Drovdahl, Chad v. City of Bristol, Tennessee

IN THE COURT OF WORKERS' COMPENSATION CLAIMS AT KINGSPORT Chad Drovdahl, ) Docket No.: 2015-02-0143 Employee, ) v. ) State File No.: 3062-2015 ) City of Bristol, Tennessee, ) Date of Injury: January 13,2015 Employer, ) and ) Judge: Brian K. Addington ) TML Risk Management Pool, ) Insurance Carrier. ) EXPEDITED HEARING ORDER GRANTING MEDICAL BENEFITS THIS CAUSE came before the undersigned Workers' Compensation Judge on August 25, 2015, upon the Request for Expedited Hearing filed by Chad Drovdahl (Mr. Drovdahl), the Employee, on August 5, 2015, pursuant to Tennessee Code Annotated section 50-6-239 (2014), to determine if the City of Bristol, Tennessee (Bristol), is obligated to provide medical and temporary disability benefits. Considering the positions of the parties, the applicable law, and all of the evidence submitted, the Court concludes that Mr. Drovdahl is entitled to the requested medical benefits. ANALYSIS Issues 1. Whether Mr. Drovdahl sustained an injury that arose primarily out of and in the course and scope of employment with Bristol. 2. Whether Mr. Drovdahl suffered from a pre-existing condition that was aggravated by a work-related injury. 3. Whether Mr. Drovdahl sustained an injury in the course and scope of his employment with Bristol. 1 4. Whether Bristol is obligated to provide a panel of physicians upon notice of Mr. Drovdahl of an alleged injury. 5. Whether the panel of physicians provided by Bristol was in compliance with the law. 6. Whether Mr. Drovdahl is entitled to another panel of physicians in compliance with the law. 7. Whether Mr. Drovdahl is entitled to additional medical care as recommended by a physician. 8. Whether Mr. Drovdahl is entitled to an evaluation by another physician. 9. Whether Mr. Drovdahl is entitled to any past or future temporary total disability benefits, and if so, in what amount. Evidence Submitted The Court admitted into evidence the exhibits below: 1. Collective Exhibit of State forms; 2. Pre-Injury Medical Records: Dr. Thomas Whitman (Dr. Whitman); 3. Medical Records: Dr. Galen Smith; 4. C-23 Notice of Denial dated May 27, 2015; 5. Post-Injury Medical Records: Dr. Sanjeev Kakkar and Dr. Whitman; and 6. March 25, 2015 letter by Dr. Whitman. The Court designated the following as the technical record: • Petition for Benefit Determination (PBD), May 26, 2015 • Dispute Certification Notice (DCN), July 24, 2015 • Mr. Drovdahl's Request for Expedited Hearing (REH), August 5, 2015. Mr. Drovdahl testified in-person at the hearing. History of Claim Mr. Drovdahl worked for Bristol as a maintenance worker. On January 13, 2015, Mr. Drovdahl repaired a broken water pipe, which required him to work in knee-deep mud. When he completed his work, Mr. Drovdahl attempted to free his right leg from the surrounding mud and felt a pop and a tear in his right knee. (Ex. 1 at 1.) Mr. Drovdahl reported the incident to his supervisor and went home due to pain. Bristol called Mr. Drovdahl to return to work in order to arrange medical treatment for his condition. Mr. Drovdahl testified that he initially received authorized treatment at Wellmont Occupational Health Services (Wellmont). The parties did not present evidence of a signed panel of physicians for the Wellmont visit. Dr. Sanjeev Kakkar at Wellmont 2 examined Mr. Drovdahl on January 13, 2015, and diagnosed an acute right-knee strain. Dr. Kakkar provided a toradol injection and assigned work restrictions. (Ex. 5 at 1-2.) On January 20, 2015, Dr. Kakkar noted that Mr. Drovdahl continued to suffer sharp pain and range of motion deficits in his right knee. Dr. Kakkar requested an MRI to "delineate his pathology." !d. at 3. According to the radiologist, Dr. Mitchell Medndrek, the MRI results indicated a sprain of the ACL and a bucket-handle tear of the medial meniscus. !d. at 4. After discussing the MRI results with Mr. Drovdahl, Dr. Kakkar referred him to an orthopedic physician. !d. at 5. Bristol offered Mr. Drovdahl a panel of two orthopedists and a physiatrist. Mr. Drovdahl chose an orthopedist, Dr. Thomas Whitman. (Ex. 1 at 3.) Dr. Whitman previously treated Mr. Drovdahl for non-work-related osteoarthritis of the right knee. (Ex. 2 at 1.) Dr. Whitman last saw Mr. Drovdahl on August 27, 2014. At that appointment, Dr. Whitman noted that Mr. Drovdahl's condition improved, but he also discussed treatment options of therapeutic injections or a total right-knee arthroplasty. !d. at 2. Mr. Drovdahl saw Dr. Whitman for the first time post-accident on February 11, 2015. Upon examination, Dr. Whitman observed "[t]ri-compartmental degenerative changes, medial meniscal subluxation, worse than films in 7/2014." !d. at 7-9. He diagnosed Mr. Drovdahl with a "right knee injury with significant exacerbation of prior OA [osteoarthiritis]." !d. at 9. Dr. Whitman injected Mr. Drovdahl's knee and recommended physical therapy. !d. at 9-10. Dr. Whitman provided two additional injections on March 16, and March 23, 2015. !d. at 20. On March 25, 2015, Dr. Whitman prepared a letter to Bristol's workers' compensation adjuster regarding a causation questionnaire he received from her. (Ex. 6.) Dr. Whitman noted that Mr. Drovdahl suffered significant worsening of his pathology from July 2014, to February 2015. !d. He opined that it was reasonable to consider that Mr. Drovdahl's January 2015 injury significantly worsened the difficulty with his right knee. !d. Dr. Whitman further stated, "It would be reasonable to obtain a second opinion from someone who has not been involved in his care longitudinally in an effort to have another estimation of the contribution of his injury in January of 2015 to his current symptoms." !d. Dr. Whitman continued to treat Mr. Drovdahl through April 13, 2015, at which time he recommended a total-knee arthroplasty. (Ex. 5 at 31-35.) Bristol sent Mr. Drovdahl to another orthopedic surgeon, Dr. Galen Smith, who examined Mr. Drovdahl on May 18, 2015. 1 (Ex. 3.) Dr. Smith wrote the following: 1 Exhibit 3 is labeled as an Independent Medical Examination. The Court shall refer to Exhibit 3 as an examination 3 DROVUAIII.. CB/\0 DUB: 04-.2 1--!)2 CHART tJ M I ~87 I>ISP: I h;lv~ bl..•cn ~1sk(!ll hy Ms. Duwn fdnstcin. coo Ch\llll u(fju!'tcr, tor th~ pnul cmnpuny to render t~!l Oflilli(ln t~lmul thb <:aliC. 2. I dv hdi~w th\! injury M l·l J ·I' ill llll c~at:crb<1ti"n nf t\ prc·~XI~rin~ urttuitic amdlliun ul'lh~ knee. l. 1\pparcnll)' f)r. Whitmrul fell HUI!Ihc !llt!uial mcnisculi inj,li'Y Wl\S Jl mew~ mifl(tr ~nmpm~l urlh!! overall of.\eourlhrili!i llJcscui•HiOII as Dr. Wbhman tlill nul 1'\:wmnlend rut}' anhtfiS((lf)il! mediul mcnisocttomy. 4. l>r. 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