Patterson-Kelly Co. v. Workmen's Compensation Appeal Board

586 A.2d 1043, 137 Pa. Commw. 567, 1991 Pa. Commw. LEXIS 76
CourtCommonwealth Court of Pennsylvania
DecidedFebruary 11, 1991
Docket1549 C.D. 1990
StatusPublished
Cited by7 cases

This text of 586 A.2d 1043 (Patterson-Kelly Co. 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
Patterson-Kelly Co. v. Workmen's Compensation Appeal Board, 586 A.2d 1043, 137 Pa. Commw. 567, 1991 Pa. Commw. LEXIS 76 (Pa. Ct. App. 1991).

Opinion

NARICK, Senior Judge.

Patterson-Kelly Company (Employer) appeals a decision by the Workmen’s Compensation Appeal Board (Board) affirming, but modifying, the decision of the referee awarding Frank A. Woodrow (Claimant) total disability benefits effective October 31, 1982 until the date of his death, August 15, 1986. We affirm.

The facts are as follows. Claimant sustained a work-related back injury on February 13, 1980. On February 18, 1980, 1 Dr. Frank Dracos, an orthopedic surgeon, treated Claimant and “diagnosed his injury as an acute lumbosacral strain with sciatic nerve root irritation.” Finding of Fact No. 7. Employer paid Claimant total disability benefits at the rate of $242.00 per week for that injury. On June 20, 1980, Claimant signed a final receipt.

From February 13, 1980 to October 31, 1982, Claimant was either totally unable to work or able to work part-time only. When he was able to work, it was only for three to five hours per day.

After the February 13, 1980 injury, Dr. Dracos treated Claimant at least two times before Pocono Hospital admitted him on March 28, 1980. Claimant remained there until April 4, 1980.

On February 21, 1981, Dr. Dracos again recommended Claimant be hospitalized, this time until March 5, 1981. He found that Claimant’s “condition ‘had gotten worse’ requiring further hospitalization.” Finding of Fact No. 9.

Dr. Dracos treated Claimant on at least nine occasions between the February 21, 1981 hospitalization and September 1, 1982. On September 1, 1982, Dr. Dracos examined Claimant again and confirmed that he had only a very limited capacity to do sedentary work.

*570 After Dr. Dracos’ September 1,1982 affirmance of Claimant’s continuing disability, Claimant elected early retirement and Employer’s personnel director submitted Claimant’s application for early retirement to the insurance company on October 25, 1982. 2 The effective date was January 1, 1983.

On October 31, 1982, Claimant again injured his back at home while attempting to move a flower pot in his garage. Claimant was totally disabled and unable to work thereafter.

According to the latest of several supplemental agreements, dated June 10, 1983, Employer was to pay Claimant partial disability benefits at a rate of $143.74 per week after January 3, 1983 for 427% weeks. We emphasize that the June 10, 1983 supplemental agreement came after Dr. Dracos’ September 1, 1982 affirmance of Claimant’s continuing disability and after Claimant’s October 31, 1982 injury.

On March 26, 1984, Claimant filed a petition to review that compensation agreement under Section 413 of The Pennsylvania Workmen’s Compensation Act (Act). 3 Therein, Claimant sought reinstatement of full compensation as of October 31, 1982, the date of his injury at home.

The referee concluded that (1) Claimant was totally disabled as a result of the October 31, 1982 injury; (2) any increase in disability as a result of the October injury was related to the February 13, 1980 work-related injury; and (3) Claimant established by unequivocal medical testimony that there was a causal relationship between the original injury and the later disability.

The basis for the referee’s findings was the testimony of Dr. Dracos. The referee chose to find the testimony of Dr. Joseph F. McMahon, Employer’s medical witness, not credible.

*571 The Board affirmed the referee’s reinstatement of total compensation. It deleted, however, the credit given to Employer by the referee for early retirement benefits. 4

There are two issues before us. The first is whether the referee’s finding that Claimant’s disability as a result of his injury at home on October 31, 1982, is related to his February 13, 1980 work-related injury is supported by substantial evidence. The second is whether Claimant’s voluntary retirement on January 1, 1983, precludes his eligibility for the award of total disability benefits as of that date.

Both the Pennsylvania Supreme Court and this Court have held that unequivocal medical testimony is required where there is no obvious causal connection between the work-related injury and a subsequent disability. Lewis v. Workmen’s Compensation Appeal Board, 508 Pa. 360, 498 A.2d 800 (1985). Because such a determination is a conclusion of law, it is fully reviewable by this Court. Kaminski v. Workmen’s Compensation Appeal Board (The Dobbs House, Inc.), 114 Pa.Commonwealth Ct. 484, 539 A.2d 34 (1988), petition for allowance of appeal denied, 520 Pa. 609, 553 A.2d 970 (1988).

Employer contends that Dr. Dracos’ testimony is equivocal as to causation because of the following exchange between counsel for Claimant and the doctor.

Q. Is that inability to return to work, is that in your professional opinion causedly [sic] related to his original injury on February 13, 1980?
A. I can’t answer that. I cannot say that he is 100 percent totally disabled because of the original incident; and the reason is that he was partially disabled prior to the garage [flower pot] incident.

N.T. at 20-21, deposition of Dr. Dracos.

Notwithstanding the somewhat ambiguous nature of the above-quoted. response by Dr. Dracos, there are various other passages in the record that pertain to causation and *572 would have led to the finding of unequivocality. In response to a question by Claimant’s counsel as to whether the October 1982 injury was related to the February 1980 injury, Dr. Dracos replied: “Yes, because he was partially injured when he bent over to move this pot or whatever he did. So as a result he ended up with a total problem.” N.T. at 39-40, deposition of Dr. Dracos.

In another passage, Dr. Dracos testified that “[m]y opinion is that the two conditions are related. They’re related in the sense that he did not have a normal back as he had prior to his original incident; and then when he stressed his back under those occasions it caused an acute exacerbation.” N.T. at 16, deposition of Dr. Dracos.

In an equivocality determination, we must review the medical evidence as a whole and a final decision “should not rest upon a few words taken out of the context of the entire testimony.” Lewis, 508 Pa. at 367, 498 A.2d at 803. Therefore, we agree that when giving Claimant as the party who prevailed below all favorable inferences that can be drawn from the evidence, Dr. Dracos’ medical testimony is unequivocal. E.g., Krumins Roofing & Siding v. Workmen’s Compensation Appeal Board (Libby), 133 Pa.Commonwealth Ct. 211, 575 A.2d 656 (1990).

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Bluebook (online)
586 A.2d 1043, 137 Pa. Commw. 567, 1991 Pa. Commw. LEXIS 76, Counsel Stack Legal Research, https://law.counselstack.com/opinion/patterson-kelly-co-v-workmens-compensation-appeal-board-pacommwct-1991.