McGee, Tyrone vl Embassy Suites Nashville , 2017 TN WC 129 ( 2017 )

TENNESSEE BUREAU OF WORKERS' COMPENSATION
IN THE COURT OF WORKERS' COMPENSATION CLAIMS
AT NASHVILLE
Tyrone McGee, ) Docket No. 2016-06-2313
Employee, )
v. )
Embassy Suites Nashville, ) State File No. 13292-2016
Employer, )
And )
Zurich American Insurance Company, ) Judge Kenneth M. Switzer
Carrier. )
EXPEDITED HEARING ORDER DENYING REQUESTED RELIEF
This case came before the undersigned Workers' Compensation Judge on June 29,
20 17, on Mr. McGee's Request for Expedited Hearing. The present focus of this case is
the compensability of Mr. McGee's claim. Because the medical proof does not causally
connect Mr. McGee's need for treatment with his work for Embassy Suites, the Court
holds he did not satisfy his burden of establishing that his injury arose primarily out of
and in the course and scope of employment. Therefore, his requested relief is denied at
this time.
History of Claim
Mr. McGee worked at Embassy Suites. He testified that on February 17, 2016,
after Embassy Suites hosted an event, it offered the leftover food for employees'
consumption in the break room. Mr. McGee ate chicken enchiladas. Within an hour or
two, he began to experience nausea, "bubbling" in his stomach, sweating, vomiting and
diarrhea.
His rapidly deteriorating condition necessitated medical intervention. Mr. McGee
went to Summit Medical Center immediately following the conclusion of his shift. His
pleadings and argument suggested that providers told him he suffered from "food
poisoning," although the records contain final diagnoses of "epigastric pain, nausea with
vomiting," and hypokalemia. (Ex. 3 at 7.) Mr. McGee was hospitalized for four days.
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The February 20 discharge notes state, "We suspect peptic ulcer disease with severe
gastritis .... esophagogastroduodenoscopy did not reveal acute pathology." !d. at 8. He
was released without work restrictions. Mr. McGee received follow-up care at Concentra
on March 8, where providers diagnosed "noninfective gastroenteritis and colitis,
unspecified." !d. at 1. They pronounced him at maximum medical improvement and
released him to work without restrictions.
Mr. McGee testified that he suffered extreme pain from the incident. While his
wife's insurance covered some of the medical bills, he incurred expenses relative to the
treatment; however, documentation for these expenses was not filed along with his
Request for Expedited Hearing and therefore was not admissible for purposes of this
hearing. Mr. McGee further testified that, as result of the incident, he lost his
employment with both Embassy Suites and a second employer, Hamilton Inn. At the
time, he lived at Hamilton Inn and lost his housing as well. Mr. McGee's wife, Rebecca
Bell, corroborated his account of becoming ill on February 17, his treatment and the
resulting losses.
For its part, Embassy Suites submitted the affidavit of Paul Rapien, the chef who
prepared the enchiladas. Chef Rapien stated he surveyed other staff and guests who ate
the same batch of enchiladas and no one claimed any adverse side effects. Further, Mr.
Rapien noted he never received reports of anyone becoming ill from the enchiladas or
any other food he prepared that day.
Findings of Fact and Conclusions of Law
The following general principles guide the Court's decision-making at an
expedited hearing. As in all workers' compensation actions, Mr. McGee, as the
employee, has the burden of proof on the essential elements of the claim. Scott v.
Integrity Staffing Solutions, 2015 TN Wrk. Comp. App. Bd. LEXIS 24, at *6 (Aug. 18,
2015). However, since this is an expedited hearing, he only has to come forward with
sufficient evidence from which the Court can determine he is likely to prevail at a hearing
on the merits in order to meet his burden. McCord v. Advantage Human Resourcing,
2015 TN Wrk. Comp. App. Bd. LEXIS 6, at *7-8, 9 (Mar. 27, 2015).
In addition, this Court must consider the following specific legal principles
relative to the facts of this case. The Court must determine whether Mr. McGee suffered
an injury as that term is defined within the Workers' Compensation Law. Tennessee
Code Annotated section 50-6-102(14) (2016) provides that he must show he suffered an
"injury by accident . . . arising primarily out of and in the course and scope of
employment[.]" Mr. McGee must further show that "the employment contributed more
than fifty percent (50%) in causing the death, disablement or need for medical treatment,
considering all causes," and this must be shown "to a reasonable degree of medical
certainty."
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Applying these standards, the Court finds that Mr. McGee credibly testified that he
became violently ill within one to two hours of eating enchiladas that Embassy Suites
offered its employees. The Court holds he suffered an "'injury by accident within the
course of employment," as the statute requires. Simply put, he became ill during his time
at work.
However, Mr. McGee must also demonstrate that the injury (illness) arose
primarily out of his employment. As the Appeals Board explained, "'arising out of
employment" refers to causation. Hosford v. Red Rover Preschool, 2014 TN Wrk.
Comp. App. Bd. LEXIS 1, at *20 (Oct. 2, 2014). Accordingly, "an injury purely
coincidental, or contemporaneous, or collateral, with the employment ... will not cause
the injury ... to be considered as arising out of the employment." !d. at 21. Further, an
employee's lay testimony, without corroborative expert testimony, does not constitute
adequate evidence of medical causation. Scott, supra, at *12.
Here, while Mr. McGee indicated he suffered from "food poisoning," the Summit
discharge notes state Mr. McGee suffered "'epigastric pain, nausea with vomiting, and
hypokalemia," and possibly "'peptic ulcer disease with severe gastritis," while the
Concentra providers diagnosed "'noninfective gastroenteritis and colitis, unspecified."
Moreover, neither the records from Summit nor Concentra affirmatively linked his
consumption of the enchiladas with Mr. McGee's condition. They additionally do not
state that his employment contributed more than 50 percent in causing his need for
medical treatment. While a physician need not couch an opinion on causation using a
"'rigid recitation of the statutory definition," what is necessary is sufficient proof from
which the trial court can conclude that the statutory requirements of an injury as defined
in section 50-6-102(14) are satisfied. Panzarella v. Amazon.com, Inc., et al., 2017 TN
Wrk. Comp. App. Bd. LEXIS 30, at *14 (May 15, 2017). The Court carefully reviewed
the medical records in search of statements from the providers relating Mr. McGee's
ingestion of that particular meal and his condition, and considered as a whole, the records
do not support his claim. This ruling does not preclude him from seeking additional
medical evidence to prove his claim at a compensation hearing.
As a final note, Mr. McGee complained that Embassy Suites failed to provide a
panel. However, the Appeals Board held that mere notice of an alleged workplace
accident, in and of itself, does not trigger an employer's duty to provide medical benefits
in every case, without regard to the particular circumstances presented. McCord, at * 13.
Further, Mr. McGee asked this Court to order reimbursement for storage expenses
incurred when he lost his housing, an award for pain and suffering and reinstatement of
his former employment. The Court finds credible Mr. McGee's assertions that he indeed
suffered these losses. However, this Court is limited to awarding medical, temporary,
and permanent disability benefits; the workers' compensation statute does not authorize
this Col;lrt with authority to grant his requested relief. See Tennessee Code Annotated
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50-6-238(a)(3).
In sum, as a matter of law, at this time Mr. McGee has not come forward with
sufficient evidence from which this Court concludes that he is likely to prevail at a
hearing on the merits regarding the compensability of his claim.
IT IS, THEREFORE, ORDERED as follows:
1. Mr. McGee's claim against Embassy Suites and its workers' compensation carrier
for the requested medical and temporary disability benefits is denied at this time.
2. This matter is set for a Scheduling Hearing on August 28, 2017, at 8:30 a.m.
Central. You must call 615-532-9552 or toll-free at 866-943-0025 to participate.
Failure to call may result in a determination of the issues without your
participation.
ENTERED this the 3rd day of July, 2017.
APPENDIX
Evidence:
1) Mr. McGee's Affidavit
2) Mr. Rapien's Affidavit
3) Composite Medical Records
4) Photos from upper G .I. testing; identification only
5) Nurses' notes from Summit; identification only
6) Memos regarding job, housing losses; identification only
Technical Record:
1) Petition for Benefit Determination,
2) Employer's pre-mediation position statement
3) Dispute Certification Notice
4) Request for Expedited Hearing
5) Statement of Employer
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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 this the 3rd day of July,
2017.
Name Certified Fax Regular Email Sent to
Mail mail
Tyrone McGee, X Tvronemcgee6(a2gmail.com
self-represented
Employee
David X David. weatherman(a2zurichna.com
Weatherman,
Employer's
attorney '-,
.JdrJit!~lru~
e enn y Shruin
I '
Clerk of Court
Court of Workers' Compensation Claims
WC.CourtClerk@tn.gov
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