Court Opinion

ID: 9376695
Source: CourtListenerOpinion
Date Created: 2023-03-03 16:07:40.149267+00
Date Added: 2024-06-11T17:17:08.417735
License: Public Domain

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

William Broomall,                    :
                 Petitioner          :
                                     :     No. 422 C.D. 2022
            v.                       :
                                     :     Submitted: February 7, 2023
Alpha Sintered Metals, LLC (Workers’ :
Compensation Appeal Board),          :
                 Respondent          :

BEFORE:     HONORABLE PATRICIA A. McCULLOUGH, Judge
            HONORABLE CHRISTINE FIZANNO CANNON, Judge
            HONORABLE MARY HANNAH LEAVITT, Senior Judge

OPINION NOT REPORTED

MEMORANDUM OPINION
BY JUDGE McCULLOUGH                                FILED: March 3, 2023

            William Broomall (Claimant) petitions for review of the April 6, 2022
decision of the Workers’ Compensation Appeal Board (WCAB), which affirmed the
Workers’ Compensation Judge’s (WCJ) determination that the January 29, 2021 injury
Claimant suffered in falling while exiting his motor vehicle upon arriving home from
a trip to physical therapy for his accepted October 24, 2019 work injury was not
causally related to the October 24, 2019 work injury and, hence, not compensable.
Upon review, we affirm.
                          Procedural and Factual History
            On October 24, 2019, Claimant was working as a die setter for Alpha
Sintered Metals, LLC (Employer), when he injured his right shoulder while pulling on
a wrench. On March 13, 2020, Employer issued a Notice of Compensation Payable
(NCP) for medical treatment only. As the result of the incident, Claimant underwent
surgery, which involved the repair of a right rotator cuff partial retear and subacromial
impingement. Following the surgery, Claimant attended physical therapy.
             On January 29, 2021, Claimant was returning home from physical therapy
when, as he was getting out of his car, he slipped and fell on his icy driveway sustaining
an injury to his left shoulder. Claimant returned to the therapist and then went to Q-
Care at Penn Highlands. Claimant underwent surgery on his left shoulder on May 15,
2021. On May 26, 2021, Claimant filed a review petition, seeking to have the January
29, 2021 left shoulder injury included as part of the October 24, 2019 work injury.
             The review petition was assigned to a WCJ and hearings were held on
June 17, 2021, and August 26, 2021. Claimant testified that he received various
treatments for the accepted right shoulder injury including physical therapy which
began May 18, 2020. (Reproduced Record (R.R.) at 38a-39a.) On January 29, 2021,
he went to a physical therapy appointment in Reynoldsville, approximately three miles
from his home. The appointment lasted from 7:00 a.m. to 8:00 a.m. It took him about
one-half hour to travel directly home. Id. at 57a.
             Claimant testified he had a limestone driveway and there was snow and
ice on the driveway. Id. at 50a. He explained after he exited his car, he turned to close
the car door with his left hand and as he was pushing it closed his feet slipped out from
underneath him. Id. at 48a. When he fell he was holding the doorhandle with his left
hand and in the course of falling to the ground his left arm was stretched out, tearing
his left shoulder. Id. at 57a. Claimant testified that there was no reason for him to be
outside his home that morning aside from going to physical therapy. Id. at 52a.
             At the August 26, 2021 hearing, Patrick Dennison, Claimant’s physical
therapist, testified that he works as a physical therapist in Reynoldsville, where he had

                                            2
been treating Claimant for right shoulder problems. He treated Claimant on January
29, 2021. Id. at 90a-91a. Claimant left physical therapy between 8:00 a.m. and 8:10
a.m. Id. at 92a. Approximately one hour later, Claimant returned to the physical
therapy clinic complaining that he injured his left shoulder slipping while getting out
of his Jeep upon returning home from therapy. Id. at 92a-93a.
             On October 28, 2021, the WCJ denied and dismissed Claimant’s review
petition on the ground that Claimant’s fall at home, following a physical therapy
appointment, was not causally related to Claimant’s acknowledged right shoulder work
injury of October 24, 2019. Id. at 11a-16a. The WCJ reasoned that once Claimant
arrived home following his physical therapy appointment, he was no longer covered
by the “but for” rule set forth in Berro v. Workmen’s Compensation Appeal Board
(Terminix International, Inc.), 645 A.2d 342 (Pa. Cmwlth. 1994), petition for
allowance of appeal denied, 655 A.2d 996 (Pa. 1995) (holding that injuries sustained
by a claimant in an automobile accident on the way to physical therapy for a work
injury are compensable as new work-related injuries). The WCJ reasoned that “[t]o
extend the causal relationship to a ‘but for’ standard, ostensibly, makes any injury that
Claimant receives at home during [his] normal work hours to be causally related to the
work injury because ‘but for’ the work injury, []Claimant would not have been at home
but would have been at work.” (WCJ Decision, 10/28/21 at 4.)
             Claimant appealed to the WCAB on November 10, 2021. He argued: (1)
the WCJ should have found a causal relationship between his fall at home on January
29, 2021, and his October 24, 2019 injury under the “but-for” rule set forth in Berro;
and alternatively that (2) his second injury fell within the “special circumstances”
exception to the “coming and going” rule because he was furthering the interests of
Employer by attending a work-related medical appointment earlier that day.

                                           3
               On April 6, 2022, the WCAB affirmed the decision of the WCJ. The
WCAB agreed with the WCJ that the circumstances of Claimant’s injury did not come
within the “but for” test. The WCAB reasoned that although injuries incurred while
traveling to work-related medical treatment may be compensable, Claimant’s injuries
were sustained in his icy and snowy driveway after he had completed the process of
traveling from physical therapy. (WCAB Decision, 4/6/22, at 4.) Like the WCJ, the
WCAB declined to extend Berro to erect a wider boundary around how far in time
from participation in a medical appointment a claimant can be compensated for a work
injury. Id. at 6. The WCAB also disagreed with Claimant’s second argument, that his
second injury fell within the “special circumstances” exception to the “coming and
going” rule. The WCAB found first that the rule was “inapplicable” because Claimant
was not injured while commuting to or from work. Id. The WCAB held that the
coming and going rule – and thus its exceptions – applies when a claimant is injured
when traveling “to and from work.” Id. It further held that, even if the special
circumstances exception applied, Claimant was not furthering Employer’s interests at
the time he fell because the fall did not occur during travel to therapy, during the
therapy session or during travel from therapy. Id. at 6-7.
               Before this Court,1 Claimant argues that his left shoulder injury should be
included as part of his accepted work injury. He contends that he suffered the fall while
furthering Employer’s interest by receiving treatment for the accepted injury and that,
“but for” traveling to and from that treatment, he would not have fallen. He argues,

       1
          This Court’s scope of review is limited to determining whether there has been a violation of
constitutional rights, errors of law committed, procedures were violated, or whether necessary
findings of fact are supported by substantial evidence. Section 704 Administrative Agency Law, 2
Pa. C.S. § 704; Reed v. Workers’ Compensation Appeal Board (Allied Signal, Inc.), 1148 A.3d 464
(Pa. Cmwlth. 2015).

                                                  4
alternatively, that his injury is compensable under the “special circumstances”
exception to the “coming and going” rule.
                                            Analysis
               But For Test – Whether Claimant’s Left Shoulder Injury Was Causally
Related to His Work-Related Right Shoulder Injury
               We will first address Claimant’s argument that his left shoulder injury is
causally related to his work-related right shoulder injury under the “but for” test
because he would not have been in his car or in his driveway at the moment he fell but
for the fact that he was undergoing treatment for an accepted work injury.
               The law is clear that when an injured employee develops further physical
or psychological difficulties, “an employer is responsible not only for the direct and
immediate consequences of a work-related injury, but also for injuries that are causally
related to the accepted work injury.” Jeanes Hospital v. Workers’ Compensation
Appeal Board (Shawn Hass), 872 A.2d 159, 164 (Pa. 2005). Under the Workers’
Compensation Act,2 a claimant who seeks to amend a notice of compensation payable
to include a new and different injury has the burden of proving that the original work
injury caused the additional injury. Cinram Manufacturing, Inc. v. Workers’
Compensation Appeal Board (Hill), 975 A.2d 577 (Pa. 2009); Harrison v. Workers’
Compensation Appeal Board (Auto Truck Transport Corp.), 78 A.3d 699, 703, 705 n.7
(Pa. Cmwlth. 2013); Namani v. Workers’ Compensation Appeal Board (A. Duie Pyle),
32 A.3d 850, 856 n.4 (Pa. Cmwlth. 2011); Huddy v. Workers’ Compensation Appeal
Board (U.S.Air), 905 A.2d 589, 592 (Pa. Cmwlth. 2006) (en banc). That is, the
claimant must show the additional conditions alleged are causally related to the work

      2
          Act of June 2, 1915, P.L. 736, as amended, 77 P.S. §§ 1–1041.4, 2501–2710.

                                                5
injury.    Commercial Credit Claims v. Workmen’s Compensation Appeal Board
(Lancaster), 728 A.2d 902 (Pa. 1999).
              A “but for” test has been used in certain instances to establish causation
(in relation to the original injury) when a claimant sustains separate injuries from a
subsequent dissociated event that he otherwise would not have sustained if it was not
for a previously incurred work injury. See Berro; Moltzen v. Workmen’s Compensation
Appeal Board (Rochester Manor), 646 A.2d 748 (Pa. Cmwlth. 1994) (denying a
termination petition because the claimant would not have developed tendonitis in the
knee but for her participation in physical therapy for a previously acknowledged
shoulder injury); Duggan & Marcon v.                Workers’ Compensation Appeal Board
(Kistler) (Pa. Cmwlth., No. 1650 C.D. 2007, filed Jan. 31, 2008) slip op. at 4 (holding
that, just as the claimant in Berro would not have sustained injury in an auto accident
had he not been traveling to a physical therapy session necessitated by a previous work-
related injury, and just as the claimant in Moltzen would not have developed tendonitis
in the knee but for her participation in physical therapy for a previously acknowledged
shoulder injury, the claimant would not have incurred his methicillin-resistant
staphylococcus aureus infection if not for the puncture wound he incurred at work that
provided an opening for the condition to develop).3
              In Berro, this Court applied the “but for” test to determine the
compensability of injuries incurred while seeking treatment for a work-related injury.
The Court there determined that a claimant’s injury sustained while driving to an
appointment necessary for treatment as a result of a work-related injury was causally
related to the work injury because “but for driving to his physician for treatment of his

       3
         Under Section 414(a) of the Court’s Internal Operating Procedures, an unpublished
memorandum opinion, although not binding precedent, may be cited for its persuasive value. 210 Pa.
Code § 69.414(a).

                                                6
earlier work-related injury, [the c]laimant would not have been in a position to be
involved in the accident which caused his further injuries.” Id. at 345 (emphasis in
original).
             Here, Claimant argues that under Berro, the left shoulder injury he
suffered on January 29, 2021, should be considered compensable as part of the accepted
October 24, 2019 right shoulder work injury. He submits that, like the claimant in
Berro, he was injured in conjunction with obtaining treatment for his accepted work
injury, suffering a fall after exiting his vehicle upon returning home from physical
therapy. He emphasizes that he drove directly from the physical therapy session to his
home with no deviations from that trip. He argues, “but for” the October 24, 2019
work injury that required him to travel to and from physical therapy on the day in
question, he would not have been exiting his vehicle and slipping on the ice which
caused significant left shoulder injuries. We disagree.
             First, the terms in which Claimant has framed his argument do not quite
fit the circumstances at hand.     Unlike in Berro, where traveling to a medical
appointment was a necessary and reasonable activity that would not have been
undertaken but for the compensable injury, Claimant was already home when his
injuries occurred. When he was injured he was not seeking medical treatment for his
prior injury. He was standing in his driveway. Any journey that could conceivably be
likened to the claimant’s journey in Berro had ended by the time Claimant sustained
his injuries. Thus, this situation does not involve a necessary and reasonable activity,
such as in Berro, that would not have been undertaken but for the original injury.
Moreover, to extend the causal relationship concept to a “but for” standard in this
situation would subject employers to liability for every unsafe condition on a
claimant’s property. “But for” the ice and snow on Claimant’s driveway, it appears

                                           7
that Claimant would not have fallen. Under Claimant’s logic, Employer’s liability
would be boundless because it would be liable for injuries Claimant might have
sustained while walking up the stairs and into his house, hanging his coat in the hall
closet, or removing his boots – because he would not have been doing any of these
incidental things but for his need to attend therapy from the first work injury. Like the
WCJ and WCAB, we are unwilling to extend the limited holding in Berro to include
these conceivable scenarios. To establish causation under the “but for” test, the
claimant must show that he was engaged in an activity that would not have been
undertaken but for the compensable injury. Because Claimant failed to do this, we
conclude the WCAB did not err in affirming the WCJ that Claimant’s subsequent
injuries were not sufficiently related to his original injury so as to be compensable.

             Special Circumstances Exception to the Coming and Going Rule -
Whether Claimant’s Second Injury was Work-Related
             We next address Claimant’s argument that the WCAB erred by
concluding that his accident did not fall within the “special circumstances” exception
to the “coming and going” rule.
             Generally, under what is known as the “coming and going” rule, injuries
sustained while an employee is traveling to or from his/her place of employment are
not compensable because the employee is neither on the employer’s premises nor
engaged in the furtherance of the employer’s affairs. Peer v. Workmen’s Compensation
Appeal Board (B & W Construction), 503 A.2d 1096, 1098 (Pa. Cmwlth. 1986).
However, there are four exceptions to the coming and going rule. An injury sustained
during an employee’s commute to or from work is compensable if any of the following
apply:

                                            8
             (1) the employment contract included transportation to and
             from work;

             (2) the employee has no fixed place of work;

             (3) the employee is on special assignment for the employer;
             or

             (4) special circumstances are such that the employee was
             furthering the business of the employer.
Bensing v. Workers’ Compensation Appeal Board (James D. Morrissey, Inc.), 830
A.2d 1075, 1078 (Pa. Cmwlth. 2003).
             In addition to applying the “but for” test in Berro, we also considered
whether the claimant’s situation, where the injury was sustained while driving to a
physical therapy session, fell under the “special circumstances” exception to the
general rule that an employer is not liable for injuries which occur while the employee
is traveling off the premises, i.e., the coming and going rule. Berro, 645 A.2d at 345.
Explaining the rationale for finding the trip to physical therapy constituted a “special
circumstance” wherein the claimant was furthering her employer’s business, we stated:

             [I]t is in the interest of the employer that [the][c]laimant seek
             rehabilitation and treatment in order to recover from the
             initial work-related injury. [The employer] will clearly
             benefit by not having to pay compensation as a result of
             [the][c]laimant[’s] recovery and return to work. As a result,
             we believe [the] [c]laimant[’s] trip to the physical therapy
             session falls within the ‘special circumstances’ exception to
             the general rule that an employer is not liable for injuries
             which occur while the employee is travelling off the
             premises. See Peterson [v. Workmen’s Comp. Appeal Board
             (PRN Nursing Agency), 597 A.2d 1116, 1119 (Pa. 1991)].

             In view of the foregoing, we conclude that [the][c]laimant[’s]
             injuries sustained . . . while driving directly to his physical
             therapy session, which was part of his treatment for his initial

                                            9
             . . . work-related injury, are causally[]related to his
             employment and that [the][c]laimant[’s] attendance at the
             physical therapy sessions was in the furtherance of the
             interests of his employer. Accordingly, we hold that
             [the][c]laimant[’s] injuries resulting from the automobile
             accident are compensable under Section 301(c)(1) of the Act,
             [77 P.S. § 411(1)].
Berro, 645 A.2d at 345.
             Claimant argues that his journey from physical therapy, including getting
out of his vehicle in his driveway, falls within the “special circumstances” exception
because, as in Berro, he was furthering Employer’s business by fulfilling his obligation
under the Act to submit to physical therapy thus benefiting Employer. Again, we must
disagree.
             First, Claimant did not sustain his left shoulder injury while driving
directly to his physical therapy session. Claimant asks us to broaden the application of
Berro to injuries sustained after arriving home from a medical appointment to treat
accepted work-related injuries. Berro found that the claimant’s injuries resulting from
an automobile accident on the way to his physical therapy session were compensable.
The Berro court reasoned that the claimant’s attendance at the physical therapy
sessions was in furtherance of his employer’s interests. This makes sense because
travel to the appointment is necessary in order to attend an appointment.
             Here, Claimant was not furthering Employer’s interests at the time he fell
because he was home.         See Blackmon v. Sodexo Global Services (Workers’
Compensation Appeal Board) (Pa. Cmwlth., No. 399 C.D. 2022, filed Dec. 7, 2022),
slip op. at 2 (declining to extend the holding in Berro to cover injuries sustained after
the claimant had finished his therapy appointment as an alleged special circumstance
in furtherance of the business of his employer); Cooper v. Workers’ Comp. Appeal
Board (Armstrong World Industries, Inc.) (Pa. Cmwlth., No. 1407 C.D. 2015, filed

                                           10
July 13, 2016), *17 (distinguishing Berro in the context of denial of unreasonable
contest attorney fees because “[h]ere, unlike in Berro, [c]laimant’s injury did not occur
while he was traveling to or in the process of receiving medical treatment when he
suffered the unwitnessed fall at nursing center” and claimant was not there with the
prospect of returning to work).4 Claimant’s injuries occurred after Claimant had
finished his physical therapy appointment, left the facility, completed his return trip,
and was standing outside of his house on his own snow and ice-covered driveway. All
activity related to his therapy appointment had ended.
               Accordingly, we conclude as a matter of law that the injury Claimant
sustained at home on January 29, 2021, was not causally related to the injury sustained
by Claimant on October 24, 2019. The WCAB did not err in affirming the WCJ’s
decision to deny and dismiss Claimant’s review petition.
               The order of the WCAB is affirmed.

                                                  ________________________________
                                                  PATRICIA A. McCULLOUGH, Judge

Judge Wallace did not participate in the decision in this case.

       4
          We are aware that some jurisdictions have recognized the compensability of an injury
sustained while en route from a doctor’s office for treatment of a prior compensable injury. See e.g.
Matter of John v. Fairmont Creamery Co., 50 N.Y.S.2d 253 (1944) (injury during return home from
office of company doctor); Moreau v. Zayre Corp., 408 A.2d 1289, 1293-94 (Me. 1979) (awarding
benefits to claimant who was injured in an automobile accident while driving home after receiving
medical treatment for a previously compensable hand injury because the employee had a correlative
duty to accept medical treatment for the initial compensable injury and, therefore, was fulfilling an
implied duty of the employment contract when she was involved in the accident). However, these
cases are not applicable because, contrary to Claimant’s argument, his injury did not occur during his
journey home after treating with a doctor for his original injury. Rather, it happened after Claimant
had already returned home.

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           IN THE COMMONWEALTH COURT OF PENNSYLVANIA

William Broomall,                    :
                    Petitioner       :
                                     :
            v.                       :
                                     :    No. 422 C.D. 2022
Alpha Sintered Metals, LLC (Workers’ :
Compensation Appeal Board),          :
                 Respondent          :

                                  ORDER

           AND NOW, this 3rd day of March, 2023, the April 6, 2022 Order of
the Workers’ Compensation Appeal Board is hereby AFFIRMED.

                                         ________________________________
                                         PATRICIA A. McCULLOUGH, Judge