Somerset Welding & Steel v. Workmen's Compensation Appeal Board

650 A.2d 114, 168 Pa. Commw. 78
CourtCommonwealth Court of Pennsylvania
DecidedDecember 20, 1994
Docket3073 C.D. 1993
StatusPublished
Cited by49 cases

This text of 650 A.2d 114 (Somerset Welding & Steel 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
Somerset Welding & Steel v. Workmen's Compensation Appeal Board, 650 A.2d 114, 168 Pa. Commw. 78 (Pa. Ct. App. 1994).

Opinions

FRIEDMAN, Judge.

Somerset Welding and Steel (Employer) and Home Insurance Company (collectively, Petitioners) appeal from a decision of the Workmen’s Compensation Appeal Board (Board) [82]*82affirming a referee’s1 grant of benefits to Robert G. Lee, Jr. (Claimant) from March 27,1991 through February 6,1992 and reversing the referee’s termination of those benefits as of February 7, 1992.

On March 26, 1991, while working for Employer, Claimant slipped as he put together a water separator tank. Consequently, Claimant experienced pain in his back as well as burning pain in the back of his left leg.2 (Referee’s Finding of Fact, No. 4.) On March 27, 1991, Claimant’s wife informed Employer of the incident and told Employer that Claimant would be absent from work that day due to a doctor’s appointment. (Referee’s Findings of Fact, Nos. 5 and 17.) The next day, Employer terminated Claimant’s employment for continually disregarding company policy with regard to procedures for reporting off work. (Referee’s Findings of Fact, Nos. 6, 16 and 21.)

On May 15, 1991, Claimant filed a claim petition for workers’ compensation benefits, indicating that he suffered a herniated disc from the March 26th incident. Petitioners subsequently filed an answer to that petition generally denying Claimant’s allegations. At the evidentiary hearing, Claimant presented the deposition testimony of two physicians, Dr. Mark F. Yaros and Dr. Howard Gendell. Dr. Yaros testified that he examined Claimant on March 27, 1991. At that time, Claimant gave Dr. Yaros a “history” of left back pain radiating from Claimant’s upper lumbar spine through the hip and lateral aspect of his left leg to his knee and told Dr. Yaros that he had been experiencing back pain for two months. During that initial examination, Claimant did not inform Dr. Yaros of a specific incident precipitating the pain; however, Dr. Yaros stated that the Claimant’s symptoms and complaints were definitely different from any previous complaints. Dr. Yaros [83]*83deemed Claimant totally disabled as of April 1, 1991, the date on which diagnostic tests confirmed Claimant was suffering from a herniated disc.

Dr. Gendell testified that based on a myelogram, MRI, and examination results, Claimant suffered from low back and leg pain consistent with a herniated disc. Furthermore, Dr. Gendell stated that within a reasonable degree of medical certainty, the incident on March 26, 1991 caused a new injury or aggravated Claimant’s preexisting condition. Dr. Gendell, however, was unable to testify that Claimant continued to have a disability after February 6, 1992 and deferred such an opinion to Claimant’s rehabilitation physician.

Claimant did not offer any testimony or reports from his rehabilitation physician and neither party presented other medical witnesses.

The referee accepted the physicians’ testimonies and found Claimant totally disabled from March 27,1991 through February 6, 1992. The referee then terminated benefits effective February 7, 1992 because Claimant’s medical experts could not unequivocally establish a continuing disability after that date.

Both parties appealed. The Board held that Claimant presented unequivocal medical testimony supporting the existence of a work-related disability. However, the Board determined that the referee erred in placing the burden on Claimant to prove continuing disability and that, once Claimant established entitlement to benefits, the burden should have been on Petitioners to prove that Claimant had fully recovered from his disability. Because Petitioners failed to do so, the Board concluded that the referee improperly terminated benefits.

Petitioners now ask3 us to determine: (1) whether Claimant’s medical evidence is unequivocal, thereby supporting a [84]*84finding of causation between Claimant’s work-related incident and his disability; and (2) whether Claimant may receive benefits following the justifiable termination of his employment.

I.

Petitioners first argue that the testimony of Claimant’s medical witnesses was equivocal and, thus, could not provide the required causal link between the work-related incident and Claimant’s disability.

In a claim petition proceeding, a claimant must prove a causal relationship between a work-related. incident and a disability. Lewis v. Workmen’s Compensation Appeal Board (Pittsburgh Bd. of Educ.), 508 Pa. 360, 498 A.2d 800 (1985). Where, as here, an obvious causal connection between the disability and the alleged cause does not exist,4 the claimant can establish that connection through unequivocal medical testimony. Id. If such testimony is necessary, a claimant’s medical witnesses must testify that in their professional opinions, the disability resulted from the alleged cause, not that the injury “may have” resulted from the alleged cause. Id. If the testimony is based only upon possibilities, then that testimony is equivocal and not legally competent to establish a causal relationship. Id.

The determination as to whether expert testimony in a workers’ compensation proceeding is equivocal so as not to be competent evidence is a question of law, subject to our review. Cyclops Corp./Sawhill Tubular Div. v. Workmen’s Compensation Appeal Board (Paulsen), 158 Pa.Commonwealth Ct. 595, 632 A.2d 617 (1993). “In conducting such review the medical [85]*85witness’s entire testimony must be reviewed and taken as a whole and a final decision ‘should not rest upon a few words taken out of context of the entire testimony.’ ” Lewis, 508 Pa. at 366, 498 A.2d at 803, quoting Wilkes-Barre City v. Workmen’s Compensation Appeal Board, 54 Pa.Commonwealth Ct. 230, 420 A.2d 795 (1980).

First, Petitioners argue that Dr. Yaros testified as to possibilities, specifically that the alleged incident “may have caused” Claimant’s injury or “could have aggravated” a preexisting condition. We agree.

Here, Dr. Yaros testified that, within a reasonable degree of medical certainty, Claimant’s disability commenced on April 1, 1991; however, Dr. Yaros never stated unequivocally that the incident of March 26, 1991 caused Claimant’s back pain. At most, Dr. Yaros’ testimony, when taken in its entirety, establishes that “something” aggravated Claimant’s pre-existing back condition which could have been the work-related incident here.5 Therefore, we disagree with the Board’s determination that Dr. Yaros’ testimony was unequivocal.

Petitioners also maintain that Dr. Gendell’s testimony is equivocal because: (1) it is premised on the assumption that the “history” given to him was accurate, and (2) it is inconsistent. Here, we disagree.

[86]*86Dr. Gendell did base his medical opinion on the medical history provided by Claimant, stating that assuming the “history” he received as true, the work-related incident here either aggravated Claimant’s pre-existing back condition or caused a new injury. (R.R.

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Cite This Page — Counsel Stack

Bluebook (online)
650 A.2d 114, 168 Pa. Commw. 78, Counsel Stack Legal Research, https://law.counselstack.com/opinion/somerset-welding-steel-v-workmens-compensation-appeal-board-pacommwct-1994.