Valerie Parham v. Conwood Company, L.P.

This workers' compensation appeal has been referred to the Special Workers' Compensation Appeals Panel of the Supreme Court in accordance with Tenn. Code Ann. section 5-6-225(e)(3) for hearing and reporting of findings of fact and conclusions of law. The employee or claimant, Parham, argues that the evidence preponderates against the trial court's finding that she did not suffer a compensable permanent injury. The employee initiated this action for benefits for claimed carpal tunnel syndrome. After a trial on the merits, the trial judge dismissed the claim upon a finding that she did not suffer a compensable injury. Appellate review is de novo upon the record of the trial court, accompanied by a presumption of correctness of the findings of fact, unless the preponderance of the evidence is otherwise. Tenn. Code Ann. section 5-6-225(e)(2); Henson v. City of Lawrenceburg, 851 S.W.2d 89 (Tenn. 1993). The claimant's duties at Conwood included monitoring a small conveyor carrying loose tobacco used in producing chewing tobacco and removing stems and foreign material from loose tobacco. Although the work does involve continuously watching the material pass by on the conveyor, it does not involve continuous or repetitive use of the hands. The majority of the stems are removed in an earlier process. The claimant has seen a number of physicians. Dr. Douglas Weikert treated her for complaints of pain in both hands, but opined she did not have carpal tunnel syndrome or any permanent medical impairment. The doctor was equivocal as to whether her pain was causally connected to her employment. Dr. Stephen Pratt diagnosed mild tendonitis but prescribed no restrictions and found no permanent medical impairment. She saw two or three other approved physicians, who did not testify. The claimant also saw three nonapproved physicians. One of them performed carpal tunnel release surgery. Another, Dr. Richard Fishbein, who evaluated but did not treat her, testified he would not have recommended the surgery. Dr. Fishbein, being under the impression that the claimant engaged in repetitive use of her hands at work, opined her injury was work related, as did the operating surgeon,Dr. McCluskey, whose testimony was, at best, equivocal. The trial judge, after evaluating the credibility of the claimant and studying the conflicting medical evidence, found the medical testimony of Drs. Weikert and Pratt to be more reliable. The trial judge, as the trier of fact in workers' compensation cases, has the discretion to determine which expert testimony to accept or reject. Moreover where the trial judge has seen and heard witnesses, especially where issues of credibility and weight of oral testimony are involved, considerable deference must be accorded the trial court's actual findings. Hill v. Eagle Bend Mfg., Inc., 942 S.W.2d 483, 487 (Tenn. 1997). The party claiming the benefits of the Act has the burden of proof to establish his claim by a preponderance of all the evidence. An award may not be based on conjecture; it must be based on material evidence and the rules of 2