Claim of Doersam v. Oswego County Department of Social Services
The dissenting opinion by Mikoll, J., with Levine, J., argues to affirm the Workers’ Compensation Board's decision that the claimant's heart attack was work-related. The dissent references a series of cases, including *Matter of Klimas v Trans Caribbean Airways* and *Matter of Masse v Robinson Co.*, establishing that work-related stress, without further physical incident, can constitute an accidental injury. The Board found the claimant's job consistently stressful, with specific incidents increasing this stress, exacerbating preexisting hypertension and worsening blood pressure, leading to a heart attack on November 26, 1982. The dissent contends that substantial evidence supports the Board's determination, citing testimony from the impartial specialist and the employer's medical expert which, despite not ruling out causality, acknowledged the role of stress. The opinion concludes that the Board rationally found that the claimant's demanding work and subsequent cardiac symptoms from a frightening incident caused the heart attack.