                                                                                       FILED
                                                                                      July 28, 2015
                                                                                    1"":' COURT OF
                                                                                WORKERS' CO:\IPE::"SATIO::"
                                                                                         CLADi S

                                                                                      Time : 11:48 A ..\1




                COURT OF WORKERS' COMPENSATION CLAIMS
                            AT KINGSPORT

Ken Dzielak                                 )     Docket No.: 2015-02-0087
              Employee,                     )
v.                                          )     State File No.: 27613-2015
                                            )
Nyrstar Tennessee Mines                     )     Date of Injury: October 1, 2014
            Employer,                       )
And                                         )     Judge: Brian K. Addington
                                            )
Commerce and Industry Insurance             )
Co./ Chartis                                )
             Insurance Carrier/             )
             Claims Mgt.                    )
                                            )

                          EXPEDITED HEARING ORDER



       THIS CAUSE came to be heard before the undersigned Workers' Compensation
Judge on July 16, 2015, upon the Request for Expedited Hearing filed by Ken Dzielak
(Mr. Dzielak), the Employee, on July 6, 2015, pursuant to Tennessee Code Annotated
section 50-6-239 (20 14), to determine if the Employer, Nyrstar Tennessee Mines
(Nyrstar), 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. Dzielak is entitled to a panel of physicians.

                                      ANALYSIS

                                         Issues

     1. Whether Mr. Dzielak sustained an injury that arose primarily out of and in the
        course and scope of employment.
     2. Whether Mr. Dzielak 's injury was idiopathic in nature.
     3. Whether Mr. Dzielak suffered from a pre-existing condition that was aggravated
        by a work-related injury.
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      4. Whether Mr. Dzielak sustained an injury in the course of employment with
          Nyrstar.
      5. Whether Mr. Dzielak was injured while engaged in a significant deviation from his
          work duties.
      6. Whether Mr. Dzielak provided adequate notice to Nyrstar of an alleged injury
          during employment with Nyrstar.
      7. Whether Nyrstar is obligated to pay for any past medical expenses and/or mileage
          expense.
      8. Whether Mr. Dzielak is entitled to any additional medical care as recommended
          by a physician.
      9. Whether Mr. Dzielak is entitled to any past or future temporary total disability
          benefits, and if so, in what amount.
      10. Whether Mr. Dzielak is entitled to any past or future temporary partial disability
          benefits, and if so, in what amount. 1


                                               Evidence Submitted

           The Parties filed the following written Stipulations:

               1. Mr. Dzielak, was employed by Nyrstar TN Mines-Strawberry Plains from
                  December 16,2013, to May 8, 2015.
               2. Mr. Dzielak has an average weekly wage of $810.44 and a workers'
                  compensation rate of$540.56 if using a date of injury of October 1, 2014.
               3. Mr. Dzielak held a position of Mill Maintenance Tech 3 throughout his
                  employment.
               4. Nyrstar is doing business in Knox and Jefferson Counties, but the Plaintiff
                  worked in Jefferson County.
               5. Nyrstar is a Jefferson County resident.
               6. Mr. Dzielak is currently fifty-seven years old with a date of birth of
                  November 8, 1958. He was fifty-six on October 1, 2014.
               7. Mr. Dzielak has a high school diploma and also has a vocational degree.
               8. Mr. Dzielak was terminated on May 8, 2015, due to exhaustion of all
                  FMLA leave, PTO and other leave time, yet he is still physically unable to
                  return to work.

           The Court admitted into evidence the exhibits below:

               1. Nyrstar handbook sections;
               2. Nyrstar employee discipline form;
               3. Patient information sheet;

1
    The parties reached an agreement to other issues originally listed on the Dispute Certification Notice (DCN).
                                                            2
          4. Medical Records: Nurse Practitioner Michael Etter (NP Etter)~
          5. Medical Records: Dr. Kent Sauter (Dr. Sauter)~
          6. Drug test collection sheet~
          7. Separation Notice~
          8. Pre-Employment physical~
          9. Nyrstar's First Report oflnjury;
          10. Affidavit: Mr. Dzielak;
          11. Medical Records: Jefferson Memorial Hospital (Jefferson);
          12. Medical Records: Dr. James Harrison (Dr. Harrison);
          13. Medical Records: Dr. Harrison;
          14. Medical Records: NP Etter;
          15. Patient information sheet and medical dictation Dr. Harrison;
          16. Facebook pictures of Mr. Dzielak;
          17. Medical Records: Dr. Harrison;
          18.Affidavit: Janie Wallace (Ms. Wallace);
          19. Affidavit: Phil Sherod (Mr. Sherod);
          20.Affidavit: JeffVan Jahnke (Mr. Van Jahnke); and,
          2l.Affidavit: Mark Feehan (Mr. Feehan).

       The Court designated the following as the technical record:

          •   Petition for Benefit Determination (PBD), April 13, 2015
          •   Dispute Certification Notice (DCN), May 26, 2015
          •   Request for Expedited Hearing (REH), July 6, 2015.

      The Court did not consider attachments to the above filings unless admitted into
evidence during the Expedited Hearing. The Court considered factual statements in the
above filings or any attachments thereto as allegations unless established by the evidence.

       The following witnesses provided in-person testimony:

          •   Mr. Dzielak
          •   Human Relations Superintendent, Ms. Wallace
          •   Operations Supervisor, Mr. Van Jahnke
          •   Maintenance Superintendent, Mr. Feehan.

                                    History of Claim

      Mr. Dzielak is a fifty-seven year old resident of Jefferson County, Tennessee.
Mr. Dzielak worked for Nyrstar, which requires a pre-employment physical. Mr. Dzielak
acknowledged prior fractures to his lower back at L1, L2, and L3 during his pre-
employment physical examination. (Ex. 8, p. 2.) Mr. Dzielak passed the physical, and
                                             3
Nystar hired him to fill a Mill Maintenance Tech III position, which required lifting,
turning, bending, and shoveling. (Ex. 10, pp. 1-2, and Ex. 15, p. 8.)

        Mr. Dzielak suffered back pain for most of 2014. Mr. Dzielak's primary care
provider is NP Etter. Mr. Dzielak informed NP Etter on January 22, 2015, that he
suffered back pain for a year. (Ex. 4, p. 1.) He told Dr. Harrison, Nyrstar's doctor, on
February 3, 2015, that he suffered back pain for at least a year. (Ex. 17, p. 9.) He told
Dr. Sauter on March 2, 2015, that his back pain started gradually in May 2014, but
worsened at work in June 2014, after twisting. (Ex. 5, p. 2.) Mr. Dzielak stated in his
May 13, 2015 affidavit that he suffered a significant sharp and shooting pain in the lower
right side of his back on October 1, 2014, and that he had experienced back pain on and
off the previous months. (Ex. 10, p. 2.)

       Mr. Dzielak testified that his job required him to lift screens around, and in doing
so on October 1 2014, he noticed the pain mentioned in his affidavit. On October 2,
2014, Mr. Dzielak told Mr. Sherod, his supervisor, about the incident that occurred the
previous day, but he declined medical attention. He told Mr. Sherod that he simply
wanted to document what had happened. Mr. Sherod allowed Mr. Dzielak to perform
light-duty work after he reported the October 1, 2014 incident. Mr. Dzielak also suffered
discomfort and pain associated with a gall bladder issue, but he did not inform Nystar
about his gall-bladder condition.

        Mr. Dzielak often worked for other supervisors. On December 11, 2014, Mr.
Dzielak worked for Mr. Van Jahnke. Mr. Van Jahnke asked Mr. Dzielak to shovel an
area on top of a machine that day. Mr. Dzielak refused to do so due to pain. On
December 22, 2014, Nyrstar disciplined Mr. Dzielak for failing to report his restrictions.
(Ex. 2, pp. 1-2.) Mr. Dzielak self-limited his work. No doctor had placed formal
restrictions. Nyrstar does not allow an employee to work with non-work related
restrictions. It had a rewards program for safety. Nyrstar sent Mr. Dzielak to Dr.
Harrison for a fitness of duty examination.

       Mr. Dzielak did not mention a specific work incident from October 1, 2014, when
he met with Dr. Harrison on December 22, 2014. Instead, Mr. Dzielak discussed a
persistent problem eight months in duration. (Ex. 15, p. 1.) Dr. Harrison noted Mr.
                                                                                        2
Dzielak' s work aggravated his pain, but related his condition to costochondritis or a
possible other pathology. (!d., pp. 7-8.) Dr. Harrison placed work-restrictions on Mr.
Dzielak of no shoveling, repetitive twisting, or lifting over thirty pounds. /d., at 9.

       Mr. Dzielak underwent gallbladder surgery by his primary care physician (PCP) in
December 2014 (Ex. 10, p. 3.). Mr. Dzielak went deep-sea fishing after the surgery and
before the surgeon released him to work. (Ex. 16, pp 1-2.) Mr. Dzielak's PCP released

2
    Costochondritis is an inflammation in the cartilage that attaches a rib to the sternum.
                                                              4
him to return to work on February 1, 2015. (Ex. 10, p. 3.)

       Dr. Harrison re-examined Mr. Dzielak on February 3, 2015, to see if he could
return to work. Mr. Dzielak told Dr. Harrison that he had suffered lumbar back pain for
some time and that NP Etter had requested an MRI that was soon to be completed. (Ex.
17, p. 8.) Dr. Harrison felt uncomfortable releasing Mr. Dzielak to return to work prior to
an orthopedic evaluation. Id. , at 9. Dr. Harrison supplied his notes to Nyrstar.

       Mr. Dzielak underwent the MRI on February 11 , 2015. Dr. John Richardson, the
radiologist that interpreted the MRI, opined Mr. Dzielak had, "Degenerative changes
contributing to mild narrowing of the central canal as described with congenitally short
pedicles also demonstrated. Small midline to right paracentral disk protrusion at the L3-
L4 level but without evidence of discrete neural impingement." (Ex. 4, pp. 8-9.)

      NP Etter referred Mr. Dzielak to Dr. Sauter following receipt of the MRI report.
Dr. Sauter assessed a bulging intervertebral lumbar disc. He recommended conservative
treatment with physical therapy. On April 6, 2015, Dr. Sauter wrote on an excuse slip,
"Not at 100% capacity. No work until injections." (Ex. 5, pp. 2-5, 7.)

       Mr. Dzielak filed a PBD on April 13, 20 15, seeking medical and temporary
disability benefits. The parties did not resolve the disputed issues through mediation and
the Mediation Specialist filed the DCN on May 26, 2015.

                                Mr. Dzielak Contentions

       Mr. Dzielak contends that he has presented sufficient evidence that he sustained an
injury at work to require Nyrstar to provide him a panel of physicians. He told Mr.
Sherod about the injury, but declined medical treatment at that time. The information
from Dr. Harrison that Nyrstar reviewed was sufficient to provide notice of injury and the
need for medical treatment, but Nyrstar denied treatment. Mr. Dzielak is entitled to
temporary disability benefits because Dr. Sauter has taken him off work due to his injury.

                                 Nyrstar's Contentions

        Nyrstar contends that Mr. Dzielak failed to provide proper notice of an injury. Mr.
Dzielak presented insufficient evidence to prove his injury was acute or cumulative, or
that it arose primarily out of and in the course and scope of employment. Mr. Dzielak
had a pre-existing lumbar condition and has not presented sufficient evidence to prove an
aggravation. Mr. Dzielak may have injured his back away from work while deep-sea
fishing or doing other activities. Mr. Dzielak is not entitled to medical or temporary
disability benefits.


                                             5
                        Findings of Fact and Conclusions of Law

                                     Standard Applied

        The Workers' Compensation Law shall not be remedially or liberally construed in
favor of either party but shall be construed fairly, impartially and in accordance with
basic principles of statutory construction favoring neither the employee nor
employer. Tenn. Code Ann. § 50-6-116 (2014). An employee need not prove every
element of his or her claim by a preponderance of the evidence in order to obtain relief at
an expedited hearing. McCord v. Advantage Human Resourcing, No. 2014-06-0063,
2015 TN Wrk. Comp. App. Bd. LEXIS 6, at *7-8, 9 (Tenn. Workers' Comp. App. Bd.
Mar. 27, 2015). At an expedited hearing, an employee has the burden to come forward
with sufficient evidence from which the trial court can determine that the employee is
likely to prevail at a hearing on the merits. !d.

                                     Factual Findings

       Nyrstar had a program that rewards employees for working safely. Mr. Dzielak
told Mr. Sherod on or around October 2, 2014, that he injured his back at work the day
before. Mr. Dzielak told Mr. Sherod that he did not need medical attention. Mr. Sherod
did not document Mr. Dzielak's report. Mr. Dzielak had back pain complaints for most
of 2014 until present. He also had a non-work related gallbladder issue that caused trunk
pain. After the gallbladder surgery, his pain continued. Mr. Dzielak sought medical
treatment for his back pain with his own doctors. Dr. Sauter took Mr. Dzielak off work
due to his disc protrusion.

                                 Application of Law to Facts

        The Workers' Compensation Law defines "injury" and "personal injury" to mean
an injury by accident that is acute, a cumulative trauma, or a repetitive motion condition
"arising primarily out of and in the course and scope of employment[.]" Tenn. Code
Ann. § 50-6-102(13)(A) (2014). An injury is "accidental" only if the injury is caused by
a specific incident, or set of incidents, arising primarily out of and in the course and scope
of employment, and is identifiable by time and place of occurrence[.] !d. An injury
"arises primarily out of and in the course and scope of employment" only if it has been
shown "by a preponderance of the evidence that the employment contributed more than
fifty percent (50%) in causing the injury, considering all causes .... " Tenn. Code Ann. §
50-6-102(13)(B) (2014).

        Tennessee Code Annotated section 50-6-201(a)(l) (2014) provides, in pertinent
part:
        Every injured employee or the injured employee's representative shall,

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       immediately upon the occurrence of an injury, or as soon thereafter as is
       reasonable and practicable, give or cause to be given to the employer who
       has no actual notice, written notice of the injury. . . . No compensation
       shall be payable under this chapter, unless the written notice is given the
       employer within thirty (30) days after the occurrence of the accident, unless
       reasonable excuse for failure to give the notice is made to the satisfaction of
       the tribunal to which the claim for compensation may be presented.

      In cases where an employee suffers a gradual or cumulative trauma injury, an
employee must provide notice of the injury to the employer within thirty days after the
employee knows or reasonably should know the employee has suffered an injury or is
unable to work due to the injury. There is no written notice requirement for a gradual or
cumulative injury. See Tenn. Code Ann. § 50-6-201(b)(l)and(2) (2014).

       The first issue is whether Mr. Dzielak provided adequate notice of an injury to
Nyrstar. The Court finds that he did. Mr. Dzielak testified that he told Mr. Sherod on
October 2, 2014, of this work injury on or around October 1, 2014. Although Nyrstar
filed an affidavit from Mr. Sherod that contradicted Mr. Dzielak's testimony, the affidavit
is not as persuasive as Mr. Dzielak's live testimony. The Court also notes that Mr.
Sherod only swore that he did not recall Mr. Dzielak reporting an injury to his back at
work. Mr. Sherod did not state that Mr. Dzielak did not report an injury to his back at
work. The Court finds that Mr. Dzielak told Mr. Sherod he did not need medical
treatment at that time.

        The Court finds that Mr. Dzielak is a poor historian. Both the written records and
his testimony reveal that he struggles to remember dates. He often corrected himself or
counsel corrected him concerning events on particular dates. He often generalized his
answers and at least once guessed at an answer. However, he has presented sufficient
evidence to prove he complained to his supervisor, Phil Sherod, on or around October 2,
2014, about an incident at work that caused him pain.

       The Court finds that Mr. Dzielak suffered pain for most of 2014 until present. He
had a non-work related gallbladder condition, chest issues, and a back condition.
However, once he had the gallbladder surgery, the back pain continued. It appears Mr.
Dzielak did not understand, nor could he help the physicians understand, the source of his
pain because of his tendency to confuse dates and events, and to generalize conditions.

       Mr. Dzielak presented medical evidence that he suffers from a disc protrusion and
he provided notice of the condition to Nyrstar. Depending upon the circumstances, an
employer's investigation may reveal facts that prompt a denial of the claim at the outset.
An employer has the right to deny a claim, after adequate investigation, based upon facts
that do not support the occurrence of an injury. See McCord, 2015 TN Wrk. Comp. App.

                                              7
Bd. LEXIS 6, at * 10-12. The employee must then come forward with sufficient evidence
from which the trial court can determine that the employee likely will prove a
compensable injury by accident at a hearing on the merits in accordance with Tennessee
Code Annotated section 50-6-239(d)(l).

       To prove entitlement to medical benefits, the statute does not require an employee
to present medical proof of an injury before the employer is required to provide medical
benefits. Rather, the Workers' Compensation Law contemplates that an employer will
provide medical care upon receipt of notice of the injury and after the employee has
expressed a need for medical treatment, and then, during the course of treatment and
examination, the panel doctor will render an opinion on causation. See Tenn. Code Ann.
§ 50-6-102(13)(2014). McCord, 2015 TN Wrk. Comp. App. Bd. LEXIS 6, at *13.

       In this case, however, Mr. Dzielak first told Nyrstar that he did not want medical
treatment. According to Tennessee Code Annotated 50-6-204(a)(3)(A)(i) (2014), an
employee must "express a need for medical care" before an employer is obligated to
provide a panel. Nyrstar' s delay in providing the panel was appropriate at that time;
however, Mr. Dzielak has now requested medical care. The Court finds that Nyrstar shall
provide Mr. Dzielak an appropriate panel of physicians. Mr. Dzielak is not entitled to
payment for past medical expenses because he declined medical treatment when he
reported his injury.

        Nyrstar shall set an appointment with the physician Mr. Dzielak chooses from a
panel. Both parties shall supply the chosen doctor with the medical records in its
possession for the doctor's consideration. Mr. Dzielak must explain to the doctor his pre-
existing back condition, the events of 2014 to the best of his ability, and all of his
activities following the alleged injury, including his deep-sea fishing trips. The physician
chosen shall render an opinion on causation, whether Mr. Dzielak suffered an acute or
gradual injury, and Mr. Dzielak's work status since his last day of work in December
2014.

       The Court only addresses issues six and seven at this time. The Court reserves
the remaining issues. The Court will consider any remaining issues upon a subsequent
request for expedited hearing after Mr. Dzielak selects a physician, visits him/her and
obtains an opinion on the issues mentioned in the paragraph above.

       Mr. Dzielak has come forward with sufficient evidence from which this Court
concludes that he is likely to prevail at a hearing on the merits on the issue of adequate
notice to his employer.

 IT IS, THEREFORE, ORDERED as follows:


                                             8
   1. Nyrstar or its workers' compensation carrier shall provide Mr. Dzielak with a
      panel of physicians as required by that statute. The selected physician shall render
      an opinion on causation based on his examination of Mr. Dzielak and a review of
      information furnished by the parties. If causation is established as required by
      statute, medical treatment shall be provided. Medical bills from the panel
      physician shall be furnished to Nyrstar or its workers' compensation carrier by Mr.
      Dzielak or medical providers.

   2. This matter is set for Initial Hearing on September 16, 2015, at 10:00 a.m.

   3. Unless interlocutory appeal of the Expedited Hearing Order is filed,
      compliance with this Order must occur no later than seven business days
      from the date of entry of this Order as required by Tennessee Code
      Annotated section 50-6-239(d)(3) (2014). The Insurer or Self-Insured
      Employer must submit confirmation of compliance with this Order to the
      Bureau by email to \VCCompliance.Program@tn.gov no later than the
      seventh business day after entry of this Order. Failure to submit the
      necessary confirmation within the period of compliance may result in a
      penalty assessment for non-compliance.

   4. For questions regarding compliance, please contact the Workers' Compensation
      Compliance Unit via email W 'Comp li ance.Program(r/Jtn.go or by calling (615)
      253-1471 or (615) 532-1309.


       ENTERED this the 28th day of July, 2015.



                                  Judge Brian K. Addington
                                  Court of Workers' Compensation Claims

Initial Hearing:

      An Initial Hearing has been set with Judge Brian K. Addington, Court of
Workers' Compensation Claims. You must call 865-594-6538 or toll free at 855-
543-5044 to participate in the Initial Hearing.

       Please Note: You must call in on the scheduled date/time to
participate. Failure to call in may result in a determination of the issues without
your further participation. All conferences are set using Central Time (CT).


                                            9
Right to Appeal:

       Tennessee Law allows any party who disagrees with this Expedited Hearing Order
to appeal the decision to the Workers' Compensation Appeals Board. To file a Notice of
Appeal, you must:

   1. Complete the enclosed form entitled: "Expedited Hearing Notice of Appeal."

   2. File the completed form with the Court Clerk within seven business days of the
      date the Workers' Compensation Judge entered the Expedited Hearing Order.

   3. Serve a copy of the Expedited Hearing Notice of Appeal upon the opposing party.

   4. The appealing party is responsible for payment of a filing fee in the amount of
      $75.00. Within ten calendar days after the filing of a notice of appeal, payment
      must be received by check, money order, or credit card payment. Payments can be
      made in person at any Bureau office or by United States mail, hand-delivery, or
      other delivery service. In the alternative, the appealing party may file an Affidavit
      of Indigency, on a form prescribed by the Bureau, seeking a waiver of the filing
      fee. The Affidavit of Indigency may be filed contemporaneously with the Notice
      of Appeal or must be filed within ten calendar days thereafter. The Appeals Board
      will consider the Affidavit of Indigency and issue an Order granting or denying
      the request for a waiver of the filing fee as soon thereafter as is
      practicable. Failure to timely pav the filing fee or file the Affidavit of
      Indigency in accordance with this section shall result in dismissal of the
      appeal.

   5. The parties, having the responsibility of ensuring a complete record on appeal,
      may request, from the Court Clerk, the audio recording of the hearing for the
      purpose of having a transcript prepared by a licensed court reporter and filing it
      with the Court Clerk within ten calendar days of the filing of the Expedited
      Hearing Notice of Appeal. Alternatively, the parties may file a statement of the
      evidence within ten calendar days of the filing of the Expedited Hearing Notice of
      Appeal. The Judge must approve the statement of the evidence before the Court
      Clerk may submit the record to the Clerk of the Appeals Board.

   6. If the appellant elects to file a position statement in support of the interlocutory
      appeal, the appealing party shall file such position statement with the Court Clerk
      within three business days of the filing of the Expedited Hearing Notice of Appeal,
      specifying the issues presented for review and including any argument in support
      thereof. If the appellee elects to file a response in opposition to the interlocutory

                                            10
        appeal, appellee shall do so within three business days of the filing of the
        appellant's position statement.

                            CERTIFICATE OF SERVICE

       I hereby certify that a true and correct copy of the Expedited Hearing Order was
sent to the following recipients by the following methods of service on this the 28th day
of July, 2015.


 Name                      Certified   Via         Via    Service sent to:
                            Mail       Fax        Email

 J. Taylor, Esq.                                   X      jeff@taylorlawfirmtn.com

 M. Weaver, Esq.                                   X      Meredith. weaver@leitnerfirm.com



                                         ~                 ~Uk-- -
                                         Penny Sh11u , Clerk of Court
                                         Court of Y-orkers' Compensation Claims
                                         WC.CourtClerk@tn.gov




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