Pichon v. Mathews

408 F. Supp. 1, 1976 U.S. Dist. LEXIS 16811
CourtDistrict Court, N.D. Illinois
DecidedFebruary 5, 1976
DocketNo. 75 C 43
StatusPublished
Cited by1 cases

This text of 408 F. Supp. 1 (Pichon v. Mathews) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pichon v. Mathews, 408 F. Supp. 1, 1976 U.S. Dist. LEXIS 16811 (N.D. Ill. 1976).

Opinion

MEMORANDUM DECISION

MARSHALL, District Judge.

This is an action to review a final decision of the Secretary of the Department of Health, Education and Welfare (Secretary) that the plaintiff, John A. Pichon, is not entitled to benefits under Title IV of the Federal Coal Mine Health and Safety Act of 1969, as amended, Black Lung Benefits Act of 1972, U.S.C. § 901 et seq. (Supp.1974). The Secretary has answered the complaint and filed a certified copy of the administrative record. The parties have filed cross-motions for summary judgment based on the administrative record.

The sole issue in the case is whether the Secretary’s decision denying benefits under the Act is based on substantial evidence. 30 U.S.C. § 923(b) (Supp.1974), incorporating by reference 42 U.S.C. § 405(g), (h) (1970). Resolution of this issue requires a thorough review of the administrative record and the applicable statutes and regulations.

The plaintiff was born on April 20, 1904, and has a seventh grade education. Virtually all his adult life was spent working in the coal industry, first as a rock crusher and later as a blacksmith at a strip mining operation. He retired in 1970 due to illness. The administrative law judge (AU) found that the plaintiff had been employed as a coal miner for at least 10 years.

After his retirement in 1970, he applied for and received unemployment compensation for approximately 40 weeks. During this time he stated that he was available for work if it was close to his home and would not require much physical exertion.

The plaintiff’s current monthly income is $421.30, which is based on monthly social security retirement benefits of $271.30 and a union pension of $150. He is not receiving and has not applied for workmen’s compensation benefits for pneumoconiosis.

The medical evidence in the record consists of the plaintiff’s testimony concerning his medical complaints, roentgenographic reports, ventilatory function study reports, hospital records, and statements from various physicians who have treated the plaintiff in the past.

At the administrative hearing, the plaintiff testified that he is hard of hearing, he has a frequent cough that produces phlegm, a susceptibility to colds and respiratory infections, and has difficulty breathing. He currently takes a variety of medication.

He spends his days around the house, reading the newspaper and occasionally mowing the lawn. He takes walks now and then for exercise, but he is unable to do the work he used to do because of his ill health.

The roentgenographic reports were negative for pneumoconiosis. A chest X-ray taken during a hospitalization in October, 1972, was normal. Similarly, a February, 1973, chest X-ray, which was interpreted by Dr. William De Hollander, who is certified by the National Institute of Occupational Safety and Health, Public Health Service, as a reader of coal miners’, chest X-rays, showed “no profusion of small opacities . . . [or] areas of massive pulmonary fibrosis,” or abnormalities in the diaphragm. The film was classified as o/o for pneumoconiosis, which indicates clear lungs. See 20 C.F.R. § 410.428 (1975). The doctor noted what might be an arteriosclerotic disease in the aorta.

The plaintiff had pulmonary function studies performed on January 12 and 29, 1973. In the first test he had a one second forced expiratory volume (FEVL) of 0.97 liters and a maximum voluntary ventilation (MW) of 40.5 liters/minute. The examining doctor’s report stated that plaintiff was hard of hearing, had [3]*3difficulty following directions, and cooperated poorly. The results of the second test were dramatically different; the plaintiff’s FEVi was 3.14 liters, while the MVV was 94 liters/minutes. Moreover, his cooperation was described as good.

Saint Joseph’s Hospital in Joliet, Illinois furnished a report stating that the plaintiff was admitted on October 28, 1972, complaining of chest pain radiating down both arms. He was discharged on November 6, 1972, with a final diagnosis of arteriosclerotic heart disease, coronary insufficiency, angina pectoris, and hiatus hernia.

A May, 1973, Administrative Black Lung Report by Dr. James J. Nordland states that the plaintiff complained of a chronic cough of six years duration, which was accompanied by phlegm, and of shortness of breath. An examination revealed clear lungs. The final diagnosis was arteriosclerotic heart disease and a spastic bowel syndrome. In a subsequent letter, discussing the 1972 hospitalization, Dr. Nordland stated, after noting that the plaintiff’s lungs were clear, that the chest pain might have resulted from the hiatal hernia.

Dr. John H. Houseworth stated in a letter dated June 13, 1974, that the plaintiff had had a cancerous left vocal cord removed at Carl Clinic in Urbana, Illinois, by a Dr. Walker in 1970, and that he also underwent radiation therapy for the same problem. He further stated the plaintiff’s lungs were clear to auscultation and percussion, and that the poor results of the first pulmonary function study were probably due to an acute respiratory infection. Because the second study produced normal results, he could not affirm that the plaintiff had a significant pulmonary impairment.

Dr. Walker sent a letter dated June 7, 1974, wherein he stated that his examinations of the plaintiff had been limited to the voice box, which was normal.

To be entitled to benefits under the Act for black lung disease the plaintiff must establish that he was a coal miner, that he is totally disabled due to pneumoconiosis, and that the pneumoconiosis arose out of employment in the nation’s coal mines. 30 U.S.C. §§ 902(b), (d), (f), 921(a); 20 C.F.R. § 410.410(b) (1975).1

While there is no question that the plaintiff was a coal miner (30 U.S.C. § 902(d) (Supp.1974)) there is a serious question of whether he is suffering from pneumoconiosis. The Secretary concluded that he was not, and that decision must be affirmed if supported by substantial evidence.

The statutes and regulations governing pneumoconiosis determinations are almost unfathomable. In simplified form, the plaintiff, by virtue of the Black Lung Benefits Act of 1972, can establish his entitlement to benefits by satisfying the interim criteria contained in 20 C.F.R. § 410.490 (1975) or the permanent criteria contained in 20 C.F.R. §§ 410.412-.462 (1975).

The interim criteria provide, in substance, that a miner is entitled to a rebuttable presumption of total disability if his claim is filed before July 1, 1973, and a chest X-ray or biopsy establishes pneumoconiosis, or ventilatory studies establish the existence of a chronic respiratory or pulmonary disease. 20 C.F.R.

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Bluebook (online)
408 F. Supp. 1, 1976 U.S. Dist. LEXIS 16811, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pichon-v-mathews-ilnd-1976.