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  "name": "PEARL KANIPE, Employee, Plaintiff v. LANE UPHOLSTERY, HICKORY TAVERN FURNITURE CO., Employer, SELF-INSURED (Alexsis Risk Management Services), Administrator, Defendants",
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    "judges": [
      "Judges WYNN and HUNTER concur."
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    "parties": [
      "PEARL KANIPE, Employee, Plaintiff v. LANE UPHOLSTERY, HICKORY TAVERN FURNITURE CO., Employer, SELF-INSURED (Alexsis Risk Management Services), Administrator, Defendants"
    ],
    "opinions": [
      {
        "text": "LEWIS, Judge.\nPlaintiff has been employed as a sewer for defendant Lane Upholstery (\u201cLane\u201d) since 1969. Over a period of several years, plaintiff began experiencing numbness in her hands. However, she never reported any of these problems to either her employer or her regular physician. Finally, in the Spring of 1997, the pain intensified, and she reported the pain and numbness to her gynecologist, Dr. Paul Caporossi. Dr. Caporossi referred her to Dr. John L. de Perczel, a general orthopedic surgeon.\nPrior to seeing Dr. de Perczel, plaintiff informed various supervisors at work about her symptoms and her upcoming appointment with Dr. de Perczel. No one objected to her seeing Dr. de Perczel. Anne Story, Lane\u2019s Director of Human Resources, however, did inform plaintiff that, if her condition was work-related, she would need to seek treatment from a physician approved by Lane.\nOn 6 May 1997, plaintiff presented herself to Dr. de Perczel. Dr. de Perczel diagnosed her as having bilateral carpal tunnel syndrome, caused by her work. Upon learning of this diagnosis, Lane arranged for plaintiff to see its physician, Dr. Robert Hart of the Hart Industrial Clinic. Dr. Hart eventually concurred in Dr. de Perczel\u2019s diagnosis. He assigned plaintiff to light duty work pending further evaluation. On 3 June 1997, Dr. Eric Hart, also of the Hart Industrial Clinic, referred plaintiff to Dr. Carl Michael Nicks for a surgical evaluation of her condition. Dr. Nicks recommended that plaintiff undergo carpal tunnel release surgery. Dr. Nicks scheduled this surgery for 12 June 1997.\nTwo days before the scheduled surgery, plaintiff unilaterally canceled her appointment with Dr. Nicks. She informed her employer that she wished to have Dr. de Perczel perform the surgery instead. She stated that she had no specific objection to Dr. Nicks; she just felt more comfortable with Dr. de Perczel. Ms. Story explained to plaintiff that Lane would not pay for the surgery because only Dr. Nicks had been authorized to perform the surgery \u2014 Dr. de Perczel was not one of its authorized physicians.\nOn 1 July 1997, Lane\u2019s claims adjuster wrote a letter to plaintiff\u2019s counsel, advising plaintiff that Lane had accepted her claim as com-pensable. The letter again informed plaintiff that Lane had only authorized the carpal tunnel release surgery with Dr. Nicks and thus would not voluntarily pay for her surgery with Dr. de Perczel. A copy of this letter was forwarded to the Industrial Commission.\nNotwithstanding her employer\u2019s refusal to pay for the surgery, plaintiff presented herself to Dr. de Perczel on 7 July 1997. Two days later, on July 9, Dr. de Perczel performed a right carpal tunnel release, and a few weeks later, he followed up by performing a carpal tunnel release on the left hand. Following the first surgery, Dr. de Perczel ordered plaintiff to cease work. She has not returned to work since then.\nIn addition to refusing to pay for her surgery with Dr. de Perczel, Lane has also refused to provide plaintiff with any disability compensation. This apparently stems from conflicting treatment plans. Dr. Nicks testified that, had he performed the carpal tunnel surgeries, he would have assigned plaintiff to light duty work, but would not have removed her from work for more than seven days. Thus, under his plan, plaintiff would not have been entitled to any disability compensation, only reimbursement for the costs of her medical treatment. See N.C. Gen. Stat. \u00a7 97-28 (1999) (\u201cNo compensation . . . shall be allowed for the first seven calendar days of disability resulting from an injury, except [medical expenses].\u201d)- Dr. de Perczel, however, opined that plaintiff was unable to perform any work whatsoever and thus removed plaintiff from work indefinitely. Under his plan, therefore, plaintiff would be entitled to some disability compensation.\nPlaintiff filed a Form 33 Request for Hearing with the Industrial Commission, seeking the authorization of Dr. de Perczel, reimbursement of the medical expenses associated with the carpal tunnel surgeries, and disability compensation. The deputy commissioner concluded Lane never had the authority to control plaintiff\u2019s medical treatment because it had never officially accepted liability. As such, the deputy commissioner awarded plaintiff past and future medical expenses, as well as temporary total disability benefits in the amount of $252.15 per week from the period of 9 July 1997 forward.\nThe Full Commission reversed. It concluded that Lane had indeed accepted liability and thus had the right to control plaintiffs medical treatment. It further denied plaintiffs request to have Dr. de Perczel authorized as her treating physician. Accordingly, the Full Commission denied her claims for medical expenses and disability compensation. Plaintiff now appeals to this Court.\nPlaintiff first contests Lane\u2019s right to select her treating physician for purposes of her carpal tunnel release surgeries. In particular, plaintiff argues that Lane had no right of control prior to the surgeries because it never formally accepted liability until it filed a Form 60 after the surgeries. We reject this argument.\nGenerally speaking, the employer has the right to direct the medical treatment for a compensable injury. Schofield v. Tea Co., 299 N.C. 582, 586, 264 S.E.2d 56, 60 (1980). This includes the right to select the treating physician. Id. However, neither our courts nor our legislature has ever explicitly articulated at what point this right of the employer attaches. The Commission treated the employer\u2019s acceptance of liability as the triggering point. We agree with this proposition and therefore hold that an employer\u2019s right to direct medical treatment (including the right to select the treating physician) attaches once the employer accepts the claim as compensable.\nAs soon as the employee claims he or she is entitled to compensation, the employer has the right to require the employee to submit to an examination with one of its authorized physicians. N.C. Gen. Stat. \u00a7 97-27(a) (1999). One of the implicit purposes of this requirement is to enable the employer to ascertain whether the injury is work-related or not and thus whether the claim is indeed compensable. At this point, however, the statute only confers upon the employer the right to require its employee to submit to an examination. We do not believe this limited right can be equated with a right to direct medical treatment in general. Were that the case, an employer could ostensibly force its employee to undergo treatment with one of its physicians and then still turn around and deny liability. We do not believe our Legislature intended such a result by enacting section 97-27.\nInstead, we conclude the right to direct medical treatment is triggered only when the employer has accepted the claim as compen-sable. N.C. Gen. Stat. \u00a7 97-25 confers upon the employer the duty to provide all medical compensation. This medical compensation includes the providing of medical supplies, services, and treatment. N.C. Gen. Stat. \u00a7 97-2(19). But until the employer accepts the obligations of its duty, i.e., paying for medical treatment, it should not enjoy the benefits of its right, i.e., directing how that treatment is to be carried out.\nHaving concluded that Lane\u2019s right to direct medical treatment and thereby select plaintiff\u2019s carpal tunnel surgeon attached upon acceptance of liability, we must next address when that acceptance occurred here. Plaintiff claims Lane\u2019s acceptance did not occur until it filed a Form 60 with the Industrial Commission \u2014 after her carpal tunnel surgeries had been performed. Lane counters that acceptance occurred prior to the surgeries, when it notified plaintiff both orally and in writing that it was treating her claim as compensable. The Commission ultimately agreed with Lane, as do we.\nOur statutes nowhere set forth exclusive methods of accepting liability. The employer\u2019s filing of a Form 21 agreement (if approved by the Commission) has repeatedly been held to constitute an acceptance of liability. See, e.g., Kisiah v. W.R. Kisiah Plumbing, 124 N.C. App. 72, 77, 476 S.E.2d 434, 436 (1996), disc. review denied, 345 N.C. 343, 483 S.E.2d 169 (1997). Similarly, directly paying the employee, coupled with the filing of a Form 60, is also sufficient to accept liability. N.C. Gen. Stat. \u00a7 97-18(b); Calhoun v. Wayne Dennis Heating & Air Cond., 129 N.C. App. 794, 798, 501 S.E.2d 346, 349 (1998), disc. review denied, 350 N.C. 92, 532 S.E.2d 524 (1999). But these forms are premised upon there being a disability. Here, as of the time of the surgeries, this was a \u201cmedical only\u201d claim. Plaintiff was only seeking medical expenses associated with her surgeries; she was not yet seeking disability compensation. In particular, plaintiff had not yet missed any days of work and, although she was assigned to light duty work, she was still earning the same wages as she was before. Therefore, plaintiff was not yet \u201cdisabled\u201d under our Workers\u2019 Compensation Act. See generally N.C. Gen. Stat. \u00a7 97-2(9) (defining disability as the incapacity to earn the same wages). And because she was not yet \u201cdisabled,\u201d Lane was not required to file a Form 60 or Form 21. As such, Lane could have accepted liability for medical expenses through methods other than the filing of these forms.\nLane did so here. Prior to the surgeries, Lane verbally notified plaintiff it was accepting her claim. Lane thereafter also sent plaintiff\u2019s counsel written notification of its acceptance. Plaintiff even understood that acceptance had occurred, as she admitted that, going into surgery, she knew her medical expenses would not be covered by workers\u2019 compensation. On these facts, we conclude that Lane acted sufficiently to accept liability prior to the carpal tunnel surgeries. Cf. Craver v. Dixie Furniture Co., 115 N.C. App. 570, 579-80, 447 S.E.2d 789, 795 (1994) (holding that employer\u2019s verbal acceptance of liability was sufficient to estop it from later denying liability before the Commission); Parker v. Thompson-Arthur Paving Co., 100 N.C. App. 367, 371, 396 S.E.2d 626, 629 (1990) (same). Accordingly, Lane had the right at that time to direct plaintiff\u2019s medical treatment, including selecting her surgeon.\nAlthough Lane had the right to select the surgeon to perform the carpal tunnel surgeries, this right is not unlimited. There are a few recognized exceptions to the employer\u2019s general right to direct medical treatment. First, an employee may procure his own physician when the employer has failed to direct medical treatment in a prompt and adequate manner. Schofield, 299 N.C. at 587, 264 S.E.2d at 60. Here, there is no question that Lane acted promptly and adequately. As soon as plaintiff informed Lane of Dr. de Perczel\u2019s carpal tunnel diagnosis, Lane directed plaintiff to the Hart Industrial Clinic for further examinations and treatment. And it continued to do so right up until plaintiff\u2019s surgeries. Second, an employee may procure treatment on his or her own in the case of an emergency. N.C. Gen. Stat. \u00a7 97-25. Plaintiff has nowhere maintained that her carpal tunnel surgeries were an emergency. Moreover, the fact that she canceled her 12 June 1997 scheduled surgery with Dr. Nicks and waited nearly a month to have the surgery with Dr. de Perczel lends no support to such a contention.\nThird, even in the absence of an emergency or the employer\u2019s failure to direct timely and adequate treatment, an employee still may select his or her own physician if such selection is approved by the Commission. Id.; Schofield, 299 N.C. at 591, 264 S.E.2d at 62. The employee\u2019s request for approval may even be filed after the treatment has been procured, just as long as the request is filed within a reasonable time thereafter. Schofield, 299 N.C. at 592-93, 264 S.E.2d at 63. Doing so, however, involves some element of risk for the employee. Approval of an employee-selected physician is left to the sound discretion of the Commission. Franklin v. Broyhill Furniture Industries, 123 N.C. App. 200, 207, 472 S.E.2d 382, 387, cert. denied, 344 N.C. 629, 477 S.E.2d 39 (1996).\nHere, the Full Commission denied authorization of Dr. de Perczel based upon two grounds. First, it concluded that plaintiff\u2019s request for authorization was not filed within a reasonable time because her request came after her surgeries with Dr. de Perczel. As just stated, this reasoning is flawed; the request for approval need not be filed before treatment is actually administered. Were this the only ground upon which the Commission denied authorization, we would be constrained to hold that the Commission abused its discretion. However, the Commission also denied authorization on the ground that plaintiff did not have good cause to refuse treatment by Dr. Nicks. We find no abuse of discretion as to this ground. The evidence reflects Dr. Nicks was both well-qualified and competent to perform the carpal tunnel release surgeries. In fact, plaintiff never questioned his abilities. Her only explanation for wanting Dr. de Perczel was she \u201cdidn\u2019t like Dr. Nicks\u2019s attitude and the way he did not explain stuff to [her].\u201d (Tr. at 38). Given that this was her only reason, we cannot say the Commission abused its discretion in refusing to authorize treatment with Dr. de Perczel. Accordingly, we conclude the Commission properly denied plaintiffs claims for medical expenses associated with her carpal tunnel surgeries.\nPlaintiff also contests the Commission\u2019s denial of her claim for disability compensation. Specifically, she contends the Commission made insufficient findings to support its denial of her claim. We agree and therefore vacate and remand that portion of the opinion and award denying plaintiffs disability compensation claim.\nIn denying her claim, the Commission summarily concluded, \u201cAny inability by plaintiff to earn wages subsequent to 9 July 1997 [the date of her first carpal tunnel surgery with Dr. de Perczel] was not related to her occupational disease and she is, therefore, not entitled to any disability compensation after that date.\u201d The Commission, however, never made any findings explaining its basis for denying disability compensation. Perhaps the Commission based its denial on plaintiffs refusal to undergo medical treatment with Dr. Nicks: If so, this is not a valid reason for denial. Although medical expenses are not covered when an employee refuses to see an authorized physician, disability compensation may not be cut off unless the Commission has first ordered the employee to undergo treatment with that physician. N.C. Gen. Stat. \u00a7 97-25; Deskins v. Ithaca Industries, Inc., 131 N.C. App. 826, 832, 509 S.E.2d 232, 236 (1998). No such prior order by the Commission existed here.\nAlternatively, the Commission might have based its denial of disability compensation on Dr. Nicks\u2019 treatment plan, in which he determined that plaintiff would not have missed more than a week of work due to her injury. If that were the case, this basis would be lawful. See N.C. Gen. Stat. \u00a7 97-28 (\u201cNo compensation ... shall be allowed for the first seven calendar days of disability resulting from an injury, except [medical expenses].\u201d). But because the Commission never made any specific findings, we simply do not know whether it denied disability compensation on a lawful or unlawful basis. We therefore remand to the Commission to reconsider plaintiff\u2019s claim for disability compensation and to make explicit findings with respect to this claim.\nAffirmed in part, vacated in part and remanded.\nJudges WYNN and HUNTER concur.",
        "type": "majority",
        "author": "LEWIS, Judge."
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    "attorneys": [
      "Patterson, Harkavy & Lawrence, L.L.P., by Henry N. Patterson, Jr. and Martha A. Geer, for plaintiff-appellant.",
      "Robinson & Lawing, L.L.P, by Jolinda J. Babcock, for defendant-appellees."
    ],
    "corrections": "",
    "head_matter": "PEARL KANIPE, Employee, Plaintiff v. LANE UPHOLSTERY, HICKORY TAVERN FURNITURE CO., Employer, SELF-INSURED (Alexsis Risk Management Services), Administrator, Defendants\nNo. COA99-1425\n(Filed 29 December 2000)\n1. Workers\u2019 Compensation\u2014 employer\u2019s right to control medical treatment \u2014 once accept employee\u2019s claim as compensable\nThe full Industrial Commission did not err in a workers\u2019 compensation case by its conclusion that defendant employer had the right to control plaintiff employee\u2019s medical treatment because an employer\u2019s right to direct medical treatment, including the right to select the treating physician, attaches once the employer accepts the claim as compensable under N.C.G.S. \u00a7 97-25.\n2. Workers\u2019 Compensation\u2014 employer\u2019s right to control medical treatment \u2014 acceptance of liability through methods other than filing Form 60 or Form 21\nThe full Industrial Commission did not err by concluding that defendant employer accepted plaintiff employee\u2019s claim as compensable prior to plaintiff\u2019s carpal tunnel surgeries, entitling defendant to direct plaintiff\u2019s medical treatment, because: (1) defendant could have accepted liability for medical expenses through methods other than the filing of a Form 60 or Form 21 since plaintiff was not yet disabled under the Workers\u2019 Compensation Act; (2) defendant verbally notified plaintiff prior to surgeries that it was accepting plaintiff\u2019s claim; (3) defendant thereafter also sent plaintiff\u2019s counsel written notification of its acceptance; and (4) plaintiff even understood acceptance had occurred when she admitted that going into surgery, she knew her medical expenses would not be covered by workers\u2019 compensation.\n3. Workers\u2019 Compensation\u2014 employer\u2019s right to direct medical treatment \u2014 exceptions to rule not met\nAlthough there are exceptions to the employer\u2019s general right to direct medical treatment including when the employer has failed to direct medical treatment in a prompt and adequate manner, in the case of an emergency, and if plaintiffs selection of physicians is approved by the Industrial Commission, plaintiff employee did not fall under these three exceptions and did not have the right to select the surgeon to perform plaintiffs carpal tunnel surgeries, because: (1) defendant acted promptly and adequately; (2) plaintiff has nowhere maintained that her surgeries were an emergency, and the fact that she canceled her initial scheduled surgery and waited nearly a month to have surgery with another doctor lends no support to such a contention; and (3) the full Commission denied authorization of plaintiffs choice of doctors when it concluded that plaintiff did not have good cause to refuse treatment by the authorized doctor.\n4. Workers\u2019 Compensation\u2014 disability compensation \u2014 failure to make specific findings\nThe full Industrial Commission erred in a workers\u2019 compensation case by denying plaintiff employee\u2019s claim for disability compensation, because the Commission failed to make any specific findings to allow the Court of Appeals to determine whether the Commission denied disability compensation on a lawful or unlawful basis.\nAppeal by plaintiff from opinion and award filed 25 May 1999 by the North Carolina Industrial Commission. Heard in the Court of Appeals 11 October 2000.\nPatterson, Harkavy & Lawrence, L.L.P., by Henry N. Patterson, Jr. and Martha A. Geer, for plaintiff-appellant.\nRobinson & Lawing, L.L.P, by Jolinda J. Babcock, for defendant-appellees."
  },
  "file_name": "0620-01",
  "first_page_order": 650,
  "last_page_order": 657
}
