R. Cruz v. WCAB (A.J. Bazzini Co., Inc.) ( 2016 )


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  •            IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Ricardo Cruz,                            :
    Petitioner     :
    :
    v.                          :   No. 1966 C.D. 2015
    :   Submitted: April 29, 2016
    Workers’ Compensation Appeal             :
    Board (A.J. Bazzini Co., Inc.),          :
    Respondent     :
    BEFORE: HONORABLE P. KEVIN BROBSON, Judge
    HONORABLE MICHAEL H. WOJCIK, Judge
    HONORABLE JAMES GARDNER COLINS, Senior Judge
    OPINION NOT REPORTED
    MEMORANDUM OPINION
    BY JUDGE BROBSON                             FILED: August 22, 2016
    Petitioner Ricardo Cruz (Claimant) petitions for review of an order of
    the Workers’ Compensation Appeal Board (Board).            The Board affirmed a
    decision of a Workers’ Compensation Judge (WCJ), granting the termination
    petition filed by Claimant’s employer, A.J. Bazzini Co., Inc. (Employer). For the
    reasons set forth herein, we affirm the Board’s order.
    Claimant worked for Employer as a forklift operator.                On
    February 14, 2011, Claimant sustained a work-related injury in the nature of a
    crushing injury to his right and left lower limbs. Employer accepted liability for
    Claimant’s work-related injury pursuant to an Amended Notice of Compensation
    Payable. On July 15, 2013, Employer filed a termination petition, asserting that
    Claimant had fully recovered from his work-related injury as of June 13, 2013.
    Before the WCJ, Claimant testified that on February 14, 2011, he was
    involved in a forklift accident while working for Employer. (Reproduced Record
    (R.R.) at 79a.) Claimant explained that he was driving a forklift down an aisle,
    when the forklift slid on some type of liquid on the floor, causing the forklift to
    slide into a handrail. (Id. at 79a-80a.) As a result of the accident, Claimant
    sustained a crushing injury to his left ankle and right calf.     (Id. at 80a-83a.)
    Claimant was transported by ambulance to the Lehigh Valley Hospital emergency
    room, where he was treated for swollen and bruised legs.          (Id. at 84a-85a.)
    Claimant was admitted to the hospital for observation for two days and then
    released. (Id. at 84a.) Claimant was out of work for approximately two months
    and returned to work part-time in the middle of April 2011, working four hours per
    day. (Id. at 111a-12a.) Sometime thereafter, Claimant returned to full-time work
    and continued to work full-time until March 2013. (Id. at 111a-12a.)
    In January 2013, Claimant was treating with Dr. Ruht for his
    work-related injury. (Id. at 86a.) During the course of his treatment, Dr. Ruht
    ordered Claimant to undergo physical therapy for approximately five-to-six
    months, provided Claimant with a brace for his left ankle, and prescribed
    Neurontin, an anti-inflammatory, and a cream. (Id. at 86a-88a.) Dr. Ruht also
    referred Claimant to Dr. Sorrento. (Id. at 91a.) Dr. Sorrento sent Claimant for a
    bone scan and nerve testing and referred Claimant to Dr. Corba. (Id.) Claimant
    waited for approximately one month to see Dr. Corba. (Id.) During that time, in
    April 2013, Claimant began treating with Dr. Shingles.           (Id. at 88a, 92a.)
    Dr. Shingles sent Claimant to physical therapy and referred Claimant to Dr. Corba.
    (Id. at 88a-89a.)   Claimant eventually treated with Dr. Corba.        (Id. at 92a.)
    Claimant, however, indicated that there was nothing that Dr. Corba could do for
    2
    him, so Dr. Corba referred Claimant to Dr. Palumbo.                 (Id. at 89a, 92a.)
    Dr. Palumbo recommended that Claimant undergo compartment pressure testing,
    but the insurance company would not pay for it so it was not scheduled.
    (Id. at 49a, 92a-93a.)
    Claimant testified further that he continues to treat with Dr. Shingles
    once a month. (Id. at 49a.) Dr. Shingles prescribes Neurontin and Vicodin and has
    not sent Claimant for any additional testing. (Id. at 71a, 89a-90a.) Claimant’s
    pain, which he described as burning and aching, remains the same as it was on the
    date of his work-related injury. (Id. at 90a.) The pain is the worst in the morning,
    and it keeps Claimant up at night.        (Id. at 109a-10a.)    Claimant sometimes
    experiences numbness in his right calf down to his right foot and in his left ankle
    down to his left foot. (Id. at 90a-91a.) Claimant also experiences an aching,
    throbbing pain in both legs, worse in the left leg and left ankle, when he stands or
    walks for a period of time and numbness in his right foot when he sits for a period
    of time. (Id. at 100a-02a.) Claimant reported minimal to no difference in his pain
    with or without the use of his left ankle brace. (Id. at 101a.)       Claimant also
    explained that he has difficulty traversing stairs; he walks up the stairs one at a
    time to go to bed and then comes down the stairs in the morning and stays
    downstairs until bedtime. (Id. at 103a-04a.) The WCJ personally observed and
    compared Claimant’s legs and noted that there did not appear to be a difference in
    hair growth or coloring, but that Claimant’s left ankle appeared slightly smaller
    than his right ankle. (Id. at 98a.) The WCJ also observed Claimant ambulate fairly
    freely in the courtroom, but noted that Claimant’s left leg appeared to be straighter
    and slightly more rigid than his right leg. (Id. at 56a-57a.)
    3
    On cross-examination, Claimant testified that he treated with Lehigh
    Valley Treatment Center for his work-related injury until September 23, 2011,
    when he was discharged from its care. (Id. at 49a-50a.) Claimant did not seek any
    additional treatment until June 2012. (Id. at 50a.) During this lapse in treatment,
    Claimant did not sustain any additional trauma; Claimant explained that he sought
    treatment because his legs started to hurt again.      (Id. at 50a-51a.)   Claimant
    testified further that he was referred to Dr. Shingles by his attorney, who is
    Dr. Shingles’ brother. (Id. at 51a.) Dr. Shingles took Claimant out of work on
    March 14, 2013, and Claimant has not worked in any capacity since that time.
    (Id. at 51a-52a.)    Prior to March 14, 2013, Claimant worked regular duty.
    (Id. at 51a-52a.)   Claimant also testified on cross-examination that he is the
    primary caretaker for his two-year-old daughter because his girlfriend works
    nights. (Id. at 54a.) Claimant explained further that he tries to help his girlfriend
    around the house by washing dishes and doing laundry. (Id. at 53a.)
    On re-direct examination, Claimant indicated that during his lapse in
    treatment, he continued to work, but he complained to Employer about the pain
    and asked Employer for assistance in obtaining treatment.          (Id. at 60a-61a.)
    Claimant also indicated that at some point after he was released from the hospital,
    he returned to the emergency room because his feet and legs were frozen/cold to
    the touch. (Id. at 65a.) Claimant testified further that he has joint custody of his
    nine-year-old son, and when his son is with him every other week, he has to drive
    him back and forth to school.         (Id. at 68a, 71a.)     Claimant also has a
    fourteen-year-old daughter, whom he cares for during the summer when she is out
    of school. (Id. at 72a.)
    4
    Claimant presented the deposition testimony of Robert J. Corba, D.O.,
    who is board certified in anesthesia and pain management. (Id. at 2a.) Dr. Corba
    testified that he first treated Claimant on March 18, 2013, on a referral from
    Dr. Sorrento, a podiatrist in Dr. Corba’s practice. (Id. at 3a-4a.) On that date,
    Dr. Corba’s physical examination of Claimant revealed severe tenderness over
    Claimant’s left lateral lower leg, abnormal range of motion, left foot drop, an
    antalgic gait, and abnormal hair growth and discoloration in Claimant’s left lower
    extremity. (Id. at 4a.) Dr. Corba indicated that Claimant was incapable of heel to
    toe ambulation, particularly on the left, and that his left lower extremity was
    abnormal to light touch.     (Id.)    Dr. Corba diagnosed Claimant with complex
    regional pain syndrome (CRPS) with reflex sympathetic dystrophy (RSD) of the
    left lower limb, pain in the limb, and contusion of the ankle. (Id. at 4a-5a, 13a,
    20a, 22a.) Dr. Corba explained that a diagnosis of CRPS with RSD is made by
    physical examination, patient history, and physician evaluation; there are no
    diagnostic tests that would be inclusive or exclusive of diagnosing CRPS.
    (Id. at 7a, 10a.) Dr. Corba explained further that pain is a subjective constant with
    CRPS with RSD, but that the sympathetic tone evidenced by hyperpigmentation,
    swelling, hair and nail changes, and dysesthesias can wax and wane. (Id.)
    Dr. Corba treated Claimant again on April 24, 2013. (Id. at 5a.) At
    that time, Dr. Corba prescribed a higher dosage of Neurontin, prescribed Elavil, a
    tricyclic anti-depressant, and advised Claimant to continue the use of his topical
    cream to numb the area.       (Id.)   Dr. Corba explained that Claimant was not
    interested in pursuing interventional therapy such as a sympathetic block; rather,
    Claimant desired a more conservative approach of increasing function and his
    medication. (Id.) Claimant returned to Dr. Corba on June 6, 2013. (Id. at 6a.) On
    5
    that date, Claimant’s physical examination was similar to past physical
    examinations, and Dr. Corba advised Claimant to continue with his Neurontin,
    topical cream, anti-inflammatory, and Elavil. (Id.) Dr. Corba also recommended
    that Claimant undergo aquatherapy and prescribed Ultram for pain as needed. (Id.)
    Dr. Corba last treated Claimant in August 2013. (Id.) At that time, Dr. Corba did
    not believe that there was anything else he could offer Claimant other than
    continuing medication management.         (Id. at 6a-7a.)     When Claimant asked
    Dr. Corba whether he was a surgical candidate, Dr. Corba referred Claimant to
    Dr. Palumbo because surgery is not Dr. Corba’s area of expertise. (Id. at 6a-7a.)
    Ultimately, Dr. Corba opined that Claimant did not have the capability of returning
    to work as a forklift driver, but that he could return to some form of employment
    that enabled him to change position from standing to sitting. (Id. at 13a.)
    On cross-examination, Dr. Corba indicated that he treated Claimant
    on only four occasions, the first time on March 18, 2013, more than two years after
    Claimant sustained his work-related injury, and the last time on August 1, 2013.
    (Id. at 14a.)   Dr. Corba explained that he stopped treating Claimant because
    Claimant had transportation issues, it was easier for Claimant to treat with his
    primary care physician, and Claimant’s primary care physician would prescribe
    Vicodin and Dr. Corba would not.              (Id.)   Dr. Corba testified further on
    cross-examination that an individual can sustain a crush injury and recover without
    developing CRPS. (Id. at 21a-22a.)
    Employer presented the deposition testimony of Paul Horenstein,
    M.D., a board certified orthopedic surgeon. (Id. at 28a.) Dr. Horenstein performed
    an independent medical examination of Claimant on June 13, 2013. (Id. at 30a.)
    On that date, Dr. Horenstein performed a physical examination, which revealed no
    6
    objective findings consistent with a diagnosis of RSD. (Id. at 34a.) Dr. Horenstein
    also reviewed Claimant’s medical records, which revealed: (1) Dr. Ruht noted no
    objective signs of CRPS as of April 8, 2013; (2) MRIs of Claimant’s lower legs
    performed on June 8, 2012, and June 12, 2012, were normal; (3) x-rays of
    Claimant’s left ankle performed on September 14, 2012, were normal; (4) x-rays of
    Claimant’s tibia and fibula performed on June 8, 2012, and August 17, 2012, were
    normal; (5) an EMG performed on the nerves of Claimant’s lower extremities on
    March 5, 2013, was normal; and (6) a bone scan performed on February 27, 2013,
    was normal and indicated no evidence of RSD. (Id. at 30a-31a, 33a.) In addition,
    Dr. Horenstein noted that the type of pain described by Claimant was not
    consistent with RSD, that RSD was not observed by Dr. Ruht, Dr. Sorrento,
    Dr. Palumbo, or the hospital, and that RSD was not revealed by any diagnostic
    testing. (Id.) Dr. Horenstein noted further that compartment testing was not
    warranted because a diagnosis of compartment syndrome was not consistent with
    Claimant’s history or physical examination. (Id. at 33a-34a, 38a-39a.) Ultimately,
    Dr. Horenstein concluded that Claimant had fully recovered from his bilateral
    lower extremity crush injuries and could return to work full duty as a forklift
    operator without any restrictions. (Id. at 33a-34a.)
    Employer and Claimant also jointly presented the deposition
    testimony of Daniel J. Magaskie, a field investigator with F&M Investigations,
    who conducted surveillance of Claimant on April 1, 2013, April 3, 2013, and
    April 16, 2013. (Id. at 114a-17a.) During the surveillance, Mr. Magaskie observed
    Claimant: (1) walk without a limp; (2) walk without the use of a cane or other
    orthopedic or assistive device; (3) drive a vehicle freely to various destinations,
    without any difficulty accelerating, turning, stopping, or performing any other
    7
    driving tasks; and (4) walk without his ankle brace on one occasion.1
    (Id. at 115a-17a, 122a.) Mr. Magaskie indicated that he did not see Claimant favor
    either leg or give any indication that he was in pain. (Id. at 117a.) Mr. Magaskie
    explained that his notes were summarized in a report prepared by his supervisor,
    and the report is consistent with his notes and his observations on April 1, 2013,
    April 3, 2013, and April 16, 2013. (Id. at 117a-19a.) Mr. Magaskie testified
    further that his total surveillance lasted approximately twelve and one-half hours
    and that during that time, he observed Claimant outside of his home and outside of
    his vehicle for a total of six minutes. (Id. at 121a.)
    On September 16, 2014, the WCJ issued a decision granting
    Employer’s termination petition. In so doing, the WCJ summarized the witnesses’
    testimony and made the following credibility determinations:
    8. This Judge has carefully and thoroughly reviewed the
    testimony of Claimant as well as the opinions of the
    medical providers and surveillance evidence in this
    matter. Also carefully and thoroughly reviewed was the
    documentary evidence.
    9. Claimant’s testimony is rejected as less than credible
    and is unpersuasive. This finding is based upon this
    Judge’s personal observation of Claimant’s actions and
    demeanor during his testimony. In addition, Claimant’s
    testimony is rejected as not credible for the following
    reasons:
    1
    When questioned about Claimant’s use of a brace, Mr. Magaskie explained that it never
    appeared to him that Claimant was wearing a brace. (R.R. at 122a.) More specifically,
    Mr. Magaskie explained that on April 3, 2013, Claimant’s ankles were visible because Claimant
    was not wearing long pants, and he observed that Claimant was not wearing a brace. (Id.) In
    addition, Mr. Magaskie indicated that on April 1, 2013, and April 16, 2013, he never saw a
    brace, but Claimant was wearing long pants and, therefore, it was possible that Claimant was
    wearing one underneath his long pants. (Id.)
    8
    a. Claimant’s testimony that his pain level
    has remained the same since the date of
    injury is simply not believable, especially
    considering the fact that Claimant was able
    to return to work from April of 2011 until
    March 2013−almost 2 years;
    b. Claimant’s testimony that he is primary
    caregiver for his youngest daughter, half
    time caregiver for his son and summertime
    caregiver to his teenage daughter is
    inconsistent with someone with the pain
    levels Claimant claims;
    c.    Claimant’s rejection of the treatment
    options provided by Dr. Corba as well as
    Dr. Corba’s testimony that Claimant
    preferred an increase in narcotic medication
    to other treatments is troubling.
    10. This Judge has carefully and thoroughly reviewed
    the testimony of Robert J. Corba, D.O. and
    Paul Horenstein, M.D. and finds the testimony of
    Dr. Horenstien [sic] competent and credible and accepts
    that testimony over the opinions of Dr. Corba where
    those opinions differ. Dr. Horenstien’s [sic] testimony is
    consistent with the diagnostic studies in this case. In
    addition, Dr. Horenstien’s [sic] opinions are more
    consistent with Claimant’s work history and treatment
    history. Further, Claimant’s testimony has been deemed
    not credible and, according to Dr. Corba’s testimony,
    diagnosis of CRPS/RSD is made, at least in part, by
    patient history therefore, the credibility of Dr. Corba’s
    diagnosis can rise no higher than the credibility of
    Claimant.
    11. The testimony of Daniel J. Magaskie is deemed
    credible but irrelevant to the issues before this Judge.
    Mr. Magaskie is deemed credible because his testimony
    was consistent with the images on the video surveillance.
    (WCJ’s Decision at 7-8.) Based on these credibility determinations, the WCJ
    concluded that Employer had met its burden of proving that Claimant had fully
    recovered from his work-related injury as of June 13, 2013.
    9
    Claimant appealed to the Board, which affirmed the WCJ’s decision.
    Claimant then petitioned this Court for review. On appeal,2 Claimant argues that:
    (1) the WCJ failed to issue a reasoned decision because the WCJ’s findings of fact
    are not supported by substantial evidence; (2) the WCJ capriciously disregarded
    material, competent evidence of record; (3) the WCJ erred in finding the video
    surveillance evidence irrelevant; and (4) the WCJ committed an error of law when
    she refused to admit Claimant’s medical records into evidence.
    First, we address Claimant’s argument that the WCJ failed to issue a
    reasoned decision because the WCJ’s findings of fact are not supported by
    substantial evidence.        More specifically, Claimant argues that Dr. Corba’s
    testimony should be found more credible than Dr. Horenstein’s testimony because
    Dr. Corba is more qualified in the areas of CRPS and RSD than Dr. Horenstein and
    Dr. Horenstein had less interaction with Claimant than Dr. Corba. It appears that
    Claimant also argues that the reasons relied upon by the WCJ in finding
    Dr. Horenstein’s testimony more credible than Dr. Corba’s testimony−i.e.,
    Dr. Horenstein’s testimony is consistent with the diagnostic studies and
    Dr. Horenstein’s opinions are more consistent with Claimant’s work and treatment
    history−are not supported by the record because the record contains evidence to
    rebut these statements. Employer, on the other hand, argues that Claimant is
    essentially attempting to re-litigate the facts of this case and is asking this Court to
    overturn the WCJ’s credibility determinations.
    2
    This Court’s standard of review is limited to determining whether constitutional rights
    were violated, whether an error of law was committed, or whether necessary findings of fact are
    supported by substantial evidence. Section 704 of the Administrative Agency Law, 2 Pa. C.S.
    § 704.
    10
    Section 422(a) of the Workers’ Compensation Act (Act)3 requires a
    WCJ to issue a reasoned decision such that it that permits an appellate court to
    exercise adequate appellate review.           Amandeo v. Workers’ Comp. Appeal Bd.
    (Conagra Foods), 
    37 A.3d 72
    , 76 (Pa. Cmwlth. 2012). To satisfy this standard, a
    WCJ need not discuss every detail in the record. 
    Id. “Rather, Section
    422(a) of the
    Act requires WCJs to issue reasoned decisions so that this Court does not have to
    ‘imagine’ the reasons why a WCJ finds that the conflicting testimony of one
    witness was more credible than the testimony of another witness.” 
    Id. (quoting Dorsey
    v. Workers’ Comp. Appeal Bd. (Crossing Constr. Co.), 
    893 A.2d 191
    , 196
    (Pa. Cmwlth. 2006), appeal denied, 
    916 A.2d 635
    (Pa. 2007)). “The WCJ is free
    to accept or reject, in whole or in part, the testimony of any witness, including
    medical witnesses.”        Leca v. Workers’ Comp. Appeal Bd. (Phila. Sch. Dist.),
    
    39 A.3d 631
    , 634 n.2 (Pa. Cmwlth. 2012). “[W]here a WCJ summarizes testimony
    and also objectively explains [her] credibility determinations, the decision will
    satisfy the [reasoned decision] requirement.” 
    Amandeo, 37 A.3d at 76
    .
    Further, we note that in workers’ compensation proceedings, the WCJ
    is the ultimate finder of fact. Williams v. Workers’ Comp. Appeal Bd. (USX
    Corp.-Fairless Works), 
    862 A.2d 137
    , 143 (Pa. Cmwlth. 2004). As fact-finder,
    matters of credibility, conflicting medical evidence, and evidentiary weight are
    within the WCJ’s exclusive province. 
    Id. If the
    WCJ’s findings are supported by
    substantial evidence, they are binding on appeal. Agresta v. Workers’ Comp.
    Appeal Bd. (Borough of Mechanicsburg), 
    850 A.2d 890
    , 893 (Pa. Cmwlth. 2004).
    It is irrelevant whether there is evidence to support contrary findings; the relevant
    3
    Act of June 2, 1915, P.L. 736, as amended, 77 P.S. § 834.
    11
    inquiry is whether substantial evidence supports the WCJ’s necessary findings.
    Hoffmaster v. Workers’ Comp. Appeal Bd. (Senco Prods., Inc.), 
    721 A.2d 1152
    ,
    1155 (Pa. Cmwlth. 1998).
    To succeed in a termination petition, the employer bears the burden to
    prove that the claimant’s disability has ceased and/or that any current disability is
    unrelated to the claimant’s work injury. Jones v. Workers’ Comp. Appeal Bd. (J.C.
    Penney Co.), 
    747 A.2d 430
    , 432 (Pa. Cmwlth.), appeal denied, 
    764 A.2d 1074
    (Pa. 2000). An employer may satisfy this burden by presenting unequivocal and
    competent medical evidence of the claimant’s full recovery from his work-related
    injuries. Koszowski v. Workmen’s Comp. Appeal Bd. (Greyhound Lines, Inc.),
    
    595 A.2d 697
    , 699 (Pa. Cmwlth. 1991).          Furthermore, in order to terminate
    benefits, an employer must prove that all of a claimant’s work-related injuries have
    ceased.    Central Park Lodge v. Workers’ Comp. Appeal Bd. (Robinson),
    
    718 A.2d 368
    , 370 (Pa. Cmwlth. 1998).
    Here, Claimant seems to suggest that the WCJ’s decision is not
    reasoned or supported by substantial evidence because the testimony of Dr. Corba
    supports a finding that Claimant suffers from CRPS with RSD and has not fully
    recovered from his work-related injury, and the WCJ should have accepted
    Dr. Corba’s testimony as more credible than Dr. Horenstein’s testimony.
    Claimant’s arguments, however, demonstrate Claimant’s lack of understanding
    regarding the requirements for a reasoned decision and what constitutes substantial
    evidence to support the WCJ’s findings. While Dr. Corba opined that Claimant
    suffers from CRPS with RSD and is not capable of returning to work as a forklift
    operator, Dr. Horenstein opined that Claimant’s physical examination and pain
    complaints were not consistent with CRPS with RSD and that Claimant had fully
    12
    recovered from his work-related injury as of June 13, 2013. The WCJ credited
    Dr. Horenstein’s testimony over Dr. Corba’s testimony on the basis that
    Dr. Horenstein’s testimony is consistent with Claimant’s diagnostic studies and
    more consistent with Claimant’s work and treatment history. (WCJ’s Decision
    at 7.) Moreover, the WCJ found Dr. Corba’s diagnosis could rise no higher than
    the credibility of Claimant because, according to Dr. Corba, a diagnosis of CRPS
    with RSD is made, at least in part, by patient history. (WCJ’s Decision at 8.) In
    addition, the WCJ rejected Claimant’s testimony as less than credible and
    unpersuasive based on her personal observation of Claimant’s actions and
    demeanor4 and other factors, such as that Claimant’s testimony that he was the
    primary caregiver for his two-year-old daughter, half-time caregiver for his son,
    and summertime caregiver for his daughter was inconsistent with someone with the
    pain levels alleged by Claimant. (WCJ’s Decision at 7.)
    The WCJ’s findings and credibility determinations constitute a
    reasoned decision because the WCJ articulates a rationale for finding
    Dr. Horenstein more credible than Dr. Corba and for discrediting Claimant’s
    testimony. We stress that it does not matter if there is evidence in the record that
    could support a finding contrary to that made by the WCJ; the only inquiry is
    whether there is substantial evidence of record to support the WCJ’s findings.
    
    Hoffmaster, 721 A.2d at 1155
    . The WCJ, as the ultimate fact-finder, had the
    discretion to credit Dr. Horenstein’s testimony over Dr. Corba’s testimony
    regarding whether Claimant suffers from CRPS with RSD and whether Claimant is
    4
    We note that “a WCJ’s observation of a witness’s demeanor alone is sufficient to satisfy
    the reasoned decision requirement.” 
    Amandeo, 37 A.3d at 77
    .
    13
    fully recovered from his February 14, 2011 work-related injury. Furthermore, this
    finding is supported by substantial evidence because Dr. Horenstein opined that
    Claimant’s physical examination and pain complaints were not consistent with
    CRPS with RSD and that Claimant had fully recovered from his work-related
    injury as of June 13, 2013. As a result, the Board properly concluded that the
    WCJ’s decision granting Employer’s termination petition was reasoned and
    supported by substantial evidence.
    Next, we address Claimant’s argument that the WCJ capriciously
    disregarded material, competent evidence of record. More specifically, Claimant
    argues that the WCJ ignored:         (1) the paper entitled “Reflex Sympathetic
    Dystrophy and Complex Regional Pain Syndrome” published by the International
    Research Foundation for RSD/CRPS; (2) Dr. Horenstein’s failure to address
    Claimant’s left ankle brace; and (3) the video surveillance evidence.           We
    previously have held that a capricious disregard only occurs when the WCJ
    deliberately ignores relevant, competent evidence. Capasso v. Workers’ Comp.
    Appeal Bd. (RACS Assocs., Inc.), 
    851 A.2d 997
    , 1002 (Pa. Cmwlth. 2004).
    Capricious disregard of evidence “is a deliberate and baseless disregard of
    apparently trustworthy evidence.” 
    Williams, 862 A.2d at 144
    . “[W]here there is
    substantial evidence to support an agency’s factual findings, and those findings in
    turn support the conclusions, it should remain a rare instance in which an appellate
    court would disturb an adjudication based upon capricious disregard.” Leon E.
    Wintermyer, Inc. v. Workers’ Comp. Appeal Bd. (Marlowe), 
    812 A.2d 478
    , 487
    n.14 (Pa. 2002) (emphasis added).
    First, Claimant has presented no evidence that the paper entitled
    “Reflex Sympathetic Dystrophy and Complex Regional Pain Syndrome” published
    14
    by the International Research Foundation for RSD/CRPS was admitted into
    evidence and, therefore, the WCJ could not have capriciously disregarded it.
    Based upon our review of the record, the paper referenced by Claimant was not
    introduced as an exhibit at a hearing before the WCJ or attached as an exhibit to
    Dr. Corba’s deposition. Rather, the paper was merely discussed with Dr. Corba at
    the time of his deposition. (R.R. at 11a-13a.) In addition, we note that the paper
    itself does not provide any evidence relative to whether Claimant suffers from
    CRPS with RSD or whether Claimant has fully recovered from his work-related
    injury. Second, with respect to the video surveillance evidence, the WCJ did not
    deliberately ignore or baselessly disregard relevant evidence. The WCJ took the
    video surveillance evidence into consideration when she admitted it into the
    record, but decided to give it little to no weight in reaching her decision. Lastly,
    Claimant’s argument that the WCJ capriciously disregarded that Dr. Horenstein
    failed to address Claimant’s left ankle brace essentially attacks the WCJ’s
    credibility determinations. This Court will not overturn the WCJ’s credibility
    determinations or reweigh the evidence for the reasons set forth above. As a result,
    we cannot conclude that the WCJ capriciously disregarded evidence.
    Next, we address Claimant’s argument that the WCJ erred in finding
    the video surveillance evidence irrelevant. More specifically, Claimant argues that
    “the video surveillance is relevant because it substantiates . . . Claimant’s
    testimony that he leads an enforced sedentary life.” (Claimant’s Br. at 24.) While
    the WCJ used the word “irrelevant” to describe her conclusion not to rely on
    Mr. Magaskie’s testimony in reaching her decision, we believe that the WCJ
    intended to indicate that she afforded the testimony little or no weight. The WCJ
    determined that the video surveillance evidence was relevant when she admitted
    15
    Mr. Magaskie’s deposition testimony into the record and addressed such testimony
    in her decision. By relying solely on the medical evidence and not considering the
    video surveillance evidence in rendering her decision, the WCJ actually
    determined that she would give the video surveillance little to no weight. “[T]he
    WCJ is the sole arbiter of the credibility and the weight of testimony and other
    evidence, and he or she is free to reject or accept the testimony of any witness in
    whole or in part.” O’Donnell v. Workers’ Comp. Appeal Bd. (United Parcel Serv.),
    
    831 A.2d 784
    , 789 (Pa. Cmwlth. 2003). By arguing that the WCJ erred in giving
    the video surveillance evidence little to no weight in her decision, Claimant is
    essentially asking this Court to reweigh the evidence, which we will not do for the
    reasons set forth above. Therefore, we cannot conclude that the WCJ erred in
    giving the video surveillance evidence little to no weight in her decision.
    Finally, we address Claimant’s argument that the WCJ committed an
    error of law when she refused to admit Claimant’s medical records into evidence.
    The admission of evidence in workers’ compensation proceedings lies within the
    sound discretion of the WCJ. Atkins v. Workers’ Comp. Appeal Bd. (Stapley in
    Germantown), 
    735 A.2d 196
    , 199 (Pa. Cmwlth. 1999). The WCJ’s determination
    to exclude evidence will not be overturned unless there was an abuse of discretion.
    
    Id. Here, we
    find no abuse of discretion.       Claimant’s medical records were
    reviewed and explained by both Dr. Corba and Dr. Horenstein in their depositions.
    In addition, the deposition testimony of Dr. Corba and Dr. Horenstein provided the
    WCJ with the medical evidence necessary to issue a decision on Employer’s
    termination petition. Accordingly, we cannot conclude that the WCJ committed an
    error of law in refusing to admit Claimant’s medical records into evidence.
    16
    For the above stated reasons, we affirm the Board’s decision.
    P. KEVIN BROBSON, Judge
    17
    IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Ricardo Cruz,                          :
    Petitioner     :
    :
    v.                         :   No. 1966 C.D. 2015
    :
    Workers’ Compensation Appeal           :
    Board (A.J. Bazzini Co., Inc.),        :
    Respondent   :
    ORDER
    AND NOW, this 22nd day of August, 2016, the order of the Workers’
    Compensation Appeal Board is hereby AFFIRMED.
    P. KEVIN BROBSON, Judge