On February 3, 2004, employee was counseled by the plant superintendent regarding negligence, inefficiency, scrap, and productivity. Shortly after employee's meeting with the plant superintendent, employee complained to his plant manager that his shoulder hurt and that he needed to leave work. The human resources manager had previously told employee that he was not allowed to work at employer's facility while taking his prescribed pain pills (Lortab). Employee testified that on February 3, 2004, his shoulder pain reached the point that he needed to take his pain pills and, therefore, he requested to go home.
Employee was permitted to leave work on February 3, 2004, but was instructed to provide verification from a medical professional for his need to leave work on that date. The next day, February 4, 2004, employee saw Dr. Middleton, who provided him with a set of trigger point injections. ${ }^{2}$ Dr. Middleton's February 4, 2004, note indicates employee's primary complaint as headaches. Dr. Middleton opined that the headaches were related to employee's myofascial pain associated with his right shoulder and neck pain. Employee requested a return to work slip from Dr. Middleton and she provided the same, but with
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[^0]: ${ }^{1}$ Statutory references are to the Revised Statutes of Missouri 2001 unless otherwise indicated.
${ }^{2}$ Employee had previously treated with Dr. Middleton and actually had a regularly scheduled appointment to receive these trigger point injections on February 16, 2004.
implications that if he has any change in his headaches such as blurred vision, nausea, or vomiting, he needs to seek immediate medical treatment. Employee provided copies of Dr. Middleton's return to work slip to employer the next day, February 5, 2011.
Despite receiving the return to work slip from Dr. Middleton, employer refused to allow employee to return to work. Employee sought another note from Dr. Middleton. On February 11, 2004, Dr. Middleton provided a second return to work slip indicating that she was treating employee for neck and shoulder pain and that the headaches are related to the neck and shoulder pain. Upon being presented with this second return to work slip, employer still refused to allow employee to return to work.
An employer memo dated March 25, 2004, provides evidence of employer's rationale for refusing to allow employee to return to work. Said memo states, as follows:
[Employee] supplied documentation on 2/5/04 and 2/11/04 and neither one of these documents supported or stated the need to leave work on 2/3/04 for shoulder problems. On 3/22/04, the union presented more documentation. This document indicates that [employee] had an office visit on 2/4/04 and was given a trigger point injection. This document again does not specifically state the need for him to leave work on 2/3/04. Furthermore, this was presented forty eight (48) days after he left work on 2/3/04. [Employee]'s record will reflect a "B" rule suspension from 2/5/04 through 3/25/04 for 'Other actions or offenses detrimental to the welfare of the Company or anyone associated with the Company."
Employee testified that on March 25, 2004, employer called him and "requested [he] ... sign a piece of paper saying it was [his] fault [he] was off work" for the period of February 4, 2004, to March 25, 2004. Employee refused to sign the paper and was discharged on April 5, 2004, for failing to show up for work or report his absences from March 29, 2004, through April 2, 2004.