JIMMY MARTIN v. HON. ROBERT L. WHITTAKER, Director of Special Fund; HON. DENIS S. KLINE, Administrative Law Judge; and WORKERS' COMPENSATION BOARD
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RENDERED: June 4, 1999; 10:00 a.m.
NOT TO BE PUBLISHED
C ommonwealth O f K entucky
C ourt O f A ppeals
NO.
1998-CA-002032-WC
JIMMY MARTIN
APPELLANT
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS' COMPENSATION BOARD
ACTION NO. WC-89-020538
v.
HON. ROBERT L. WHITTAKER,
Director of Special Fund;
HON. DENIS S. KLINE,
Administrative Law Judge; and
WORKERS' COMPENSATION BOARD
APPELLEES
OPINION
AFFIRMING
** ** ** ** **
BEFORE:
GARDNER, KNOX, AND MILLER, JUDGES.
KNOX, JUDGE:
This petition for review of a decision of the
Workers’ Compensation Board (Board) presents the issue of whether
the Administrative Law Judge (ALJ) erred in dismissing Jimmy
Martin’s (Martin) claim for benefits due to coal workers’
pneumoconiosis and a psychiatric condition allegedly caused by
his employment with Diamond N Mining, Inc. (Diamond N).
Finding
no error in the Board’s affirmation of the ALJ’s decision, and
having reviewed the record and applicable law, we affirm.
Martin filed his application for adjustment of claim on
May 31, 1989, alleging he suffered from coal workers’
pneumoconiosis, chronic bronchitis, anxiety syndrome, and posttraumatic stress disorder with depression, all arising as a
result of his employment with Rock Bridge Coal Company (Rock
Bridge) and/or Diamond N.
Martin worked for Rock Bridge over the
course of six (6) or seven (7) months in 1987 until he was laid
off due to the mine closing.
Approximately one (1) year later,
in November 1988, Martin was employed by Diamond N for one (1)
day.
Since that time he has not held any other employment.
The matter was assigned to ALJ Suzanne Shively.
Before
ALJ Shively, Martin produced evidence from Drs. Myers, Wright and
Hieronymus regarding his pneumoconiosis claim, and Dr. Lurie
respecting his psychiatric claims.
On the pneumoconiosis claim,
Diamond N presented the testimony of Drs. Broudy, Mettu, and
Dahhan, while Dr. Granacher testified regarding the psychiatric
claim.
Rock Bridge produced the testimony of Drs. Anderson and
Jarboe discrediting the pneumoconiosis claim, and Dr. George on
the psychiatric claim.
On February 1, 1990, ALJ Shively dismissed Rock Bridge
as a party defendant.1
Thereafter, Martin moved all evidence
produced by Rock Bridge be stricken from the record, which motion
1
ALJ Shively reasoned that Rock Bridge could not be held
liable on the pneumoconiosis claim since Martin was no longer in
its employ at the time of his “last exposure.” With respect to
the psychiatric claims, the ALJ noted that Martin’s “nerves” did
not give way until he went underground for Diamond N. Therefore,
she concluded that if a work-related change in the human organism
had occurred, it took place when Martin was employed by Diamond
N, not Rock Bridge.
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was granted.
Diamond N responded by requesting it be permitted
to substitute the testimony of Dr. Anderson for one of its
physicians, which motion was initially denied but subsequently
granted upon reconsideration.
Ultimately, Martin and Diamond N
entered into a settlement agreement, approved by ALJ Shively on
October 19, 1990, wherein Martin reserved the right to pursue his
claims against the other parties to the action, i.e. the Special
Fund.
On June 16, 1992, Martin moved the matter be submitted
for a final decision.
Although this motion was granted by ALJ
Irene Steen on July 24, 1992, for reasons that are not reflected
in the record, no further action was taken on the claim until
August 27, 1996, when ALJ James Kerr entered an order recusing
himself and remanding the matter to the Department for
reassignment.
On September 12, 1996, the case was reassigned to
ALJ Denis Kline who issued an order on April 1, 1997, stating, in
part:
A review of this file reveals that any
“proof” in this record is beyond stale. I
could not possibly render a decision on the
issues presented without updated proof.
ALJ Kline then granted the parties additional time in
which to submit more current proof.
Martin produced updated
reports from Drs. Myers, Wright, Hieronymus and Lurie.
The
Special Fund did not submit any further evidence but, rather,
agreed the case be decided on the record as it stood.
At a hearing on the matter, Martin testified he had
been employed as a bolter helper at Rock Bridge.
He explained
that during this time there was a mining accident near his home
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in which several miners were killed.
Martin claimed he was
somewhat skeptical about entering the mines after the accident.
Approximately one (1) year following the closure of the Rock
Bridge mine, Martin worked for one (1) day as a scoop operator
for Diamond N.
However, upon returning to work the second day
Martin found himself entirely too frightened to enter the mines.
Martin’s testimony concluded with the disclosure that he had
remained unemployed as of the time of the hearing.
In support of Martin’s claim, Dr. Myers testified he
first examined Martin in May 1989.
At this time, he opined a
reading of Martin’s chest radiographs indicated Category 1/2 coal
workers’ pneumoconiosis.
He further believed Martin suffered
mild restrictive and obstructive pulmonary defects.
chest was again radiographed in April 1997.
Martin’s
As a result, a
second radiographic report from Dr. Myers was submitted in which
the doctor opined the image indicated Category 1/1
pneumoconiosis.
Martin was first examined by Dr. Wright in April 1989.
Dr. Wright diagnosed Category 1 pneumoconiosis in addition to
some mild to moderate obstructive pulmonary impairment.
This
physician also read the April 1997 radiograph, concluding it
indicated Category 1/2 pneumoconiosis.
Dr. Hieronymus examined Martin in September 1989.
He
read Matin’s radiographs as indicating Category 1/1
pneumoconiosis.
He further diagnosed Martin as suffering from
restrictive pulmonary disease or chronic obstructive pulmonary
disease.
Dr. Hieronymus performed pulmonary function studies in
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1997.
This spirometry indicated an FVC of 80% of the predicted
normal values and an FEV1 of 71% of the predicted normal values.
It was Dr. Hieronymus’ belief that Martin had a borderline
obstructive defect and moderate small airways disease.
Regarding his psychiatric claim, Martin submitted the
testimony of Dr. Lurie.
Following a May 1989 examination, Dr.
Lurie diagnosed Martin with post-traumatic stress disorder which
he believed was triggered by the mining accident in which
Martin’s colleagues were killed.
Dr. Lurie again examined Martin
in 1997 and testified he believed Martin suffered from
essentially the same symptoms as previously diagnosed.
It was
Dr. Lurie’s opinion that Martin’s condition was related to his
work as a miner.
Diamond N submitted the testimony of Drs. Anderson,
Mettu and Dahhan, all of whom, collectively, found no evidence of
pneumoconiosis and believed Martin retained normal pulmonary
function studies as a result of their individual 1989
examinations of the claimant.
Diamond N further produced the
testimony of Dr. Granacher, a psychiatrist, in rebuttal to
Martin’s psychiatric claim.
Dr. Granacher diagnosed Martin as
suffering from mild mental retardation and psychosocial
deprivation.
He testified that neither condition was connected
to Martin’s employment as a miner.
ALJ Kline issued his opinion and order on November 5,
1997.
Therein he stated that he found the testimony of Dr.
Anderson to be the most persuasive.
As a result, the ALJ
concluded that Martin had not contracted the occupational disease
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of coal workers’ pneumoconiosis and dismissed that portion of
Martin’s claim.
With respect to the psychiatric claim, the ALJ
found the testimony of Dr. Granacher to be the most persuasive,
whereby concluding that Martin had not suffered a work-related
psychological or psychiatric problem.
Again, the ALJ dismissed
any claim for workers’ compensation benefits arising from the
alleged psychiatric disability.
Martin appealed this decision to
the Board, which affirmed.
On appeal, both before this Court and the Board, Martin
argues the ALJ erred by failing to base his decision on the most
recent evidence of record.
He posits that since the ALJ
classified the evidence contained in the 1990 record as “stale,”
it should be considered incompetent and not probative of his
present condition.
Further, Martin contends that not only did
the ALJ err in relying on the outdated medical evidence, but the
most recent medical record compels a finding that both his coal
workers’ pneumoconiosis and psychiatric condition are each
totally occupationally disabling.
We disagree.
Our duty is to determine whether “the Board has
overlooked or misconstrued controlling statutes or precedent, or
committed an error in assessing the evidence so flagrant as to
cause gross injustice.”
Western Baptist Hosp. v. Kelly, Ky., 827
S.W.2d 685, 687-88 (1992).
The Board affirmed the ALJ, pointing out that the ALJ,
as the sole arbiter of weight and credibility to be accorded
testimony, may rely in whole or in part upon any party’s proof,
and, may in fact, pick and choose from the evidence even within a
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given witness’ testimony.
Ky., 560 S.W.2d 15 (1977).
Caudill v. Maloney’s Discount Stores,
The Board explained:
The evidence does not compel a finding
of total occupational disability either from
pneumoconiosis or from his psychiatric
condition. Dr. Anderson’s testimony is
substantial evidence supporting the ALJ’s
finding that Martin does not suffer from coal
workers’ pneumoconiosis. In any event, there
is no evidence which would support an award
of total occupational disability for Martin’s
pneumoconiosis. There is no evidence that
Martin suffers Category 2 pneumoconiosis, nor
are there any pulmonary function studies that
are below 55 percent of predicted. At best,
therefore, Martin would qualify for an award
of 75 percent occupational disability under
KRS 342.732(1)(b) as it existed at the time
of Martin’s last exposure.
Likewise, there is substantial evidence
supporting the ALJ’s finding that Martin does
not suffer from a work-related psychiatric
condition. Hence, we must affirm the ALJ’s
opinion. Special Fund v. Francis, [Ky., 708
S.W.2d 641 (1986)].
Moreover, we believe that even if Martin’s arguments
were accepted as accurate, he has failed to demonstrate that he
is entitled to any pneumoconiosis award for which the Special
Fund would be liable.
KRS 342.316(2)(b)2.b provides:2
2. To be admissible, medical evidence offered
in any proceeding under this chapter for
determining a claim for occupational
pneumoconiosis resulting from exposure to
coal dust, shall comply with accepted medical
standards as follows:
b. Spirometric testing shall be conducted in
accordance with the standards recommended in
the latest edition available of the guides to
the evaluation of permanent impairment
published by the American Medical Association
2
We note application of KRS 342.316(2)(b)2.b. in effect at
the time the claim was filed.
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and the 1978 ATS epidemiology standardization
project.
This Court has previously held:
The AMA guidelines (whether the third or
fourth edition is followed) call for the
administration of a bronchodilator and
subsequent testing in certain objective
situations. If a bronchodilator should be
administered, then the guidelines direct the
physician to calculate the FVC and FEV1
values from these results. Thus, prebronchodilator and post-bronchodilator
results are both contemplated as valid
predictors of respiratory impairment.
Fields v. Carbon River Coal Co., Ky. App., 920 S.W.2d 880, 884
(1996).
As discussed above, Drs. Wright and Myers diagnosed
Category 1 pneumoconiosis, yet neither physician reported the
results of any pulmonary tests.
Only Dr. Hieronymus included
pulmonary test results in his report; however, these tests failed
to comply with the statutory requirements.
Although Dr. Hieronymus found obstruction and an
abnormal FVC/FEV1 ratio, he did not perform the mandated postbronchodilator test.
KRS 342.316(2)(b)2.b and 342.732(1)(b)
require that the AMA guidelines be followed
in the administration of spirometric testing.
The Supreme Court and this Court have
repeatedly held that the statutory directive
is not discretionary . . . .
Id. at 883.
(Citations omitted).
The failure to perform the
requisite testing render the results invalid.
Id.
KRS 342.372(1)(a) instructs that where the ALJ finds
the claimant to have a radiographic classification of Category
1/0, 1/1, or 1/2, “and no respiratory impairment resulting from
exposure to coal dust based upon spirometric testing . . . he
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shall award a one time only retraining incentive benefit . . . .”
In that Martin is left with medical reports which merely
demonstrate Category 1 pneumoconiosis absent any valid proof of
pulmonary impairment, the most he could hope to obtain, as a
matter of law, would be retraining incentive benefits (RIB).
Varney v. Newberg, Ky., 860 S.W.2d 752, 755 (1993).
See
Since
Diamond N has settled its liability and the Special Fund retains
no responsibility for RIB benefits, Martin is precluded from any
recovery for his claim, hence his arguments are moot.
For the foregoing reasons the decision of the Workers’
Compensation Board is affirmed.
ALL CONCUR.
BRIEF FOR APPELLANT:
BRIEF FOR SPECIAL FUND:
John Earl Hunt
Allen, Kentucky
Joel D. Zakem
Louisville, Kentucky
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