James City Co. Fire Dept. v. Michael J. Thomas, etc
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Opinion
COURT OF APPEALS OF VIRGINIA
Present: Judges Bray, Annunziata and Overton
JAMES CITY COUNTY FIRE DEPARTMENT AND VIRGINIA MUNICIPAL GROUP SELF INSURANCE ASSOCIATION MEMORANDUM OPINION * v. Record No. 1647-96-4 PER CURIAM JANUARY 7, 1997 MICHAEL J. THOMAS, DECEASED AND MELANIE THOMAS
FROM THE VIRGINIA WORKERS' COMPENSATION COMMISSION
(William L. Dudley; Jimese L. Pendergraft; Knight, Dudley, Clarke & Dolph, on brief), for appellants.
(Michael A. Kernbach, on brief), for appellee.
James City County Fire Department and its self-insurer
(hereinafter collectively referred to as "employer") contends
that the Workers' Compensation Commission ("commission") erred in
finding that employer's evidence failed to rebut the statutory
presumption available to Michael J. Thomas, deceased ("the
decedent"), under Code § 65.2-402(A). Upon reviewing the record
and the briefs of the parties, we conclude that this appeal is
without merit. Accordingly, we summarily affirm the commission's
decision. Rule 5A:27.
Code § 65.2-402(A) provides a rebuttable presumption that,
absent a preponderance of competent medical evidence to the * Pursuant to Code § 17-116.010 this opinion is not designated for publication. contrary, a causal connection exists between a firefighter's
death caused by a respiratory disease and his or her employment.
Unless we can say as a matter of law that employer's evidence
rebutted the statutory presumption, the commission's findings are
binding and conclusive upon us. Tomko v. Michael's Plastering
Co., 210 Va. 697, 699, 173 S.E.2d 833, 835 (1970).
The decedent worked for employer for seventeen years as a
firefighter. He died of lung cancer at age forty. During his
employment, the decedent was exposed to numerous toxic substances
and fumes. Dr. Susan M. Daum opined that the decedent's
cigarette smoking and his occupational exposures caused his disease. Dr. Daum opined that the decedent's cigarette smoking
was not the primary cause of the development and acceleration of
his lung cancer, but that in order to have developed the disease
at age forty, the decedent had a marked interaction of heavy
exposures to environmental or occupational carcinogens. A
pathology report from Williamsburg Community Hospital indicated
the presence of scarring or pleural thickening on the decedent's
lungs, which appeared to be due to exposure to asbestos fibers.
Dr. Thomas L. Munzel opined that he could not rule out a
synergistic effect between the decedent's occupational exposures
to toxic fumes and his premature development of and death from
lung cancer. Dr. Jack Freund opined that the decedent's lung
cancer was caused by his excessive and prolonged cigarette
smoking.
2 Based upon this record, the commission held that employer
failed to present evidence which excluded the role of
work-related toxic exposures in the premature development of
decedent's fatal lung cancer. In so ruling, the commission
relied upon the opinions of Drs. Daum and Munzel and rejected Dr.
Freund's opinion. Virginia Dep't of State Police v. Talbert, 1
Va. App. 250, 253, 337 S.E.2d 307, 308 (1985) (findings of the
commission based on conflicting medical opinions, if credible,
are conclusive and binding on appeal). This case is controlled by our decision in Duffy v.
Commonwealth of Virginia/Dept. of State Police, 22 Va. App. 245,
468 S.E.2d 702 (1996). In Duffy, we held that "in a case where
the evidence demonstrates that multiple factors, including job
stress, contributed to the development of a police officer's
heart disease, the employer must exclude work-related stress as a
contributing factor to rebut the presumption [provided in Code
§ 65.2-402(B)]." Id. at 251, 468 S.E.2d at 705. Analogizing the
rule set forth in Duffy to the facts of this case involving a firefighter's respiratory disease, we find that, based upon the
opinions of Drs. Munzel and Daum, the commission did not err in
ruling that employer's evidence failed to exclude work-related
factors as a cause of the decedent's lung cancer. In its role as
fact finder, the commission was entitled to reject Dr. Freund's
opinion. "Questions raised by conflicting medical opinions must
be decided by the commission." Penley v. Island Creek Coal Co.,
3 8 Va. App. 310, 318, 381 S.E.2d 231, 236 (1989).
Because employer's evidence failed to exclude work-related
exposure as a cause of the decedent's disease, we cannot say as a
matter of law that employer's evidence rebutted the statutory
presumption provided under Code § 65.2-402(A). Accordingly, we
affirm the commission's decision.
Affirmed.
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