Opinion

Leas, Anthony v. Opus Inspection, Inc., et al.

  • 2016 TN WC App. 15
Court
Tennessee Workers' Compensation Appeals Board
Filed
Mar 30, 2016
Status
Published
On the bench
Marshall L. Davidson III, David F. Hensley, Timothy W. Conner
Cited by
0 cases

The opinion

TENNESSEE BUREAU OF WORKERS’ COMPENSATION

WORKERS’ COMPENSATION APPEALS BOARD

Anthony Leas ) Docket No. 2015-05-0415

)

v. ) State File No. 57288-2015

)

Opus Inspection, Inc., et al. )

)

)

Appeal from the Court of Workers’ )

Compensation Claims )

Dale Tipps, Judge )

Affirmed and Remanded - Filed March 30, 2016

The employee alleges injuring his left foot and ankle getting out of a vehicle while

performing his job duties as an inspector. After the authorized treating physician opined

the employee’s injuries were not primarily caused by his work, the employer denied the

claim. The employee filed a request for expedited hearing seeking medical and

temporary disability benefits and asked that a determination be made based on a review

of the file without an evidentiary hearing. The trial court found no additional information

was needed to render a decision and denied benefits. The employee has appealed.

Having carefully reviewed the record, we affirm the trial court’s decision and remand the

case.

Judge Marshall L. Davidson, III, delivered the opinion of the Appeals Board, in which

Judge David F. Hensley and Judge Timothy W. Conner joined.

Anthony Leas, Smyrna, Tennessee, employee-appellant, pro se

Shaterra Reed, Brentwood, Tennessee, for the employer-appellee, Opus Inspection, Inc.

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Factual and Procedural Background

Anthony Leas (“Employee”), a twenty-six-year-old resident of Rutherford County,

Tennessee, was employed as an inspector by Opus Inspection, Inc. (“Employer”).

Employee claims that on July 15, 2015, he suffered an injury to his left foot and ankle

while exiting a vehicle in the course of his employment, entitling him to medical and

temporary disability benefits.

Six days later, on July 21, 2015, Employee went to the emergency room at

Stonecrest Medical Center and reported an ankle injury that occurred two days prior.

According to the hospital’s records, the mechanism of injury was unknown. Although

some swelling was noted, x-rays revealed no fractures. Employee was given a splint and

a prescription for pain medication and was discharged.

Employee reported the injury to Employer the following day, July 22, 2015, and

completed an injury report stating that driving a car with a manual transmission and then

stepping out of the vehicle caused him to strain his knee. According to Employee, x-rays

performed at Stonecrest Medical Center the previous day showed he “had tore [sic] [the]

muscles in [his] foot which was a secondary factor of the knee being strained.” Employer

provided a panel of physicians from which Employee chose Dr. Joseph Wieck.

Employee saw Dr. Wieck on August 27, 2015. The office note from that visit

reflects Employee reported a three-month history of left foot pain that began without a

specific injury. He described getting out of a car on May 15, 2015 and feeling pain in his

left knee and ankle, although at the time of his visit with Dr. Wieck Employee

complained of pain in his foot. Dr. Wieck noted that Employee had been seen

approximately three years previously for pain in his left foot, and an MRI performed at

that time had been interpreted as normal. Dr. Wieck’s August 27, 2015 physical

examination of Employee’s foot and knee revealed no tenderness or instability and

Employee had full strength and range of motion. Employee brought the x-rays of his

ankle and knee to the appointment, and Dr. Wieck obtained x-rays of Employee’s foot,

all of which were normal. Dr. Wieck diagnosed Employee with a foot sprain. Employer

subsequently sent a questionnaire to Dr. Wieck asking whether Employee’s “left foot

sprain is 50% or greater caused by him getting out of a car and feeling pain in his knee

07/15/2015.” Dr. Wieck responded in the negative. Thereafter, Employer denied the

claim.

Employee filed a petition for benefit determination and, after mediation efforts

were unsuccessful, requested that the trial court render a decision based on a review of

the file without an evidentiary hearing. The trial court determined no additional

information was needed to decide the case and issued an order denying benefits on the

basis that the authorized physician had opined the injury was not primarily caused by the

employment and that Employee had not presented evidence sufficient to rebut the

2

presumption of correctness afforded the authorized physician’s opinion. Employee has

appealed.

Standard of Review

The standard of review to be applied by this Board in reviewing a trial court’s

decision is statutorily mandated and limited in scope. Specifically, “[t]here shall be a

presumption that the findings and conclusions of the workers’ compensation judge are

correct, unless the preponderance of the evidence is otherwise.” Tenn. Code Ann. § 50-

6-239(c)(7) (2015). The trial court’s decision must be upheld unless the rights of a party

“have been prejudiced because findings, inferences, conclusions, or decisions of a

workers’ compensation judge:

(A) Violate constitutional or statutory provisions;

(B) Exceed the statutory authority of the workers’ compensation judge;

(C) Do not comply with lawful procedure;

(D) Are arbitrary, capricious, characterized by abuse of discretion, or

clearly an unwarranted exercise of discretion;

(E) Are not supported by evidence that is both substantial and material

in the light of the entire record.”

Tenn. Code Ann. § 50-6-217(a)(3) (2015). Like other courts applying the standards

embodied in section 50-6-217(a)(3), we will not disturb the decision of the trial court

absent the limited circumstances identified in the statute.

Analysis

An injured worker may be granted medical or temporary disability benefits prior

to trial when he or she presents sufficient evidence to enable the trial court to conclude

that the worker would likely prevail at a hearing on the merits. Tenn. Code Ann. § 50-6-

239(d)(1) (2015). This standard does not relieve an employee of the burden of producing

evidence of an injury by accident arising primarily out of and in the course and scope of

employment at an expedited hearing, but allows some relief to be granted even if that

evidence does not rise to the level of a preponderance of the evidence. Buchanan v.

Carlex Glass, No. 2015-01-0012, 2015 TN Wrk. Comp. App. Bd. LEXIS 39, at *6

(Tenn. Workers’ Comp. App. Bd. Sept. 29, 2015).

Here, the trial court determined that Employee’s authorized treating physician, Dr.

Wieck, opined that his injury was not primarily caused by his employment and that

Employee had not presented any medical evidence to rebut the presumption of

correctness afforded that opinion. See Tenn. Code Ann. § 50-6-102(14)(E) (2015). On

appeal, Employee points to no medical evidence contrary to the trial court’s ruling, and

3

our review of the record reveals none. Thus, we have no difficulty affirming the trial

court’s decision to deny benefits at this point in the case.

Conclusion

We hold that the evidence does not preponderate against the trial court’s decision

at this interlocutory stage of the case. Nor does the trial court’s decision violate any of

the standards set forth in Tennessee Code Annotated section 50-6-217(a)(3).

Accordingly, the trial court’s decision is affirmed. The case is remanded for any further

proceedings that may be necessary.

4

TENNESSEE BUREAU OF WORKERS’ COMPENSATION

WORKERS’ COMPENSATION APPEALS BOARD

Anthony Leas ) Docket No. 2015-05-0415

)

v. )

) State File No. 57288-2015

Opus Inspection, Inc., et al. )

CERTIFICATE OF SERVICE

I hereby certify that a true and correct copy of the Appeals Board’s decision in the

referenced case was sent to the following recipients by the following methods of service

on this the 30th day of March, 2016.

Name Certified First Class Via Fax Via Email Address

Mail Mail Fax Number Email

Anthony Leas X a.leas@yahoo.com

Shaterra Reed X Shaterra.Reed@LibertyMutual.com

Dale Tipps, Judge X Via Electronic Mail

Kenneth M. Switzer, X Via Electronic Mail

Chief Judge

Penny Shrum, Clerk, X Penny.Patterson-Shrum@tn.gov

Court of Workers’

Compensation Claims

Matthew Salyer

Clerk, Workers’ Compensation Appeals Board

220 French Landing Dr., Ste. 1-B

Nashville, TN 37243

Telephone: 615-253-1606

Electronic Mail: Matthew.Salyer@tn.gov

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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