                     IN THE COURT OF APPEALS OF TENNESSEE
                                  AT JACKSON
                                            April 25, 2003 Session

              HAROLD JACKSON v. SHELBY COUNTY, TENNESSEE

                    Direct Appeal from the Shelby Court for Chancery County
                 No. CH-001533-2     Walter L. Evans, Chancellor, by Interchange



                          No. W2002-02627-COA-R3-CV - Filed July 28, 2003


Appellee, a Shelby County Sheriff’s employee, suffered an on the job injury necessitating surgery
to his spine. Following the surgery, Appellee returned to work where it was determined that he was
unable to perform at the same job. Accordingly, Appellee was transferred to a position requiring
little physical activity. Appellee’s transfer resulted in a substantial increase in his base pay, but
fewer opportunities to work overtime. Shelby County appeals from the trial court’s award of sixty
percent (60%) permanent partial disability to Appellee. We affirm.

  Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Chancery Court Affirmed; and
                                        Remanded

DAVID R. FARMER , J., delivered the opinion of the court, in which W. FRANK CRAWFORD , P.J., W.S.,
and HOLLY M. KIRBY, J., joined.

Donnie E. Wilson, Shelby County Attorney, and Renee Allen-Walker, Senior Assistant County
Attorney, Memphis, Tennessee, for the appellant, Shelby County, Tennessee.

William L. Hagan, III, for the appellee, Harold Jackson.

                                                       OPINION

        At the time of the accident Appellee was an employee of the Shelby County Sheriff’s
Department (“the Department” or “the County”), employed as a Deputy Jailer. Shelby County has
elected not to come under the provisions of the Tennessee Workers Compensation Act, instead
having adopted an on-the-job injury policy to compensate employees injured on the job.1 On issues
where County policy is silent, however, the policy and practice of Shelby County is to use the


         1
          “The W orker’s Compe nsation Law sh all not ap ply to . . . . [t]he state of T ennessee, co unties thereof and
municipal corp oratio ns; pro vided that the state, any county or m unicipal corporation m ay accept the provisions o f this
chapter” by following certain procedures. Tenn. Code Ann. § 50-6-106(1), (5)(1999). Shelby County has elected not
to be cove red under the Act.
Tennessee Workers' Compensation Act as a guide and to operate in substantial compliance with the
Act.

        In December, 1999, Appellee fell down a flight of stairs while on duty. As a result of the fall,
Appellee sustained injuries to his neck, head, spine, left knee, and right hand and elbow. Appellee
subsequently filed a claim for on-the-job injury benefits against the Appellant. A hearing was held
in September, 2002, to address the sole issue of the Appellee’s permanent vocational disability
resulting from his injury. The trial court awarded Appellee “a Judgment in the sum of One Hundred
Twenty-Nine Thousand Eight Hundred Forty Dollars ($129,840.00) . . . based upon a 60%
permanent partial impairment to [Appellee’s] body as a whole.”

        Appellee is a college graduate who described himself as “very athletic” before the accident.
Prior to his employment with the Sheriff’s office he had worked as a computer programmer. Before
the accident, Appellee’s position within the Sheriff’s Department required him to occasionally
physically subdue inmates. Appellee worked considerable hours of overtime prior to the accident.2
Subsequent to the injury, Appellee was placed in a different position requiring less physical activity.
With this new position came an increase in base pay, but fewer opportunities to work overtime.

        Following the accident, Appellee was treated by an orthopedic surgeon, Dr. Lochemes, as
well as a neurosurgeon. The doctors determined that Appellee had suffered a disc herniation at the
C5-6 and C6-7 levels requiring a two level fusion of the neck. The two doctors performed this
surgery on Appellee in March, 2000. The surgery was successful and Appellee reached maximum
medical improvement two months later, in June, 2000.

         Dr. Lochemes, the doctor Appellee was referred to by the Department, stated that Appellee’s
injuries resulted in a 10% permanent partial impairment to the body as a whole. Dr. Lochemes stated
that this rating resulted from use of the “range of motion model” contained in the fourth edition of
the American Medical Association Guides to the Evaluation of Permanent Impairment (“AMA
Guide”).3

       Appellee subsequently obtained an independent medical exam from Dr. Boals who
determined that Appellee suffered an anatomical impairment of thirty four percent (34%) to the body
as a whole. Dr. Boals based his rating on the fifth edition of the AMA Guide. Dr. Boals also arrived




         2
          Prior to the ac ciden t, App ellee ac tually held two jo bs within the Department. He would work one job for eight
hours, and the o ther for four hours each day. Appellee asserts his injury prevents him from working this second,
physically intensive, job.

         3
           It appea rs that the fourth edition was the mo st recent edition of the AMA guidelines at the time that the initial
impairment rating wa s given, with the fifth edition being released between this date and the hearing. Appellee contends
that Dr. Lochemes’ ten percent ra ting, being based on the fourth edition of the AM A Guide, as oppo sed to the fifth
edition, the current edition at the time of the hearing, should be disregarded.

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at his rating by use of the “Diagnosis Related Estimate” method, as opposed to the range of motion
method employed by Dr. Locheme.4

       After considering the deposition testimony of the two doctors, as well as the testimony of the
Appellee, the trial court awarded Appellee $129,840.00 “based upon a 60% permanent partial
impairment to Plaintiff’s body as a whole.” It is this award which the County appeals.

                                                    Issue

        The County frames the issue as follows:

               Whether the Chancery Court erred in awarding Plaintiff/Appellee OJI benefits
        based upon sixty percent (60%) permanent partial disability to the body as a whole?

                                            Standard of Review

         The “extent of a permanent vocational disability [is a] question[] of fact. . . .” Walker v.
Saturn Corp., 986 S.W.2d 204, 207 (Tenn. 1998). Our standard of review of a trial court’s findings
of fact is established by Rule 13(d) of the Tennessee Rules of Appellate Procedure which provides:
“Unless otherwise required by statute, review of the findings of fact by the trial court in civil actions
shall be de novo upon the record of the trial court, accompanied by a presumption of the correctness
of the finding, unless the preponderance of the evidence is otherwise.” Tenn. R. App. P. 13(d); see
also Tenn. Code Ann. § 50-6-225(e)(2)(2002 Supp.)(stating the standard of review for Workers’
Compensation appeals). “No presumption of correctness attaches to the trial court's conclusions of
law.” Tenn. Farmers Mut. Ins. Co. v. Moore, 958 S.W.2d 759, 763 (Tenn. Ct. App. 1997).

                                            Evidence Presented

        The trial court was confronted with two differing expert opinions as to Appellee’s
impairment rating, each purportedly determined under the American Medical Association Guides
to the Evaluation of Permanent Impairment (“AMA Guide”). Appellee asserts that Dr.
Locheme’s rating was based on a prior edition of these guidelines and should, therefore, not be
considered. Appellee is correct that the Tennessee Code provides that “[a] physician shall utilize
the most recent edition [of the AMA Guide] in determining the degree of anatomical




        4
         Dr. Boals testified that while both methods may be used, due to the nature of Appellee’s injury the DRE
metho d was the correct m ethod to use in this case.

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impairment.” Tenn. Code Ann. § 50-6-204(d)(3)(2002 Supp.).5 We believe, however, that
Appellee attaches too much significance to this fact.

        While it is true that Dr. Locheme stated that his rating was determined using the fourth
edition of the AMA Guide, he also went on to state that his impairment rating under the fifth
edition would not differ, as it was his belief that the two editions were essentially the same.
While this contention was questioned by Dr. Boals, who claimed that the fourth and fifth editions
differ a great deal,6 the trial court apparently chose to believe Dr. Locheme’s testimony that he
would have assigned the same rating under the fifth edition. We draw this conclusion from the
final order which contained the following findings: Dr. Lochemes “has given his opinion . . . that
the Plaintiff has sustained a 10% permanent partial impairment to the body as a whole pursuant
to the AMA Guides to the Evaluation of Permanent Physical Impairment, 5th Ed.[,]” (emphasis
added), and Dr. “Boals . . . has given his opinion . . . that the Plaintiff has sustained a 34%
permanent partial impairment to the body as a whole pursuant to the AMA Guides to the
Evaluation of Permanent Physical Impairment, 5th Ed.” (emphasis added). Thus, the trial judge
was faced with determining which of these conflicting ratings more closely approximated
Appellee’s actual impairment.

        “When the medical testimony differs, the trial judge must obviously choose which view
to believe. In doing so, he is allowed, among other things, to consider the qualifications of the
experts, the circumstances of their examination, [and] the information available to them. . . .”
Orman v. Williams Sonoma, Inc., 803 S.W.2d 672, 676 (Tenn. 1991). In the present case, the
trial court apparently chose to give greater weight to the testimony of Dr. Boals concerning
Appellee’s anatomical impairment rating.

        However, “anatomical impairment is distinct from the ultimate issue of vocational
disability that the trial court must assess.” Walker, 986 S.W.2d 204 at 207. “[A] vocational
disability results when ‘the employee’s ability to earn wages in any form of employment that
would have been available to him in an uninjured condition is diminished by an injury.’” Walker,
986 S.W.2d 204 at 208 (quoting Corcoran v. Foster Auto GMC, Inc., 746 S.W.2d 452, 459
(Tenn. 1988)). Accordingly,

         [i]n assessing the extent of an employee's vocational disability, the trial court may
         consider the employee's skills and training, education, age, local job opportunities,
         anatomical impairment rating, and . . . capacity to work at the kinds of employment
         available in [the] disabled condition. Further, the claimant's own assessment of


         5
           Failure to comport with this statutory requirement may result in an expert’s opinion being disregarded. See
San dra G. Jackson v. Goodyear Tire & Rubber Co., No. W1999-01691-WC -R3-CV, 2001 Tenn. LEXIS 260 (Tenn. Sp.
W orkers Comp. 2 001 )(finding that the sam e Dr. Bo als’ opinion should be disregarded for failure to comply with the
statute.).


         6
             Dr. B oals ch aracterized the changes as “dram atic” and “huge.”

                                                            -4-
       [their] physical condition and resulting disabilities cannot be disregarded. The trial
       court is not bound to accept physicians' opinions regarding the extent of the
       plaintiff's disability, but should consider all the evidence, both expert and lay
       testimony, to decide the extent of an employee's disability.

Id. at 208 (internal citations omitted)(emphasis added). In short, the impairment rating is but one
factor to be considered by the trial court in determining the extent of an injured worker’s
vocational disability, and “[t]here is no requirement that the trial court fix permanent partial
disability solely with reference to expert testimony.” Worthington v. Modine Manuf. Co., 798
S.W.2d 232, 234 (Tenn. 1990).

        The trial court considered the deposition testimony of both experts concerning
impairment rating. The court also noted its consideration of “the work history, the training, the
education, and the present employment, and income” of Appellee in reaching its determination as
to the extent of his vocational disability. With this in mind, and after reviewing the entire record,
including the testimony of Appellee, we find ourselves unable to say that the evidence
preponderates against the trial courts award. We, therefore, affirm.

                                            Conclusion

      As the evidence presented does not preponderate against the trial court’s findings, the
judgment is, accordingly, affirmed. The costs of this appeal are taxed to the Appellant, Shelby
County, Tennessee.



                                                       ___________________________________
                                                       DAVID R. FARMER, JUDGE




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