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Volume 20, Edition 9, Cases

TONJA WRIGHT, INDIVIDUALLY AND ON BEHALF OF HER MINOR SON, NOAH JACKSON v. NATIONAL INTERSTATE INSURANCE CO., ET AL.

United States District Court,

E.D. Louisiana.

TONJA WRIGHT, INDIVIDUALLY AND ON BEHALF OF HER MINOR SON, NOAH JACKSON

v.

NATIONAL INTERSTATE INSURANCE CO., ET AL.

CIVIL ACTION NO. 16-16214

|

09/12/2017

 

ELDON E. FALLON, United States District Judge

 

SECTION L (1)

ORDER AND REASONS

*1 Before the Court are several motions in limine filed by Plaintiff Tonja Wright and Defendants Terry Tearle Poole, Mabe Trucking Company, Inc. and National Interstate Insurance Company. Having considered the parties’ arguments, submissions, and applicable law, the Court now issues this Order and Reasons.

 

 

  1. BACKGROUND

This case arises out of an automobile accident. On September 9, 2015, Plaintiff Tonja Wright was operating her 2011 Ford Escape in Tangipahoa Parish, Louisiana, when she was struck by a 2015 Kenilworth trailer owned by Mabe Trucking Company and operated by Terry Poole. Rec. Doc. 1-1 at 2. Wright also brings this case on behalf of her minor son Noah Jackson, who was travelling with her in the car at the time of the alleged accident.

 

Plaintiff filed suit in state court on August 23, 2016, seeking damages for past and future mental and physical pain and suffering, property damage, loss of use of vehicle, depreciation, rental expenses, medical expenses, loss of past earnings, loss of future earning capacity, disability, scarring and disfigurement, loss of consortium, penalties, and attorneys’ fees. Rec. Doc. 1-1 at 1, 4. Plaintiff claims that the 2015 accident, the instant dispute, caused her to need a cervical fusion at the C4-C6 levels, which was performed on August 2, 2016. Rec. Doc. 23. Meanwhile, Defendants assert that Plaintiff’s alleged injuries and damages resulted from a separate, intervening or superseding event. See Rec. Doc. 23.

 

 

  1. DISCUSSION
  2. Plaintiff’s Motions
  3. Motion in Limine to Exclude Defendants’ Expert Ben Smith (Rec. Doc. 46)

Plaintiff moves to exclude testimony and reports by Ben Smith, an accident reconstruction expert, from Messerschmidt Safety Consultants because Defendants have not produced the expert’s report. The Court’s Scheduling Order required parties to deliver such reports by August 3, 2017. In response, Defendants argue that the delay was engineered by Plaintiff, who repeatedly failed to provide photos and a video from the accident. Rec. Doc. 53 at 2-4. Defendants had served requests for production on January 3, 2017, and asked for photographs and videos in connection with the accident. However, Plaintiff did not deliver the photographs until August 3, 2017 and the video until August 18, 2017. See Rec. Doc. 53 at 3.

 

In deciding whether to exclude evidence, the Court considers four factors: (1) the party’s explanation for its failure to timely identify its witnesses and exhibits; (2) the importance of the proposed evidence; (3) potential prejudice in allowing the admission of the exhibits or testimony; and (4) the availability of a continuance to cure such prejudice. Serigne v. Preveau, No. 11-3160, 2013 WL 3863874, at *1 (E.D. La. July 23, 2013) (citing Geiserman v. MacDonald, 893 F.2d 787, 790-92 (5th Cir. 1990)). Here, photographs and videos of the event are pertinent materials to an accident reconstruction expert. Because Plaintiff did not produce this information until after the deadline, this Court accepts Defendants’ justification in late production of Smith’s report, and finds the delay excusable and harmless. Moreover, with the trial date now set in March 2018, parties have sufficient time to review Smith’s report. Accordingly, Plaintiff’s motion is DENIED.

*2 2. Motion for Sanctions Due to Spoliation of Evidence, Adverse Inference and to Strike Defenses by Defendants (Rec. Doc. 45)

 

Plaintiff requests an adverse inference regarding liability due to Defendant Mabe’s allege spoliation of video and picture evidence of the accident. Rec. Doc. 45-1 at 3-4. Further, Plaintiff requests sanctions and cost for Plaintiff’s litigation effort to prove liability. Id. During discovery, Plaintiff requested information regarding whether there were any photographs, videos, sketches, maps, or diagrams pertaining to any fact or issue set forth in the Complaint. See Rec. Doc. 45-1 at 2. In response to Plaintiff’s discovery requests, Defendants each responded that they were not in possession of responsive information regarding these requests other than the photos of Plaintiff’s car and the police report. Id. When Mr. Poole was deposed, however, he indicated that, at the time of the accident, his truck had a video camera pointing at the driver and the road. Id. The parties dispute whether the video captured the incident. According to Defendant Mabe, while the cameras are always “on,” they do not record unless a triggering event occurs. Rec. Doc. 55 at 3. Further, Defendant explains there are three events which trigger the cameras to capture video: (1) a hard brake, (2) the vehicle leaning right or left and (3) an impact. Id. Defendant contends that none of these triggering moments existed because Poole alleges he was stopped at a stop sign with his brake activated. See Rec. Doc. 55 at 5.

 

Under Rule 37, a court may issue an order imposing an array of sanctions if a party “fails to obey an order to provide or permit discovery.” Fed. R. Civ. Proc. 37(b)(2)(A). Here, where the alleged conduct occurred prior to the commencement of litigation, federal law provides that a trial court may exercise its discretion to impose sanctions on a party responsible for the spoliation (i.e. intentional destruction) of relevant evidence. Menges v. Cliffs Drilling Company, No. 99-2159, 2000 WL 765082, at *1 (E.D. La. June 12, 2000); see also Rimkus Consulting Group, Inc. v. Cammarata, 688 F.Supp.2d 598, 612 (S.D. Tex. 2010) (“Spoliation is the destruction or the significant and meaningful alteration of evidence.”). “Adverse inference sanctions ‘are properly viewed as among the most severe sanctions a court can administer.’ ” Spencer v. Hercules Offshore, Inc., No. 13-4706, 2014 WL 1681736, at *4 (E.D. La. Apr. 28, 2014).

 

For the spoliation of evidence doctrine to apply, the movant must prove two elements: (1) that the party who had control over the evidence had a duty to preserve it at the time the evidence was destroyed; and (2) that the destruction of evidence was intentional. Garnett v. Pugh, 2015 WL 1245672, at *4 (E.D. La. March 18, 2015); Menges, 2000 WL 765082, at *2. “A duty to preserve arises when a party knows or should know that certain evidence is relevant to pending or future litigation.” Premier Dealer Servs., Inc. v. Duhon, No. 12-1498, 2013 WL 6150602, at *3 (E.D. La. Nov. 22, 2013); see also Dixon v. Greyhound Lines, Inc., 2014 WL 6087226, at *2 (M.D. La. Nov. 13, 2014) (“The duty to preserve material evidence arises not only during litigation, but also during the period before litigation when a party knew or should have known that litigation was imminent.”); Garnett, 2015 WL 1245672, at *4 (“In order for a party to have a duty to preserve evidence, the party must have notice that the evidence is relevant to the litigation.”). Further, it is well settled within the Fifth Circuit that an adverse inference drawn from the destruction of records is predicated on bad faith. United States v. Wise, 221 F.3d 140, 154 (5th Cir. 2000); King v. Illinois Cent. R.R., 337 F.3d 550, 556 (5th Cir. 2003); Vick v. Texas Employment Commission, 514 F.2d 734, 737 (5th Cir. 1975). “Culpability is not established by any bright line test, but rather, analyzed on a case-by-case basis.” Premier Dealer Servs., Inc., 2013 WL 6150602, at *5.

 

*3 While the Court agrees video footage of the incident is relevant, Plaintiff does not satisfy her high burden of demonstrating bad faith on the part of the Defendant: her allegations of bad faith are speculative. As Defendant explains, ECM data for the video is recorded over as soon as the truck in question is started or begins traveling again. Rec. Doc. 55 at 5. Further, Plaintiff presents no concrete evidence the ECM “capture” occurred at the moment of the alleged accident. According to Defendant, due to limitations in storage, the ECM data cannot possibly record constantly. Id. Even though Mabe has a company policy to preserve footage after an accident, Defendant contests that it did not know litigation was imminent. Poole has consistently denied wrongdoing to his then-employer Mabe, the police report indicated that Plaintiff did not seek medical treatment, and Plaintiff’s own photographs of her vehicle—at first glance—show no discernable damages. See Rec. Doc. 55 at 5. The existence of a camera and possibility of video footage, without more, do not warrant the Court to find bad faith, and subsequently impose the most severe sanction here: an adverse inference. Thus, Plaintiff’s motion is DENIED. Nonetheless, under FRE 607, Plaintiff may question Defendants about the camera in the truck— and the whereabouts of the video footage, if any—as that goes to Defendants’ credibility.

 

 

  1. Defendants’ Motions
  2. Motion to Strike Testimony and Report of Ralph Litolff (Rec. Doc. 38)

Defendants move to exclude the testimony and report from Plaintiff’s forensic accounting expert, Mr. Ralph Litolff, because it was untimely. The Court issued its Scheduling Order on April 11, 2017. See Rec. Doc. 12. The Scheduling Order states written reports of experts, as defined by Federal Rules of Civil Procedure 26(a)(2)(B), who may be witnesses for Plaintiff, which full set forth all matters about which they will testify and the basis therefor, “shall” be obtained and delivered to counsel for Defendants no later than July 3, 2017. Rec. Doc. 12. As of July 3, 2017, Plaintiff had identified only Lacy Sapp, her vocational rehabilitation expert. See Rec. Doc. 38-2 at 4. Then, on August 3, 2017, Plaintiff identified Mr. Litolff. See Rec. Doc. 38-2 at 4. Plaintiff forwarded his report to Defendants on August 4. See Rec. Doc. 38-2 at 4. Plaintiff forwarded the personal tax returns, which allegedly formed the basis of his report, on August 8. See Rec. Doc. 38-2 at 4.

 

Plaintiff contends that additional time had been agreed to be given while settlement negotiations were ongoing during the relevant dates. Rec. Doc. 59-2 at 2-3. Defendants agreed that they had provided “an extra few days”—not weeks, however. Rec. Doc. 62-2 at 1-2.

 

In evaluating whether to exclude an expert report due to tardiness, courts consider whether a party’s failure to disclose is harmless. Specifically, courts look to four factors: (1) the explanation for the party’s failure to disclose; (2) the potential prejudice to the opposing party if the evidence is allowed; (3) the availability of a continuance to cure such prejudice; and (4) the importance of the evidence.” Red Dot Bldgs. v. Jacobs Tech., Inc., CIV.A. 11-1142, 2012 WL 2061904, at *3 (E.D. La. June 7, 2012 (citing Fed. R. Civ. P. 37(c)(1)). Here, production of the expert’s report, delayed by a month, is allegedly due to ongoing settlement discussions. In a June 27, 2017 email, Plaintiff’s counsel wrote to Defendants’ counsel that the parties had discussed he would “hold off a couple of days on spending money on my economist and possibly some other experts until I hear back from you and your client regarding possible settlement.” Rec. Doc. 59-2. Although Defendants argue that they only agreed to “an extra few days,” the Court finds this tardiness harmless and that Mr. Litolff’s report is relevant to determining damages in this case. Accordingly, Defendants’ motion to strike is DENIED.

  1. Motion in Limine to Exclude Wage Testimony of Lacy Sapp and Ralph Litolff (Rec. Doc. 43)

 

As part of her claim for damages, Plaintiff alleges she has suffered past wage loss and will suffer a loss of earning capacity. Plaintiff testified she is employed as the executive director of House of Tiny Steps, Inc., a 501(c)(3) corporation and has held that position for the past five years. Plaintiff’s business is sponsored by the United States Department of Agriculture. Doc. 57-2 at 2. The business contracts with the Louisiana Department of Education to provide meals to children. Doc. 43-2 at 2. Plaintiff retained Lacy Sapp to provide a vocational rehabilitation analysis and Ralph Litoff as an expert economist. According to Defendants’ understanding (which Plaintiff contends), Ms. Sapp suggested Plaintiff’s potential future annual income is $473,891.41 and Mr. Litolff calculated it to be $110,970.00. However, neither experts, according to Defendants, reviewed Plaintiff’s personal income tax returns or House of Tiny Steps’s revenues. Plaintiff’s past tax returns indicate a range from $-179.00 (reported business income) in 2012 to $20,532.00 (adjusted gross income) in 2016. The revenues of House of Tiny Steps ranged from $82,199.00 in 2012 to $175,132.00 in 2015. Rec. Doc. 43-2 at 3-4.

 

*4 Plaintiff suggests that Defendants have misread the experts’ reports. Plaintiff clarifies: the $473,891.41 which Defendants take issue with was merely gross revenue projected for House of Tiny Steps by Sapp and is not going to be offered by Sapp (or Litolff) as net income that would have been earned by Plaintiff. Rec. Doc. 57-2 at 5. Moreover, Plaintiff points out that the $110,970.00 annual income utilized in the Litolff report, representing the Plaintiff’s earnings capacity, is based on the 90th percentile for nonprofit executive directors in the State of Louisiana according to the Bureau of Labor Statistics. Rec. Doc. 57-2 at 5. According to Plaintiff, prior to the accident, she was in the process of adding more sites to participate in the Child and Adult Care Food Program at the time of the accident. Rec. Doc. 57-2 at 2. Plaintiff was also allegedly in the process of expanding her programs in the Summer Food Service Program. Id.Due to her injuries related to the accident, however, Plaintiff claims she has lost the opportunity to further expand her business and is concerned that she will be unable to maintain her current accounts. Nonetheless, Plaintiff acknowledges that contrary to Defendants’ argument on this issue, it is not necessary to project the income of House of Tiny Steps into the future to determine Plaintiff Wright’s future wage losses: the jury will be asked to decide the income loss of Plaintiff, not House of Tiny Steps. Rec. Doc. 57-2 at 6.

 

Rule 702 of the Federal Rules of Evidence governs the admissibility of expert testimony. Rule 702 is in effect a codification of the United States Supreme Court’s opinion in Daubert v. Merrell Dow Pharmaceuticals, 509 U.S. 579 (1993). In Daubert, the Supreme Court held that trial courts should serve as gatekeepers for expert testimony and should not admit such testimony without first determining that the testimony is both “reliable” and “relevant.” Id. at 589.

 

The trial court is the gatekeeper of scientific evidence. Daubert, 509 U.S. at 596. It has a special obligation to ensure that any and all expert testimony meets these standards. Id. Accordingly, it must make a preliminary assessment of whether the reasoning or methodology underlying the testimony is scientifically valid and whether the reasoning or methodology can be properly applied to the facts in issue. Id. at 592-93. In making this assessment, the trial court need not take the expert’s word for it. Gen. Elec. Co. v. Joiner, 522 U.S. 136, 147 (1997). Instead, when expert testimony is demonstrated to be speculative and lacking in scientific validity, trial courts are encouraged to exclude it. Moore v. Ashland Chem., Inc., 151 F.3d 269, 279 (5th Cir. 1998).

 

In satisfying its “gatekeeper” duty, the Court will look at the qualifications of the experts and the methodology used in reaching their opinions and will not attempt to determine the accuracy of the conclusion reached by the expert. The validity or correctness of the conclusions is for the fact finder to determine after the Daubert analysis.

 

Defendants have challenged the testimonies of Plaintiff’s experts Sapp and Litolff. The Court has determined that both experts are sufficiently qualified through their education and experience to offer expert testimonies. The Court finds that their opinions were formed using appropriate methodology. Defendants’ main objections are with issues of credibility and weight to be given to Plaintiff’s experts, which are questions best left to the trier of fact. Defendants can address their concerns at cross examination. Accordingly, Defendants’ motion is DENIED.

 

 

III. CONCLUSION

Based on the foregoing, accordingly,

 

IT IS ORDERED that all motions (Rec. Docs. 38, 43, 45 & 46) are hereby DENIED. New Orleans, Louisiana, this 12th day of September, 2017.

 

ELDON E. FALLON

United States District Judge

All Citations

Slip Copy, 2017 WL 4011206

The ARMS TRUCKING COMPANY, Petitioner v. WORKERS’ COMPENSATION APPEAL BOARD (EICHENBERGER)

Commonwealth Court of Pennsylvania.

The ARMS TRUCKING COMPANY, Petitioner

v.

WORKERS’ COMPENSATION APPEAL BOARD (EICHENBERGER), Respondent

No. 269 C.D. 2017

|

Submitted: June 30, 2017

|

FILED: August 22, 2017

BEFORE: HONORABLE RENÉE COHN JUBELIRER, Judge, HONORABLE ANNE E. COVEY, Judge, HONORABLE JAMES GARDNER COLINS, Senior Judge

 

 

MEMORANDUM OPINION

JUDGE COVEY

*1 The Arms Trucking Company (Employer) petitions this Court for review of the Workers’ Compensation (WC) Appeal Board’s (Board) February 10, 2017 order affirming the Workers’ Compensation Judge’s (WCJ) decision granting Keith Eichenberger’s (Claimant) Claim Petition (Claim Petition) and Petition for Review of Compensation Benefits (Review Petition). Employer presents two issues for this Court’s review: (1) whether the WCJ erred in awarding temporary total disability benefits to Claimant; and (2) whether the WCJ erred by expanding Claimant’s work injury to include a neck injury. After review, we affirm.

 

Claimant was employed by Employer as a full-time truck driver. On November 21, 2011, Claimant filed the Claim Petition alleging a work-related injury in the nature of left shoulder impingement syndrome. Claimant sought full disability benefits from the date of the injury, July 7, 2011, payment of his medical expenses and attorney’s fees. On March 22, 2013, the parties entered into an Agreement for Compensation (Agreement), in which “[E]mployer … acknowledg[ed] that [C]laimant sustained a work-related injury on [July 7, 2011], in the nature of traumatically[-]induced impingement syndrome of the left shoulder.” Reproduced Record (R.R.) at 13a. The Agreement provided that the parties wished to proceed with litigation relating to Claimant’s entitlement to disability benefits. On October 8, 2013, Claimant filed the Review Petition asserting that the July 7, 2011 work injury description should be amended to include the aggravation of his pre-existing degenerative neck condition.1 Employer filed an answer to the Review Petition denying Claimant’s material allegations.

 

WCJ hearings were held on January 4, April 25, August 22 and October 31, 2012, March 27, August 2, October 9 and December 11, 2013, and March 19, May 21 and August 6, 2014. On January 6, 2016, the WCJ granted Claimant’s Claim Petition and Review Petition, awarding Claimant temporary total disability benefits from July 7, 2011 through December 10, 2012, and expanding the work injury description to include aggravation of Claimant’s pre-existing degenerative neck condition. Employer appealed to the Board. On February 10, 2017, the Board affirmed the WCJ’s decision. Employer appealed to this Court.2

 

*2 Employer first argues that the WCJ erred by awarding Claimant temporary total disability benefits from July 7, 2011 through December 10, 2012 because Claimant admitted that during this same time period he was totally disabled for reasons unrelated to the work injury. Specifically, Employer contends that since Claimant delayed his work injury treatment because he was undergoing chemotherapy treatments, he is not entitled to WC benefits for that period.3 We disagree.

 

“The cases are clear that, where there are alleged competing causes for disability …, the claimant must establish that the work-related injury was a substantial, contributing factor to that disability ….” Pa. State Univ. v. Workers’ Comp. Appeal Bd. (Rabin, Deceased), 53 A.3d 126, 133 (Pa. Cmwlth. 2012). Further,

[w]hen delivering a causation opinion in a [WC] case, a doctor or medical expert is not required to use magic words such as ‘substantial contributing factor,’ ‘materially contributed,’ or … ‘cause in fact.’ Rather, ‘[i]t is only necessary that the doctor’s testimony permit a valid inference that such causation was present.’

Id. (quoting Thomas Lindstrom Co. v. Workers’ Comp. Appeal Bd. (Braun), 992 A.2d 961, 967 (Pa. Cmwlth. 2010) (citations omitted).

 

The law is well established that “[t]he WCJ is the ultimate factfinder and has exclusive province over questions of credibility and evidentiary weight.” Univ. of Pa. v. Workers’ Comp. Appeal Bd. (Hicks), 16 A.3d 1225, 1229 n.8 (Pa. Cmwlth. 2011). Neither the Board nor the Court may reweigh the evidence or the WCJ’s credibility determinations. Sell v. Workers’ Comp. Appeal Bd. (LNP Eng’g), 771 A.2d 1246 (Pa. 2001). This Court has stated:

‘[I]t is irrelevant whether the record contains evidence to support findings other than those made by the WCJ, the critical inquiry is whether there is evidence to support the findings actually made.’ [Minicozzi v. Workers’ Comp. Appeal Bd. (Indus. Metal Plating, Inc.), 873 A.2d 25, 29 (Pa. Cmwlth. 2005)] (quoting [Del. Cnty.] v.Workers’ Comp. Appeal Bd. (Baxter Coles), 808 A.2d 965, 969 (Pa. Cmwlth. 2002)). We review the entire record to determine if it contains evidence a reasonable mind might find sufficient to support the WCJ’s findings. Minicozzi. If the record contains such evidence, the findings must be upheld even though the record contains conflicting evidence.

Lahr Mech. v. Workers’ Comp. Appeal Bd. (Floyd), 933 A.2d 1095, 1101 (Pa. Cmwlth. 2007).

 

We recognize that, at the April 25, 2012 hearing, Claimant testified he could not return to work because “I’m not done with my chemo[therapy] yet.” Notes of Testimony (N.T.) April 25, 2012 at 6. However, when questioned: “How about the work injury? Do you feel better from that part of you?” Claimant related: “No, I still need to get surgery on that.” Id. (emphasis added). After the surgery, when Claimant was questioned concerning his work-related injury: “What kind of problems do you still have today?” Claimant related: “Stiffness, constant pain. I mean, it’s just debilitating, actually.” N.T. August 6, 2014 at 10 (emphasis added).

 

Further, Oriente DiTano, M.D. (Dr. DiTano) opined:

*3 Diagnosis is left shoulder metastatic tumor proximal humerus and brachial plexus stretch. The brachial plexus component has limited visibility to the roof of his shoulder, I believe, and also was caused [sic] by the fall on 07/07/2011. I feel that prior to 07/07/2011 he had no discomfort, no pain and was working full-duty. After the fall he has not been able to lift his arm well or use it very well.

At this point I feel that the diagnosis of the brachial plexus injury to his left arm was caused by the fall that occurred on 07/07/2011….

As far as work, I do not feel he can work and I’ve limited his work to no work because of discomfort and pain and the brachial plexus injury in his left arm.[4]

Dr. DiTano December 22, 2011 Report at 2 (R.R. at 67a). In addition, Jon Levy, M.D. (Dr. Levy) reported:

Overall, I believe [Claimant’s] prognosis referable to the cervical spine is fair. I believe in light of his pre-existent condition and recent aggravation, there is potential he will have ongoing neck pain…. I believe he is partially and temporarily disabled from re-entering the workplace at his pre-injury level of function.[5]

Dr. Levy December 10, 2013 Report at 2–3 (R.R. at 88a–89a). Moreover, Employer’s medical expert, Steven Kann, M.D. (Dr. Kann), related: “[I]t is my opinion, again assuming the accuracy of [Claimant’s] description of the work injury of July 7, 2011, that he suffered traumatically induced impingement syndrome that is persisting despite conservative treatment, and he has not fully recovered from this aforementioned diagnosis.”6 Dr. Kann April 4, 2012 Report at 4 (R.R. at 23a) (emphasis added). Finally, Employer’s medical expert Trenton Gause, M.D. (Dr. Gause) agreed: “Though he has reached a point of maximum medical improvement with respect to the left shoulder condition, he is not fully recovered from such.”7 Dr. Gause December 13, 2013 Report at 18 (R.R. at 49a) (emphasis added).

 

The WCJ found the testimony of Claimant, Dr. DiTano and Dr. Levy to be competent and credible, and Dr. DiTano’s and Dr. Levy’s medical testimony more persuasive than Dr. Kann’s and Dr. Gause’s testimony. See Findings of Fact (FOF) 23–26. Viewing Claimant’s testimony and medical evidence in a light most favorable to the Claimant, as we must, we hold that Claimant established that his work injury was a substantial, contributing factor to his disability. Therefore, the WCJ and the Board did not err by granting Claimant temporary total disability benefits from July 7, 2011 through December 10, 2012.

 

Employer next argues that the WCJ erred by expanding Claimant’s work injury to include aggravation of Claimant’s pre-existing neck injury. Specifically, Employer contends that there was no competent, credible, unequivocal medical evidence of record to establish a work-related cervical injury. We disagree.

 

*4 “Just as with any other type of injury, in order for [an injury] … to be compensable, the claimant must establish that [it] was causally related to the [Claimant’s] employment. If the causal connection is not obvious, the connection must be established by unequivocal medical testimony.” Dietz v. Workers’ Comp. Appeal Bd. (Lower Bucks Cnty. Joint Mun. Auth.), 126 A.3d 1025, 1030 (Pa. Cmwlth. 2015) (citation omitted). “[M]edical testimony is unequivocal if a medical expert testifies, after providing foundation for the testimony, that, in his professional opinion, he believes or thinks a fact exists.”8 Amandeo v. Workers’ Comp. Appeal Bd. (Conagra Foods), 37 A.3d 72, 80 (Pa. Cmwlth. 2012) (quoting O’Neill v. Workers’ Comp. Appeal Bd. (News Corp., Ltd.), 29 A.3d 50, 58 (Pa. Cmwlth. 2011)).

 

At issue is the following statement from Dr. Levy’s December 10, 2013 report:

By history, it appears that the patient had escalation of his cervical symptoms referable to the injury of July 2011. I had the opportunity to evaluate treatment records from Drs. DiTano and [Nicholas] Kubik. Of note, the records focused specifically on the left shoulder and do not show documentation of cervical complaints until March 1, 2013 …. Certainly, the mechanism of his injury, having undergone prior shoulder surgery and having restricted range of motion of his shoulder, these all could contribute to escalation of neck pain and increased stress on the cervical area. By history, I believe this gentleman’s pre-existent condition has been aggravated by his work event of July 2011.

Dr. Levy December 10, 2013 Report at 2 (R.R. at 88a). Employer asserts that Dr. Levy’s opinion is not unequivocal medical evidence because “the medical witness must testify not that the injury or condition ‘might have’ or ‘possibly’ come from an assigned cause, but that it is his professional opinion that the results in question did come from an assigned cause.” Employer Br. at 15.

However, the law does not require every utterance which escapes the lips of a medical witness on a medical subject to be certain, positive, and without reservation or exception. A medical witness’s use of words such as ‘probably,’ ‘likely,’ and ‘somewhat’ will not render an opinion equivocal so long as the testimony, read in its entirety, is unequivocal and the witness does not recant the opinion or belief first expressed.

Bemis v. Workers’ Comp. Appeal Bd. (Perkiomen Grille Corp.), 35 A.3d 69, 72 (Pa. Cmwlth. 2011) (citation omitted). The statement at issue is excerpted from a paragraph which, in its entirety, reads:

At the time of my evaluation, I felt he had predominantly axial pain and by history felt he had a pre-existent degenerative condition that was aggravated by, his work situation. I, therefore, recommended that [Claimant] undergo a trial of physical therapy, a trial of non-steroidals, and observation. At the time of my evaluation, I did not feel this was a surgical situation. I discussed the fact that he was at risk of developing myelopathy because of cervical stenosis but this would be strictly on a degenerative basis. By history, it appears that the patient had escalation of his cervical symptoms referable to the injury of July 2011. I had the opportunity to evaluate treatment records from Drs. DiTano and Kubik. Of note, their records focus specifically on the left shoulder and do not show documentation of cervical complaints until March 1, 2013. By history, this gentleman had pre-existent degenerative condition of his cervical spine, had undergone prior cervical surgery, and now reports escalating neck pain since the time of his work event. Certainly the mechanism of his injury, having undergone prior shoulder surgery and having restricted range of motion of his shoulder, these all could contribute to escalation of neck pain and increased stress on the cervical area. By history, I believe [Claimant’s] pre-existent condition has been aggravated by his work event of July 2011.

*5 Dr. Levy December 10, 2013 Report at 2 (R.R. at 88a) (bold and italics emphasis added). Clearly, “th[is] testimony, read in its entirety, is unequivocal ….” Bemis, 35 A.3d at 72. Accordingly, the WCJ and the Board did not err by expanding Claimant’s work injury to include that injury.

 

For all of the above reasons, the Board’s order is affirmed.

 

 

ORDER

AND NOW, this 22nd day of August, 2017, the Workers’ Compensation Appeal Board’s February 10, 2017 order is affirmed.

 

All Citations

Not Reported in A.3d, 2017 WL 3597263

 

 

Footnotes

1

Section 301(c)(1) of the Workers’ Compensation Act provides, in relevant part:

The terms ‘injury’ and ‘personal injury’ as used in this act, shall be construed to mean an injury to an employe, regardless of his previous physical condition, … arising in the course of his employment and related thereto, and such disease or infection as naturally results from the injury or is aggravated, reactivated or accelerated by the injury.

Act of June 2, 1915, P.L. 736, as amended, 77 P.S. § 411(1) (emphasis added).

2

“On review[,] this Court must determine whether constitutional rights were violated, errors of law were committed, or necessary findings of fact were supported by substantial competent evidence.” Stepp v. Workers’ Comp. Appeal Bd. (FairPoint Commc’ns, Inc.), 99 A.3d 598, 601 n.6 (Pa. Cmwlth. 2014). This Court has explained:

‘Substantial [competent] evidence is such relevant evidence as a reasonable person might accept as adequate to support a conclusion.’ Waldameer Park, Inc. v. Workers’ Comp. Appeal Bd. (Morrison), 819 A.2d 164, 168 (Pa. Cmwlth. 2003). In performing a substantial evidence analysis, this [C]ourt must view the evidence in a light most favorable to the party who prevailed before the factfinder.’ Id. ‘Moreover, we are to draw all reasonable inferences which are deducible from the evidence in support of the factfinder’s decision in favor of that prevailing party.’ Id.

3D Trucking Co., Inc. v. Workers’ Comp. Appeal Bd. (Fine & Anthony Holdings Int’l), 921 A.2d 1281, 1288 (Pa. Cmwlth. 2007).

3

Claimant was diagnosed with and treated for non-Hodgkin’s lymphoma in 2000, and was in remission at the time of his work injury. However, Claimant started receiving chemotherapy treatments in November 2011 and thereafter maintenance chemotherapy every six months for two years. Claimant finished chemotherapy treatments in June 2014. See R.R. at 218a, 242a–243a.

4

“This … opinion has been rendered with a reasonable degree of medical certainty.” Dr. DiTano December 22, 2011 Report at 2 (R.R. at 67a).

5

“All of the opinions … have been rendered to within a reasonable degree of medical certainty.” Dr. Levy December 10, 2013 Report at 3 (R.R. at 89a).

6

“[T]hese opinions are offered within a reasonable degree of medical certainty.” Dr. Kann April 4, 2012 Report at 4 (R.R. at 23a).

7

“The above opinions are based on a reasonable degree of medical certainty….” Dr. Gause December 13, 2013 Report at 18 (R.R. at 49a).

8

“The question of whether expert medical testimony is unequivocal, and, thus, competent evidence to support factual determinations is a question of law subject to our review.” Amandeo v. Workers’ Comp. Appeal Bd. (Conagra Foods), 37 A.3d 72, 80 (Pa. Cmwlth. 2012).

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