                             STATE OF WEST VIRGINIA

                          SUPREME COURT OF APPEALS
                                                                                    FILED
BONNIE S. PISHNER,                                                                March 3, 2017
                                                                              RORY L. PERRY II, CLERK
Claimant Below, Petitioner                                                  SUPREME COURT OF APPEALS
                                                                                OF WEST VIRGINIA

vs.)   No. 16-0272 (BOR Appeal No. 2050827)
                   (Claim No. 2015000924)

WEST VIRGINIA DEPARTMENT OF HEALTH & HUMAN RESOURCES,
Employer Below, Respondent


                             MEMORANDUM DECISION
       Petitioner Bonnie S. Pishner, by Reginald D. Henry, her attorney, appeals the decision of
the West Virginia Workers’ Compensation Board of Review. West Virginia Department of
Health & Human Resources, by Lisa Warner Hunter, its attorney, filed a timely response.

       This appeal arises from the Board of Review’s Final Order dated February 22, 2016, in
which the Board affirmed a September 25, 2015, Order of the Workers’ Compensation Office of
Judges. In its Order, the Office of Judges affirmed the claims administrator’s September 15,
2014, decision which rejected the claim. The Court has carefully reviewed the records, written
arguments, and appendices contained in the briefs, and the case is mature for consideration.

       This Court has considered the parties’ briefs and the record on appeal. The facts and legal
arguments are adequately presented, and the decisional process would not be significantly aided
by oral argument. Upon consideration of the standard of review, the briefs, and the record
presented, the Court finds no substantial question of law and no prejudicial error. For these
reasons, a memorandum decision is appropriate under Rule 21 of the Rules of Appellate
Procedure.

         Ms. Pishner, a former Director of the Adult Services Policy Unit with the West Virginia
Department of Health & Human Resources, alleges she developed carpal tunnel syndrome in the
course of and resulting from her employment over the course of thirty-nine years. Ms. Pishner
testified in a hearing before the Office of Judges that she typed for long periods of the day for
most of her employment. As a trainer, she had to type along with the trainees in order to teach
them the material. Additionally, Ms. Pishner occasionally had to drive long distances to the
training sites.

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        In August of 2010, Ms. Pishner was diagnosed with osteoarthritis predominantly at the
distal interphalangeal joints of the middle, ring, and little fingers of both hands. On August 9,
2011, Ms. Pishner saw Michael Kominsky, D.C., who performed an EMG/NCS study. His
findings were consistent with carpal tunnel syndrome. Ms. Pishner was referred to Stephen
Whitfield, M.D., an orthopedic surgeon, who also diagnosed moderate bilateral carpal tunnel
syndrome and mild to moderate bilateral first carpometacarpal osteoarthritis. On March 25,
2014, Dr. Kominsky performed another EMG/NCS study which revealed a right median nerve
neuropathy at or across the wrist affecting both the sensory and motor fibers. These findings
were consistent with carpal tunnel syndrome.

        Upon filing a claim, Ms. Pishner underwent two independent medical evaluations. On
August 19, 2014, Ms. Pishner saw Paul Bachwitt, M.D., for an independent medical evaluation.
Dr. Bachwitt diagnosed degenerative arthritis and basal joint arthritis, which he opined was
compatible with her age of sixty-five years old. Dr. Bachwitt did not believe Ms. Pishner’s
symptoms revealed clear cut carpal tunnel syndrome. He noted that usually an individual does
not develop carpal tunnel syndrome from clerical duties such as typing. On September 15, 2014,
the claims administrator rejected the claim based on Dr. Bachwitt’s report.

        Ms. Pishner underwent another independent medical evaluation with Marsha Bailey,
M.D., on May 18, 2015. Dr. Bailey also found that Ms. Pishner was not suffering from carpal
tunnel syndrome. Rather, Dr. Bailey opined that Ms. Pishner’s symptoms of constant hand pain,
loss of strength in her hands, finger pain at the site of her arthritic nodules, pain in the
carpometacarpal joints of both thumbs, and bilateral wrist pain were exclusively the result of her
osteoarthritis. Dr. Bailey further noted that the electrodiagnostic studies performed by Dr.
Kominksy were not valid. Finally, Dr. Bailey found that Ms. Pishner did not fall into an
occupational group with a high risk for carpal tunnel syndrome, and medical studies have failed
to show a relationship between normal clerical activities and carpal tunnel syndrome.

        On September 25, 2015, the Office of Judges affirmed the claims administrator’s decision
rejecting the claim. After reviewing the evidence, the Office of Judges found that Ms. Pishner’s
argument was not as persuasive as that of the West Virginia Department of Health & Human
Resources. While Ms. Pishner submitted documentation from doctors who diagnosed her with
carpal tunnel syndrome, both Dr. Bachwitt and Dr. Bailey reached the conclusion that her
symptoms were a result of her osteoarthritis. Medical records showed that Ms. Pishner had first
been diagnosed with osteoarthritis in 2010 and received treatment for the arthritis and
fibromyalgia. The Office of Judges found that her work duties did not place her in an
occupational group for high risk set forth in West Virginia Code of State Rules §85-20-41.5
(2006). The Board of Review adopted the findings of fact and conclusions of law and affirmed
the Office of Judges’ Order on February 22, 2016.

       We agree with the reasoning and conclusions of the Office of Judges as affirmed by the
Board of Review. Ms. Pishner has a history of osteoarthritis in both hands. Both independent
medical evaluations concluded Ms. Pishner’s symptoms were due to her arthritis and not carpal
tunnel syndrome. Additionally, Ms. Pishner did not have any occupational high risk factors for
developing carpal tunnel syndrome.
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        For the foregoing reasons, we find that the decision of the Board of Review is not in clear
violation of any constitutional or statutory provision, nor is it clearly the result of erroneous
conclusions of law, nor is it based upon a material misstatement or mischaracterization of the
evidentiary record. Therefore, the decision of the Board of Review is affirmed.


                                                                                        Affirmed.

ISSUED: March 3, 2017

CONCURRED IN BY:
Chief Justice Allen H. Loughry II
Justice Robin J. Davis
Justice Margaret L. Workman
Justice Menis E. Ketchum
Justice Elizabeth D. Walker




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