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QԀCOMPENSATIONAPPEALSPANEL 2 ATKNOXVILLE f FEBRUARY28,2002Session  H XX RFXX % / %/GLADYSWILLISv.MOUNTAINSTATESHEALTHALLIANCEd/b/a `  JOHNSONCITYMEDICALCENTERHOSPITAL l  XXF FXX % 0 %0% 1 -  Ԁ-  %1ԀDirectAppealfromthe% 2 %2%ChanceryCourtofWashingtonCounty ^  No.% 3 %3Ԁ33313G.RichardJohnson,Chancellor j  XXFFiledSeptember3,2002 \  -  56k[W$~ Kp@0 dd`  KEB K KB2 -  No.% 8 %8E200101404WCR3CV% 9 %98 7  -  5:k[W$~ Kp@0 dd`  KE K K2 -     X% < ThisworkerscompensationappealhasbeenreferredtotheSpecialWorkers  CompensationAppealsPanelinaccordancewithTenn.CodeAnn.506225(e)forhearingand  reportingoffindingsoffactandconclusionsoflaw.Theemployerappealsafindingthatthe  employeeistotallydisabled.Weaffirm. v Ё X  Tenn.CodeAnn.506225(e)(1999)AppealasofRight%<j;% = %=m Judgment oftheWashington B CountyChanceryCourtisAffirmed. (x     HowellN.Peoples,Sp.J.,deliveredtheopinionofthecourt,inwhich% > %>e WilliamM.Barker, * JUSTICE,and% ? %? JohnK.Byers,Sr.J.,joined.  $        $   % @ %@ M.StanleyGivens,Anderson,Fugate&Givens,JohnsonCity,Tennessee,fortheAppellant, !  MountainStatesHealthAllianced/b/aJohnsonCityMedicalCenterHospital.$ u ݌ r"! Ќ        % A %A HowellH.Sherrod,Sherrod,Goldstein&Lee,JohnsonCity,Tennessee,fortheAppellee, >$# GladysWillis. $%t $    :-(- * * *  _XXXX      &    MEMORANDUMOPINION]  9Ԍ  Ќ  XXXX    'Q  Facts |   Ӂ$        $e    GladysWillisisacollegegraduatewithamajorinnursing.Shehasbeenaregistered H nursesince1982.Beforethattime,shewasalicensedpracticalnurseforfiveyears.Shestarted . ~ workingforMountainStatesHealthAllianced/b/aJohnsonCityMedicalCenterHospital  d ( MedicalCenter)intheintensivecareunitin1982.In1990,shetransferredtotheemergency  J departmentwhereshewasworkingwhensheslippedoniceinheremployersparkinglotand  0 fellforcefullytothepavementonMarch16,1999.$e݌    Ќ      % X    %  ݀ShewassubsequentlytreatedbytwophysiciansattheMedicalCentersemergency   room,andbyDrs.H.J.Williams,TedSykes,MarkMcQuain,TurneyWilliams,Richard x  Duncan,andseenforevaluationbyDr.DanM.Spengler,ChairmanoftheDepartmentof ^  OrthopedicsatVanderbiltUniversityHospital.ShereturnedtoworkinMay1999andworked D  fulltimeintriageuntilshemissedtwodaysofworkonSeptember8andSeptember9,1999due *z  tosymptomsfromherinjury.OnSeptember10,1999,Dr.TurneyWilliamsorderedheroffwork ` again.%݌ F Ќ  X  X , % XX    %)  ShereturnedtoworkonlightdutyonJanuary4,2000,withagoalofworkingfourhours,  whichsheonlyaccomplishedonedaybeforeshestoppedworkonJanuary19,2000.Shewas  determinedtohavereachedmaximummedicalimprovementonJanuary13,2000byDr.Mark  McQuainandhertemporarytotaldisabilitybenefitswereterminatedonJanuary30,2000.%)^݌ t Ќ  XX  X$        $~    Attrial,thepartiesstipulatedthatMs.Willissustainedaninjuryinthecourseandscope @ ofheremploymentandthattheissueswerevocationalimpairmentandtheapplicationofthe &v AMAGuides,FifthEditionbyoneofthephysicianswhotestified.MsWillis,herhusband,  \ GaryW.Willis,testifiedinopencourtandtherecordsupportsthefollowingfindingsoffact B madebythetrialjudgeinhisbenchopinion:$~݌ ( Ќ      ݁ X X X  ?+ ` hp x X?Plaintiffisunequivocalthatshecouldnotperformanyofthedutiesthat  sheperformedinthose17yearsasaRN,norcouldsheperformanyoftheso   calledorcharacterizedlightworkdutiesthatsheattemptedonthetwooccasions p!  whenshereturnedtowork. V"!  <#" TheplaintifftestifiedthatsinceherfallinMarchof99shehashadjust "$r# aboutconstantbackpainsherelatesthatsheisnevercompletelyfreeofpainin %X $ herback.Shetestifiedthattheinjectionsgiventoher,asIhavenoted,bythe %>!% physicianhelpedhertemporarilyandmadeherpainbearableforatemporary &$"& periodoftime.Plaintiffhasdifficultysittingforanylength!periodoftime.She ' #' cannotdriveavehicleasshedidbeforetheaccident.Shecannotstandinone (#( placeforverylong.Shecannotwalkveryfarwithoutstoppingorresting.She )$) walksslower.Indeed,shewaslategettingbacktocourttodayfromlunch l*%* becauseofherslownessinwalkingthatshedidnothavebefore.Shecanno R+&+ longerworkaroundthehouse,movingfurnitureandstrippingwallpaper, 8,', painting,andweedeating,lawnmowing,andcleaningthevinylsiding.Indeed, -n(- Plaintiffsconditionissuchthatshemustcarryapillowwithhereverywhereshe  goeswhichgiveshersomereliefwhilesitting.   | & XX XXH.` hp x (#X H  &M#  Shetestifiesthatshehasbeenandstillisonvariousmedications, b includingnarcoticsforpain.Shetestifieswithoutcontradictionthatthese H medicationshelpherbuttheydonotgiveherentirerelief.Shetestifiesthatthese . ~ medicationscontributetoherdecreasedconcentration.Shetestifiesthatshehas  d difficultyconcentratingnowbecauseofthepain.Andthatsalsothereasonthat  J shehashadtogiveupherhobbiesofsewing,crossstitching,camping,horseback  0 riding,hiking,wrestlingwithherson.&M##݌    Ќ XX*X X(#* XX  E+ ` hp x X E    Sheevenhasdifficultynowreading.Shetestifiedshewasaprolific   reader,readingabookaweekend,andthroughtheweek,variousotherreadings. x  Notonlyherprofessionaljournalsbutpleasurereading.Thatnowthebookthat ^  shecouldreadinaweekendtakesherseveralweeks. D   *z  Shecannotparticipateinactivitieswithherfamily,herhusbandandher ` son,goingtoDollywood.Andshecan!cannotevenmeetwithhercolleagues, F doctorsandnurses,forwhatIunderstandisaonceamonthmeetingtheyhave , wheretheyhavedinnerandtalk.Shecannolongerattendhersonsvarious  activities.Hesinvolvedinsportsathisschoolandplaysaviolin,andisa16  yearoldthatappearstobeactive.Andbecauseofherconditionshecanno  longerobservehersonsextracurricularactivities.Shehasdifficultydoingthe t regularshopping.Shecannotattendchurchbecauseshecantsitthatlong. Z  X X X  H.` hp x (#X HӁ$        $n,    ThetrialjudgealsodescribedatlengthhisobservationsofMs.Willisinthecourtroom &v andduringhertestimony.Hestatedthathenotedapronouncedlimpasshewalkedinthe  \ courtroomtoandfromthewitnessstand,thatshesometimesspokehaltinglyasapersoninpain B woulddo,thatshecontinuallychangedherpositionwhiletestifying,stayinginthesameposition ( foronlyoneortwominutes,andthatthelongestshesatwithoutstandingwassixminutes,but  mostofthetimeitwasthreeminutes.Hefoundhertohavethe highestcredibilityandthathe  was unequivocallyconvincedthattheplaintiffisstillinseverepainfromherinjuryshesuffered   inthatfallofMarch,99.$n,,݌ p!  Ќ          ThedepositionsofDrs.TurneyWilliams,MarkMcQuain,andTedSykeswere <#" introducedalongwithvoluminousmedicalrecordsandreports.Dr.TurneyWilliams,board "$r# certifiedinanesthesiologyandinpainmedicine,testifiedthathedoesnotdoimpairmentratings, %X $ buthecharacterizedMs.Willisassignificantlyincapacitatedbypersistentpainrenderingher %>!% abilitytomaintaingainfulemploymentasminimaltononexistent.Dr.McQuain,board &$"& certifiedinphysicalmedicine/rehabilitationaswellaselectrodiagnosticmedicine,testifiedthat ' #' surgerytoaddressherproblemwouldlikelycreateadditionalproblemsleavingonlynonsurgical (#( methods.BasedontheAMAGuides,4thEd.,Dr.McQuainratedWilliswithafivepercent )$) impairmentandimposedliftinglimitationsof20poundsmaximum,10poundsoccasionally,and l*%* 05poundsfrequently,andtestifiedthatsheshouldavoidsquatting,crouching,stooping,beable R+&+ tochangepositionsfrequently,andtositorstandasneededforcomfort.Afterreviewingthe 8,', AMAGuides,5thEd.,duringhisdeposition,hedeterminedthatherimpairmentratingwould -n(- increaseto16percenttothebodyasawhole.Dr.Sykes,boardcertifiedorthopedicsurgeon,  testifiedthatheagreedwiththe16percentimpairmentratingforherlumbarspineandantalgic  gait.HeindicatedthathewasnotthatfamiliarwiththenewGuidesandthatshewouldalsofall | inthemoderatelysevereclassificationtheAMAhasforpain,buthewasnotqualifiedtoexpress b anopinionastotheeffectofpainonherrating. H $        $?8    NormanHankins,Ed.D,avocationalexpert,testifiedbydepositionthatMs.Willisis100  d percentvocationallydisabledasaresultofherphysicallimitations.$?88݌  J Ќ        $        $9    JamieBethBrown,compensationandbenefitspecialistfortheMedicalCenter,testified    thattheMedicalCentertriestoaccommodateaninjuredemployeewithlightdutyuntilthey    returntoregularduty.InJune2000,MsBrownsentalettertoMs.WillisthattheMedical   Centercouldaccommodateherrestrictionsandhadworkavailableforher,andthatifshedidnot x  respond,shewouldbeterminated.Ms.Browntestifiedtheletterreferredtolightdutywork ^  paying$8.00perhour,andthatnopermanentfulltimejobwasavailable.Ms.Willisresponded, D  byletter,thatbecausenoonecouldtellherthejobtitle,thehoursrequired,oradescriptionof *z  thejob,shewasphysicallyunabletoaccepttheposition.$9T:݌ ` Ќ      $        $A>  $A>>݌̌      ݁! X      &  !?  StandardofReview!?h? utD?Ԍ  Ќ   X  ݁'\?      Reviewofthefindingsoffactmadebythetrialcourtisdenovoupontherecordofthe  trialcourt,accompaniedbyapresumptionofthecorrectnessofthefindings,unlessthe t preponderanceoftheevidenceisotherwise.Tenn.CodeAnn.506225(e)(2).Stonev.City Z ofMcMinnville,896S.W.2d548,550(Tenn.1995).Theapplicationofthisstandardrequiresthis @ Courttoweighinmoredepththefactualfindingsandconclusionsofthetrialcourtsinworkers &v compensationcases.Corcoranv.FosterAutoGMC,Inc.,746S.W.2d452456(Tenn.1988).  \ Conclusionsoflawaresubjecttodenovoreviewwithnopresumptionofcorrectness. B Ganzevoortv.Russell,949S.W.2d293(Tenn.1997).Wherethetrialjudgehasmadea ( determinationbaseduponthetestimonyofwitnesseswhomhehasseenandheard,great  deferencemustbegiventothatfindingindeterminingwhethertheevidencepreponderates  againstthetrialjudgesdetermination.Humphreyv.DavidWitherspoon,Inc.,734S.W.2d315   (Tenn.1987).Whenthemedicaltestimonyispresentedbydeposition,asitwasinthiscase,this p!  Courtisabletomakeitsownindependentassessmentofthemedicalprooftodeterminewhere V"! thepreponderanceoftheevidencelies.Cooperv.INA,884S.W.2d446,451(Tenn.1994). <#"   Ӂ́     &  F  IssuesFF utFԌ %>!% Ќ    '%F &$"&   XTheMedicalCenterpresentsthefollowingissuesforreview: (#( Ё X   E.444` hp x (#X(#E 1.Whetherthetrialcourtrecordcontainedsufficientevidencetowarrantaholdingthat l*%* thePlaintiffwastotallydisabledwithinthemeaningandintentoftheWorkers R+&+ CompensationLaw? 8,',   XK.` hp x (#444` X(#K -n(-  B (03N/ /""  ,XK1` hp x (#X(#K  ,H+f f` hp x (#X(#HJ2  2  .3   f   WhetherthetrialcourtactuallyfoundthattheMaximumPermanentPartial  DisabilityMultiplierssetoutinTennesseeCodeAnnotatedSection506241arenot  applicableand,iftheCourtsoheld,wastheresufficientevidenceintherecordtodo | so?JK݌ b Ќ X*X(#ff` X(#*   ""  ,XK1` hp x (#X(#K  ,H+f f` hp x (#X(#HM2  3  .3   f   Whetherthetrialcourterredinallowingthreedifferentphysicianstotestifyabout H anatomicalratingsineditionofAMAGuideswhentheyalltestifiedthattheywere . ~ notfamiliarwiththeneweditionofthoseguidelines?MN݌  d Ќ X*X(#ff` X(#*     H.` hp x (#X(#H""  ,XK1` hp x (#X(#K  ,  K.44f` hp x (#X(#KP2  4  .3   4   Whetherthetrialcourterredinawardingalumpsumpaymenttotheplaintiff  0 pursuanttoTennesseeCodeAnnotatedSection506229?PQ݌    Ќ X-X(#44f` X(#-   X  H.` hp x (#X(#H XE.` hp x (#X(#E""  ,XK1` hp x (#X(#K  ,  K.44f` hp x (#X(#KS2  5  .3   4   WhetherthetrialcourtactuallyawardedafeetoPlaintiffscounselaccordingtolaw x  and,iftheCourtsoheld,wasthatfeereasonableandinaccordancewiththelaw?ST݌ ^  Ќ X-X(#44f` X(#-     H.` hp x (#X(#H""  ,XK1` hp x (#X(#K  ,  K.44f` hp x (#X(#KV2  6  .3   4   Whetherthetrialcourtactuallyheldthatthecommutationoftheawardrecitedinthe *z  FinalDecreeisa netcompromisepaymentofweeklyindemnitybenefitsoverthe ` Plaintiffslifeand,iftheCourtsoheld,wasthatcommutationaccordingtolaw?VW݌ F Ќ X-X(#44f` X(#-   X  H.` hp x (#X(#H XӁ  XX     X&   KZ  Discussion KZZ xZԌ  Ќ   X  'Z   X  I. t       Becausethefirsttwoissuesareinterrelated,wediscussthemtogether.Counselfor @ MedicalCenterasserts(1)thattheevidenceisinsufficienttowarrantaholdingthatMs.Willisis &v totallydisabledwithinthemeaningandintentoftheWorkersCompensationLaw,and(2)that  \ thetrialcourtfailedtomakeafindingthatthepermanentpartialdisabilitymultiplierswerenot B applicableandthattheevidencewouldnotsupportsuchafinding.InDavisv.Reagan,951 ( S.W.2d766(Tenn.1997),theSupremeCourtmadeclearthatatrialcourtistofirstascertain  whetheradisabilityistoascheduledmember.Ifitisnot,thenthetrialcourtdeterminesifthe  injurytotallydisablestheemployeefromworkingatanoccupationthatgeneratesincome.Ifit   doesnot,thenthecourtproceedstoaninquiryunderTenn.CodeAnn.506241usingthe p!  listedfactorstodeterminepermanentpartialdisabilityandapplyingthelimitationsonsuch V"! awards.Id.,951S.W.2dat769. <#"   X  Inthepresentcase,ourfirstinquiryiswhethertheevidencepreponderatesagainstthe %X $ trialcourtsdeterminationthatMs.Willisistotallydisabled.Inmakingthisdetermination, the %>!% extentofdisabilityisaquestionoffactforthetrialcourttodeterminefromalltheevidence, &$"& includinglayandexperttestimony.Corcoranv.FosterAutoGMC,Inc.,746S.W.2d452,458 ' #' (Tenn.1988).Ms.Willisandherhusbandtestifiedindetailaboutherinabilitytoengagein (#( ordinaryandroutinedailyactivitiesofliving.Dr.TurneyWilliamstestifiedthatpersistentpain )$) sufferedbyMs.Willisrenderedherabilitytomaintaingainfulemploymentminimaltonon l*%* existent.TheonlyvocationalexperttotestifystatedthatMs.Willisispermanentlytotally R+&+ disabled.EvenafterMs.Willisreachedmaximummedicalimprovement,theMedicalCenter 8,', onlyofferedsomenondescripttypeoflightdutytoseeifshemighteventuallybeabletoreturn -n(- toworkataregularpositiononafulltimebasis.Afteracarefulreviewofthelayandexpert  testimony,wefindthattheevidencedoesnotpreponderateagainsttheawardoftotaldisability.  Therefore,thetrialcourtproperlydidnotreachtheissueofpermanentpartialdisabilityunder | Tenn.CodeAnn.506241. b  H  . ~   d  X  II.  J   Ӂ    TheMedicalCenternextcontendsthatthe trialcourterredinoverrulingobjectionsto    medicaltestimonyconcerningthePlaintiffsimpairmentratingbasedonthe5thAddition(sic)of    theAMAGuidelines.Whenmedicaldepositionsweretakeninthiscase,theAMAGuides,5th   Ed.,hadjustbeenpublishedandMedicalCenterscounselobjectedtothedoctors,whohad x  givenopinionsbasedontheearlieredition,statingopinionsbasedonnewGuides.Aphysician ^  givinganimpairmentratingisrequiredtousethemostrecenteditionofeithertheAmerican D  MedicalAssociationGuidestotheEvaluationofPermanentImpairmentortheManualfor *z  OrthopedicSurgeonsinEvaluatingPermanentPhysicalImpairment.Tenn.CodeAnn.506 ` 204(d)(3);Humphreyv.DavidWitherspoon,Inc.,734S.W.2d315,317(Tenn.1987).Whilea F ratingofanatomicaldisabilitybyamedicalexpertisarelevantfactor,vocationaldisabilityisnot , restrictedtoapreciseorexactestimateofanatomicalimpairmentmadebyamedicalwitness.  Cleekv.WalMartStores,Inc.,19S.W.3d770,774(Tenn.2000).Inthiscase,thephysical  limitationsareofmoresignificanceindeterminingvocationaldisabilitythannumericalratings.  Wefindnoerrorinthetrialcourtsevidentiaryrulings. t   Ӂ  III. &v   Ӂ    TheMedicalCentercomplainsthattherecordcontainsinsufficientevidencetowarranta B lumpsumpayment.WenotethatMs.Willistestifiedthatshekeptupwiththefamilyfinances ( beforeandaftershegothurt;thattheyhaveajointcheckingaccount,ajointsavingsaccount,  twoaccountsatthecreditunion,acoupleofIRAs,acertificateofdeposit,threetaxshelter  annuities,hersonssavingsaccountandhersonscertificateofdepositthatshemanages,even   thoughitnowtakesherlongertodosobecauseofproblemswithherconcentration.Thereisno p!  evidencethatMs.Williscouldnotwiselymanagealumpsumaward.Wefindnothinginthe V"! recordtoindicatethatalumpsumawardwouldnotbeinthebestinterestofMs.Willis.The <#" decisionofthetrialcourttocommuteaworkerscompensationawardtoalumpsumis "$r# discretionaryandwillnotbedisturbedonappealunlessitisshowntoamounttoanabuseof %X $ discretion.Edmondsv.WilsonCounty,9S.W.3d106,109(Tenn.1999). %>!%   Ӂ  IV. (#(   Ӂ X  TheMedicalCentercomplainsthatthetrialcourtmentionednothingconcerningattorney l*%* feesinitsMemorandumOpinionandthatitwasanerrortoawardafeeinexcessof$10,000 R+&+ without makingspecificfindingsastothefactorswhichjustifysuchafee.Tenn.CodeAnn. 8,', 506226.TheFinalDecreeenteredbythetrialcourtinthiscaserecites: -n(-  X  Ӂ'   X  ?(` ` ` hp x X(#?  '$u  ThatPlaintiffsattorney,HowellH.Sherrod,Jr.,isawardedafeeequal  totwentypercent(20%)oftherecoverybaseduponFourHundred(400) | weekswhichiscommutedandshallbepaidasapartiallumpsum b pursuanttoT.C.A.506229,saidfeehavingbeenapprovedpursuantto H T.C.A.506229(a)(c)(sic)intheamountofFortyoneThousandand . ~ TwoHundredDollars($41,200.00).'$uu݌  d Ќ  X  ' X(#` ` ` X '   XE.` hp x (#X(#EӁ% X    X%x  TheBenchOpinionofthetrialcourtdidnotaddressattorneyfees.Wecouldremandthe  0 caseforthetrialcourttomakethespecificfindingsrequiredbythestatute,howeverwedeem    thattobeawasteofjudicialresourcesandcounselstime.Baseduponourconsiderationofthe    issuesraisedatthetrial,reviewoftheoralevidencepresentedandthevoluminousmedical   depositionsandmedicalreportsandrecordsintroducedbytheparties,andtheamountinvolved x  inthelitigation,theresultachieved,theskillwithwhichplaintiffscounselpresentedhisclients ^  case,feescustomarilychargedinsuchcases,andthefactthatthefeewascontingentonthe D  resultsobtained,wedeemthefeetobereasonable.%xy݌ *z  Ќ  X  XӁ́  V. ,   Ӂ  Finally,MedicalCenterassertsthattherewasnoholdingbythetrialcourtregarding  SocialSecuritylanguageandinsufficientevidenceintherecordtosohold.Acourtcanmakea  findingthatthepaymentofworkerscompensationbenefitsinalumpsum representsa t paymenttotheindividualtobedistributedovertheindividualslifetimebaseduponlife Z expectancyasdeterminedfrommortalitytablesfromTennesseeCodeAnnotated.Tenn.Code @ Ann.506207(6).Thisprovisioninurestothebenefitoftheemployeewithoutany &v correspondingdetrimenttotheemployer,andisregularlyusedintotaldisabilitycaseswherethe  \ employeemayalsobeeligibleforSocialSecuritydisabilitybenefits.Withnoreasonstated B otherthanthefailureofthetrialjudgetoarticulatethefindinginhisbenchopinion,Medical ( CenterobjectstoinclusionofthelanguageintheFinalDecree.Wenotethewellsettledrule  that (a)courtspeaksonlythroughitswrittenjudgments,dulyentereduponitsminutes.  Therefore,nooralpronouncementisofanyeffectunlessanduntilmadeapartofawritten   judgmentdulyentered.EnvironmentalAbatement,Inc.v.AstrumR.E.Corp.,27S.W.3d530, p!  536(Tenn.App.2000).ThetrialjudgesignedtheFinalDecreesubmittedbytheemployees V"! counsel.MedicalCentercouldhavefiledamotiontoalteroramendpursuanttoTenn.R.Civ. <#" P.59ifitbelievedthedecreecontainederroneousfindingsnotintendedbythetrialjudge.Wells "$r# v.TennesseeBd.ofRegents,9S.W.3d779,7867(Tenn.1999).Wefindnoerrorinthe %X $ judgmententeredbythetrialcourt. %>!%  &$"&   Ӂ X  VI. (#(  X  Ӂ  Counselfortheemployeehasrequestedthattheappealbedeemedfrivolousandthatthe l*%* caseberemandedforthepurposeofassessingcosts.Underthedenovoreviewstandard,our R+&+ SupremeCourthasconsistentlydeniedmotionsforfrivolousappealwheretheappealpresents 8,', issuesoffactualdispute.Boruffv.CNAIns.Co.,795S.W.2d125,128(Tenn.1990).Wedonot -n(- findalloftheissuesraisedbytheemployertobewithoutmeritorthattheemployerinstituted  thisappealsolelyforthepurposeofdelay.   X X  H.` hp x (#X(#HӁXXXX      X&    Disposition LjԌ H Ќ  XXXX  ݁'H . ~   Thejudgmentofthetrialcourtisaffirmed,andthecaseisremandedtothetrialcourtfor  d anynecessaryproceedings.CostsoftheappealaretaxedagainsttheAppellant.  J ̀     `     h   ______________________________   ЀHowellN.Peoples,SpecialJudge x    D  FXX@9 9 #XXFЋ#FXXINTHESUPREMECOURTOFTENNESSEE  @ ATKNOXVILLE,TENNESSEE#XXF$#Ԉ    FXX  GLADYSWILLISV.MOUNTAINSTATESHEALTHALLIANCEd/b/a z  JOHNSONCITYMEDICALCENTERHOSPITAL#XXF#FXX   WashingtonCountyChanceryCourt#XXF#    @%%% % Q %QT% R %Rr% j %j% k %kNo.33313   @FiledSeptember3,2002 j  AEl) ` dE<5 ` A 6  @No.% m E200101404SCWCMCV%mԈ 'w  AEl) ` dE< ` A C  @& JUDGMENT  4 󀀀ThiscaseisbeforetheCourtupontheentirerecord,includingtheorderof  referraltotheSpecialWorkers'CompensationAppealsPanel,andthePanel'smemorandum  Opinionsettingforthitsfindingsoffactandconclusionsoflaw,whichareincorporatedherein | byreference; b    ` Whereupon,itappearstotheCourtthatthememorandumOpinionofthePanel .~ shouldbeacceptedandapproved;and d    ` Itis,therefore,orderedthatthePanel'sfindingsoffactsandconclusionsoflaw 0 areadoptedandaffirmedandthedecisionofthePanelismadetheJudgmentoftheCourt.     ` ThecostsonappealaretaxedtotheAppellant,MountainStatesHealthAlliance  d/b/aJohnsonCityMedicalCenterHospitalanditssurety,forwhichexecutionmayissueif x   necessary. ^!! ̀% n    `