Consolidation Coal v. Williams

CourtCourt of Appeals for the Fourth Circuit
DecidedJuly 13, 2006
Docket05-2108
StatusPublished

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Consolidation Coal v. Williams, (4th Cir. 2006).

Opinion

PUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

CONSOLIDATION COAL COMPANY,  Petitioner, v. BILLY D. WILLIAMS; DIRECTOR,  No. 05-2108 OFFICE OF WORKERS’ COMPENSATION PROGRAMS, UNITED STATES DEPARTMENT OF LABOR, Respondents.  On Petition for Review of an Order of the Benefits Review Board. (04-756-BLA)

Argued: May 26, 2006

Decided: July 13, 2006

Before MOTZ, GREGORY, and DUNCAN, Circuit Judges.

Petition denied by published opinion. Judge Gregory wrote the opin- ion, in which Judge Motz and Judge Duncan joined.

COUNSEL

ARGUED: William Steele Mattingly, JACKSON & KELLY, P.L.L.C., Morgantown, West Virginia, for Petitioner. Helen Hart Cox, UNITED STATES DEPARTMENT OF LABOR, Office of Workers’ Compensation Programs, Washington, D.C.; Robert F. Cohen, Jr., COHEN, ABATE & COHEN, Morgantown, West Virginia, for 2 CONSOLIDATION COAL CO. v. WILLIAMS Respondents. ON BRIEF: Howard M. Radzely, Solicitor of Labor, Christian P. Barber, Counsel for Appellate Litigation, UNITED STATES DEPARTMENT OF LABOR, Office of the Solicitor, Washington, D.C., for Respondent Director, Office of Workers’ Com- pensation Programs.

OPINION

GREGORY, Circuit Judge:

Consolidation Coal Company ("Consolidation") petitions for review of a final decision issued by the Benefits Review Board ("Board") of the Department of Labor ("DOL") affirming an award of black lung benefits by an Administrative Law Judge ("ALJ") to Billy D. Williams under the Federal Coal Mine Health & Safety Act of 1969 ("Act"), 30 U.S.C. § 901 et seq. For the reasons that follow, we affirm the Board’s decision and deny the petition.

I.

Billy D. Williams was a coal miner for at least thirty years. In 1957, Williams began his employment as a mechanic and welder in one of Consolidation’s preparation plants. In his last position, he per- formed the same duties at one of Consolidation’s outside coal mine shops from 1981 to 1987, at which point he retired due to shortness of breath.

On July 27, 1995, Williams filed his first claim for black lung ben- efits before the DOL. While the claim was pending, Dr. Jerome J. Lebovitz examined Williams on September 28, 1995, and sent a letter dated November 9, 1995 with attached reports to Williams’s counsel. Dr. Lebovitz’s letter stated his view that Williams was "permanently and totally disabled secondary to the entity of Coal Worker’s Pneu- moconiosis." J.A. 23. Despite receiving the letter, neither Williams nor his counsel sent it to the DOL.

At the DOL’s request, Dr. Andrzej J. Jaworski examined Williams on October 30, 1995. Dr. Jaworski ultimately concluded that Wil- CONSOLIDATION COAL CO. v. WILLIAMS 3 liams’s respiratory impairments would not prevent him from perform- ing his position as a shop mechanic. Thereafter, on January 11, 1996, the DOL denied Williams’s claim for benefits.

On June 6, 2001, Williams filed a second claim for black lung ben- efits. In connection with this claim, five physicians examined Wil- liams. First, Dr. Prasad V. Devabhaktuni took x-rays of Williams’s lungs on July 31, 2001, and diagnosed Williams with hypertension, chronic obstructive pulmonary disease secondary to smoking, and coal worker’s pneumoconiosis secondary to occupational dust expo- sure. During his deposition, Dr. Devabhaktuni testified that Wil- liams’s chronic obstructive pulmonary disease resulted primarily from his smoking habits, but that his coal mine dust exposure could have contributed to the impairment. In addition, Dr. Devabhaktuni stated that he diagnosed coal worker’s pneumoconiosis based on the x-rays and Williams’s occupational history.

Second, Dr. Joseph J. Renn, III examined Williams on October 31, 2001, and determined that Williams suffered from chronic bronchitis with obstruction secondary to cigarette smoking. Dr. Renn also con- cluded that coal mine dust exposure did not contribute to Williams’s chronic bronchitis, and that Williams did not have pneumoconiosis. Finally, Dr. Renn opined that Williams would be able to perform his last position as a shop mechanic.

Third, Dr. John E. Parker performed pulmonary function studies on Williams, and reviewed the reports prepared by Drs. Devabhaktuni and Renn. In reviewing Williams’s x-rays, Dr. Parker concluded that they did not establish pneumoconiosis. Nevertheless, Dr. Parker cited several studies in support of his view that "people with coal mine dust exposure may have airflow obstruction with a normal radiograph . . . ." J.A. 168. Based on these studies, Dr. Parker opined that people with pneumoconiosis could exhibit small opacities of the 0/1 type, and that it was unusual for an elderly patient such as Williams to have rounded changes of that nature. For these reasons, Dr. Parker con- cluded that Williams’s lungs likely contained some macules of pneu- moconiosis.

Dr. Parker further determined that Williams suffered from chronic obstructive pulmonary disease resulting from a "combination of 4 CONSOLIDATION COAL CO. v. WILLIAMS tobacco smoke inhalation as well as work place dust exposure." J.A. 85. Dr. Parker admitted that it was impossible to apportion the cause of Williams’s airflow obstruction between exposure to cigarette smoking or coal mine dust. However, Dr. Parker declined to rule out coal dust exposure as a cause of Williams’s airflow obstruction using Dr. Renn’s approach, which examined the mid-max expiratory flow rate, because, in Dr. Parker’s view, the mid-max expiratory flow rate was an unreliable indicator subject to daily variance. Dr. Parker thus concluded that Williams’s lung injury definitely arose, at least in part, from coal dust exposure "because he was a coal miner and . . . because his chest radiograph was not normal." J.A. 179. Ultimately, Dr. Parker opined that Williams’s breathing impairment would pre- vent him from returning to his last position as a shop mechanic.

Fourth, Dr. David M. Rosenberg reviewed the medical reports pre- pared by Drs. Jaworski, Lebovitz, Devabhaktuni, and Renn, as well as readings performed by other physicians of an x-ray taken on Octo- ber 31, 2001. As an initial matter, Dr. Rosenberg determined that the x-rays did not establish pneumoconiosis. Although Dr. Rosenberg noted some moderate obstruction in Williams’s airways, he opined that this condition was due to tobacco smoke, and not coal mine dust exposure. Finally, because Williams’s maximum voluntary ventilation (MVV) appeared normal, Dr. Rosenberg concluded that Williams could return to his previous coal mining position.

Fifth, Dr. Robert A.C. Cohen reviewed the medical reports pre- pared by Drs. Devabhaktuni, Renn, Parker, and Rosenberg, and con- ducted his own x-rays, physical exam, and pulmonary function tests on July 15, 2003. Dr. Cohen concluded that Williams suffered from coal worker’s pneumoconiosis based on the following considerations: (1) Williams’s significant occupational exposure to coal mine dust for thirty-one years; (2) Williams’s symptoms of chronic lung disease, which included "progressively worsening shortness of breath and cough and wheezing" and "sputum production"; (3) pulmonary func- tion studies indicating moderate obstruction with diffusion impair- ment; (4) arterial blood gases showing mild hypoxemia; and (5) a chest x-ray indicating a positive reading for "opacities consistent with classical pneumoconiosis at a profusion of 1/0." J.A. 223. Dr. Cohen opined that even setting aside the x-ray evidence, he would still con- CONSOLIDATION COAL CO. v. WILLIAMS 5 clude that Williams demonstrated clinical and physiological signs of pneumoconiosis.

Dr. Cohen asserted that Drs. Renn, Rosenberg, and Jaworksi incor- rectly concluded that coal mine dust exposure failed to contribute to Williams’s obstructive lung disease.

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