Court Opinion

ID: 4560546
Source: CourtListenerOpinion
Date Created: 2020-08-26 21:02:20.608172+00
Date Added: 2024-06-11T09:27:40.576778
License: Public Domain

FILED
Feb 10, 2020

09:38 AM(CT)

CLAIMS

 

aN =
2 FFG

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

AT COOKEVILLE
AMBER WEST, )
Employee, ) Docket No. 2019-04-0085
)
Vv. )
)
THE BALANCED CANINE )
TRAINING ACADEMY, ) State File No. 64539-2017
Employer, )
And )
)
STATE FARM INSURANCE, )
Carrier. ) Judge Robert Durham

 

EXPEDITED HEARING ORDER

 

The Court held an expedited hearing on January 29, 2020, to determine whether
Amber West is likely to prove that her low-back injury primarily arose out of and in the
course of her employment. If so, the next issue is whether she is entitled to psychiatric
care for this incident and resulting injury. Ms. West also asserted she is entitled to
additional temporary disability benefits because Balanced Canine Training Academy
(BCTA) inaccurately reported her average weekly wage. The Court holds that Ms. West
is likely to prove she suffered a work-related low-back injury; however, she did not
establish entitlement to psychiatric care. The Court further holds BCTA is not obligated
to pay additional temporary disability benefits at this time.

History of Claim
In early January 2017, Annelise Lynch, owner of BCTA, approached Ms. West
about working with her in her new dog-training business. Ms. West’s duties would

include working in BCTA’s office as well as feeding and caring for dogs.

The parties discussed some of the employment terms by text. Ms. Lynch texted
Ms. West that it would not be many hours, and she would be paid “under the table,” i.e.,

TENNESSEE COURT OF
WORKERS' COMPENSATION
unreported and in cash. They also agreed through text that Ms. West’s schedule for the
first week beginning January 9 would be “Monday: 3:30-7:00/7:30; Tuesday: 1:00-
8:00/8:30 and Wednesday 11:00-7:00/7:30.” However the texts did not discuss wages or
a schedule after the first week. The parties did not keep records, and they sharply differ
as to the hours Ms. West worked each week and the amounts BCTA paid her.

Initially, Ms. West was BCTA’s only employee. She testified that from January 9
until February 14, she made $100 to $140 per week depending on how many days she
worked.’ She stated that she and Ms. Lynch soon agreed that her duties required more
hours than anticipated, and her wages raised to $500 per week beginning February 15.

Ms. West claimed that she received $500 until June 1 when her wages changed to
$375 per week. The change to $375 is documented in another text exchange. On May
12, Ms. Lynch texted Ms. West: “Starting in June would $375.00 a week be good? It
will be longer days. You won’t constantly be working though. I really need somebody
for mornings and evenings.” Ms. West responded: “That would be great it would be
perfect timing.” Ms. Lynch then assured Ms. West that she would get at least two days
per week off. Ms. West testified that she described the new situation as “great” and
“perfect timing,” even though her wages would be $125 less, because her dog would
receive free training and she would have better hours.

Ms. West introduced photographs of calendar pages, which she stated reflected the
hours she worked from May 19 until June 29.” She testified that she had no evidence of
her hours before May 19 because she had written them in another calendar, which this
calendar replaced. The pages showed that Ms. West worked approximately 39 hours per
week during this period. Upon review, Ms. Lynch agreed that was substantially correct.

Ms. West testified that her wages changed again after Ms. Lynch “officially” hired
her on June 26. She testified her hourly pay was $7.25 with a forty-hour workweek. She
introduced a check stub for June 27 and 28 for seventeen hours at $7.25 per hour.

During her testimony, Ms. Lynch vigorously disputed Ms. West’s account. She
testified that she paid Ms. West $100 for about twenty hours of work each week until
June 1. She stated she never paid her $500 per week because she could not afford it.

She said that she temporarily raised Ms. West’s salary to $375 per week in June
because of extra duties required for BCTA’s move to a new location.’ She agreed that
when she “officially” hired Ms. West on June 26, she paid her $7.25 per hour.

 

'Ms. West admitted this is contrary to her affidavit, which stated she received $500 starting out.
Ms. West did not bring the original calendar to the hearing.
* She admitted that, contrary to her affidavit, she paid Ms. West $375.00 for four weeks rather than two.

2
Regarding the injury, Ms. West testified that on the evening of June 29, she was
pulling a dog house into a pen when two large dogs jumped on her, knocking her over the
dog house.* She stated she called Ms. Lynch to let her know what happened. She also
texted Ms. Lynch later that night to tell her she might want to check on the doghouse, but
she did not mention an injury.

Ms. West attempted to work the next day, but she had to go home early due to
low-back pain, which she testified she had never experienced before. Ms. Lynch said she
did not know anything about an alleged accident until after Ms. West went to the
emergency room on July 2. Nevertheless, records from several of Ms. West’s providers
were consistent with a history of dogs causing her to trip over a doghouse.

Ms. Lynch eventually filed a First Report of Injury, and Ms. West received
authorized care from neurosurgeon Joseph Jestus. He diagnosed sciatica that was “more
than 50% related to her workplace incident.” Eventually, he performed a lumbar
microdiscectomy, and then another surgery to remove a foreign object. On February 21,
2019, he noted she continued to complain of severe pain and numbness in her left low
back radiating down her left leg. He found her to be at maximum medical improvement,
placed her under sedentary work restrictions, and referred her to pain management. Dr.
Jestus did not mention a psychological condition related to her injury or refer her for
psychiatric care.

On July 23, 2019, Ms. West attended an evaluation with Dr. Vundyala Reddy of
Pain Management Group. She told Dr. Reddy she thought about suicide, but she had not
formed any plans. She also informed him that she was attempting to gain admission to a
mental hospital. However, Dr. Reddy did not refer her for psychiatric treatment.

In September, Ms. West went to the emergency room for anxiety, depression, lack
of sleep, and non-specific suicidal ideation. She began treatment at a mental-health
center, where she received counseling and medication. She told the counselors that she
had suffered from anxiety and depression since June 2017; however, the records do not
mention her work accident or any trauma. She treated through November but stopped
because she no longer qualified for free care.

Ms. West testified that she continues to suffer from anxiety and depression due to
the accident and her resulting disability. She stated that she has an overwhelming feeling
of worthlessness and is still very anxious around large dogs. She never received
psychiatric treatment before her accident.

 

“The parties presented substantial evidence regarding the traumatic nature, or lack thereof, of the incident
because of Ms. West’s claim for psychiatric treatment. However, for reasons detailed below, the Court
finds it unnecessary to go into those details at this time.

3
Findings of Fact and Conclusions of Law

Ms. West must establish that she is likely to prove at trial that she is entitled to the
requested benefits. See Tenn. Code Ann. § 50-6-239(d)(1) (2019). The Court will first
consider causation, then entitlement to psychiatric care, and conclude with Ms. West’s
average weekly wage and her request for additional temporary disability benefits.

To establish causation, Ms. West must show she is likely to prove that her low-
back pain arose primarily out of and in the course and scope of her employment with
BCTA. To do so, she must establish to a reasonable degree of medical certainty that her
employment contributed more than fifty percent in causing her disability and the need for
medical treatment, considering all causes. See Tenn. Code Ann. § 50-6-102(14).

Here, Ms. West testified that she never experienced low-back pain that radiated
into her left leg until two dogs knocked her over a doghouse at work. She never strayed
from this account when providing her history to numerous providers. BCTA did not
offer any testimony contradicting Ms. West’s account. Dr. Jestus, as authorized
physician, gave his opinion that, given her history, her sciatica was more than fifty
percent related to the work incident. BCTA offered no contrary medical evidence. Thus,
the Court holds that Ms. West is likely to prove causation at trial.

As for psychiatric care, Tennessee Code Annotated section 50-6-204(h) states that
psychological or psychiatric services shall be limited to those ordered by authorized
physicians. Ms. West did not produce any evidence that an authorized physician ordered
psychiatric care. Thus, her request is denied at this time.

The Court now turns to Ms. West’s average weekly wage (AWW) and the alleged
underpayment of temporary disability benefits. An employee’s compensation rate at
which she is paid disability benefits is two thirds of her AWW. Tenn. Code Ann. § 50-6-
207. AWW is defined by Tennessee Code Annotated section 50-6-102(3)(A) as wages
earned in the fifty-two weeks before the injury. The section also provides alternate
methods for calculating AWW if employment was less than fifty-two weeks. Subsection
(B) states that the parties may divide earnings by the actual number of weeks worked to
arrive at AWW. If, due to shortness of employment, it is “impracticable” to use the
actual weeks worked, the Court may calculate AWW through the wages of a similar
employee under subsection (C).

In this case, the parties made what is normally a routine calculation very difficult.
Their testimony as to wages is impossible to reconcile. The Court is skeptical of both
accounts, given their admitted willingness to pay and receive wages “under the table.”
Further, no other witnesses and scant objective evidence corroborated either account.
Nevertheless, the Court will attempt to construct an AWW given the evidence before it.
The Court first looks to the evidence the parties documented or substantially
agreed upon: (1) Ms. Lynch initially paid Ms. West around $100 to $120 per week; (2)
beginning June 1, Ms. West’s wages became $375 per week; (3) Ms. West worked an
average of thirty-nine hours per week from May 19 to the injury date; (4) once Ms.
Lynch officially hired Ms. West, she paid her $7.25 an hour.

The biggest point of contention is whether Ms. Lynch paid Ms. West $500 from
February 15 to June 1. Ms. West testified they renegotiated based on the hours she
worked each week. Ms. Lynch categorically denied it, saying she could never have
afforded it. As with each element of a claim, the burden of proof remains with the
employee. The evidence does not make it likely that Ms. West will prevail on this issue.

The initial text exchange supports Ms. Lynch’s testimony that Ms. West only
worked part-time. She told Ms. West that there would not be many hours, and they set a
schedule of around twenty hours for the first week. The Court doubts that Ms. Lynch
would pay Ms. West $500 per week for part-time work as she began her new business.

Similarly, the Court finds it unlikely that Ms. West would describe a wage
reduction from $500 to $375 as “great” or “perfect timing,” and her stated reason for this
statement is unconvincing. Further, while Ms. West worked an average of thirty-nine
hours per week beginning May 19, Ms. Lynch explained this was a temporary increase in
work duties as they moved locations, and it was this increase that justified $375.

In addition, when Ms. Lynch “officially” hired Ms. West, she listed her as a part-
time employee making $7.25 per hour. Even at a forty-hour work-week, this only comes
to $290 a week. The Court finds it difficult to believe that Ms. West would accept a
forty-two percent wage decrease in two months without objection.

Finally, Ms. West did not provide any witnesses or documentary evidence that
corroborated her account. Thus, the Court holds that Ms. West is not likely to prevail at
trial regarding her claimed AWW.

Ms. West alternatively argued that, given the differences in the parties’ testimony,
the Court should base her AWW on the two documented days — June 27 and 28 — when
her pay was $7.25 per hour for seventeen hours, and extrapolate those two days to a
forty-hour work-week. The Court declines to do so. In this case, Ms. West received
wages from January 9 until June 28, or approximately 24.5 weeks, which the Court finds
to be ample time to calculate wages under Tennessee Code Annotated section 50-6-
102(B).

Since the Court finds Ms. Lynch’s account of Ms. Welch’s wage history
corroborated by documentation and justified by logic, the Court will use it to calculate
AWW. The Court finds that Ms. West’s wages from January 9 until June 1, a period of

5
twenty weeks and three days, was $100 per week. She then received $375 per week for
four weeks, and then $123.25 for the two days before her injury. This totals $3,673.25,
which divided by 24.5 weeks, comes to $149.93 per week. This is less than the
applicable minimum compensation rate of $133.40 per week, which is what Ms. West
received in temporary disability benefits until she reached maximum medical
improvement. Thus, the Court holds she is not entitled to additional benefits at this time.

IT IS, THEREFORE, ORDERED that:

1. BCTA shall continue to pay for treatment by authorized physicians causally related

to her work injury of June 28, 2017. Ms. West’s requests for additional temporary
disability benefits and a panel of psychiatrists are denied at this time.

. This case is set for a Scheduling Hearing on April 7, 2020, at 9:00 a.m. Central

Time. The parties must call 615-253-0010 or toll-free at 855-689-9049 to
participate. Failure to call might result in a determination of the issues without your
participation.

. Unless an appeal is filed, compliance must occur no later than seven business days

from entry of this Order, pursuant to Tennessee Code Annotated section 50-6-
239(d)(3). BCTA must submit confirmation of compliance by email to
WCCompliance.Program@tn.gov no later than the seventh business day from entry.
Failure to submit confirmation may result in a penalty assessment. For questions,
please contact the Compliance Unit at WCCompliance.Program@tn.gov.

 

ENTERED February 10, 2020.

    

obert V. Durham, Judge
Court of Workers’ Compensation Claims

APPENDIX
Exhibits:
Le Ms. West’s Responses to Interrogatories
De. Ms. West’s Supplemental Responses
3. Records from Plateau Mental Health Center
4. Ms. Lynch’s Responses to Interrogatories
3: Physical Therapy Records
 

 

 

 

6. Records from Crawford Chiropractic
7. Records from Cumberland Medical Center
8. Records from Dr. Jestus
9. Records from Pain Management Group
10. Records from Cookeville Regional Medical Center
11. Form W-4 and Check Stub
12. Typed First Report of Injury
13. Ms. West’s affidavit
14. Ms. Lynch’s affidavit
15. Texts between Ms. West and Ms. Lynch
16. Photographs of Ms. West’s Calendar
17. Handwritten First Report of Injury
18. Schedule of temporary disability benefits payments
19 Wage Statement
Technical Record:
L, Petition for Benefit Determination
wn Dispute Certification Notice
3. Request for Expedited Hearing
4, Order Compelling Discovery
5. Response Opposing Request for Expedited Hearing
6. BCTA’s Pre-Hearing Brief
7. Ms. West’s Pre-Hearing Brief
8. Case Law Submitted by the Parties
CERTIFICATE OF SERVICE
A copy of this Order was sent as indicated on February 10, 2020.
Name Certified Via Email | Email Address
Mail
James Higgins Xx jsh@higginsfirm.com
Steve Erdely, IV xX serdely@dmrpclaw.com

 

 

 

 

 

 

 

Peiuny Shryni, Clerk of Court
Court of Wrkers’ Compensation Claims
WC.CourtClerk@tn.gov
 

Expedited Hearing Order Right to Appeal:

If you disagree with this Expedited Hearing Order, you may appeal to the Workers’
Compensation Appeals Board. To appeal an expedited hearing order, you must:

1. Complete the enclosed form entitled: “Notice of Appeal,” and file the form with the
Clerk of the Court of Workers’ Compensation Claims within seven business days of the
date the expedited hearing order was filed. When filing the Notice of Appeal, you must
serve a copy upon all parties.

2. You must pay, via check, money order, or credit card, a $75.00 filing fee within ten
calendar days after filing of 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 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 the appeal.

3. You bear the responsibility of ensuring a complete record on appeal. You may request
from the court clerk the audio recording of the hearing for a $25.00 fee. If a transcript of
the proceedings is to be filed, a licensed court reporter must prepare the transcript and file
it with the court clerk within ten business days of the filing the Notice of
Appeal. Alternatively, you may file a statement of the evidence prepared jointly by both
parties within ten business days of the filing of the Notice of Appeal. The statement of
the evidence must convey a complete and accurate account of the hearing. The Workers’
Compensation Judge must approve the statement before the record is submitted to the
Appeals Board. If the Appeals Board is called upon to review testimony or other proof
conceming factual matters, the absence of a transcript or statement of the evidence can be
a significant obstacle to meaningful appellate review.

4. If you wish to file a position statement, you must file it with the court clerk within ten
business days after the deadline to file a transcript or statement of the evidence. The
party opposing the appeal may file a response with the court clerk within ten business
days after you file your position statement. All position statements 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.

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/
wce.courtclerk@tn.gov | 1-800-332-2667

Docket No.:

State File No.:

Date of injury:

 

Employee

 

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):

0 Expedited Hearing Order filed on O Motion Order filed on

0 Compensation Order filed on C1 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): fo 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 lof 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 | 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