Patton v. Workers' Compensation Appeal Board

958 A.2d 1126, 2008 Pa. Commw. LEXIS 513, 2008 WL 4643331
CourtCommonwealth Court of Pennsylvania
DecidedOctober 22, 2008
Docket2363 C.D. 2007
StatusPublished
Cited by7 cases

This text of 958 A.2d 1126 (Patton v. Workers' Compensation Appeal Board) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Patton v. Workers' Compensation Appeal Board, 958 A.2d 1126, 2008 Pa. Commw. LEXIS 513, 2008 WL 4643331 (Pa. Ct. App. 2008).

Opinion

OPINION BY

Judge McGINLEY.

Previously, this Court vacated and remanded the order of the Workers’ Compensation Appeal Board (Board) which affirmed the Workers’ Compensation Judge’s (WCJ)’s denial of the review and fatal claim petitions of Mary Patton (Claimant). On remand, the WCJ again denied and dismissed the review and fatal claim petitions of Claimant. The Board affirmed. Claimant now petitions for review.

Audley K. Patton (Decedent) worked primarily as a welder for Lane Enterprises, Inc. (Employer) from November 1974, until April 24, 1987. Decedent stopped working on the advice of his physician after he experienced shortness of breath. Employer issued a notice of compensation payable (NCP) which stated, “Claimant [Decedent] has a propensity for acute episodes of metal fume fume [sic] fever which precludes his working in an occupation where he is exposed to zinc fumes.... Claimant [Decedent] also suffers from chronic obstructive pulmonary [sic] disease secondary to smoking.” Notice of Compensation Payable, November 28, 1988, at 1.

*1128 Decedent died on December 14, 1997. The death certifícate indicated that the immediate cause of death was “End Stage COPD [chronic obstructive pulmonary disease].” Death Certificate, December 17, 1997, at 1. The underlying cause of death on the certificate was listed as pulmonary fibrosis. Following Decedent’s death, Decedent’s widow, Claimant, filed a fatal claim petition and alleged that Decedent’s death was the result of “End stage COPD [chronic obstructive pulmonary disease] due to ... pulmonary fibrosis as a result of pneumoconiosis.” Fatal Claim Petition, December 13, 2000, at 1. Claimant further alleged that the NCP incorrectly described Decedent’s compensable injury as metal fume fever. The same date, Claimant petitioned to review compensation benefits, to review medical treatment and/or billing, and to modify compensation benefits on the ground that there was an incorrect description of Decedent’s injury and that medical bills were unpaid. Employer denied all allegations.

Claimant testified that she was married to Decedent from April 3, 1949, until his death. Notes of Testimony, January 25, 2001, (N.T.) at 24-25. 1 Claimant also testified that Decedent smoked one to two packs per day until he cut back after 1987. N.T. at 33.

Claimant presented the deposition testimony of William S. Beckett, M.D. (Dr. Beckett), board-certified in internal medicine, pulmonary medicine, and occupational medicine. Dr Beckett reviewed Decedent’s medical records. Dr. Beckett determined that Decedent “had chronic lung disease and died of his chronic lung disease prematurely, and his chronic lung disease was caused both by cigarette smoking and by his occupational exposure as a welder. And both of these factors were significant contributing factors to his lung disease and to his death.” Deposition of William S. Beckett, M.D., November 11, 2002, (Dr. Beckett Deposition) at 21-22. When Dr. Beckett reviewed Decedent’s x-rays, he found evidence of welder’s pneu-moconiosis. He opined that Decedent’s workplace exposures were the most likely cause of Claimant’s chronic lung disease. Dr. Beckett Deposition at 43. Dr. Beckett further opined that chronic obstructive lung disease and pulmonary fibrosis were the underlying causes of Decedent’s death. Dr. Beckett Deposition at 48. Dr. Beckett stated that Decedent’s work-related exposures and substantial cigarette smoking were substantial contributing factors to his death because his work exposures contributed to the severity of his lung disease. He also believed that “the work exposures did not only aggravate the disease caused by cigarette smoking but they caused disease themselves, and that ... the combination of these diseases in the same man’s pair of lungs contributed to the severity of his disability and both contributed to his premature death.” Dr. Beckett Deposition at 52.

Claimant also presented the deposition testimony of Macy I. Levine, M.D. (Dr. Levine). Dr. Levine examined Decedent on December 9, 1987. Dr. Levine reviewed more recent medical records at the request of Claimant. Based on his review of the medical records, Dr. Levine “thought he [Decedent] had pneumoconio-sis due to the welding fumes, chronic bronchitis and chronic obstructive lung disease_He ultimately developed pneumonia and some congestive failure and as a result he died.” Deposition of Macy I. Levine, M.D., February 27, 2002, (Dr. Le *1129 vine Deposition) at 14. Based on Decedent’s history, his examination, his review of Decedent’s deposition testimony, medical records, material safety data sheets, and the death certificate, Dr. Levine testified to a reasonable degree of medical certainty that the cause of Decedent’s death was “the pneumoconiosis due to welding fumes, plus pneumonia, plus congestive failure, which in turn were due basically to the exposure, to a substantial degree, to the welding fumes, contributed to by the cigarette smoking.” Dr. Levine Deposition at 20. On cross-examination, Dr. Levine admitted that Decedent’s smoking history alone was sufficient to cause chronic bronchitis, chronic obstructive coronary disease, pulmonary symptom complex, and pulmonary impairment. Dr. Levine Deposition at 35. 2

Employer presented the deposition testimony of Thomas Schauble, M.D. (Dr. Schauble), board-certified in internal medicine, pulmonary medicine, and critical care medicine. Dr. Schauble also qualified as a “B” reader with respect to reading chest x-rays. 3 Dr. Schauble reviewed Decedent’s medical records after his death. Dr. Schauble also reviewed Decedent’s death certificate. Dr. Schauble explained:

Chronic obstructive pulmonary disease is really a generic term for a group of illnesses characterized by obstruction of the bronchial tubes to airflow, and many people group chronic bronchial asthma, asthmatic bronchitis, chronic bronchitis and emphysema under the heading chronic obstructive pulmonary disease as a generic term.
I think the vast majority of physicians in public refer to COPD when they’re talking about tobacco related illnesses alone.

Dr. Schauble Deposition at 11.

Dr. Schauble explained that metal fume fever 4 , the injury for which Decedent received workers’ compensation benefits, was self-limited, did not result in chronic pulmonary fibrosis, and did not cause Decedent’s death. Dr. Schauble Deposition at 14, 20. Dr. Schauble reviewed Decedent’s x-rays from 1994 through 1997, and concluded that Decedent did not suffer from pneumoconiosis because the “x-rays did improve” and they would not with occupationally acquired pneumoconiosis. Dr. *1130 Schauble Deposition at 19. Dr. Schauble testified within a reasonable degree of medical certainty that Decedent

died of Pseudomonas pneumonia superimposed on underlying severe obstructive lung disease from tobacco smoking. ... And I have not — do not have adequate substantiating evidence, either radiographically or through pulmonary function testing, that he did have pulmonary fibrosis. And, therefore, I do not believe that was a contributing factor to his death.

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Bluebook (online)
958 A.2d 1126, 2008 Pa. Commw. LEXIS 513, 2008 WL 4643331, Counsel Stack Legal Research, https://law.counselstack.com/opinion/patton-v-workers-compensation-appeal-board-pacommwct-2008.