Joan Marie Griffin v. National Medical Hospital of Tullahoma

This workers' compensation appeal has been referred to the Special Workers' Compensation Appeals Panel of the Supreme Court in accordance with Tenn. Code Ann. _ 5-6-225(e)(3) for hearing and reporting to the Supreme Court of findings of fact and conclusions of law. The plaintiff is 29 years old, married, and has a young child. She is learning- disabled on account of a stroke when she was only four months old; she was born with congenital heart disease, and developed a pronounced scoliosis at age 12 which required the surgical implantation of rods in her back. Notwithstanding, she has held several jobs: attendant at a day care center, counter clerk at a fast- food eatery, sales clerk and cashier at a J. C. Penney store. She was employed by the defendant in August, 1992 in furtherance of its special employment program called Overcoming Challenges which was established to employ afflicted persons. Her initial job with the defendant was working in the cafeteria making sandwiches and serving food. Some of this work was difficult for her, and ambition lagged; the defendant constantly provided encouragement, and at the time of her alleged injury she had been assigned duties as a cashier. She was often absent from work owing to illness or to the pre-emptive care of her young child. She commonly experienced pain and fatigue as a result of standing or sitting for extended periods, or whenever she lifted objects. Her previous jobs at the day care center, fast food restaurant and the J. C. Penney Store also caused pain and fatigue. The injury from which this complaint arises occurred March 3, 1994 when the plaintiff attempted to lift a milk crate. She was initially treated by Dr. Ramprasad who prescribed physical therapy; thereafter, she was referred to Dr. Paul McCombs, a neurological surgeon. He saw the plaintiff on two occasions, April 25 and May 16, 1994, and on the second visit released her to return to work with the recommendation that she avoid prolonged repetitive twisting, bending and stooping, and that she avoid lifting in excess of 2 pounds at any one time or ten pounds repetitively. The plaintiff returned to Dr. McCombs on June 6, 1994 stating that she had a reoccurrence of pain while lifting her daughter. She returned again on July 25, 1994, 2