Opinion

Bradford, Charisse v. Western Express, Inc.

  • 2021 TN WC 178
Court
Tennessee Court of Workers' Compensation Claims
Filed
May 11, 2021
Status
Published
On the bench
Kenneth M. Switzer
Cited by
0 cases

The opinion

FILED

May 11, 2021

02:43 PM(CT)

TENNESSEE COURT OF

WORKERS' COMPENSATION

CLAIMS

TENNESSEE BUREAU OF WORKERS’ COMPENSATION

IN THE COURT OF WORKERS’ COMPENSATION CLAIMS

AT NASHVILLE

Charisse Bradford, ) Docket No. 2020-06-1525

Employee, )

v. )

Western Express, Inc., ) State File No. 66478-2020

Employer, )

And )

PMA Insurance Co., ) Judge Kenneth M. Switzer

Carrier. )

EXPEDITED HEARING ORDER GRANTING BENEFITS

In this case, Charisse Bradford, a truck driver, alleged she turned a crank forcefully

and woke up in pain the next day. Western Express countered that she only reported an

injury from sleeping, did not report turning the crank and suffered no acute trauma. It also

argued that the injury did not arise primarily from employment.

The Court held an expedited hearing on May 5 on Ms. Bradford’s request for

additional medical and temporary disability benefits. The Court finds Ms. Bradford is

likely to prove at trial that she suffered an injury arising primarily from employment. She

is entitled to a panel of orthopedic specialists and three days of temporary disability

benefits.1

Claim History

Ms. Bradford testified that, approximately two months after she began working for

Western Express, she became injured. She stated, “While I was dropping a load in

Maryland, I used excessive force to turn the crank, because the landing gear was severely

rusted.” It was near the end of a twelve-hour day and she was tired, so Ms. Bradford slept

1

Ms. Bradford also sought reimbursement for mileage for authorized medical visits, which Western Express

agreed to pay.

1

in the truck. The next morning, May 20, 2020, she awoke with pain in her head, neck, back

and hip after sleeping on a mattress that did not fit the space in the cab.

Notably, her pleadings do not mention sleeping. Rather, Ms. Bradford wrote on her

petition for benefit determination that she became injured while “[m]anually lowering the

landing gear on the tractor trailer to disconnect trailer and drop the load.” Her affidavit

similarly states, “[W]hile attempting to manually lower the severally rusted landing gear,

I used excessive force to turn the crank causing severe injuries to my neck, back and hip.”

Ms. Bradford reported the injury the same day to Western Express’s claims

manager, Judy Larson. Ms. Larson testified by affidavit that Western Express maintains a

“standard panel of occupational medicine clinics which is prominently displayed at each

driver terminal” and that Ms. Bradford selected Concentra. Ms. Bradford confirmed that

Ms. Larson read three providers over the phone, and she chose Concentra. Western

Express did not introduce a signed panel.

Ms. Bradford saw a variety of Concentra providers over the next few days.2 First,

she saw physician assistant Robert Jordan on May 22, who diagnosed a headache and

cervical, thoracic and lumbar strains and took her off work. Later, another provider

restricted her to light duty and referred her to physical therapy. At the first session, the

physical therapist wrote, “[R]eports repetitive use of crank on truck and sleeping in a poor

position in the truck caused significant pain in [c]ervical, lumbar spine.” Ms. Bradford

returned to Mr. Jordan, who removed the work restrictions, on June 1.

That same day, Western Express denied the claim, citing “[n]o injury by accident

occurring within the course and scope.”

Over nine months later, Ms. Bradford saw Dr. Sean Lotterer, a chiropractor, who

completed a form C-32. He wrote that the mechanism of injury was “forceful lifting and

turning.” Per Dr. Lotterer, the injury involved an aggravation of a preexisting injury, and

he answered “yes” to questions asking whether her employment activity, more likely than

not, was primarily responsible for advancing the preexisting condition and causing her need

for treatment. In a letter attached to the form, Dr. Lotterer wrote that Ms. Bradford told

him she “was injured on the job on May 19, 2020, while forcefully turning a crank on her

truck,” and he concluded it is “very likely that this injury was the cause of her subjective

complaints.” Dr. Lotterer recommended treatment, which Ms. Bradford could not afford.

2

Ms. Bradford testified that Dr. Joseph Lavori was her primary caregiver at Concentra, but she introduced

no records of his treatment. She alleged that Concentra “altered” the records, or that records were lost in

the mail. Ms. Bradford introduced records showing that Dr. Lavori referred her for x-rays but no other

records of his treatment. No evidence suggested that Concentra providers or record custodians altered any

documents in any substantive way.

2

Ms. Bradford testified that Western Express never paid her for time off from work

or temporary disability benefits, nor did it offer light-duty. She has not worked since the

alleged injury but said Western Express never terminated her.

Western Express offered three affidavits/declarations to support its denial: claims

manager Larson, claims adjuster Kathy Ballinger, and physician assistant Jordan.

Ms. Larson stated that Ms. Bradford called her “to report that she woke up with pain

in her neck and back that may have been from sleeping on the bunk mattress the two

previous nights.” Her affidavit additionally stated that at no time did Ms. Bradford “report”

that she became injured from lowering landing gear on a trailer, nor did she “report to me

that she had an acute injury of any kind.”

For her part, Ms. Ballinger obtained a recorded statement. When she asked Ms.

Bradford how she became injured, Ms. Bradford responded, “I woke up, the bed, sleeping

accommodations were not good, the bed was too big for the bunk so it had me sleeping on

a slant and when I woke up that morning at 5:30 a.m. my back and my neck, I was just in

pain[.]” According to Ms. Ballinger, no other mechanism of injury was “reported” to her.

In his declaration, the physician assistant, Mr. Jordan, cited these notations from the

first visit: “‘several days of pain in her neck, upper and lower back with left leg pain. . . .

Woke up that way. States bed in truck may have been the cause.’ Ms. Bradford did not

report a specific event of trauma but rather, that she woke up with the pain she was

experiencing.” He then concluded, “In light of the fact that there was not a specific work-

related event causing Ms. Bradford’s pain, I cannot state within a reasonable degree of

medical certainty, considering all causes, that Ms. Bradford’s pain was related to her

employment activity as opposed to a pre-existing condition.” Mr. Jordan acknowledged

that her work “may have aggravated a pre-existing condition, [but] the absence of a specific

event of trauma disallows me from being able to state that the complaints I saw her for

were 51% or more related to her employment activity.”

Findings of Fact and Conclusions of Law

Ms. Bradford must present sufficient evidence that she is likely to prevail at a

hearing on the merits. See Tenn. Code Ann. § 50-6-239(d)(1) (2020); McCord v.

Advantage Human Resourcing, 2015 TN Wrk. Comp. App. Bd. LEXIS 6, at *7-8, 9 (Mar.

27, 2015). Specifically, she must show that her alleged injuries arose primarily out of and

in the course and scope of her employment and are identifiable by time and place of

occurrence. See Tenn. Code Ann. § 50-6-102(14)(A).

Here, Ms. Bradford repeatedly testified that she forcefully turned a crank to lower

severely rusted landing gear and that she awoke in pain the next day after sleeping in her

truck. Western Express offered no direct proof showing she did not turn the crank. Rather,

3

the affidavit/declarations stated that Ms. Bradford did not “report” an injury from lowering

landing gear or an acute trauma.

Importantly, this is not evidence that Ms. Bradford did not lower the landing gear;

it merely proves that she did not report that to Ms. Larson, Ms. Ballinger or Mr. Jordan.

Their testimony, conveyed via an affidavit or declarations using similar language, did not

give Ms. Bradford the opportunity to cross-examine them.3 Moreover, the note from the

physical therapist that Ms. Bradford reported “repetitive use of crank on truck and sleeping

in a poor position in the truck caused significant pain” bolsters Ms. Bradford’s testimony.

The physical therapist made that note before the denial ̶ undercutting Western Express’s

argument that Ms. Bradford “changed her story.”

Western Express also contended that sleeping is not “trauma.” This overlooks the

Supreme Court Panel decision in Sepulveda v. Western Express, Inc., No. M2007-00121-

WC-R3-WC, 2008 Tenn. LEXIS 189, at *11 (Tenn. Workers’ Comp. Panel Mar. 31, 2008).

There, the Panel concluded that a truck driver was a “traveling employee,” and “[t]he nature

of his job as a driver was such that the activity of sleeping in the cab of his truck was a

regular incident of his employment.” The case is directly on-point.

In sum, the Court credits Ms. Bradford’s live testimony over the affidavit and

declarations. Ms. Bradford never wavered about the events of May 19-20 despite rigorous

cross-examination. The Court finds Ms. Bradford turned a crank to lower the landing gear

and awoke in pain the next day. Thus, the Court holds Ms. Bradford is likely to prove a

specific incident, identifiable by time and place, at a hearing on the merits.

Next, Western Express argued that Ms. Bradford did not show she suffered an injury

arising primarily out of the course and scope of employment. Specifically, she must show,

“to a reasonable degree of medical certainty that [the incident] contributed more than fifty

percent (50%) in causing the . . . disablement or need for medical treatment, considering

all causes.” “Shown to a reasonable degree of medical certainty” means that, “in the

opinion of the treating physician, it is more likely than not considering all causes[.]” See

Tenn. Code Ann. § 50-6-102(14)(C)-(D) (Emphasis added).

Ms. Bradford introduced Dr. Lotterer’s C-32 testimony and letter to satisfy the

above definition of “injury.” Dr. Lotterer wrote on the form that her employment more

likely than not was primarily responsible for advancing the preexisting condition and

causing her need for treatment. In the letter, he wrote that she told him she “was injured

on the job on May 19, 2020, while forcefully turning a crank on her truck” and that it was

“very likely that this injury was the cause of her subjective complaints.” Dr. Lotterer’s

opinion is clear on this point: Ms. Bradford’s work advanced her preexisting injury and

caused a need for treatment.

3

The Court did not consider the hearsay or argument in the affidavits and declarations.

4

In contrast, Western Express relied on the opinion of Mr. Jordan, a physician

assistant. The Bureau’s rules state that physician assistants may “provide medical

treatment ordered by an attending physician.” But “only the supervising physician . . . may

determine medical causation regarding the injury[.]” Tenn. Comp. R. and Regs

0800.02.01.-06(7) (May 2018) (Emphasis added).4 Therefore, Mr. Jordan cannot give a

causation opinion.

As to the requested relief, Tennessee Code Annotated section 50-6-204(a)(1)(A)

requires an employer to provide, free of charge to the employee, medical treatment made

reasonably necessary by a work accident. Western Express never gave Ms. Bradford a

panel form for her to choose a physician. Its practice of posting a list of three providers in

the workplace for all employees does not comply with Tennessee Compilation Rules and

Regulations 0800-02.01-.06. So, the Court orders Western Express to offer a panel of three

independent, reputable orthopedic specialists as required under the statute, using Form C-

42 as contemplated in the Bureau’s rules, for Ms. Bradford to choose a treating physician.

The Court also refers this case to the Compliance Program for consideration of a penalty;

see Tenn. Comp. R. and Regs. 0800-02-01-.06(2).

Finally, as for Ms. Bradford’s request for temporary disability benefits, she must

show: 1) she became disabled from working due to a compensable injury; (2) a causal

connection between the injury and her inability to work; and (3) the duration of disability.

Jones v. Crencor Leasing and Sales, 2015 TN Wrk. Comp. App. Bd. LEXIS 48, at *7 (Dec.

11, 2015).

On this record, the Court holds that Ms. Bradford is likely to show that she became

disabled due to a compensable injury and that a causal connection exists between her injury

and inability to work. As to the duration of disability, she became injured on May 20 and

was off work or placed on restricted duty without accommodation beginning May 22

through June 1. Tennessee Code Annotated section 50-6-205(a) states that no

compensation is allowed for the first seven days of disability resulting from the injury,

excluding the day of injury. Therefore, Ms. Bradford is owed compensation for three days.

Ms. Bradford disputed the compensation rate on the wage statement. She testified

that she earned $400 weekly as a trainee but offered no documentary evidence. The Court

finds the wage statement accurate and that she earned $124 per week. This amount is less

than the minimum weekly benefit, so Ms. Bradford is entitled to three days’ compensation

at the weekly minimum rate ($144.00), for a total of $61.71 in temporary disability

benefits.

4

Further, Mr. Jordan based his opinion on the belief that Ms. Bradford became injured while sleeping,

which he did not characterize as a “trauma.” By reaching this conclusion, Mr. Jordan has essentially

decided facts. That is this Court’s role, not a medical provider’s.

5

IT IS, THEREFORE, ORDERED as follows:

1. Western Express must offer a panel of three orthopedic specialists from which Ms.

Bradford may select one to evaluate and treat the work injury. Western Express

also must reimburse Ms. Bradford for her mileage to authorized treatment in the

amount of $124.20.

2. Western Express must pay Ms. Bradford temporary disability benefits totaling

$61.71.

3. This case is referred to the Compliance Program for consideration of the imposition

of a penalty regarding Western Express’s failure to provide a panel.

4. A status hearing will take place on July 26, 2021, at 9:30 a.m. Central Time. The

parties must call 615-532-9552 or toll-free at 866-943-0025 to participate. Failure

to call might result in a determination of issues without your participation.

5. Unless an interlocutory appeal of the Expedited Hearing Order is filed, compliance

with this Order must occur no later than seven business days from the date of entry

of this Order as required by Tennessee Code Annotated section 50-6-239(d)(3). The

Employer must submit confirmation of compliance with this Order to the Bureau by

email to WCCompliance.Program@tn.gov no later than the seventh business day

after entry of this Order. Failure to submit confirmation within seven business days

may result in a penalty assessment for non-compliance. For questions regarding

compliance, contact the Workers’ Compensation Compliance Unit via email at

WCCompliance.Program@tn.gov.

ENTERED May 11, 2021.

_____________________________________

JUDGE KENNETH M. SWITZER

Court of Workers’ Compensation Claims

Exhibits:

1. Notice of Filing Index of Records (Filed by Western Express)

a. Affidavit of Judy Larson

b. First Report of Work Injury

c. Declaration of Kathy Ballinger

d. Recorded Statement of Charisse Bradford

e. Denial letter

6

f. Form C-23 Notice of Denial

g. Declaration of Robert Jordan, PA-C

h. Medical records-Concentra

i. Western Express Workers’ Compensation Injury Report

j. Affidavit of Charisse Bradford

2. Additional medical records

3. C-32

4. X-ray reports

Technical Record:

1. Petition for Benefit Determination

2. Dispute Certification Notice

3. Request for Expedited Hearing

4. Order Resetting Pretrial Hearing

5. Pre-Compensation Hearing Statement

6. Pretrial Hearing Order

7. Notice of Objection

8. Motion for Extension

9. Order Granting Extension

10. Employer’s Brief

CERTIFICATE OF SERVICE

I certify that a copy of this Order was sent as indicated on May 11, 2021.

Name Certified Regular Email Service sent to:

Mail Mail

Charisse Bradford, X X X Bradfordnonie313@gmail.com

self-represented 905 N. Tennessee St., Apt. 24

employee Cartersville, GA 30120

Drew Saulters, X dsaulters@ortalekelley.com

employer’s counsel jarmstrong@ortalekelley.com

Compliance Program WCCompliance.Program@tn.gov

_____________________________________

Penny Shrum, Clerk of Court

Court of Workers’ Compensation Claims

WC.CourtClerk@tn.gov

7

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 *

LB-1099 rev. 01/20 Page 1 of 2 RDA 11082

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]

LB-1099 rev. 01/20 Page 2 of 2 RDA 11082

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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