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IN THE COMMONWEALTH COURT OF PENNSYLVANIA
Diane J. Keyser-Marr,
:

Petitioner
:




:

v.


: No. 1122 C.D. 2004




: Submitted: February 11, 2005
Workers' Compensation Appeal
:
Board (Diversified Marketing Sales), :

Respondent
:
OPINION NOT REPORTED
MEMORANDUM OPINION
PER CURIAM


FILED: March 7, 2005


Diane J. Keyser-Marr (Claimant) appeals pro se from an order of the
Workers' Compensation Appeal Board (Board) affirming the decision of the
Workers' Compensation Judge (WCJ) granting the termination petition filed by
Diversified Marketing Sales (Employer) because she had fully recovered from her
work-related injury.


Claimant sustained a work-related injury to her right arm, neck and
lower back on April 14, 1986, while employed by Employer as an accountant. On
October 20, 1993, Employer filed a termination petition along with a supersedeas
alleging that Claimant had fully recovered from her work injury and was capable
of returning to her pre-injury position as of August 17, 1993. Employer also filed a
modification petition alleging that Claimant had failed to follow through on job
referrals within her physical restrictions.


Ten years later at a hearing before a WCJ,1 in support of its
termination petition, Employer offered the testimony of Noubar Didizian, M.D.
(Dr. Didizian), who testified that he examined Claimant on January 15, 1992, at
which time she related her work injury and subsequent surgeries she had
undergone including a right side carpal tunnel release, lumbar fusion and cervical
fusion. He stated that he reviewed Claimant's medical records, including an EMG
test, nerve conduction studies dated January 27, 1989, and an MRI of the cervical
spine dated May 7, 1992. He also conducted a physical exam on January 15, 1992,
and December 16, 1992, and again on August 17, 1993, and everything appeared
normal. It was Dr. Didizian's opinion that Claimant had fully recovered from her
work injury and was capable of returning to her pre-injury employment.2


In her defense, Claimant offered the testimony of Avrom S. Brown,
M.D. (Dr. Brown ), who treated Claimant from 1986 through 1994. He diagnosed
Claimant with an acute strain and sprain of the cervical lumbar spines with right
cervical radiculopathy and thoracic outlet syndrome and right lumbar
radiculopathy. He stated that he released Claimant to return to sedentary or light-
duty work in March 1991. However, he continued to state that from June 1994
through September 1997, Claimant complained of increasing pain in her neck,

1 There is no explanation in the record for the lapse in time between the date Employer
filed its petition and the date the hearing was held before the WCJ.
2 In support of its modification petition, Employer offered the testimony of Rosemary
Hieronymous, a certified case manager and certified insurance rehabilitation specialist employed
by Inservco Insurance Services as a rehabilitation coordinator. She testified that she located five
positions for Claimant, all of which were approved by Dr. Didizian but only two of which
Claimant applied to for employment.

2

upper back, right upper extremity, low back and lower extremity and he diagnosed
her with ongoing myofascitis. He stated that his final diagnosis of her was chronic
pain stemming from damage to her cervical discs and lumbar discs, carpal tunnel
syndrome and brachia plexopathy.


Claimant also offered the testimony of Philip Spergel, Ed.D. (Dr.
Spergel), a licensed clinical psychologist with a subspecialty in rehabilitation
psychology, who testified that he had treated Claimant since August 16, 1989. He
first explained his qualifications; he stated he had a doctorate in the School of
Education in Counseling Psychology, hence the Ed.D. after his name, but it was
the same as having a Ph.D. He admitted that he was not a medical doctor. He then
related Claimant's medical history, but admitted that he did not review any
treatment records from Dr. Brown or any of Claimant's hospital records. He added
that she had marital problems and problems with her daughter. He diagnosed
Claimant in 1990 with adjustment disorder and mixed emotional features and noted
that she was experiencing personal adjustment difficulties related to her severe
injury. Dr. Spergel admitted that Claimant had a history of psychological
problems predating the work injury and they were ongoing. He stated that when he
last treated Claimant on May 17, 1994, she complained of low back and neck pain.
He summed up by stating that based on her medical history, she was unable to
engage in employment.


The WCJ found Dr. Didizian credible that Claimant had recovered
from her work-related injury as of August 17, 1993, and did not find Claimant or
her witnesses credible. The WCJ then found that Employer had met its burden and
3

granted its termination petition.3 Claimant appealed to the Board alleging that the
WCJ erred in terminating her benefits because the medical evidence indicated that
she had no change in her condition and she continued to be impaired.4 The Board
affirmed the WCJ's decision explaining that the WCJ did not find Claimant's
experts credible and Employer met its burden with Dr. Didizian's testimony which
the WCJ did find credible. This appeal by Claimant followed.


Claimant essentially contends that because the WCJ referred to Dr.
Spergel in her decision as "Mr." Spergel, she did not give him the respect he
deserved and did not treat him as a qualified expert, thus making her decision
biased.5 With regard to Dr. Spergel's testimony, the WCJ made the following
findings of fact:

3 The WCJ also found that Employer met its burden of proving that Claimant refused
available employment within her physical restrictions. However, because the termination date
was prior to the date of the job referrals, the WCJ dismissed the modification petition as moot.
4 Our scope of review of the Board's order is limited to determining whether necessary
findings of fact are supported by substantial evidence, whether an error of law was committed or
whether constitutional rights were violated. Schemmer v. Workers' Compensation Appeal Board
(U.S. Steel), 833 A.2d 276 (Pa. Cmwlth. 2003), petition for allowance of appeal denied, ___ Pa.
___, 852 A.2d 314 (2004).
5 Claimant attempted to raise this issue before the Board in her appeal by responding to
Finding of Fact No. 6a (Mr. Spergel testified Claimant had difficulties in her relationship with
her daughter) stating: "Mr. Spergel is Dr. Spergel a Rehabilitation Physiologist. Claimant has
no daughter." Responding to Finding of Fact No. 10 (This WCJ has reviewed the testimony of
Mr. Spergel and finds it not credible and persuasive that Claimant remains disabled from her
work injury as of August 17, 1993), she stated: "On the contrary, Dr. Spergel's opinions are
based, not only on Claimant's psychological problems, but also her medical history of carpal
tunnel syndrome, multiple herniated discs in the cervical, thoracic and lumbosacral spine." The
Board did not address this in its opinion.

4

6a. Mr. Spergel testified that he had been treating
Claimant since August 16, 1989. Mr. Spergel continued
to see Claimant on a periodic basis. At her initial
examination, Claimant related a medical history of
multiple herniated discs in the cervical, thoracic and
lumbosacral spine. She also related having carpal tunnel
syndrome to the extent that she could no longer function
in her duties as an office manager. Further, Claimant
related that she had been experiencing marital problems
and difficulties in her relationship with her daughter.
b. In his report on June 13, 1990, Mr. Spergel diagnosed
Claimant with adjustment disorder and mixed emotional
features. He further noted that Claimant is experiencing
personal adjustment difficulties related to her severe
physical injury.
c. Mr. Spergel admitted that he did not review any
treatment records from Dr. Brown or any of Claimant's
hospital records with the exception of a report from Dr.
Gladys Fenichel. He further admitted that Claimant had
a history of psychological problems predating the work
injury and that these symptoms are similar to the issues
she deals with at present and that she continues to have
ongoing psychological problems.
d. Mr. Spergel last treated Claimant on May 17, 1994.
Claimant still complained of low back pain that radiates
down her legs and she also has neck pain which
occasionally radiates to her arms and she remains
affected by carpal tunnel syndrome. Claimant remains
limited in physical activity. She can't perform exertional
activities and she can't sit for any sustained period of
time. However, Claimant additionally mentioned that the
father of her new child is going to enter a custody battle
which troubles her because she does not want this man to
participate in the rearing of the child.
e. Based on Claimant's medical history and on her
medical records, Mr. Spergel concluded that Claimant
was unable to engage in employment.

5

Although Claimant contends that merely by referring to Dr. Spergel as "Mr.
Spergel"6 she did not review his testimony in the same fashion she reviewed the
testimony of the other experts, or, in other words, she showed a lack of respect for
him, there is no evidence of that based on our review of his deposition testimony
and the WCJ's findings of fact.


While the WCJ may not have referred to Dr. Spergel properly, she did
not commit any error by not using his proper professional title. The fact remains
that the issue was whether Claimant had recovered from her physical injuries, and
a clinical psychologist was in no position to make that determination.


Accordingly, the order of the Board is affirmed.

6 Contrary to Claimant's contention, Dr. Spergel is not a "full fledged Doctor" in the way
that she would like us to believe for this case, i.e., a medical doctor that could determine if she
had fully recovered from her work-related injuries to her neck, back and wrist. He is a clinical
psychologist and had this case been determined on a psychological basis, her argument may have
had some merit.
6

IN THE COMMONWEALTH COURT OF PENNSYLVANIA
Diane J. Keyser-Marr,
:

Petitioner
:




:

v.


: No. 1122 C.D. 2004




:
Workers' Compensation Appeal
:
Board (Diversified Marketing Sales), :

Respondent
:

O R D E R
PER CURIAM


AND NOW, this 7th day of March , 2005, the order of the Workers'
Compensation Appeal Board dated April 2, 2004, at No. A03-1289, is affirmed.


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