35 A.2d 776 | Pa. Super. Ct. | 1943
Lead Opinion
KENWORTHEY, J., filed a dissenting opinion.
Argued October 4, 1943. The compensation authorities and the court below sustained the employe's claim. His employer's argument on its appeal states only one question: Did the claimant suffer an injury by an accident in the course of his employment within the meaning of the Workmen's Compensation Act?
Claimant was a part-time policeman for the Borough of Wesleyville and was otherwise employed by the General Electric Company at its Erie plant. On March 7, 1940, he was directed by the burgess to escort the funeral of the president of the borough council to the *353 cemetery at North East, a distance of twelve miles. His usual duties as a policeman required him to patrol the borough on foot or in an automobile, and this was the first time he was required to drive a motorcycle. There was no windshield on the motorcycle; although he wore leather gloves, he felt severe pains and numbness in his hands; and when the funeral was over, he noticed that his fingers had turned white. He went to a gas station, where a woman ran cold water on his hands, and her husband rubbed snow upon them to restore circulation. Upon his return to Wesleyville he went to the home of the borough treasurer, where he and his wife assisted him in massaging his fingers. Apparently, he had experienced a severe chilling of his hands, but not amounting to what the medical profession recognizes as a frostbite. The average temperature during the time of the funeral was about 28 degrees, below the freezing point, and there was a twelve mile an hour breeze.
Notice of the occurrence was given to the borough the following morning, and, although he still experienced pain, he continued his work with the General Electric Company. In July, 1940, he received treatment at the first aid section of the General Electric Company and, his hand still continuing to pain him, in September, he consulted Dr. R.N. Chaffee, who diagnosed the condition as ischemia. The prescribed treatment did not produce the desired result and on September 23, 1940, the middle left finger was amputated at the first joint, followed in October by the amputation of the remaining portion. In March, 1941, the right middle finger was amputated.
Following the first amputation, Dr. Chaffee made a diagnosis of Buerger's disease. This is a disease, chronic in character, which causes inflammation of the lining of the arteries, producing clotting of the blood, and ultimately gangrene. Dr. Chaffee testified that claimant's exposure to the cold weather resulted in the *354 aggravation of a condition which, at the time, was existing without claimant's knowledge. Upon the basis of that testimony, and other evidence to which we shall refer, the referee found and the board affirmed, that the injuries were the result of an accident which occurred on March 7, 1940, and made an award to claimant under § 306(c) of the Workmen's Compensation Act and "a suspended award of compensation for an undetermined partial disability until such time as he sustains a loss of earnings by reason of said partial disability."
Dr. Chaffee's testimony to which we have referred, was fully corroborated by Dr. C.W. Fortune, claimant's witness. Dr. John P. Henry, called by the employer, was of the opinion that claimant was suffering from a vaso-spastic disease of both hands, known as Raynaud's disease. He distinguished Buerger's disease from Raynaud's disease in that the former is a sub-acute inflammatory state involving the arteries and veins, with a tendency toward gangrene, and it is organic in character. Raynaud's disease, he described as an excitable vaso-spastic state, in which the vessels go into spasm, with resultant ischemia and loss of tissue; that the two diseases are related only in that they both involve arteries, and they both go on to resultant gangrene and loss of tissue. He was asked: "Q. If it was shown that due to his fingers becoming cold and numb on this particular day in March, and due to that he had to have the middle finger amputated, would you say his loss of gripping power was due to that coldness on that day? A. I think the exposure to cold precipitated his vaso-spastic state, which in turn set up a mechanism which produced this condition. Q. Now you know he testified that he never noticed anything about his hands and fingers until the day of this exposure. Now is that possible with a vaso-spastic — A. That's the usual history. There is always some trigger to release this *355 nervous catastrophe or mechanism which results in this sort of a picture." On cross-examination, he testified: "Q. But they [fingers] could have been severely chilled? A. Oh, definitely. Q. And that would have brought about this condition, would it not? A. To set up the spasm? Q. Yes. A. Oh, it evidently did."
Dr. R.H. Luke, another of the employer's witnesses, testified that claimant had Raynaud's disease. In direct examination he was asked: "Q. Do you believe a 29 degree temperature would cause a chilling which would superinduce a vaso-spastic disease, precipitate it? A. No, but in the presence of a vaso-spastic disease you will get an abnormal amount of blanching of the fingers, as is complained of in this case." On cross-examination: "Q. . . . . . . this Raynaud's disease. What is it? A. It is a spasm of the small peripheral blood vessels. Q. Will this chilling produce that spasm of that small blood vessel? A. Yes. Q. And that could be brought about just as it has been related here? A. True."
Thus, while they differ in their diagnosis, the medical witnesses on both sides substantially agreed that a pre-existing disease, whether it was Buerger's or Raynaud's, was aggravated or precipitated by the events which have been described.
The salient finding of fact is: "Ninth. The loss of claimant's middle left finger and middle right finger resulted from a vaso-spastic disease which was precipitated by his exposure to cold on March 7, 1940." The other important findings relate to the incidents of the occurrence, claimant's assignment to an unusual duty which took him out of the ordinary course of his employment, the drive in a motorcycle without a windshield, the severely chilled hands, and the immediate report to the borough officials. The findings are supported by competent, substantial and direct evidence. The ultimate conclusion is that claimant's unusual experience *356
aggravated a pre-existing condition, precipitated a latent and unknown condition, and caused the disability which he sustained. There was a "happening to an employee of something undesigned, unexpected or fortuitous, outside of the ordinary course of events and also . . . . . . a disabling injury resulting therefrom": Royko v. Logan Coal Co.,
These cases were decided after Adamchick v. Wyoming ValleyCollieries Co.,
Although it does not deal with a pre-existing disease, and, therefore, is not controlling, Parks v. Miller Printing MachineCo.,
The cases relied upon by appellant do not control this case.Good v. Pa. Dept. of Property and Supplies,
Judgment affirmed.
Dissenting Opinion
Since there is evidence, if believed by the board, to support it, I must concede that the exposure of his hands to the cold on March 7, 1940 played a sufficient part in the ultimate development of claimant's disability to entitle him to compensation, provided what occurred on that date amounted to an accident within the meaning of the Workmen's Compensation Law. But I cannot agree that it did.
Clearly the pathological result of what happened cannot be said to have been so unexpected as to have amounted to an accident, per se.1 Whether claimant *359
was suffering from Buerger's Disease (described in the opinion of the majority as "a subacute inflammatory state involving the arteries and veins with a tendency toward gangrene"), or Raynaud's Disease (described as "an excitable vaso-spastic state, in which the vessels go into spasm, with resultant ischemia (loss of blood) and loss of tissue"), the condition existed prior to March 7, 1940, and, on the testimony of claimant's own physician called as his witness, the development cannot be said to have been unexpected. He testified, "I think he had Buerger's Disease and did not know it," and, "It is an aggravation of the condition which at that time was existing without his knowledge." As to the things which might precipitate the effects of the disease, he testified, "It could have been anything that would cause it;" "if he went swimming in some very cold water, diving into cold water, that that could aggravate it . . . . . . just the same as though wind hit you, exactly the same," that "just the slightest kind of cold hitting his hand, driving in an open car unprotected, or motorcycle," would precipitate the trouble. If a healthy workman exposes himself to the rays of the sun and suffers a heat-stroke, he is entitled to compensation "upon the theory that the prostration is not the natural, probable and predictable result of an exposure to the prevailing conditions, but constitutes an extraordinary and unlooked-for mishap visited suddenly upon the employe while at work."2 The evidence clearly rules out any notion that we, here, have such a case. Since there was no external accident in the sense that term is commonly understood, if the claimant is entitled to recover on any theory, it must be on the *360
ground he has shown "an unusual and suddenly develping concatenation of circumstances which necessitates impulsive rather than deliberate action and under conditions markedly different from those attendant upon the usual course of the employe's regular work."3 In DeEsch v. Emmaus Boro.,
I am unable to fit the present case into the pattern of the decisions in which compensation has been allowed. Claimant was a relief or part-time patrolman. Ordinarily, his duties consisted of patrolling the borough in his own automobile or on foot. On the day in question, he was directed by the Burgess to escort a funeral to North East Cemetery, a distance from the borough *361
of approximately eleven or twelve miles. There is nothing in the record to indicate that he used a motorcycle as the result of an emergency or any other unusual occurrence. Although, in my opinion, it would not affect the result, he did not even say that he was instructed to use the motorcycle rather than his automobile. Apparently for no explainable reason, he borrowed the motorcycle from a friend, borrowed a pair of gauntlet gloves from the Pennsylvania Motor Patrol and embarked on the undertaking of his own free will. Nothing unusual or anything unforeseen occurred in the course of the trip. Not even the weather was unusual; the temperature ranged between 26 and 30 degrees, the wind was "moderate." Although he had never before ridden a motorcycle in the performance of his duties, this court has never held that the mere performance by an employe of his work in a manner somewhat different from that usually employed is sufficient to constitute an accident; we have held just the opposite. In Ferraro v. Pittsburgh Term. Coal Corp.,
The exposure was nothing more than the trigger *362 which touched off the symptoms of claimant's unfortunate disease. I fail to find anything in the record to indicate either that the exposure was so unusual or the result so unexpected as to constitute an accident within the meaning of the Workmen's Compensation Act.
I would, therefore, reverse the judgment and enter it for appellant.