IN THE SUPERIOR COURT OF THE STATE OF DELAWARE
COREY FERRELL, ) ) Claimant-Below, ) Appellant, ) ) v. ) C.A. No. N24A-08-004 CEB ) CITY OF WILMINGTON, ) ) Employer-Below, ) Appellee. )
Submitted: December 16, 2024 Decided: March 10, 2025
MEMORANDUM OPINION
Upon Appellant’s Appeal AFFIRMED.
James Gaspero, Esquire, Nitsche & Fredricks, LLC, Wilmington, Delaware. Attorney for Appellant.
Gregory P. Skolnik, Esquire, Heckler & Frabizzo, Wilmington, Delaware. Attorney for Appellee.
BUTLER, R. J. INTRODUCTION
The following is the Court’s ruling on an appeal filed by Corey Ferrell
(“Claimant”) in a dispute before the Delaware Industrial Accident Board (“the
Board”) involving his work as a Wilmington firefighter. For the reasons that follow,
the decision of the Board will be affirmed.
FACTS
1. 2015 accident and treatment
In 2015, Claimant was working as a firefighter for the Belvedere Fire
Company when he was involved in a work-related motor vehicle accident. He
suffered a back injury and was treated by doctors. He had an MRI , which reflected
several bulges and hernias in his thoracic and cervical spine. He made a claim for
worker’s compensation. After undergoing various treatments, in 2016, Dr. Bandera
assessed a 10% permanency due to his spinal injuries.1
In 2018, Claimant and the worker’s compensation insurer agreed to a
“commutation” of his claim – the worker’s compensation equivalent to a settlement
and release. 2 That commutation included an agreement that Claimant was waiving
1 D.I. 1 Ex. A. Induct. Accident Bd.’s Decision on Pet. to Determine Compensation Due at 8 (May 6, 2024), Trans. ID 74127816 [hereinafter IAB’s Decision]. 2 D.I. 16 Appellee’s Answering Br. on Appeal at 9 (Dec. 9, 2024), Trans. ID 75172425 [hereinafter Appellee’s Answering Br.].
2 all claims for any future benefits from the insurer arising from the injuries he
received in 2015.3
2. October 6, 2023: an “untoward incident”
On October 6, 2023, Claimant was now working as a firefighter for the City
of Wilmington Fire Company. He and his crew responded to a call for service and
was required to climb a staircase. He was also laden with his own equipment as well
as two additional “high rise packs” that weigh about 30-40 pounds each. 4 While
climbing the stairs, Claimant became short of breath, experienced chest pains, and
there was concern that he was having a cardiac event. Back at the station, he felt
pain in his back and had “spasms.” 5 EMTs came and brought him to the hospital for
testing.
Luckily, it was not a cardiac event and Claimant was released to see his family
doctor to follow up. He continued to experience pain in his back. His family
physician ordered an MRI of his spine, medication, and chiropractic therapy. The
doctor eventually cleared him to return to work in March, 2024. 6
3 Id. 4 D.I. 15 Appellant’s Opening Br. on Appeal at 4 (Nov. 18, 2024), Trans. ID 75032982 [hereinafter Appellant’s Opening Br.]. 5 Id. at 4. 6 Id. at 6.
3 Claimant filed a Petition under the Worker’s Compensation Act. The
employer hired an expert witness, voluminous medical records were secured, and
the matter was heard by the Board.
After hearing the testimony of the Claimant, his family physician and the
employer’s medical expert witness, the Board ruled that the Claimant had failed to
sustain his burden of proving that the October 6, 2023 incident caused a new injury
for which compensation was due.7 Rather, the Board ruled that the condition he
experienced in October 2023 was a recurrence of the spinal injury he suffered in the
2015 automobile accident.8 The Board ruled that the 2023 incident was insufficient
to break the chain of causation from the prior incident so as to impose liability on
the second (current) employer. 9
STANDARD OF REVIEW
On an appeal from the Board, the court determines 1) whether the Board’s
conclusions are supported by substantial evidence; and 2) whether the Board’
conclusions are free from legal error.10 Substantial evidence means “relevant
7 IAB’s Decision. at 17. 8 Id. at 17-18. 9 Id. 10 Stevens v. State, 802 A.2d 939, 944 (Del. Super. 2002) (citing General Motors Corp. v. Freeman, 164 A.2d 686, 688 (Del.1960)).
4 evidence as a reasonable mind might accept as adequate to support a conclusion.”11
But the court does “not weigh evidence, determine questions of credibility, or make
its own factual findings.”12 The court reviews questions of law de novo.13
ANALYSIS
1. “Aggravation” and “Recurrence”
The casual reader would do well to understand at the outset that the lexicon
of worker’s compensation cases makes a critical distinction between “aggravation”
of a preexisting condition and “recurrence” of a preexisting condition. Aggravation
connotes a change in the mechanics of the condition such that we arrive at a different
condition than before. 14 The condition itself must change, not simply its perception
as reported by the claimant.15
11 Scheers v. Inder. Newspaper, 2003 WL 1888842, at *1 (Del. Super. Mar. 31, 2003), aff'd in part, remanded in part sub nom. Scheers v. Indes. Newspapers, 832 A.2d 1244 (Del. 2003) (quoting Oceanport Industries, Inc. v. Wilmington Stevedores, Inc., 636 A.2d 892, 899 (Del.1994)). 12 Bullock v. K-Mart Corp., 1995 WL 339025, at *2 (Del. Super. May 5, 1995) (citing Johnson v. Chrysler Corp., 213 A.2d 64, 66 (Del. 1965)). 13 Bayada Home Healthcare v. Shaw-Hicks, 2024 WL 5200101, at *2 (Del. Super. Dec. 23, 2024) (citing Delaware Bay Surgical Servs., P.C. v. Swier, 900 A.2d 646, 652 (Del. 2006)). 14 Parson v. City of Wilmington, 2013 WL 297960, at *1 (Del. Super. Jan. 24, 2013) (quoting Webster's Ninth New Collegiate Dictionary, 64 (1990)) (noted that aggravation “means that a condition is ‘made worse, more serious, or more severe.’”). 15 Turulski Custom Woodworking v. Sun Dog Cabinetry, 2004 WL 1172884, at *6 (Del. Super. May 11, 2004) (citing Standard Distrib. Co. v. Nally, 630 A.2d 640, 645 (Del.1993).
5 When a preexisting condition is aggravated as a result of a workplace event,
it is considered a compensable accident. 16 On the other hand, if the previous
condition has not changed as a result of a workplace incident, but the claimant’s
perception of it has – usually by experiencing pain at its locus – it is not an “accident”
under the statute such that compensation is available.17 So to qualify as an accident,
the “untoward workplace event” must cause a change in the physical condition of
the claimant. 18
Claimant here explained in his testimony that he was carrying multiple high-
rise bags up the stairs and experienced chest pains.19 Later, he experienced back
pains, emanating from the same locus as the site of his previous workplace injury in
2015.
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IN THE SUPERIOR COURT OF THE STATE OF DELAWARE
COREY FERRELL, ) ) Claimant-Below, ) Appellant, ) ) v. ) C.A. No. N24A-08-004 CEB ) CITY OF WILMINGTON, ) ) Employer-Below, ) Appellee. )
Submitted: December 16, 2024 Decided: March 10, 2025
MEMORANDUM OPINION
Upon Appellant’s Appeal AFFIRMED.
James Gaspero, Esquire, Nitsche & Fredricks, LLC, Wilmington, Delaware. Attorney for Appellant.
Gregory P. Skolnik, Esquire, Heckler & Frabizzo, Wilmington, Delaware. Attorney for Appellee.
BUTLER, R. J. INTRODUCTION
The following is the Court’s ruling on an appeal filed by Corey Ferrell
(“Claimant”) in a dispute before the Delaware Industrial Accident Board (“the
Board”) involving his work as a Wilmington firefighter. For the reasons that follow,
the decision of the Board will be affirmed.
FACTS
1. 2015 accident and treatment
In 2015, Claimant was working as a firefighter for the Belvedere Fire
Company when he was involved in a work-related motor vehicle accident. He
suffered a back injury and was treated by doctors. He had an MRI , which reflected
several bulges and hernias in his thoracic and cervical spine. He made a claim for
worker’s compensation. After undergoing various treatments, in 2016, Dr. Bandera
assessed a 10% permanency due to his spinal injuries.1
In 2018, Claimant and the worker’s compensation insurer agreed to a
“commutation” of his claim – the worker’s compensation equivalent to a settlement
and release. 2 That commutation included an agreement that Claimant was waiving
1 D.I. 1 Ex. A. Induct. Accident Bd.’s Decision on Pet. to Determine Compensation Due at 8 (May 6, 2024), Trans. ID 74127816 [hereinafter IAB’s Decision]. 2 D.I. 16 Appellee’s Answering Br. on Appeal at 9 (Dec. 9, 2024), Trans. ID 75172425 [hereinafter Appellee’s Answering Br.].
2 all claims for any future benefits from the insurer arising from the injuries he
received in 2015.3
2. October 6, 2023: an “untoward incident”
On October 6, 2023, Claimant was now working as a firefighter for the City
of Wilmington Fire Company. He and his crew responded to a call for service and
was required to climb a staircase. He was also laden with his own equipment as well
as two additional “high rise packs” that weigh about 30-40 pounds each. 4 While
climbing the stairs, Claimant became short of breath, experienced chest pains, and
there was concern that he was having a cardiac event. Back at the station, he felt
pain in his back and had “spasms.” 5 EMTs came and brought him to the hospital for
testing.
Luckily, it was not a cardiac event and Claimant was released to see his family
doctor to follow up. He continued to experience pain in his back. His family
physician ordered an MRI of his spine, medication, and chiropractic therapy. The
doctor eventually cleared him to return to work in March, 2024. 6
3 Id. 4 D.I. 15 Appellant’s Opening Br. on Appeal at 4 (Nov. 18, 2024), Trans. ID 75032982 [hereinafter Appellant’s Opening Br.]. 5 Id. at 4. 6 Id. at 6.
3 Claimant filed a Petition under the Worker’s Compensation Act. The
employer hired an expert witness, voluminous medical records were secured, and
the matter was heard by the Board.
After hearing the testimony of the Claimant, his family physician and the
employer’s medical expert witness, the Board ruled that the Claimant had failed to
sustain his burden of proving that the October 6, 2023 incident caused a new injury
for which compensation was due.7 Rather, the Board ruled that the condition he
experienced in October 2023 was a recurrence of the spinal injury he suffered in the
2015 automobile accident.8 The Board ruled that the 2023 incident was insufficient
to break the chain of causation from the prior incident so as to impose liability on
the second (current) employer. 9
STANDARD OF REVIEW
On an appeal from the Board, the court determines 1) whether the Board’s
conclusions are supported by substantial evidence; and 2) whether the Board’
conclusions are free from legal error.10 Substantial evidence means “relevant
7 IAB’s Decision. at 17. 8 Id. at 17-18. 9 Id. 10 Stevens v. State, 802 A.2d 939, 944 (Del. Super. 2002) (citing General Motors Corp. v. Freeman, 164 A.2d 686, 688 (Del.1960)).
4 evidence as a reasonable mind might accept as adequate to support a conclusion.”11
But the court does “not weigh evidence, determine questions of credibility, or make
its own factual findings.”12 The court reviews questions of law de novo.13
ANALYSIS
1. “Aggravation” and “Recurrence”
The casual reader would do well to understand at the outset that the lexicon
of worker’s compensation cases makes a critical distinction between “aggravation”
of a preexisting condition and “recurrence” of a preexisting condition. Aggravation
connotes a change in the mechanics of the condition such that we arrive at a different
condition than before. 14 The condition itself must change, not simply its perception
as reported by the claimant.15
11 Scheers v. Inder. Newspaper, 2003 WL 1888842, at *1 (Del. Super. Mar. 31, 2003), aff'd in part, remanded in part sub nom. Scheers v. Indes. Newspapers, 832 A.2d 1244 (Del. 2003) (quoting Oceanport Industries, Inc. v. Wilmington Stevedores, Inc., 636 A.2d 892, 899 (Del.1994)). 12 Bullock v. K-Mart Corp., 1995 WL 339025, at *2 (Del. Super. May 5, 1995) (citing Johnson v. Chrysler Corp., 213 A.2d 64, 66 (Del. 1965)). 13 Bayada Home Healthcare v. Shaw-Hicks, 2024 WL 5200101, at *2 (Del. Super. Dec. 23, 2024) (citing Delaware Bay Surgical Servs., P.C. v. Swier, 900 A.2d 646, 652 (Del. 2006)). 14 Parson v. City of Wilmington, 2013 WL 297960, at *1 (Del. Super. Jan. 24, 2013) (quoting Webster's Ninth New Collegiate Dictionary, 64 (1990)) (noted that aggravation “means that a condition is ‘made worse, more serious, or more severe.’”). 15 Turulski Custom Woodworking v. Sun Dog Cabinetry, 2004 WL 1172884, at *6 (Del. Super. May 11, 2004) (citing Standard Distrib. Co. v. Nally, 630 A.2d 640, 645 (Del.1993).
5 When a preexisting condition is aggravated as a result of a workplace event,
it is considered a compensable accident. 16 On the other hand, if the previous
condition has not changed as a result of a workplace incident, but the claimant’s
perception of it has – usually by experiencing pain at its locus – it is not an “accident”
under the statute such that compensation is available.17 So to qualify as an accident,
the “untoward workplace event” must cause a change in the physical condition of
the claimant. 18
Claimant here explained in his testimony that he was carrying multiple high-
rise bags up the stairs and experienced chest pains.19 Later, he experienced back
pains, emanating from the same locus as the site of his previous workplace injury in
2015. Were these back pains an “aggravation” of his previous condition for which
he is entitled to compensation? Or were they simply a “recurrence” of the back pain
stemming from the injury he suffered in the workplace incident in 2015? Needless
to say, resolution of this tricky question requires consideration of the medical history
of the 2015 injury and treatment as well as consideration of the divergent expert
16 State v. Neff, 2003 WL 22064099, at *3 (Del. Super. Sept. 3, 2003), aff'd, 842 A.2d 1244 (Del. 2004). 17 Steen v. State, 1997 WL 33442119, at *4 (Del. Super. Apr. 22, 1997). 18 Barkley v. Johnson Controls, 2003 WL 187278, at *2 (Del. Super. Jan. 27, 2003). 19 IAB’s Decision at 3. 6 opinions of his MRIs in 2023 after his more recent episode.
2. The Board applied the proper legal standard
On appeal, Claimant contends that the Board erred by applying the
aggravation/recurrence framework in Standard Distribution Co. v. Nally.20 Claimant
instead argues that the Board should have applied the “usual exertion” standard of
Duvall v. Charles Connell Roofing.21
In Duvall, a roofer who was born with spondylolisthesis – a condition that
creates a predisposition for lower-back problems – regularly lifted 80-pound bundles
of roofing materials off a mechanized ladder for his work. 22 All of that lifting
eventually resulted in the roofer developing acute lumbar strain and orders to get out
of the roofing business.23 The roofer petitioned for compensation from the Board,
but the Board denied the claim24 because at the time Delaware law only allowed
workers compensation for injuries that occurred as a result of “unusual exertion,”
regardless of the claimant’s preexisting conditions.25
20 Appellant’s Opening Br. at 11; see also Standard Distrib. Co. Through Pennsylvania Mfrs. Ass'n Ins. Co. v. Nally, 630 A.2d 640, 645 (Del. 1993). 21 Appellant’s Opening Br. at 11-12; see also Duvall v. Charles Connell Roofing, 564 A.2d 1132, 1133 (Del. 1989). 22 Duvall, 564 A.2d at 1133. 23 Id. 24 Id. 25 General Motors Corporation v. Veasey, 371 A.2d 1074, 1074-76 (Del. 1977). 7 On appeal, the Delaware Supreme Court in Duvall abrogated the “unusual
exertion” rule and held that a claimant with a preexisting condition could recover for
“usual exertion” on the job.26 To be clear, the Duvall “usual exertion” rule is limited
to those cases where the claimant alleges that entitlement to compensation is
predicated on the aggravation of a preexisting condition that is not tied to an
identifiable industrial accident. 27 On the other hand, if “there is an identifiable
industrial accident, the compensability of any resultant injury must be determined
exclusively by an application of the ‘but for’ standard of proximate cause.”28
Claimant here did not allege that he was engaged in his routine occupational duties.
Rather, he pegged his claim to a specific, identified incident in which he was carrying
multiple high-rise packs up some stairs. And Duvall’s injury was unquestionably a
different injury from his genetic condition. The issue of recurrence/aggravation was
not even considered in Duvall. Duvall is therefore an inappropriate tool for analyzing
the issue here.
26 Duvall, 564 A.2d at 1136. 27 State v. Steen, 719 A.2d 930, 932 (Del. 1998) (citing Duvall, 564 A.2d at 1136). 28 Hoffecker v. Lexus of Wilmington, 36 A.3d 349, 349 (Del. 2012) (citing Sheen, 719 A.2d at 932; Duvall, 564 A.2d at 1136). 8 3. The Board’s reliance on Nally
In its decision below, the Board used the principles set forth by the Supreme
Court in a decision rendered several years after the Duvall case: Nally. 29
Nally worked for Standard Distributing on a beer truck, making deliveries.
He injured his “lower back and right thigh” when some cases of beer fell off the
truck on him. He was disabled for several months and restricted to light duty for
several more. He received compensation through Northbrook, Standard’s worker’s
compensation insurer at the time. All of this passed without controversy.
About one year after his first injury, again back at work on a beer truck, Nally
was again injured, this time while handling a keg of beer – work that while heavy,
was concededly part of his normal work duties. He again injured his lower back and
right thigh. By now, however, Standard’s worker’s comp insurer was PMA. 30
So as discussed earlier, the first question was whether this injury was a
“recurrence” related to the first injury for which he received benefits, or an
“aggravation,” or new injury, entitling him to a new round of benefits.31 If this was
29 IAB’s Decision at 14 (citing Nally, 630 A.2d at 645-46). 30 Nally, 630 A.2d at 644. 31 Id. at 643-44.
9 a recurrence, Northbrook, the insurer at the time of the first injury, was “on the risk”
and if it was a new injury – or an aggravation – PMA was. 32
As might be expected in such a case, the battle of expert witnesses and detailed
medical testimony on Nally’s condition before and after the second incident was
center stage. After a detailed review of all the medical evidence, the Board
concluded that the second incident “did not involve sufficient untoward activity to
cause a new injury and could not be deemed an intervening event.”33 The Board
therefore ruled that any claim for benefits should be a claim against the insurer at
the time of the first injury, the one that caused the injury that recurred at the time of
the second claim for worker’s compensation.34
Claimant here calls Nally a “successor liability” decision, one that belongs in
that universe of comp claims limited to sorting out which insurer is liable on a claim
arising from a preexisting condition created by a previously compensated workplace
accident.35 The Court does not think so. When the same carrier insures both the
first and second injuries, the carrier is unlikely to litigate the recurrence/aggravation
32 Id. at 644. 33 Id. 34 Id. 35 Appellant’s Opening Br. at 11 (“It is Claimant’s position herein that without the earlier carrier being a party to the case, Nally does not apply.”).
10 issue, since it is the same carrier that assumes the liability either way. Successor
liability is one way the aggravation/recurrence question may come to the Board. But
successor liability does not define a different mode of solving the
aggravation/recurrence riddle.
For example, in Woodward v. UE&C Catalytic,36 the Court analyzed an
aggravation/recurrence dispute involving a single employer and, apparently, insurer.
As here, the employee claimed a new injury but failed to convince the Board that it
was not simply a recurrence from a previously compensated one. 37 Tracking many
of the same arguments made by Claimant here, the Court affirmed the Board’s
findings. 38 Clearly, the analysis is unaffected by who is insuring the loss.
The aggravation/recurrence debate can only be resolved as the Board does
what it did here: delve into the medical records and expert testimony in detail to
determine whether the later injury is sufficiently distinguished from the previous one
to be called a new or aggravated injury. The Court finds that the Board’s decision is
free from legal error.
36 2001 WL 946526, at *1 (Del. Super. Aug. 14, 2001). 37 Id. at *5. 38 Id. at *6. 11 4. The Board’s findings were supported by substantial evidence
It would unduly prolong this Opinion to walk the reader through each bit of
medical history and expert testimony in the record and presented to the Board. The
following are the salient features.
In 2015, when Claimant was injured while working for the Bellevue Fire
Company, his injury was to his back. An MRI in 2015 showed “broad based disc
herniations at T6-T7, T7-T8, and T8-T9, as well as bulges at T9-T10 and T10-T11,
and a disc protrusion at T5-T6.”39 Claimant’s 2015 injuries were eventually
determined by an expert to be permanent and he was given a 10% permanency in
2016. 40
The medical evidence from his 2023 claim was brought to the Board through
claimant’s family physician, Dr. Tucker. 41 Claimant was initially administered pain
medications and then sent for an MRI and chiropractic treatment. A December, 2023
MRI showed “broad based disc herniation at T6-T7, T7-T8 and T8-T9. It also
showed disc bulges at T9-T10 and T10-T11 and a disc protrusion at T5-T6.” 42
39 Appellant’s Opening Br. at 5. 40 IAB’s Decision at 8. 41 Id. at 5. 42 Appellant’s Opening Br. at 5.
12 The employer presented Dr. Matz, who both examined the Claimant and
conducted a full review of all of the medical history. His testimony was clearly
considered significant to the Board as it is reviewed in detail it its opinion. The
Board summarized his opinion, saying:
Dr. Matz noted for the Board that on the morning of October 6, 2023, Claimant’s thoracic spine was not normal; Claimant’s medical records clearly show a prior injury to Claimant’s thoracic spine for which his then- treating doctor gave him a permanency rating of ten percent in 2016. Claimant had at least two MRIs taken of his thoracic spine before October 2023 and both of those MRIs showed degenerative changes in the thoracic spine. According to Dr. Matz, the kinds of symptoms and complaints of back pain about which Claimant began complaining on October 6, 2023, and later, are consistent with what one would expect from the injuries which Claimant sustained well before October 2023 and Claimant’s slowly progressive thoracic disc disease. 43
The Board is free to accept whatever expert testimony it wishes in making its
determination.44 On appeal, the “the reviewing court does not sit as a trier of fact
with authority to weigh the evidence, determine questions of credibility, and make
its own factual findings and conclusions” because those functions are “reserved for
the Board.”45 In this case, the Board clearly endorsed the view of Dr. Matz in
43 IAB’s Decision at 12-13. 44 “Weighing the evidence, determining the credibility of witnesses, and resolving any conflicts in the testimony are functions reserved exclusively for the Board.” Powell v. OTAC, Inc., 223 A.3d 864, 870 (Del. 2019) (quoting Noel-Liszkiewicz v. La-Z-Boy, 68 A.3d 188, 191 (Del. 2013)). 45 Opportunity Ctr., Inc. v. Jamison, 940 A.2d 946 (Del. 2007) (quoting Johnson v. Chrysler Corp., 213 A.2d 64, 66 (Del. 1965)).
13 concluding that Claimant suffered a recurrence of his preexisting spinal maladies,
not a new injury and not an aggravation of his previous injury.46
Finally, Claimant raises the Board’s comment that there was “no intervening
event” on October 6, 2023. Claimant argues that this is a credibility determination
on Claimant’s version of what happened and the Board failed to justify its finding
that Claimant lacked credibility. The Court believes Claimant places too much
emphasis on “no event” and not enough on “intervening.”
In discussing the Nally Opinion, on which the Board relied, the Board referred
several times to the Nally requirement that the chain of causation from a preexisting
condition may only be broken by a new injury or aggravation brought about by “an
intervening or untoward event which could be deemed the proximate cause of the
new condition.” 47 Thus, the Board was not merely concerned with whether an
“event” happened – we can safely assume one did. The Board’s concern was with
whether the event was an “intervening event” within the meaning of Nally – one that
breaks the chain of causation from the prior injury and presents a new “accident”
within the meaning of the enabling legislation. It may have been neater for the Board
to say there was “no intervening event that broke the chain of causation,” but we
46 “Claimant did not meet his burden of proof. The Board agrees with Dr. Matz.” IAB’s Decision at 17. 47 Id. at 14 (quoting Nally 630 A.2d at 646).
14 who are now schooled in the “quagmire”48 of recurrence and aggravation understand
the Board’s conclusion. Claimant was simply unable to meet his burden of proving
that the October incident produced a consequence sufficient to break the chain of
causation from the previous injury. The Board’s conclusions were supported by
substantial evidence.
CONCLUSION
For all of the foregoing reasons, the decision of the Industrial Accident Board
is AFFIRMED.
IT IS SO ORDERED.
/s/ Charles E. Butler Charles E. Butler, Resident Judge
48 Parson, 2013 WL 297960 at *4 (in granting reargument and reversing itself, the Court rued the confusion in application of the Duvall and Nally standards, calling it a “legal quagmire.”).