J. Cassidy v. Presbyterian Med. Ctr. of the Univ. of PA Health System (WCAB)

CourtCommonwealth Court of Pennsylvania
DecidedJune 2, 2025
Docket1023 C.D. 2023
StatusUnpublished

This text of J. Cassidy v. Presbyterian Med. Ctr. of the Univ. of PA Health System (WCAB) (J. Cassidy v. Presbyterian Med. Ctr. of the Univ. of PA Health System (WCAB)) 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
J. Cassidy v. Presbyterian Med. Ctr. of the Univ. of PA Health System (WCAB), (Pa. Ct. App. 2025).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Joan Cassidy, : Petitioner : : v. : : Presbyterian Medical Center of the : University of Pennsylvania Health : System (Workers’ Compensation : Appeal Board), : No. 1023 C.D. 2023 Respondent : Submitted: May 6, 2025

BEFORE: HONORABLE CHRISTINE FIZZANO CANNON, Judge HONORABLE LORI A. DUMAS, Judge HONORABLE BONNIE BRIGANCE LEADBETTER, Senior Judge

OPINION NOT REPORTED

MEMORANDUM OPINION BY JUDGE FIZZANO CANNON FILED: June 2, 2025

Joan Cassidy (Claimant) petitions for review pro se from the July 28, 2023, order of the Workers’ Compensation Appeal Board (Board). The Board affirmed the December 16, 2022, order of the workers’ compensation judge (WCJ), which granted Claimant’s claim petition for workers’ compensation benefits as of May 18, 2021, and terminated benefits as of December 20, 2021. Upon review, we affirm.

I. Factual & Procedural Background On June 22, 2021, the Presbyterian Medical Center of the University of Pennsylvania Health System (Employer) issued a notice of temporary compensation payable (NTCP) acknowledging that while working on May 18, 2021, Claimant was in a parked car hit by another car and sustained work-related strain/contusion injuries to the right neck, shoulder, thigh, and knee. Certified Record (C.R.) at 426-27.1 The 90-day NTCP period began on May 19, 2021, and was to end on August 17, 2021. Id. On August 16, 2021, Employer issued a notice stopping temporary compensation (NSTC) and a notice of denial (NCD) asserting that Claimant did not sustain a work- related injury. Id. at 428-31. On August 17, 2021, Claimant filed a claim petition asserting that as a result of the incident, she sustained multiple injuries, including a traumatic brain injury, and seeking ongoing benefits. Id. at 7-9. Employer issued an answer denying Claimant’s allegations, and litigation ensued. Id. at 14-16. Claimant first testified in an October 18, 2021, deposition. C.R. at 112. At the time of the injury, she was 59 years old. Id. at 116. She had worked for Employer full time for over five years as a traveling licensed practical nurse (LPN). Id. at 117. Her duties included various types of wound care; she kept supplies in her personal car, had an Employer-provided laptop computer that she took with her for medical records, and she would call doctors with necessary medical updates. Id. at 117-18. She had six to eight appointments per shift. Id. at 119. According to Claimant, on the date of the injury, she was driving between appointments and pulled over to the roadside to call back a doctor about a patient. C.R. at 120. A car being chased by a police car came towards her going the wrong way on the street and driving very quickly and erratically. Id. It hit Claimant’s car on the driver’s side where she was at the time; the air bag deployed and hit her head. Id. at 122. An ambulance took her to the emergency room (ER). Id. at 123. She did not lose consciousness. Id. at 143. The next day she had pain in her right side, including the shoulder, back, knee and groin area. Id. at 124. She

1 C.R. references are to electronic pagination.

2 began treating at Employer’s occupational medicine clinic for her injuries, which soon included cognitive, memory, sleep, and balance issues, headaches, and problems with speech and word-finding. Id. at 125-27. The clinic referred her to Employer’s neurology department where she was treated with medication, physical therapy, and speech therapy. Id. at 126-30. After Employer stopped benefits in August 2021, she could not afford the therapy co-pays but continued treating with the neurology department. Id. at 131. Claimant stated that her cognitive and physical injuries had improved but were not resolved by the date of her deposition. C.R. at 132 & 137-38. She still got headaches and experienced speech issues and memory issues, especially when she had to talk regularly. Id. at 132-33. Her ongoing physical and cognitive issues made her unable to return to her job, which required working on the computer, physically working on patients, talking to patients and doctors, and driving regularly, although she can now drive short distances as needed for regular life activities and needs. Id. at 134 & 143. She still had problems with stairs, vertigo, memory, long periods of bright light, and depth perception. Id. at 139 & 149-51. She did not believe she could return to work even in a sedentary capacity due to her cognitive issues. Id. at 157. She had none of these problems before. Id. at 135-37. She acknowledged that surveillance video taken of her in August 2021 showed her out at a yard sale, church, a thrift store, and Wawa. Id. at 153. Claimant testified again before the WCJ at a July 6, 2022, hearing. C.R. at 80. She had not returned to work and did not feel she could do so yet, primarily due to her ongoing cognitive issues. Id. at 95 & 99-101. She still got headaches and had memory issues, especially when she was “under pressure.” Id. at 96. She still had trouble with “word[-]finding.” Id. at 97. She was referred to see a

3 neuropsychiatrist, but had only seen him briefly since Employer cut her health insurance. Id. at 98. She had issues with her shoulder, knee, and neck but thought she could physically do her former job if her cognitive problems and headaches were not still an issue. Id. at 100-01. Dr. Andrea Schneider, M.D., Ph.D., testified for Claimant in a January 28, 2022, deposition. C.R. at 245. She is a board-certified neurologist at the University of Pennsylvania (Penn). Id. at 251. She has been licensed in Maryland since 2014 and in Pennsylvania since 2020. Id. at 313-14. Her work is 80% population-based research on the effects of traumatic brain injuries and 20% clinical, with the clinical aspect including eight weeks per year in Penn’s neurology and neurosurgical intensive care unit and half a day per week in Penn’s traumatic brain injury clinic. Id. at 252-54. Claimant first came to Dr. Schneider’s clinical practice a week after the incident for a telehealth appointment with the practice’s nurse practitioner. Id. at 262 & 268. Claimant reported headaches and issues with mood, sleep, vision, memory, word-finding, light-sensitivity, and cognitive functions, all of which increased with overstimulation and activities like reading and using screens. Id. at 264-66. Dr. Schneider acknowledged the limitations of telehealth in this context in that some “subtleties” can be missed. Id. at 269. The nurse practitioner diagnosed a traumatic brain injury based on Claimant’s account of the incident and her symptoms and prescribed medication for Claimant’s headaches. Id. at 269 & 282. Claimant’s next telehealth appointment with the nurse practitioner was on June 25, 2021. C.R. at 272. Claimant reported increased anxiety and word- finding difficulty and ongoing headaches, vision, and memory issues. Id. at 273. The nurse practitioner noted Claimant’s speech and word-finding issues that day and

4 referred her for cognitive and speech therapy. Id. at 273-74. Subsequent therapy notes from August 2021 reported Claimant’s issues with memory and word-finding. Id. at 278. The nurse practitioner’s last telehealth visit with Claimant was on August 30, 2021. Id. at 279. Claimant reported improvement in her various symptoms but stated that she was not recovered yet and had good days and bad days. Id. at 280. The nurse practitioner referred Claimant for a neuropsychological evaluation of her cognitive status in order to help establish a formal treatment plan. Id. at 281. Dr. Schneider first personally saw Claimant for a telehealth visit on November 19, 2021. C.R. at 281 & 285. Claimant reported that stresses in her life and occasions of overstimulation worsened her symptoms, which had otherwise generally improved but still lingered. Id. at 282 & 286.

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J. Cassidy v. Presbyterian Med. Ctr. of the Univ. of PA Health System (WCAB), Counsel Stack Legal Research, https://law.counselstack.com/opinion/j-cassidy-v-presbyterian-med-ctr-of-the-univ-of-pa-health-system-pacommwct-2025.