S. Brooks v. Trustees of the University of Pennsylvania (WCAB)

CourtCommonwealth Court of Pennsylvania
DecidedOctober 21, 2024
Docket936 C.D. 2023
StatusPublished

This text of S. Brooks v. Trustees of the University of Pennsylvania (WCAB) (S. Brooks v. Trustees of the University of Pennsylvania (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. Brooks v. Trustees of the University of Pennsylvania (WCAB), (Pa. Ct. App. 2024).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Stuart Brooks, : Petitioner : : v. : No. 936 C.D. 2023 : Trustees of the University of : Pennsylvania (Workers’ : Compensation Appeal Board), : Respondent : Submitted: September 9, 2024

BEFORE: HONORABLE ELLEN CEISLER, Judge HONORABLE LORI A. DUMAS, Judge HONORABLE MARY HANNAH LEAVITT, Senior Judge

OPINION BY JUDGE CEISLER FILED: October 21, 2024

Stuart Brooks (Claimant) petitions this Court for review of the July 28, 2023 Order of the Workers’ Compensation Appeal Board (Board) affirming a decision by a workers’ compensation judge (WCJ), which granted a petition by the Trustees of the University of Pennsylvania (Employer) to modify Claimant’s workers’ compensation benefits (Modification Petition). Claimant alleges that Employer’s medical expert failed to comply with Section 306(b)(2) of the Workers’ Compensation Act (Act),1 and argues that the Modification Petition was thereby improperly granted. Upon review, we affirm.

I. Background Claimant was working for Employer as a nurse when, on December 7, 2018, he was injured while assisting a patient. Certified Record (C.R.), Item No. 29,

1 Act of June 2, 1915, P.L. 736, as amended, 77 P.S. § 512(2). In relevant part, Section 306(b)(2) provides that an insurer or employer’s vocational expert “shall comply with the Code of Professional Ethics for Rehabilitation Counselors pertaining to the conduct of expert witnesses.” Id. Notice of Compensation Payable (NCP). Employer listed the injury in its NCP as a strain or tear of the shoulder muscles and immediately began issuing wage loss benefits. Id. On December 8, 2020, Employer submitted its Modification Petition, in which it alleged that Claimant was “capable of working” and that “jobs within [his] physical capabilities have been identified and provided to Claimant” through a labor market survey.2 In support of the Modification Petition, Employer submitted deposition testimony of Dr. Andrew Sattel, an orthopedic surgeon who conducted an independent medical examination (IME) of Claimant; by Mr. Jeff Sund, the vocational expert who authored the labor market survey; and by Claimant himself. Claimant also offered live testimony before the WCJ at a February 23, 2022 hearing.

A. Claimant’s First Testimony At his June 9, 2021 deposition, Claimant stated that he had been working for Employer as a nurse in the neurosurgical wing of the Hospital of the University of Pennsylvania (HUP) for eight and one-half years at the time of his injury. C.R., Item No. 20, Brooks Dep. at 8. His primary duties included assessing the physical condition of patients, monitoring their care, and administering medication. Id. at 8- 9. As a neurosurgical wing nurse, Claimant was expected to be able to recognize complex neurological disorders that are often undiagnosed. Id. at 9. Claimant recalled that, on December 7, 2018, he was helping a patient return from the bathroom and back into bed when the patient suddenly began to fall away from Claimant’s grasp. Id. at 7. To keep the patient from falling to the floor, Claimant reached out with his right arm and immediately felt “a sharp burning pain

2 Pursuant to Section 306(b)(2) of the Act, an employer may request a modification of benefits based upon earning power. 77 P.S. § 512(2). South Hills Health Sys. v. Workers’ Comp. Appeal Bd. (Kiefer), 806 A.2d 962, 966 (Pa. Cmwlth. 2002). To establish earning power, an employer may (1) offer to a claimant a specific job that is available; or (2) establish earning power through expert opinion evidence of a labor market survey. Id.

2 in [his] right shoulder area.” Id. Claimant immediately left work and, at the time of the deposition, had not returned as a nurse. Id. at 9-10. For a 10-week period in 2019 and for an additional 4-week period in early 2020, Claimant performed light- duty work for Employer, but was not offered a permanent position within his work restrictions.3 Id. at 10-11. After leaving work, Claimant received treatment for his injury from two specialists in occupational medicine at Good Shepherd Physical Therapy, Drs. Savul and Sennett, and from an orthopedist, Dr. Austin. Id. at 11. Claimant recalled that Drs. Savul and Sennett discharged Claimant from their care in March 2019, and Dr. Austin did the same the following August. Id. at 12. Following a functional capacity evaluation (FCE) performed on June 27, 2019, Dr. Sennett released Claimant to work with restrictions to accommodate his injury.4 Id. at 13-14. As a result of the FCE, Claimant participated in a vocational interview with Mr. Sund. Id. at 15. Claimant recalled that Mr. Sund followed up days later with a report listing several available jobs that were near Claimant’s residence and within his work restrictions. Id. However, Claimant did not apply for any of those positions. Id. at 16. Asked to describe his daily activities, Claimant explained that he spends most of his time caring for his infant daughter at home. Id. at 24-25. Claimant also helps to clean and maintain the house that he and his wife share, despite persistent pain in his right shoulder that makes activities such as sweeping and vacuuming difficult.

3 Claimant’s employment was ultimately terminated by Employer via a February 25, 2020 letter. See C.R., Item No. 31.

4 Pursuant to Section 306(b)(3) of the Act, Employer sent Claimant a Notice of Ability to Return to Work on August 8, 2019, citing the results of the FCE. See C.R., Item No. 14. A second Notice of Ability to Return to Work was sent on February 27, 2020, notifying Claimant that Dr. Sennett had released him to work with limitations on duties involving lifting or pushing. See C.R., Item No. 26.

3 Id. at 26-27. However, Claimant has not scheduled any appointments with medical providers to address the shoulder pain. Id. Claimant also testified to spending some of his day looking for available work, but acknowledged that he had not filled out any applications since his job with Employer ended. Id. at 25.

B. Sattel Testimony At a November 9, 2021 deposition, Dr. Andrew Sattel recalled that he performed an IME of Claimant on August 11, 2021. C.R., Item No. 22, Sattel Dep. at 13. Before the examination, Dr. Sattel reviewed Claimant’s medical records with him, including those from Good Shepherd Physical Therapy, the FCE by Dr. Sennett, and a December 12, 2018 magnetic resonance image (MRI) of Claimant’s right shoulder. Id. at 15-16. Claimant also provided Dr. Sattel with a detailed account of his December 7, 2018 work injury. Id. at 15. During the examination, Dr. Sattel observed that Claimant experienced discomfort with full overhead reach of his right arm. Id. at 20. Dr. Sattel also noted that Claimant’s external shoulder rotation (i.e., the ability to rotate the upper arm away from the torso) was equal on both sides, but that internal rotation was less on the right than on the left. Id. at 18-19. Because of the lingering symptoms of discomfort and diminished mobility, Dr. Sattel opined that Claimant should avoid “patient lifts and transfers.” Id. at 26. With those restrictions, however, Dr. Sattel concluded that Claimant was “capable of working at many activities as a registered nurse, sedentary to light.” Id. Dr. Sattel opined that, since Claimant has ruled out surgical treatment, he is “at maximum medical improvement, best suited for light[- ]duty status.” Id. Additionally, Dr. Sattel agreed that all of the work positions

4 identified by Mr. Sund and provided to Claimant (summarized below) were within the work restrictions prescribed by Dr. Sattel.5 Id. at 29. C. Sund Testimony At a July 16, 2021 deposition, Mr. Sund testified that he has been employed by Allegiant Managed Care as a vocational and medical case manager since 2012. C.R., Item No.

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Bluebook (online)
S. Brooks v. Trustees of the University of Pennsylvania (WCAB), Counsel Stack Legal Research, https://law.counselstack.com/opinion/s-brooks-v-trustees-of-the-university-of-pennsylvania-wcab-pacommwct-2024.