R. McElvarr v. WCAB (Coca Cola)

CourtCommonwealth Court of Pennsylvania
DecidedJuly 29, 2021
Docket451 C.D. 2020
StatusUnpublished

This text of R. McElvarr v. WCAB (Coca Cola) (R. McElvarr v. WCAB (Coca Cola)) 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
R. McElvarr v. WCAB (Coca Cola), (Pa. Ct. App. 2021).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Richard McElvarr, : Petitioner : : v. : No. 451 C.D. 2020 : SUBMITTED: February 26, 2021 Workers’ Compensation Appeal : Board (Coca Cola), : Respondent :

BEFORE: HONORABLE RENÉE COHN JUBELIRER, Judge HONORABLE ANNE E. COVEY, Judge HONORABLE ELLEN CEISLER, Judge

OPINION NOT REPORTED

MEMORANDUM OPINION BY JUDGE CEISLER FILED: July 29, 2021

Richard McElvarr (Claimant) petitions for review of the April 28, 2020 Order of the Workers’ Compensation Appeal Board (Board), which affirmed in part and reversed in part the January 23, 2019 decision of a workers’ compensation judge (WCJ). The Board affirmed the WCJ’s conclusions that Claimant’s Petition for Penalties (Penalty Petition) was barred by the doctrine of laches and that Claimant’s employer, Coca-Cola Company (Employer), had presented a reasonable contest as to all issues pursuant to Section 440(a) of the Workers’ Compensation Act (Act).1 The Board, however, reversed the WCJ’s conclusion that Claimant had fully recovered from his work-related lower lumbar spine injury of a herniated disc at L5- S1 (L5-S1 injury). For the following reasons, we affirm the Board’s Order with

1 Section 440(a) of the Act provides “[t]hat cost for attorney fees may be excluded when a reasonable basis for the contest has been established by the employer or the insurer.” Act of June 2, 1915, P.L. 736, as amended, added by Act of Feb. 8, 1972, P.L. 25, 77 P.S. § 996(a). respect to Claimant’s Penalty Petition and Employer’s reasonable contest, but we reverse the Board’s Order with respect to Claimant’s recovery from his L5-S1 injury. I. Background Claimant worked as a union teamster truck driver for Employer. On August 2, 1988, Claimant suffered a back injury while pushing a cart of fountain syrup, which hit a soft spot in the ground, causing it to stop abruptly. Reproduced Record (R.R.) at 11a. Employer paid compensation benefits without incident for 30 years. Id. On October 18, 2016, Claimant filed a Petition to Review Compensation Benefits (Review Petition), alleging that there was an incorrect description of his work injury. Id. Neither a Notice of Compensation Payable nor a Compensation Agreement was produced acknowledging the original injury. Id. In a post-hearing submission, Employer admitted that Claimant had been receiving compensation benefits related to this injury and asserted that “there was [Bureau of Workers’ Compensation (Bureau)] documentation issued at some point in time after August 2, 1988, for which [] Employer was made responsible for Claimant’s work injury.” Id. On November 8, 2017, while Claimant’s Review Petition was pending, Employer filed a Petition to Terminate Compensation Benefits (Termination Petition), asserting that Claimant had fully recovered from the August 2, 1988 work injury as of September 28, 2017. Id. at 250a. In response to Employer’s Termination Petition, Claimant filed a Penalty Petition on November 13, 2017, asserting that Employer never filed a Notice of Compensation Payable with the Bureau, and thus, Employer’s nearly 30-year delay in seeking to terminate benefits was unreasonable as a matter of law. Id. Claimant’s Penalty Petition also alleged that Employer’s Termination Petition amounted to an unreasonable contest as a matter of law. Id.

2 The WCJ issued two decisions in this case: one on the Review Petition and the other on the Termination and Penalty Petitions. In her first decision, dated May 24, 2018 (2018 Decision), the WCJ concluded that Claimant’s August 2, 1988 work injury consisted of a “herniated dis[c] at L5-S1, loss [of] sensation in the right leg, chronic regional pain syndrome (CRPS),[2] avascular necrosis of the left shoulder and bilateral hips, and osteoporosis.” Id. at 19a. Neither party challenged the 2018 Decision. In her second decision, dated January 23, 2019 (2019 Decision), the WCJ concluded that Claimant had recovered from his work-related injury of CRPS as of March 17, 2017, but he had not fully recovered from his remaining work-related injuries, including the L5-S1 injury. Id. at 260a. The WCJ also concluded that Claimant’s argument that Employer never filed the proper documentation with the Bureau was barred by the doctrine of laches3 and that Employer presented a reasonable contest in its Termination Petition. Id. A. Review Petition Claimant testified that he suffered a herniated disc in his back and has undergone numerous surgeries due to loss of sensation in his right leg. Id. at 11a, 2018 Decision, Finding of Fact (F.F.) ¶ 2. After the surgeries on his back, Claimant developed CRPS and was wheelchair-bound for about four years. Id. Claimant received high-dose corticosteroid injections, which caused avascular necrosis of his

2 CRPS is also known as reflex sympathetic dystrophy. R.R. at 13a. Symptoms of CRPS include hypersensitivity, redness, and swelling. Id. at 45a. These symptoms are triggered by the autonomic nervous system. Id.

3 The doctrine of laches is an equitable defense, which “is available in administrative proceedings where no time limitation is applicable, where the complaining party failed to exercise due diligence in instituting an action and where there is prejudice to the other party.” Kiser v. Workers’ Comp. Appeal Bd. (Weleski Transfer, Inc.), 809 A.2d 1088, 1094 (Pa. Cmwlth. 2002).

3 hips and shoulders.4 Id. Although Claimant has relearned to walk, he continues to have CRPS symptoms and pain in his right foot, lower back, and left shoulder, and his left hip “due to the defective prosthesis that causes him to walk with a limp.” Id. at 12a. Claimant continues to walk with a cane and continues to suffer pain in his back, shoulder, hips, and right leg; however, he admitted that his CRPS symptoms are not as severe as they used to be, and his leg “only very occasionally” turns red. Id. at 13a. Claimant submitted multiple medical reports detailing his treatment and surgeries. Id. at 13a-15a. Claimant also submitted the deposition testimony of Dr. Schweizer, his primary care physician, who opined that Claimant’s CRPS was a direct result of the L5-S1 laminectomy necessitated by the work injury. Id. at 13a, F.F. ¶ 4. Dr. Schweizer further explained that the treatment of Claimant’s CRPS, with high-dose corticosteroids, caused Claimant’s avascular necrosis of his left shoulder and both hips. Id. at 14a. Claimant also submitted reports authored by Dr. Brody, an independent medical examiner who specializes in orthopedics, which recounted the numerous surgeries Claimant had undergone related to the L5-S1 injury. Id., F.F. ¶ 5. After examining Claimant, Dr. Brody opined that Claimant could not return to gainful employment and had “significant and obvious” limitations of his neck, lower back, left shoulder, and both hips. Id. at 15a. Employer submitted the deposition testimony of Dr. DeSouza, who is board certified in neurology with an added qualification in clinical nerve physiology. Id.,

4 As a result of the avascular necrosis, “Claimant underwent nine hip replacements or revisions, and three to four left shoulder surgeries.” R.R. at 12a. Claimant filed a medical malpractice suit related to these surgeries and settled his claim in 1995. Id. at 12a, 18a. Employer’s workers’ compensation insurance carrier approved the settlement and took 50% of the settlement amount as a subrogation lien. Id. at 18a.

4 F.F. ¶ 6. Dr. DeSouza reviewed Claimant’s medical history and examined Claimant on March 17, 2017. Id. At the examination, Dr. DeSouza attempted to reproduce Claimant’s CRPS symptoms through various physical maneuvers, but noted that Claimant presented no CRPS symptoms. Id. at 16a. Dr. DeSouza further noted that Claimant was able to walk around the examination room without his cane and without limping. Id. Dr.

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