FILED
Jul 30, 2019
09:18 AM(ET)
TENNESSEE COURT OF
WORKERS' COMPENSATION
CLAIMS
TENNESSEE BUREAU OF WORKERS’ COMPENSATION
IN THE COURT OF WORKERS’ COMPENSATION CLAIMS
AT KNOXVILLE
PHILLIP MULLIS SR., ) Docket No. 2018-03-1517
Employee, )
V. )
BLOUNT COUNTY COMMUNITY )
ACTION AGENCY, ) State File No. 90221-2018
Employer, )
And )
PUBLIC ENTITY PARTNERS, )
Carrier. ) Judge Lisa A. Lowe
EXPEDITED HEARING ORDER DENYING BENEFITS
This case came before the Court on Phillip Mullis Sr.’s Request for Expedited
Hearing. The issue is whether Mr. Mullis established that he is likely to prevail at a
hearing on the merits in proving entitlement to benefits for an alleged work-related
hernia.! For the reasons below, the Court finds that Mr. Mullis failed to do so and denies
the requested benefits.
History of Claim
Mr. Mullis worked for Blount County Community Action Agency (BCCAA). His
duties included delivering meals to the elderly and picking up food from a food bank.
Mr. Mullis testified that on either September 3, 4 or 5, 2018, he felt a sharp pain
and heard a “pop” on his left side when he bent over to pick up a box of food. He stated
that Lynnda Manville, the Supervisor and Senior Nutrition Director, asked if he was all
right, and he replied no. Mr. Mullis also alleged that Ms. Manville witnessed him yell out
' Both the Petition for Benefit for Determination (PBD) and the Dispute Certification Notice (DCN) listed
a hernia injury. At the beginning of the hearing, Mr. Mullis confirmed that the issue before the Court was
whether he sustained a work-related hernia. However, he later testified that he actually sustained a
pinched left femoral artery. Since Mr. Mullis did not include the pinched left femoral artery claim on the
PBD or DCN, the Court is unable to address that issue.
1
in pain and co-worker Renee Jennings helped him to his car because of the injury. He
testified that he did not return to work until the following Monday.
Mr. Mullis claimed that he had a swollen groin and a hemorrhaged/purple left leg
from the work injury. After continuing to work for a month, he asked for time off to see
the doctor. Instead of granting his request, BCCAA fired him. He said he “self-
diagnosed” himself with a hernia, but a Veteran’s Administration (VA) doctor informed
him he might have a pinched femoral artery.
BCCAA claimed Mr. Mullis furnished no medical evidence establishing that he
sustained a work-related hernia and failed to provide timely notice of his alleged injury.
Specifically, BCCAA alleged that it first learned of Mr. Mullis’s alleged hernia through a
letter from the Bureau of Workers’ Compensation on November 27, 2018, requesting it
file a Tennessee Employer’s First Report of Work Injury. BCCAA also claimed its time
records show that Mr. Mullis worked his full six-hour shifts the two days following the
alleged date of injury, and he continued working his regular shifts through September 26
with September 20 as the only exception.
In response to the Bureau’s inquiry, BCCAA’s carrier obtained Mr. Mullis’s
recorded statement. In that statement, Mr. Mullis admitted he did not know the date he
allegedly became injured but said that it was sometime in September. BCCA provided
Ms. Manville’s affidavit, in which she stated that she did not hear Mr. Mullis call out or
make any type of exclamation of pain on September 5. She further denied that he told her
that he suffered a work injury. Additionally, Ms. Manville stated that she did not tell Mr.
Mullis to go home and the time records support her version of the facts over Mr. Mullis’s.
Ms. Manville noted that on September 27, Mr. Mullins called in sick, and on
September 28 he asked to work fewer days due to problems with his mother. At that time,
Mr. Mullis relayed to Ms. Manville that he had a tentative date of October 12 for right
hernia surgery. Ms. Manville indicated she was unable to reach Mr. Mullis at the
worksite later on September 28, and he never returned. As a result, BCCAA determined
that Mr. Mullis quit.
BCCAA provided an affidavit from co-worker Violet Ross, which stated Mr.
Mullis told her on multiple occasions that he had a hernia for several years that needed
repair, but he was unable to schedule the surgery. Additionally, Mr. Mullis’s VA records
showed he had a right inguinal hernia as far back as April 2011.
Notwithstanding the inconsistencies between Mr. Mullis’s and Ms. Manville’s
affidavit testimonies, BCCAA also questioned the alleged incident on the basis that no
food products or other goods were unloaded or unpacked on September 5. BCCAA
additionally alleged that no deliveries were made on that day or the day before.
Findings of Fact and Conclusions of Law
At an expedited hearing, Mr. Mullis must show he would likely prevail at a
hearing on the merits. McCord v. Advantage Human Resourcing, 2015 TN Wrk. Comp.
App. Bd. LEXIS 6, at *7-8, 9 (Mar. 27, 2015).
For his hernia claim, Mr. Mullis must definitely prove to the satisfaction of the
Court that:
(1) There was an injury resulting in hernia or rupture;
(2) The hernia or rupture appeared suddenly;
(3) It was accompanied by pain;
(4) The hernia or rupture immediately followed the accident; and
(5) The hernia or rupture did not exist prior to the accident for which
compensation is claimed.
Tenn. Code Ann. § 50-6-212(a) (2018). The hernia must result from an “injury by
accident arising primarily out of and in the course and scope” of Mr. Mullis’s
employment. /d. This statutory criterion is “intended to insure that a claimant’s hernia...
‘result{ed] from the accident for which compensation is claimed,’ and not to a past
condition which is unrelated to the new injury.” Rhodes v. Careall, Inc., No. W2010-
02192-WC-R3-WC, 2011 Tenn. LEXIS 1157, at *11 (Tenn. Workers’ Comp. Panel Dec.
20, 2011).
The Court finds Mr. Mullis failed to definitively prove the hernia criteria. First, he
failed to provide any medical proof that he sustained a work injury that resulted in a
hernia or rupture. Second, Mr. Mullis discussed the fact that his left leg, from groin to
toe, turned purple, but he did not testify about an immediate bulge in his groin. Third, Mr.
Mullis described pain following an incident at work, but he admitted that he diagnosed
himself with a hernia and later believed his pain might have arisen instead from a
ruptured femoral artery. Fourth, Mr. Mullis provided no testimony or medical proof that a
hernia immediately followed a work injury. Finally, Mr. Mullis’s VA records show he
had a right-sided hernia back in 2011. Admittedly Mr. Mullis testified his pain is now in
the left side of his groin and leg, but he provided no medical proof that he actually
sustained a left-sided hernia.
For these reasons, the Court holds that Mr. Mullis failed to show a likelihood of
prevailing at a trial.
IT IS, THEREFORE, ORDERED as follows:
1. Mr. Mullis’ claim for his alleged work-related hernia is denied at this time.
2. This case is set for a Status Hearing/Scheduling Hearing on November 18,
2019, at 9:30 a.m. Eastern Time. The parties must call 865-594-0109 to
participate in the Scheduling Hearing. Failure to appear by telephone may result
in a determination of the issues without the party’s participation.
ENTERED July 30, 2019.
LISA A. LOWE, JUDGE
Court of Workers’ Compensation Claims
APPENDIX
Exhibits:
ee Se See
Affidavit of Affidavit of Phillip Mullis
Affidavit of David Buchanan
Affidavit of Lynnda Manville
Affidavit of Charlotte Douglas
Affidavit of Violet Ross
Affidavit of Renee Jennings
Affidavit of Dan Sibley
Recorded Statement of Phillip Mullis
Table of Contents of Medical Record Excerpts of the Department of Veterans
Affairs
10. Medical Expense from Blount Memorial Physicians Group
11.Medical Records of the Department of Veterans Affairs (for identification
purposes only)
Technical Record:
SS ot he
Petition for Benefit Determination
Dispute Certification Notice
Request for Expedited Hearing
Employee’s Witness List
Notice of Expedited Hearing
Employer’s Response to the Employee’s Request for Expedited Hearing
Employer’s Memorandum
Employee’s Second Request for Expedited Hearing - Amended Witness List
CERTIFICATE OF SERVICE
I certify that a copy of this Order was sent as indicated on July 30, 2019.
Name Certified | Fax | Email | Service sent to:
Mail
Phillip Mullis, x X | 7619 Old Highway 73
Self-Represented Townsend, TN 37882
Employee Oldbutnotforgottenmike@gmail.com
John T. Batson, X | jbatson@watsonroach.com
Employer’s Attorney
| Uiiny Ween SD De LAMA thee 4,
PENNY SHRUM, Court Clerk aes
WC.CourtClerk@tn.gov
EXPEDITED HEARING NOTICE OF APPEAL
Tennessee Division of Workers’ Compensation
wc.courtclerk@tn.gov
1-800-332-2667
Docket #:
State File #/YR:
Employee
V.
Employer
Notice
Notice is given that
[List name(s) of all appealing party(ies) on separate sheet if necessary]
appeals the order(s) of the Court of Workers’ Compensation Claims at
to the Workers’ Compensation Appeals
Board. [List the date(s) the order(s) was filed in the court clerk’s office]
Judge
Statement of the Issues
Provide a short and plain statement of the issues on appeal or basis for relief on appeal:
Additional Information
Type of Case [Check the most appropriate item]
[1 Temporary disability benefits
LC] Medical benefits for current injury
L] Medical benefits under prior order issued by the Court
List of Parties
Appellant (Requesting Party): At Hearing: CJEmployer LJlEmployee
Address:
Party’s Phone: Email:
Attorney's Name: BPR#:
Attorney’s Address: Phone:
Attorney’s City, State & Zip code:
Attorney’s Email:
* Attach an additional sheet for each additional Appellant *
rev, 10/18 Page 1 of 2 RDA 11082
Employee Name: _ : SFH: DOI:
Appellee(s)
Appellee (Opposing Party), —= SSC At Hearing: [Employer C]Employee
Appellee’s Address:
Appellee’s Phone: Email:
Attorney’s Name: BPR#:
Attorney’s Address: Phone:
Attorney’s City, State & Zip code:
Attorney’s Email:
* Attach an additional sheet for each additional Appellee *
CERTIFICATE OF SERVICE
I, , certify that | have forwarded a true and exact copy of this
Expedited Hearing Notice of Appeal by First Class, United States Mail, postage prepaid, to all parties
and/or their attorneys in this case in accordance with Rule 0800-02-22.01(2) of the Tennessee Rules
of Board of Workers’ Compensation Appeals on this the day of , 20
[Signature of appellant or attorney for appellant]
LB-1099 rev. 10/18 Page 2 of 2 RDA 11082
Tennessee Bureau of Workers’ Compensation
220 French Landing Drive, I-B
Nashville, TN 37243-1002
800-332-2667
AFFIDAVIT OF INDIGENCY
, having been duly sworn according to law, make oath that
because of my poverty, | am unable to bear the costs of this appeal and request that the filing fee to appeal be
waived. The following facts support my poverty.
1. Full Name:
3. Telephone Number:
5. Names and Ages of All Dependents:
6. 1 am employed by:
2. Address:
4. Date of Birth:
Relationship:
Relationship:
Relationship:
Relationship:
My employer's address is:
My employer's phone number is:
7. My present monthly household income, after federal income and social security taxes are deducted, is:
$
8. | receive or expect to receive money from the following sources:
AFDC $
Ssl $
Retirement $
Disability 3
Unemployment $
Worker’s Comp.$
Other $
LB-1108 (REV 11/15)
per month
per month
per month
per month
per month
per month
per month
beginning
beginning
beginning
beginning
beginning
beginning
beginning
RDA 11082
9. My expenses are:
Rent/House Payment $ permonth Medical/Dental $ per month
Groceries $ per month Telephone $ per month
Electricity $ per month School Supplies $ per month
Water $ per month Clothing $ per month
Gas $ per month Child Care $ per month
Transportation $ per month Child Support $ per month
Car $ per month
Other $ per month (describe: )
10. Assets:
Automobile $ (FMV)
Checking/Savings Acct. $
House $ (FMV)
Other $ Describe:
11. My debts are:
Amount Owed To Whom
| hereby declare under the penalty of perjury that the foregoing answers are true, correct, and complete
and that | am financially unable to pay the costs of this appeal.
APPELLANT
Sworn and subscribed before me, a notary public, this
day of , 20
NOTARY PUBLIC
My Commission Expires:
LB-1108 (REV 11/15) RDA 11082
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: “Expedited Hearing 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.
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) secking 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.
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
concerning factual matters, the absence of a transcript or statement of the evidence can be
a significant obstacle to meaningful appellate review.
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.