FILED 

December 7. 2016 

TNCOURTOF 

WORIITR.S' CO!'JFENSATION 

C1 .iill.l5 

TENNESSEE BUREAU OF WORKERS' COMPENSATION 

IN THE COURT OF WORKERS' COMPENSATION CLAIMS 

AT KNOXVILLE 

Time 10:30 .A.M 

EDDIE HUMPHREY, JR. ) Docket No.: 2016-03-0708 

Employee, ) 

v. 

SECURITY FIRE PROTECTION CO. INC., 

Employer, 

and 

INSURANCE CO. OF THE STATE OF PA, 

Carrier. 

) 

) State File No.: 8732-2016 

) 

) 

) Judge Pamela B. Johnson 

) 

EXPEDITED HEARING ORDER 

GRANTING TEMPORARY PARTIAL DISABILITY AND MEDICAL BENEFITS 

This matter came before the undersigned Workers' Compensation Judge on 

November 4, 2016, upon the Request for Expedited Hearing filed by Eddie Humphrey, 

Jr. pursuant to Tennessee Code Annotated section 50-6-239 (2015). The central legal 

issue is whether Mr. Humphrey sustained an injury arising primarily out of and in the 

course and scope of his employment with Security Fire Protection, entitling Mr. 

Humphrey to additional medical and temporary disability benefits. For the reasons set 

forth below, the Court holds Mr. Humphrey sufficiently demonstrated that he is likely to 

prevail at a hearing on the merits that his February 2, 2016 injury arose primarily out of 

and in the course and scope of his employment. Accordingly, this Court concludes Mr. 

Humphrey is entitled to the requested benefits. 1 

History of Claim 

Mr. Humphrey is a forty-eight-year-old resident of Knox County, Tennessee. Mr. 

Humphrey worked for Security Fire as a Sprinkler Fitter Foreman. His occupation 

frequently required crawling and squatting in the ceiling above the sprinkler systems in 

order to install or repair sprinkler systems for fire protection purposes. 

1 The attached Appendix contains a complete listing of the Technical Record and Exhibits admitted at the Expedited 

Hearing. 

1 
On February 2, 2016, Mr. Humphrey responded to a service call at a nursing 

home. Working in the nursing home attic, he crawled around on his knees and squatted 

on wooden trusses for several hours, looking for a leak in the sprinkler system. As he 

worked, he developed soreness in left knee and leg. The next day, he reported the injury 

to his supervisor. (Ex. 1.) 

Upon receiving notice of the work incident, Security Fire provided Mr. Humphrey 

with a panel of physicians, and he selected Dr. John Reynolds as his authorized treating 

physician (ATP). Dr. Reynolds evaluated Mr. Humphrey on two occasions. In March, 

Dr. Reynolds examined Mr. Humphrey, ordered and reviewed x-rays of the left knee, 

diagnosed "chronic left knee pain," "rule out internal derangement," and "mild 

osteoarthritis."2 Given Mr. Humphrey's ongoing symptoms, Dr. Reynolds ordered a left 

knee MRI. (Ex. 2.) In a Worklink report, Dr. Reynolds restricted Mr. Humphrey to 

limited duty. (Ex. 9.) 

Following the MRI, Mr. Humphrey returned to see Dr. Reynolds in April. Dr. 

Reynolds reviewed the MRI and noted chrondromalacia patella with no evidence of 

meniscal tear or ligamentous injury. Dr. Reynolds discussed the findings with Mr. 

Humphrey, advising, "Presumably, he has aggravated his chondromalacia. As we 

discussed, it is possible he could have some occult meniscal injury not visualized on the 

MRI." Dr. Reynolds ordered physical therapy and instructed Mr. Humphrey to return in 

one month. (Ex. 2.) In the Worklink report, Dr. Reynolds noted a diagnosis of "[left] 

knee chondromalacia/strain" and continued the limited duty restrictions. (Ex. 9.) 

Dr. Reynolds did not examine Mr. Humphrey again following the April 

appointment but responded to questionnaires submitted by Security Fire's third-party 

workers' compensation administrator. On April 6, Dr. Reynolds listed Mr. Humphrey's 

diagnosis as "chondromalacia" and indicated Mr. Humphrey's "current condition DID 

NOT primarily arise out of claimant's employment 50% or under due to work." On April 

12, Dr. Reynolds checked "No" when asked whether Mr. Humphrey's "knee strain work 

injury was fully recovered and if he is just left with the pre-existing non work condition 

of chondromalacia." (Ex. 3.) 

Security Fire issued a Notice of Controversy on April 19 and denied benefits 

stating, "Claim denied as authorized treating physician has opined the condition is not 

work related." (Ex. 4.) Mr. Humphrey testified his temporary disability benefits stopped 

on April 5. Security Fire, through a nurse case manager, cancelled Mr. Humphrey's May 

appointment with Dr. Reynolds. (Ex. 5.) 

Following Security Fire's denial of Mr. Humphrey's claim and cessation of 

2 Mr. Humphrey reported a history ofleft knee arthroscopy, partial lateral meniscectomy, and patellar chondroplasty 

in I 999. He also had a right knee arthroscopy, partial lateral meniscectomy, removal of loose body, and 

chondroplasty. (Ex. 2 and Ex. 6.) 

2 
benefits, Mr. Humphrey sought medical treatment on his own for his ongoing symptoms. 3 

In May, Mr. Humphrey saw Dr. Gregory Mathien, who ordered additional diagnostic 

testing and reviewed the MRI. Dr. Mathien diagnosed left knee pain with iliotibial band 

syndrome and patellofemoral chondromalacia. Dr. Mathien recommended physical 

therapy and a topical compounded anti-inflammatory analgesic. Dr. Mathien further 

recommended a "light-duty work environment" and to "return as scheduled." (Ex. 6.) 

Mr. Humphrey returned to see Dr. Mathien in June with increased symptoms 

following completion of leg presses during physical therapy. Dr. Mathien noted, "In my 

opinion, it appears that his symptoms were related to his injury in February when he was 

working in the attic for a number of hours developing this leg pain, certainly historically 

related to the event." !d. 

In July, Security Fire's counsel sent a third questionnaire to Dr. Reynolds, 

requesting clarification of his prior opinions. In his response, Dr. Reynolds responded 

"yes" to whether Mr. Humphrey's "knee strain primarily, meaning more than 50%, 

related to the 2/2/16 work-injury." However Dr. eynolds replied "no" to whether Mr. 

Humphrey required additional care fonn th knee strain.4 (Ex. 7.) 

During the hearing, Mr. Humphrey argued Security Fire summarily and without 

merit denied his claim, terminated his medical treatment with Dr. Reynolds, and stopped 

payment of his temporary disability benefits. When Security Fire wrongfully denied his 

claim and terminated his benefits, he rightfully sought medical treatment on his own with 

Dr. Mathien. Mr. Humphrey asserted he is entitled to substitute Dr. Mathien as his 

authorized treating physician, relying on Lambert v. Famous Hasp., Inc., 947 S.W.2d 

852, 853 (Tenn. 1997), and US. Fid. and Guar. Co. v. Morgan, 795 S.W.2d 653, 654 

(Tenn. 1990). In addition to entitlement to medical benefits, Mr. Humphrey averred he is 

entitled to temporary disability benefits from April 5, 2016, until such time as he returns 

to work or reaches maximum medical improvement. 

Security Fire argued Mr. Humphrey selected Dr. Reynolds as his A TP from a 

panel of physicians. Dr. Reynolds diagnosed Mr. Humphrey with left knee 

chondromalacia and further opined the chondromalacia was pre-existing and not more 

than fifty percent or more related to Mr. Humphrey's employment. As such, it asserted it 

properly denied Mr. Humphrey's claim and terminated benefits. 

Additionally, Security Fire averred Mr. Humphrey unilaterally chose to go to his 

3 Mr. Humphrey testified during the hearing that he spoke to Security Fire personnel and advised that he felt like Dr. 

Reynolds was wrong and that he needed a second opinion. He further testified that his employer told him that the 

insurance carrier would not pay for a second opinion. On cross-examination, Mr. Humphrey admitted that he never 

requested a second opinion from the adjuster and Security Fire personnel never set up his medical appointments with 

Dr. Reynolds. 4 Mr. Humphrey admitted on cross-examination that he was aware that Security Fire offered him a return to Dr. 

Reynolds. He testified he declined the return appointment because he was already seeing Dr. Mathien. 

3 
personal orthopedic surgeon as opposed to requesting a second opm10n or filing a 

Petition for Benefit Determination to request a return appointment with Dr. Reynolds. 

Dr. Mathien, based upon the history provided by Mr. Humphrey, related the iliotibial 

band tendinitis to Mr. Humphrey's work in February, without providing an opinion as to 

whether the injury arose primarily out of and in the course and scope of his employment 

with Security Fire. Given the presumption of correctness provided to Dr. Reynolds as the 

ATP, his opinion as to causation should be accepted and applied. Security Fire averred 

Dr. Mathien did not apply the current standard for establishment of causation. Moreover, 

Security Fire distinguished the present case from the cases cited by Mr. Humphrey, 

arguing the employers in those cases did not provide a panel of physicians. In the 

alternative, if the Court determines that Mr. Humphrey is entitled to medical benefits, 

Security Fire asserted Dr. Reynolds should remain the ATP, not allowing the substitution 

of Dr. Mathien as the ATP. 

Findings of Fact and Conclusions of Law 

The Court now turns to the legal principles it must apply to grant or deny Mr. 

Humphrey the benefits he requests. Mr. Humphrey need not prove every element of his 

claim by a preponderance of the evidence in order to recover temporary disability and/or 

medical benefits at an Expedited Hearing. McCord v. Advantage Human Resourcing, 

No. 2014-06-0063, 2015 TN Wrk. Comp. App. Bd. LEXIS 6, at *7-8, 9 (Tenn. Workers' 

Comp. App. Bd. Mar. 27, 2015). Instead, he must come forward with sufficient evidence 

from which this Court might determine he is likely to prevail at a hearing on the merits. 

!d.; Tenn. Code Ann.§ 50-6-239(d)(l) (2015). 

This lesser evidentiary standard does not relieve Mr. Humphrey of the burden of 

producing evidence of an injury by accident that arose primarily out of and in the course 

and scope of employment at an Expedited Hearing, but "allows some relief to be granted 

if that evidence does not rise to the level of a 'preponderance of the evidence."' 

Buchanan v. Car/ex Glass Co., No. 2015-01-0012, 2015 TN Wrk. Comp. App. Bd. 

LEXIS 39, at *6 (Tenn. Workers' Comp. App. Bd. Sept. 29, 2015). In analyzing whether 

he met his burden, the Court will not remedially or liberally construe the law in his favor, 

but instead shall construe the law fairly, impartially, and in accordance with basic 

principles of statutory construction favoring neither Mr. Humphrey nor Security Fire. 

See Tenn. Code Ann.§ 50-6-116 (2015). 

With the above principles in mind, an injury must arise primarily out of and occur 

in the course and scope of the employment to be compensable under the Workers' 

Compensation Law. McCaffery v. Cardinal Logistics, No. 2015-08-0218, 2015 TN Wrk. 

Comp. App. Bd. LEXIS 50, at *8-9 (Tenn. Workers' Comp. App. Bd. Dec. 10, 2015); see 

also Tenn. Code Ann. § 50-6-102(14) (2015). The term "injury" is defined as "an injury 

by accident ... arising primarily out of and in the course and scope of employment, that 

causes death, disablement or the need for medical treatment of the employee." !d. For an 

4 
injury to be accidental, it must be "caused by a specific incident, or set of incidents, 

arising primarily out of and in the course and scope of employment, and is identifiable by 

time and place of occurrence." Tenn. Code Ann.§ 50-6-102(14)(A) (2015). 

In the present case, Mr. Humphrey credibly testified about a specific incident, 

identifiable by time and place that occurred while he performed his job duties at Security 

Fire. Mr. Humphrey stated he responded to a service call at a nursing home on February 

2, 2016. Working in the nursing home attic, he crawled around on his knees and squatted 

on wooden trusses for several hours, looking for a leak in the sprinkler system. As he 

worked, he developed soreness in left knee and leg. 

Having credibly established an incident, the issue becomes whether the February 2 

incident resulted in an injury arising primarily out of and in the course and scope of 

employment in accordance with the standard set forth in McCord. Dr. Reynolds, the 

ATP, examined Mr. Humphrey on April 5 and opined, "Presumably, he has aggravated 

his chondromalacia. As we discussed, it is possible he could have some occult meniscal 

injury not visualized on the MRI." In the April 5 Worklink report, Dr. Reynolds noted a 

diagnosis of "[left] knee chondromalacia/strain." Dr. Reynolds then responded to a series 

of questionnaires. In response to Security Fire's April 6 questionnaire, Dr. Reynolds 

listed Mr. Humphrey's diagnosis as "chondromalacia," indicating Mr. Humphrey's 

"current condition DID NOT primarily arise out of claimant's employment 50% or under 

due to work." In his response to Security Fire's April 12 questionnaire, Dr. Reynolds 

checked "No" when asked whether Mr. Humphrey's "knee strain work injury was fully 

recovered and if he is just left with the pre-existing non work condition of 

chondromalacia." Later, Dr. Reynolds responded to Security Fire's July 22 questionnaire 

and answered "yes" to whether Mr. Humphrey's "knee strain primarily, meaning more 

than 50%, related to the 2/2/16 work-injury." (Ex. 7.) 

Considering the Dr. Reynolds's medical records and responses as a whole, this 

Court finds that Dr. Reynolds diagnosed Mr. Humphrey with a left knee strain that arose 

primarily out of and in the course and scope of his employment with Security Fire. 

Further, Dr. Reynolds also diagnosed Mr. Humphrey with left knee chondromalacia and 

opined that the chondromalacia did not arise primarily out of or occur in the course and 

scope of his employment. This Court is uncertain as to whether the aggravation of the 

chondromalacia arose primarily out of and in the course and scope of employment. Dr. 

Reynolds noted that Mr. Humphrey "aggravated his chondromalacia," but Dr. Reynolds 

was not asked to address whether the aggravation of the chondromalacia that caused the 

need for medical treatment arose primarily out of and in the course and scope of 

employment. This Court concludes Mr. Humphrey demonstrated by sufficient evidence 

that he sustained a left knee strain arising primarily out of and in the course and scope of 

his employment with Security Fire. 

Having determined Mr. Humphrey appears likely to prove he sustained an injury 

5 
arising primarily out of and in the course and scope of employment, this Court must 

determine his entitlement to medical and/or temporary disability benefits. 

As for medical benefits, it is well-settled that an employer is legally obligated to 

provide to an injured employee reasonable and necessary medical treatment that is 

causally related to the work accident. See Tenn. Code Ann. § 50-6-204(a)(l)(A) (2015). 

In circumstances where an employer refuses to provide medical treatment and/or denies 

the employee's claim, the employer bears the risk of being held responsible for medical 

expenses incurred by the employee in the event the claim is deemed compensable. See, 

e.g., GAF Bldg. Materials v. George, 47 S.W.3d 430, 433 (Tenn. Workers' Comp. Panel 

2001 ); McCord, at * 13 ("[A ]n employer who elects to deny a claim runs the risk that it 

will be held responsible for medical benefits obtained from a medical provider of the 

employee's choice[.]"). 

In Young v. Young Electric Co., et al., No. 2015-06-0860, 2016 TN. Wrk. Comp. 

App. Bd. LEXIS 24 (Tenn. Workers' Comp. App. Bd. May 25, 2016), the employee 

alleged he injured his neck at a jobsite when he lifted construction materials, lost his 

balance, and fell backwards. The employer provided a panel of physicians several weeks 

after the alleged injury but declined to schedule an appointment, denying the claim 

instead. In the interim, the injured employee sought medical treatment on his own. The 

trial court awarded ongoing medical benefits and certain past medical expenses but 

denied temporary disability benefits. Both parties appealed. The Appeals Board 

concluded the injured employee justifiably sought treatment on his own and was entitled 

to continue treating with his own physician as the authorized physician. I d. at * 18-19. 

The Appeals Board further awarded reimbursement of medical expenses incurred after 

the employer received notice of the work injury but denied medical treatment. I d. at* 18. 

Security Fire attempted to distinguish cases such as Young, set forth above, and 

the cases of Lambert and US. Fidelity, cited by Mr. Humphrey, arguing that the 

employers in the cited cases did not provide a panel and/or authorize treatment with the 

physician selected by the panel, such that the injured employee properly sought treatment 

on his or her own. Security Fire argued this was not the case here because it provided a 

panel of physicians and Mr. Humphrey selected Dr. Reynolds. This Court disagrees with 

Security Fire's position. 

The record demonstrates that Security Fire provided a panel and Mr. Humphrey 

selected Dr. Reynolds. However, despite the fact that Dr. Reynolds checked "No" when 

asked whether Mr. Humphrey's "knee strain work injury was fully recovered and if he is 

just left with the pre-existing non work condition of chondromalacia," Security Fire 

issued a Notice of Controversy denying the claim and terminated Mr. Humphrey's 

medical benefits. (Ex. 3, Ex. 4.) Thereafter, Mr. Humphrey offered uncontroverted 

testimony that he asked his employer for a second opinion, but Security Fire responded 

that the carrier would not authorize a second opinion. Once Security Fire denied Mr. 

6 
Humphrey medical treatment for his work injury, this Court holds that Mr. Humphrey 

rightfully sought medical treatment on his own with Dr. Mathien for his continued 

symptoms. As such, this Court concludes that Mr. Humphrey sufficiently demonstrated 

that he is likely to prevail at a hearing on the merits on entitlement to medical benefits 

and reimbursement of past medical expenses incurred with Dr. Mathien. Accordingly, 

Security Fire shall provide medical benefits to Mr. Humphrey, and Dr. Mathien shall be 

designated the authorized treating physician. 

The last issue this Court must consider is Mr. Humphrey's eligibility for 

temporary disability benefits. Temporary partial disability benefits are available when 

the temporary disability is not total. !d.; see also Tenn. Code Ann. § 50-6-207(1)-(2) 

(2015). "Temporary partial disability refers to the time, if any, during which the injured 

employee is able to resume some gainful employment but has not reached maximum 

recovery." !d. Thus, in circumstances where the treating physician has released the 

injured worker to return to work with restrictions prior to maximum medical 

improvement, and the employer either (I) cannot return the employee to work within the 

restrictions or (2) cannot provide restricted work for a sufficient number of hours and/or 

at a rate of pay equal to or greater than the employee's average weekly wage on the date 

of injury, the injured worker may be eligible for temporary partial disability. !d. 

Here, this Court finds Mr. Humphrey's medical records demonstrate that Dr. 

Reynolds restricted Mr. Humphrey to light duty work. Dr. Mathien continued the light 

duty restrictions. Moreover, Mr. Humphrey testified he has not worked since his 

temporary disability benefits were terminated on April 5. Security Fire did not offer any 

evidence that it offered Mr. Humphrey work within his restrictions. This Court 

concludes Mr. Humphrey demonstrated he is likely to prevail at a hearing on the merits 

regarding entitlement to temporary partial disability benefits. Therefore, Security Fire 

shall pay Mr. Humphrey temporary partial disability benefits from April 5, 2016, the date 

of his last temporary disability payment, to the present. Security Fire shall continue to 

pay Mr. Humphrey temporary disability benefits in accordance with Tennessee Code 

Annotated section 50-6-207 (20 15). 

IT IS, THEREFORE, ORDERED as follows: 

1. Security Fire shall authorize and pay for medical care for Mr. Humphrey's left 

knee injuries as required by Tennessee Code Annotated section 50-6-204 (2015). 

Dr. Mathien shall become the authorized treating physician. 

2. Security Fire shall pay for Mr. Humphrey's past medical expenses with Dr. 

Mathien made reasonably necessary by the February 2, 2016 work injury. Mr. 

Humphrey or Dr. Mathien shall furnish medical bills to Security Fire. 

7 
3. The amount of temporary disability benefit is $666.91 per week based on Mr. 

Humphrey's average weekly wage of$1,000.31. 

4. Payment of past-due temporary disability benefits, in the amount of $23,341.85, 

shall be made for the period from April 5, 2016, through December 6, 2016. 

5. Security Fire shall continue to pay to Mr. Humphrey's temporary disability 

benefits in regular intervals until he becomes ineligible for those benefits by 

reaching maximum medical improvement, by returning to work at a wage equal to 

or greater than the pre-injury wage, or by release without restrictions by the 

authorized treating physician. Security Fire's representative shall immediately 

notifY the Bureau, Mr. Humphrey, and Mr. Humphrey's counsel, if any, of the 

intent to terminate temporary disability benefits by filing Form C-26, citing the 

basis for the termination. 

6. This matter is set for a Scheduling Hearing on January 13, 2017, at 9:30 a.m. 

Eastern Time/8:30a.m. Central Time. The parties must call (865) 594-0091 or 

(855) 543-5041 toll-free to participate in the Hearing. Failure to appear by 

telephone may result in a determination of the issues without your further 

participation. 

7. 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) 

(2015). 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. 

8. For questions regarding compliance, please contact the Workers' Compensation 

Compliance Unit by email at we Om}lian e.Program@tn.gov or by telephone at 

(615) 253-1471 or (615) 532-1309. 

ENTERED this the 7th day of December, 2016 

~tJ2 a~gyu HON. PAMELA B. JOHNSON 

Workers' Compensation Judge 

8 
Right to Appeal: 

Tennessee Law allows any party who disagrees with this Expedited Hearing Order 

to appeal the decision to the Workers' Compensation Appeals Board. To file a Notice of 

Appeal, you must: 

1. Complete the enclosed form entitled: "Expedited Hearing Notice of Appeal." 

2. File the completed form with the Court Clerk within seven business days of the 

date the Workers' Compensation Judge entered the Expedited Hearing Order. 

3. Serve a copy of the Expedited Hearing Notice of Appeal upon the opposing party. 

4. The appealing party is responsible for payment of a filing fee in the amount of 

$75.00. Within ten calendar days after the filing of a notice of appeal, payment 

must be received by check, money order, or credit card payment. Payments can be 

made in person at any Bureau office or by United States mail, hand-delivery, or 

other delivery service. In the alternative, the appealing party may file an Affidavit 

of Indigency, on a form prescribed by the Bureau, seeking a waiver of the filing 

fee. The Affidavit of Indigency may be filed contemporaneously with the Notice 

of Appeal or must be filed within ten calendar days thereafter. The Appeals Board 

will consider the Affidavit of Indigency and issue an Order granting or denying 

the request for a waiver of the filing fee as soon thereafter as is 

practicable. Failure to timely pay the filing fee or file the Affidavit of Indigency 

in accordance with this section shall result in dismissal of the appeal. 

5. The parties, having the responsibility of ensuring a complete record on appeal, 

may request, from the Court Clerk, the audio recording of the hearing for the 

purpose of having a transcript prepared by a licensed court reporter and filing it 

with the Court Clerk within ten calendar days of the filing of the Expedited 

Hearing Notice of Appeal. Alternatively, the parties may file a joint statement of 

the evidence within ten calendar days of the filing of the Expedited Hearing 

Notice of Appeal. The statement of the evidence must convey a complete and 

accurate account of what transpired in the Court of Workers' Compensation 

Claims and must be approved by the workers' compensation judge before the 

record is submitted to the Clerk of the Appeals Board. 

6. If the appellant elects to file a position statement in support of the interlocutory 

appeal, the appellant shall file such position statement with the Court Clerk within 

five business days of the expiration of the time to file a transcript or statement of 

the evidence, specifying the issues presented for review and including any 

argument in support thereof. A party opposing the appeal shall file a response, if 

any, with the Court Clerk within five business days of the filing of the appellant's 

9 
position statement. All position statements ·pertaining to an appeal of an 

interlocutory order should include: ( 1) a statement summarizing the facts of the 

case from the evidence admitted during the expedited hearing; (2) a statement 

summarizing the disposition of the case as a result of the expedited hearing; (3) a 

statement of the issue(s) presented for review; and (4) an argument, citing 

appropriate statutes, case law, or other authority. 

APPENDIX 

Technical Record: 

• Petition for Benefit Determination, filed July 14, 2016; 

• Dispute Certification Notice, filed September 15, 2016; 

• Request for Expedited Hearing, filed September 19, 2016; 

• Brief in Support of Employee's Request for an Expedited Hearing, filed on 

September 19, 2016; 

• Employer's Pre-Expedited Hearing Brief, filed October 21, 2016; 

• Employee's Motion to Supplement the Record, filed November 7, 2016; and 

• Agreed Order to Supplement the Exhibits, entered November 28, 2016. 

The Court did not consider attachments to Technical Record filings unless 

admitted into evidence during the Expedited Hearing. The Court considered factual 

statements in these filings or any attachments to them as allegations unless established by 

the evidence. 

Exhibits: 

• EXHIBIT 1: Affidavit of Eddie Humphrey, Jr.;5 

• EXHIBIT 2: Medical Records of Dr. John Reynolds; 

• EXHIBIT 3: ESIS Questionnaires to and Response of Dr. John Reynolds, 

completed, dated April6, 2016, and April 12, 2016; 

• EXHIBIT 4: Notice of Controversy, dated April19, 2016; 

• EXHIBIT 5: Letter from Eddie Humphrey to Dr. John Reynolds, dated May 9, 

2016; 

• EXHIBIT 6: Medical Records of Dr. Gregory Mathien; 

• EXHIBIT 7: Letter from Attorney Kevin Washburn to Dr. John Reynolds, dated 

July 22, 2016; 

• EXHIBIT 8: Wage Statement, Form C-41; and 

5 Security Fire objected to paragraph 5 of the Exhibit 1 on the basis that it contained a legal conclusion and moved to 

strike the phrase "[t]his injury occurred in the course and scope of my employment." Mr. Humphrey agreed to strike 

the phrase. Based upon the objection and agreement of the parties, the phrase "[t]his injury occurred in the course 

and scope of my employment" was stricken and was not considered by this Court in reaching its findings of fact and 

conclusions of law. 

10 
• EXHIBIT 9: Worklink Physician's Reports, dated March 25, 2016, and April 5, 

2016. 

Stipulations: 

• The date of injury is February 2, 2016. 

• Mr. Humphrey provided notice to Security Fire. 

• Mr. Humphrey has an average weekly wage of $1,000.31, resulting in a workers' 

compensation rate of $666.91 per week. 

• Security Fire provided Mr. Humphrey a panel of physicians, and he selected Dr. 

John Reynolds as his authorized treating physician. 

CERTIFICATE OF SERVICE 

I hereby certify that a true and correct copy of the Expedited Hearing Order was 

sent to the following recipients by the following methods of service on this the 7th day of 

December, 2016. 

Name Certified Via 

Mail Fax 

Timothy Roberto, Esq., 

Employee's Counsel 

Kevin Washburn, Esq., 

Employer's Counsel 

11 

Via Service sent to: 

Email 

X 

X 

troberto@brownandroberto.com 

kwashburn@allensummers.com 

NY SHRUM, Court Clerk 

WC.CourtCJerk@tn.gov