Olympus and Sompo America Insurance Co. v. D. Eiselen (WCAB)

CourtCommonwealth Court of Pennsylvania
DecidedOctober 23, 2023
Docket38 C.D. 2022
StatusUnpublished

This text of Olympus and Sompo America Insurance Co. v. D. Eiselen (WCAB) (Olympus and Sompo America Insurance Co. v. D. Eiselen (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
Olympus and Sompo America Insurance Co. v. D. Eiselen (WCAB), (Pa. Ct. App. 2023).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Olympus and Sompo America : Insurance Company, : Petitioners : : v. : No. 38 C.D. 2022 : Submitted: September 9, 2022 Dana Eiselen (Workers’ Compensation : Appeal Board), : Respondent :

BEFORE: HONORABLE RENÉE COHN JUBELIRER, President Judge HONORABLE ANNE E. COVEY, Judge HONORABLE LORI A. DUMAS, Judge

OPINION NOT REPORTED

MEMORANDUM OPINION BY PRESIDENT JUDGE COHN JUBELIRER FILED: October 23, 2023

Olympus and Sompo America Insurance Company (together, Employer) petition for review of the Order of the Workers’ Compensation Appeal Board (Board) that affirmed the decision of a Workers’ Compensation Judge (WCJ) granting the Petition to Review Compensation Benefits (Review Petition) filed by Dana Eiselen (Claimant) and denying Employer’s Petition to Terminate Compensation Benefits (Termination Petition). On appeal, Employer argues that Claimant’s medical expert’s testimony, upon which the WCJ relied to expand the description of Claimant’s work-related injuries and find that Claimant was not fully recovered, was not legally competent to support those determinations. Employer further argues that the WCJ’s decision was not reasoned as required by Section 422(a) of the Workers’ Compensation Act (Act),1 and, therefore, should have been reversed by the Board. Upon review, we affirm.

I. BACKGROUND A. The Petitions Claimant sustained work-related injuries on March 30, 2017, described in a Notice of Temporary Compensation Payable (NTCP) as “a contusion and multiple head injuries.” (WCJ Decision, Finding of Fact (FOF) ¶ 1.) The NTCP’s narrative described how the injuries occurred as “[Claimant] fell ill after eating dinner 3/29 with colleague. Sick all night. Collapsed in morning 3/30 on hard surface and hit head. Went to [emergency room] and then was admitted to hospital 3/30.” (Reproduced Record (R.R.) at 1a.) The NTCP converted to a Notice of Compensation Payable (NCP) by operation of law. (FOF ¶ 1.) Claimant has returned to work for Employer without a loss of earnings, resulting in the suspension of her wage loss benefits, which leaves only her ongoing receipt of medical benefits at issue. (Id. ¶¶ 6d, 18.) On May 30, 2019, Employer filed the Termination Petition, averring that Claimant had fully recovered from her work-related injuries as of January 2, 2019, based on the opinion of Leonard Bruno, M.D. (Id. ¶ 3.) Claimant filed the Review Petition on December 10, 2019, seeking to expand the description of the work injury to include a concussion. (Id. ¶ 4.) Both Employer and Claimant filed answers to the others’ Petitions, denying the allegations therein. (R.R. at 8a, 13a.)

1 Act of June 2, 1915, P.L. 736, as amended, 77 P.S. § 834.

2 B. Proceedings Before the WCJ The Petitions were assigned to the WCJ, who held multiple hearings. Claimant testified, and the parties presented the deposition testimonies of their respective experts, Dr. Bruno for Employer, and Daniele Shollenberger, C.R.N.P. (Ms. Shollenberger) for Claimant. Claimant testified2 concerning the work-related incident and the treatment she received. Claimant’s general practitioner referred her to Ms. Shollenberger, a Certified Registered Nurse Practitioner (CRNP), who manages Claimant’s concussion treatment plan, which includes speech therapy, physical therapy, and massage therapy. Claimant has challenges with focusing, short-term memory, speaking, sleeping through the night, and insomnia. She continues to have pain in her shoulder and neck and headaches multiple times a week, and performing daily activities results in mental fatigue. Prior to the work injuries, Claimant did not have issues with her memory, speech, and headaches. Since the COVID-19 pandemic, Claimant has worked from home, which has resulted in regression in some of the improvements in her speech, memory, and focus. Claimant denied having any prior head injuries or that she felt listless or had less stamina or energy three to four weeks before she sustained the work injuries. Claimant acknowledged being diagnosed with aplastic anemia in June 2017, for which she received a bone marrow transplant, a week of chemotherapy, and some physical and occupational therapy. Claimant’s aplastic anemia treatment ended in August 2018, after which her cognitive and occupational treatment for the work injuries resumed. Claimant does not feel fully recovered from her work-related injuries.

2 Transcripts of Claimant’s March 6, 2020 deposition and July 28, 2020 video hearing testimony are found, respectively, at Certified Record Item Nos. 24 and 17 and pages 20a-52a and 233a-47a of the Reproduced Record. This testimony is summarized in Findings of Fact 5 and 6.

3 Ms. Shollenberger3 is an autonomous provider who works with the chief of neurosurgery if needed, is the Program Director of the Concussion and Head Trauma Program (Concussion Program) at the Lehigh Valley Health Network, and treats concussion patients. Ms. Shollenberger first saw Claimant in April 2017, when she obtained a history of the work-related incident, and Claimant’s immediate treatment, which included a diagnosis of a concussion. Following Ms. Shollenberger’s examination of Claimant, which revealed continued trouble with sleeping, fatigue, light sensitivity, decreased appetite, dizziness, headaches, posterior cervical pain, trapezius pain, issues with balance, and difficulty in focusing of the eyes, concentration, and focus, Ms. Shollenberger, too, diagnosed Claimant with a concussion. Ms. Shollenberger continued to treat Claimant as of April 1, 2020, during which time Claimant had ongoing symptoms. Ms. Shollenberger changed Claimant’s diagnosis to post-concussive syndrome because Claimant’s symptoms continued for more than a month after initial treatment. In Ms. Shollenberger’s opinion, Claimant was not fully recovered. Ms. Shollenberger was aware of Claimant’s treatment for aplastic anemia, during which time she did not see Claimant. Ms. Shollenberger did not review those records and acknowledged that chemotherapy can cause fatigue and cognitive issues. She also acknowledged that it would be abnormal to develop new symptoms of post-concussive syndrome three years after the trauma, and she described Claimant’s concussion as “mild” because it was not accompanied by head trauma and positive diagnostic studies. (FOF ¶ 7n- o.)

3 Ms. Shollenberger’s deposition testimony is found at Certified Record Item No. 19 and pages 129a-96a of the Reproduced Record. It is summarized in Finding of Fact 7.

4 Dr. Bruno,4 a board-certified neurosurgeon, performed an Independent Medical Examination of Claimant on October 29, 2018, during which Claimant complained of intermittent headaches, balance issues, and cognitive function impairment as a result of the incident, and described her treatment for aplastic anemia. The results of Dr. Bruno’s physical and neurological examination of Claimant were normal, with no balance, gait, or memory issues, and no positive neurologic findings. Dr. Bruno’s review of Claimant’s initial hospital records revealed a normal computerized tomography (CT) scan and no reference to skull trauma, and Claimant’s records from April 26, 2017, reflected complaints of decreased energy from a severe viral infection in January 2017. This viral infection, Dr. Bruno opined, caused Claimant’s aplastic anemia, which accounted for Claimant’s complaints of having less energy than normal. Based on his examination of Claimant and Claimant’s medical records, Dr. Bruno concluded that the March 30, 2017 incident was related to Claimant’s aplastic anemia; her work-related injury was limited to a head contusion, from which she had fully recovered; she did not suffer a work-related concussion; and her ongoing cognitive issues, sensitivity to light, headaches, and visual disturbances were the result of the aplastic anemia and related chemotherapy. According to Dr.

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Olympus and Sompo America Insurance Co. v. D. Eiselen (WCAB), Counsel Stack Legal Research, https://law.counselstack.com/opinion/olympus-and-sompo-america-insurance-co-v-d-eiselen-wcab-pacommwct-2023.