                                                                                   FILED
                                                                                  Jul 17, 2019
                                                                                 02:15 PM(CT)
                                                                                  TENNESSEE
                                                                             WORKERS' COMPENSATION
                                                                                APPEALS BOARD

            TENNESSEE BUREAU OF WORKERS’ COMPENSATION
               WORKERS’ COMPENSATION APPEALS BOARD

Jason Dziadosz                               ) Docket No. 2018-06-1641
                                             )
v.                                           ) State File No. 69336-2018
                                             )
Whitestone Investments, Inc., et al.         )
                                             )
                                             )
Appeal from the Court of Workers’            )
Compensation Claims                          )
Joshua D. Baker, Judge                       )

                                Affirmed and Remanded

In this interlocutory appeal, the employee alleges suffering a repetitive injury to his left
hand working in his employer’s warehouse. The employer provided workers’
compensation benefits, including a panel of physicians and authorized medical treatment.
The authorized physician placed the employee at maximum medical improvement and
opined he did not retain any permanent impairment from his work injury. The employer
denied further benefits, and the authorized physician declined to see the employee again,
prompting him to seek treatment on his own. Following an expedited hearing, the trial
court ordered the employer to provide reasonable and necessary medical care with the
employee’s physician but denied his request for temporary disability benefits. The
employer has appealed. We affirm the trial court’s decision and remand the case.

Presiding Judge Marshall L. Davidson, III, delivered the opinion of the Appeals Board in
which Judge David F. Hensley and Judge Timothy W. Conner joined.

Tyler D. Smith, Knoxville, Tennessee, for the employer-appellant, Whitestone
Investments, Inc.

Jason Dziadosz, Nashville, Tennessee, employee-appellee, pro se




                                             1
                                     Memorandum Opinion 1

        Jason Dziadosz (“Employee”) worked for Whitestone Investments, Inc.
(“Employer”), in its warehouse. On September 1, 2018, Employee went to Vanderbilt
Health explaining that he needed a note clearing him to return to work from the flu, as he
had missed three consecutive days of work. He also complained of left hand pain
localized in his index finger. X-rays were negative for an acute injury, and the attending
medical provider prescribed anti-inflammatory medication, released him with no
restrictions, and referred him to Dr. Todd Wurth, a hand specialist.

       Dissatisfied with the treatment from Vanderbilt Health, Employee went the same
day to Physicians Urgent Care. The record from that visit reflects that Employee “was
advised that this is an overuse syndrome and will most likely continue if he stays at this
job” and that he was prescribed medication. He returned three weeks later with ongoing
complaints, although he reported that he was “75% improved.” The attending medical
provider stated that Employee’s work “at the distribution center accounted for 50% or
more of the cause for his tendonitis.” He was referred to physical therapy but was
assigned no work restrictions.

        Employee returned to work on September 4 and informed his supervisor of his left
hand complaints. 2 Employer provided a panel of physicians from which Employee
selected Dr. Dave Alexander. Dr. Alexander saw Employee on two occasions, October
24 and 31, and diagnosed him with extensor tenosynovitis and took him off work for a
total of two weeks. He was returned to work with restrictions on November 7, 2018, at
which time Dr. Alexander placed him at maximum medical improvement and assigned
no impairment. He also indicated he did not anticipate Employee would need additional
treatment for the work injury. Employee requested a return visit with Dr. Alexander, but
Dr. Alexander declined to see him.

       Employee saw Dr. Wurth on his own on January 29, 2019, with continued
complaints with his hand. Dr. Wurth provided a steroid injection and discussed possible
surgery. He assigned no work restrictions.

       Employee was terminated on September 5, 2018 for attendance issues. Employer
asserted that it had provided all medical treatment recommended by the authorized

1
 “The Appeals Board may, in an effort to secure a just and speedy determination of matters on appeal and
with the concurrence of all judges, decide an appeal by an abbreviated order or by memorandum opinion,
whichever the Appeals Board deems appropriate, in cases that are not legally and/or factually novel or
complex.” Appeals Bd. Prac. & Proc. § 1.3.
2
  The parties dispute whether Employee explained that he believed his hand complaints were causally
related to his work. However, there is no dispute that Employer became aware Employee was alleging a
work-related injury within the timeframe mandated by statute. See Tenn. Code Ann. § 50-6-201 (2018).
                                                   2
physician and that it had paid all temporary disability benefits owed. Specifically,
Employer paid temporary total disability benefits for the two weeks Employee was taken
off work and maintained it terminated him for cause, excusing it from paying temporary
partial disability benefits. Employee argued that he was entitled to additional medical
care because his symptoms persisted and that his termination was not for cause, entitling
him to temporary partial disability benefits.

        Following an expedited hearing, the trial court found that, regardless of whether
Employee sustained any permanent impairment, he was entitled to medical care for his
injury. Because the authorized physician refused to see Employee, the court found
Employee acted reasonably in obtaining medical care on his own and deemed Dr. Wurth
the authorized physician. However, concluding that no physician had assigned work
restrictions or taken Employee off work outside of the two weeks for which Employee
had already received temporary disability benefits, the trial court denied Employee’s
request for additional temporary disability benefits.

       Employer asserts on appeal that the trial court erred in finding Employee will
likely prevail at trial with respect to causation, in naming Dr. Wurth the authorized
physician, and in requiring it to provide ongoing medical care. For his part, Employee
argues the trial court erred in not ordering additional temporary disability benefits and in
not ordering reimbursement of some medical expenses.

       With respect to causation, Employee described suffering a cumulative trauma
injury resulting from his work activities. His attending medical provider at Physicians
Urgent Care opined he had an injury resulting from repetitive use of his hand. In
addition, Employee complained of ongoing symptoms related to his index finger
diagnosed by the authorized physician. While it is true that Dr. Alexander did not believe
Employee retained any permanent impairment, the fact that he suffered no permanent
impairment is insufficient to terminate his right to medical treatment for a work-related
injury. See Wilkes v. Res. Auth. of Sumner Cnty., 932 S.W.2d 458, 461 (Tenn. 1996)
(“[A]n employee’s injury need not affect the employee’s employability or otherwise
result in vocational impairment. Rather, the medical treatment sought must be
‘reasonably necessary.’”).

       Furthermore, the trial court did not err in designating Dr. Wurth as Employee’s
authorized physician. In circumstances where an employer refuses to provide medical
treatment and/or denies an employee’s claim, such employer runs the risk that a physician
of the employee’s choosing will be designated the authorized physician and that the
employer will be responsible for paying for treatment provided by that physician. See
GAF Bldg. Materials v. George, 47 S.W.3d 430, 433 (Tenn. Workers’ Comp. Panel
2001). Even though Employer initially provided authorized medical care, it later
declined to provide additional medical care, and the authorized physician declined to see
Employee despite ongoing problems with his hand. We agree with the trial court that

                                             3
Employee acted reasonably in seeking medical care on his own and, having established a
doctor-patient relationship, should not now be required to begin treating with another
physician.

       With respect to Employee’s assertion that he is entitled to additional temporary
disability benefits, we conclude the trial court did not err in declining to award those
benefits, although for reasons other than those upon which the trial court relied. The trial
court based its decision on its conclusion that “no doctor has taken [Employee] off work
or imposed any workplace restrictions other than for the two-week period for which he
received temporary-total disability benefits.” However, at Employee’s last visit with Dr.
Alexander on October 31, 2018, Dr. Alexander took him off work until November 7 and
then allowed him to return to light duty on November 7 with restrictions of no heavy
gripping or twisting and no lifting over ten pounds. Dr. Alexander did not provide a date
on which those restrictions would expire. Thus, the court erred in finding Employee had
not been given work restrictions outside the two-week period for which he received
temporary disability benefits. The error is harmless, however, as Dr. Alexander placed
Employee at maximum medical improvement on November 7, 2019. An employee’s
entitlement to temporary disability benefits terminates when the employee returns to
work or reaches maximum medical improvement. See Simpson v. Satterfield, 564
S.W.2d 953, 955 (Tenn. 1978). Therefore, Employee’s entitlement to temporary
disability benefits ended on the date he was placed at maximum medical improvement.

       Finally, Employee asserts that he should be reimbursed for medical bills he paid
for treatment at Physicians Urgent Care on September 22, 2018. This issue was not
raised in or addressed by the trial court and is thus waived. See Simpson v. Frontier
Comty. Credit Union, 810 S.W.2d 147, 153 (Tenn. 1991).

       For the foregoing reasons, we affirm the decision of the trial court and remand the
case. Each party is responsible for its own costs on appeal.




                                             4
                       TENNESSEE BUREAU OF WORKERS’ COMPENSATION
                         WORKERS’ COMPENSATION APPEALS BOARD

Jason Dziadosz                                          )     Docket No. 2018-06-1641
                                                        )
v.                                                      )     State File No. 69336-2018
                                                        )
Whitestone Investments, Inc., et al.                    )
                                                        )
                                                        )
Appeal from the Court of Workers’                       )
Compensation Claims                                     )
Joshua D. Baker, Judge                                  )

                                     CERTIFICATE OF SERVICE

I hereby certify that a true and correct copy of the Appeals Board’s decision in the
referenced case was sent to the following recipients by the following methods of service
on this the 17th day of July, 2019.

 Name                              Certified   First   Via   Fax      Via     Sent to:
                                   Mail        Class   Fax   Number   Email
                                               Mail
 Jason Dziadosz                                                         X     jasondziadosz@gmail.com
 Tyler D. Smith                                                         X     tsmith@lewisthomason.com
 Joshua D. Baker, Judge                                                 X     Via Electronic Mail
 Kenneth M. Switzer, Chief Judge                                        X     Via Electronic Mail
 Penny Shrum, Clerk, Court of                                           X     penny.patterson-shrum@tn.gov
 Workers’ Compensation Claims




Jeanette Baird
Deputy Clerk, Workers’ Compensation Appeals Board
220 French Landing Dr., Ste. 1-B
Nashville, TN 37243
Telephone: 615-253-0064
Electronic Mail: WCAppeals.Clerk@tn.gov
