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burden of proof

A misunderstanding of a key fact can doom an expert opinion.  That was the situation in V.S. v. Spectrum360, No. A-0710-23 (App. Div. June 24, 2024). The petitioner, a special education teacher, was working on July 26, 2021, when a student kicked her in her left breast.  Petitioner felt pain, tenderness, extreme redness and blood clotting in her left breast.

A medical examination on the date of the incident was consistent with a contusion to the left breast.  V.S. had undergone breast augmentation surgery in 2011.  Since then, petitioner admitted that she had gained a “significant amount of weight,” which augmented her breast size.  Petitioner’s board certified plastic surgeon, Dr. Boris Volshteyn, suspected that V.S. “sustained a fracture of the silicone implant on the left side.”  He sent her for an MRI on September 30, 2021.  Dr. Volshteyn said that the MRI “demonstrated significantly increased folding of the implant on the affected left side compared to the right side.”  He attributed the changes in her left breast to the work incident and recommended breast reconstruction surgery and removal and replacement of both breast implants to repair what he thought was a slow leak rupture of the left breast implant.

Petitioner filed a motion for medical treatment seeking breast reconstruction surgery. Respondent sent petitioner for a second opinion with Dr. Beverly Friedlander, a board certified plastic surgeon.  In a key distinction between the two plastic surgeons, Dr. Friedlander noted that petitioner did not have silicone implants, contrary to what Dr. Volshteyn had assumed.  Rather she had saline implants. She pointed out that if Dr. Volshteyn had been correct that petitioner had suffered a rupture or puncture of the left breast when kicked by the student, a deflation in the breast would have occurred rapidly with a saline implant.  When a saline implant is compromised, she said its contents will leak and reabsorb into the body quickly.  But that had not happened in this case.  Even petitioner agreed that there was no material difference in size after the accident between the left and right breasts. 

The experts also disagreed on the interpretation of the MRI results.  The MRI of the left breast showed evidence of folds in the left breast.   Dr. Volshteyn attributed this to the work incident, arguing that the MRI demonstrated “significantly increased folding of the implant on the affected left side compared to the right side.”  Dr. Friedlander read the same MRI but she did not notice in her examination any rippling in the left breast.  She added that ripples in breast implants are actually quite common.  She said that all breast implants ripple, and that if an implant is underfilled, the ripples are even more observable.  In her opinion, one implant was inflated more than the other implant, leading to surface irregularities. She concluded that the folds that showed on the MRI had nothing to do with the work injury.

The Judge of Compensation denied the petitioner’s motion, finding that Dr. Friedlander was more credible than petitioner’s expert.  The Appellate Division affirmed the dismissal.  It said, “The judge found Dr. Volshteyn erroneously believed V.S. had silicone – not saline – implants and that mistake regarding the composition of the implants undermined his overall opinion.” The Court felt that there was sufficient credible evidence for the Judge of Compensation to find Dr. Friedlander more credible in that petitioner’s left breast implant was intact and had not ruptured contrary to the opinion of Dr. Volshteyn.

As for petitioner’s complaint of more pain in her left breast after the accident, the Court noted that Dr. Friedlander had an explanation for this.  Petitioner had chronic pain related to a 2007 motor vehicle accident as well as lupus/rheumatoid arthritis.  Dr. Friedlander also said that petitioner had a history of discomfort in both breasts related to her significant weight gain since the time of her 2011 augmentation.

The post Court Finds Petitioner Cannot Prove Work-Related Need for Breast Reconstruction Surgery appeared first on NJ Workers' Comp Blog.

There are very few cases in the New Jersey Division of Workers’ Compensation involving injuries to employees who are shot at work. Avery v. Next Mile, LLC/DSP, No. A-2506-22 (App. Div. May 23, 2024) presents several interesting issues.

Petitioner, Mr. Avery, worked for Next Mile, which acted as a subcontractor for Amazon.  On August 27, 2020, Avery reported to work in a parking lot over which Amazon exercised some control.  Avery got there an hour early, waiting for delivery assignments from a dispatcher.  He said he was wearing “Amazon clothing.”  While he waited, he sat on the rear bumper of a delivery truck.

Petitioner testified that about 15-30 minutes after his arrival, he saw a person wearing a mask and an Amazon vest approach him.  This individual stood two arms’ lengths away from him and proceeded to point his gun at Avery, shoot him, and then flee the scene. The shooter took nothing from Avery and did not attempt to harm anyone else in the parking lot.

Petitioner was admitted to the hospital.  Following his discharge, he fled to the State of Massachusetts out of fear for his life.  He then returned to New Jersey for two days.  In December 2020, petitioner went grocery shopping and saw two individuals in the grocery store wearing ski masks. He was convinced these individuals were trying to kill him, so he fled this time to the State of Florida.

At trial petitioner admitted on cross examination that he had had an argument on the phone one or two weeks before the shooting with a former Amazon employee, Mr. Blocker, regarding some money that petitioner owed Mr. Blocker for purchasing credit cards.  Petitioner further admitted that he and Blocker had no issues arising from work when they worked together.

Supervising Judge of Compensation, the Honorable Robert D. Thuring, heard petitioner’s testimony and found petitioner to be lacking in credibility.  He noted inconsistencies in petitioner’s testimony regarding his version of events.  The Judge found that the shooting did take place during the course of petitioner’s employment but that it did not arise from his employment.  He therefore dismissed the case. The Judge of Compensation explained his reasoning as follows:

Petitioner testified that he had no issues with [Blocker] while they were both working for respondent and the purchase of the credit card from [Blocker] had nothing to do with the petitioner’s employment with respondent.  Furthermore, the shooting appears to have been a targeted act and was just as likely to have occurred outside the workplace.  I find that it is more likely than not that the shooting was related to the credit card purchase from [Blocker].  Even if the shooting was unrelated to [Blocker], the record is still void of any evidence connecting the incident to the petitioner’s employment with the respondent.

Petitioner appealed and argued that the Judge of Compensation should have placed the burden of proof on respondent to disprove that the shooting arose from employment.  Counsel for petitioner argued that neither the police nor respondent had been able to identify the shooter.  Petitioner urged the Court to follow the line of cases in idiopathic claims that shift the burden of proof to respondent.  In idiopathic defenses in New Jersey, the employer must prove that the injury was more likely caused by a personal condition.  The Appellate Division rejected this argument and said that this case had nothing to do with a preexisting physical condition.  The physical injury was clearly caused by the shooting. Instead, the Court relied on a line of cases that pertains directly to work assaults.  “When an assault on an employee is purely the product of a personal relationship against him by the ‘assailant’ . . . and the assailant is not a ‘fellow-employee, and there is no more connection between the assault and the employment than that it occurs while the employee is at work, recovery is not allowed.’ “ Pittel v. Rubin Bros. Bergen, Inc., 59 N.J. Super. 531, 536 (App. Div.1960).

The Court held that the burden of proof in this case rested on petitioner to show more likely than not that the shooting arose from work.  The decision is instructive for several reasons.  No one knew the identity of the assailant, but the Judge of Compensation and the Appellate Division concurred that petitioner failed to prove a work connection to the shooting.  The Appellate Division said, “In addition to issues of credibility with petitioner’s testimony, the judge’s findings were supported by facts in the record:  petitioner was singled out and shot in a parking lot where several other individuals were also present, the incident was not theft-related and no one else was approached or injured.”

The case underscores the point that the burden of proof really does make a difference in many cases and that not every injury that happens at work arises from work.

This case was successfully tried in the Division of Workers’ Compensation by Capehart shareholder, Ashley Fiore, Esq., and was successfully argued in the Appellate Division by Capehart shareholder, Brian Berkoff, Esq.

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