57 A.2d 706 | Pa. Super. Ct. | 1947
Argued November 13, 1947.
On December 7, 1945, Mroud Aboud, claimant, was employed by the Aluminum Seal Company and while engaged in shoveling sweepings from the floor of his employer's plant, slipped and fell. As he fell his groin struck the edge of a machine and he immediately felt sharp pains in the abdominal area. He ceased work at once and was then removed to the plant infirmary where he was later examined by the company physician. The referee found claimant totally disabled as a result of *484
hernia and awarded compensation at the rate of $20.00 per week pursuant to section 306(a) of the Workmen's Compensation Act, as last amended by the Act of 1945, P.L. 671, section 1,
The testimony before the referee reveals that on July 23, 1938, the claimant suffered a ventral hernia in the course of his employment and was paid compensation at the rate of $18.00 per week until April 4, 1939. On March 18, 1940 and later on January 11, 1941, claimant again suffered like hernial ailments and during those respective periods of physical incapacity was unable to pursue his employment and was paid compensation at the same rate. He has undergone three operations for the correction or remedy of the hernial ailments and, when requested by his employer to submit to operative treatment for the fourth time, he refused on the advice of his personal physicians.
The controlling issue is whether the present total disability resulted from the accident on December 7, 1945, or from a recurrence of the earlier injury.3 Both *485 the referee and the board found disability was caused when claimant struck his groin on the edge of a machine as he fell to the floor following his foot-slip. The Compensation Board correctly concluded that: "The record discloses and clearly establishes that claimant's present disability, which is total in character, is of accidental origin." The court below erred in modifying the board's award.
The court below in reducing the award did find, however, that claimant "again suffered an accident on December 7, 1945", and epitomized its conclusions, as follows: "We are of the opinion that this award . . . cannot be sustained. It will be noted that the injury was not a new injury, but a `recurrence' of the original injury. We believe the case is governed by the case of Roberts v. Hillman Coal and Coke Co.,
Summarizing the third, fourth, fifth and sixth findings, the referee found that "As a result of this accident, *486 (December 7, 1945) the claimant has been unable to perform any work whatsoever because of a recurrent ventral hernia"; that ". . . Following the accident of December 7, 1945, which brought about another recurrence of the ventral hernia, the defendant tendered claimant an operation for the correction of his condition, but same was refused by the claimant"; and, ". . . we believe the claimant's refusal to submit to said operation is reasonable and justifiable." (Italics ours.)
If the employer stressed, as is indicated, claimant's refusal to undergo a fourth operation as a bar to compensation in the lower court, it abandoned that position on appeal and now concedes that the "claimant should receive the compensation to which he is entitled for recurrence by reinstating the originalagreement." (Italics ours.) The appellee (employer) here and the court below base the reduction in the amount of the award on the sole ground that, the compensation authorities having found as fact that the claimant suffered a "recurrence of the ventral hernia," and "there being ample evidence to sustain this finding, it is binding upon the parties. . ." Appellee emphasizes too strongly the word, "recurrence", as used by the compensation authorities, and ignores other considerations. The referee and the board found that the "recurrence" was the result of the fall — the accident, and not, as appellee would have us believe, the normal progression of hernia or the result of a prior injury. There is not a scintilla of evidence that the recurrence happened from any cause, other than the fall. In the referee's second conclusion of law, affirmed by the board, it is said that ". . . the claimant is entitled to recover . . . for total disability by reason of his accident suffered while in the course of his employment. . ." We do not agree this case is governed by Robertsv. Hillman Coal and Coke Co., supra, and Huha v. Frick Coke Co., supra, relied on by the court below and the appellee. The cases are easily *487 differentiated on the facts. In the Roberts case4 the issue was whether the precipitation of the hernia constituted a "recurrence" within the intendment of the second paragraph of section 413,5 of the disabling condition upon which the original agreement has been based, or amounted to a "new injury." TheRoberts case is clearly inapposite in that Roberts there soughtreinstatement of compensation upon a showing that his disability had "recurred", i.e., the descent of the hernia was due to his weakened abdominal wall following an operation necessitated by a compensable accident, and was not a "new injury". Aboud, however, seeks to prove the converse, namely, that his hernial condition was a new and independent injury caused by an accident, to wit, the fall. The present claimant could not successfully challenge the lower court's reduction in the award had he established (as did Roberts) that his injury was "recurrent". What was said in the Roberts case pertaining to the claimant's burden of proof therefore does not militate against the present claimant for there, Roberts secured reinstatement of compensation (section 413) by showing a present injury referable to a prior accident whereas *488 Aboud seeks compensation (section 301) for a "new injury" resulting from a second accident. There and here both claimants met their respective burdens; Roberts by showing his injury was caused by a weakened abdominal wall the result of a previous accident; Aboud by satisfying the compensation authorities by sufficient competent evidence the present injury was of accidental origin — the fall. The appellee offered no testimony to controvert claimant's evidence to that effect. Contrarily to the Roberts case no mention was made in the instant case by the compensation authorities or by the lower court of a weakened abdominal wall probably because the meagre testimony thereon related to the inadvisability of a fourth operation, rather than as proof that it was a causative or contributing agent of the present hernia. The compensation authorities therefore properly determined the claimant suffered a "new injury". Any naked term, viz. "recurrent", unsupported by evidence, which would convey a contrary meaning as contended for by the appellee, would be clearly a misnomer and could not prevail over established facts.Huha v. Frick Coke Co., supra, does not aid the appellee's position. In the latter case, the "award unappealed from adjudicated the causal connection between the injury and the operation and the disability resulting from it."
In the case before us there is no evidence on which to base a finding that there is a causal connection between the occurrence of the fourth hernia and the original injury. Appellee must perforce rely on the testimony of Dr. J. Huber Wagner, who testified the claimant ". . . had a definite recurrent ventral hernia . . .", which testimony, however, falls short of establishing the previous injury as the proximate cause of the present *489
hernia. Dr. Wagner did not say, — nor was he asked whether, — the present hernia was the "recurrent" result of the first injury or was referable to it, or was caused by any of the operations necessitated by the first injury. Neither was there any testimony that the claimant fell as a result of a weakened abdominal wall caused by previous hernias or by the prior accident, or by operations necessitated by them. We are not to infer from the use of "recurrent" the referee meant the hernia "returned" or "reappeared" as a result of the previous injury or that said injury was the proximate cause of the present hernia. Such inference is in direct conflict with referee's explicit finding that the disability was the result of the accident which he "again suffered" on December 7, 1945. Admittedly, (1) claimant had previous hernial conditions which were compensable; (2) there was a second accident; (3) simultaneously with that accident claimant suffered pain in the abdominal region; (4) a hernial ailment (fourth) developed immediately; (5) there is a total disability. Unquestionably, the second accident, as distinguished from normal progression of a hernial ailment, became thesuper-inducing cause of the present hernial condition; it need only materially contribute to the disability; except for it, the hernia would not have occurred. That the injured person was more susceptible to injury than an ordinary person is immaterial. Cf.Krutsky v. Hazle Brook Coal Co.,
A pre-existing condition may render a claimant more susceptible to injury but does not necessarily defeat his right to compensation. Conversely, proof of the aggravation of a prior condition is not evidence upon which an award may be based, for that fact alone does not give rise to an inference that the operative cause of disability was an accident. There must be clear proof as in the instant case of an accident: Adamchick v.Wyoming Valley Collieries Co.,
Distinction must be made between those situations where the original accident has created a weakness, and, without proof of a second accident, there is a recurrence of disability, (Robertsv. Hillman Coal Coke Co., supra.), and where, as here, a second accident has aggravated a pre-existing injury and total disability results. Appellant has sufficiently established that the cause of the present disability was an accident, — the fall which occurred on December 7, 1945. It is true that the present total disability came about by the aggravation of a pre-existing weakness but it was the accidental fall which was the operative cause of the present disability.
Order reversed; the record remitted to the court below with directions to enter judgment on the award.