Braden, Tawan v. Mohawk Industries, Inc. , 2022 TN WC App. 10 ( 2022 )


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  •                                                                                     FILED
    Mar 01, 2022
    02:18 PM(CT)
    TENNESSEE
    WORKERS' COMPENSATION
    APPEALS BOARD
    TENNESSEE BUREAU OF WORKERS’ COMPENSATION
    WORKERS’ COMPENSATION APPEALS BOARD
    Tawan Braden                                  )   Docket No.      2019-08-0544
    )
    v.                                            )   State File No. 89807-2016
    )
    Mohawk Industries, Inc., et al.               )
    )
    )
    Appeal from the Court of Workers’             )   Heard February 7, 2022
    Compensation Claims                           )   via Microsoft Teams
    Deana C. Seymour, Judge                       )
    Affirmed and Certified as Final
    The employee, a truck driver, reported suffering a right ankle injury when he tripped and
    fell while unloading a roll of carpet. After returning to work, the employee reported
    another incident resulting in a “pop” in his ankle and a significant increase in his symptoms
    while walking. Following a compensation hearing, the trial court determined the second
    reported incident was a direct and natural consequence of the compensable work injury,
    and it found the employee to be permanently and totally disabled. It also denied the
    employee’s claim for additional temporary disability benefits and denied the employer’s
    claim based on an alleged overpayment of such benefits. The employer has appealed,
    arguing the second incident was an independent, intervening event not causally related to
    the employee’s compensable work accident. Upon careful consideration of the record, we
    affirm the trial court’s order and certify it as final.
    Presiding Judge Timothy W. Conner delivered the opinion of the Appeals Board in which
    Judge David F. Hensley and Judge Pele I. Godkin joined.
    Carolina Martin and Karl Braun, Nashville, Tennessee, for the employer-appellant,
    Mohawk Industries, Inc.
    Monica Rejaei, Memphis, Tennessee, for the employee-appellee, Tawan Braden
    Factual and Procedural Background
    Tawan Braden (“Employee”), a Mississippi resident, worked for Mohawk
    Industries, Inc. (“Employer”), located in Memphis, as a truck driver. On November 15,
    2016, Employee reported a work-related injury to his right ankle when he tripped and fell
    1
    while unloading a strapped roll of carpet. Employer accepted the accident as compensable
    and initiated benefits. Employee was seen in an emergency room and referred to an
    orthopedic surgeon, Dr. David Richardson, who performed an open reduction and internal
    fixation to repair a lateral malleolus fracture in the right ankle. Thereafter, Employee was
    released to return to work in a sedentary capacity. Several months later, Employee
    underwent a procedure to remove a surgical screw and was again released to return to
    sedentary work. The following month, Employee was released to return to work without
    restrictions.
    In July 2017, Employee returned to his treating physician with complaints of
    increased pain and other symptoms. He reported having suffered an incident at work where
    he felt a “pop” in his ankle and increased pain while walking. Later that month, Employee
    underwent a third surgical procedure recommended by Dr. Richardson to remove
    additional hardware inserted during the initial surgery. In October 2017, he was again
    released to return to work without restrictions.
    Following Employee’s report of continuing symptoms, Dr. Richardson ordered an
    MRI that revealed a peroneal tendon tear in the right ankle adjacent to the site of the
    malleolus fracture. Dr. Richardson recommended additional surgery, which was
    performed in April 2018. Thereafter, Dr. Richardson ordered additional therapy and
    assigned work restrictions. A functional capacity evaluation indicated Employee could
    return to work in the “light” physical demand category. In November 2018, Dr. Richardson
    recommended the use of a cane and referred Employee for chronic pain management with
    Dr. Ryan McGaughey. In September 2019, Dr. Richardson opined that Employee cannot
    stand for more than fifteen minutes at a time and cannot walk more than fifty yards at a
    time. He recommended lifting restrictions of no more than fifteen pounds repetitively, with
    no repetitive stair climbing or squatting. In May 2020, Dr. Richardson prescribed
    Employee a brace and ordered orthotics.
    In preparation for trial, Employee was evaluated by David Strauser, Ph.D., a
    vocational expert. Dr. Strauser subsequently testified that Employee had sustained a
    “complete loss of earning capacity” as a result of his right lower extremity injuries. Dr.
    Strauser noted Employee reads at a kindergarten level, had limited transferable job skills,
    was undergoing continued pain management treatment, and required a cane for ambulation.
    He concluded Employee “would be unable to obtain or maintain work as is typically
    performed in the labor market.”
    At trial, Employer asserted that although Employee’s original injury was a
    compensable event, the subsequent incident he reported as occurring in July 2017 was not
    a direct and natural consequence of the original injury but was instead an independent,
    intervening event unrelated to the 2016 work injury and not arising primarily out of the
    employment. Employee took the position that there was no subsequent injury-producing
    accident; instead, Employee asserted the increased symptoms he reported in July 2017 and
    2
    the tendon tear diagnosed several months later were a natural progression of his
    compensable right ankle condition.
    Following trial, the court determined Employee had proven by a preponderance of
    the evidence that his right ankle condition, including the peroneal tendon tear that occurred
    in July 2017, was causally related to the compensable work accident. The court considered
    precedent from the Tennessee Supreme Court, specifically Anderson v. Westfield Group,
    
    259 S.W.3d 690
     (Tenn. 2008), and concluded the peroneal tendon tear was a direct and
    natural consequence of the work injury and not caused by any negligent act of Employee.
    Finally, the court determined that Employee’s work-related injuries had rendered him
    permanently and totally disabled, but it denied the claims of both parties regarding an
    alleged underpayment or overpayment of temporary disability benefits. Employer has
    appealed.
    Standard of Review
    The standard we apply in reviewing the trial court’s decision presumes that the
    court’s factual findings are correct unless the preponderance of the evidence is otherwise.
    See 
    Tenn. Code Ann. § 50-6-239
    (c)(7) (2021). When the trial judge has had the
    opportunity to observe a witness’s demeanor and to hear in-court testimony, we give
    considerable deference to factual findings and credibility determinations made by the trial
    court. Madden v. Holland Grp. of Tenn., Inc., 
    277 S.W.3d 896
    , 898 (Tenn. 2009).
    However, “[n]o similar deference need be afforded the trial court’s findings based upon
    documentary evidence.” Goodman v. Schwarz Paper Co., No. W2016-02594-SC-R3-WC,
    
    2018 Tenn. LEXIS 8
    , at *6 (Tenn. Workers’ Comp. Panel Jan. 18, 2018). Similarly, the
    interpretation and application of statutes and regulations are questions of law that are
    reviewed de novo. See Mansell v. Bridgestone Firestone N. Am. Tire, LLC, 
    417 S.W.3d 393
    , 399 (Tenn. 2013). We are also mindful of our obligation to construe the workers’
    compensation statutes “fairly, impartially, and in accordance with basic principles of
    statutory construction” and in a way that does not favor either the employee or the
    employer. 
    Tenn. Code Ann. § 50-6-116
     (2021).
    Analysis
    On appeal, Employer presents a number of issues that we have combined and
    restated as follows: (1) whether the trial court erred in determining that the July 2017
    incident, the additional medical care, and Employee’s permanent disability were direct and
    natural consequences of the original work injury; (2) whether the trial court erred in
    admitting into evidence the testimony of Employee’s vocational expert because it was not
    based on sufficient facts/data, was not “in keeping with the medical records,” and was
    admitted despite the expert’s acknowledgement that he had destroyed his handwritten
    notes; (3) whether the trial court erred in declining to determine Employer had overpaid
    3
    temporary disability benefits; and (4) whether the trial court erred in determining Employee
    was “unable to return to any job in the open labor market.”
    Direct and Natural Consequence Rule
    The employee in a workers’ compensation claim has the burden of proving all
    essential elements of his or her claim for benefits. Scott v. Integrity Staffing Solutions, No.
    2015-01-0055, 2015 TN Wrk. Comp. App. Bd. LEXIS 24, at *6 (Tenn. Workers’ Comp.
    App. Bd. Aug. 18, 2015). The critical issue in this case hinges on the parameters of an
    employee’s burden of proof in circumstances where the employee alleges an injury that
    follows and allegedly flows from the primary compensable injury. The “direct and natural
    consequences rule” has evolved from such scenarios, and the Tennessee Supreme Court
    has evaluated the rule in a number of opinions. For example, in Rogers v. Shaw, 
    813 S.W.2d 397
     (Tenn. 1991), an employee was diagnosed with lung cancer caused in part by
    his occupational exposure to asbestos. 
    Id. at 398
    . In preparation for lung surgery, the
    employee was diagnosed with a coronary artery blockage that required treatment prior to
    the lung surgery. 
    Id.
     During coronary bypass surgery, the employee suffered a stroke and
    died. 
    Id.
     The employee’s widow sought workers’ compensation death benefits on the
    theory that that the employee’s stroke was caused by treatment necessitated by his work-
    related lung condition. 
    Id.
     In reversing the trial court’s denial of death benefits, the
    Tennessee Supreme Court explained the general rule that “every natural consequence that
    flows from the [work-related condition] arises out of the employment, unless it is the result
    of an independent intervening cause attributable to the employee’s intentional conduct.”
    
    Id. at 399
    . The Court then cited with approval Professor Larson’s explanation of the rule:
    The basic rule is that a subsequent injury, whether an aggravation of the
    original injury or a new and distinct injury, is compensable if it is the direct
    and natural result of a compensable primary injury. The simplest application
    of this principle is the rule that all the medical consequences and sequelae
    that flow from the primary injury are compensable.
    
    Id. at 399-400
    . However, if the employee’s own negligent conduct caused the subsequent
    injury or condition, the employer is not responsible. See, e.g., Bennett v. Magna Seating
    Sys., No. W2004-01177-WC-R3-CV, 
    2005 Tenn. LEXIS 380
     (Tenn. Workers’ Comp.
    Panel May 4, 2005) (“But if the subsequent injury is attributable to claimant’s own
    negligence or fault, the chain of causation is broken, even if the primary injury may have
    contributed in part to the occurrence of the subsequent injury.”).
    In Williams v. UPS, 
    328 S.W.3d 497
     (Tenn. Workers’ Comp. Panel 2010), the
    Supreme Court’s Special Workers’ Compensation Appeals Panel affirmed a trial court’s
    award of benefits for a subsequent injury. In that case, the employee had suffered a
    compensable left knee injury then subsequently developed a worsening of his pre-existing
    right knee condition that he attributed to “over-reliance on his right leg.” 
    Id. at 498
    . The
    4
    employee presented testimony of an orthopedic surgeon who concluded the employee’s
    “right knee deterioration was advanced and progressed by the . . . work injury to his left
    knee.” 
    Id. at 500
    . The treating physician had not commented on or treated the right knee
    condition and did not assign any permanent medical impairment to that condition. 
    Id.
    After reviewing the trial court’s weighing of the medical evidence, the Appeals Panel
    concluded, “the trial court could have reasonably ruled in favor of either party on this issue”
    and “we are unable to conclude the evidence preponderates against the trial court’s ruling.”
    
    Id. at 504-05
    .
    In United Parcel Service, Inc. v. Brown, No. M2014-01332-SC-R3-WC, 
    2015 Tenn. LEXIS 628
     (Tenn. Workers’ Comp. Panel Aug. 11, 2015), an employee suffered a
    compensable injury to her right knee. 
    Id. at *1
    . During her period of recovery, about one
    month after surgery, she bent over in her backyard to pick up an object and lost her balance.
    
    Id. at *3
    . She grabbed a fence to prevent her from falling, but she “felt an immediate twinge
    in the knee.” 
    Id.
     Her physician diagnosed a “possible failure” of the ACL repair and
    recommended additional surgery. 
    Id. at *4
    . At trial, the employer argued that the
    subsequent event in the employee’s backyard was an independent, intervening accident
    that broke the chain of causation. 
    Id. at *5
    . The trial court disagreed and concluded the
    second injury was a direct and natural consequence of the original injury. 
    Id.
     In rejecting
    the employer’s arguments on appeal, the Appeals Panel noted that the physician opined her
    post-surgery activities, including the incident in her backyard, were not “inappropriate”
    and were not “out of the ordinary.” 
    Id. at *10-11
    . The Panel affirmed the trial court’s
    finding that the subsequent injury was a direct and natural consequence of the primary
    compensable injury, and the employee’s actions did not constitute negligence and did not
    break the chain of causation. 
    Id. at *11
    .
    In discussing the scope of the direct and natural consequence rule, the Supreme
    Court in Anderson v. Westfield Group explained that the limit of the rule “hinges on
    whether the subsequent injury is the result of independent intervening causes, such as the
    employee’s own conduct.” Anderson, 
    259 S.W.3d at 697
    . The Court further explained:
    The rule’s limitation has been expressed in general terms as “[w]hen the
    primary injury is shown to have arisen out of and in the course of
    employment, every natural consequence that flows from the injury likewise
    arises out of the employment, unless it is the result of an independent
    intervening cause attributable to the claimant’s own intentional conduct.”
    “More specifically, the progressive worsening or complication of a work-
    connected injury remains compensable so long as the worsening is not shown
    to have been produced by an intervening nonindustrial cause.”
    
    Id.
     (quoting 1 Larson’s Workers’ Compensation Law §10 (2004)) (emphases added). The
    Court then rejected the employee’s argument that an employee’s conduct must rise to the
    level of reckless or intentional to be considered an independent, intervening cause. Id. at
    5
    698-99. Instead, the Court concluded, “negligence is the appropriate standard for
    determining whether an independent intervening cause relieves an employer of liability for
    a subsequent injury purportedly flowing from a prior work-related injury.” Id. at 699.
    Finally, in Kirby v. Memphis Jewish Nursing Home, No. W2010-02261-WC-R3-
    WC, 
    2011 Tenn. LEXIS 1135
     (Tenn. Workers’ Comp. Panel Dec. 1, 2011), an employee
    suffered a work-related shoulder injury that necessitated surgical repair of labral and biceps
    tendon tears. 
    Id. at *2
    . Several month later, as the employee was outside with his
    unleashed dog, he grabbed the dog by the collar, and it attempted to run away, jerking his
    arm. 
    Id. at *3
    . The employee returned to his physician with complaints of increased
    symptoms, and the physician determined the prior shoulder surgery had failed,
    necessitating an additional surgery. 
    Id.
     Thereafter, a functional capacity evaluation
    revealed Employee could not meet the lifting requirements of his previous job. 
    Id. at *4
    .
    At trial, the court concluded that Employee had not acted negligently while grabbing his
    dog by the collar and that the risk of the initial surgery failing was a “natural consequence”
    of the original work injury. 
    Id. at *7
    . In affirming that determination, the Supreme Court’s
    Special Workers’ Compensation Appeals Panel noted that failure of the original surgery
    was “simply one of the risks of the procedure.” 
    Id. at *10
    . It then concluded, “the evidence
    does not preponderate against the trial court’s conclusion that Employee did not act
    negligently and that the [subsequent injury] was a direct and natural consequence of the
    earlier work injury.” 
    Id.
    Impact of 2013 Workers’ Compensation Reform Act
    A corollary issue that arises in the context of this case is whether the general
    assembly’s passage of the 2013 Workers’ Compensation Reform Act abrogated the direct
    and natural consequences rule or limited its scope. In Hudgins v. Global Personnel
    Solutions, Inc., No. 2017-01-0690, 2020 TN Wrk. Comp. App. Bd. LEXIS 19 (Tenn.
    Workers’ Comp. App. Bd. Apr. 17, 2020), we addressed the applicability of the direct and
    natural consequence rule in the context of a post-2013 Workers’ Compensation Reform
    Act case. In that case, the employee alleged that her altered gait caused by a work-related
    knee injury resulted in hip and lumbar spine injuries. 
    Id. at *4
    . In affirming the trial court’s
    interlocutory order for medical benefits for the employee’s hip and lumbar spine
    conditions, we explained:
    “[w]hen the primary injury is shown to have arisen out of and in the course
    of employment, every natural consequence that flows from the injury
    likewise arises out of the employment.” Therefore, “all the medical
    consequences and sequelae that flow from the primary injury are
    compensable.”
    
    Id. at *5-6
     (quoting Rogers, 
    813 S.W.2d at 400
    ). We then concluded the employee was
    not required to prove her hip and lumbar spine conditions arose primarily from a specific
    6
    incident or set of incidents at work as long as the record established that those conditions
    were the direct and natural consequence of a compensable work injury. Id. at *6.
    In the present case, the compensability of the original work accident is not in
    dispute, but the medical evidence supports a finding that the peroneal tendon tear did not
    occur at the time of the original work accident. When asked during his deposition whether
    “the injury that he sustained at work in November of 2016 [was] the primary cause of this
    injury and his complications,” Dr. Richardson replied, in part, “it would be difficult from
    what I know to attribute his injury and his continued pain on his right ankle to anything but
    what happened at work.” When asked if the “issues that [Employee is] suffering from
    related to the right ankle are primarily related to the work injury,” he responded “[t]hat
    would be my opinion.”
    During cross-examination, Dr. Richardson acknowledged that he originally released
    Employee to return to work without restrictions in April 2017. He further admitted that
    Employee’s malleolus fracture and deltoid ligament injury had healed by April 2017. In
    fact, he was asked whether the April 2017 injury had “healed . . . with no impairment, no
    restriction,” and he replied that was “correct.”
    However, Dr. Richardson also explained that “the peroneal tendons go – they are
    intimately . . . right next to the lateral malleolus fracture so they go . . . beside it.
    And . . . they rub . . . . The way those tendons move up and down is back and forth on the
    lateral malleolus . . . which had a fracture.” He then explained that “peroneal tendonitis
    following a lateral malleolus fracture is fairly common.” He testified that Employee
    “certainly ha[d] an increased risk of having that peroneal tendonitis with his previous
    injury.” With respect to the subsequent peroneal tendon tear, Dr. Richardson explained, “I
    think he would have an increased risk of it happening, because he had previous surgery,
    because he had had hardware . . . that’s right by the tendon. He had scar tissue. It’s . . . if
    you’re going to do surgery – so that is also going to increase his risk of . . . getting a
    peroneal tendon tear.”
    With respect to the second incident in July 2017, Employee testified he “was
    walking to the bathroom, and [he] felt a sharp pain going through [his] leg and – and it kept
    on hurting and hurting.” The following colloquy then occurred:
    Q.     Did you, like, slip and fall?
    A.     No.
    Q.     All right. You go up a stair, down a stair?
    A.     No.
    Q.     Okay. Were you carrying anything and, like, twisted it?
    A.     No.
    Q.     Okay. So just walking.
    A.     Just walking.
    7
    In sum, an employee seeking to prove that a subsequent injury was a direct and
    natural consequence of the original compensable injury must come forward with evidence
    supporting a finding that the subsequent injury “flowed from” or was a “natural
    consequence” of the original injury. In such circumstances, one way an employer can
    respond is by showing that the actions of the employee leading to the subsequent injury
    constituted negligence, recklessness, or intentional conduct that broke the chain of
    causation. Further, we conclude that nothing in the 2013 Workers’ Compensation Reform
    Act expressly abrogated or limited the scope of the direct and natural consequences rule.
    If this common law rule is to be re-interpreted in light of the Reform Act to require a higher
    degree of proof from the employee to show a causal link between the original injury and
    the subsequent injury, it is for our Supreme Court, not us, to address.
    Here, although Dr. Richardson’s testimony was confusing and muddled at times, we
    conclude he offered sufficient evidence that the peroneal tendon tear flowed from and was
    a natural consequence of the original malleolus fracture and the surgery to repair that
    fracture. Dr. Richardson testified without contradiction that Employee’s original work
    injury increased his risk of and made him more susceptible to experiencing a peroneal
    tendon tear. He further explained that the rubbing of the peroneal tendon across the site of
    the malleolus fracture likely weakened that tendon. Moreover, the record is devoid of any
    evidence that Employee’s actions on the date of the second incident in July 2017 were
    negligent, reckless, or intentional. Thus, we conclude there is no evidence that Employee’s
    actions in July 2017 constituted an independent, intervening event sufficient to break the
    chain of causation. In consideration of the record as a whole, we cannot conclude the trial
    court erred in determining the peroneal tendon tear, additional medical treatment resulting
    from the tear, and resulting permanent vocational disability were direct and natural
    consequences of the original work injury.
    Temporary Disability Benefits
    Employer next asserts the trial court erred in failing to give it a credit for temporary
    total disability payments it made after Employee was originally placed at maximum
    medical improvement on April 19, 2017. Although the trial court identified the “date of
    maximum medical improvement” as an issue for trial, neither party presented any
    testimony regarding that issue during the course of the trial. Employee did, however,
    introduce into evidence the deposition of Dr. Richardson without objection. Dr.
    Richardson testified that he originally placed Employee at maximum medical improvement
    on April 19, 2017, but that Employee returned to him in July 2017 with complaints that led
    to the peroneal tendon tear diagnosis. This, in turn, led to additional surgery, and Dr.
    Richardson testified he placed Employee at maximum medical improvement again on
    November 8, 2018.
    Employer asserted during closing arguments that ten weeks of temporary disability
    benefits Employer paid between April 23, 2018 and July 4, 2018, which it calculated to
    8
    equal $7,359.96, should have been deemed an overpayment and backed out of his
    permanent disability award. However, the issue of the alleged overpayment of temporary
    disability benefits hinges on our resolution of the issue concerning the direct and natural
    consequence rule. If the July 2017 peroneal tendon tear was a direct and natural
    consequence of the original work injury, and Dr. Richardson did not place Employee at
    maximum medical improvement for the peroneal tendon tear until November 8, 2018, then
    the temporary disability payments made between April and July 2018 would not be
    considered an overpayment of temporary disability benefits because they would not have
    been paid after Employee reached maximum medical improvement. Thus, given our
    conclusion that the trial court did not err in its determination that the peroneal tendon tear
    was a direct and natural consequence of the original work injury, it was not error for the
    trial court to decline to find an overpayment of temporary disability benefits. 1
    Admissibility of Vocational Expert’s Testimony
    Next, Employer asserts that Dr. Strauser’s testimony should have been excluded
    because his opinions were not “based on sufficient data,” were not “in keeping with the
    medical records,” and he admitted to having destroyed his handwritten notes prior to his
    testimony. Employer bases its legal arguments on Rule 705 of the Tennessee Rules of
    Evidence and Rules 34A.02 and 37 of the Tennessee Rule of Civil Procedure.
    With respect to Employer’s argument that Dr. Strauser’s opinions were not “based
    on sufficient facts/data” and were “not in keeping with the medical records,” we recently
    addressed similar issues in Lawson v. Amazon.com Services, LLC, No. 2021-01-0213, 2021
    TN Wrk. Comp. App. Bd. LEXIS 47 (Tenn. Workers’ Comp. App. Bd. Dec. 27, 2021). In
    that case, the employer argued that medical records and an affidavit of the employee’s
    physician were “fundamentally untrustworthy” because the employee had failed to inform
    various medical providers of the extent and nature of his pre-existing condition. Id. at *5.
    In rejecting the employer’s argument that the trial court erred in not excluding the
    physician’s records and affidavit, we explained as follows:
    It is well settled that the admissibility of evidence is within the discretion of
    the trial judge. A trial court abuses its discretion when it causes an injustice
    to the party challenging the decision by (1) applying an incorrect legal
    standard, (2) reaching an illogical or unreasonable decision, or (3) basing its
    decision on a clearly erroneous assessment of the evidence.
    Id. at *5-6 (citations omitted). We then concluded that any discrepancies in the medical
    histories provided by the employee to his medical providers impacted the weight but not
    the admissibility of the expert’s testimony. Id. at *7. We reach similar conclusions here.
    It was within the trial court’s discretion to admit into evidence Dr. Strauser’s testimony. It
    1
    Employee did not raise as an issue on appeal whether he was owed additional temporary disability benefits.
    9
    was the trial court’s role to weigh that testimony against any countervailing evidence.
    Here, Employer chose to offer no testimony from a vocational expert but relied on its cross-
    examination of Employee’s vocational expert. We conclude Employer has not shown that
    the trial court abused its discretion in admitting Dr. Strauser’s testimony into evidence or
    erred in its assessment of the expert proof.
    Rule 705 of the Tennessee Rules of Evidence provides that an expert “may . . . be
    required to disclose the underlying facts or data on cross-examination.” 2 In circumstances
    where “a party or an agent of a party . . . discards, destroys, mutilates, alters, or conceals
    evidence,” the court can impose Rule 37 sanctions. Tenn. R. Civ. P. 34A.02. In Foley v.
    St. Thomas Hosp., 
    906 S.W.2d 448
    , 454 (Tenn. App. 1995), the Tennessee Court of
    Appeals addressed a motion for exclusion of an expert’s testimony based on the alleged
    spoliation of evidence. In that case, a medical examiner performing an autopsy followed
    what he described as standard medical practice to destroy bodily organs after they are
    removed and sampled during an autopsy. 
    Id. at 451
    . The defendant argued that the medical
    examiner had made it impossible to examine facts or data underlying his expert opinions
    due to the destruction of the bodily organs, and the trial court agreed. 
    Id. at 452
    .
    On appeal, the Court of Appeals reversed this determination, concluding there was
    no spoliation of evidence:
    This record is devoid of any facts or evidence that [the physician’s]
    incineration of the deceased’s organs was done negligently or intentionally
    to suppress the truth. There is no evidence that other experts in pathology
    would be prejudiced by not having the organs themselves . . . . Nowhere did
    defendants establish by competent medical proof that another pathologist
    could not reasonably review [the medical examiner’s] work . . . . Defendants
    have failed to establish any intent to spoliate or destroy evidence.
    
    Id. at 454
    . We reach similar conclusions here. At trial, Dr. Strauser acknowledged that he
    took handwritten notes during his interview of Employee and that he discarded those notes
    after preparing his written report. He explained that “the relevant portions of those notes
    are included in my report and in the documentation that I have.” Employer asked the court
    to reach an inference that the destroyed notes “could have been positive for the employer.”
    In response, Employee argued it was standard practice for a vocational expert to take notes
    during an interview but not retain those handwritten notes after the expert’s written report
    was prepared. The trial court declined to infer anything from the destroyed notes but
    allowed Employer to cross-examine Dr. Strauser regarding his evaluation of Employee and
    the contents of his written report.
    2
    In full, Rule 705 states: “The expert may testify in terms of opinion or inference and give reasons without
    prior disclosure of the underlying facts or data, unless the court requires otherwise. The expert may in any
    event be required to disclose the underlying facts or data on cross-examination.” Tenn. R. Evid. 705
    (emphasis added).
    10
    On appeal, Employer now asks that Dr. Strauser’s entire testimony “be stricken.”
    Yet, at trial, Employer asked the court to infer the presence of evidence favorable to
    Employer’s position in the destroyed handwritten notes. Employer has come forward with
    no evidence that Dr. Strauser intentionally destroyed his notes in contravention of standard
    practice for vocational experts. There is no evidence that Dr. Strauser destroyed his notes
    intentionally in an effort to hide evidence or that another vocational expert would have
    been precluded from or hindered in reviewing Dr. Strauser’s report and opinions due to the
    destroyed notes. In short, Employer has not established sufficient evidence of an
    intentional spoliation of evidence to support any relief on appeal.
    Permanent Total Disability
    When an employee’s disability arising primarily out of a work-related injury is
    adjudged to be permanent, the employee is entitled to permanent disability benefits based
    on the degree of vocational disability caused by the injury. Brown v. State, No. 01S01-
    9502-BC-00020, 
    1995 Tenn. LEXIS 712
    , at *4-5 (Tenn. Workers’ Comp. Panel Nov. 22,
    1995). Such benefits begin to accrue as of the date the employee reaches maximum
    medical improvement. Smith v. United States Pipe & Foundry Co., 
    14 S.W.3d 739
    , 740
    (Tenn. 2000). Moreover, an employee may be found permanently and totally disabled
    “[w]hen an injury not otherwise specifically provided for in this chapter totally
    incapacitates the employee from working at an occupation that brings the employee an
    income.” 
    Tenn. Code Ann. § 50-6-207
    (4)(B) (2021). In assessing an employee’s
    permanent vocational disability caused by a work injury, the court can consider a number
    of factors, including the employee’s medical impairment, job skills, education, age,
    training, “job opportunities in the immediate and surrounding communities, and the
    availability of work suited for an individual with that particular disability.” Hubble v. Dyer
    Nursing Home, 
    188 S.W.3d 525
    , 535-36 (Tenn. 2006). An employee’s own assessment of
    his or her overall physical condition, including the ability or inability to return to gainful
    employment, “is competent testimony that should be considered.” Cleek v. Wal-Mart
    Stores, Inc., 
    19 S.W.3d 770
    , 774 (Tenn. 2000). The extent of an employee’s vocational
    disability is a question of fact to be determined from both lay testimony and medical
    evidence. 
    Id. at 773
    .
    Here, Dr. Richardson testified Employee would be unable to stand for more than 15
    minutes at a time, would be unable to walk for more than fifty yards without stopping, and
    would be unable to lift fifteen pounds or more repetitively. Employee testified he continues
    to seek pain management treatment and regularly uses a cane for ambulation. Dr. Strauser
    testified that Employee reads at a kindergarten level. He concluded Employee would be
    “unable to maintain work as [it] is typically performed in the labor market.” He also opined
    Employee had a “100% vocational loss.” Employer offered no vocational expert testimony
    to rebut Dr. Strauser’s opinions. Based on the record as a whole, we cannot conclude the
    trial court erred in its assessment that Employee is permanently and totally disabled.
    11
    Conclusion
    For the foregoing reasons, we affirm the trial court’s order and certify it as final.
    Costs on appeal are taxed to Employer.
    12
    TENNESSEE BUREAU OF WORKERS’ COMPENSATION
    WORKERS’ COMPENSATION APPEALS BOARD
    Tawan Braden                                          )      Docket No. 2019-08-0544
    )
    v.                                                    )      State File No. 89807-2016
    )
    Mohawk Industries, Inc., et al.                       )
    )
    )
    Appeal from the Court of Workers’                     )      Heard February 7, 2022
    Compensation Claims                                   )      via Microsoft Teams
    Deana C. Seymour, 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 1st day
    of March, 2022.
    Name                              Certified   First Class   Via   Via     Sent to:
    Mail        Mail          Fax   Email
    Carolina Martin                                                     X     carolinamartin@hallboothsmith.com
    kbraun@hallboothsmith.com
    Monica Rejaei                                                       X     mrejaei@nstlaw.com
    jkarpovich@nstlaw.com
    Deana C. Seymour, 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
    Olivia Yearwood
    Clerk, Workers’ Compensation Appeals Board
    220 French Landing Dr., Ste. 1-B
    Nashville, TN 37243
    Telephone: 615-253-1606
    Electronic Mail: WCAppeals.Clerk@tn.gov