Court Opinion

ID: 9889331
Source: CourtListenerOpinion
Date Created: 2023-10-09 14:32:16.979024+00
Date Added: 2024-06-11T12:38:46.270896
License: Public Domain

FILED
                                                                                Oct 09, 2023
                                                                                08:38 AM(CT)
                                                                             TENNESSEE COURT OF
                                                                            WORKERS' COMPENSATION
                                                                                   CLAIMS

           TENNESSEE BUREAU OF WORKERS’ COMPENSATION
          IN THE COURT OF WORKERS’ COMPENSATION CLAIMS
                           AT NASHVILLE

 Abdullah Hussein,                              )   Docket No. 2021-06-0602
             Employee,                          )
 v.                                             )
 Taylor Farms TN, Inc., d/b/a Taylor            )   State File No. 57595-2020
 Fresh Foods, Inc.,                             )
             Employer,                          )
 And                                            )   Judge Kenneth M. Switzer
 American Zurich Ins. Co.,                      )
             Carrier.                           )

              EXPEDITED HEARING ORDER DENYING BENEFITS

       Abdullah Hussein sustained a compensable back injury at work. Later, he alleged
additional injuries from a fall at home while under the effects of pain medication for his
back injury. Taylor Farms denied that those injuries relate to his employment and moved
for involuntary dismissal at an October 4, 2023 expedited hearing. For the reasons below,
the Court holds that Mr. Hussein cannot show a likelihood of prevailing at trial, so the
motion to involuntarily dismiss his claim for the fall is granted.

                                     Claim History

       On September 1, 2020, Mr. Hussein injured his back at work. He received
authorized treatment from Dr. Tarek Elalayli, who was chosen from a panel of physicians
and prescribed medications.

       Mr. Hussein testified that on November 2, he woke up and “didn’t have a focus.”
Mr. Hussein fell, injuring his knee. He said he fell from the effects of pain medication,
taken for his work-related back injury.

       From the medical records, Dr. Elalayli saw Mr. Hussein on December 2, 2020. The
records do not mention a fall. He wrote, “His primary concern is in regards to right knee
pain for which he is seeing Dr. Cook under his private insurance. Currently not working

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because of his knee.” Dr. Elalayli placed Mr. Hussein at maximum medical improvement
for his back and returned him to full-duty work. He noted that Mr. Hussein may return “as
needed.”

       Dr. Elalayli completed two forms summarizing his treatment and opinions. Taylor
Farms filed a C-30A Final Medical Report dated December 3, 2020, where he assigned a
zero-percent impairment rating. Mr. Hussein filed a C-32 Standard Form Medical Report
dated August 3, 2021, in which Dr. Elalayli assigned a seven-percent impairment rating for
a lumbar disc herniation.

       Taylor Farms sent Dr. Elalayli a letter in January 2023. He checked the following
as correct with no elaboration: “I am of the opinion within a reasonable degree of medical
certainty that the medications that Abdullah Hussein [were] prescribed for his workers [sic]
compensation injury dated September 1, 2020 were more likely than not, NOT the primary
cause of his fall at home on November 2, 2020.” (Emphasis in original).

      For his part, Mr. Hussein testified that he has returned to Dr. Elalayli, who
performed neck surgery. Neither party offered any records of this treatment.

       In his petition, Mr. Hussein alleged that he received treatment for his back, knee,
neck, and shoulder, including surgeries. He filed records from unauthorized treatment with
various providers, but they are incomplete and do not document any surgery.

       The records state that in February 2022, Mr. Hussein told a nurse practitioner about
his work-related back injury. He also gave a history that he fell at home and injured his
neck and shoulder, both of which were surgically repaired. The supervising physician, Dr.
Brett Parker, ordered a lumbar spine MRI, which confirmed an impingement and disc
protrusion. In May, Dr. Scott Parker diagnosed lumbar radiculopathy, and Mr. Hussein
underwent an epidural steroid injection. Then, in December 2022 and February 2023, Mr.
Hussein visited the emergency room for lumbar radiculopathy. None of the records
contains an opinion relating Mr. Hussein’s conditions to a work injury.

       At trial, Mr. Hussein testified that he sent copies of all medical records and reports
to an ombudsman attorney with the Bureau of Workers’ Compensation.

                       Findings of Fact and Conclusions of Law

       At the close of Mr. Hussein’s proof, Taylor Farms moved for a “directed verdict,”
meaning an involuntary dismissal of the request for expedited hearing under Rule 42.01 of
the Tennessee Rules of Civil Procedure.

       In Garcia Carillo v. Sanchez Hurtado, 2023 TN Wrk. Comp. App. Bd. LEXIS 40,
at *9-10 (Aug. 16, 2023), the Appeals Board explained involuntary dismissals at this stage

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of the case. The Board wrote that at an expedited hearing, “a defendant in the case can, at
the close of the employee’s proof, seek a ruling from the court as to whether the employee’s
evidence fails to support an interlocutory order for benefits.” If the motion is granted, the
trial court may deny the request for benefits. Id. at *10. This is a dismissal of the
employee’s requested benefits, not a dismissal of the employee’s claim as a whole. The
trial court must determine whether the employee offered sufficient evidence to show he is
likely to prevail at a hearing on the merits. Id.

        Here, Mr. Hussein offered no medical opinion to support his request. To prevail at
trial, he must show that his alleged knee, shoulder, and neck injuries arose primarily out of
and in the course and scope of his employment. He must show to a reasonable degree of
medical certainty that a work incident contributed more than fifty percent in causing his
need for medical treatment, meaning that in the physician’s opinion, it is more likely than
not considering all causes, as opposed to speculation or possibility. Tenn. Code Ann. § 50-
6-102(12)(A)-(D) (2023).

       The “direct and natural consequences” rule means “every natural consequence that
flows from the [work-related condition] arises out of the employment, unless it is the result
of an independent intervening cause attributable to the employee’s intentional conduct.”
Braden v. Mohawk Indus., Inc., 2022 TN Wrk. Comp. App. Bd. LEXIS 11, at *8 (Mar. 1,
2022).

       Mr. Hussein argued that Dr. Elalayli did not witness his fall at home. The Court
agrees. But Dr. Elalayli did not need to see fall. Rather, he is qualified to offer an expert
opinion on whether medications he prescribed caused the fall that led to Mr. Hussein’s
additional injuries.

       Dr. Elalayli responded that Mr. Hussein’s later injuries were not the direct and
natural consequence of the original, work-related injury in the causation letter. He checked
the option, “within a reasonable degree of medical certainty . . . the medications that
Abdullah Hussein [were] prescribed for his workers [sic] compensation injury dated
September 1, 2020 were more likely than not, NOT the primary cause of his fall at home
on November 2, 2020.” Dr. Elalayli was chosen from a panel, so his causation opinion is
presumed correct. Id. at -102(12)(E). Mr. Hussein offered no contrary expert opinion.

       Instead, Mr. Hussein testified that medications caused his fall and resulting injuries.
However, parties “cannot rely solely on their own medical interpretations of the evidence
to successfully support their arguments.” Lurz v. Int’l Paper Co., 2018 TN Wrk. Comp.
App. Bd. LEXIS 8, at *17 (Feb. 14, 2018).

       As for Mr. Hussein’s testimony that he gave all supporting medical documentation
to the ombudsman attorney, this is not the equivalent of filing them with the Court Clerk.
See Tenn. Comp. R. & Regs. 0800-02-21-.02(16) (February, 2022) (“Filed” is defined as

                                              3
hand-delivery, mailing, faxing or e-mailing documents to the “clerk,” or delivery via the
Bureau’s electronic filing system). In addition, Mr. Hussein signed a Certificate of Non-
Representation explaining the ombudsman attorney’s limitations. The certificate states
that an ombudsman attorney is prohibited from “[f]iling documents in the trial court . . . on
behalf of any party[.]”

        Therefore, the Court holds Mr. Hussein has not satisfied his burden of showing that
his alleged knee, shoulder, and neck injuries arose primarily from his employment. His
hearing request is involuntarily dismissed.

IT IS ORDERED AS FOLLOWS:

   1. Mr. Hussein’s request for medical and temporary disability benefits for alleged
      knee, neck, and shoulder injuries is denied at this time.

   2. Mr. Hussein remains entitled to reasonable, necessary, and related treatment with
      Dr. Elalayli for his low back. Limberakis v. Pro-Tech Sec., Inc., 2017 TN Wrk.
      Comp. App. Bd. LEXIS 53, at *8-10 (Sept. 12, 2017).

   3. This case is referred to MOST for alternative dispute resolution with a Nashville-
      based mediator on January 23, 2024, at 9:00 a.m. Central Time. The mediator
      may decide the mode and will contact the parties to discuss the specifics. The
      mediator is advised that Mr. Hussein’s first language is not English and should allow
      additional time for interpretation. The mediator shall assist the parties in reaching
      a full settlement, or if unsuccessful shall issue a dispute certification notice.

   4. The Court sets a status hearing on February 12, 2024, at 9:00 a.m. Central Time.
      You must dial 615-532-9552 or 866-943-0025. Taylor Farms must arrange for
      an interpreter. This hearing will be canceled if the case settles. If no settlement is
      reached, the Court will set the compensation hearing.

                                   ENTERED October 9, 2023.

                                   ________________________________________
                                   JUDGE KENNETH M. SWITZER
                                   Court of Workers’ Compensation Claims

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                                      Appendix

Technical record
   1. Petition for Benefit Determination, filed by Employee, June 5, 2021
   2. Petition for Benefit Determination, filed by Employer, June 3, 2022
   3. Dispute Certification Notice, and Employer’s Additional Information
   4. Order Setting Status Hearing
   5. Order Resetting Status Hearing
   6. Order on Status Hearing
   7. Hearing Request and Certificate of Non-Representation
   8. Motion for Continuance
   9. Order Resetting Expedited Hearing
   10. Motion for Continuance, March 13, 2023
   11. Expedited Hearing Order Denying Benefits
   12. Order Setting Expedited Hearing

Exhibits
   1. Declaration of Mr. Hussein
   2. Form C-32, Choice of Physicians Form
   3. Wage Statement
   4. Dr. Elalayli medical records
   5. Employee’s Medical Records for Expedited Hearing

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                            CERTIFICATE OF SERVICE

      I certify that a copy of this Order was sent as indicated on October 9, 2023.

      Name            Certified    Regular       Email   Service sent to:
                       Mail         Mail
Abdullah Hussein,        X           X            X      3811 Sam Boney Dr.
Employee                                                 Nashville TN 37211
                                                         Ibrahimsuzon00@gmail.com
Peter Rosen,                                      X      prosen@vkbarlaw.com
Employer’s Attorney
MOST                                              X      April.Verdoni@tn.gov
                                                         Davette.C.Taylor@tn.gov

                                  _______________________________________
                                  Penny Shrum
                                  Clerk, Court of Workers’ Compensation Claims
                                  WC.CourtClerk@tn.gov

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                                              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