Opinion

Demissie, Solomon v. N & S, Inc.

  • 2024 TN WC 39
Court
Tennessee Court of Workers' Compensation Claims
Filed
May 7, 2024
Status
Published
On the bench
Kenneth M. Switzer
Cited by
0 cases
Authority
More cited than 16.0%

The opinion

FILED

May 07, 2024

11:03 AM(CT)

TENNESSEE COURT OF

WORKERS' COMPENSATION

CLAIMS

TENNESSEE BUREAU OF WORKERS’ COMPENSATION

IN THE COURT OF WORKERS’ COMPENSATION CLAIMS

AT NASHVILLE

Solomon Demissie, ) Docket No. 2023-06-2358

Employee, )

v. )

N & S, Inc., ) State File No. 9505-2023

Employer, )

And )

Hanover Insurance Co., ) Judge Kenneth M. Switzer

Carrier. )

COMPENSATION ORDER GRANTING PARTIAL SUMMARY JUDGMENT

N & S, Inc. filed a motion for summary judgment contending that no genuine issues

of material fact exist about whether Solomon Demissie’s current condition arises primarily

out of employment and whether he has a permanent impairment. After an April 30 hearing,

the Court grants the motion as to Mr. Demissie’s request for additional medical and

permanent disability benefits, but he remains entitled to future medical benefits.

Claim History

Mr. Demissie, a mechanic, filed a petition for benefit determination alleging he

injured his hip in an auto accident while test-driving a vehicle. He initially treated on his

own and settled a third-party claim for the accident. N & S eventually accepted the claim

and offered a panel of orthopedists. Mr. Demissie selected Dr. Forrest Allen and saw him

once in May 2023.

Later, Mr. Demissie requested an expedited hearing seeking additional medical and

temporary disability benefits. After a December 2023 hearing, the Court ordered that N &

S authorize a return visit with Dr. Allen but denied Mr. Demissie’s request for additional

disability benefits. Neither party appealed, and Mr. Demissie returned to the doctor in

January 2024.

At a February status hearing, Mr. Demissie announced his intention to request

another expedited hearing seeking an order for N & S to authorize pain management

1

recommended by Dr. Allen. N & S argued he was not entitled to pain management because

Dr. Allen said that treatment was not related to the work accident. The Court cautioned

Mr. Demissie at that time that if he wanted N & S to pay for pain management, he must

offer medical proof that the need for it is work-related. For its part, N & S stated that it

planned to move for summary judgment.

Mr. Demissie later filed a hearing request and records from an unauthorized pain

management physician. Those records included a statement from the doctor that she

declined to complete a C-32 form because she did “not feel comfortable with the full scope

of this documentation.”

N & S filed this summary judgment motion. Considering the pain management

doctor’s opinion, the Court declined to set an evidentiary hearing on Mr. Demissie’s

request and proceeded with this hearing.

The motion and parties’ positions

N & S filed a statement of undisputed material facts, summarized below.

1. Mr. Demissie was N & S’s employee on October 3, 2022, when he was involved

in a motor vehicle accident arising out of the course and scope of his

employment.

2. Dr. Allen is the panel-selected authorized physician.

3. On May 23, 2023, Dr. Allen wrote that Mr. Demissie was able to work at full

capacity.

4. Dr. Allen placed Mr. Demissie at maximum medical improvement and assigned

no permanent impairment.

5. On January 5, 2024, Dr. Allen saw Mr. Demissie again and gave the opinion that

Mr. Demissie’s complaints were not causally related to the work injury of

October 3, 2022.

6. Dr. Allen further stated that no additional treatment is available for Mr. Demissie

that would be related to the work injury.

N & S supports these facts by citation to the record, which includes Dr. Allen’s

affidavit. N & S argues no factual dispute exists as to Mr. Demissie’s entitlement to

additional benefits.

Mr. Demissie did not file a response to the motion, but he argues that his pain from

the work accident persists and he is unable to work. He disagrees with Dr. Allen’s

conclusions.

Law and Analysis

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Summary judgment is appropriate “if the pleadings, depositions, answers to

interrogatories, and admissions on file, together with the affidavits, if any, show that there

is no genuine issue as to any material fact and that the moving party is entitled to a judgment

as a matter of law.” Tenn. R. Civ. P. 56.04 (2023).

As the moving party, N & S must do one of two things to prevail on its motion: (1)

submit affirmative evidence that negates an essential element of Mr. Demissie’s claim, or

(2) demonstrate that the evidence is insufficient to establish an essential element of Mr.

Demissie’s claim. Tenn. Code Ann. § 20-16-101 (2023); see also Rye v. Women’s Care

Ctr. of Memphis, MPLLC, 488 S.W.3d 235, 264 (Tenn. 2015).

If N & S does either or both, Mr. Demissie must respond by producing specific facts

showing a genuine issue for trial. Id.; Tenn. R. Civ. P. 56.06. If he fails to do so, “summary

judgment, if appropriate, shall be entered against [him].” Id.

N & S argues that summary judgment is appropriate because it demonstrated that

Mr. Demissie’s current complaints did not arise out of employment and he did not sustain

any permanent impairment.

Mr. Demissie expresses a sincerely-held belief that his current condition relates to

the work accident. However, he offers no expert opinion to rebut N & S’s proof. He did

not show the work-relatedness of his current complaints or that he sustained any permanent

impairment. Mr. Demissie’s belief is argument not proof. See Lurz v. Int’l Paper Co.,

2018 TN Wrk. Comp. App. Bd. LEXIS 8, at *17 (Feb. 14, 2018) (parties cannot rely solely

on their own medical interpretations of the evidence to successfully support their

arguments).

Therefore, based on the undisputed facts, N & S has negated an essential element of

any claim for permanent disability by showing there is no proof of permanent impairment.

Likewise, because Dr. Allen says Mr. Demissie’s current complaints do not arise primarily

out of his employment, N & S has negated the essential element of Mr. Demissie’s claim

for additional medical treatment at this time.

However, the Court disagrees with N & S’s contention that, since Dr. Allen stated

no future treatment is necessary, Mr. Demissie is not entitled to future medical benefits.

An employee who suffers a compensable injury is entitled to any reasonable, necessary,

and work-related medical treatment. Tenn. Code. Ann. § 50-6-204(a)(1)(A). The Court

might later be tasked with determining whether N & S is responsible for further medical

treatment for Mr. Demissie’s compensable injury. See Reynolds v. Liberty Mut. Ins. Co.,

No. 02S01-9203-CH-00027, 1992 Tenn. LEXIS 620, at *4-5 (Tenn. Workers’ Comp.

Panel Oct. 7, 1992) (“If and when application is made for any such future medical expenses,

the trial judge will at that time and under the evidence then adduced have to determine

whether the employer or its insurance carrier is liable for the payment of such expenses.”).

3

In sum, N & S is entitled to summary judgment on the issues of permanent disability

and the absence of need for current medical treatment. Mr. Demissie remains entitled to

medical benefits in the future, the need for which must be determined at the time they are

requested.

IT IS ORDERED AS FOLLOWS:

1. N & S is entitled to summary judgment as a matter of law regarding the

immediate provision of additional medical treatment and the payment of

permanent disability benefits. Those claims are dismissed with prejudice.

2. N & S shall furnish reasonable, necessary, and work-related future medical

benefits under Tennessee Code Annotated section 50-6-204.

3. The Court taxes the $150.00 filing fee to N & S, to be paid to the Court Clerk

under Tennessee Compilation Rules and Regulations 0800-02-21-06 (2023)

within five business days of this order becoming final.

4. N & S shall file Form SD-2 with the clerk within ten business days after this

order becomes final.

5. Unless appealed, this Order shall become final 30 days after entry.

ENTERED May 7, 2024.

________________________________________

JUDGE KENNETH M. SWITZER

Court of Workers’ Compensation Claims

4

CERTIFICATE OF SERVICE

I certify that a copy of this Order was sent as indicated on May 7, 2024.

Name Regular mail Email Sent to

Solomon Demissie, X X demissolo@gmail.com

Employee 5424 Oak Chase Drive

Antioch, TN 37013

Kitty Boyte, X kitty.boyte@petersonwhite.com

Employer’s Attorney denise.mccorkle@petersonwhite.com

_______________________________________

Penny Shrum

Clerk, Court of Workers’ Compensation Claims

WC.CourtClerk@tn.gov

5

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 *

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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