It now is appearing to be a refreshing change in the way the Pennsylvania Bureau of Workers’ Compensation communicates changes in the staffing of the workers’ comp hearing offices across the State. Not long ago, we learned of changes among Workers’ Compensation Judges (WCJ) either through the grapevine, or from the mouths of the WCJs directly involved. Lately, however, much to our delight, the Bureau has begun to communicate news of additions and transfers of WCJs to the attorneys who practice in the area.

Given the communication from the Bureau, we can now advise you folks that Pennsylvania has two new WCJs, Erin Young and Audrey Timm, both of whom will be assigned to the Philadelphia Workers’ Compensation Hearing Office (Southeastern District). This will become official on June 2, 2014. We congratulate each of the new members of the judiciary, and wish them well on the bench.

Additionally, we have been advised that The Honorable Debra Bowers, who had been in the Philadelphia Workers’ Compensation Hearing Office, will be transferring to the Montgomery County office (Eastern District). While Montgomery County is one of the few counties with two hearing offices, it is our understanding that Judge Bowers will be assigned to the workers’ comp hearing office located in Malvern (the other is in Dresher). We wish success to Judge Bowers in her new location.

We just received word from the Pennsylvania Bureau of Workers’ Compensation that, as of May 20, 2014, the Scranton Workers’ Compensation Hearing Office will be moving from 400 Spruce Street, Suite 500 in Scranton, down the street to 321 Spruce Street, 3rd Floor, Scranton. The zip code (and the telephone and fax numbers) will remain the same. Anyone with an active case in the Scranton Office (Central District) should make a note of this change to avoid any issues with locating a hearing, or submitting correspondence.

For some time now, it has been known, or at least suspected, that high doses of pain-relieving agent acetaminophen can lead to serious liver damage. Acetaminophen is sold over the counter on its own (Tylenol), or as an ingredient in more powerful pain medications, such as Percocet (oxycodone and acetaminophen) and Vicodin (hydrocodone and acetaminophen). Back in 2011, the Food and Drug Administration (FDA) issued a release, taking steps to reduce the risk of liver damage from acetaminophen.

Essentially, the FDA called for two things of medicines containing acetaminophen. First, there must be a clear warning on the box, detailing the potential risk for “severe liver injury.” Second, prescription medications should be limited to a maximum of 325 milligrams of acetaminophen per tablet, pill or capsule.

Recently, the FDA issued a statement that all manufacturers of medications containing more than 325 milligrams of acetaminophen per dosage unit have stopped marketing such products. Additionally, the FDA also issued a statement reminding health care providers not to prescribe such products, and pharmacists to stop dispensing them. In short, the position of the FDA is that “(t)hese products are no longer considered safe by FDA and have been voluntarily withdrawn.”

In 1996, major changes were made to the Pennsylvania Workers’ Compensation Act. One of them was providing a credit to the workers’ compensation insurance carrier for unemployment compensation benefits, “old age” (their words, not ours!) Social Security benefits, and pension and severance benefits (to the extent funded by the employer directly responsible for the payment of the workers’ compensation benefits). We occasionally see litigation on when an offset can be taken, and in what amount.

A previous decision by the Commonwealth Court of Pennsylvania in 2007, called Maxim Crane Works v. Workers’ Compensation Appeal Board (Solano), denied a workers’ compensation insurance carrier a retroactive credit for Social Security retirement benefits. This was because the insurance carrier failed to send a form to the injured worker called “Employee’s Report of Benefits for Offsets.” By not sending this form to the injured worker every six months, the Court reasoned, the delay in knowing of the existence of the Social Security retirement benefits was the fault of the insurance carrier. An ongoing credit was permitted, but retroactive was not.

Recently, there was another issue with the application of a retroactive credit, this time regarding a pension plan. In City of Pittsburgh v. Workers’ Compensation Appeal Board (Wright), the injured worker was a firefighter who hurt his right knee fighting a blaze. When the knee did not heal, the injured worker filed for a disability pension from his employer, the City of Pittsburgh. Oddly, because the injured worker first received “Heart and Lung benefits” (a program for police, fire and related professions), the Notice of Compensation Payable was issued about two weeks AFTER the disability pension was requested.

A couple of months ago, we mentioned the FDA approval of a new pain medication, called Zohydro. The same properties which make Zohydro so exciting for the medical profession, and injured workers everywhere, caused great angst among government and addiction officials. Fast and effective relief of severe pain, unfortunately, also can lead to misuse and/or abuse of any substance. These concerns had officials lobbying the FDA to revoke its approval for this medication.

Recently, the FDA issued a Fact Sheet about Zohydro. After taking a close look at the benefits and risks of this medication, the FDA determined that its approval (for its intended usage) was correct. In fact, the FDA issued this release, in part, to correct some misconceptions about Zohydro.

Specifically, the FDA noted that Zohydro is available in varying strengths. Since it is designed to be a time-release medication, though Zohydro contains more hydrocodone than some other products, it is actually less potent than other opiate-based pain relievers currently on the market, as they are immediate-release products. Further, there is evidence that abuse-deterrent properties of some competing medications, such as Oxycontin, are not completely effective at preventing abuse or addiction. The FDA also recognized that, even if Oxycontin has some abuse-deterrent properties not found in Zohydro, Oxycontin “does not meet the medical needs of all people in severe pain.”

Once limited to a role in science fiction books and movies, nanotechnology is getting ready to invade our lives in beneficial ways. Nanotechnology is the study of, or use of, extremely small things, often at the atomic level. How small? One nanometer is a billionth of a meter, or, in other words, there are 25,400,000 nanometers in an inch. Obviously, we cannot see these things with the naked eye (or even a basic microscope).

Scientists have discussed how nanotechnology could impact medicine for years. Or, at least, they have done so in theory. Nanobots could, in theory, perform surgical tasks in a human body; sort of a real version of the 1966 movie, Fantastic Voyage. Nanotechnology could also assist in prosthetics, medical tools and processes. The possibilities are truly endless.

But, some uses of nanotechnology have left the realm of “theory” and moved into that of “reality.” One recent example is an experiment conducted using an injection of magnetic nanoparticles in place of traditional anesthetic for an ankle block. The study was successful, demonstrating that this process does work (at least in rats). By identifying specific areas in which nanotechnology may benefit us, these researchers are helping other scientists refine realistic use of the nanotechnology.

Sometimes the Pennsylvania Bureau of Workers’ Compensation is hard to figure out. Typically, the hiring or transfer of Workers’ Compensation Judges (WCJs) is done behind the scenes with no formal notice or announcement. We usually discover the news through the grapevine. Indeed, yesterday, a member of the judiciary advised us of some impending transfers and new assignments. Yet, before we could even put pen to (virtual) paper for a blog entry, we were shocked and delighted by the receipt of an e-mail from the Bureau, announcing all of the new WCJ hirings and transfers.

There will be three new WCJs added to the judiciary, all in the Central District. In the Harrisburg Workers’ Compensation Hearing Office, Jeffrey Russell will be the New WCJ. Nathan Pogirski has been added to the bench in the Pottsville Workers’ Compensation Hearing Office, and Daniel Snyder will be taking the bench in the Wilkes-Barre Workers’ Compensation Hearing Office.

Additionally, several WCJs will be transferring to different hearing offices. Judge Kutz will remain in the Central District, moving from Pottsville to Harrisburg. Moving from the Central to the Eastern District, Judge Weyl goes from Harrisburg to Lancaster. Previously in Lancaster, Judge Hetrick will now be in Reading, both in the Eastern District. Also staying in the Eastern District will be Judge Puhala, who moves from Reading to Allentown. Judge Beach leaves the Eastern District’s Allentown office, going to the Philadelphia Workers’ Compensation Hearing Office, located in the Southeastern District. In the Western part of the State, Judge Jones moves from Washington to Pittsburgh, and Judge Santoro journeys across the State, leaving Philadelphia and heading for New Castle.

Often in a PA workers’ compensation case, the burden of proof is a critical issue. For example, the burden of proof faced by an injured worker in litigation of a Claim Petition is very different from that in a Reinstatement Petition. Unfortunately, however, there are times when an injured worker can win the battle (and have an appellate court agree an incorrect burden was placed) but lose the war (the appellate court then finding the injured worker still loses).

Such was the situation in Furnari v. Workers’ Compensation Appeal Board (Temple Inland). Here, the injured worker tore a tendon in his knee while doing his job, and required surgery on the knee. The workers’ compensation insurance carrier issued a medical-only Notice of Compensation Payable [NCP] (accepting the injury, but not disability), but the employer continued to pay the injured worker his regular salary (salary continuation). The injured worker then went back to a modified duty job for about five months before resigning.

Subsequently, the injured worker filed a Petition for Reinstatement, seeking ongoing workers’ compensation benefits. This was amended by the injured worker during the litigation to include a Claim Petition. The Workers’ Compensation Judge (WCJ) found that the combination of the medical-only NCP and the payment of salary continuation acted as if there was a full NCP, so the proper burden of proof was only that of a Petition for Reinstatement. The injured worker need only show that his loss in earnings was related to his injury. Unfortunately for the injured worker, the WCJ ultimately concluded that the injured worker failed to show that his injury worsened or that he was not capable of the modified duty job that remained available to him. As such, the Reinstatement Petition was denied.

It is with mixed emotion that we received word of the retirement of Workers’ Compensation Judge (WCJ) Carl Lorine. Judge Lorine was a member of the judiciary in the Upper Darby Workers’ Compensation Hearing Office, which is located in the Southeastern District. Prior to becoming a WCJ, Judge Lorine served as Director of the Pennsylvania Bureau of Workers’ Compensation. We wish Judge Lorine great health and happiness in his retirement, but we will miss his presence on the bench in Delaware County.

When an injured worker in Pennsylvania discovers that it may take a year or more to get a decision in his or her PA workers’ compensation case, the client is often, understandably, distraught. We often explain that our job is to maximize the chances that the case is litigated properly, but we are not able to make it go any faster. This, of course, does not help pay the client’s bills while the litigation continues.

So, we are certainly aware of the hardships that injured workers face while awaiting a decision in their cases. At the same time, we are also aware of what is required in the litigation of a case. In most cases, the injured worker will testify, there will be a deposition from at least one medical expert on each side, and, often, either testimony or a deposition from a fact witness, or a different kind of expert (such as vocational). Once we take all of that evidence, we write briefs (which are anything but “brief”) and then it goes to the Workers’ Compensation Judge (WCJ) to await a decision. Depending on the complexity of the case, this can take well over a year to have all of this completed.

We have been told recently by a few WCJs that the PA Bureau of Workers’ Compensation is now quietly insisting that cases be tried, and decided, within a year. They are labelling this new push as the “Rocket Docket.” While this can have some beneficial aspects, by having cases decided sooner, it also carries significant costs, such as the WCJs rushing cases, or by multiple attorneys having to handle a file due to frequent conflicts (less common with a smaller firm like ours, but still a risk).

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