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X    !}  % 9 ThisworkerscompensationappealhasbeenreferredtotheSpecialWorkers " CompensationAppealsPanelinaccordancewithTenn.CodeAnn.506225(e)forhearingand  reportingoffindingsoffactandconclusionsoflaw.Theemployerappealsanawardof  disabilitybenefitsforaggravationofapreexistingconditionwherethereisnodetectible  anatomicalchange.Theemployeechallengesthesufficiencyoftheawardandthefailureto j awardthestatutorybadfaithpenalty.Weaffirm.!}݌ P Ќ X  X  Ӂ$ XX   $   Tenn.CodeAnn.506225(e)(1999)AppealasofRight;Judgmentofthe_Sevier_ l CountyCircuitCourtisAffirmed.$ ݌ R Ќ XX  ݁ 8  X  %9HowellN.Peoples,Sp.J.,deliveredtheopinionofthecourt,inwhich% : %:i WilliamM.Barker,  JUSTICE,and% ; %; ROGERE.THAYER,Sp.J.,joined.    #        #$  JerryH._McCarter_,_Gatlinburg_,Tennessee,fortheAppellant,_Sevier_ԀCounty,Tennessee.#$݌ f!  Ќ          % < %<JerryK._Galyon_,_Sevierville_,Tennessee,fortheAppellee,GenePatton. 2#"   MEMORANDUMOPINION -J). ) ) )  _       &  -  Facts-s  OԌ  Ќ   ݁'g XӀ% XX    %  GenePattonsustainedaninjurytohisbackinanonworkrelatedautomobileaccidentin H June1995.HereturnedtoworkattheHighwayDepartmentofSevierCounty,Tennesseewith . ~ limitationsonlifting.Hetestifiedthathehadnoproblemsworkingbutwascautiouswhen  d lifting.HesufferedasecondinjurytohisbackonApril26,1996whilehelpingtwoother  J employeesliftavatofoil.Mr.Pattonclaimedthatthepainresultingfromthisworkinjurymade  0 itimpossibleforhimtowork.Mr.PattonwasinitiallytreatedfortheworkinjurybyDr.Sam    McGaha,whoreferredhimtoDr.AlanWhiton,anorthopedicsurgeon.Theemployerdeclined    toauthorizetreatmentbyDr.Whiton.%L݌   Ќ  XX   x  % XX    %  Dr.JoelBryanRaglandsawMr.Patton,fortreatmentarrangedbytheemployer,on ^  August8,August15,andSeptember5,1996.Dr.Raglanddiagnosedamusculoskeletalstrainin D  thelumbarspine,andprescribedpainmedication;hereleasedMr.Pattontoreturntoworkon *z  September5,1996.Dr.Raglandassignedamedicalimpairmentratingoffivepercentforthe ` backproblemasawhole;hedidnot thinkanaddedimpairmentoverandabovewhathe F sustainedfromhisMVAwouldbeindicated.Mr.Patton,then,returnedtoDr.Whiton,who , performedadiscotomyonJanuary19,1997,aspinalfusiononMarch23,1997,andanother  spinalfusiononJune23,1997.Followingthesurgeries,Mr.Pattonreturnedtoworkforthe  HighwayDepartmentasatruckdriver.Dr.Whitonassignedapermanentimpairmentratingof  20percenttothewholebody.%D݌ t Ќ  XX   Z % XX    %  Thetrialcourtawardedpermanentpartialdisabilitybenefitsforthirtyfivepercenttothe @ bodyasawhole.%݌ &v Ќ  XX  X B.444` hp x (#XBӀ  XK.` hp x (#444` X(#KӁ XXk:XXXk: ` X?% hp x (#X(#?    X `   H.` hp x (#X(#H&    StandardofReview  QԌ ( Ќ X'X(#X(#' Xk:XXXk:  X  H.` hp x (#X(#HӁ'      Reviewofthefindingsoffactmadebythetrialcourtisdenovoupontherecordofthe  trialcourt,accompaniedbyapresumptionofthecorrectnessofthefindings,unlessthe   preponderanceoftheevidenceisotherwise.Tenn.CodeAnn.506225(e)(2);Tuckerv. p!  Foamex,L.P.,31S.W.3d241,242(Tenn.2000).Theapplicationofthisstandardrequiresthis V"! Courttoweighinmoredepththefactualfindingsandconclusionsofthetrialcourtsinworkers <#" compensationcasestodeterminewherethepreponderanceoftheevidencelies.Vinsonv.United "$r# ParcelService,92S.W.3d380,3834(2002). Whenthetrialcourthasseenthewitnessesand %X $ heardthetestimony,especiallywhereissuesofcredibilityandtheweightoftestimonyare %>!% involved,theappellatecourtmustextendconsiderabledeferencetothetrialcourtsfactual &$"& findings.Richardsv.LibertyMut.Ins.Co.,70S.W.3d729,732(Tenn.2002).However,this ' #' Courtisinthesamepositionasthetrialjudgeinevaluatingmedicalproofthatissubmittedby (#( deposition,andmayassessindependentlytheweightandcredibilitytobeaffordedtosuchexpert )$) testimony.Id. l*%*   Ӂ  8,',      &   <%  Issues<%%  [%Ԍ  Ќ    's% = (03K""  ,H1` hp x (#X(#H  X,H+ ` hp x (#X(#H&2  1  .3      Didthetrialcourterrinawardingworkerscompensationbenefitsfortheaggravationof b apreexistingconditionwhenthereisnodetectibleanatomicalchange?&'݌ H Ќ X$ X(#X(#$   ,H1` hp x (#X(#H""  ,,N1` hp x (#X(#N  X,H+ ` hp x (#X(#Hw)2  2  .3      Didthetrialcourterrinfailingtoawardfiftypercentpermanentpartialdisability?w)d*݌  d Ќ ,X*X(#X(#*   ,K.` hp x (#X(#K""  ,H1` hp x (#X(#H  X,H+ ` hp x (#X(#H+2  3  .3      DidthetrialcourterrindenyingpenaltyandinterestpursuanttoTenn.CodeAnn.50  0 6225?+,݌    Ќ X$ X(#X(#$   ,H1` hp x (#X(#H ,K.` hp x (#X(#K       &  .  Discussion./  .Ԍ x  Ќ    XӁ'x/ ^   X  I. D   X   *z    Mr.PattoninjuredhisbackinamotorvehicleaccidentinJune1995.InApril1996,he ` injuredhisbackliftinganoilvatatwork.SevierCountyarguesthattherewasnodiscernable F anatomicalchangeinMr.Pattonsbackfollowingtheinjuryatworkand,therefore,nobasisfor , apermanentdisabilityaward.Aggravationofapreexistingconditionisnotcompensableifit  resultsonlyinincreasedpainorothersymptomscausedbytheunderlyingcondition.Sweatv.  SuperiorIndustries,Inc.,966S.W.2d31,32(Tenn.1998);Cunninghamv.Goodyear,811  S.W.2d888,890(Tenn.1991).Dr.RaglandtestifiedthataMRIofMr.Pattonsbackmadein t September1995,afterthemotorvehicleaccident,andaMRImadeonAugust12,1996showed Z noanatomicalchangeaftertheworkinjury.Dr.WhitonagreedthatacomparisonoftheMRI @ scansdidnotshowananatomicalchange,buttestified: &v  X X  E.` hp x (#X(#EӁ& XX   B( ` hp xX(#B  &5  Ithinkforhispain,itwasmyunderstanding.Itchangedfromamoderate B amounttoasevereamount.Iwouldstatethatsomethinganatomicalhadto ( happen.TheMRIscandidnotpickitup.Itsmyopinionthatwhathappened  isthediskbrokedownabitmore.&55݌  Ќ XX   'X(#X'  H.` hp x (#X(#HӁ XH.` hp x (#X(#HWhenDr.RaglandreleasedMr.PattontoreturntoworkonSeptember5,1996,hisprogressnote p!  forthatdatestated: V"! Ё& X   ?( ` hp xX(#?  &8  Attheendofourevaluation,hebrokedownandstartedcrying,sayingthathe "$r# justwantedtogetbetterandistiredofhurting.Unfortunately,Ithinkthereis %X $ verylittlethatcanbedoneforhim.Ithinkthateverythingofaconventional %>!% naturehasalreadybeentried.Ithinkwithtime,hewillprobablyget &$"& somewhatbetter....&8R9݌ ' #' Ќ X   $ X(#X$  ݁Dr.Whitonexplainedwhyhisdiagnosis,opinionandtreatmentdifferedfromthatofDr. )$) Ragland,asfollows: l*%*  XӁ& X   ?( ` hp xX(#?  X&B<  (L)umbarstrainstendtoresolvespontaneouslywithtimeisoneofhis 8,', statementshere.Iwillagreewiththat.Inthisgentlemanscase,hispaindid -n(- notresolveatall,andhewasstillincapacitatedbyit.(emphasissupplied)I  thinkwithDr.Ragland,ifIcantryandreadintowhathesstating,isthatthis  guyhadalittlestrain.Hesgoingtogetoverthat,andhesgoingtogoback | tothewayhewasfeelingbeforethisinjuryatwork.AsfarasIcantell,that b didnothappen.Hedidnotgetresolutionofthatpain.&B<<݌ H Ќ X   $ X(#X$  XE.` hp x (#X(#EӁ ? (00= / /""  ,XK1` hp x (#X(#K   q,   B%! !` hp xX(#BeA2  Q  .3   !   Ifyouweretolearnthathedid,infactfilealawsuitandallegetherein  d disabilityresultingfromhislawsuitandintheswornstatement,Ithinkthat  J wasfiledinApril1996,justshortlybeforethisallegedincidentathis  0 employment,ifhewouldsaythatIaminconstantpain,inhisdeposition,his    answerstointerrogatories, Iaminconstantpain.Ihavetroublebending,    stooping,standingup,andIcannotsitforalongperiodoftime.Nowifhe   wouldsaythatinananswertointerrogatoriesinApril16,1996,wouldthat x  haveanyeffectonwhatyouaretellingusheretoday?Ifyouweretolearn ^  thatafewdaysbeforethishewascomplainingofconstantpain,having D  troublesittingstanding,andallthissortofthing,wouldthathaveanyeffect *z  onyourmorerecentobservationsofhimwhenheallegedthattwodays ` afterward,thatsometimeafterthisthathehadajobrelatedinjury?eAqB݌ F Ќ Xq'X(#!!` X'   & XX   B( ` hp xX(#B  ,XB+ ` hp xXB&G  &GH݌̌ X,   *X(#X*    H.` hp x (#X(#HӁ/ /""  ,XK1` hp x (#X(#K  X,   B% ` hp xX(#BI2  A  .3      Illtrytobreakdownthatquestion.Ithinkyoureaskingmetocomparethe  painthathestestifyingtheretothepainthathehadwhenIsawhim.You  describeaconstantpain.Hehadtroublesittingandbending.Nowherein t therereallyquantifyormeasurethepain.[sic]So,Ilookatwhataguycan Z do.Washeabletoworkwithrestrictions?Admittedly,atleasthecouldget @ there40hoursaweek,drivethere,dothework,drivehomeandnothaveto &v takealotofpainmedicine,noteventhinkthathedneedanoperationtofixit.  \ ThatsthepictureIgetpriortothisliftinginjuryatwork.ThepictureIget B afteristhathewasinsomuchpainthathereallycouldntevenpresent ( himselftoworkinasedentaryjob40hoursaweek.Iveseenthemancry;  Iveseenhimonawalker;Iveseenhimbarelyabletostand;andIveseen  himwith,whatIfeel,isatremendousamountofpainandimpairment.Idont   thinkhewasinthatshapewhenheansweredthosequestions.Thatsmy p!  personalopinion.Themanwasatwork,andhesbeenunabletoworksinceI V"! methim.Hopefully,hewillbeabletogobacksoon.IJ݌ <#" Ќ XX$X(#X$   ,X   K1` hp x (#X(#K X,K.` hp x (#X(#KӁ! X  X!R  Dr.WhitonwasaskedwhetherhesimplydisagreedwiththeopinionofDr.Ragland,and %>!% herespondedasfollows:!R?R݌ &$"& Ќ X  XH.` hp x (#X(#HӁ& XX   B( ` hp xX(#B  &S  Well,letsputitallbackintocontext.Thisparagraphbasicallybeginsby (#( sayinghehasalumbarstrainandthiswillgetcompletelybetter.Thispain )$) thatyougotfromthisinjuryisgoingtogoawaywithtimejustlikealllumbar l*%* strainsdo,andyoullbebacktowhereyouwerebefore,meaningtheback R+&+ painyouhadfromthemotorvehicleaccident.ThenhessayingImnot 8,', goingtoaddanymoreimpairmentforsomethingthatsgoingtogetall_better -n(- byitselfwithtime.Ithinkitssillytoaddanimpairmentforsomethingthats  goingtogetbetter.Iagreewithallthat,butMr.Patton,infact,didnotget  better.So,theassumptionthathemadedidnotapplytoMr.Patton.Thats | hisverylastsentence. Thisisallthecharacteristicsofastrainwhichshould b resolvespontaneouslywithtime.Myunderstandingthatthepatientshistory H wasthathedidntgetspontaneousresolutionofhispain.IdontthinkIm . ~ reallytryingtobedifferentordisagreewithDr._Ragland_.Ijustobserved  d somethingthathemaybeinoneofficevisitdidnthaveachancetoobserve.  J Thismanreallywashurting,andhewasntgettinganybetter.&ST݌  0 Ќ XX   'X(#X'  H.` hp x (#X(#HӁ! X  X  !Z  Subsequenttothistestimony,Dr._Whiton_ԀperformedthesurgeriesonMr.Patton.Then,    hegaveanotherdepositioninwhichhestated:!Z:[݌   Ќ X  X  Ӂ& X   B( ` hp xX(#B  X&u\  HisfindingIcharacterizedassequentiallyunstableorinstabilityofthespine ^  requiringafusion,andthatsafairlystraightforward20percentimpairment D  ofthewholeperson.&u\]݌ *z  Ќ X   'X(#X'  XH.` hp x (#X(#HӁ X  H.` hp x (#X(#H  Ifemploymentcausesanactualprogressionoraggravationofapreexistingcondition F thatproducesincreasedpainthatisdisabling,itiscompensable.Hillv.EagleBendMfg.,Inc., , 942S.W.2d483,488(Tenn.1997).Inthiscase,thetrialcourtobviouslybelievedthetestimony  ofMr.Pattonthatthepainfollowingtheworkinjurywasmuchmoreseverethanthepain  followingtheautomobileaccident,and,thusaccreditedthetestimonyofDr._Whiton_.Itiswell  settledthatthetrialcourthasthediscretiontoaccepttheopinionofonemedicalexpertoverthat t ofanother._Kellerman_Ԁv.FoodLion,Inc.,929S.W.2d333(Tenn.1996);Johnsonv._Midwesco_, Z Inc.,801S.W.2d804(Tenn.1990).Afterourownreadingofthemedicaldepositionsinthis @ case,wefindnoabuseofdiscretion. &v   Ӂ́  II. (         CounselforMr.Pattonassertsthatthetrialcourterredinnotawardingtwoandonehalf  timesthemedicalimpairmentrating.Tenn.CodeAnn.506207merelyplacesacaporlimit   ontheamountanemployeewhoisreturnedtoworkatthesameorgreaterwagecanrecover.It p!  doesnotmandatethattheemployeereceivebenefitsforanyspecificamountofdisability.The V"! extentofdisabilityisaquestionoffacttobedeterminedfromalloftheevidence,includinglay <#" andexperttestimony.Tenn.CodeAnn.506241_(c_);_Cleek_Ԁv.WalMartStores,Inc.,19 "$r# S.W.3d770,773(Tenn.2000).Theevidencedoesnotpreponderateagainstthetrialjudges %X $ determinationofdisability. %>!%   Ӂ́  III. (#(   Ӂ#        #g    Finally,counselforMr.Pattonassertsthatthetrialcourterredinfailingtoawardpenalty l*%* andinterest,pursuanttoTenn.CodeAnn.506225ontemporarytotaldisabilitybenefitsand R+&+  medicalexpenseswhichtheemployerrefusedtopay.Thestatuteimposesapenaltyforbad 8,', faith,andlimitsthepenaltyto additionalexpense,lossorinjurycausedbytherefusaltopay.  Therecordcontainsnoevidencetosupportanawardforbadfaith.#gSh݌         XӁ_     _ X&  1k  Conclusion1kk trPkԌ b Ќ    'bk . ~   Thejudgmentofthetrialcourtisaffirmedandthiscaseisremandedforanynecessary  d furtherproceedings.Costsofthisappealaretaxedagainst_Sevier_ԀCounty,Tennesseeandits  J surety.  0 Ё́́́ X `     h   ______________________________ ^   XӀHowellN.Peoples,SpecialJudge D    F __MXXk:8VVX XdXXd8  @ #Xk:XMn#x XXk:INTHESUPREMECOURTOFTENNESSEE  @RR$ATKNOXVILLE  #Xk:X xKo#MXXk:#Xk:XMo# MXXk:  GENEPATTONv.SEVIERCOUNTY,TENNESSEE#Xk:XM>p#  $ ]p@* @*ABW) ` dE< ` A߈   @No.E200202004SCWCMCV   ABW) ` dE<h ` A i    MXXk:#Xk:XMq#@( ORDER MXXk:#Xk:XMYr#Ԉ Z  MXXk:#Xk:XMr#MXXk:#Xk:XMr#ZXk:XXXk:   ` ThiscaseisbeforetheCourtuponmotionforreviewpursuanttoTenn.Code B  Ann.506225(e)(5)(B),theentirerecord,includingtheorderofreferraltotheSpecial ( Workers'CompensationAppealsPanel,andthePanel'sMemorandumOpinionsettingforthits  findingsoffactandconclusionsoflaw,whichareincorporatedhereinbyreference;     ` Whereupon,itappearstotheCourtthatthemotionforreviewisnotwelltaken  andshouldbedeniedand p    ` Itis,therefore,orderedthatthePanel'sfindingsoffactandconclusionsoflaware V adoptedandaffirmed,andthedecisionofthePanelismadethejudgmentoftheCourt.  <     ` Costsonappealaretaxedtotheappellant. "r    ` ITISSOORDEREDthis21stdayofOctober,2003. >    `     h   PERCURIAM  Barker,J.Notparticipating. R   #Xk:XXZXk:>s#VX XXXk:   `     h     #Xk:X XVX>x#