S. Bouges v. City of Philadelphia (WCAB)

CourtCommonwealth Court of Pennsylvania
DecidedAugust 30, 2023
Docket565 C.D. 2022
StatusUnpublished

This text of S. Bouges v. City of Philadelphia (WCAB) (S. Bouges v. City of Philadelphia (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
S. Bouges v. City of Philadelphia (WCAB), (Pa. Ct. App. 2023).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Sharon Bouges, : Petitioner : : No. 565 C.D. 2022 v. : : Submitted: January 27, 2023 City of Philadelphia (Workers’ : Compensation Appeal Board), : Respondent :

BEFORE: HONORABLE PATRICIA A. McCULLOUGH, Judge HONORABLE ANNE E. COVEY, Judge HONORABLE STACY WALLACE, Judge

OPINION NOT REPORTED

MEMORANDUM OPINION BY JUDGE McCULLOUGH FILED: August 30, 2023

In this workers’ compensation (WC) case, Petitioner Sharon Bouges (Claimant) petitions for review of the May 10, 2022 Opinion and Order of the Workers’ Compensation Appeal Board (Board), which affirmed the November 29, 2021 Decision and Order of Workers’ Compensation Judge (WCJ) Todd Seelig (WCJ Seelig). WCJ Seelig granted the Petition to Modify Compensation Benefits (Modification Petition) filed by Respondent City of Philadelphia (Employer) and modified Claimant’s WC benefit status from temporary total disability (TTD) to temporary partial disability (TPD) based on an Impairment Rating Evaluation (IRE) performed on January 7, 2021. Upon review, we affirm the Board. I. FACTS AND PROCEDURAL HISTORY On May 18, 2010, Claimant was injured in the course and scope of her employment with Employer when she fell on a wet floor. (WCJ Seelig Finding of Fact (FOF) 2; Reproduced Record (R.R.) at 13a.) Claimant’s injuries were acknowledged by Employer in a Notice of Compensation Payable (NCP) issued on June 29, 2010, which generally described the injuries as strain/sprain/contusions of the right ankle and both knees. (FOF 3; R.R. at 13a.) The injuries later were expanded and more clearly defined in the April 17, 2015 Decision of WCJ Andrea McCormick (WCJ McCormick) as persistent right ankle swelling and sprain/strain with synovitis and traumatic lymphedema. Id.1 Claimant received weekly TTD WC benefits in the amount of $845.00 based on her average weekly wage of $1,560.06. (FOF 3; R.R. at 13a.) On January 7, 2021, pursuant to Section 306(a.3) of the Workers’ Compensation Act (WC Act),2 also known as Act 111, Claimant underwent an IRE performed by Dr. Daisy Rodriguez (Dr. Rodriguez) using the Sixth Edition, second printing of the American Medical Association Guides to the Evaluation of Permanent Impairment (AMA Guides). (FOF 4(b); R.R. at 14a.) Based on her evaluation, Dr. Rodriguez concluded that Claimant had a whole-person impairment rating of 7%.3 (FOF 4(f); R.R. at 15a.) Employer accordingly filed its Modification Petition on February 11, 2021, seeking to reduce Claimant’s WC benefit status from TTD to TPD. Before WCJ Seelig, Employer presented Dr. Rodriguez’s deposition testimony. Dr. Rodriguez testified that, on the date of the IRE, Claimant’s chief complaints included right ankle and foot pain, bilateral knee pain, bilateral lymphedema, back and neck pain with left hand numbness, and a healed fracture of the

1 Claimant sustained a second work-related injury on July 5, 2011, when she was involved in a motor vehicle accident while traveling to physical therapy for the May 18, 2010 injury. (WCJ McCormick Finding of Fact 2; R.R. at 80a.)

2 Act of June 2, 1915, P.L. 736, as amended. Section 306(a.3) was added by the Act of October 24, 2018, P.L. 714, No. 111 (Act 111), 77 P.S. § 511.3.

3 Dr. Rodriguez initially concluded that Claimant’s whole-person impairment rating was 6%, but she later amended her calculation to 7%. (FOF 4(f) n.2; R.R. at 15a.)

2 right fifth distal interphalangeal joint. (FOF 4(b); R.R. at 14a.) Claimant stated that her right foot and ankle pain was worse with walking, standing, and all static positions, and she had throbbing at night. (FOF 4(c); R.R. at 14a.) After obtaining Claimant’s medical history, reviewing her medical records, and performing a physical examination, Dr Rodriguez diagnosed Claimant with a sprain of the right ankle with post-surgical repair, contusions of the bilateral knees, and complaints of post-traumatic chronic pain with demonstrated gait abnormality. Dr. Rodriguez determined that Claimant was at maximum medical improvement (MMI), which is defined in the AMA Guides as a status where the patient is as good as they are going to be from the medical and surgical treatment available to them. (FOF 4(d)-(e); R.R. at 14a-15a.) Dr. Rodriguez went on to explain why the expanded description of Claimant’s injury, which included persistent right ankle swelling with synovitis and traumatic lymphedema, did not alter her calculation of Claimant’s impairment rating:

[ ] After Dr. Rodriguez determined [that] Claimant was at [maximum medical improvement (MMI)], she performed an [IRE] using the [AMA Guides]. Using the [AMA Guides] Dr. Rodriguez determined Claimant’s whole[-]person impairment was 7[%]. Dr. Rodriguez’[ ] calculation of whole[-]person impairment is not altered by Claimant’s knee contusions or the persistent right ankle swelling with synovitis and traumatic lymphedema. In terms of knee contusions, Claimant had no signs of contusions, there were no motion deficits, there were no objective abnormal findings on physical examination of the knees[,] and there were no diagnostic studies to show any sign of contusion[,] which puts [Claimant] [at] . . . a zero percent lower extremity impairment. As for the lymphedema, Dr. Rodriguez did not find any pitting edema or other findings of physical examination or findings of radiographic studies that would be consistent with lymphedema. Dr. Rodriguez looked up lymphedema in the [AMA Guides] and also determined that [ ] Claimant presented with none of the signs of lymphedema including: a breakdown of the skin, lesions, oozing of the skin,

3 puckering, or pitting. For that reason, Dr. Rodriguez assigned the lymphedema [a] zero. For those reasons, the knee contusions and lymphedema would not change or affect Dr. Rodriguez’s rating of 7[%] whole[-]person impairment. (FOF 4(f); R.R. at 15a) (citation and footnote omitted). Dr. Rodriguez further explained that, although her written IRE report had errors in formatting, templating, and dictation, the calculations given in her testimony nevertheless were correct. (FOF 4(g),(i); R.R. at 15a.) Claimant did not present any evidence to refute Dr. Rodriguez’s opinions. (FOF 5; R.R. 16a.) She instead argued that Act 111 was unconstitutional and that it was an unlawful delegation of legislative authority. WCJ Seelig accepted Dr. Rodriguez’s testimony as credible and rejected Claimant’s arguments challenging the validity of Act 111, in part pursuant to this Court’s decision in Pennsylvania AFL-CIO v. Commonwealth, 219 A.3d 306 (Pa. Cmwlth. 2020). (FOF 5-7; R.R. at 16a.) WCJ Seelig granted Employer’s Modification Petition and reduced Claimant’s WC benefit status from total to partial as of January 7, 2021, the date of the IRE. (WCJ Seelig Conclusion of Law 2; R.R. at 17a.) Claimant appealed to the Board, arguing that (1) Act 111 could not constitutionally be applied to her injury, which occurred before its effective date, and (2) that Dr. Rodriquez’s IRE and related opinions did not constitute substantial evidence supporting the change in Claimant’s WC benefit status. (R.R. at 21a-23a.) The Board affirmed, and Claimant now petitions for review in this Court. II. ISSUES PRESENTED Although Claimant identifies four issues in her brief, they fairly can be combined into two: (1) whether Act 111 may constitutionally be applied to Claimant’s injury, which occurred before Act 111’s effective date; and (2) whether the WCJ’s findings are supported by substantial evidence. Employer raises an additional issue,

4 namely, whether Claimant’s appeal is frivolous and warrants an award of attorneys’ fees pursuant to Pennsylvania Rule of Appellate Procedure (Pa. R.A.P.) 2744. III. DISCUSSION4 A.

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S. Bouges v. City of Philadelphia (WCAB), Counsel Stack Legal Research, https://law.counselstack.com/opinion/s-bouges-v-city-of-philadelphia-wcab-pacommwct-2023.