A.T. Taylor v. WCAB (City of Philadelphia) ( 2016 )


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  •         IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Aliya T. Taylor,                       :
    Petitioner     :
    :
    v.                  :   No. 2327 C.D. 2015
    :   Submitted: May 20, 2016
    Workers’ Compensation Appeal           :
    Board (City of Philadelphia),          :
    Respondent    :
    BEFORE:     HONORABLE RENÉE COHN JUBELIRER, Judge
    HONORABLE MICHAEL H. WOJCIK, Judge
    HONORABLE ROCHELLE S. FRIEDMAN, Senior Judge
    OPINION NOT REPORTED
    MEMORANDUM OPINION
    BY JUDGE COHN JUBELIRER                    FILED: September 12, 2016
    Aliya T. Taylor (Claimant) petitions for review of an Order of the Workers’
    Compensation Appeal Board (Board), affirming a Workers’ Compensation Judge’s
    (WCJ) Decision to grant the City of Philadelphia’s (Employer) Termination
    Petition and dismiss Employer’s Suspension Petition as moot.           On appeal,
    Claimant contends that the WCJ erred by relying on the testimony of Employer’s
    medical expert who was unaware of an acknowledged injury listed on the Notice of
    Compensation Payable (NCP); that the WCJ did not issue a reasoned decision; and
    that the WCJ capriciously disregarded competent evidence. We affirm.
    Claimant, a police officer, was injured on April 16, 2012, while in the
    course and scope of her employment when she lifted an elderly person from the
    floor and onto a bed. (WCJ Decision, Findings of Fact (FOF) ¶ 1.) On May 3,
    2012, Employer issued a NCP acknowledging an injury described as “‘low back
    and left leg strain and sprain.’” (Id.; NCP, R.R. at 2a.) “Pursuant to the NCP,
    Claimant received her full salary through Employer’s Heart and Lung Act[1]
    program in lieu of workers’ compensation indemnity benefits.” (FOF ¶ 1.)
    Employer filed a Termination Petition on or about January 30, 2013,
    alleging that Claimant fully recovered from her accepted injury as of December 5,
    2012, and is capable of returning to full duty work. (R.R. at 4a-5a.) Claimant filed
    an Answer to the Termination Petition on March 15, 2013, denying all allegations
    and demanding strict proof.        (R.R. at 6a-7a.)      Then, on October 14, 2013,
    Employer filed Petitions to Suspend and/or Modify Workers’ Compensation
    Benefits (Suspension Petition) alleging that Claimant was unable to work due to a
    non-work related injury suffered on August 2013.2 (WCJ Decision at 1.) The
    matters were consolidated and assigned to the WCJ for hearing and disposition.
    In support of the Termination Petition, Employer submitted the deposition
    testimonies of Armando A. Mendez, M.D., and Claimant. In opposition to the
    Petitions, Claimant presented the deposition testimony of Rocco Costabile, M.D.
    and testified at a hearing in front of the WCJ on June 9, 2014. The testimonies are
    discussed below in chronological order.
    1
    Act of June 28, 1935, P.L. 477, as amended, 53 P.S. §§ 637-38.
    2
    The WCJ identifies this date as occurring in August 2012, but the record shows that
    Claimant sustained a non-work-related stroke in August 2013, which removed her from work.
    2
    Dr. Mendez testified as follows in a June 7, 2013 deposition. Dr. Mendez’s
    medical practice consists of treating 100 to 125 patients per week that present with
    musculoskeletal complaints.     (Mendez’s Dep. at 5.)      He performs about 25
    operations per month, but does not have a specialty within the field of orthopedic
    surgery. (Id. at 5-6.) Dr. Mendez examined Claimant on December 5, 2010. (Id.
    at 8.) At the examination, Claimant told Dr. Mendez that in the course of her
    employment as a police officer she, along with another officer, attempted to lift an
    individual from the floor. (Id.) Claimant “felt pain in her lower back that radiated
    down her left leg and it caused her numbness and tingling in her left leg.” (Id.)
    Claimant relayed to Dr. Mendez that the pain got worse the following day. (Id.)
    Dr. Mendez took a medical history of Claimant and was informed that Claimant
    was taking a muscle relaxer, Robaxin, and anti-inflammatory medicine, Tramadol,
    and that prior to the incident Claimant never had any problems with her lower back
    or left leg. (Id. at 10.)
    Dr. Mendez conducted a physical examination on Claimant’s back and legs.
    The examination revealed that Claimant had a normal and stable gait, and
    complaint about pain with forward flexion and extension of her lumbar spine. (Id.
    at 11.) Dr. Mendez examined Claimant’s lower extremities in the prone position,
    which led to complaints of pain in the lower back. (Id. at 12.) Dr. Mendez found
    “no good anatomical explanation of her complaints of back pain when she is prone
    and her knees were bent, as this [position] relaxes the muscles of the hamstrings
    and lower back, and actually should relieve any back pain rather than create any
    back pain.” (Id. at 12-13.) Claimant was examined in the seated and supine
    positions and no pain was found. (Id. at 13-14.)
    3
    Dr. Mendez also reviewed medical reports available at the time of the
    examination and some reports given to him the day of his deposition. The reports
    included an x-ray, EMG, and MRI taken shortly after the injury. The x-ray of the
    lumbar spine showed “endplate spurring in the lower lumbar region consistent with
    a chronic degenerative process . . . .” (Id. at 15.) Dr. Mendez characterized the
    finding as “not an acute finding[,] but rather something that you see develops over
    years.” (Id. at 16.) An EMG test was conducted in conjunction with the x-ray.
    (Id.)    The EMG did not suggest the presence of a radicular problem, or
    “abnormalities of any of the nerve roots of the lumbar spine.” (Id.) The EMG was
    consistent with the x-ray, and Dr. Mendez did not observe any herniated discs,
    fractures, dislocations, or anything else of an acute nature. (Id. at 17.) A February
    21, 2013 MRI revealed, with regard to the L5-S1 level:
    a mild disc bulge with a superimposed small broad-based right
    paracentral disc extrusion with minimal inferior migration and
    underlying annular fissure . . . . This context traverses the right S1
    nerve ro[ot] at the level of the subarticular recess. No additional
    central spinal stenosis. Mild and bilateral facet hypertrophy with
    minimal fluid in the facet joints. Mild bilateral neural foraminal
    stenosis.
    (Id. at 22.) However, Dr. Mendez did not find that MRI particularly helpful
    [b]ecause the findings starting at L5-S1 state that the disc extrusion is
    to the right side. [Claimant]’s symptoms were not to the right side;
    and therefore, the findings at the L5-S1 level have no correlation with
    the symptoms that [Claimant] presented to me with when I saw her.
    With regard to the L4-5 level, there was nothing suggesting that there
    is any compression of the nerve ro[ot] at that level on the left side that
    would correlate to her left-sided symptoms, which did not appear to
    follow a dermatomal pattern . . . .
    4
    (Id. at 23-24.) Dr. Mendez explained that something occurred to Claimant when
    she lifted the individual and that it can best be assumed to have been a lumbar
    spine sprain and strain. (Id. at 19.) Dr. Mendez concluded, with a reasonable
    degree of medical certainty, that Claimant recovered from the injury she had
    described to him and those revealed in the medical records. (Id.)
    On cross-examination, Claimant’s counsel focused his questions, in large
    part, on Dr. Mendez’s examination of Claimant’s left leg. The following exchange
    occurred between Claimant’s counsel and Dr. Mendez:
    [CLAIMANT’S COUNSEL]: Do you believe that [Claimant] injured
    any part of her body other than her lumbar spine on April 16, 2012?
    [DR. MENDEZ]: I do not, and I don’t recall her telling me about any
    other injury to her musculoskeletal system at the time of her work
    injury.
    [CLAIMANT’S COUNSEL]: Well did you ask her?
    [DR. MENDEZ]: Yes. I asked her what her injuries were, what had
    occurred, and if she had symptoms that resulted from her work-related
    incident. So, yes, I did ask her.
    [CLAIMANT’S COUNSEL]: You’re not aware that she injured her
    left leg, are you, Doctor?
    [DR. MENDEZ]: No, I’m not aware that she injured her left leg. She
    did not report to me any injury to her left leg.
    [CLAIMANT’S COUNSEL]: So if I were to suggest to you that the
    [NCP] indicates that, in fact, she did injure her left leg, that would be
    a surprise to you, wouldn’t it?
    [DR. MENEDEZ]: That would be a surprise to me.
    (Id. at 25-26.) Later in the deposition, Dr. Mendez clarified:
    You’ll have to define what injury to her left leg is. I was aware that
    she was having symptoms in her left leg. She told me about that. So I
    don’t know if that’s what you’re referring to as injured her left leg, if
    it’s something other than that. . . . I asked [Claimant] where she was
    having symptoms, and she told me that she was having symptoms in
    her back and left leg. But those were related to each other in the sense
    that the pain was radiating pain from her back. It was not a separate
    injury to her left leg such as a laceration to her left leg or a contusion
    5
    to her left leg or some other traumatic event to the left leg separate
    from her back injury.
    (Id. at 32-33.)
    On redirect, Employer’s counsel and Dr. Mendez engaged in the following
    discussion:
    [EMPLOYER’S COUNSEL]: Doctor, to the extent that someone may
    have diagnosed a sprain and strain of the leg, did you examine the left
    leg to the extent that you were able to determine whether or not she
    had ongoing symptoms or complaints or findings relative to a
    contusion or a sprain and strain?
    [DR. MENDEZ]: I did examine her left leg. There was absolutely
    nothing whatsoever on her physical examination when I saw her that
    she continued to suffer from any injury to her left leg including any
    evidence of radiculopathy, radiculitis, sprain, strain, contusion,
    laceration or any other diagnosis of an orthopedic nature which I’m
    aware of.
    [EMPLOYER’S COUNSEL]: All right. So if she had sprain and
    strain of the leg, did you find any evidence of that?
    [DR. MENDEZ]: I found nothing wrong with her left leg that day
    including a sprain or strain.
    (Id. at 35-36.)
    Claimant presented the deposition of Dr. Costabile, who is Claimant’s Heart
    and Lung Act primary care physician. Dr. Costabile testified as follows. He first
    saw Claimant on August 30, 2012, after she was transferred to his care from a
    different doctor. (Costabile’s Dep. at 10.) Dr. Costabile took a history from
    Claimant, where Claimant explained her injury and symptoms. (Id. at 10-11.) His
    physical examination of Claimant focused on her lumbosacral spine region and
    lower extremities. Claimant exhibited restricted range of motion, a straight leg test
    on her left lower extremity was positive, and Claimant “had some difficulty with
    lower extremity strength.” (Id. at 12.) After reviewing notes from Claimant’s
    6
    previous doctors, records, and imaging, Dr. Costabile diagnosed Claimant with
    lumbar disc bulge with radiculopathy.                (Id. at 14.)    Dr. Costabile noted that
    Claimant received trigger point injections of cortisone in the past. (Id. at 15.)
    Dr. Costabile referred Claimant to chiropractic care and prescribed
    Tramadol for pain and Robaxin as a muscle relaxant. (Id. at 17.) Claimant saw a
    spinal surgical specialist, Dr. Anderson, who recommended that she undergo
    aggressive physical therapy, which ultimately did not provide Claimant with any
    relief. (Id. at 18-19.) Dr. Costabile added a pain medication called Neurontin3 to
    Claimant’s regimen and gave her a lumbosacral back brace.                            (Id. at 20.)
    Claimant’s medications can cause headaches, sedation, and confusion. (Id. at 22.)
    Dr. Costabile continued to see Claimant every two weeks and opined, with a
    reasonable degree of medical certainty, that Claimant has not fully recovered from
    her work-related injuries. (Id. at 22-23.) According to Dr. Costabile:
    I think in combination with the symptoms from her lumbosacral
    pathology that persist, the added medication that we have on board
    right now, which is helping to alleviate her symptoms to a degree can
    tend towards leading to psychomotor slowing, some sedation, some
    lack of concentration, even some fatigue that I do not think would
    make her a suitable candidate to perform all of the duties of her full
    duty requirements. . . . [W]ith the medications she has not shown me
    that she can perform a high level cardiovascular activity that would
    potentially be required in chasing someone in not only a foot pursuit
    but potentially car pursuit; that she would have the motor reflex skills
    to safely use her firearms or asp,[4] or taser that could put herself or
    even a partner in danger . . . .
    (Id. at 23-24.)
    3
    Neurontin is the brand name for Gabapentin. (Hr’g Tr. at 11.)
    4
    Dr. Costabile likened an “asp” to a “night stick.” (Costabile’s Dep. at 25.)
    7
    On cross-examination, Dr. Costabile was confronted with reports of other
    doctors with whom he consulted that showed a differing of opinion. (Id. at 30-32.)
    He was further confronted with the EMG results that did not show any
    radiculopathy. (Id. at 32.) Dr. Costabile explained that “[EMG tests] are good to
    rule in a diagnosis. They are not good to rule out a diagnosis.” (Id. at 33.) He
    continued:
    This particular injured patient also describes a neuropathic
    radiculopathy meaning a sensory change. EMG and nerve conduction
    study tests are not meant to pick up nerve conduction changes from
    sensory nerves, rather they are meant to pick up conduction changes
    from motor nerves. This patient has much less of a motor lower
    extremity symptomatology, than a neurologic.
    (Id. at 34.)
    In support of its Termination Petition, Employer next presented Claimant’s
    deposition testimony taken on January 24, 2014. Claimant testified as follows.
    Claimant had a stroke in August 2013, after both medical experts testified in this
    matter. (Claimant’s Dep. at 5.) She went on leave from work starting August 27,
    2013. (Id. at 6.) Prior to her August 2013 leave, Claimant was on limited duty
    status related to her April 16, 2012 injury, during which time her duties were to
    answer phones and input incident reports in to the computer system. (Id. at 8.)
    After her stroke and August 2013 leave, Claimant was released to limited duty
    status by her doctor, Dr. Kramer, and returned to work on December 31, 2013. (Id.
    at 7, 12.) Due to the impact of the stroke on her speech, Claimant was no longer
    able to answer phones and instead focused her work on inputting incident reports.
    (Id. at 13.)
    Claimant continues to treat for her work injuries with Dr. Costabile every
    two weeks. (Id. at 9.) Her condition has not improved and she is prescribed
    8
    Tramadol, Gabapentin, and a muscle relaxant. (Id. at 9-10.) Claimant also treats
    with a chiropractor two times per week that provides her with temporary relief.
    (Id. at 14-15.) She walks with a limp and uses a cane and back brace for support,
    though she was using neither during her deposition. (Id. at 11-12.) Claimant is
    also seeing Dr. Kramer for her stroke and is receiving speech therapy, though the
    therapy has paused due to insurance coverage issues. (Id. at 12, 15-16.) Claimant
    hopes to return to full duty when possible, but none of her doctors have released
    her to full duty status as of yet. (Id. at 17-18.)
    Claimant testified on her own behalf in front of the WCJ on June 9, 2014, in
    opposition to Employer’s Suspension Petition. Claimant testified for only a few
    minutes and stated that she still treats with Dr. Costabile once a month and is on
    the same medications she was on at the time of her deposition testimony. (Hr’g Tr.
    at 6-7, 11.) Claimant stated that she is no longer being treated for her stroke, but
    she continues to have a speech impediment. (Id. at 7.) Claimant has not been
    released to full duty work and believes that she has not fully recovered from her
    work injury of April 16, 2012. (Id.)
    The WCJ assessed the testimony and evidence and made the following
    relevant credibility determinations and findings of fact.
    1. On April 16, 2012, while working for Employer, Claimant slipped
    while lifting an elderly patient off the floor and onto a bed. As a
    result of the work incident, Employer accepted Claimant’s work
    injury as compensable through a [NCP], dated May 3, 2012, and
    described it as a “low back and left leg strain and sprain.” Pursuant to
    the NCP, Claimant received her full salary through Employer’s Heart
    and Lung Act program in lieu of workers’ compensation indemnity
    benefits.
    ...
    9
    5. This Judge finds, after considering all of the evidence in its entirety,
    that the testimony of Dr. Mendez is credible and convincing that
    Claimant has fully recovered from her work-related injuries, including
    her low back strain and sprain and any left leg injury she may have
    suffered. This is based, at least in part, upon Dr. Mendez’ credentials
    as a board-certified orthopedic surgeon and the fact that his
    examination findings and opinions are consistent with the medical
    records and diagnostic studies. Dr. Mendez’s explanation of the
    degenerative nature of the findings on the MRIs was cogent, clear and
    convincing, especially considering his actual review of the diagnostic
    films. Therefore, the opinions of Dr. Mendez are accepted in their
    entirety.
    6. This Judge finds, after considering all of the evidence in its entirety,
    that the testimony of Dr. Costabile is not credible and not convincing
    that Claimant has not fully recovered from her work injuries. This is
    based, at least in part, upon Dr. Costabile’s lesser qualifications in the
    field of orthopedics as compared to Dr. Mendez. Furthermore, Dr.
    Costabile’s diagnoses . . . appear [to be] based upon Claimant’s
    subjective presentation rather than [on] any objective traumatic
    findings. Therefore, the opinions of Dr. Costabile are rejected where
    they conflict with Dr. Mendez.
    7. This Judge finds, after considering all of the evidence in its entirety,
    that the testimony of Claimant is not credible and convincing to the
    extent that it contradicts the credible evidence of record. While this
    Judge did not personally view Claimant’s testimony, this Judge is
    concerned [that her testimony] regarding her . . . symptoms [is] not in
    accordance with the findings of Dr. Mendez.                 Additionally,
    Claimant’s testimony that her taking of medication limits her ability to
    return to work seems at odds with her actual return to work in light
    duty capacity. This Judge rejects Claimant’s testimony as to any
    ongoing residual effects of her work injury as same [sic] is in direct
    contradiction with the credible medical evidence of record.
    8. This Judge finds as fact that Employer has sustained its burden of
    proving that it is entitled to a termination of Claimant’s benefits as of
    December 5, 2012 on the basis that Claimant has fully recovered from
    her work-related injury and is capable of returning to full duty work
    without restrictions.
    10
    (FOF ¶¶ 1, 5-8.) Accordingly, the WCJ concluded that Employer “met its burden
    under its Termination Petition to show that Claimant fully recovered from her
    accepted April 16, 2012 work injury.” (WCJ Decision, Conclusion of Law ¶ 2.)
    The WCJ terminated Employer’s liability as of December 5, 2012 and, given his
    determination on the Termination Petition, held that the Suspension Petition was
    moot. Claimant appealed to the Board, which affirmed. Claimant now petitions
    this Court for review.5, 6
    On appeal, Claimant first argues that the WCJ and Board erred by granting
    Employer’s Termination Petition when Employer acknowledged an injury to
    Claimant’s left leg in the NCP and Employer’s medical expert, Dr. Mendez,
    testified that he was unaware of an acknowledged left leg injury.                    Claimant
    contends that Dr. Mendez’s testimony shows that he lacked comprehension of
    Claimant’s leg injury and that the examination was rushed.
    “To succeed in a termination petition, an employer bears the burden of
    proving by substantial evidence that a claimant’s disability ceased, or any
    remaining conditions are unrelated to the work injury.” Westmoreland Cnty. v.
    Workers’ Comp. Appeal Bd. (Fuller), 
    942 A.2d 213
    , 217 (Pa. Cmwlth. 2008).
    According to our Supreme Court,
    [i]n a case where the claimant complains of continued pain, this
    burden is met when an employer’s medical expert unequivocally
    testifies that it is his opinion, within a reasonable degree of medical
    5
    Our review is limited to “determining whether there has been a violation of
    constitutional rights, [whether] errors of law [were] committed, [whether] a violation of appeal
    board procedures [occurred], and whether necessary findings of fact are supported by substantial
    evidence.” Mark v. Workers’ Comp. Appeal Bd. (McCurdy), 
    894 A.2d 229
    , 233 n.6 (Pa.
    Cmwlth. 2006).
    6
    Pursuant to our Order of May 13, 2016, Employer was precluded from filing a brief in
    this matter for failure to comply with an earlier order directing it to file a brief.
    11
    certainty, that the claimant is fully recovered, can return to work
    without restrictions and that there are no objective medical findings
    which either substantiate the claims of pain or connect them to the
    work injury. If the WCJ credits this testimony, the termination of
    benefits is proper.
    Udvari v. Workmen’s Comp. Appeal Bd. (USAir, Inc.), 
    705 A.2d 1290
    , 1293 (Pa.
    1997) (footnote omitted).       The credited testimony must address the injury as
    described in the NCP, and “neither party can re-litigate the nature of the accepted
    injury” in a proceeding on a termination petition. GA & FC Wagman, Inc. v.
    Workers’ Comp. Appeal Bd. (Aucker), 
    785 A.2d 1087
    , 1092 (Pa. Cmwlth. 2001).
    Here, the NCP acknowledges an injury described as “low back & left leg”
    “strain & sprain.” (NCP, R.R. at 2a.) While Dr. Mendez was “surprised” that
    Employer acknowledged an injury to Claimant’s left leg, he was “aware that she
    was having symptoms in her left leg.” (Mendez’s Dep. at 32 (emphasis added).)
    Dr. Mendez testified that he did not know what was meant when Claimant’s
    attorney asked him about an injured left leg and that the symptoms in her leg were
    related to Claimant’s back pain “in the sense that the pain was radiating pain from
    her back. It was not a separate injury to her left leg such as a laceration to her left
    leg or a contusion to her left leg or some other traumatic event to the left leg.” (Id.
    at 32-33.) Dr. Mendez further testified that he examined Claimant’s left leg, and if
    Claimant had suffered any injury to her left leg, he did not see any evidence of it in
    his examination. (Id. at 36.)
    It is well settled that in workers’ compensation cases, “[t]he WCJ is the
    ultimate finder of fact, and the exclusive arbiter of credibility and evidentiary
    weight.” LTV Steel Co., Inc. v. Workers’ Comp. Appeal Bd. (Mozena), 
    754 A.2d 666
    , 676 (Pa. 2000). In executing its fact finding role, “the WCJ is free to accept
    or reject, in whole or in part, the testimony of any witness.” 
    Id. The WCJ’s
    12
    evidentiary findings are not, however, immune from review. “The WCJ must base
    [his or her] decision on substantial evidence.” 7 
    Id. Here, the
    WCJ evaluated the
    testimony of Dr. Mendez regarding Claimant’s back and left leg and found that he
    credibly concluded that Claimant has recovered from the injury listed in the NCP.
    While the presence of contrary evidence is of no moment if the WCJ credits
    competent evidence supporting his finding, Pocono Mountain School District v.
    Workers’ Compensation Appeal Board (Easterling), 
    113 A.3d 909
    , 918 (Pa.
    Cmwlth. 2015), Dr. Mendez’s understanding of Claimant’s leg injury mirrors
    Claimant’s own testimony and the testimony of Dr. Costabile. No witness alleged
    that Claimant was injured in her leg in any other way than through leg pain
    radiating from her back or caused by her “lumbosacral pathology.” (Costabile’s
    Dep. at 23.)
    Claimant next argues that the WCJ did not “issue a reasoned decision and
    capriciously disregarded material, competent evidence which logically could not
    have been avoided in reaching a decision.” (Claimant’s Br. at 18.) However,
    Claimant points to no evidence that was capriciously disregarded, and as such, we
    cannot review the Board’s Order in this regard.                With regard to Claimant’s
    7
    Substantial evidence is defined as
    relevant evidence that a ‘reasonable person might accept as adequate to support a
    conclusion.’ In reviewing a decision for substantial evidence, the court must view
    the evidence in the light most favorable to the party who prevailed before the
    WCJ and draw all reasonable inferences from the evidence in favor of the
    prevailing party. . . . [I]t is irrelevant whether the record contains evidence to
    support findings other than those made by the WCJ; the critical inquiry is whether
    there is evidence to support the findings actually made.
    Pocono Mountain Sch. Dist. v. Workers’ Comp. Appeal Bd. (Easterling), 
    113 A.3d 909
    , 918 (Pa.
    Cmwlth. 2015) (citations and quotations omitted).
    13
    argument that the WCJ did not issue a reasoned decision, Section 422(a) of the
    Workers’ Compensation Act (Act)8 provides in relevant part:
    All parties to an adjudicatory proceeding are entitled to a reasoned
    decision containing findings of fact and conclusions of law based
    upon the evidence as a whole which clearly and concisely states and
    explains the rationale for the decisions so that all can determine why
    and how a particular result was reached . . . . When faced with
    conflicting evidence, the workers’ compensation judge must
    adequately explain the reasons for rejecting or discrediting competent
    evidence. Uncontroverted evidence may not be rejected for no reason
    or for an irrational reason; the workers’ compensation judge must
    identify that evidence and explain adequately the reasons for its
    rejection. The adjudication shall provide the basis for meaningful
    appellate review.
    77 P.S. § 834.
    Our Supreme Court interpreted this provision in Daniels v. Workers’
    Compensation Appeal Board (Tristate Transport), 
    828 A.2d 1043
    (Pa. 2003),
    where it held “that a decision is ‘reasoned’ for purposes of Section 422(a) if it
    allows for adequate review by the [Board] without further elucidation and if it
    allows for adequate review by the appellate courts under applicable review
    standards.” 
    Id. at 1052.
    “In a case where the fact-finder has had the advantage of
    seeing the witnesses testify and assessing their demeanor, a mere conclusion as to
    which witness was deemed credible, in the absence of some special circumstance,
    could be sufficient to render the decision adequately ‘reasoned.’” 
    Id. at 1053.
    In
    situations where the WCJ did not have the advantage of making demeanor-based
    credibility assessments through viewing the live testimony of witnesses, Daniels
    requires a WCJ to provide “some articulation of the actual objective basis for the
    8
    Act of June 2, 1915, P.L. 736, as amended, 77 P.S. § 834.
    14
    credibility determination.” 
    Id. A WCJ
    may look at “countless objective factors”
    when assessing a witness’s credibility.       
    Id. The factors
    relied upon must be
    identified and articulated in the WCJ’s findings.      Dorsey v. Workers’ Comp.
    Appeal Bd. (Crossing Constr. Co.), 
    893 A.2d 191
    , 195 (Pa. Cmwlth. 2006).
    Here, the WCJ did not witness Claimant’s deposition testimony taken on
    January 24, 2014, but did witness Claimant’s live testimony of June 9, 2014. Yet,
    the WCJ made his credibility determination as if he never saw Claimant testify.
    (FOF ¶ 7.)     The WCJ stated: “[w]hile this Judge did not personally view
    Claimant’s testimony, this Judge is concerned regarding her testified [sic] to
    symptoms are not in accordance with the findings of Dr. Mendez.” (Id. (emphasis
    added).)
    When examining this issue, the Board concluded that “whether the WCJ
    observed Claimant testify or not had no apparent bearing on the result of this case”
    as “the WCJ’s concerns were clearly focused on the subject of Claimant’s
    testimony, not her demeanor.” (Board Op. at 8.) We agree. While Daniels stands
    for the proposition that a demeanor-based credibility determination could be
    sufficient under Section 422(a) of the Act, nothing in Daniels or its progeny
    mandates a WCJ who has witnessed a Claimant testify to make a credibility
    determination based on demeanor. Articulation of objective factors supporting
    credibility determinations are sufficient under Section 422(a) of the Act regardless
    of whether demeanor based assessments could have been made. Because the WCJ
    provided the requisite objective factors supporting his credibility determination, we
    conclude that the WCJ issued a reasoned decision within the meaning of Section
    422(a) of the Act.
    15
    As we find that the WCJ’s factual findings are supported by substantial
    evidence, and the WCJ issued a reasoned decision, the Order of the Board is
    affirmed.
    ________________________________
    RENÉE COHN JUBELIRER, Judge
    16
    IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Aliya T. Taylor,                       :
    Petitioner     :
    :
    v.                  :   No. 2327 C.D. 2015
    :
    Workers’ Compensation Appeal           :
    Board (City of Philadelphia),          :
    Respondent    :
    ORDER
    NOW, September 12, 2016, the Order of the Workers’ Compensation
    Appeal Board, entered in the above-captioned matter, is hereby AFFIRMED.
    ________________________________
    RENÉE COHN JUBELIRER, Judge