Mary Ella Franklin v. Troll Associates,

This workers' compensation appeal has been referred to the Special Workers' Compensation Appeals Panel of the Supreme Court in accordance with Tennessee Code Annotated _5-6-225(e)(3) for hearing and reporting to the Supreme Court of findings of fact and conclusions of law. The trial court awarded plaintiff twenty percent permanent partial disability to the right upper extremity for a wrist injury and an additional twenty percent permanent partial disability to the right upper extremity for a shoulder injury. Defendant appealed the decision of the trial court. We affirm and modify the judgment of the trial court. Tenn. Code Ann. _ 5-6-225(e) (1999) Appeal as of Right; Judgment of the Chancery Court Affirmed and Modified DON R. ASH, SP. J., in which JANICE M. HOLDER, J., and JOHN K. BYERS, SR. J., joined. Ralph T. Gibson, Memphis, TN, for the Appellant, Troll Associates, et al. Matthew S. Russell and John L. McWhorter, Memphis, TN, for the Appellee, Mary Ella Franklin. MEMORANDUM OPINION History Plaintiff, Mary Franklin ("Franklin"), filed a Complaint for workers' compensation benefits on May 3, 1996. The trial was heard on June 23, 1999. At the conclusion of the proof, the trial court awarded Franklin twenty percent permanent partial disability to the right upper extremity for her wrist injury and an additional twenty percent permanent partial disability to the right upper extremity for her shoulder injury. Defendants, Troll Associates and Liberty Mutual Insurance Co., appeal the decision of the trial court. For the reasons discussed below, we affirm and modify the decision of the trial court. Facts Franklin was employed at Troll Associates, Inc. ("Troll"), from September 1993 until November 1994. During her employment Franklin operated a plastic packaging and sealing machine and did some line work. Franklin would package approximately 2, packages on an average workday. Franklin's job also required her to do some repetitive lifting. Franklin began to experience pain in her right arm and shoulder. Subsequently, Franklin reported her injuryto her supervisor, who referred her to Dr. Phillip Mintz for treatment. Next, Dr. Mintz referred Franklin to an orthopedic doctor, and she was sent to Dr. Riley Jones. Dr. Jones saw Franklin concerning her complaints. She was given pain medication and sent back to work. On November 28, 1994 Dr. Jones opined Franklin had reached maximum medical improvement. Later Franklin returned to Dr. Jones with the same complaints. Dr. Jones then conducted an EMG and diagnosed her with carpal tunnel syndrome and recommended surgery. On January 3, 1995, Franklin underwent right endoscopic carpal tunnel release and right DeQuervains release. Before and after the surgery Franklin testified she told Dr. Jones of her concerns about her shoulder. On April 1, 1995, Dr. Jones stated that Franklin was ready to return to work. Dr. Jones found no permanent partial impairment as a result of Franklin's carpal tunnel injury and surgery. Further, Dr. Jones found no permanent partial impairment related to Franklin's shoulder because he never treated her for the injury. Subsequently, Franklin went to Dr. Wilkinson and complained of pain over the back of her right shoulder. Dr. Wilkinson could not find a relationship between her shoulder pain and her carpal tunnel injury. He gave Franklin a three percent permanent partial impairment to her right upper extremity as a result of the residual from her carpal tunnel syndrome. Finally, an unauthorized physician, Dr. Aronoff, examined Franklin. Franklin did not seek approval from Troll before she incurred these additional medical costs. Dr. Aronoff diagnosed Franklin with a chronic rotator cuff, tendinitis, impingement syndrome, and an arthritic AC joint. On May 6, 1996, Dr. Aronoff performed successful surgery on Franklin's shoulder. Dr. Aronoff gave Franklin a permanent partial impairment to the right upper extremity of ten percent. Further, Dr. Aronoff gave Franklin a separate ten percent permanent partial impairment rating for the residual from her carpal tunnel syndrome. Dr. Aronoff further opined that Franklin's injuries were consistent with her work history dealing with repetitive overhead lifting. Medical Evidence At trial the evidentiary deposition testimony of Dr. Jones, Dr. Wilkinson, and Dr. Aronoff were entered into evidence. Dr. Jones never treated Franklin for the shoulder injury, and Dr. Wilkinson testified there was no relationship between the Franklin's carpal tunnel injury and her -2-