State ex rel. Woodman v. Ohio Pub. Emps. Retirement Sys. (Slip Opinion) , 144 Ohio St. 3d 367 ( 2015 )


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  • [Until this opinion appears in the Ohio Official Reports advance sheets, it may be cited as
    State ex rel. Woodman v. Ohio Pub. Emps. Retirement Sys., Slip Opinion No. 2015-Ohio-3807.]
    NOTICE
    This slip opinion is subject to formal revision before it is published in
    an advance sheet of the Ohio Official Reports. Readers are requested
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    65 South Front Street, Columbus, Ohio 43215, of any typographical or
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    made before the opinion is published.
    SLIP OPINION NO. 2015-OHIO-3807
    THE STATE EX REL. WOODMAN, APPELLEE, v. OHIO PUBLIC EMPLOYEES
    RETIREMENT SYSTEM ET AL., APPELLANTS.
    [Until this opinion appears in the Ohio Official Reports advance sheets, it
    may be cited as State ex rel. Woodman v. Ohio Pub. Emps. Retirement Sys.,
    Slip Opinion No. 2015-Ohio-3807.]
    Court of appeals abused its discretion by independently reevaluating medical
    evidence and substituting its judgment regarding weight and credibility
    for that of the board of the Public Employees Retirement System.
    (No. 2014-0436—Submitted March 10, 2015—Decided September 22, 2015.)
    APPEAL from the Court of Appeals for Franklin County, No. 13AP-406,
    2014-Ohio-710.
    ________________
    Per Curiam.
    {¶ 1} Appellee, Raeanne Woodman, sought a writ of mandamus in the
    court of appeals to compel appellants, the Ohio Public Employees Retirement
    System (“OPERS”) and its board of trustees (collectively, “the board”), to grant
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    her application for disability benefits.       The Tenth District Court of Appeals
    granted the writ. Because the court of appeals independently reevaluated the
    medical evidence and substituted its judgment regarding weight and credibility for
    that of the board, we hold that the court of appeals abused its discretion, and we
    reverse.
    Background
    {¶ 2} In 1989, Woodman suffered a hemorrhage in the pons, an area of the
    brainstem. In 1989 and 1991, she underwent surgery, and part of her pons and
    part of her cerebellum were removed. As a result of the surgery and the original
    hemorrhage, the muscles on the right side of Woodman’s face are weak, she has
    lost vision in her right eye and some of her hearing, and she is confined to a
    wheelchair.
    {¶ 3} In 1999, the Ohio State University English Department hired
    Woodman as an office assistant. Her position was eliminated in November 2011.
    {¶ 4} In October 2011, Woodman submitted a disability-retirement
    application to the board.    In the application, Woodman indicated that her
    condition had progressively worsened over the years, and she identified three
    specific limitations. Her “biggest problem,” she wrote, was her eyesight. In
    addition, she stated that her handwriting has become illegible even to herself.
    And third, she spelled out in some detail her worsening hearing problems.
    As I have been getting older, I’ve found that my hearing ability is
    decreasing and my vision has become much worse. I now have
    trouble hearing students and co-workers when they are in the
    office. Over the years, my condition has progressively worsened. *
    * * My hearing has also become jumbled. I find that if I’m in an
    office setting with various noise [sic] and sounds occurring, I am
    unable to hear and understand the individual student that I might
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    be speaking to at my front desk. I try to lean over my desk to hear
    the individual, but this has become too limiting.
    {¶ 5} In support of her application, she submitted a report, dated October
    13, 2011, from Donald Mack, M.D., which noted the following disabling
    conditions: (1) Pontine hemorrhage with hemiparesis, (2) wheelchair bound, (3)
    carpal tunnel syndrome, and (4) decreased hearing. Dr. Mack described her
    prognosis for recovery as poor and described her deficits as permanent.
    {¶ 6} The board required Woodman to submit to an independent medical
    examination with Dr. Robert Shadel. Dr. Shadel prepared a report in which he
    concluded that Woodman was not disabled. In response to the specific question
    whether Woodman’s hearing loss affected her ability to perform her job functions,
    Dr. Shadel wrote:
    In my medical opinion, Ms. Woodman has demonstrated adequate
    hearing in the examination room to allow her to perform the
    necessary job functions of office assistant. She is able to hear
    conversation well and accurately. As I have noted above, she is
    bright and articulate and has no trouble responding to spoken voice
    in appropriate verbal manner. Thus, in my medical opinion, her
    hearing deficit primarily in right ear does not disable her from the
    job of office assistant.
    (Emphasis added.)
    {¶ 7} Woodman’s file, which included Dr. Shadel’s report, was then sent
    to Managed Medical          Review Organization (“MMro”) (the third-party
    administrator for the board) for review. Based on Dr. Shadel’s report, Dr. Jeffrey
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    Deitch recommended rejection of the claim. The board rejected the claim by
    letter dated February 16, 2012.
    {¶ 8} Woodman appealed. In support of the appeal, she submitted an
    examination report from Dr. Gerald Steiman. In his report, Dr. Steiman noted
    that testing on April 4, 2012, showed reduced hearing. Woodman displayed
    moderate-to-severe neurosensory hearing loss on her right side, with poor speech
    recognition. And otoacoustic-emission testing “revealed absent in all frequencies
    in the right ear.” Based on her test results and his own examination, Dr. Steiman
    concluded that her hearing dynamics had been altered such that her discrimination
    is “markedly reduced” on the right side.
    {¶ 9} Dr. Steiman opined that Woodman was unable to perform the
    functions of an office assistant. However, his report did not indicate whether
    Woodman’s disabling condition was her hearing loss, her vision loss, her
    paralysis, her memory problems, or some combination of these and other
    conditions.
    {¶ 10} MMro scheduled a second independent medical examination, this
    one to be conducted by Dr. Eric Schaub. However, there is no indication in the
    record that the exam ever occurred, or if it did, that the results were considered in
    subsequent reviews of the file.
    {¶ 11} On November 27, 2012, Dr. Elena Antonelli issued a report, which
    included a review of the supplemental information from Dr. Steiman.              Dr.
    Antonelli concluded that Woodman’s subjective complaints “do appear to
    correlate with the objective clinical findings in the medical documentation,” but
    that Woodman was not disabled from performing her occupation. In support of
    her conclusion, she offered two rationales:
    There is no evidence that the claimant has significantly worsened
    since she was last able to do her job and she was terminated from
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    her job due to termination of the job itself and not due to disability.
    There is no evidence that she is unable to be accommodated
    sufficiently to be able to do her job as she has done in the past.
    Dr. Deitch submitted a second report, again recommending that OPERS deny the
    claim.1
    {¶ 12} The board officially rejected Woodman’s appeal and again found
    that she was not permanently disabled, by letter dated December 20, 2012.
    Woodman then filed suit for a writ of mandamus in the Tenth District Court of
    Appeals. The magistrate recommended denial of the writ, stating:
    Although there is some evidence in the record which would
    indicate that [Woodman’s] disabling condition continues to slowly
    worsen, the magistrate finds that [the board] did not abuse its
    discretion when it determined that [Woodman] had not
    demonstrated that her disabling condition was preventing her from
    being able to perform her job duties as a part-time receptionist.
    However, the court of appeals did not follow the magistrate’s recommendation.
    {¶ 13} Instead, a majority of the court noted that Woodman had
    complained of worsening hearing that made it impossible to hear what students
    and coworkers were saying and that Dr. Steiman had confirmed that Woodman
    had trouble hearing if there was other noise in the room, including other people
    talking. The majority opinion criticized Dr. Shadel for evaluating Woodman’s
    1
    In its brief to the Tenth District, the board represented that Dr. Andrew Smith also reviewed the
    file and recommended rejection of the claim. The magistrate’s report also refers to Dr. Smith.
    However, the record contains no medical records or reports from Dr. Smith.
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    hearing in an examination room only, not in a room where background noise was
    present.
    Woodman had informed OPERS and the [independent-
    medical-exam] doctors who examined her at OPERS’s request that
    she had major trouble hearing in her environment at the OSU
    Department of English. None of the [independent-medical-exam
    doctors] tested her in anything approximating a normal work
    environment with background noise. The doctors who evaluated
    her with a view to such a work environment all concluded that she
    could not do her work any more [sic].
    Based upon this hole in the medical evidence, the decision
    by OPERS was arbitrary and unreasonable. There was simply no
    evidence to support a finding that her hearing allowed her to return
    to work as a receptionist.
    The court therefore granted the writ and ordered the board to award benefits.
    {¶ 14} Judge Sadler dissented, asserting that the court could not raise an
    issue regarding the testing environment sua sponte, when the parties had never
    challenged the adequacy of Dr. Shadel’s testing. The board timely appealed.
    Woodman has submitted an unopposed request for oral argument. We hold that
    the parties’ briefs are sufficient to resolve the appeal, and therefore, we deny the
    motion.
    Legal analysis
    {¶ 15} In its first proposition of law, the board contends that it did not
    abuse its discretion in denying benefits, because the record contains “some
    evidence” to support its conclusion, namely, Dr. Shadel’s opinion that Woodman
    “demonstrated adequate hearing in the examination room to allow her to perform
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    January Term, 2015
    the necessary job functions of office assistant.” By rejecting Dr. Shadel’s testing
    as inadequate, the board contends, the court of appeals abused its discretion and
    overstepped its bounds by independently reviewing the weight and credibility of
    the medical evidence.
    {¶ 16} Mandamus is an appropriate remedy when no statutory right of
    appeal is available to correct an abuse of discretion by an administrative body.
    State ex rel. Pipoly v. State Teachers Retirement Sys., 
    95 Ohio St. 3d 327
    , 2002-
    Ohio-2219, 
    767 N.E.2d 719
    , ¶ 14. Because there is no right to appeal an adverse
    decision regarding disability-retirement benefits, mandamus is an appropriate
    remedy. State ex rel. Cydrus v. Ohio Pub. Emps. Retirement Sys., 
    127 Ohio St. 3d 257
    , 2010-Ohio-5770, 
    938 N.E.2d 1028
    , ¶ 13.
    {¶ 17} An abuse of discretion occurs when an administrative body issues a
    decision that is unreasonable, arbitrary, or unconscionable. State ex rel. Shisler v.
    Ohio Pub. Emps. Retirement Sys., 
    122 Ohio St. 3d 148
    , 2009-Ohio-2522, 
    909 N.E.2d 610
    , ¶ 11.       The board abuses its discretion—and a clear right to
    mandamus exists—if it enters an order that is not supported by some evidence.
    State ex rel. Nese v. State Teachers Retirement Bd. of Ohio, 
    136 Ohio St. 3d 103
    ,
    2013-Ohio-1777, 
    991 N.E.2d 218
    , ¶ 26; State ex rel. Schaengold v. Ohio Pub.
    Emps. Retirement Sys., 
    114 Ohio St. 3d 147
    , 2007-Ohio-3760, 
    870 N.E.2d 719
    ,
    ¶ 19.   Only if the board’s decision is not supported by any evidence will
    mandamus lie. State ex rel. Riddell v. State Teachers Retirement Bd., 10th Dist.
    Franklin No. 13AP-660, 2014-Ohio-1646, ¶ 20.
    {¶ 18} The board is solely responsible for assessing evidentiary weight
    and credibility, and a reviewing court should not independently reweigh the
    medical evidence. State ex rel. Hart v. Indus. Comm., 
    66 Ohio St. 3d 95
    , 96-97,
    
    609 N.E.2d 166
    (1993); State ex rel. Guthrie v. Ohio Pub. Emps. Retirement Sys.,
    10th Dist. Franklin No. 10AP-689, 2011-Ohio-6557, ¶ 13. But that is precisely
    what the court of appeals did: the majority held that Dr. Shadel’s medical opinion
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    was unworthy of consideration because (in the court’s view) his testing protocol
    was inadequate and less valid than the testing performed by the doctors
    supporting Woodman’s application. But a board does not abuse its discretion by
    accepting the opinion of its reviewing physician over that of the claimant’s
    treating physician. Cydrus, ¶ 30.
    {¶ 19} Woodman argues that Dr. Shadel’s report cannot constitute “some
    evidence” to support the decision because the report is internally inconsistent. A
    report that is internally inconsistent cannot be “some evidence” supporting an
    agency’s decision. State ex rel. Wyrick v. Indus. Comm., 
    138 Ohio St. 3d 465
    ,
    2014-Ohio-541, 
    8 N.E.3d 878
    , ¶ 14. In his report, Dr. Shadel noted Woodman’s
    facial paresis and right-eye impairments. But according to Woodman, Dr. Shadel
    then “concluded that poor hearing and poor vision were not reflected by objective
    findings,” thereby contradicting his own clinical findings.
    {¶ 20} Woodman’s argument is based on a misinterpretation of a poorly
    written sentence in the report: “Subjective complaints are primarily of poor
    hearing hemiplegia and poor vision are not reflected by objective findings of
    disabling hearing or vision dysfunction or by objective findings of extremity
    functioning that does not appear to be significant to a level of causing any
    disability.” The key word in that sentence is “disabling.” Dr. Shadel is not
    denying the existence of her problems, only their severity.
    {¶ 21} Wyrick, which Woodman cites in support of her argument, is
    distinguishable. In Wyrick, the examining physician found that the claimant was
    able to use his hand, wrist, and forearm only if his elbow remained at waist level,
    and yet somehow concluded that the claimant retained “significant remaining
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    January Term, 2015
    function of his left upper extremity.” 
    Id., ¶ 14.
    Those two statements are in
    complete contradiction, unlike the statements in Dr. Shadel’s report.2
    {¶ 22} The fact that Woodman produced medical evidence to contradict
    Dr. Shadel’s opinion is immaterial. State ex rel. Am. Std., Inc. v. Boehler, 
    99 Ohio St. 3d 39
    , 2003-Ohio-2457, 
    788 N.E.2d 1053
    , ¶ 29. And in fact, it is not
    even clear that Woodman produced contradictory evidence. As noted above, Dr.
    Steiman never identified the disabling condition. Moreover, as noted in Dr.
    Antonelli’s report, Woodman’s employment ended for nonperformance reasons
    and there is no evidence that she was unable to perform her duties at the time her
    position was eliminated or that her condition had worsened since then.
    {¶ 23} The board’s appeal presents two additional propositions of law. In
    proposition No. 2, the board challenges the authority of the appellate court to raise
    the issue of the hearing-test protocol sua sponte. And in proposition No. 3, the
    board argues that even if there were legitimate questions concerning the testing of
    Woodman’s hearing, the proper remedy was to remand for further proceedings,
    not to issue a writ compelling the board to pay benefits. Given our disposition of
    the first proposition of law, it is unnecessary to address these issues.
    Conclusion
    {¶ 24} For the foregoing reasons, we reverse the judgment of the court of
    appeals.
    Judgment reversed.
    O’CONNOR, C.J., and O’DONNELL, LANZINGER, KENNEDY, FRENCH, and
    O’NEILL, JJ., concur.
    PFEIFER, J., dissents.
    _________________
    2
    Woodman also takes issue with Dr. Shadel’s observation that her speech was “normal and clear,”
    alleging that he “completely ignor[ed] her slurred speech.” But here again, Woodman is attacking
    the quality of the examination, not identifying disqualifying internal contradictions.
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    PFEIFER, J., dissenting.
    {¶ 25} One paragraph from the majority opinion virtually answers the
    issue before us:
    Dr. Steiman opined that Woodman was unable to perform
    the functions of an office assistant. However, his report did not
    indicate whether Woodman’s disabling condition was her hearing
    loss, her vision loss, her paralysis, her memory problems, or some
    combination of these and other conditions.
    Majority opinion at ¶ 9.
    {¶ 26} There might be other conditions? Isn’t this sad laundry list of
    known impairments enough to warrant a declaration that Raeanne Woodman is
    disabled? Apparently not, because there is “some evidence” that Woodman might
    not be disabled. That that evidence is flawed because it is based on a test of
    Woodman’s hearing that was performed under ideal circumstances, not the
    circumstances attendant to fulfilling her job, is immaterial to the board and the
    majority. This is not a malingering malcontent. This is a profoundly disabled
    person who has established that she is no longer capable of performing her job.
    {¶ 27} Instead of siphoning money that it collects to pay pension and
    disability benefits into a fund to pay health-care costs for people who retire before
    they are eligible for Medicare, the Ohio Public Employees Retirement System
    should attend to people, like Woodman, who are disabled. I would affirm the just
    decision of the court of appeals. I dissent.
    _________________
    Daniel H. Klos, for appellee.
    Michael DeWine, Ohio Attorney General, and Matthew T. Green, Senior
    Assistant Attorney General, for appellants.
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    _________________
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