Appeal from the Order of the Workmen's Compensation Appeal Board in case of Angelo Sellecchia v. Har Nebo Cemetery, No. A-73534.
Henry J. Horstmann, with him Frank Carano, for petitioner.
Martin J. Fallon, Jr., with him Swartz, Campbell & Detweiler, for respondents.
Judges Wilkinson, Jr., Mencer and MacPhail, sitting as a panel of three. Opinion by Judge Wilkinson, Jr.
This is an appeal by petitioner (claimant) from an adverse determination by the Workmen's Compensation Appeal Board (Board) sustaining a referee's termination of disability benefits. We affirm.
Claimant suffered an injury during the course of his employment with respondent on July 24, 1974. He was paid disability benefits to February 7, 1975 pursuant to a Notice of Compensation Payable which denominated his injury as an inguinal hernia. During this period, claimant was treated by N. Henry Moss, M.D., a Board-certified specialist in general surgery who performed a surgical repair of the hernia and provided post-operative care. On February 7, 1975, Dr. Moss signed an Affidavit of Recovery.
At the hearing following the filing of the termination petition, Dr. Moss testified that in his opinion the claimant had fully recovered from the hernia injury, although claimant continued to complain of pain in his chest and arms. Dr. Moss further testified that in his opinion the hernia and the hernia repair are
unrelated to his present symptoms, but he stated that he could not be "100 per cent precise . . . without going through a more sophisticated study." Claimant's medical witness, Dr. DiDio, who examined him on December 4, 1975 agreed that the hernia was well-healed and well-repaired, but stated that in his opinion physical inactivity resulting from the injury and post-operative recovery caused an existing arteriosclerosis and arthritis to advance to a stage where he was unable to resume work. Claimant was 63 years of age at the time of the injury.
Claimant contends that the evidence presented by the respondent to sustain his burden of proof was insufficient in that the testimony of Dr. Moss was not certain and unequivocal as it related to the cause of claimant's symptoms of pain and numbness in his chest and arms.
In a workmen's compensation case, medical opinion testimony regarding causation must be unequivocal and not based on mere possibilities in order to constitute sufficient competent evidence to support a referee's finding. Romanski v. Workmen's Compensation Appeal Board, 33 Pa. Commonwealth Ct. 273, 381 A.2d 508 (1978). On review by this Court, the test in this regard is whether the qualitative phrase does or does not qualify or modify the answer so as to make it equivocal. Harrisburg Housing Authority v. Workmen's Compensation Appeal Board, 14 Pa. Commonwealth Ct. 413, 322 A.2d 753 (1974). Here, Dr. Moss testified that although he would need to conduct additional tests to eliminate any possibility that the present symptoms were connected with the injury, in his opinion these tests would not establish that there was a ...