                             STATE OF WEST VIRGINIA

                          SUPREME COURT OF APPEALS

MELISSA L. TURNER,                                                                  FILED
                                                                                    May 7, 2018
Claimant Below, Petitioner                                                   EDYTHE NASH GAISER, CLERK

                                                                             SUPREME COURT OF APPEALS

                                                                                 OF WEST VIRGINIA

vs.)   No. 17-1103 (BOR Appeal No. 2052014)
                   (Claim No. 2015023155)

KANAWHA COUNTY BOARD OF EDUCATION,
Employer Below, Respondent

                             MEMORANDUM DECISION
       Petitioner Melissa L. Turner, by Patrick K. Maroney, her attorney, appeals the decision of
the West Virginia Workers’ Compensation Board of Review. Kanawha County Board of
Education, by Steven K. Wellman, its attorney, filed a timely response.

       The issue on appeal is the addition of tenosynovitis to the claim. The claims administrator
denied the addition of the condition to the claim on September 3, 2015. The Office of Judges
affirmed the decision in its May 24, 2017, Order. The Order was affirmed by the Board of
Review on November 17, 2017. The Court has carefully reviewed the records, written
arguments, and appendices contained in the briefs, and the case is mature for consideration.

       This Court has considered the parties’ briefs and the record on appeal. The facts and legal
arguments are adequately presented, and the decisional process would not be significantly aided
by oral argument. Upon consideration of the standard of review, the briefs, and the record
presented, the Court finds no substantial question of law and no prejudicial error. For these
reasons, a memorandum decision is appropriate under Rule 21 of the Rules of Appellate
Procedure.

        Ms. Turner, a teacher’s aide and cheerleading coach, was injured in the course of her
employment on February 16, 2015, when she slipped and fell while walking into the school. The
claim was held compensable for left wrist fracture and right knee contusion on March 9, 2015. A
March 17, 2015, treatment note by Luis Bolano, M.D., indicates he diagnosed Gatekeeper’s
thumb or sprain of the metacarpophalangeal joint. He put Ms. Turner’s left wrist in a short cast
and replaced the cast with a splint on April 6, 2015. Ms. Turner underwent physical therapy from
April 13, 2015, through August 3, 2015. A June 15, 2015, treatment note by Dr. Bolano indicates
Ms. Turner had some improvement with physical therapy but had still not completely recovered.
He recommended she continue therapy and work restrictions.
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       Paul Bachwitt, M.D., performed an independent medical evaluation on August 3, 2015, in
which he noted that x-rays of the left wrist, hand, and fingers were unremarkable. He diagnosed
left wrist/thumb sprain and left Gatekeeper’s thumb. He found Ms. Turner had reached
maximum medical improvement, needed no further treatment, and could return to full duty work.
In an August 25, 2015, addendum, Dr. Bachwitt stated that he found no objective findings during
his examination to support Ms. Turner’s subjective complaints. He noted that her range of
motion was too low to be credible and saw no reason she could not return to full duty work.

       An August 27, 2015, treatment note by Dr. Bolano indicates Ms. Turner had normal
range of motion in the left wrist as well as normal strength in the thumb and wrist. Dr. Bolano
diagnosed Gatekeeper’s thumb/sprain of the metacarpophalangeal joint and tenosynovitis of the
hand and wrist.

        Marsha Bailey, M.D., performed an independent medical evaluation on January 11, 2016,
in which she diagnosed resolved right knee, left thumb, and left wrist contusions. She noted that
Ms. Turner’s subjective complaints far outweighed her objective findings. Dr. Bailey found that
Ms. Turner’s complaints could not be attributed solely to the compensable injury. Ms. Turner
was found to be at maximum medical improvement and Dr. Bailey assessed 1% whole person
impairment for the left thumb and index finger. Ms. Turner was then granted a 1% permanent
partial disability award by the claims administrator.

        In a May 9, 2016, medical statement, Dr. Bolano requested authorization for steroid
injections of the left thumb joint and left wrist tendon. He stated that Ms. Turner’s condition was
causally related to her compensable injury and that the requited treatment was medically
necessary due to ongoing symptoms.

       Dr. Bachwitt performed a second independent medical evaluation on January 12, 2017.
He diagnosed left wrist/thumb sprain and questionable Gatekeeper’s thumb. He found no
evidence of tenosynovitis and noted that the left thumb range of motion was much more limited
than would be expected with Ms. Turner’s injury. Dr. Bachwitt determined that Ms. Turner had
reached maximum medical improvement and assessed 3% impairment.

        On September 3, 2015, the claims administrator denied a request to add left wrist
tenosynovitis as a compensable component of the claim. The Office of Judges affirmed the
decision in its May 24, 2017, Order. It found that a preponderance of the evidence fails to show
that tenosynovitis should be added to the claim. Dr. Bolano was found to be the only physician
of record to make a diagnosis of tenosynovitis. Neither Dr. Bachwitt nor Dr. Bailey found
evidence of tenosynovitis on their examinations. Further, the Office of Judges determined that
Dr. Bolano failed to show a causal relationship between the condition and the compensable
injury. The Board of Review adopted the findings of fact and conclusions of law of the Office of
Judges and affirmed its Order on November 17, 2017.

       After review, we agree with the reasoning and conclusions of the Office of Judges as
affirmed by the Board of Review. Both Drs. Bailey and Bachwitt determined that Ms. Turner did
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not have tenosynovitis. Dr. Bolano was the only physician of record to diagnose tenosynovitis
and he failed to explain how the condition was causally connected to the compensable injury.

        For the foregoing reasons, we find that the decision of the Board of Review is not in clear
violation of any constitutional or statutory provision, nor is it clearly the result of erroneous
conclusions of law, nor is it based upon a material misstatement or mischaracterization of the
evidentiary record. Therefore, the decision of the Board of Review is affirmed.


                                                                                        Affirmed.
ISSUED: May 7, 2018

CONCURRED IN BY:
Chief Justice Margaret L. Workman
Justice Robin J. Davis
Justice Menis E. Ketchum
Justice Allen H. Loughry II
Justice Elizabeth D. Walker




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