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TENNESSEE BUREAU OF WORKERS’ COMPENSATION

IN THE COURT OF WORKERS’ COMPENSATION CLAIMS 

AT MEMPHIS

DONELL JOYNER, ) Docket No.: 2018-08-0754

Employee, )

v. )

LEHMAN ROBERTS CO., ) State File No.: 59334-2017

Employer, )

And )

TRUMBULL INSURANCE CO., ) Judge Deana Seymour

Insurance Carrier. )

EXPEDITED HEARING ORDER

DENYING REQUESTED MEDICAL BENEFITS

Danny Joyner requested additional medical benefits for a neck and right shoulder 

injury. Lehman Roberts Company insisted it paid all medical benefits to which Mr. 

Joyner is entitled. The Court considered the issue of additional medical benefits at an 

Expedited Hearing on April 3, 2019, and holds Mr. Joyner is not entitled to them at this 

time.

History of Claim

Mr. Joyner injured his neck and right shoulder when he overturned an asphalt 

roller on July 27, 2017. Lehman accepted his claim as compensable and sent him to an 

urgent care clinic.1 Later, Mr. Joyner chose Dr. Mark Harriman from a panel of 

physicians for authorized orthopedic treatment. 

Dr. Harriman ordered cervical and right shoulder MRIs, which revealed chronic 

degenerative changes. After comparing Mr. Joyner’s current cervical MRI to his 2004 

MRI, Dr. Harriman diagnosed a chronic central disk herniation at C4-5 and cervical 

 1 The parties did not provide those records.

FILED

Apr 08, 2019

09:16 AM(CT)

TENNESSEE COURT OF

WORKERS' COMPENSATION

CLAIMS
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spondylosis.2 He also diagnosed tendonitis and shoulder impingement. Dr. Harriman 

treated Mr. Joyner with physical therapy and placed him at maximum medical 

improvement on December 7 with no permanent impairment.

Mr. Joyner returned to Dr. Harriman complaining of neck and right shoulder pain

on February 22, 2018. Dr. Harriman examined Mr. Joyner and returned him to full duty. 

He again concluded that Mr. Joyner retained no permanent impairment from the work 

incident.

Four months later, Mr. Joyner filed a Petition for Benefit Determination and asked

for an appointment with Dr. Harriman, but Dr. Harriman refused to see him. Lehman 

agreed to provide Mr. Joyner with another panel selection, and he selected Dr. 

Christopher Ferguson.

Dr. Ferguson reviewed Mr. Joyner’s medical history and performed a physical 

examination.3 He agreed with Dr. Harriman that Mr. Joyner could work full duty and had 

no permanent impairment. Dr. Ferguson concluded that Mr. Joyner’s neck and shoulder 

conditions were chronic and “clearly not related to the work event of July 27, 2017.” He 

suggested Mr. Joyner consult a neurosurgeon for non-work-related neck pain.

Lehman sent a letter to Dr. Ferguson to clarify whether his neurosurgical 

suggestion primarily related to Mr. Joyner’s work injury. Dr. Ferguson responded that it 

did not, so Lehman denied the treatment. Mr. Joyner pursued a consultation with a 

neurosurgeon, Dr. Thirukandeeswaram Swaminathan, on his own.

Dr. Swaminathan examined Mr. Joyner for neck and right shoulder pain on 

January 18, 2019. Mr. Joyner also reported numbness in his right little and ring fingers. 

He told Dr. Swaminathan that he had a right rotator cuff tear. Dr. Swaminathan reviewed 

the 2017 cervical MRI, which showed a disc bulge at C4-C5 but no other abnormalities. 

He noted “pain restriction of right shoulder movements.” Dr. Swaminathan ordered a 

nerve study to investigate Mr. Joyner’s complaints of pain down his arm and numbness in 

his fingers. Dr. Swaminathan explained to him on February 2 that the nerve study 

revealed mild bilateral carpal tunnel syndrome. Otherwise, the study was normal. He 

suggested Mr. Joyner see an orthopedist for his right shoulder and ordered physical 

therapy. Dr. Swaminathan did not offer a causation opinion.

Mr. Joyner filed a second Petition for Benefit Determination, requested this 

Expedited Hearing, and introduced Dr. Swaminathan’s records to support his claim. He 

 2 Mr. Joyner testified he injured his neck in 2004, had an MRI, and healed shortly afterward. Neither party 

presented records regarding the 2004 injury.

3 Dr. Ferguson stated that he did not provide treatment or treatment advice; rather he performed an 

independent medical evaluation.
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insisted that his work injury caused his neck and right shoulder symptoms that began the 

day of the injury.

Lehman countered that Mr. Joyner’s neck problem began in 2004. Further, 

medical records and opinions of Dr. Harriman and Dr. Ferguson did not relate Mr. 

Joyner’s neck and shoulder symptoms to his work injury. Both suggested an evaluation 

for his non-work-related neck condition. Dr. Harriman found Mr. Joyner’s neck and right 

shoulder conditions “chronic,” and Dr. Ferguson concluded Mr. Joyner’s condition was 

“clearly not related to” his work injury. Lehman insisted these authorized physicians are 

presumed correct and that Mr. Joyner failed to demonstrate the work injury required the 

requested treatment.

Findings of Fact and Conclusions of Law

At an Expedited Hearing, Mr. Joyner must present sufficient evidence that he is 

likely to prevail at a hearing on the merits. Tenn. Code Ann. § 50-6-239(d)(1) (2017).

The central legal issue is whether Mr. Joyner presented sufficient evidence to show his 

work injury required the requested treatment. The Court finds that he did not.

An injury “arises primarily out of and in the course and scope of employment” 

only if it has been shown 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) (2018). Medical evidence is generally required in 

order to establish a causal relationship, “[e]xcept in the most obvious, simple and routine 

cases.” Willis v. All Staff, No. M2016-01143-SC-R3-WC, 2017 Tenn. LEXIS 455, at *13 

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

The opinion of the treating physician, selected by the employee from the 

employer’s designated panel of physicians under section 50-6-204(a)(3) shall be 

presumed correct on the issue of causation, but this presumption shall be rebuttable by a 

preponderance of the evidence. Tenn. Code Ann. § 50-6-102(14)(E). Also, “a trial judge 

has the discretion to determine which testimony to accept when presented with 

conflicting expert opinions.” Bass v. The Home Depot U.S.A., Inc., 2017 TN Wrk. Comp. 

App. Bd. LEXIS 36, at *9-10 (May 26, 2017) (internal citations omitted). 

The Court recognizes that Mr. Joyner disputes Drs. Harriman’s and Ferguson’s 

conclusions. However, Mr. Joyner’s disagreement with the physicians’ opinions, while 

genuine, is legally insufficient to refute their opinions. Concerning the employee’s 

burden to produce medical proof, our Appeals Board held:

In cases . . . where an employer has presented expert medical proof that the 

employee’s condition is not work-related, the employee must present expert 

medical proof that the alleged injury is causally related to the employment 
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when the case is not “obvious, simple [or] routine.” While lay testimony 

may be probative on the issue of causation, it is insufficient to meet an 

employee’s burden of proof in the absence of medical evidence. 

Berdnik v. Fairfield Glade Cmty. Club, 2017 TN Wrk. Comp. App. Bd. LEXIS 32, at *10 

(May 18, 2017).

Here, the authorized treating physician, Dr. Harriman, found Mr. Joyner’s neck 

and shoulder conditions chronic. His opinion is presumed correct. Likewise, Dr. 

Ferguson, selected from a panel, agreed with Dr. Harriman and added that Mr. Joyner’s 

condition was “clearly not related to” his work injury. Dr. Swaminathan did not 

overcome Dr. Harriman’s opinion that the conditions were chronic, which Dr. Ferguson 

supported. In addition, Dr. Swaminathan did not address causation.

For these reasons, the Court holds Mr. Joyner did not come forward with sufficient 

medical evidence from which the Court may conclude he is likely to prevail at a hearing 

on the merits in establishing his work injury required the requested treatment.

IT IS, THEREFORE, ORDERED as follows:

1. The Court denies Mr. Joyner’s claim against Lehman for the requested medical 

benefits at this time.

2. Dr. Christopher Ferguson shall be the authorized treating physician under 

Tennessee Code Annotated section 50-6-204 for reasonable and necessary medical 

treatment related to Mr. Joyner’s July 27, 2017 injury.

3. This matter is set for a telephonic Scheduling Hearing on May 20, 2019, at 1:00 

p.m. Central Time. You must call toll-free at 866-943-0014 to participate in the 

hearing. Failure to call may result in a determination of the issues without your 

participation.

ENTERED April 8, 2019.

____________________________________

Judge Deana C. Seymour

Court of Workers’ Compensation Claims
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APPENDIX

Technical record:

TR1. Petition for Benefit Determination

TR2. Dispute Certification Notice

TR3. Request for Expedited Hearing, along with Affidavit of Donell Joyner

TR4. Employer’s Position Statement for Expedited Hearing 

Exhibits:

1. First Report of Work Injury 

2. Employee’s Choice of Physician Form

3. Supervisor’s Accident Investigation report

4. Medical Records from Memphis Orthopaedic Group

5. Medical Records from Dr. Thirukandeeswaram Swaminathan 

CERTIFICATE OF SERVICE

I hereby certify that a true and correct copy of this Order was sent to the following 

recipients by the following methods of service on April 8, 2019.

Name Certified 

Mail

USPS Via 

Email

Service sent to:

Donell Joyner, 

Self-Represented 

Employee

X X 1534 East Alcy Road

Memphis, TN 38114

Gary Nichols

Employer’s Attorney

X gary.nichols@thehartford.com

________________________

Penny Shrum, Clerk of Court

Court of Workers’ Compensation Claims

WC.CourtClerk@tn.gov