The opinion
FILED
Feb 17, 2022
09:21 AM(ET)
TENNESSEE COURT OF
WORKERS' COMPENSATION
CLAIMS
TENNESSE BUREAU OF WORKERS’ COMPENSATION
IN THE COURT OF WORKERS’ COMPENSATION CLAIMS
AT CHATTANOOGA
Charles Lawson, ) Docket No.: 2021-01-0213
Employee, )
v. )
Amazon.com Services, LLC, ) State File No.: 56752-2020
Employer, )
And )
American Zurich Insurance Company, ) Judge Thomas Wyatt
Carrier. )
EXPEDITED HEARING ORDER GRANTING BENEFITS
At an Expedited Hearing on February 15, 2022, Charles Lawson sought medical and
temporary disability benefits for a back injury. Amazon denied his claim after the
authorized physician concluded that his injury was not work-related. Mr. Lawson
submitted a competing causation opinion in support of his claim for benefits. For the
reasons below, the Court awards Mr. Lawson the requested benefits.
History of Claim
Mr. Lawson injured his back at Amazon on August 31, 2020, after working as a
picker for more than ten months. His work included walking eight to twelve miles per day
and frequently lifting items weighing up to twenty-nine pounds. Amazon’s Wage
Statement documented an average weekly wage of $493.08 during the forty-three weeks
before the injury.
Mr. Lawson testified that he felt “great” on the morning of the injury and completed
Amazon’s stretching program, including bending and touching the floor with his hands,
before he began work. He testified that he felt a pinch in his left hip while twisting and
lifting a case containing sixteen or twenty bottles of Gatorade from a pallet to a tote bag.
He experienced severe pain in his low back and left leg when he lifted the case again to
inspect it for damage. He reported his injury that day.
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Amazon management completed two forms on the date of injury. The First Report
of Injury noted that Mr. Lawson stated the injury occurred “while moving a gatorade
product to put in a tote[.]” In addition, Amazon management representative Ken Fry
completed an Initial Complaint Form documenting Mr. Lawson’s report of back and leg
pain while lifting a package containing several bottles of Gatorade. He also noted Mr.
Lawson’s history of a football injury to his back in 1992 and a work-related back injury in
2011, with back pain “once a month” since those injuries. He wrote that Mr. Lawson “has
felt left leg pain ever since he started back at work last Thursday after being off for two
weeks.”
Amazon offered a panel, from which Mr. Lawson selected Dr. Robert Sass. Dr.
Sass noted Mr. Lawson’s history: “while moving an item [he] developed low back pain
and leg pain.” But then Dr. Sass wrote, “no specific incident occurred, no slip, trip, fall or
faulty equipment. No unusual activity occurred.” He added that Mr. Lawson has problems
from a pinched nerve and takes duloxetine for pain.
Dr. Sass examined him, reviewed x-rays, and noted that Mr. Lawson had full range
of spinal motion. He diagnosed a low-back strain. Regarding causation, he concluded,
“This patient has a chronic back issue and is experiencing a flare of back pain due to that.
No work injury has occurred[.] [T]he pain is not due to a work incident. Advised to follow
up with PCP.” Dr. Sass returned Mr. Lawson to work without restrictions.
Mr. Lawson returned to Amazon but, due to pain, left after dropping off paperwork.
While driving home, his pain became so severe that he sought emergent care. The
emergency room notes stated that Mr. Lawson said he hurt his back at work while lifting
Gatorade. The providers mentioned Mr. Lawson’s previous spinal stenosis and disc
problems with no surgery or back pain since. They diagnosed degenerative spinal
conditions, recommended physical therapy, and referred him to orthopedist Dr. Garrick
Cason. The emergency records did not address Mr. Lawson’s work status.
Mr. Lawson asked Amazon to authorize treatment under workers’ compensation. It
declined, so Mr. Lawson saw Dr. Cason on October 1 on his own. Dr. Cason noted that
Mr. Lawson was “picking up an item [when] he immediately felt pain in lower back and
down either side of his [left lower extremity[.]” On that date, Dr. Cason signed a form
stating, “this patient is temporarily and totally disabled from any gainful employment at
the present time[.] The patient’s condition will be reevaluated at the next office visit.” 1
Amazon formally denied Mr. Lawson’s claim on October 23, contending the injury
was not work-related. After receiving this notice, Mr. Lawson again asked Amazon to
authorize treatment, but it refused.
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The note stated the next appointment would occur in late November, but Mr. Lawson did not return until
five months later.
2
Mr. Lawson attended physical therapy from October to December 2020. During
this period, he reported back pain to his primary care provider on a couple of occasions.
On December 30, his provider “[filled] out a leave extension for work.” 2 Mr. Lawson
underwent two spinal injections before returning to see Dr. Guy Barat, another physician
in Dr. Cason’s practice, on April 27, 2021. Dr. Barat reported that Mr. Lawson continued
to experience back pain and numbness and had not returned to work.
After an MRI, Dr. Cason diagnosed Mr. Lawson with moderate bilateral foraminal
stenosis and degenerative changes at the L4-5 and L5-S1 disc levels. Dr. Cason
recommended fusion surgery, since physical therapy and injections had not improved Mr.
Lawson’s symptoms.3
Mr. Lawson asked the Court to order Amazon to authorize ongoing treatment with
Dr. Cason, including the recommended surgery, and pay temporary total disability benefits.
Contrary to Mr. Fry’s assertion, Mr. Lawson testified that he did not have leg pain a few
days before the injury. He explained he had been off work for two weeks under Amazon’s
COVID policy because his wife had been exposed to the virus. He testified that he relaxed
the entire two weeks and felt great when he returned to work.
Mr. Lawson additionally explained the discrepancies in Dr. Sass’s report. He
testified that he took duloxetine for anxiety and depression not pain. He also stated that,
contrary to Dr. Sass’s report that his clinical exam was normal, pain prevented him from
fully twisting and bending during the exam.
Mr. Lawson submitted Dr. Cason’s affidavit, signed May 18, 2021, in support of his
position. Amazon did not renew the objection to the affidavit that it made in its motion in
limine. Dr. Cason stated that he reviewed the following documents in formulating his
opinions: medical records from Nova Medical Center (Dr. Sass), Tennova Medical Center,
Fast Access Healthcare, the University of Utah Hospital, and his own office, and Amazon
documents including the First Report of Injury incident report, Wage Statement, and Notice
of Denial. He gave the following causation opinion:
Mr. Lawson’s lumbar injuries and the aggravation of any pre-existing
lumbar spine conditions, which he suffered while lifting and moving a large,
packaged Gatorade box on August 31, 2020, arose primarily out of and in the
course and scope of employment by [Amazon] and the employment
contributed to more than fifty percent (50%) in causing Mr. Lawson’s lumbar
injuries and the need for medical treatment.
2
Mr. Lawson testified that he has received sixty percent of his earnings while off work since the date of
injury. He did not identify the source of this income.
3
Mr. Lawson has not yet undergone the surgery.
3
Dr. Cason recommended fusion surgery, stating:
[The] lifting [incident] made him severely symptomatic and resulted
in the need for surgery. By all accounts, Mr. Lawson was capable of doing
his normal activities and working whereas he has not since this incident
occurred at Amazon. A person who is already in this shape prior to the
incident at work could not have maintained the pace or work requirement of
a pick job at Amazon to the point of making $21,202.13 in 43 weeks.
In support of his opinions, Dr. Cason cited Mr. Lawson’s consistency in describing
the mechanism of injury. He also stated that Mr. Lawson was not at maximum medical
improvement and was unable to work.
Amazon relied solely on panel physician Dr. Sass’s causation opinion.
Findings of Fact and Conclusions of Law
Injury by Accident
To recover, Mr. Lawson must present sufficient evidence from which the Court can
determine his likelihood of prevailing at a hearing on the merits. Tenn. Code Ann. § 50-
6-239(d)(1) (2021); see also McCord v. Advantage Human Resourcing, 2015 TN Wrk.
Comp. App. Bd. LEXIS 6, at *9 (Mar. 27, 2015).
Specifically, Mr. Lawson must show he is likely to prevail at proving that a specific
incident arising primarily out of and in the course and scope of his employment caused his
injury. Tenn. Code Ann. § 50-6-102(14)(A)-(B). He must show that his employment
contributed more than fifty percent in causing his injury, need for treatment, and disability.
Tenn. Code Ann. § 50-6-102(14)(C). Since Mr. Lawson alleged that his work injury
aggravated a pre-existing condition, he must also show he is likely to prevail at proving the
aggravation arose primarily out of and in the course and scope of his employment. Tenn.
Code Ann. § 50-6-102(14)(A).
Mr. Lawson introduced unrefuted evidence and testimony that he experienced back
and leg symptoms while lifting an item at Amazon. The issue is whether Mr. Lawson’s
injury arose primarily from his employment or was the result of a pre-existing condition.
The parties presented competing medical opinions supporting their respective positions. In
weighing those opinions, the Court recognizes that the causation opinion of panel-selected
physician Dr. Sass is presumed correct. However, his opinion is rebuttable by a
preponderance of the evidence. Tenn. Code Ann. § 50-6-102(14)(E).
When faced with competing expert opinions, the Court may consider, among other
things, the qualifications of the experts, the circumstances of their examinations, and the
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information available to them in reaching their opinions. Lamb v. KARM Thrift Stores,
LLC, 2017 TN Wrk. Comp. App. Bd. LEXIS 212, at *7 (July 26, 2017). The analysis of
the pertinent factors here leads the Court to place greater weight on Dr. Cason’s opinion.
The Court finds Dr. Sass’s opinion inconsistent, as he noted that Mr. Lawson
experienced pain while moving an item, but he then concluded “no specific incident
occurred.” Because Mr. Lawson did not slip, trip, or fall, Dr. Sass found that Mr. Lawson’s
pain came from a flare-up of his preexisting back condition rather than a work injury. The
Workers’ Compensation Law does not require that an injury occur due to a slip, trip, fall,
faulty equipment, or unusual activity to be work-related. Because Dr. Sass based his
opinion on factors contrary to and outside the statutory definition of an injury by accident,
the Court assigns his opinion little weight.
Further, Dr. Sass examined Mr. Lawson only once, hours after the injury occurred,
while Dr. Cason followed him over several months. Dr. Cason formed his opinion with
the benefit of CT and MRI results and the knowledge of Mr. Lawson’s condition after
receiving spinal injections and therapy. Dr. Sass gave his opinion without any of that
information.
The Court also considered Mr. Lawson’s credible testimony. Mr. Lawson testified
openly and directly, and he made no effort to avoid his previous back injuries. He testified
that his preexisting back condition did not prevent him from performing his physically
demanding job duties, a fact confirmed by Amazon’s Wage Statement. He consistently
reported the mechanism of his injury to Amazon management and, later, to several
providers he saw in the weeks after the injury.
Taking the above factors into account, the Court holds that, at trial, Mr. Lawson’s
credible testimony and Dr. Cason’s opinion will likely overcome the presumption afforded
to Dr. Sass’s causation opinion. For that reason, the Court holds that Mr. Lawson is likely
to prevail at trial in proving the aggravation of his preexisting back condition arose
primarily out of and in the course and scope of his employment.
Medical Benefits
The Workers’ Compensation Law requires an employer to furnish medical
treatment made reasonably necessary by a work injury. Tenn. Code Ann. § 50-6-
204(a)(1)(A). Mr. Lawson proved he needs medical treatment for his work injury. The
Court must determine which physician shall provide the treatment.
The Supreme Court held in Dorris v. INA Ins. Co., 764 S.W.2d 538, 541 (Tenn.
1981), that the “employee shall do no less than to consult [the] employer before incurring
expenses called for by the statute if the employee expects the employer to pay for them.”
Justification in seeking the employer’s liability for unauthorized medical treatment
depends on the circumstances. Harris v. Kroger Co., 567 S.W.2d 161, 163 (Tenn. 1978).
The Workers’ Compensation Appeals Board has held that, while an employer has the right
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to deny a claim, when it does so it runs the risk that it will be required to pay for
unauthorized treatment if a court deems the denied claim compensable. Hagan v. Potomac
Corp., 2022 TN Wrk. Comp. App. Bd. LEXIS __, slip op. at 5 (Feb. 9, 2022).
Here, Mr. Lawson’s panel physician found that his symptoms related to preexisting
back problems rather than a work injury. Amazon used that opinion to deny further
treatment. Even after Amazon filed a Notice of Denial, Mr. Lawson asked it to reconsider
and provide treatment. The Court finds Amazon’s actions left Mr. Lawson no choice but
to seek unauthorized treatment.
The Court holds that due to Amazon’s continued denial of treatment, Mr. Lawson
will likely prevail at trial in showing justification for seeking unauthorized treatment with
Dr. Cason. Since Dr. Cason and Mr. Lawson have forged a doctor-patient relationship,
ordering a new panel would further delay treatment. The Court designates Dr. Cason as
the treating physician for ongoing care.
Temporary Disability Benefits
Finally, the Court addresses Mr. Lawson’s claim for temporary disability benefits.
To recover, he must prove that, at trial, he will likely prevail in showing he is disabled from
a work-related condition for a specific period of disability. See Simpson v. Satterfield, 564
S.W.2d 953, 955 (Tenn. 1978).
Mr. Lawson testified that his back pain has kept him from returning to work at
Amazon. Dr. Cason concluded on October 1, 2020, that Mr. Lawson was temporarily
disabled from gainful employment. In late December 2020, Mr. Lawson’s primary care
provider extended his leave from employment. Dr. Cason stated in his May 2021 affidavit
that Mr. Lawson has not reached maximum medical improvement and is still unable to
work. Mr. Lawson has not had the surgery that Dr. Cason says he needs.
Based on the above, the Court holds Mr. Lawson showed that, at trial, he will likely
prevail in proving entitlement to temporary total disability benefits from October 1, 2020,
until February 17, 2022, a period of seventy-two weeks. At Mr. Lawson’s weekly
compensation rate of $339.02, the Court orders Amazon to pay him $24,409.44 in accrued
temporary total disability benefits.
Mr. Lawson may be entitled to ongoing temporary disability benefits, should Dr.
Cason maintain his work restrictions during continued treatment. Without this
information, the Court is unable to address ongoing temporary disability benefits at this
time.
IT IS, THEREFORE, ORDERED as follows:
1. Amazon shall promptly schedule and authorize an appointment with Dr. Garrick
Cason for reasonable, necessary, and related treatment for Mr. Lawson’s back injury
under Tennessee Code Annotated section 50-6-204, including but not limited to the
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recommended surgery.
2. Amazon shall pay past due temporary total disability benefits from October 1, 2020,
to February 17, 2022, totaling $24,409.44.
3. This case is set for a Status Hearing on May 31, 2022, at 10:00 a.m. Eastern Time.
The parties must call (615) 741-3061 or toll-free at (855) 747-1721 to participate.
4. Unless 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 Insurer or Self-Insured 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 the necessary confirmation within the
period of compliance may result in a penalty assessment for non-compliance.
5. For questions regarding compliance, please contact the Workers’ Compensation
Compliance Unit via email WCCompliance.Program@tn.gov.
ENTERED February 17, 2021.
_____________________________________
Judge Thomas Wyatt
Court of Workers’ Compensation Claims
APPENDIX
Exhibits:
1. Affidavit of Charles Lawson
2. Affidavit of Dr. Garrick Cason
3. Records of Comprehensive Spine Institute*
4. Records of Tennova Healthcare-Cleveland
5. Records of University of Utah Hospitals
6. Records of Fast Access Healthcare
7. Records of Nova Medical Center
8. Wage Statement
9. First Report of Injury
10. Notice of Denial of Claim
11. Choice of Physician form
12. Amazon Initial Complaint form
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*The Court marked updated records from Comprehensive Spine Institute as Exhibit
3A for identification only. The Court sustained an objection that Mr. Lawson failed
to timely file these records.
Technical record:
1. Petition for Benefit Determination
2. Dispute Certification Notice
3. Employer Position Statement
4. Request for Expedited Hearing
5. Employee’s Brief
6. Employer’s Brief
7. Motion in Limine, Response, and Order
8. Notice of Appeal
9. Appeals Board Order
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CERTIFICATE OF SERVICE
I certify that a copy of the Order was sent as indicated on February 17, 2022.
Name Certified Email Service sent to:
G. Brent Burks X brentburks@mcmahanlawfirm.com
Katie Reed katiereed@mcmahanlawfirm.com
Employee’s Attorneys laura@mcmahanlawfirm.com
W. Troy Hart X wth@mijs.com
Meghan Jones majones@mijs.com
Employer’s Attorneys telett@mijs.com
______________________________________
Penny Shrum, Court Clerk
Wc.courtclerk@tn.gov
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