Continental Telecom Corp. and Travelers Indemnity Company v. Joan Streets-Nash ( 2017 )

COURT OF APPEALS OF VIRGINIA
Present: Judges Petty, AtLee and Senior Judge Clements
UNPUBLISHED
CONTINENTAL TELECOM CORP. AND
TRAVELERS INDEMNITY COMPANY
MEMORANDUM OPINION*
v. Record No. 0016-17-2 PER CURIAM
MAY 2, 2017
JOAN STREETS-NASH
FROM THE VIRGINIA WORKERS’ COMPENSATION COMMISSION
(Kari Lou Frank; Jonas Callis; PennStuart, on brief), for appellants.
Appellants submitting on brief.
No brief for appellee.
Continental Telecom Corp. and Travelers Indemnity Company (collectively “employer”)
appeal a decision of the Workers’ Compensation Commission finding 1) that Dr. Fiore’s
treatment of Joan Streets-Nash (claimant) was reasonable, necessary, and causally related to a
1977 work injury; 2) that treatment provided by Dr. Steven Fiore was authorized within the
proper chain of referral; and 3) the Commission made findings that were not supported by the
evidence. For the reasons that follow, we affirm the findings of the Commission.
BACKGROUND
“On appeal, we view the evidence in the light most favorable to the prevailing party
before the commission.” Portsmouth Sch. Bd. v. Harris, 58 Va. App. 556, 559, 712 S.E.2d 23,
24 (2011) (quoting Central Va. Obstetrics & Gynecology Assocs., P.C. v. Whitfield, 42 Va. App.
264, 269, 590 S.E.2d 631, 634 (2004)). So viewed, the evidence relevant to this appeal
established that in December 1977, claimant suffered a back injury while working for employer
*
Pursuant to Code § 17.1-413, this opinion is not designated for publication.
and was awarded medical benefits. In July 1999, claimant suffered an additional work injury to
her knee while employed with Chesapeake Bay Agency on Aging, Inc. Dr. William Brickhouse
was her authorized treating physician for the 1977 injury, and the Commission directed employer
to pay for medical treatments incurred in 2005 and 2006. In the present matter, claimant filed a
number of claims alleging changes in condition related to both injuries. For the 1977 injury,
related to this appeal, claimant sought payment for medical bills from treatment rendered by
Dr. Brickhouse and Dr. Fiore. Dr. Fiore was in the same practice as Dr. Brickhouse.
Claimant testified Dr. Brickhouse referred her to Dr. Fiore and she completed a
questionnaire stating that Dr. Brickhouse referred her to Dr. Fiore and another physician.
However, claimant also testified that Dr. Horace Jackson, her primary care physician, referred
her to Dr. Fiore. A 2013 medical record, prepared by Dr. Fiore, stated, “The patient is referred
by a physician. The referring physician is Dr. William Brickhouse.” However, a 2014 office
note, prepared by Dr. Fiore, indicated Dr. Jackson referred claimant. The 2014 note also
indicated the current medical complaints involving claimant’s lower back were “the result of a
work-related accident or injury” and noted the date of injury was “11/1977.” Dr. Fiore further
opined that claimant’s symptoms “have been exacerbated by her work-related injury” and
worsened after her surgery for the 1977 injury. The deputy commissioner found that claimant
was a credible witness.
The Commission found that claimant’s testimony, coupled with the 2013 medical record,
was sufficient to establish that Dr. Brickhouse referred her to Dr. Fiore, a doctor in the same
medical practice. Relying on Dr. Fiore’s record stating that the current lower back problems
were related to the 1977 work injury, the Commission also found that the current condition was
causally related and the treatment rendered by Dr. Fiore was reasonable and necessary. The
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Commission noted that, although the records indicated various degenerative back problems in
addition to the compensable injury, the two causes rule applied.
ANALYSIS
On appeal, we view the evidence in the light most
favorable to the prevailing party below. See Lynchburg Foundry
Co. v. Goad, 15 Va. App. 710, 712, 427 S.E.2d 215, 217 (1993).
In addition, the commission’s factual findings will be upheld if
supported by credible evidence. See James v. Capitol Steel Constr.
Co., 8 Va. App. 512, 515, 382 S.E.2d 487, 488 (1989). “However,
the question of whether the disputed medical treatment was
necessary within the meaning of Code § 65.2-603 is a mixed
question of law and fact.” Goad, 15 Va. App. at 712-13, 427
S.E.2d at 217. Accordingly, the commission’s conclusions as to
the necessity of the disputed medical treatment are not binding
upon this Court. “However, both the purposes of the Workers’
Compensation Act and the equities of the situation guide us in
affirming the commission’s award.” Id. at 713, 427 S.E.2d at 217.
Papco Oil Co. v. Farr, 26 Va. App. 66, 73-74, 492 S.E.2d 858, 861 (1997).
Employer contends Dr. Fiore’s treatment was not reasonable, necessary, or causally
related to the 1977 work injury. Employer points to medical records that identify claimant’s
degenerative conditions as the cause that necessitated treatment. Employer argues that the
medical records are unclear as to which conditions resulted in which treatments.
Viewing the evidence in the light most favorable to claimant, some medical records
specifically stated that claimant’s complaints were the result of the 1977 work injury and that her
other symptoms were exacerbated by the 1977 work injury. The medical records, taken in their
entirety, establish that the 1977 injury was causally related to the treatments rendered by
Dr. Fiore. Further, as noted by the commission, under the two causes rule, “a condition which
has two causes, one related to a work injury, and one not, is compensable and the treatment of
that condition will be the responsibility of the employer.” Id. at 75, 492 S.E.2d at 862 (citing
Shelton v. Ennis Bus. Forms, Inc., 1 Va. App. 53, 55, 334 S.E.2d 297, 299 (1985)). Therefore,
the treatments were reasonable, necessary, and causally related to the 1977 work injury.
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Employer also argues Dr. Fiore was not properly in the chain of referral by
Dr. Brickhouse, the authorized treating physician. “Whether the employer is responsible for
medical expenses pursuant to Code § 65.1-88 [now Code § 65.2-603] depends upon: (1) whether
the medical service was causally related to the industrial injury; (2) whether such other medical
attention was necessary; and (3) whether the treating physician made a referral to the patient.”
Volvo White Truck Corp. v. Hedge, 1 Va. App. 195, 199, 336 S.E.2d 903, 906 (1985). Claimant
testified Dr. Brickhouse referred her to Dr. Fiore. Claimant filled out a questionnaire naming
Dr. Brickhouse as the referring physician to Dr. Fiore. One of Dr. Fiore’s medical notes
indicated Dr. Brickhouse was the referring physician. Although some documents indicate
Dr. Jackson referred claimant and that Dr. Fiore copied the medical records to share with
Dr. Jackson, such evidence does not negate the claimant’s credible testimony and the record that
identified the referring physician as Dr. Brickhouse. Further, Dr. Brickhouse and Dr. Fiore were
in the same medical practice. Viewing the evidence in the light most favorable to claimant, it is
reasonable to conclude, and the record supports finding, that Dr. Brickhouse referred claimant to
Dr. Fiore.
CONCLUSION
Finding that the record contains credible evidence to support the factual findings of the
Commission, we find that Dr. Fiore was an authorized treating physician and that he performed
reasonable and necessary treatment that was causally related to the compensable 1977 work
injury. Accordingly, we affirm the Commission’s decision.
Affirmed.
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