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Case Law - save on Lexis / WestLaw. IN THE COMMONWEALTH COURT OF PENNSYLVANIA A & M Texaco, : Petitioner : : v. : No. 1021 C.D. 2004 : Workers' Compensation : Submitted: November 24, 2004 Appeal Board (McVoy), : Respondent : BEFORE: HONORABLE JAMES GARDNER COLINS, President Judge HONORABLE DORIS A. SMITH-RIBNER, Judge HONORABLE JESS S. JIULIANTE, Senior Judge OPINION NOT REPORTED MEMORANDUM OPINION BY SENIOR JUDGE JIULIANTE FILED: February 8, 2005 A & M Texaco (Employer) petitions for review of the May 10, 2004 order of the Workers' Compensation Appeal Board (Board) that affirmed as modified the order of the Workers' Compensation Judge (WCJ) granting Employer's termination petition and terminating the workers' compensation benefits of Robert H. McVoy (Claimant).1 Employer contends that the Board erred in modifying the effective date of the termination of benefits from September 26, 2000 to March 15, 2002 inasmuch as the WCJ's finding that Claimant had fully recovered as of September 26, 2000 is supported by substantial evidence. For the reasons that follow, we affirm. On April 14, 1998, Employer issued a notice of temporary compensation payable (NTCP) awarding Claimant benefits for a January 18, 1998 1 Claimant did not file a brief before this Court. lumbar sprain. On September 26, 2002, the parties stipulated that the NTCP had converted into a notice of compensation payable. In the interim, Employer had filed a petition for modification, suspension or termination alleging that as of July 7, 2000, Claimant had fully recovered from his work injury and was able to return and/or had returned to his pre-injury job. After several postponed or continued hearings, a September 26, 2002 hearing was held at which Employer stipulated that it had not filed a notice of ability to return to work. As a result, the WCJ determined that Employer had not met its burden of proof with respect to either a modification or suspension. With regard to Employer's request for a termination, the WCJ accepted as credible the testimony of Employer's medical witnesses, Dr. William J. Beutler, a board-certified neurosurgeon, and Dr. Jason J. Litton, a board-certified orthopedic surgeon. Dr. Beutler examined Claimant on March 15, 2002 for purposes of an independent medical evaluation (IME) and testified that Claimant had an objectively normal examination with subjective weakness of all muscle groups in his right leg. Dr. Beutler opined that Claimant has a post work-injury fracture of the L-4 vertebrae which was unrelated to his work injury. The doctor further opined that Claimant's lumbar fusion had healed and that he did not require any further surgery. Dr. Beutler also reviewed a surveillance videotape of Claimant performing activities at a gas station service garage on September 26, 2000. These activities included picking up two large tires, carrying them into the garage and changing the tires on his vehicle. Based on the videotape, Dr. Beutler opined that Claimant displayed no limitations or disability. Dr. Litton testified that he performed lumbar fusion surgery on Claimant on July 20, 1998 and that on November 11, 1998 the doctor felt that Claimant had improved enough to return to his pre-injury job without restrictions. 2 Dr. Litton later saw Claimant in February 1999. During that visit, Claimant complained of increased low back pain and right leg pain. At that point, Dr. Litton did not feel that Claimant could perform his pre-injury job. Dr. Litton then referred Claimant to his partner, Dr. Mark Grubb, in order to get his opinion of Claimant's condition. In addition, Dr. Litton reviewed Dr. Beutler's IME and opined that it indicated that Claimant's examination was normal from an objective standpoint. Dr. Litton also reviewed the videotape and opined that as of September 26, 2000, Claimant had fully recovered from his work injury and lumbar fusion surgery. The doctor further opined that as of March 15, 2002, the date of the IME, Claimant was able to perform his pre-injury job. Based on the testimony and opinions of Drs. Beutler and Litton, the WCJ found that Claimant had fully recovered from his work injury as of September 26, 2000, the date of the surveillance tape.2 Consequently, the WCJ granted Employer's termination petition effective that date. On appeal, the Board determined that because the only evidence supporting a termination of Claimant's benefits as of September 26, 2000 was the surveillance videotape, there was not substantial evidence to support a termination as of that date. Citing Thompson v. Workmen's Compensation Appeal Board (Bethlehem Steel Corp., Freight Div.), 683 A.2d 1315 (Pa. Cmwlth. 1996), the Board stated that "[s]urveillance films, standing alone, are inadequate to sustain the evidentiary burden of showing that a claimant's disability has been reduced." Board's Decision at 8; R.R. 220a. 2 The WCJ rejected as not credible the opinion of Claimant's medical expert, Dr. Christopher S. Cannon. He opined that Claimant had not fully recovered from his work injury. 3 The Board then modified the effective date of the termination to March 15, 2002, the date of Dr. Beutler's IME. The Board noted that Dr. Beutler had opined that there were no objective findings upon examination to support Claimant's complaints of pain and that Dr. Litton had reviewed the IME and testified that Claimant had fully recovered from his work injury as of the date of the IME. As a result, the Board affirmed the WCJ's order as modified. Employer's petition for review to this Court followed. On review, we are limited to determining whether the necessary findings of fact are supported by substantial evidence, whether errors of law were made, or whether constitutional rights were violated. Morris Painting, Inc. v. Workers' Compensation Appeal Board (Piotrowski), 814 A.2d 879 (Pa. Cmwlth. 2003). Employer contends that the WCJ's order should be reinstated in that there is substantial evidence to support the WCJ's determination that Claimant had fully recovered as of September 26, 2000. Specifically, Employer contends that the opinions of Drs. Beutler and Litton, that Claimant had fully recovered from his work injury as of the date of the surveillance videotape, are legally sufficient to support a termination effective September 26, 2000. Employer further asserts that the doctors' opinions were not based on the videotape alone, but also on their examinations of Claimant and their review of his medical records. Moreover, Employer maintains that Thompson is distinguishable on the basis that the surveillance films in that case were found to be inadmissible. Employer points out that in the present case, there was no evidentiary dispute as to the admissibility of the surveillance videotape. Therefore, Employer claims that the Board erred in changing the termination date. "It is well established that an employer seeking to terminate workers' compensation benefits bears the burden of proving by substantial evidence either 4 that the employee's disability has ceased, or that any current disability arises from a cause unrelated to the employee's work injury." Parker v. Workers' Compensation Appeal Board (Dock Terrace Nursing Home), 729 A.2d 102, 104 (Pa. Cmwlth. 1999). The employer "must show that any continued disability is the result of an independent cause or the lack of a causal connection between the continued disability and the original compensable injury." Id. "In a case where the claimant complains of continued pain, this burden is met when an employer's medical expert unequivocally testifies that it is his opinion, within a reasonable degree of medical certainty, that the claimant is fully recovered, can return to work without restrictions and that there are no objective medical findings which either substantiate the claims of pain or connect them to a work injury." Udvari v. Workmen's Compensation Appeal Board (USAir, Inc.), 550 Pa. 319, 327, 705 A.2d 1290, 1293 (1997). In Clemente-Volpe v. Workmen's Compensation Appeal Board Westinghouse Air Brake Div.), 624 A.2d 666 (Pa. Cmwlth. 1993), we noted that surveillance films are admissible and if corroborated by competent medical testimony, they may be sufficient evidence to support a termination. In the present case, however, there simply was no corroborating objective medical evidence indicating that Claimant had fully recovered from his work injury as of September 26, 2000. As the Board noted, there were no medical examinations of Claimant on or before September 26, 2000 which either Dr. Beutler or Dr. Litton cited as providing objective medical evidence supporting a finding that Claimant had fully recovered as of that date. As such, there was no objective medical evidence to corroborate the surveillance videotape. As the record reflects, Dr. Beutler examined Claimant on March 15, 2002 for purposes of an IME and took his history. Dr. Beutler never examined 5 Claimant before that date. The doctor testified that his examination of Claimant was normal and that Clamant had no objective basis for his complaints of pain. Furthermore, although Dr. Litton reviewed Dr. Beutler's March 15, 2002 IME report and agreed with Dr. Beutler's opinion that the IME revealed that Claimant had no objective findings to support his complaints of pain, Dr. Litton's opinion, that Claimant had fully recovered as of September 26, 2000 as indicated by the activities he was performing on the surveillance videotape, is also uncorroborated by objective medical findings. Employer, nonetheless, cites Fye v. Workers' Compensation Appeal Board (Super Moche), 762 A.2d 428 (Pa. Cmwlth. 2000), for the proposition that a medical expert may rely on the physical abilities of a claimant depicted in a surveillance videotape as a basis for an opinion that the claimant has fully recovered from his work injury for purposes of a termination petition. In Fye, however, the claimant challenged the Board's order affirming a WCJ's grant of the employer's petition for review of utilization review on the ground that the employer's medical expert's reports were contradictory and thus equivocal. In Fye, the employer introduced a May 2, 1996 report from its medical expert that diagnosed the claimant's work-related condition as cervical radiculitis in the right upper extremity and residual chronic neck strain. The employer also hired an investigator who videotaped the claimant's activities on June 12, 1996. In a July 17, 1996 report, the doctor stated that after viewing the claimant's activities on the videotape, he revised his medical opinion to reflect his belief that the claimant's cervical radiculitis and residual neck strain were not disabling. In that report, the doctor stated that he did not recommend surgery and did not believe that the claimant was subject to any restrictions on working. In Fye, we reasoned that the doctor's second report did not render his first report equivocal because the second report was the only one to contain any 6 recommendation as to surgery. In other words, the doctor's July 17, 1996 report not recommending surgery did not contradict his May 2, 1996 report which merely diagnosed the claimant's condition. Furthermore, we rejected the claimant's challenge to the videotape, i.e., that it was improperly edited by the employer, on the ground it was not raised before the WCJ and thus not preserved for appeal. As such, we affirmed the Board's determination that the WCJ did not err in concluding that the claimant's July 12, 1996 surgery was neither reasonable nor necessary. We do not believe that our rationale in Fye is applicable in the present case, which involves a termination petition. Because Claimant established that he was disabled as a result of a work-related injury, the burden shifted to Employer to establish by competent medical evidence that Claimant's condition has improved to the point that his work-related disability had ceased. Udvari; Parker. As discussed above, there are no objective medical findings to corroborate the doctors' opinions that the videotape showed that Claimant's work-related injury resolved as of September 26, 2000. Consequently, the WCJ erred in reaching that conclusion. Clementine-Volpe. Therefore, insomuch as the WCJ's determination that Employer was entitled to a termination of benefits as of September 26, 2000 was not supported by substantial evidence, i.e., objective medical findings, we conclude that the Board did not err in modifying the effective date of termination to March 15, 2002, the date of Dr. Beutler's examination. Accordingly, we affirm. JESS S. JIULIANTE, Senior Judge 7 IN THE COMMONWEALTH COURT OF PENNSYLVANIA A & M Texaco, : Petitioner : : v. : No. 1021 C.D. 2004 : Workers' Compensation : Appeal Board (McVoy), : Respondent : O R D E R AND NOW, this 8th day of February, 2005, the May 10, 2004 order of the Workers' Compensation Appeal Board is AFFIRMED. JESS S. JIULIANTE, Senior Judge Document Outline
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