Tyson Shared Services, Inc. v. WCAB (Perez) ( 2020 )


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  •              IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Tyson Shared Services, Inc.,         :
    Petitioner          :
    :
    v.                      :
    :
    Workers’ Compensation Appeal         :
    Board (Perez),                       :     No. 1048 C.D. 2019
    Respondent           :     Submitted: November 8, 2019
    BEFORE:      HONORABLE MARY HANNAH LEAVITT, President Judge
    HONORABLE ANNE E. COVEY, Judge
    HONORABLE CHRISTINE FIZZANO CANNON, Judge
    OPINION BY
    JUDGE COVEY                                FILED: February 3, 2020
    Tyson Shared Services, Inc. (Employer) petitions this Court for review
    of the Workers’ Compensation (WC) Appeal Board’s (Board) July 11, 2019 order
    affirming, as modified, the Workers’ Compensation Judge’s (WCJ) decision granting
    Gualberto Perez’s (Claimant) Petition to Reinstate WC Benefits (Reinstatement
    Petition). The issue before the Court is whether the Board erred by modifying the
    WCJ’s decision.
    On December 3, 2014, Claimant injured his right shoulder while
    working as a mechanic for Employer. Claimant returned to work in a light-duty
    janitorial capacity.   On December 30, 2014, Claimant underwent right shoulder
    surgery during which Claimant’s surgeon, Joel A. Horning, M.D. (Dr. Horning),
    performed a torn rotator cuff repair and a decompression. On January 15, 2015,
    Claimant filed a Claim Petition for his right shoulder injury. On February 2, 2015,
    Employer filed an answer to the Claim Petition, in which it denied Claimant’s
    material allegations. On February 9, 2015, Dr. Horning released Claimant to return
    to work with restrictions. By February 20, 2015 letter, Employer requested Claimant
    to return to work on March 2, 2015, in a modified-duty janitorial position consistent
    with Dr. Horning’s work restrictions and with no earnings loss (2015 Job Offer).
    Claimant did not return to work. On March 4, 2015, Employer issued a medical-only
    Notice of Compensation Payable (NCP) that described Claimant’s December 3, 2014
    injury as a work-related, right shoulder rotator cuff tear.
    The WCJ held hearings on February 25, June 5, and July 27, 2015, and,
    on November 2, 2015, denied and dismissed the Claim Petition. The WCJ also
    suspended Claimant’s disability benefits as of March 2, 2015, due to the 2015 Job
    Offer and Claimant’s failure to return to work. The WCJ concluded that Claimant
    failed to meet his burden of proving that he suffered ongoing disability beyond March
    2, 2015, due to his work injury.
    On March 3, 2017, Claimant filed the Reinstatement Petition, alleging
    that his right shoulder injury worsened after a third right shoulder surgery on August
    10, 2016. Employer filed its answer thereto, admitting that Claimant underwent
    work-related shoulder surgery and was entitled to reinstatement of temporary total
    disability benefits for a limited time period.
    On March 27, 2017, Claimant testified at a WCJ hearing in support of
    his Reinstatement Petition. According to Claimant, Dr. Brian Brislin (Dr. Brislin)1
    performed Claimant’s August 10, 2016 shoulder surgery. Claimant stated that (at the
    time of his testimony) he could not return to work in any fashion.         On cross-
    examination, Claimant admitted that he last saw Dr. Brislin on December 6, 2016,
    and that, consistent with Dr. Brislin’s office notes, Dr. Brislin imposed a 20-pound
    lifting restriction when lifting with both hands, with no more than 10 pounds of
    lifting using just the right arm. See Reproduced Record (R.R.) at 195a. Claimant
    1
    Dr. Brislin did not testify.
    2
    also acknowledged that Dr. Brislin had released him to light-duty work before the
    December 6, 2016 visit, but Claimant could not recall the specific date. See 
    id. at 196a.
                   Norman B. Stempler, D.O. (Dr. Stempler) testified on Claimant’s behalf
    that he treated Claimant both before and after the August 10, 2016 surgery.
    According to Dr. Stempler, he first examined Claimant after the surgery on December
    16, 2016, and found him to have pain and very limited movement. Dr. Stempler
    explained that he prescribed Claimant a course of physical therapy. Dr. Stempler saw
    Claimant again on February 15, 2017, at which time he observed that Claimant had
    some improved but limited range of motion, but had continuing pain. Dr. Stempler
    described that he also treated Claimant on March 10 and May 5, 2017. On May 5,
    2017,2 Dr. Stempler recalled that he re-enrolled Claimant in physical therapy because
    he believed Claimant’s condition had regressed. Dr. Stempler recounted that as of
    the last office visit, Claimant was still experiencing right shoulder pain, and also
    complained of left shoulder pain caused by overcompensating for the right shoulder.
    Dr. Stempler opined that Claimant was not capable of returning to full-duty work
    after the August 10, 2016 surgery. Further, Dr. Stempler stated that he did not
    believe Claimant could perform any work, given the right shoulder restricted
    movement and pain, and the “significant amount of internal derangement of
    [Claimant’s] left shoulder.”      R.R. at 57a.      However, on cross-examination, Dr.
    Stempler admitted that, as of February 15, 2017, he believed that Claimant was 85%
    to 95% recovered from the work injury, and he released Claimant to modified-duty
    work.       Nonetheless, Dr. Stempler believed that Claimant’s condition regressed
    thereafter.
    Although Dr. Stempler’s notes prescribing physical therapy were dated May 2, 2017, Dr.
    2
    Stempler believed the notes were dated incorrectly and referred to the May 5, 2017 visit.
    3
    Matthew J. Espenshade, D.O. (Dr. Espenshade), a board-certified
    orthopedic surgeon, testified on Employer’s behalf that he performed Claimant’s
    independent medical examination (IME) on August 8, 2017.                    Dr. Espenshade
    described that he reviewed Claimant’s treatment records and noted that Dr. Brislin
    placed Claimant on light-duty work restrictions on October 25, 2016.3
    On March 1, 2018, the WCJ found Claimant’s testimony credible in part
    - specifically, that Claimant was unable to work while he recovered immediately
    following the August 10, 2016 surgery. However, based on Dr. Brislin’s October 25,
    2016 office notes clearing Claimant to return to modified-duty work, the WCJ
    rejected Claimant’s testimony that he remained unable to work thereafter. The WCJ
    also rejected Dr. Stempler’s testimony in its entirety on the basis that it was
    inconsistent and lacked credibility. Instead, the WCJ credited Dr. Espenshade’s
    testimony as “much more credible and worthy of belief.” R.R. at 32a, Finding of
    Fact (FOF) 15.
    The WCJ found relative to Dr. Espenshade’s testimony:
    Dr. Espenshade reviewed the February [] 2015 modified-
    duty job offer letter that was submitted in the prior round of
    litigation . . . [and] reviewed the testimony . . . concerning
    the duties of the offered position. Based upon his review of
    the testimony and the job offer letter and physical
    restrictions placed upon Claimant by Dr. Brislin and
    himself, Dr. Espenshade opined that Claimant was
    physically capable of performing the duties of the offered
    position as of the October 25, 2016 release to modified-duty
    work by Dr. Brislin[.]
    3
    Claimant did not object to Dr. Espenshade’s testimony referencing Dr. Brislin’s October
    25, 2016 modified-duty work restrictions, or that Dr. Brislin’s office notes upon which Dr.
    Espenshade relied were not offered into evidence.
    4
    R.R. at 31a, FOF 5(f). The WCJ also found:
    Dr. Espenshade opined that there is no material difference
    between the work restrictions placed upon Claimant by Dr.
    Horning in reference to the 2015 modified-duty job offer,
    and the work restrictions placed upon Claimant by Dr.
    Brislin [on] October 25, 2016, or the work restrictions he
    himself has placed upon Claimant in August of 2017.
    
    Id., FOF 5(g).
    The WCJ further stated:
    Dr. Espenshade credibly found based upon his review of the
    medical records that Claimant was capable of returning to
    modified-duty work, as per Dr. Brislin, as of October 25,
    2016. Dr. Espenshade pointed out that the restrictions
    placed upon Claimant by Dr. Brislin as of October 25, 2016
    were essentially the same as the work restrictions placed on
    Claimant by Dr. Horning in February of 2015. Dr.
    Espenshade conducted his own extensive physical
    examination of Claimant on August 8, 2017, and
    determined that Claimant could return to modified-duty
    work with the similar restrictions placed on Claimant by
    both Dr. Horning and Dr. Brislin. Dr. Espenshade carefully
    reviewed the [2015 Job Offer] letter regarding the light-duty
    janitorial position and determined that this position fell
    with[in] the work restrictions as outlined by Dr. Brislin as
    of October 25, 2016, and certainly fell within the
    restrictions he placed upon Claimant following the August
    8, 2017 evaluation.
    R.R. at 32a, FOF 15. Accordingly, the WCJ found that Claimant was unable to work
    from August 10, 2016 through October 25, 2016, when Dr. Brislin cleared Claimant
    for modified-duty work.
    In addition, the WCJ
    f[ou]nd[] as fact[,] based [on] the testimony of Dr.
    Espenshade[,] that Claimant regained the ability to perform
    modified-duty work as per Dr. Brislin on October 25, 2016,
    and that this work release was essentially the same level of
    modified-duty work that Dr. Horning had cleared Claimant
    to perform in 2015.
    5
    R.R. at 32a, FOF 17. Finally, the WCJ found
    as fact that[,] as of October 25, 2016, Claimant had
    recovered sufficiently to perform the [duties of the 2015 Job
    Offer] he refused in 2015 [and] . . . that the previously
    refused modified-duty janitorial job fell not only within the
    restrictions as outlined by Dr. Brislin as of October 25,
    2016, but was also within the restrictions as determined by
    Dr. Espenshade as of his August 8, 2017 evaluation of
    Claimant.
    R.R. at 33a, FOF 18. Therefore, the WCJ concluded that Claimant had failed to
    prove an ongoing disability after October 25, 2016, since, as Dr. Espenshade
    explained based on Dr. Brislin’s restrictions, Claimant became capable of performing
    the previously refused janitorial job as of October 25, 2016.                Under the
    circumstances, the WCJ granted Claimant’s Reinstatement Petition in part and
    directed Employer to pay Claimant benefits for the period from August 10, 2016
    through October 24, 2016.
    Claimant appealed to the Board arguing, inter alia, that substantial
    record evidence did not support the WCJ’s finding that Claimant was capable of
    returning to modified work on October 25, 2016. Specifically, Claimant contended
    that the WCJ erred because Dr. Espenshade did not examine Claimant until August 8,
    2017, Dr. Espenshade improperly relied on Dr. Brislin’s hearsay opinion to conclude
    that Claimant was capable of performing the duties of the 2015 Job Offer as of
    October 25, 2016, and Dr. Brislin was the only expert who could testify with respect
    to Claimant’s condition on October 25, 2016, but did not do so.
    By July 11, 2019 decision, the Board affirmed the WCJ’s decision
    suspending Claimant’s wage loss benefits, but modified the suspension date from
    October 25, 2016 to August 8, 2017, the date of Dr. Espenshade’s IME. The Board
    explained:
    6
    A medical expert is permitted to express an opinion based,
    in part, upon reports of others that are not in evidence but
    upon which the expert customarily relies in the practice of
    his profession. Here, however, Dr. Espenshade did not rely
    on Dr. Brislin’s October 2[5], 2016 work restrictions to
    opine that Claimant was capable of returning to the
    previously offered, modified[-]duty job as of October 2[5],
    2016. Rather, Dr. Espenshade opined that the work
    restrictions were similar. No evidence was introduced that
    Dr. Brislin expressed an opinion that Claimant was capable
    of returning to that job offer, nor did [Employer] introduce
    the testimony of Dr. Brislin, which it could have done.
    Additionally, Dr. Espenshade admitted that his opinion
    about Claimant’s work restrictions was limited to the time
    of the IME. We therefore modify the WCJ’s suspension of
    Claimant’s wage loss benefits . . . to a suspension as of
    August 8, 2017, the date of the IME, because we determine
    that the WCJ improperly relied upon hearsay evidence that
    was not corroborated by any other competent evidence of
    record.
    Board Decision at 5-6, R.R. at 18a-19a (citation omitted). Employer appealed to this
    Court.4
    At the outset,
    [o]rdinarily, a claimant seeking reinstatement of suspended
    benefits must establish that the reasons for the suspension
    no longer exist. Specifically, the claimant must establish
    that, through no fault of his or her own, his or her earning
    power is once again adversely affected by his or her
    disability and that the disability which gave rise to the
    original claim continues. However, in cases where the
    suspension of benefits is based on a finding that the
    claimant has failed to pursue job(s) in good faith, the
    claimant’s burden of proof in a reinstatement petition is
    different; specifically, the claimant must prove a change
    in his or her condition such that he or she can no longer
    4
    “This Court’s scope and standard of review of an order of the Board is limited to
    determining whether the necessary findings of fact are supported by substantial evidence, whether
    Board procedures were violated, whether constitutional rights were violated or [whether] an error of
    law was committed.” World Kitchen, Inc. v. Workers’ Comp. Appeal Bd. (Rideout), 
    981 A.2d 342
    ,
    346 n.5 (Pa. Cmwlth. 2009).
    7
    perform the job(s) offered to him or her which served as
    the basis for the earlier suspension.
    Douglas v. Workers’ Comp. Appeal Bd. (Harmony Castings, Inc.), 
    819 A.2d 136
    , 140
    (Pa. Cmwlth. 2003) (emphasis added; citations omitted).
    Employer argues that, in faulting the WCJ for crediting Dr. Brislin’s
    restrictions where Dr. Brislin did not testify, the Board misstated the burden of proof
    in a reinstatement petition by ignoring Claimant’s burden to prove ongoing
    disability. Specifically, Employer contends that the Board mistakenly placed the
    burden on Employer to prove that Claimant was no longer disabled and concluded
    that evidence of Dr. Brislin’s October 25, 2016 release to modified duty was hearsay
    and, as such, extended benefits until the August 8, 2017 IME date. Employer asserts
    that the WCJ properly suspended benefits as of October 25, 2016.
    In placing the burden of proof on Employer, the Board stated:
    Here, both parties agreed that Claimant suffered a work-
    related injury of a right shoulder rotator cuff tear and that he
    had a period of temporar[y] total disability resulting from
    his right-shoulder surgery on August [10], 2016. As
    Claimant was entitled to a reinstatement of benefits,
    [Employer] thus bore the burden of proof that [sic] to show
    that [Claimant’s] loss in earnings was not caused by the
    disability arising from the work-related injury. [Employer]
    was able to meet its burden of proof because it was able to
    show under [Pitt Ohio Express v. Workers’ Compensation
    Appeal Board (Wolff), 
    912 A.2d 206
    (Pa. Cmwlth. 2006),]
    that Claimant made a bad-faith rejection of a previously
    modified position.[5] Therefore, the WCJ did not err in
    suspending Claimant’s wage loss benefits.
    5
    “In this context, bad faith does not mean ‘overt malfeasance on the part of the claimant, but
    is merely the characterization of [the c]laimant’s action for refusing to follow up on a job referral
    without a sufficient reason.’” Napierski v. Workers’ Comp. Appeal Bd. (Scobell Co., Inc.), 
    59 A.3d 57
    , 61 (Pa. Cmwlth. 2013) (quoting Johnson v. Workmen’s Comp. Appeal Bd. (McCarter Transit,
    Inc.), 
    650 A.2d 1178
    , 1180 (Pa. Cmwlth. 1994)).
    8
    Board Decision at 4, R.R. at 17a (citation omitted). Although the Board concluded
    that the WCJ properly suspended Claimant’s benefits, the Board effectively imposed
    a burden on Employer to provide evidence that Claimant was no longer disabled so as
    to entitle Employer to a suspension of Claimant’s benefits.
    In Soja v. Workers’ Compensation Appeal Board (Hillis-Carnes
    Engineering Associates), 
    33 A.3d 702
    (Pa. Cmwlth. 2011), the claimant suffered a
    work-related back injury in 2005 while working as a manual laborer for Hillis-Carnes
    Engineering Associates (Hillis). Hillis accepted the injury under an NCP and the
    claimant thereafter returned to work. In January 2006, while working for a different
    employer, the claimant exacerbated his 2005 work-related back injury.             Hillis
    accepted liability and paid total disability benefits for one month after which benefits
    were suspended. In October 2006, while working for a different employer, the
    claimant experienced intense back pain while bending which radiated down his leg
    into his foot. The claimant filed a reinstatement petition seeking temporary total
    disability benefits as of November 1, 2006. The claimant testified about his ongoing
    physical condition and disability and offered medical evidence that he could not
    return to work due to the original work-related injury. Hillis presented medical
    testimony that the claimant’s injury was unrelated to the original work-related injury
    and also offered an April 24, 2008 surveillance videotape of the claimant (the same
    day he testified for the third time before the WCJ) which depicted claimant moving
    without difficulty and performing work.
    The WCJ concluded that the claimant was disabled from performing his
    usual occupation as of November 1, 2006, due to the original work-related injury.
    The WCJ reinstated benefits from November 1, 2006 until April 23, 2008, and
    suspended benefits as of April 24, 2008, the date of the surveillance videotape. The
    Board affirmed the WCJ’s decision. The claimant appealed, arguing that the Board
    applied an incorrect burden of proof because, once he established a disability, the
    9
    burden shifted to the employer to prove that his ongoing earnings loss was not caused
    by the work injury.
    This Court affirmed the Board’s decision, explaining:
    Where an injured worker petitions for reinstatement, he
    needs to establish that ‘his or her earning power is once
    again adversely affected by his or her disability, and that
    such disability is a continuation of that which arose from his
    or her original claim.’ Bufford v. Workers’ Comp[.] Appeal
    B[d.] (N[.] Am[.] Telecom), . . . 
    2 A.3d 548
    , 558 ([Pa.]
    2010). A reinstatement petition may be prompted by a
    number of circumstances. Here, [the c]laimant asserted that
    his disability was caused by pain when he aggravated his
    2005 injury while tying his shoe. In Bufford, the claimant
    sought a reimbursement of total disability when the
    employer ended his light[-]duty job. Because every
    reinstatement is different, the claimant’s burden of proof
    will be different.
    Where a claimant seeks a reinstatement of benefits
    following a suspension, there remains a presumption that
    the work-related injury has not fully resolved. In a
    suspension, the claimant’s work injury, although not fully
    resolved, does not adversely affect his ability to work.
    Thus, when petitioning for reinstatement the claimant ‘is
    not required to produce medical evidence on the cause of
    his disability.’ City of Phila[.] v. Workers’ Comp[.] Appeal
    B[d.] (McGinn), 
    879 A.2d 838
    , 842 (Pa. Cmwlth. 2005).
    However, the claimant must establish ‘that his earning
    power is once again adversely affected’ and that ‘it is the
    same disability . . . for which he initially received [WC]
    benefits.’ Riley Welding & Fabricating, Inc. v. Workmen’s
    Comp[.] Appeal B[d.] (DeGroft), . . . 
    608 A.2d 598
    , 600
    ([Pa. Cmwlth.] 1992) (emphasis omitted). The claimant
    may seek reinstatement of partial or total disability.
    Here, [the c]laimant sought ‘temporary total disability,’ and
    he proved that as of November 1, 2006, his back and leg
    pain rendered him unable to work. His medical evidence
    correlated that pain to his 2005 work injury. Such evidence
    was appropriate to support reinstatement. [The c]laimant
    argues that once he met that burden, he was entitled to
    continued total disability unless and until [the e]mployer
    10
    showed that his loss of earnings was not caused by his 2005
    injury. We disagree.
    
    Soja, 33 A.3d at 707-08
    (citations and footnote omitted; emphasis added).
    In Soja, “the factual issue in the reinstatement petition was whether the
    [c]laimant’s loss of wages was caused by ongoing pain. Given this issue, . . . it was
    [the c]laimant’s burden to prove that the pain . . . persisted, not dissipated,
    through the pendency of the reinstatement proceeding.”6 
    Id. at 708-09
    (emphasis
    added). This Court further noted that the employer “did not have [the] burden of
    proof in [the] reinstatement petition, unlike a reinstatement where [a] claimant’s
    light[-]duty job has ended[.]” 
    Id. at 708.
    The Court concluded:
    [The c]laimant offered evidence to prove a continuing
    disability. When that evidence was found to be false, [the
    c]laimant argued that proof of disabling pain for a
    single day . . . shifted the burden to [the e]mployer to
    prove a cessation of pain. [The c]laimant cites no
    precedent to support that broad proposition. The nature of
    the reinstatement and the issue raised therein determines the
    burden of proof. Here, [the c]laimant’s evidence did not
    prove a continuation of disabling pain through the
    pendency of the reinstatement petition.
    6
    See also Mader v. Workmen’s Comp. Appeal Bd. (USAir, Inc.), 
    669 A.2d 511
    (Pa. Cmwlth.
    1996) (affirming the WCJ’s reinstatement of benefits for a closed period where the claimant failed
    to prove that loss in wages beyond the closed period resulted from a work-related injury). In Miller
    v. Workers’ Compensation Appeal Board (Johnson Matthey Holdings, Inc.), (Pa. Cmwlth. No. 167
    C.D. 2011, filed June 16, 2011), relying in part on Mader, this Court explained:
    This case involves a reinstatement petition filed by [the c]laimant.
    Therefore, [the c]laimant was required to prove that his disability
    had increased or reoccurred and that his physical condition had
    actually changed in some way, along with the duration of his
    disability. In other words, in this proceeding, the WCJ, based upon
    the evidence presented, could have approved compensation for an
    indefinite period of time, for a closed period of time, or not at all.
    Miller, slip op. at 4 (citations omitted; bold and underline emphasis added). Pursuant to Section
    414(a) of this Court’s Internal Operating Procedures, 210 Pa. Code § 69.414(a), unreported opinions
    are not binding precedent, but may be cited for their persuasive value. Miller is cited for its
    persuasive value.
    11
    
    Id. at 709
    (emphasis added).
    Similarly, in the instant case, the factual issue is whether Claimant’s loss
    of wages was caused and continued to be caused by his work-related injury. Given
    that Claimant was found to have wrongly refused the 2015 Job Offer, Claimant had
    the burden to demonstrate “through the pendency of the reinstatement
    proceeding[,]” 
    Soja, 33 A.3d at 709
    (emphasis added), “a change in his . . . condition
    such that he . . . [could] no longer perform the job(s) offered to him . . . which served
    as the basis for the earlier suspension.” 
    Douglas, 819 A.2d at 140
    .
    Thus, the burden was on Claimant to demonstrate that he was disabled
    for the period in question. The WCJ found credible7 Claimant’s testimony that he
    was unable to work immediately following the August 10, 2016 surgery. However,
    the WCJ rejected Claimant’s assertion that Claimant continued to be “unable to work
    in any capacity” because it was inconsistent with both Dr. Espenshade’s testimony
    and Dr. Brislin’s office notes clearing Claimant to return to modified-duty work on
    October 25, 2016. WCJ Decision at 6, R.R. at 32a, FOF 13. The WCJ also found
    that Claimant’s assertion lacked credibility based on Claimant’s demeanor and
    appearance before the WCJ.          Essentially, the WCJ found Claimant’s testimony
    regarding disability credible only in part, and rejected Claimant’s testimony of
    ongoing disability beyond the date Dr. Brislin released Claimant to modified-duty
    work. Further, the WCJ “reject[ed] [Dr. Stempler’s] testimony in its entirety.” WCJ
    7
    The law is well established that ‘[t]he WCJ is the ultimate factfinder
    and has exclusive province over questions of credibility and
    evidentiary weight.’ Univ. of Pa. v. Workers’ Comp. Appeal Bd.
    (Hicks), 
    16 A.3d 1225
    , 1229 n.8 (Pa. Cmwlth. 2011). ‘The WCJ . . .
    is free to accept or reject, in whole or in part, the testimony of any
    witness, including medical witnesses.’ Griffiths v. Workers’ Comp.
    Appeal Bd. (Red Lobster), 
    760 A.2d 72
    , 76 (Pa. Cmwlth. 2000).
    Pocono Mountain Sch. Dist. v. Workers’ Comp. Appeal Bd. (Easterling), 
    113 A.3d 909
    , 918 (Pa.
    Cmwlth. 2015).
    12
    Decision at 6, R.R. at 32a, FOF 14. Thus, Claimant’s evidence that he continued to
    be disabled beyond October 24, 2016, was found not to be credible, and there is no
    other credible evidence supporting Claimant’s position.8 Accordingly, Claimant did
    not meet his burden of proving ongoing disability beyond October 24, 2016, and the
    Board erred when it modified the WCJ’s decision.
    For all of the above reasons, the Board’s decision is vacated and the
    WCJ’s decision is reinstated.
    ___________________________
    ANNE E. COVEY, Judge
    8
    To the extent Claimant challenges Dr. Espenshade’s use of Dr. Brislin’s office notes on the
    basis that such office notes were hearsay, this Court explained:
    [I]t has long been held that a medical witness may express an opinion
    based upon medical records of others even if those records were not
    introduced into evidence[,] so long as they are the kind of records
    upon which the medical profession customarily relies in the practice
    of [its] profession.
    Mithani v. Workers’ Comp. Appeal Bd. (Mt. Airy Lodge), 
    730 A.2d 566
    , 569 (Pa. Cmwlth. 1999).
    The Pennsylvania Superior Court has explained:
    [A] physician will often base his or her diagnosis on information
    obtained through other sources such as statements from patients,
    nurses’ reports, hospital records, and laboratory tests. [Primavera v.
    Celotex Corp., 
    608 A.2d 515
    , 520 (Pa. Super. 1992)]. ‘The fact that
    experts reasonably and regularly rely on this type of information
    merely to practice their profession lends strong indicia of reliability to
    source material, when it is presented through a qualified expert’s
    eyes.’ 
    Id. ‘When the
    expert witness has consulted numerous sources,
    and uses that information, together with his own professional
    knowledge and experience, to arrive at his opinion, that opinion is
    regarded as evidence in its own right and not as hearsay in disguise.’
    
    Id. (quoting United
    States v. Williams, 
    447 F.2d 1285
    , 1290 (5th Cir.
    1971)).
    Woodard v. Chatterjee, 
    827 A.2d 433
    , 444 (Pa. Super. 2003).
    13
    IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Tyson Shared Services, Inc.,       :
    Petitioner        :
    :
    v.                     :
    :
    Workers’ Compensation Appeal       :
    Board (Perez),                     :    No. 1048 C.D. 2019
    Respondent         :
    ORDER
    AND NOW, this 3rd day of February, 2020, the Workers’ Compensation
    Appeal Board’s July 11, 2019 decision is VACATED, and the Workers’
    Compensation Judge’s March 1, 2018 decision is REINSTATED.
    ___________________________
    ANNE E. COVEY, Judge