Appeal, No. 180, Oct. T., 1954, from judgment of Court of Common Pleas No. 4 of Philadelphia County, June T., 1952, No. 1179, in case of Louise Messikomer v. Baldwin Locomotive Works and Liberty Mutual Insurance Co. Judgment affirmed. Appeal by employer and its carrier from award by Workmen's Compensation Board. Appeal dismissed and judgment entered for claimant, opinion by GUERIN, J. Defendants appealed.
J. Paul Erwin, with him George D. Sheehan, for appellants.
Before Rhodes, P.j., Hirt, Ross, Gunther, Wright, Woodside, and Ervin, JJ.
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This is a workmen's compensation case. The Court of Common Pleas overruled defendants' exceptions to an award made by the Workmen's Compensation Board and entered final judgment in favor of the claimant. Defendants have appealed.
Emil H. Messikomer, husband of claimant appellee, had been employed by Baldwin Locomotive Works for 32 years prior to November 14, 1947. During this entire period he enjoyed excellent health and never lost any time due to illness. He was an industrious worker, almost six feet in height, and weighed 180 pounds. On November 14, 1947, while on a construction job in Minnesota, he slipped and fell, striking his side with sufficient force to cause a fracture of the right eleventh rib. He promptly returned to his home in Philadelphia, where his family physician strapped the ribs and prescribed medicine to relieve the pain. A few days later, the pain persisting, X-rays were taken which disclosed the fracture and also showed an enlargement of the liver. There was no X-ray evidence at that time of cancer or abscess of the lung. Immediately thereafter, decedent suffered severe chills and became a very sick man. During the absence of the family physician, another doctor was called. He found the patient confined to his bed with fever and chills, excessive perspiration, rapid pulse, cough and fluctuating temperature. Additional X-rays were taken which disclosed that, in addition to the fracture, there was an abscess forming on the right side of the lung. The patient was sent to a hospital where, on December 14, 1947, a part of the ninth and tenth ribs were removed and an exploration was made of the lung in that area. This disclosed several abscesses with infection,
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inflammation and induration. A specimen of the lung was removed and laboratory studies disclosed the presence of a malignant cancer. After being hospitalized for forty days, the patient was sent home where he remained in bed until his death on March 22, 1948. At the time of his death he weighed 90 pounds. The cause of death given by the attending physician was "carcinoma of the lung, abscess of the lung, due to the fall upon the right side primarily which was the cause of those conditions".
Appellee filed her petition for compensation on June 18, 1948. At the referee's hearing, in addition to lay witnesses, the two physicians testified on behalf of appellee. One doctor, qualifying as an expert, testified for appellants. He stated as his opinion that the accident did not cause the carcinoma or aggravate or accelerate its growth, and that the carcinoma existed before the fall and caused the death without respect to the accident. On February 7, 1949, the referee made an award based upon a finding of fact that the rib fracture "aggravated a carcinoma or abscessed condition of the lung accelerating death". Upon appeal to the Board, the referee's findings of fact, conclusions of law and award were set aside, and the record remanded for the taking of testimony from an impartial medical expert. At a further hearing the impartial expert testified favorably to appellants, and the surgeon who performed the exploratory operation testified favorably to appellee. On August 8, 1951, the referee made a second award, again based upon a finding of fact that the rib fracture "aggravated a carcinomous or abscessed condition of the lung accelerating death". A second appeal was taken to the Board which set aside this finding of fact, and found, instead, that decedent died "as a result of cancer of the lung with secondary pulmonary abscesses and that this condition
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was neither caused by nor aggravated by the accident". An appeal to the Court of Common Pleas was sustained on December 23, 1952, and the record was remanded to the Board for further hearing and determination*fn1 On April 29, 1953, without further hearing, the Board filed a third opinion stating: "Considering all of the testimony in this case, we cannot say that the referee erred in concluding that the accident of November 14, 1947, aggravated a carcinomatous or abscessed condition of the lung, accelerating decedent's death... We, therefore, affirm the referee's findings of fact, conclusions of law and order of award". A second appeal was taken to the Court of Common Pleas where the only question argued was whether the Board had abused its discretion in reversing its former action without further hearing. In a second opinion filed March 17, 1954, the lower court dismissed the appeal and entered judgment in favor of the appellee, stating that the Board was not under a duty to hold a further hearing, and that "in the light of the entire record it was difficult to conceive of any need for additional testimony. All that was required was a reconsideration of the existing record on the basis of the controlling legal principles set forth in our earlier opinion".
Appellants do not here attack the opinion of March 17, 1954. Their sole contention is that the court below erred in its opinion and order of December 23, 1952, and ...