Opinion

Hollis, Aliceia v. Komyo America

  • 2019 TN WC App. 4
Court
Tennessee Workers' Compensation Appeals Board
Filed
Jan 22, 2019
Status
Published
On the bench
Marshall L. Davidson III, David F. Hensley, Timothy W. Conner
Cited by
0 cases
Authority
More cited than 12.5%

The opinion

TENNESSEE BUREAU OF WORKERS’ COMPENSATION

WORKERS’ COMPENSATION APPEALS BOARD

Katlyn N. McLaurin ) Docket No. 2017-03-1133

)

v. ) State File No. 69883-2017

)

AT&T Services, LLC, et al. )

)

)

Appeal from the Court of Workers’ )

Compensation Claims )

Lisa A. Lowe, Judge )

Affirmed and Remanded—Filed January 31, 2019

In this second interlocutory appeal, the employer challenges the trial court’s denial of its

request to compel the employee to submit to a second independent medical examination

by a physician of the employer’s choosing. The trial court concluded the employer’s

request was unreasonable and premature and denied the employer’s motion. The

employer has appealed. Finding no abuse of discretion, we affirm the trial court’s

decision and remand the case.

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

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

W. Troy Hart, Knoxville, Tennessee, for the employer-appellant, AT&T Services, LLC

Timothy Roberto, Knoxville, Tennessee, for the employee-appellee, Katlyn N. McLaurin

Factual and Procedural Background

Katlyn McLaurin (“Employee”) alleged suffering mental injuries as a result of

being confronted on September 8, 2017, by an armed resident of a house to which she

had been dispatched by AT&T Services, LLC (“Employer”), for an installation job.

Employer initially denied the claim but later entered into an agreed order to provide

reasonable and necessary medical treatment. As a result of a prior expedited hearing and

interlocutory appeal, Employer was also required to provide past and ongoing temporary

disability benefits. See McLaurin v. AT&T Services, LLC, No. 2017-06-1133, 2018 TN

Wrk. Comp. App. Bd. LEXIS 24 (Tenn. Workers’ Comp. App. Bd. May 29, 2018).

1

Subsequently, Dr. John Robertson, Employee’s authorized physician, placed

Employee at maximum medical improvement on August 24, 2018, and assigned a 20%

permanent partial impairment rating. Employer requested, and Employee agreed to

attend, an examination with a physician of Employer’s choice. As a result, Employee

was evaluated by Dr. Michael Fisher on October 25, 2018.

Dr. Fisher stated that in his “professional opinion there is no question that her

present injury is greater than 50% related to the alleged work event.” He credited

Employee’s assertion that her condition had improved and recommended she be re-

evaluated in six months to determine whether she had reached maximum medical

improvement and, if so, the extent of her impairment. Dr. Fisher noted he was “willing to

see her again, but I will be retiring and hope to be closing my practice by April 1.

Because of this, if I were to see her, it would need to be before April 1, 2019.”

Within days of Dr. Fisher’s evaluation, Employer filed a motion to compel

Employee to undergo a second evaluation by a different physician of its choosing,

asserting such a request was reasonable because Dr. Fisher would be unavailable after

April 1, 2019, and that a third opinion “would be necessary and helpful to the court.”

Employee disagreed, arguing Employer was seeking another opinion because it was

displeased with Dr. Fisher’s opinion. The trial court denied Employer’s motion, finding

“[Employer’s] request for an IME with a second physician unreasonable and premature at

this time.” Employer has appealed.

Standard of Review

The standard we apply in reviewing a trial court’s decision regarding whether to

grant or deny a request for a medical examination pursuant to Tennessee Code Annotated

section 50-6-204(d)(1) is abuse of discretion. Perry v. Gap, Inc., No. M2004-02525-WC-

R3-CV, 2006 Tenn. LEXIS 448, at *7 (Tenn. Workers’ Comp. Panel May 31, 2006).

This standard prohibits an appellate court from substituting its judgment for that of the

trial court, and the appellate court will find an abuse of discretion only if the trial court

“applied incorrect legal standards, reached an illogical conclusion, based its decision on a

clearly erroneous assessment of the evidence, or employ[ed] reasoning that causes an

injustice to the complaining party.” Wright ex rel. Wright v. Wright, 337 S.W.3d 166,

176 (Tenn. 2011) (alteration in original) (quoting Konvalinka v. Chattanooga-Hamilton

Cnty. Hosp. Auth., 249 S.W.3d 346, 358 (Tenn. 2008)). The abuse of discretion standard

of review does not immunize a lower court’s decision from meaningful appellate

scrutiny, however, as discretionary decisions “require a conscientious judgment,

consistent with the facts, that takes into account the applicable law.” White v. Beeks, 469

S.W.3d 517, 527 (Tenn. 2015).

2

Analysis

A.

As an initial matter, we note that Employer cites Tennessee Code Annotated

section 50-6-217(a)(3) (repealed 2017) in support of its position on appeal. Section 50-6-

217(a)(3) authorized us to reverse or modify a trial court’s decision if the rights of a party

were prejudiced because the findings of the trial judge were “not supported by evidence

that is both substantial and material in the light of the entire record.” However, as we

have noted on numerous occasions, this code section was repealed effective May 9, 2017,

and is no longer applicable.1

B.

Turning to the merits of this appeal, Employer argues that because the doctor it

chose to perform the first evaluation will retire shortly before Employee’s recommended

six-month follow-up, it is reasonable to compel Employee to undergo another

examination performed by a different physician now. Thus, according to Employer, the

trial court erred in (1) “refusing to allow Employer to obtain an independent medical

evaluation (IME) regarding diagnosis, degree of impairment, and causation when the

only impairment rating that has been provided is from the authorized treating physician”;

and (2) “finding that Employer’s request for an IME was not reasonable at this time.”

We conclude the trial court did not abuse its discretion in either respect.

With regard to Employer’s first argument, Employer appears to be overlooking a

crucial point: it was allowed to obtain an independent medical evaluation. That is

precisely what Dr. Fisher provided. While Employer may have been dissatisfied with Dr.

1 See Travis v. Carter Express, Inc., No. 2018-03-0237, 2018 TN Wrk. Comp. App. Bd. LEXIS 67, at *6

n.1 (Tenn. Workers’ Comp. App. Bd. Dec. 21, 2018); Miller v. Logan’s Roadhouse, Inc., No. 2018-06-

0225, 2018 TN Wrk. Comp. App. Bd. LEXIS 59, at *7 (Tenn. Workers’ Comp. App. Bd. Nov. 15, 2018);

Bullard v. Facilities Performance Grp., No. 2017-08-1053, 2018 TN Wrk. Comp. App. Bd. LEXIS 37, at

*5 (Tenn. Workers’ Comp. App. Bd. Aug. 7, 2018); Ledford v. Mid Georgia Courier, Inc., No. 2017-01-

0740, 2018 TN Wrk. Comp. App. Bd. LEXIS 28, at *4 (Tenn. Workers’ Comp. App. Bd. June 4, 2018);

Duignan v. Stowers Machinery Corp., No. 2017-03-0080, 2018 TN Wrk. Comp. App. Bd. LEXIS 25, at

*8-9 (Tenn. Workers’ Comp. App. Bd. May 29, 2018); Ogden v. McMinnville Tool & Die, Inc., No.

2016-05-1093, 2018 TN Wrk. Comp. App. Bd. LEXIS 14, at *9-10 (Tenn. Workers’ Comp. App. Bd.

May 7, 2018); Edwards v. Fred’s Pharmacy, No. 2017-06-0526, 2018 TN Wrk. Comp. App. Bd. LEXIS

9, at *5-6 (Tenn. Workers’ Comp. App. Bd. Feb. 14, 2018); Bowlin v. Servall, LLC, No. 2017-07-0224,

2018 TN Wrk. Comp. App. Bd. LEXIS 6, at *6-7 (Tenn. Workers’ Comp. App. Bd. Feb. 8, 2018);

Thompson v. Comcast Corp., No. 2017-05-0639, 2018 TN Wrk. Comp. App. Bd. LEXIS 1, at *12-13

(Tenn. Workers’ Comp. App. Bd. Jan. 30, 2018); Baker v. Electrolux, No. 2017-06-0070, 2017 TN Wrk.

Comp. App. Bd. LEXIS 65, at *5-6 (Tenn. Workers’ Comp. App. Bd. Oct. 20, 2017); Butler v. AAA

Cooper Transportation, No. 2016-07-0459, 2017 TN Wrk. Comp. App. Bd. LEXIS 54, at *5-6 (Tenn.

Workers’ Comp. App. Bd. Sept. 12, 2017); Glasgow v. 31-W Insulation Co., Inc., No. 2017-05-0225,

2017 TN Wrk. Comp. App. Bd. LEXIS 51, at *11-12 (Tenn. Workers’ Comp. App. Bd. Sept. 6, 2017).

3

Fisher’s opinion, Employer was not prevented from obtaining such an opinion. What

Employer seeks here, and what it essentially argues the law protects, is a third opinion.

Employer relies on Tennessee Code Annotated section 50-6-204(d)(1) (2018), which

states that the “injured employee must submit to examination by the employer’s

physician at all reasonable times if requested to do so by the employer.” As we have

pointed out before, the “rule has developed that ‘physical examinations requested

pursuant to Tennessee Code Annotated section 50-6-204(d)(1) generally should be

granted.’” King v. Big Binder Express, LLC, No. 2016-07-0378, 2016 TN Wrk. Comp.

App. Bd. LEXIS 92, at *9 (Tenn. Workers’ Comp. App. Bd. Dec. 7, 2016) (quoting

Perry, 2006 Tenn. LEXIS 448, at *7). However, we have also observed that “an

employer’s right to an examination of an employee pursuant to section 50-6-204(d)(1) by

a physician of the employer’s choosing is not without limits.” Id.

In order to compel an employee to submit to an examination by a physician of the

employer’s choice, “the employer’s request [must] be made at a ‘reasonable

time[]’ and ‘be reasonable, as a whole, in light of the surrounding circumstances.’” Id. at

*11 (citation omitted). Moreover, “[r]easonableness in ‘each case must be determined

upon all the particular facts of that particular case.’” Id. “The statute does not require

repeated examinations be conducted because the employer is displeased with the results.”

Cross v. Norrod Builders, Inc., No. M2005-00743-WC-R3-CV, 2006 Tenn. LEXIS 855,

at *9 (Tenn. Workers’ Comp. Panel Apr. 11, 2006); see also Perry, 2006 Tenn. LEXIS

448 (affirming the trial court’s conclusion that, where the employee had been seen by one

of the employer’s physicians, she was not required to see another).

In this case, the trial court concluded Employer’s request was unreasonable, and

we find no abuse of discretion in that finding. Employer, after learning Employee had

been placed at maximum medical improvement with an impairment rating, requested an

examination by a physician of its choice. Employee agreed, and she was seen by Dr.

Fisher. Employer, upon receiving that physician’s report, then sought to obtain another

opinion, which the trial court found was unreasonable.

Employer argues that, because Dr. Fisher is planning to retire, it is necessary for

another physician to examine Employee since Dr. Fisher will be unavailable for

Employee’s follow-up appointment. However, Dr. Fisher did not state he would be

unavailable. Rather, he stated that if he was going to see her, it would need to be before

he retired. While that date is approximately one month sooner than the recommended

follow-up date, Dr. Fisher indicated his willingness to see Employee again. And while

Dr. Fisher indicated his intent to retire, he may decide to continue practicing, a point not

lost on the trial judge who noted Employer’s request was premature. Moreover,

Employer has reasonable opportunities to depose Dr. Fisher or obtain his expert opinions

in another admissible form, and there is no indication in this record it cannot do so either

before or after his planned retirement date.

4

Given the circumstances presented, we cannot conclude the trial court abused its

discretion. Employer has not established that its desire for a successive opinion is

reasonable at this time. After six months have elapsed, if Employee cannot see Dr. Fisher

and does not wish to attend an examination with another physician, Employer may ask

the trial court to revisit the issue.

Conclusion

For the foregoing reasons, we hold that the trial court did not abuse its discretion

in denying Employer’s request for another opinion. Accordingly, the trial court’s

decision is affirmed, and the case is remanded.

5

(venv10) (base) Palin@palin juris % open .

(venv10) (base) Palin@palin juris % python monitor.py

TENNESSEE BUREAU OF WORKERS’ COMPENSATION

WORKERS’ COMPENSATION APPEALS BOARD

Aliceia Hollis ) Docket No. 2016-03-0298

)

v. ) State File No. 23307-2016

)

Komyo America, et al. )

)

)

Appeal from the Court of Workers’ )

Compensation Claims )

Lisa A. Lowe, Judge )

Affirmed and Certified as Final – Filed January 22, 2019

The employee alleged she suffered injuries to her back, including a lumbar disc

herniation, while working in the course and scope of her employment. Although the

employer initially accepted the compensability of the employee’s accident, provided a

panel of physicians, and authorized certain medical treatment, it later denied that her disc

herniation was causally related to the work accident. As a result, the employee sought

medical treatment on her own. Following a compensation hearing, the trial court

concluded the employee had proven she suffered a work-related lumbar strain but had not

met her burden of proving by a preponderance of the evidence that the lumbar disc

herniation arose primarily out of and in the course and scope of her employment. As a

result, the court concluded the employer was responsible only for “ongoing reasonable

and necessary medical care for her work-related lumbar strain,” and it denied any other

benefits. The employee has appealed. We affirm the trial court’s order and certify it as

final.

Judge Timothy W. Conner delivered the opinion of the Appeals Board in which Presiding

Judge Marshall L. Davidson, III, and Judge David F. Hensley joined.

H. Douglas Nichol, Knoxville, Tennessee, for the employee-appellant, Aliceia Hollis

Chris G. Rowe, Brentwood, Tennessee, for the employer-appellee, Komyo America

Factual and Procedural Background

Aliceia Hollis (“Employee”), a forty-six-year-old resident of Loudon County,

Tennessee, worked for Komyo America (“Employer”) as a material handler. She alleged

1

she injured her low back on January 18, 2016, when a stack of vehicle hoods tipped over

and struck her back. Her supervisor testified that although he did not witness the

accident, he approached Employee immediately after it had occurred, saw the vehicle

hoods on the ground, and saw Employee holding her lower back. Employer accepted the

accident as compensable and provided a panel of physicians, from which she selected Dr.

John Sanabria with Lakeway Urgent Care (“Lakeway”).

Employee was seen at Lakeway on the date of the accident, but the record is

unclear whether Dr. Sanabria examined her at that time.1 She complained of left lower

back pain that she described as “shooting and burning.” She was diagnosed with a

lumbar and pelvis sprain and was released to return to work with restrictions. Employee

returned to Lakeway on several more occasions. In a February 19, 2016 report, a nurse

practitioner noted Employee described her symptoms as going “down the back of the leg

and into the big toe.” She underwent a lumbar MRI on March 2, 2016, which revealed a

“broad-based left paracentral/intraforaminal disc protrusion” at L4-5 resulting in

“minimal effacement” of the thecal sac and “mild posterior displacement of the traversing

left L5 nerve root.” The only record indicating Dr. Sanabria’s direct involvement in

Employee’s care is dated March 7, 2016, at which time Dr. Sanabria reviewed the MRI

results. He reiterated the diagnosis of a lumbar sprain and described it as

“stable/improved.” He released her to return to work without restrictions and opined that

the disc herniation and related symptoms were not primarily caused by the work accident

and were instead related to pre-existing, degenerative changes. He placed her at

maximum medical improvement on that date.

Thereafter, Employee sought treatment on her own from her primary care

physician, Dr. Karmi Patel, who referred her to a neurosurgeon, Dr. Kent Sauter. On

April 8, 2016, Dr. Sauter diagnosed a left L4-5 disc herniation with radiculopathy. He

recommended surgery, which was performed on April 27, 2016. He released her to

return to work with restrictions on July 18, 2016. He also referred her to Dr. Elmer

Pinzon for additional treatment.

Following an expedited hearing, the trial court denied Employee’s request for

benefits, concluding that although Employee was a “credible witness,” she had not

offered sufficient expert medical evidence to support a finding that she was likely to

prevail at a hearing on the merits in proving that her work accident was the primary cause

of her lumbar condition. That order was not appealed.

In preparation for a compensation hearing, the parties deposed Dr. Sanabria, Dr.

Pinzon, and Dr. Sauter. Dr. Sanabria, who was the authorized panel physician, testified

that he sees all patients “in conjunction with [his] mid-levels and so one of the visits or

1 The January 19, 2016 record indicates that “E. Marks” discharged her and that the record was “signed

off electronically by John Sanabria, M.D.” Employee testified Dr. Sanabria did not see her on that visit.

2

more than one of the visits [he] was involved with her care.” He later described the

“mid-levels” as “a nurse practitioner and a [physician’s assistant].” He also explained he

“personally reviewed” all reports and was “involved in the patient’s care,” including

formulating treatment plans. In reviewing his records, Dr. Sanabria noted Employee

exhibited signs of symptom magnification, including “subjective complaints of pain

[that] are inconsistent and out of proportion to the clinical exam.” As to the issue of

medical causation, Dr. Sanabria opined it was “more likely than not” and “more than 50

percent” that Employee had a chronic, degenerative condition. He testified these changes

were not related to her work injury. He advised Employee she should follow up with her

primary care physician for treatment of her condition “as a non-work related issue.” On

cross-examination, Dr. Sanabria admitted a neurosurgeon would be “more qualified” to

determine whether someone needs back surgery, but he would not agree a neurosurgeon

is more competent to determine medical causation. When asked about the opinions

expressed by other physicians in this case, Dr. Sanabria stated, “I maintain my assertion

that the issue she has at L5 is not more than 51 percent related to her complaints that she

was having.”

Dr. Pinzon, a physical medicine and rehabilitation specialist, testified he believed

the work accident caused the back problems, the ruptured disc, and the need for surgery.

He further testified he based his opinion on “Dr. Sauter’s notes that we reviewed, the

patient’s history, and . . . the review of the medical records provided.” On cross-

examination, he acknowledged his opinion was, in part, an assumption “given the fact

that she had not reported any previous lumbar pathology.” He further admitted Employee

did not report to him a history of low back pain as documented in other medical records.

Dr. Sauter, a neurosurgeon, testified he believed her disc herniation and need for

surgery were “related to the incident of the hoods falling on her and her twisting to try to

dodge them to get out of the way. I think it is more likely than not that that was what

caused her to have the disc rupture and the disc herniation and the leg pain.” He clarified

that was his opinion “to a reasonable degree of medical certainty and more likely than

not.” On cross-examination, Dr. Sauter acknowledged he does not treat workers’

compensation patients in his current practice. With respect to the issue of medical

causation, he stated, “she told me what causation was. I wasn’t terribly concerned with

causation as far as wanting to treat her. Causation was incidental to what I needed to do

for her at that point.” He then explained he considered whether Employee’s explanation

of the cause of her symptoms was “reasonable,” and he concluded it was and “accept[ed]

it as causation.” Finally, Dr. Sauter admitted that aspects of the history given to him by

Employee with respect to prior episodes of low back pain were “inaccurate.”

Following the compensation hearing, the trial court reviewed the medical proof

and noted that, because Dr. Sanabria was the authorized panel physician, his opinion on

the issue of causation is presumed correct. The court then determined the causation

opinions offered by Dr. Sauter and Dr. Pinzon failed to rebut Dr. Sanabria’s causation

3

opinion by a preponderance of the evidence. It therefore denied Employee’s request for

benefits related to the disc herniation, but it ordered Employer to provide “ongoing

reasonable and necessary medical care for her work-related lumbar strain.” No disability

benefits were awarded. Employee has appealed.

Standard of Review

The standard we apply in reviewing a trial court’s decision presumes that the

court’s factual findings are correct unless the preponderance of the evidence is otherwise.

See Tenn. Code Ann. § 50-6-239(c)(7) (2018). When the trial judge has had the

opportunity to observe a witness’s demeanor and to hear in-court testimony, we give

considerable deference to factual findings made by the trial court. Madden v. Holland

Grp. of Tenn., Inc., 277 S.W.3d 896, 898 (Tenn. 2009). However, “[n]o similar

deference need be afforded the trial court’s findings based upon documentary evidence.”

Goodman v. Schwarz Paper Co., No. W2016-02594-SC-R3-WC, 2018 Tenn. LEXIS 8, at

*6 (Tenn. Workers’ Comp. Panel Jan. 18, 2018). Similarly, the interpretation and

application of statutes and regulations are questions of law that are reviewed de novo with

no presumption of correctness afforded the trial court’s conclusions. See Mansell v.

Bridgestone Firestone N. Am. Tire, LLC, 417 S.W.3d 393, 399 (Tenn. 2013). We are

also mindful of our obligation to construe the workers’ compensation statutes “fairly,

impartially, and in accordance with basic principles of statutory construction” and in a

way that does not favor either the employee or the employer. Tenn. Code Ann. § 50-6-

116 (2018).

Analysis

At a compensation hearing where the parties have arrived at a trial on the merits,

the employee must establish by a preponderance of the evidence that he or she is entitled

to the requested benefits. See Tenn. Code Ann. § 50-6-239(c)(6) (“[T]he employee shall

bear the burden of proving each and every element of the claim by a preponderance of the

evidence.”). This burden of proof requires the employee to establish that the injury for

which benefits are sought is a compensable injury as contemplated by the statute. To be

compensable, an injury must arise primarily out of and occur in the course and scope of

the employment. Tenn. Code Ann. § 50-6-102(14) (2018). In order to establish that an

injury arises primarily out of the employment, the employee must show “by a

preponderance of the evidence that the employment contributed more than fifty percent

(50%) in causing the injury, considering all causes.” Tenn. Code Ann. § 50-6-

102(14)(B). Further, “[a]n injury causes death, disablement or the need for medical

treatment only if it has been shown to a reasonable degree of medical certainty that it

contributed more than fifty percent (50%) in causing the death, disablement or need for

medical treatment, considering all causes.” Tenn. Code Ann. § 50-6-102(14)(C).

“‘Shown to a reasonable degree of medical certainty’ means that, in the opinion of the

physician, it is more likely than not considering all causes, as opposed to speculation or

4

possibility.” Tenn. Code Ann. § 50-6-102(14)(D). The opinion of an authorized

physician selected from a panel pursuant to Tennessee Code Annotated section 50-6-

204(a)(3) is “presumed correct” on the issue of causation, but such an opinion is

rebuttable by a preponderance of the evidence. Tenn. Code Ann. § 50-6-102(14)(E).

Also, it is well-established that a “trial judge has the discretion to determine which

testimony to accept when presented with conflicting expert opinions.” Payne v. UPS,

No. M2013-02363-SC-R3-WC, 2014 Tenn. LEXIS 1112, at *18 (Tenn. Workers’ Comp.

Panel Dec. 30, 2014). Thus, when medical opinions conflict, as in this case, the trial

judge “must obviously choose which view to believe. In doing so, [the trial judge] is

allowed, among other things, to consider the qualifications of the experts, the

circumstances of their examination, the information available to them, and the evaluation

of the importance of that information by other experts.” Orman v. Williams Sonoma,

Inc., 803 S.W.2d 672, 676 (Tenn. 1991). We will not substitute our determination of the

weight to be accorded an expert opinion absent an abuse of discretion by the trial judge.

Lovlace v. Copley, 418 S.W.3d 1, 16-17 (Tenn. 2013).

In the present case, Employee argues the trial court incorrectly evaluated the

expert medical proof, failed to consider the circumstances of the examinations conducted

by each expert, and failed to consider the relative qualifications of the experts. Employee

further argues the trial court unfairly discounted Dr. Sauter’s causation opinion because

he relied on Employee’s account of what caused her symptoms and considered whether it

was a “reasonable” explanation. Employee counters that physicians rely on a patient’s

history “routinely” and, citing Phillips v. A & H Construction Co., 134 S.W.3d 145, 150

(Tenn. 2004), argues that, “under Tennessee law, all reasonable doubt[] as to the

causation of an injury and whether the injury arose out of the employment should be

resolved in favor of the employee.”

In its order, the trial court considered the relative qualifications of the experts and

implicitly credited Dr. Sanabria’s testimony that he was “equally qualified to determine

causation.” The trial court further considered Employee’s argument that Dr. Sanabria

never conducted a full examination personally, but emphasized his testimony that he was

“directly involved in [her] care.” Moreover, the trial court noted Employee did not return

to Dr. Sanabria after being placed at maximum medical improvement, never requested

another visit, and did not ask Employer for a second opinion before seeking care on her

own. Finally, the trial court explained that Dr. Sanabria’s opinion was entitled to a

presumption of correctness that must be overcome by a preponderance of the evidence.

In contrast, the trial court noted Dr. Sauter did not document any clinical findings

of radiculopathy and relied on the patient to determine “what causation was.” The trial

court implicitly rejected Dr. Sauter’s explanation that if an injured worker’s description

of the work accident and resulting symptoms sounded “reasonable,” he accepted it as the

cause of the condition. The trial court further concluded neither Dr. Sauter’s nor Dr.

5

Pinzon’s testimony rebutted the presumption of correctness attributable to Dr. Sanabria’s

causation opinion by a preponderance of the evidence. We agree.

Finally, Employee urges us to resolve all reasonable doubt as to causation in her

favor. Although that legal principle was a significant aspect of pre-reform law based on

the “remedial” nature of the statute then in effect, see Tenn. Code Ann. § 50-6-116

(2012) (“this chapter is declared to be a remedial statute”), the 2013 Workers’

Compensation Reform Act changed this analysis. Tennessee Code Annotated section 50-

6-116 (2018) mandates that for dates of injury after July 1, 2014, “this chapter shall not

be remedially or liberally construed but shall be construed fairly, impartially, and . . .

shall not be construed in a manner favoring either the employee or the employer.” The

Tennessee Supreme Court’s Special Workers’ Compensation Appeals Panel addressed

this issue in Willis v. All Staff, No. M2016-01143-SC-R3-WC, 2017 Tenn. LEXIS 455

(Tenn. Workers’ Comp. App. Panel Aug. 3, 2017):

Tennessee Code Annotated section 50-6-116, which previously required a

liberal construction of the workers’ compensation law, has been amended

to now provide that the workers’ compensation statutes “shall not be

remedially or liberally construed but shall be construed fairly, impartially,

and in accordance with basic principles of statutory construction[,] and this

chapter shall not be construed in a manner favoring either the employee or

the employer.” Tenn. Code Ann. § 50-6-116 (2014). Employee’s

argument, based on Phillips v. A & H Constr. Co., 134 S.W.3d 145, 150

(Tenn. 2004), and decisions preceding and following it, that all reasonable

doubts concerning causation should be construed in his favor, is without

merit. As already explained, the statutory language at issue in Phillips and

other decisions enunciating this principal has been replaced by the statutory

language quoted above.

Id. at *11-12; see also Pope v. Nebco of Cleveland, Inc., No. E2017-00254-SC-R3-WC,

2018 Tenn. LEXIS 146, at *29 (Tenn. Workers’ Comp. Panel Jan. 16, 2018) (“we are

guided by the general principle that workers’ compensation statutes ‘shall not be

remedially or liberally construed’”). In conjunction with this directive, we must also

consider that the findings and conclusions of a trial court are presumed correct “unless

the preponderance of the evidence is otherwise.” Tenn. Code Ann. § 50-6-239(c)(7). In

the present case, we conclude the trial court did not abuse its discretion in weighing the

expert testimony, especially considering the presumption of correctness attributable to

Dr. Sanabria’s causation opinion.

Conclusion

For the foregoing reasons, the decision of the trial court is affirmed, and the trial

court’s order is certified as final.

6

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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