ms. Le suffers from carpal tunnel syndrome
and needs surgery. The question is whether she is likely to show at a hearing on the merits
that her work caused her condition or need for treatment.
Dr. Morgan’s opinion is expressed using a percentage favorable to Ms. Le’s
position, but it also conveys uncertainty. He has examined Ms. Le and reviewed the results
of her diagnostic testing. He considered her work: “bending and flexing her hands
frequently, this is an extremely high risk activity for developing carpal tunnel syndrome.”
Dr. Morgan continued, “It is entirely possible that the nature of this work has significantly
contributed more than 50% to her symptom development; however I do not have a baseline
examination before she began this work to know how she functioned beforehand[.]”
(Emphasis added). While the first clause of that sentence states that a greater than 50%
chance exists that Ms. Le’s work caused her carpal tunnel syndrome, the second clause
injects doubt when Dr. Morgan expresses the need to consider a “baseline examination.”
Moreover, the statute expressly rejects “possibility” and requires greater certainty.
Ms. Le had complained of numbness in her hands to a nurse practitioner in March
and June, 2023—several months before the date of injury—and in June, the nurse
practitioner noted that he suspected carpal tunnel syndrome. Apparently Dr. Morgan did
not have that information.
Given Dr. Morgan’s desire for more information before cementing his opinion, and
the treatment notes pre-dating the injury at work, the Court cannot find at this time that Ms.
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Le is likely to prove at trial that her carpal tunnel syndrome arose primarily out of her
employment.2
IT IS THEREFORE ORDERED AS FOLLOWS:
1. Ms. Le’s requests for medical and temporary disability benefits are denied.
2. The Court sets a status hearing on November 12, 2024, at 1:30 p.m. Central Time.
You must call 615-532-9552 or 866-943-0025 to participate.
ENTERED August 13, 2024.
________________________________________
JUDGE KENNETH M. SWITZER
Court of Workers’ Compensation Claims
2
Sumitomo also argued that Ms. Le knowingly and willfully misrepresented her previous injuries/physical
condition in a post-offer medical questionnaire. Given the ruling above, however, the Court does not need
to address this contention.
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Appendix
Exhibits:
1. Ms. Le’s Affidavit
2. Ms. Le’s deposition transcript
3. Dr. Morgan December 22, 2023 note and April 2024 referral
4. Employer’s composite medical records
5. Denial
6. Ms. Le’s deposition transcript
7. Text messages between Ms. Le and James Dillon
8. Text messages between Ms. Le and Israel Ocampo
9. Sumitomo-Medical history form
10. Request for Information-Medical Statement-Dr. Morgan
CERTIFICATE OF SERVICE
I certify that a copy of the Order was sent as indicated on August 13, 2024.
Name Mail Email Service sent to:
David Weatherman, X david@theweathermanfirm.com
Employee’s Attorney
Jeffrey Taylor, X jeff@taylorlawfirmtn.com
Employer’s Attorney kathy@taylorlawfirm.com
_____________________________________
PENNY SHRUM, Court Clerk
WC.CourtClerk@tn.gov
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Right to Appeal:
If you disagree with the Court’s Order, you may appeal to the Workers’ Compensation
Appeals Board. To do so, you must:
1. Complete the enclosed form entitled “Notice of Appeal” and file it with the Clerk of the
Court of Workers’ Compensation Claims before the expiration of the deadline.
If the order being appealed is “expedited” (also called “interlocutory”), or if the
order does not dispose of the case in its entirety, the notice of appeal must be filed
within seven (7) business days of the date the order was filed.
If the order being appealed is a “Compensation Order,” or if it resolves all issues
in the case, the notice of appeal must be filed within thirty (30) calendar days of
the date the Compensation Order was filed.
When filing the Notice of Appeal, you must serve a copy on the opposing party (or attorney,
if represented).
2. You must pay, via check, money order, or credit card, a $75.00 filing fee within ten calendar
days after filing the Notice of Appeal. Payments can be made in-person at any Bureau office
or by U.S. mail, hand-delivery, or other delivery service. In the alternative, you may file an
Affidavit of Indigency (form available on the Bureau’s website or any Bureau office)
seeking a waiver of the filing fee. You must file the fully-completed Affidavit of Indigency
within ten calendar days of filing the Notice of Appeal. Failure to timely pay the filing
fee or file the Affidavit of Indigency will result in dismissal of your appeal.
3. You are responsible for ensuring a complete record is presented on appeal. If no court
reporter was present at the hearing, you may request from the Court Clerk the audio
recording of the hearing for a $25.00 fee. If you choose to submit a transcript as part of your
appeal, which the Appeals Board has emphasized is important for a meaningful review of
the case, a licensed court reporter must prepare the transcript, and you must file it with the
Court Clerk. The Court Clerk will prepare the record for submission to the Appeals Board,
and you will receive notice once it has been submitted. For deadlines related to the filing of
transcripts, statements of the evidence, and briefs on appeal, see the applicable rules on the
Bureau’s website at https://www.tn.gov/wcappealsboard. (Click the “Read Rules” button.)
4. After the Workers’ Compensation Judge approves the record and the Court Clerk transmits
it to the Appeals Board, a docketing notice will be sent to the parties.
If neither party timely files an appeal with the Appeals Board, the Court Order
becomes enforceable. See Tenn. Code Ann. § 50-6-239(d)(3) (expedited/interlocutory
orders) and Tenn. Code Ann. § 50-6-239(c)(7) (compensation orders).
For self-represented litigants: Help from an Ombudsman is available at 800-332-2667.
NOTICE OF APPEAL
Tennessee Bureau of Workers’ Compensation
www.tn.gov/workforce/injuries-at-work/
wc.courtclerk@tn.gov | 1-800-332-2667
Docket No.: ________________________
State File No.: ______________________
Date of Injury: _____________________
___________________________________________________________________________
Employee
v.
___________________________________________________________________________
Employer
Notice is given that ____________________________________________________________________
[List name(s) of all appealing party(ies). Use separate sheet if necessary.]
appeals the following order(s) of the Tennessee Court of Workers’ Compensation Claims to the
Workers’ Compensation Appeals Board (check one or more applicable boxes and include the date file-
stamped on the first page of the order(s) being appealed):
□ Expedited Hearing Order filed on _______________ □ Motion Order filed on ___________________
□ Compensation Order filed on__________________ □ Other Order filed on_____________________
issued by Judge _________________________________________________________________________.
Statement of the Issues on Appeal
Provide a short and plain statement of the issues on appeal or basis for relief on appeal:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Parties
Appellant(s) (Requesting Party): _________________________________________ ☐Employer ☐Employee
Address: ________________________________________________________ Phone: ___________________
Email: __________________________________________________________
Attorney’s Name: ______________________________________________ BPR#: _______________________
Attorney’s Email: ______________________________________________ Phone: _______________________
Attorney’s Address: _________________________________________________________________________
* Attach an additional sheet for each additional Appellant *
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Employee Name: _______________________________________ Docket No.: _____________________ Date of Inj.: _______________
Appellee(s) (Opposing Party): ___________________________________________ ☐Employer ☐Employee
Appellee’s Address: ______________________________________________ Phone: ____________________
Email: _________________________________________________________
Attorney’s Name: _____________________________________________ BPR#: ________________________
Attorney’s Email: _____________________________________________ Phone: _______________________
Attorney’s Address: _________________________________________________________________________
* Attach an additional sheet for each additional Appellee *
CERTIFICATE OF SERVICE
I, _____________________________________________________________, certify that I have forwarded a
true and exact copy of this Notice of Appeal by First Class mail, postage prepaid, or in any manner as described
in Tennessee Compilation Rules & Regulations, Chapter 0800-02-21, to all parties and/or their attorneys in this
case on this the __________ day of ___________________________________, 20 ____.
______________________________________________
[Signature of appellant or attorney for appellant]
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