Appeal from the Order of the Workmen's Compensation Appeal Board in case of Louise Giddens v. Roeberg Enterprise, Inc., d/b/a National Cleaner & Shirt Launderers, No. A-73671.
Richard A. Bausher, with him Stevens & Lee, for petitioner.
Patricia H. Frankel, for respondents.
Judges Crumlish, Jr., Rogers and MacPhail, sitting as a panel of three. Opinion by Judge Rogers.
[ 42 Pa. Commw. Page 309]
Roeberg Enterprise, Inc. appeals from a decision of the Workmen's Compensation Appeal Board which reversed a referee's denial of compensation and remanded the case to the referee to make a finding as to the duration of total disability and to make an award of compensation accordingly.
Louise Giddens was employed by Roeberg Enterprise, Inc., a dry cleaning establishment. In the early afternoon of March 20, 1974, while retrieving clothing which had fallen into an automated machine known as the "tunnel," Mrs. Giddens was burned or shocked, causing her to fall, strike her head, and suffer unconsciousness and a generalized seizure. She was taken to the hospital and on April 3, 1974 underwent surgery to correct a subarachnoid hemorrhage secondary to a ruptured intracranial aneurysm.
The referee concluded that the claimant had failed to prove that either the aneurysm or its rupture arose in the course of her employment or was related thereto, and she was not therefore entitled to compensation for disability or for payment of medical expense.*fn1 The Board decided that the referee had capriciously disregarded sufficient medical testimony relating the rupture of the aneurysm to Mrs. Giddens' work, reversed the order of referee and remanded the case for an award of compensation.
[ 42 Pa. Commw. Page 310]
Our scope of review in a case such as this where the referee's decision was against the party with the burden of proof is limited to determining whether his findings of fact were reached without capriciously disregarding competent evidence. American Refrigerator Equipment Co. v. Workmen's Compensation Appeal Board, 31 Pa. Commonwealth Ct. 590, 377 A.2d 1007 (1977).
Where no obvious causal connection exists between an injury and the claimant's work, unequivocal medical testimony, not based on mere possibilities, must be produced to establish the relationship. Westmoreland Casualty Co. v. Workmen's Compensation Appeal Board, 36 Pa. Commonwealth Ct. 307, 387 A.2d 683 (1978). Whether medical testimony is equivocal and uncertain on the one hand or unequivocal and positive on the other goes to competency, not credibility; that is, equivocal testimony is incompetent. American Refrigerator Equipment Co., supra. We must, therefore, review the record to determine whether the medical testimony was unequivocal and the referee's disregard of it consequently improper.
Dr. Gregory J. Lignelli was the only medical expert who testified. In addition to being Mrs. Giddens' treating physician, he was board certified in neurosurgery and had taught classes in subarachnoid hemorrhage and aneurysm. Dr. Lignelli was asked a proper hypothetical question which concluded as follows:
Do you have an opinion given these circumstances based on a reasonable degree of medical certainty considering those facts as well as the medical facts which you are personally aware of in regard to Mrs. Giddens, whether there was a causal relationship between the work ...