     FILED
   Mar 06, 2019
   09:25 AM(ET)
 TENNESSEE COURT OF
WORKERS' COMPENSATION
       CLAIMS
between Mr. Blevins and Mr. Morrow, Mr. Blevins asked Mr. Morrow if he had taken
money out of his check. Mr. Morrow responded, "No. This is a filler job and pays $2
less per hr ... It's just to keep you guys busy between big jobs."

        Mr. Morrow stated he had no recollection and kept no records concerning the
hourly pay rate per week but recorded the hours worked per day in a calendar. Mr.
Morrow's calendar contained Mr. Blevins' name and the hours he worked on ten of the
thirteen weeks before his injury. Mr. Blevins' "recorded" hours in those ten weeks
totaled 192.

       The parties additionally disputed whether Mr. Blevins' injuries were due to
intoxication or drug use. Before the injury, Mr. Blevins suffered from chronic back pain.
He was under the care of Dr. David Coffey, who prescribed 7.5 milligrams of
hydrocodone four times per day. Mr. Blevins testified that some days his pain was worse
than others but he always had pain. On the worst days, he might take more than four
doses, so his pill counts were short at his next office visit. Dr. Coffey's records indicated
multiple occasions of abnormal pill counts and abnormal urine drug screens.

      Mr. Blevins indicated the pain medication had no effect on his ability to walk,
balance, or pick things up. He stated that he took the medication daily and was told by
Dr. Coffey he could work while taking hydrocodone. He also stated that Mr. Morrow
knew about his chronic pain and use of pain medication.

        Mr. Morrow denied that he knew Mr. Blevins was taking pain medication. He
stated that he knew Mr. Blevins was on "drugs" before, and when he hired him, he asked
Mr. Blevins whether he was on drugs or clean. He testified that Mr. Blevins told him he
was clean. He indicated that, had he known Mr. Blevins was using pain medication, he
would not have allowed Mr. Blevins on the jobsite. Mr. Morrow testified that he has
thrown employees off the job site in the past for intoxication or drug use. He admitted
that he did not observe Mr. Blevins working intoxicated or under the influence of drugs.

        On the injury date, Mr. Blevins took his first dose of hydrocodone as usual and left
for a roofing job. While working on the roof, Mr. Blevins grabbed two heavy bundles of
shingles and turned to go up a steep roof when he felt pain in his left ankle. Afterward,
Mr. Morrow drove Mr. Blevins to Big South Fork Medical Center (BSFMC), where x-
rays showed a left-ankle fracture. Due to BSFMC's limited services, Mr. Blevins was
sent to Methodist Medical Center (MMC) for an orthopedic consultation. At MMC, the
attending physician diagnosed not one, but two, fractures in his left ankle and lower leg
and referred him to an orthopedic surgeon.

       A few days later, Mr. Blevins saw Dr. Jean Francois Reat, who performed surgery.
Following surgery, Dr. Reat continued to treat Mr. Blevins' ankle and kept him off work
until February 19, 2018, a period of nine weeks and four days.

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        After Mr. Blevins returned to work, he developed pain, stiffness, and swelling in
his left ankle. He returned to Dr. Reat, who referred him to Dr. Tracy Pesut. Dr. Pesut
took him off work on April 5 and recommended another surgery. After the second
surgery, Dr. Pesut kept him off work until August 9, an additional eighteen weeks.

      Over the course of his treatment, Mr. Blevins incurred expenses at Tennessee
Orthopedic Clinic of $17,593.00; at Methodist Medical Center of $15,009.10; and at
Parkwest Medical Center of $13,650.92. 1 His medical charges totaled $46,253 .02.

      At the Expedited Hearing, Mr. Blevins asked the Court to order payment of his
medical expenses and to order Mr. Morrow to provide ongoing medical treatment with
Dr. Pesut as the authorized treating physician. He further asked the Court to award
temporary total disability benefits for twenty-seven weeks and four days. He argued,
based on thirty hours per week, his average weekly wage was $286.15 and his
compensation rate was $190.80.

       Mr. Blevins also argued that Mr. Morrow failed to meet its burden of showing that
his injury was proximately caused by intoxication or drug use. None of the medical
records demonstrated he was intoxicated or under the influence of drugs at the time of the
injury. He contended that no evidence suggests the hydrocodone had any effect on his
injury. Additionally, he argued Mr. Morrow admitted that he did not observe Mr. Blevins
intoxicated or under the influence of drugs and testified that he would not have allowed
him to remain on the job ifhe had.

       Mr. Morrow argued that the medical records demonstrated a history of abnormal
urine drug screens and abnormal pill counts. On the date of injury, Mr. Blevins admitted
that he took hydrocodone before work, and the injury happened shortly after he started
working on the job site. Mr. Morrow asked the Court to deny Mr. Blevins' request for
benefits because his injury was proximately caused by his intoxication or drug use. In the
event the Court awards benefits to Mr. Blevins, Mr. Morrow argued that Mr. Blevins
would be entitled to the minimum weekly compensation rate of $135.20.

                         Findings of Fact and Conclusions of Law

      To prove a compensable injury, Mr. Blevins must show his left ankle injury arose
primarily out of and in the course and scope of his employment. However, he need not
prove every element of his defense by a preponderance of the evidence to succeed at an
Expedited Hearing. McCord v. Advantage Human Resourcing, 2015 TN Wrk. Comp.
App. Bd. LEXIS 6, at *7-8, 9 (Mar. 27, 2015). Instead, he must present sufficient

1
 Mr. Blevins did not submit bills regarding his treatment at BSFMC or include the amount charged by
BSFMC in his medical bill summary.

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evidence from which this Court might determine he is likely to prevail at a hearing on the
merits. Id.

        Mr. Morrow contended that Tennessee Code Annotated section 50-6-110(a)(3)
bars Mr. Blevins' claim because he was intoxicated or under the influence of drugs at the
time of the injury. This section precludes compensation in circumstances where the
injury was "due to" the employee's intoxication or illegal drug usage. "Due to" means
the proximate cause of the injury and not merely a remote or contributing cause. See
Mitchell v. Fayetteville Pub. Utils., 368 S.W.3d 442, 449 (Tenn. 2012). 2 Under section
50-6-11 O(b ), the burden of proof shifts to Mr. Morrow to establish this defense. Bowlin
v. Serva!!, LLC, 2018 TN Wrk. Comp. App. Bd. LEXIS 6, at* 12 (Feb. 8, 2018).

        Here, Mr. Blevins acknowledged that he suffered from chronic pain and took
hydrocodone during the period before the injury. He further acknowledged, and the
medical records showed, that he had abnormal pill counts and urine drug screens during
the same period. However, there is no medical evidence that Mr. Blevins was intoxicated
at the time of the injury or that one dose of hydrocodone on the morning of the injury
proximately caused his left ankle injury. A history of abnormal drug screens alone does
not satisfy Mr. Morrow's burden of proving that Mr. Blevins' drug use proximately
caused the injury.

       Additionally, while Mr. Morrow denied knowledge of Mr. Blevins' use of
hydrocodone while working, he admitted he did not observe Mr. Blevins working under
the influence of drugs and, if observed, he stated that he would not have allowed Mr.
Blevins to continue working. Further, Mr. Blevins' unrebutted testimony provided that
the hydrocodone had no effect on his ability to walk, balance, or pick up items.

       Just as the Workers' Compensation Appeals Board concluded in Bowlin, the Court
similarly finds that Mr. Morrow presented no evidence that Mr. Blevins was intoxicated
at the time of his injury or that his drug use was the proximate cause of the accident.
Therefore, the Court holds Mr. Morrow failed to demonstrate that Mr. Blevins'
intoxication or drug use proximately caused his injury. As a result, and in light of the
parties' stipulation, the Court concludes that Mr. Blevins is likely to prevail at a hearing
on the merits that his injury arose primarily out of and in the course and scope of his
employment.

       The Court must next determine whether Mr. Blevins is entitled to medical and

2
  At the time the Tennessee Supreme Court decided Mitchell, Tennessee Code Annotated section 50-6-
116 (2012) declared the Workers' Compensation Act to be "a remedial statute, which shall be given an
equitable construction by the courts[.]" However, the Appeals Board later explained, "This previous
statutory preference for an equitable construction and a remedial application played no role in the
outcome of Mitchell; accordingly, we are bound by its principles." Scarbrough v. Right Way Recycling,
LLC, 2015 TN Wrk. Comp. App. Bd. LEXIS 9, at *13 (Apr. 20, 2015).

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temporary disability benefits.

       Regarding past medical expenses, the evidence demonstrated Mr. Blevins
fractured two bones in his ankle, underwent two surgeries, and incurred medical expenses
totaling $46,253.02. In his Revised Notice of Filing Medical Records, Mr. Blevins gave
notice that "counsel for both parties have conferred in this matter and agreed to stipulate
to the admissibility of all the attached and above-referenced records." The filing
contained both Mr. Blevins' medical records as well as itemized billing records prepared
by his treating physicians. Based on the parties' stipulations to the admissibility of the
records, the Court concludes Mr. Blevins sufficiently demonstrated that he is likely to
prevail at a hearing on the merits that he is entitled to past medical expenses. See Miller
v. Logan's Roadhouse, Inc., 2018 TN Wrk. Comp. App. Bd. LEXIS 59, at *13 (Nov. 15,
2018) (When an employer denies a claim, it does so at the risk that it may be required to
pay for medical care with the physician of the employee's choosing).

       Concerning ongoing medical treatment, the Workers' Compensation Law provides
that an employer shall provide an injured employee with reasonable and necessary
medical treatment causally related to the work injury. See Tenn. Code Ann. § 50-6-204.
Accordingly, the Court holds that Mr. Morrow shall provide Mr. Blevins with reasonable
and necessary medical treatment related to his work injury and Dr. Pesut shall be the
authorized treatment physician. See Young v. Young Elec. Co., 2016 TN Wrk. Comp.
App. Bd. LEXIS 24, at *18 (May 25, 2016).

       Finally, as to temporary disability benefits, the Workers' Compensation Law
provides that an employer shall pay temporary total disability benefits to an injured
employee when the employee proves: (1) he became disabled from working due to a
compensable injury; (2) a causal connection exists between the injury and his inability to
work; and (3) he established the duration of his disability. Jones v. Crencor Leasing and
Sales, 2015 TN Wrk. Comp. App. Bd. LEXIS 48, at *7 (Dec. 11, 2015).

        Here, the Court concluded that Mr. Blevins is likely to prove that his injury arose
primarily out of and in the course and scope of his employment. Through his testimony,
he established that he missed twenty-seven weeks and four days of work following the
surgeries to repair his ankle. Accordingly, the Court holds that Mr. Blevins presented
sufficient evidence demonstrating he is likely to prevail at a hearing on the merits that he
is entitled to temporary total disability (TTD) benefits.

       To determine the amount owed, the Court must determine Mr. Blevins' average
weekly wage. Mr. Blevins testified that, before the injury, he earned $10 per hour,
occasionally earned $8 per hour in filler jobs, and worked an average of thirty hours per
week. Mr. Morrow testified he paid Mr. Blevins $8 per hour, occasionally $10 per hour,
and noted in his calendar that Mr. Blevins worked 192 hours during ten of the thirteen
weeks between his hire date and injury. Neither Mr. Blevins nor Mr. Morrow knew or

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recorded the hourly rate paid to Mr. Blevins on any given day or week. However, the
Court finds the text message exchange supports Mr. Blevins' testimony that he generally
earned $10 unless he worked a filler job at the lower rate.

       With regard to the number of weeks that Mr. Blevins earned $10 versus $8, Mr.
Blevins estimated that he worked three weeks of filler jobs at $8 per hour and the
remaining ten weeks at $10 per hour. However, Mr. Morrow testified that Mr. Blevins
worked ninety percent of the time at $8 per hour. Additionally, Mr. Morrow's calendar
noted that Mr. Blevins only worked in ten of the thirteen weeks between his hire date and
injury date. Due to poor record-keeping by both parties, and weighing the competing
testimony and the hours noted in Mr. Morrow's calendar, the Court finds Mr. Blevins
worked 192 hours over ten of the thirteen weeks between his hire date and his injury.
The Court further finds that Mr. Blevins earned $10 per hour for seven weeks and $8 per
hour for three weeks.

        The Court's calculations are as follows: 192 hours divided by ten weeks equates to
an average of 19 .2 hours per week. 19 .2 Hours multiplied by seven weeks at $10 per
hour equals $1,344. 19.2 Hours multiplied by three weeks at $8 per hour equals $460.80.
Adding these together, the Court finds Mr. Blevins earned $1,804.80 over ten weeks,
which equates to an average weekly wage of $180.48. Because two-thirds of his average
weekly wage would fall below the minimum weekly compensation rate, the Court holds
that the evidence demonstrated that Mr. Blevins is entitled to the minimum weekly rate of
$135.20. Accordingly, the Court orders Mr. Morrow to pay Mr. Blevins twenty-seven
weeks and four days ofTTD benefits at $135.20 per week for a total of $3,727.64.

IT IS, THEREFORE, ORDERED as follows:

   1. Mr. Morrow shall pay Mr. Blevins' past medical expenses totaling $46,253.02 and
      shall provide ongoing medical treatment for his work injuries with Dr. Pesut as the
      authorized treating physician.

   2. Mr. Morrow shall pay Mr. Blevins temporary total disability benefits for twenty-
      seven weeks and four days at the minimum weekly workers' compensation rate of
      $135.20 for a total of $3,727.64.

   3. This matter is set for a Status Conference on July 11, 2019, at 10:00 a.m. Eastern
      Time. The parties must call 865-594-0091 or 855-543-5041 toll-free to participate
      in the Scheduling Hearing. Failure to appear by telephone may result in a
      determination of the issues without the party's participation.

   4. 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).

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      The Insurer or Self-Insured Employer must submit confirmation of compliance
      with this Order to the Bureau by email to WCCompliance.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.

   5. For questions regarding compliance, please contact the Workers' Compensation
      Compliance Unit by email at WCCompliance.Program@tn.gov.

      ENTERED March 6, 2019.




                                 Court of Workers' Compensation Claims


                                     APPENDIX

Technical Record:
 1. Petition for Benefit Determination
 2. Dispute Certification Notice
 3. Motions - Blevins' Motion to Compel Discovery
 4. Court Order - Agreed Order for Extension of Time to Respond to Discovery
 5. Court Order - Show Cause Order
 6. Docketing Notice - Show Cause Hearing
 7. Court Order - Amended Show Cause Order
 8. Request for Expedited Hearing
 9. Docketing Notice - Expedited Hearing
 10. Court Order - Order Following Show Cause Hearing
 11. Affidavit - Keith Blevins
 12. Court Order - Agreed Order for Continuance of Expedited Hearing
 13. Docketing Notice - Expedited Hearing
 14. Employee Notice of Filing - Medical Records
 15. Employer Notice of Filing - Medical Records
 16. Employee Notice of Filing - Medical Records

       As announced at the hearing, the Court did not consider, and did not include,
attachments to these pleadings unless admitted into evidence during the Expedited
Hearing and listed below.



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Exhibits:
 1. Keith Blevins' Affidavit
 2. Expedited Request for Investigation Report
 3. Employer's Medical Records of:
       • Coffey Family Medical Clinic
       • Big South Fork Medical Center
 4. Employee's Medical Records & Expenses of Tennessee Orthopedic Clinic
 5. Employee 's Medical Records & Expenses of Methodist Medical Center
 6. Employee' s Medical Records & Expenses of Big South Fork Medical Center
 7. Employee's Medical Records & Expenses of Parkwest Medical Center
 8. Photographs
 9. Employee Medical Bill Summary
 10. Hourly logs
 11. Text Messages


                            CERTIFICATE OF SERVICE

        I 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 March 6, 2019.

         Name             Certified   Fax       Email   Service sent to:
                           Mail
Chris W. Beavers,                                x      chrisbeavers@banksandjones.com
Employee' s Attorney

Michael T. Grubbs,                               x      mcraig-grubbs@fksclaw.com
Employer's Attorney




                                                  UM, Court Clerk
                                        WC.CourtClerk@tn.gov




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