Leavelle, Marcus v. RTC Memphis TN PC Docket No. 2022-08-0109

FILED
Nov 19, 2025
11:40 AM(CT)
TENNESSEE
WORKERS' COMPENSATION
APPEALS BOARD

TENNESSEE BUREAU OF WORKERS’ COMPENSATION
WORKERS’ COMPENSATION APPEALS BOARD

Marcus Leavelle Docket No. 2022-08-0109

v. State File No. 90156-2021

RCT Memphis TN PC, et al.

Appeal from the Court of Workers’ Heard October 23, 2025
Compensation Claims via Microsoft Teams
Shaterra R. Marion, Judge

Affirmed and Certified as Final

In this case, the trial court issued both a compensation order and a subsequent order
amending its compensation order in part. After the latter of those orders was issued, the
employer filed a notice of appeal, asserting the trial court erred in accepting the opinion of
one physician over that of another and in granting certain disability and medical benefits.
The employee then filed a motion to dismiss the appeal, arguing the employer’s notice of
appeal was untimely as to the issues addressed in the court’s original compensation order.
Upon consideration of the record as a whole and arguments of counsel, we deny the
employee’s motion to dismiss the appeal, affirm the trial court’s orders, and certify the
amended compensation order as final.

Presiding Judge Timothy W. Conner delivered the opinion of the Appeals Board in which
Judge Pele I. Godkin and Judge Meredith B. Weaver joined.

Garett P. Franklyn, Knoxville, Tennessee, for the employer-appellant, RCT Memphis TN
PC 1

Andrew L. Wener, Memphis, Tennessee, for the employee-appellee, Marcus Leavelle

1
Throughout the record, Employer is variously referenced as RCT Coca-Cola Bottling Co., RCT Memphis
TN PC, and Coca-Cola Consolidated, Inc. For purposes of this opinion, we use the same designation that
appears in the trial court’s compensation order.

1
Factual and Procedural Background

Marcus Leavelle (“Employee”) worked for RCT Memphis TN PC (“Employer”).
On December 1, 2021, Employee reported injuring his left knee when he felt a “pop” as he
hopped down from a trailer. He initially received authorized medical treatment at
Concentra, where he was evaluated by John Goodfred, D.O. 2 In his December 1 report,
Dr. Goodfred noted Employee’s history of a prior knee surgery. Employee described a
constant, aching pain and swelling in his left knee following the work accident. During his
physical examination, Dr. Goodfred noted evidence of acute swelling and “well healed
surgical scars.” He also described diffuse tenderness and limited range of motion in the
knee. Dr. Goodfred ordered x-rays, but his report does not reflect any specific findings
from the x-rays. He diagnosed a left knee strain with “internal derangement,” and he
prescribed medications and ordered an MRI and physical therapy.

Employee attended physical therapy at Concentra beginning on December 6. In her
first report, the therapist noted that Employee’s x-rays were “negative for fracture or
abnormalities.” On that date, Employee complained of “aching, heav[iness], tightness[,]
and throbbing” in his left knee, and he rated his pain as 8/10. He continued physical therapy
several times a week for the next several weeks. He next saw Dr. Goodfred on December
8 for a recheck of his “left knee injury.” Dr. Goodfred noted that Employee was showing
“minimal improvement” from the three therapy appointments he had attended as of that
date. Employee continued to report pain, swelling, and stiffness in his left knee, and Dr.
Goodfred noted swelling, tenderness, and limited range of motion during his physical
examination. He also stated that Employee “has significant difficulties with the physical
requirements of his job.” Dr. Goodfred discussed with Employee the need to progressively
increase his physical activities even if such activities are not pain free.

Employee continued attending physical therapy until his MRI on December 21. The
MRI showed evidence of “joint effusion” but was described as “otherwise normal.” 3 There
was no evidence of meniscal tears or other ligament injuries. On December 23, Employee
attended another physical therapy appointment at Concentra. During that visit, Employee
informed the therapist that his “daughter ran into [his] knee with [a] hoverboard and he is
in worse pain/swelling today.” Employee saw Dr. Goodfred later that day, but Dr.
Goodfred did not mention the hoverboard incident in his report. He again found evidence
of decreased range of motion in the left knee and noted that Employee was using crutches
to ambulate. He diagnosed Employee with “[o]ther internal derangement of left knee.”

On that same date, apparently in light of the MRI findings, Dr. Goodfred placed
Employee at maximum medical improvement and opined that “it does not appear that the
2
Employee testified that he did not recall receiving a panel of physicians from Employer but instead
remembered being directed to Concentra by Employer or its insurer.
3
In his deposition, Dr. Goodfred described joint effusion as “an increase in fluid within the articular space.”

2
presenting complaints arose out of [his] job duties in the course of the patient performing
those duties.” Dr. Goodfred then stated, “Released from [c]are. [Employee] advised to
see private orthopedic specialist.”

Thereafter, Employee sought treatment on his own at the Campbell Clinic, where
he saw Dr. James Harkess on January 6, 2022. In his report, Dr. Harkess described the
work accident in which Employee recounted experiencing a “pop” and immediate swelling
after getting out of a truck at work. During his physical examination, Dr. Harkess noted
“significant joint effusion.” X-rays of the left knee showed no fractures, but Dr. Harkess
stated that he reviewed the MRI films and considered the possibility of a “loose body in
the medial retinaculum.” He diagnosed a possible patellar dislocation. Dr. Harkess
concluded that, “[c]learly, he has a work-related injury and likely had patellar instability.”
He placed Employee in a knee immobilizer and recommended additional physical therapy.
Dr. Harkess’s report also reflects that “the patient was examined along with Dr. Bernholt
today” and that Dr. Bernholt “was in agreement.” Employee was instructed to follow up
with Dr. Bernholt in three weeks.

Employee continued to treat at Campbell Clinic with Dr. Bernholt. During his
January 27 visit, Employee advised Dr. Bernholt that he previously had surgery on his left
knee in 1999 and again in 2003, but he denied having any “significant antecedent problems
prior to this injury.” Dr. Bernholt noted the MRI findings but stated that Employee “did
have a large effusion,” which Dr. Harkess had aspirated. Dr. Bernholt then concluded that
Employee “did have a patellar subluxation or dislocation-type of event.” He gave
Employee a new brace and a prescription for an anti-inflammatory medication, placed him
on sedentary restrictions, and encouraged him to continue with physical therapy.

By late March 2022, Employee continued to report significant pain and other
symptoms. Although Dr. Bernholt commented that Employee was “making some
progress” with physical therapy, he recommended proceeding with a cortisone injection,
to which Employee agreed. Dr. Bernholt noted that Employee “is still quite limited,” and
he kept Employee’s work restrictions the same. He then stated, “If he fails to improve with
this conservative treatment, we may have to start discussing operative intervention.”

In his June 2 report, Dr. Bernholt concluded that conservative treatment had failed
to improve Employee’s condition and that surgical intervention was warranted. On June
17, Dr. Bernholt performed a partial medial meniscectomy and patellar chondroplasty.
After examining the interior of Employee’s knee during surgery, Dr. Bernholt diagnosed a
full-thickness chondral lesion of the lateral femoral condyle “with loose chondral flaps”
and a “left medial meniscus tear” in the “mid body posterior horn junction.”

Following surgery, Employee’s symptoms began to abate, and his functionality
improved. In July 2022, Dr. Bernholt commented that Employee’s range of motion was
improving and that his pain was decreasing. Dr. Bernholt encouraged him to increase

3
weight-bearing as tolerated. By September, Dr. Bernholt reported no effusion around the
left knee, and by November, Employee reported that his knee had returned to normal. Dr.
Bernholt assigned no physical restrictions at that time.

In preparation for trial, the parties deposed Dr. Goodfred once and Dr. Bernholt
twice. During his deposition, Dr. Goodfred confirmed that his practice in Memphis
consists of “90 to 95 percent” workers’ compensation patients. He stated he is licensed to
practice medicine in Tennessee but is not board-certified in any particular specialty.
Significantly, Dr. Goodfred also testified that he is not familiar with the American Medical
Association’s Guides to the Evaluation of Permanent Impairment (“AMA Guides”). With
respect to his care of Employee, Dr. Goodfred stated that he diagnosed a knee strain but
that he “did not have an explanation for the mild effusion” seen on the MRI. Ultimately,
Dr. Goodfred stated, “I did not believe that the MRI findings were consistent with his
mechanism of injury.” He then concluded that the condition of Employee’s knee was not
more than 50% related to the reported work accident. With respect to the hoverboard
incident, Dr. Goodfred agreed it was reasonable to believe that incident “could exacerbate
or aggravate or worsen” Employee’s condition. However, during cross examination, Dr.
Goodfred agreed that Employee complained of pain and swelling in his knee both before
and after the hoverboard incident.

In contrast, during his second deposition, Dr. Bernholt reiterated that he found
evidence of a “full-thickness chondral defect” in Employee’s left knee during surgery,
which he repaired. Dr. Bernholt commented that “the sensitivity of MRI for chondral
lesions is not 100 percent” but that his diagnosis was based largely on what he found during
surgery. Dr. Bernholt also confirmed his opinion that this condition was “greater than 50
percent related to the work injury.” He also concluded, based on his review of the
applicable edition of the AMA Guides, that Employee qualified for a permanent medical
impairment rating of two percent.

The court conducted a compensation hearing on March 24, 2025, at which
Employee was the only witness to testify in person. On direct examination, he described
the work incident and his left knee symptoms that arose following that incident. He
testified that he continued to suffer the same symptoms after Dr. Goodfred released him.
He remained off work while treating with Dr. Bernholt until after his surgery. Ultimately,
he returned to work making less money than he did while working for Employer.

The court issued a compensation hearing order on April 8, 2025. It concluded
Employee had proven by a preponderance of the evidence that he sustained an injury
arising primarily out of the work-related accident. The court also determined that Dr.
Bernholt’s opinions were entitled to greater weight than Dr. Goodfred’s and offered the
more probable explanation of causation. As a result, the court ordered Employer to pay
permanent disability benefits based on Dr. Bernholt’s two percent rating, plus increased
benefits because, as of the date his initial benefit period expired, Employee had not returned

4
to work at an equal or greater rate of pay as before the work accident. In addition, the court
ordered Employer to reimburse medical expenses Employee incurred as a result of his
treatment with Dr. Bernholt, and it identified Dr. Bernholt as Employee’s authorized
treating physician moving forward. With respect to the unpaid medical expenses, the court
stated, “[Employee’s] attorney is entitled to a fee of 20% of this award.” Finally, the court
awarded an additional period of temporary disability benefits based on Dr. Bernholt’s
restrictions and surgical treatment.

On April 21, Employer filed a motion to amend the court’s compensation order. In
essence, Employer asked the court to clarify that, although Employee’s attorney may be
entitled to a fee equal to 20% of the unpaid medical expenses, that award is not a separate
award to be paid directly by Employer but instead comes out of Employee’s award of
benefits. In addition, Employee filed a post-trial motion for discretionary costs. On July
16, the court issued an order granting in part Employer’s motion to amend. The court
agreed that the attorney’s fee based on 20% of the unpaid medical expenses is “to be paid
out of [Employee’s] permanent and temporary disability award.” Then, on August 1, the
court issued an order granting in part Employee’s motion for discretionary costs.

Employer filed a notice of appeal on August 6 and asserted that the court abused its
discretion in accepting Dr. Bernholt’s opinions over those of Dr. Goodfred and erred in
“disregarding a subsequent and intervening event.” On August 8, Employee filed a motion
to dismiss Employer’s appeal, asserting that Employer’s notice of appeal was untimely
with respect to any findings contained in the court’s April 8 compensation order that were
not subsequently addressed in its July 16 order addressing the attorney’s fee issue.

Standard of Review

The standard we apply in reviewing a trial court’s decision presumes that the court’s
factual findings are correct unless the preponderance of the evidence is otherwise. See
Tenn. Code Ann. § 50-6-239(c)(7) (2024). When the trial judge has had the opportunity
to observe a witness’s demeanor and to hear in-court testimony, we give considerable
deference to factual findings made by the trial court. Madden v. Holland Grp. of Tenn.,
Inc., 277 S.W.3d 896, 898 (Tenn. 2009). However, “[n]o similar deference need be
afforded the trial court’s findings based upon documentary evidence.” Goodman v.
Schwarz Paper Co., No. W2016-02594-SC-R3-WC, 2018 Tenn. LEXIS 8, at *6 (Tenn.
Workers’ Comp. Panel Jan. 18, 2018). Similarly, the interpretation and application of
statutes and regulations are questions of law that are reviewed de novo with no presumption
of correctness afforded the trial court’s conclusions. See Mansell v. Bridgestone Firestone
N. Am. Tire, LLC, 417 S.W.3d 393, 399 (Tenn. 2013). We are also mindful of our
obligation to construe the workers’ compensation statutes “fairly, impartially, and in
accordance with basic principles of statutory construction” and in a way that does not favor
either the employee or the employer. Tenn. Code Ann. § 50-6-116 (2024).

5
Analysis

This case presents three issues for review:

(1) Under what circumstances are the issues presented for review on
appeal limited by the timing of the filing of a notice of appeal?

(2) Did the trial court err in accepting the opinions of Dr. Bernholt over
those of Dr. Goodfred?

(3) Did the trial court disregard evidence of an independent intervening
event?

Employee’s Motion to Dismiss Appeal

In his motion to dismiss Employer’s appeal, Employee argues that when the trial
court’s compensation order was issued on April 8, 2025, Employer had thirty calendar days
to file its notice of appeal pursuant to Tennessee Code Annotated section 50-6-
217(a)(2)(B). Here, Employer did not file a notice of appeal within that thirty-calendar-
day period but instead filed a motion on April 21 asking the court to amend its
compensation order pursuant to Tennessee Rule of Civil Procedure 59.04. Employee then
filed a response to Employer’s motion to amend later that same day, to which Employer
responded the following day.

Also, on April 25, Employee filed a post-trial motion for discretionary costs.
Thereafter, due to Employee’s counsel’s need to take a 45-day medical leave, and upon
agreement of the parties, a hearing was not set to address the post-trial motions until July
7, 2025. On July 16, the court issued an order granting in part Employer’s motion to
amend, and on August 1, the court issued an order granting in part Employee’s motion for
discretionary costs. Employer’s notice of appeal was filed on August 6, within thirty
calendar days of the date the court amended its compensation order.

Employee argues that by failing to file a notice of appeal within thirty days of the
date the original compensation order was issued in April, Employer waived its right to
appeal any issues addressed in that compensation order that were not subsequently
addressed in one of the post-trial orders issued in July. Stated another way, Employee
asserts that the issues on appeal are limited to those issues addressed in one of the court’s
orders filed within the thirty-day period preceding the filing of the notice of appeal. As
discussed in more detail below, we disagree.

Tennessee Code Annotated section 50-6-239(c)(1) states that all hearings conducted
in the Court of Workers’ Compensation Claims shall be governed by the Tennessee Rules
of Evidence and the Tennessee Rules of Civil Procedure “unless an alternative procedural

6
or evidentiary rule has been adopted by the [A]dministrator” of the Bureau of Workers’
Compensation. As noted above, the deadlines within which to file appeals to the Appeals
Board are statutory. See Tenn. Code Ann. § 50-6-217(a)(2).

Tennessee Rule of Civil Procedure 52.02 states that in circumstances where a trial
court has issued a judgment, any party may, “not later than thirty days after entry of
judgment,” file a motion asking the court to “amend its findings or make additional
findings.” Moreover, Rule 52.02 also states:

When findings of fact are made in actions tried by the court without a jury,
the question of the sufficiency of the evidence to support the findings may
be raised on appeal whether or not the party raising the question has made in
the trial court an objection to such findings or has made a motion to amend
them or a motion for judgment.

Tenn. R. Civ. P. 52.02. Furthermore, Tennessee Rule of Civil Procedure 59.01 specifies
that a motion filed under Rule 52.02 “extend[s] the time for taking steps in the regular
appellate process.” We are aware of no rule adopted by the Administrator of the Bureau,
and none has been cited to us, that conflicts with Tennessee Rules of Civil Procedure 52.02
or 59.01. 4

We previously addressed a similar issue in Garassino v. Western Express, Inc., No.
2014-07-0013, 2016 TN Wrk. Comp. App. Bd. LEXIS 82 (Tenn. Work. Comp. App. Bd.
Nov. 7, 2016). In that case, the trial court issued a compensation order, part of which
awarded “any and all costs” related to a medical expert’s examination. Id. at *3. Twelve
days after the court issued its compensation order, the employee filed a motion for
discretionary costs, and the employer filed a response five days later. Id. The trial court
then issued another order addressing the ambiguity in its prior order and granting the
employee’s motion for discretionary costs. Id. at *4. The employer filed a notice of appeal,
which was filed more than thirty days after the court’s original compensation order, but
less than thirty days after the court’s subsequent order resolving the costs issue. Id. The
employee sought to have the appeal dismissed as untimely. Id.

In addressing the timeliness of the appeal, we stated as follows:

Under these circumstances, and looking to substance over form, we conclude
that Employee’s motion for discretionary costs and Employer’s response in
opposition to this motion sought additional findings of fact and conclusions
4
Tenn. Comp. R. and Regs. 0800-02-22-.01(1)(b) mirrors the statutory requirement that a notice of appeal
of a compensation order be filed “[w]ithin thirty (30) calendar days of the date a compensation order was
filed.” However, this rule does not purport to speak to any circumstances that may extend deadlines in the
appellate process as provided in the Rules of Civil Procedure. We conclude there is no conflict between
this rule and Rules 52.02 or 59.01.

7
of law pursuant to Rule 52.02 concerning whether [a medical expert’s] fees
for reviewing medical records and conducting a physical examination of
Employee were recoverable costs. Both the parties and the trial court treated
the issue as unresolved, and a subsequent hearing was conducted to address
the dispute. The trial court then issued another order that included additional
findings of fact and conclusions of law not contained in the previous order.
Having concluded that Employee’s motion was filed in accordance with Rule
52.02, the deadline for filing a notice of appeal was extended until after the
issuance of the trial court’s order resolving the motion as provided for in Rule
59.01. Thus, Employer’s August 9, 2016 notice of appeal was timely.

Id. at *11. Our opinion in Garassino was appealed, and the Tennessee Supreme Court’s
Special Workers’ Compensation Appeals Panel affirmed our decision. Garassino v.
Western Express, Inc., No. M2016-02431-SC-R3-WC, 2018 Tenn. LEXIS 60 (Tenn.
Workers’ Comp. Panel Feb. 8, 2018). In addressing the timeliness issue, the Appeals Panel
explained:

Whether this appeal was timely depends on the type of motion filed after the
entry of the trial court’s compensation order. In making that determination,
the court will look to the substance rather than form. We agree with the
Appeals Board that Rule 52.02 of the Tennessee Rules of Civil Procedure
controls in this case. Employee’s motion requested the trial court make an
additional finding regarding the amount of the discretionary cost award.
Tennessee Rule of Civil Procedure 59.01 provides that a motion made
pursuant to Rule 52.02 extends the time for initiating an appeal.
Accordingly, we affirm the Appeal Board’s conclusion that Employer’s
appeal was timely.

Id. at *6 (internal quotation marks and citation omitted). We conclude a similar analysis
is appropriate here. After the trial court issued its compensation order on April 8, Employer
filed a motion to amend within thirty days asking the court to make additional findings
concerning Employee’s entitlement to attorney’s fees and how such fees were to be paid.
Whether that motion is properly considered to have been filed pursuant to Rule 52.02 or
Rule 59.04, both types of motions work to extend the “time for taking steps in the regular
appellate process” as stated in Rule 59.01.

Employee argues that Garassino is distinguishable from the present case because,
in that case, the issue being raised on appeal had been addressed by the court in the order
it issued after its compensation order. Thus, once the trial court in Garassino issued its
subsequent order and the notice of appeal was filed, the appellant only presented issues for
review that had been addressed in the court’s subsequent order. Employee asserts that, in
the present case, Employer is seeking to present issues for review that were addressed in
the original compensation order but not in the motion to amend or the court’s subsequent

8
orders and that it should be precluded from doing so. We conclude, however, that neither
the text of Rule 59.01 nor the cases interpreting that rule limit the issues that can be raised
on appeal to only those addressed in post-trial motions and subsequent court orders. If we
were to take Employee’s argument to its logical conclusion, in any case where a party
considering an appeal elected to file a post-trial motion of the type specified in Rule 59.01,
the appellant would be forced to file multiple notices of appeal to preserve all possible
issues on appeal. Nothing in Tennessee’s Workers’ Compensation Law or applicable rules
or regulations supports such an interpretation. To the contrary, the last sentence of Rule
52.02 expressly reserves an appellant’s right to raise issues challenging the sufficiency of
the evidence supporting the trial court’s factual findings regardless of whether that
appellant objected to such findings at trial or made a motion to amend such findings post-
trial. Thus, we find Employee’s argument to be without merit, and we deny Employee’s
motion to dismiss the appeal.

Weighing of Expert Medical Testimony

For its part, Employer asserts the trial court erred in giving greater weight to Dr.
Bernholt’s opinions over those expressed by Dr. Goodfred. In considering conflicting
expert medical opinions, a court may consider “the qualifications of the experts, the
circumstances of their examination, the information available to them, and the evaluation
of the importance of that information by other experts.” Orman v. Williams Sonoma, Inc.,
803 S.W.2d 672 (Tenn. 1991). In addition, it is well established that, when faced with
competing expert medical opinions, “trial courts are granted broad discretion in choosing
which opinion to accept, and we will not disturb that decision absent an abuse of
discretion.” Jimenez v. Xclusive Staffing of Tenn., LLC, No. 2016-06-2377, 2017 TN Wrk.
Comp. App. Bd. LEXIS 45, at *6 (Tenn. Workers’ Comp. App. Bd. Aug. 7, 2017).
However, we are also charged with reviewing documentary evidence de novo. See, e.g.,
Brees v. Escape Day Spa & Salon, No. 2014-06-0072, 2015 TN Wrk. Comp. App. Bd.
LEXIS 5, at *16 (Tenn. Workers’ Comp. App. Bd. Mar. 12, 2015). Moreover, when the
trial court’s determination is challenged on appeal, we must determine where the
preponderance of the evidence lies. See Tenn. Code Ann. § 50-6-239(c)(7). Thus, in
considering these various standards of review, we have previously concluded that, in
circumstances where a trial court has weighed expert medical opinions contained in
depositions, the trial court has discretion to accredit the expert opinion it believes offers
the more probable explanation. We then consider whether the preponderance of the
evidence as a whole, including lay testimony and other evidence, leads to the conclusion
that the trial court abused its discretion. See Moore v. Beacon Transport, LLC, No. 2018-
06-1503, 2021 TN Wrk. Comp. App. Bd. LEXIS 39, at *7 n.1 (Tenn. Workers’ Comp.
App. Bd. Oct. 29, 2021).

9
Here, we conclude the trial court did not err in accrediting the opinions of Dr.
Bernholt over those of Dr. Goodfred. 5 Although Dr. Goodfred described his extensive
experience treating workers’ compensation patients, he also acknowledged that he is not
board-certified in any specialty and is unfamiliar with the AMA Guides, the text required
by statute to assess anatomical impairment in virtually every workers’ compensation case
in Tennessee. See Tenn. Code Ann. § 50-6-204(k)(2)(A) (“The treating physician or
chiropractor shall utilize the applicable edition of the AMA [G]uides as established by this
chapter.” (emphasis added)). Second, the trial court noted that Dr. Goodfred saw Employee
a limited number of times during a one-month period, whereas Dr. Bernholt treated and
evaluated Employee over a ten-month period. Finally, the trial court relied on Dr.
Bernholt’s qualifications as a board-certified orthopedic surgeon and the fact that Dr.
Bernholt performed surgery on Employee’s knee and found evidence of a “full-thickness
chondral defect” during surgery. Dr. Bernholt also testified as to why that finding may
have been missed on the MRI. In short, we find nothing in this record to indicate the trial
court erred in relying on the opinions expressed by Dr. Bernholt. Hence, we find
Employer’s argument on this issue to be without merit.

Independent Intervening Event

Finally, Employer alleges the trial court erred in “disregarding” evidence of a
subsequent event during which Employee’s knee was apparently struck accidentally by a
hoverboard. The Tennessee Supreme Court addressed the impact of independent,
intervening events in Anderson v. Westfield Group, 259 S.W.3d 690 (Tenn. 2008). In
Anderson, the employee suffered a compensable work-related fracture to his left elbow.
Id. at 693. After a period of recovery, he was released to return to work. Id. The parties
then settled his claim for workers’ compensation benefits and left open his right to
reasonable and necessary future medical treatment. Id. Several months later, the
employee, who was experiencing numbness in his left hand after suffering an ulnar nerve
injury during surgery to repair his work-related condition, suffered a severe burn injury to
his left hand when he placed it on a hot burner of his stove while bending over to retrieve
a dropped item. Id. at 694. The issue on appeal was whether the treatment needed for this
subsequent injury was covered by the terms of his workers’ compensation settlement
agreement. Id. at 694-95.

In explaining Tennessee’s “direct and natural consequences rule” and the
“independent intervening event” doctrine, the Supreme Court stated, “the progressive
worsening or complication of a work-connected injury remains compensable so long as the

5
Contrary to the findings reflected in the trial court’s order, we find no evidence in this record that Dr.
Goodfred was selected from a panel such that he is entitled to a presumption of correctness pursuant to
Tennessee Code Annotated section 50-6-102(12)(E) (2024). We also find no evidence that Dr. Goodfred
is board-certified in any specialty. We conclude, however, that these errors are harmless under the
circumstances of this appeal.

10
worsening is not shown to have been produced by an intervening nonindustrial cause.” Id.
at 697 (quoting 1 Larson’s Workers’ Compensation Law § 10 (2004)).

In the present case, we note initially that we disagree with Employer’s
characterization of the issue. Contrary to Employer’s framing of the issue, the trial court
did not “disregard” evidence of the hoverboard incident that allegedly occurred several
weeks after the work accident in December 2021. In fact, the trial court expressly
considered the evidence of the hoverboard incident and noted that Mr. Leavelle testified it
was “kind of an insignificant thing.” More importantly, the record reflects that when Dr.
Goodfred was asked about that incident, of which he was unaware prior to his deposition,
he testified only that it was reasonable to believe the incident “could exacerbate or
aggravate or worsen” Employee’s condition. (Emphasis added.) Yet, Dr. Goodfred did
not offer an opinion that the incident did, in fact, permanently aggravate, materially
advance, or cause an anatomic change to Employee’s knee condition. Finally, Dr.
Goodfred admitted that Employee reported the same symptoms in his knee both before and
after the hoverboard incident. We conclude that, at most, the evidence addressing the
subsequent event could reasonably support a finding that Employee’s left knee symptoms
were temporarily exacerbated by the hoverboard incident. In short, we find no evidence in
this record that the hoverboard incident permanently aggravated or materially advanced
Employee’s work-related injury. Thus, we discern no error by the trial court in addressing
this issue.

Conclusion

For the foregoing reasons, we deny Employee’s motion to dismiss the appeal, affirm
the trial court’s compensation order in all respects, and certify the order as final. Costs on
appeal are taxed to Employer.

11
TENNESSEE BUREAU OF WORKERS’ COMPENSATION
WORKERS’ COMPENSATION APPEALS BOARD

Marcus Leavelle Docket No. 2022-08-0109

v. State File No. 90156-2021

RCT Memphis TN PC, et al.

Appeal from the Court of Workers’ Heard October 23, 2025
Compensation Claims via Microsoft Teams
Shaterra R. Marion, Judge

CERTIFICATE OF SERVICE

I hereby certify that a true and correct copy of the Appeals Board’s decision in the referenced case
was sent to the following recipients by the following methods of service on this the 19th day of
November, 2025.

Name Certified First Class Via Via Sent to:
Mail Mail Fax Email
Garett P. Franklyn X gpfranklyn@mijs.com
clbailey@mijs.com
Andrew L. Wener X awener@wenerlawfirm.com
skramer@wenerlawfirm.com
Shaterra R. Marion, Judge X Via Electronic Mail
Kenneth M. Switzer, Chief Judge X Via Electronic Mail
Penny Shrum, Clerk, Court of X penny.patterson-shrum@tn.gov
Workers’ Compensation Claims

Olivia Yearwood
Clerk, Workers’ Compensation Appeals Board
220 French Landing Dr., Ste. 1-B
Nashville, TN 37243
Telephone: 615-253-1606
Electronic Mail: WCAppeals.Clerk@tn.gov