Dunn v. Vic Manufacturing Co.

327 N.W.2d 572, 1982 Minn. LEXIS 1881
CourtSupreme Court of Minnesota
DecidedDecember 17, 1982
Docket82-578
StatusPublished
Cited by2 cases

This text of 327 N.W.2d 572 (Dunn v. Vic Manufacturing Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dunn v. Vic Manufacturing Co., 327 N.W.2d 572, 1982 Minn. LEXIS 1881 (Mich. 1982).

Opinion

WAHL, Justice.

Certiorari on the relation of Classia Dunn, the widow of employee Jackie Dunn, to review a decision of the divided Workers’ Compensation Court of Appeals which denied her claim for dependency compensation on the ground, advanced by Judge Gard, that the claim was barred and the ground, advanced by Judge Rieke and Judge Adel but rejected by Judge Gard and Judge McCarthy, that the evidence did not support findings by Compensation Judge Parker determining that employee had been disabled by an occupational disease on October 5, 1979, the date of his death, and that his disease had been a substantial contributing factor in hypoxemia which had resulted in his death. Having concluded that the claim is not barred and that the findings of the compensation judge have substantial evi-dentiary support, we reverse and remand for reinstatement of those findings and the compensation award.

In October 1978 employee suffered a disabling back injury in a work-related accident and never returned to work. On October 5, 1979, his wife returned from her job and discovered that he had died. An autopsy revealed no evidence of coronary artery disease or a heart attack, but microscopic examination of employee’s lungs showed that he had had severe emphysema with honeycombing of upper lobes of the lungs and also had had massive pulmonary fibrosis with siderotic nodules. The pathologist who performed the autopsy concluded that the probable cause of employee’s death was cardiac arrhythmia caused by insufficient oxygen in his blood.

Relator initiated this proceeding to obtain dependency benefits on the ground that the fibrosis was causally related to employee’s work for the employer as a sandblaster and had been a substantial contributing cause of the hypoxemia which had resulted in the fatal arrhythmia. The employer and its compensation insurers who had furnished coverage during the period of employee’s employment denied liability on the grounds that the fibrosis was not an occupational disease and also that it had not been a substantial contributing cause of the hypox-emic condition which had resulted in employee’s death. 1

Employee began working as a sandblaster for the employer in 1957 at the age of 21. The work required him to direct a hose through which fine steel grits were forced at metal tanks and sometimes to spray a finer dust through the hose at aluminum objects. A fellow employee and a witness for the employer testified that the sandblasters did not use sand in this work, although employee’s treating doctor testified that employee had told him that during the first years of his employment he had done so and this witness said that he himself had never seen a case in which sand was not used in sandblasting at that time. Whatever the composition of the materials, there is no dispute that employee was exposed to a considerable amount of dusts. He wore a protective hood through which fresh air circulated, but the hood was not tight and dust seeped inside it. Relator testified that employee’s clothes were dirty when he returned from work, he had dirt on his face and eyebrows, blew dirt from his nose, and coughed “black stuff.” He had frequent colds and sometimes complained of chest pains. Relator said also that after a fellow worker left the department and was not *574 replaced employee would complain that his job was too much work for one person, but he did not miss work. She said that the employer finally permitted him to transfer to an assembly work job in 1966 or 1967 after he obtained a “medical slip” from his doctor.

In 1967 employee had minor surgery and at that time chest X-rays showed an infiltrate in his lungs which his doctor thought might be sarcoidosis. About 1970 employee began to have difficulty breathing at night and also became short of breath with physical exertion. In 1977, in the course of treatment for a skin disease, he was referred to Dr. Charles Drage, a specialist in pulmonary medicine and a professor in the University of Minnesota Medical School. X-rays then taken showed interstitial infiltrates in employee’s lungs, and pulmonary function tests showed that employee had severe obstruction in exhalation of breath, marked increase in lung volumes, and lowered arterial oxygen saturation. Dr. Drage testified that he considered employee’s case confusing initially because the pulmonary function tests fit with chronic obstructive lung disease, bronchitis and emphysema (both of which he diagnosed), but the X-rays and employee’s work history fit better with silicosis. He then concluded that the emphysema, which he related causally to employee’s smoking a pack of cigarettes a day since the age of 17, was employee’s major problem and treated employee for it during his lifetime.

Dr. Drage testified that he agreed with the pathologist’s conclusion that employee’s death was due to cardiac arrhythmia resulting from hypoxemia. Based on the autopsy report and his review of slides of employee’s lung tissue, Dr. Drage concluded that the massive amount of fibrosis in employee’s lungs had been more important than his admittedly severe emphysema. He expressed the opinions that employee’s death was directly related to his hypoxemia, that this condition was directly related to the condition of employee’s lungs, and that his fibrosis had been a significant factor in the development of the hypoxemia. Dr. Drage also held the opinion that employee’s fibrosis had been caused by work exposure to iron oxides and probably to silica. 2

Dr. John Coe, chief pathologist at Henne-pin County Medical Center and board-certified in forensic pathology, agreed that employee’s extensive fibrosis and emphysema were significant causes of the hypoxemia. He said that fibrosis is often found in association with emphysema but that emphysema did not cause the extensive scarring found in employee’s lungs and that chronic recurring exposure to toxic dusts had been required to cause the fibrotic changes. It was his opinion that employee’s work exposure had precipitated or contributed to development of the disease. Informed that the exact composition of the material employee had inhaled was not known, Dr. Coe still expressed the opinions that it was the etiological agent of employee’s fibrosis and that this disease of itself had significantly reduced his pulmonary function and thus had been a significant factor in his death because it, as well as the emphysema, had produced the hypoxemic condition.

Dr. Mark Johnson, a board-certified internist, agreed that employee’s death had probably been caused by cardiac arrhythmia precipitated by oxygen insufficiency. He expressed the opinion that employee’s death was due to chronic obstructive lung disease rather than to fibrosis, in part because of Dr. Drage’s initial diagnosis and in part because of what the witness regarded as a lack of evidence directly relating employee’s work to his death. He suggested that the fibrosis could have been idiopathic, but admitted that it was inconsistent with contaminants commonly found in the air of factories or manufacturing areas in Minneapolis, that it had been massive in extent, and that lung damage caused by it could have produced the same symptoms as *575 chronic obstructive lung disease. He had not examined the autopsy slides of employee’s lungs.

Dr.

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327 N.W.2d 572, 1982 Minn. LEXIS 1881, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dunn-v-vic-manufacturing-co-minn-1982.