Cook v. Workmen's Compensation Appeal Board

642 A.2d 1149, 164 Pa. Commw. 73, 1994 Pa. Commw. LEXIS 221
CourtCommonwealth Court of Pennsylvania
DecidedMay 11, 1994
StatusPublished
Cited by1 cases

This text of 642 A.2d 1149 (Cook v. Workmen's Compensation Appeal Board) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cook v. Workmen's Compensation Appeal Board, 642 A.2d 1149, 164 Pa. Commw. 73, 1994 Pa. Commw. LEXIS 221 (Pa. Ct. App. 1994).

Opinion

LORD, Senior Judge.

Lawrence Cook petitions this Court for review of a Workmen’s Compensation Appeal Board (Board) order affirming a referee’s decision to terminate his benefits as of September 12, 1989.

Referee Scott Olin found the following pertinent facts:

Cook sustained a work-related injury on August 10, 1978 while working for Gould, Inc. (Gould) as an electrical equipment assembler. A notice of compensation payable was issued on August 30,1978. Gould filed a suspension petition on November 24, 1979. Thereafter, Cook filed a claim petition, which was treated as a reinstatement petition. On May 5, 1982, Referee Walter Leonard found Cook to be totally disabled as of February [1150]*115028, 1979 and into the indefinite future due to his August 10, 1978 injury. Gould filed an appeal of this decision to the Board, but later withdrew it. Gould next filed a termination petition on October 27, 1982. Referee Leonard denied that petition in a decision issued on October 9, 1985.

In support of the termination petition now at issue, which alleges that Cook recovered from his work-related disability as of September 12, 1989, Gould presented the testimony of Dr. John Williams, a board-certified orthopedic surgeon, and William Welte, a private investigator. It also introduced surveillance films of Cook’s activities. Dr. Williams examined Cook on September 12, 1989 and found no evidence of a herniated disc. Moreover, although Cook had an absent right ankle jerk, Dr. Williams felt this was due to the normal aging or degenerative process and not to the work injury.

For his part, Cook presented the testimony of Dr. Corey Ruth, who has expertise in orthopedic surgery, and who examined him on November 21,1989. Dr. Ruth opined that Cook has L4-5 discogenic lumbarsacral [sic] back injury and right L5-S1 radiculopathy causally connected to his August 10, 1978 work injury. Dr. Ruth felt Cook could return to a sedentary position on a part-time basis.

Referee Olin found Dr. Williams’ testimony to be “more persuasive and credible” than Dr. Ruth’s opinion. The referee then found that Cook did not have disc herniation and that any pain or symptomatology he did have was due to degenerative disc disease not causally connected to his work injury. The referee also found that Cook’s testimony as to his severe pain was “severely compromised by surveillance films,” and that any pain he did suffer resulted from the aging process. (Referee Olin’s decision, January 28, 1992, Findings of Fact Nos. 1, 3-13, pp. 3-5.) On appeal, the Board affirmed. This appeal followed:

The first issue Cook raises in its initial brief to us is whether the Board and the referee misapplied this Court’s decision in Hebden v. Workmen’s Compensation Appeal Board (Bethenergy Mines, Inc.) (Hebden I), 142 Pa.Commonwealth Ct. 176, 597 A.2d 182 (1991) to the facts at bar since Gould’s medical expert admitted that herniated discs do not heal, but also said that Cook’s disability was a result of degenerative disc disease unrelated to his work injury. The second issue Cook raises in his first brief is whether the Board and the referee allowed the issue of his original work injury — a herniated disc — to be relitigated in violation of Hebden I.1

In that case, Hebden contended “that the principle of ‘res judicata’ bars a referee from finding that a claimant has neither coal worker’s pneumoconiosis nor any occupationally acquired lung disease where a prior referee found the claimant to be partially disabled as a result of coal worker’s pneumoconiosis.” Hebden I, Id. at 184-185, 597 A.2d at 186. (Footnotes omitted.) We decided that the doctrine of res judicata — consisting of both claim preclusion and issue preclusion — did not apply and that Hebden’s benefits could be terminated on the basis that his disability had changed and ceased.

Attempting to distinguish the case at bar from Hebden I, Cook argues in his first brief that there, unlike here, the defense medical expert testified that the claimant’s original work-related injury had resolved, not that it had never been. Cook asserts that in this case it was Dr. Williams’ opinion that Referee Leonard’s prior determinations concerning his disability were incorrect. In response, Gould argues that, pursuant to Heb-den I, its termination petition did not amount to impermissible relitigation because the petition merely alleged that Cook’s disability ceased at a time subsequent to the referee’s prior adjudications of disability, not that those adjudications were wrong.

Thereafter, Cook filed a reply brief, stating that one was required by the Supreme Court’s reversal of our decision in Hebden I. [1151]*1151See Hebden v. Workmen’s Compensation Appeal Board (Bethenergy Mines, Inc.) (Hebden II), 534 Pa. 327, 632 A.2d 1302 (1993). Gould also filed a reply brief.2

Our Supreme Court said in Hebden II:

It is admitted in the Commonwealth Court opinion itself that res judicata or issue preclusion prevents an employer from relitigating, by way of a petition to modify or terminate benefits, the original medical diagnosis underlying a referee’s finding of a claimant’s disability as of the date of the compensation award, [Hebden I], 142 Pa.Cmwlth. at 197, 597 A.2d at 182. Yet, that is, in essence, what happened here. It is no mystery why res judicata or issue preclusion applies to these situations. If it did not, disability victims could be continually harassed with petitions and hearings where they would be repeatedly forced to redemonstrate or redefend their claim of occupational disease and consequent disability. Such a system would be intolerable. We do not lose sight of the fact that the Workmen’s Compensation Act at Section 413 (77 P.S. § 772)3 expressly provides that an award may be terminated based upon changes in the employee’s disability. But that raises the logical question of whether an employee’s disability is changeable in a given case. If it is, an employee’s condition may be re-examined at a later time to see if he is still disabled or not. If it is not, an attempt to reexamine the employee’s condition is merely a disguised attempt to relitigate what has already been settled. We think that the latter is what occurred here.
In the instant case, logically, the employer should first have addressed the issue of whether pneumoconiosis is reversible or not. On this record, the issue was first raised by Dr. Klemens’ testimony for Appellant! He testified clearly that the disease is irreversible and progressive, that is, it only gets worse over time (R., 30-31a). This testimony, at a minimum, shifts the burden of production to the employer to present rebuttal evidence. Nowhere in this record or in the briefs filed with this Court does it do so.... We find that the employer here did not meet its burden of producing evidence to rebut Appellant’s contention that pneumoconiosis is not reversible.
Unable to show the disease’s reversibility, the employer here is precluded from trying to show that the disease has, in fact, been reversed in the case of Appellant.

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Mason v. Workmen's Compensation Appeal Board
657 A.2d 1020 (Commonwealth Court of Pennsylvania, 1995)

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642 A.2d 1149, 164 Pa. Commw. 73, 1994 Pa. Commw. LEXIS 221, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cook-v-workmens-compensation-appeal-board-pacommwct-1994.