Zeigler Coal Co. v. Office of Workers' Compensation Programs

490 F.3d 609, 2007 WL 1745888
CourtCourt of Appeals for the Seventh Circuit
DecidedJune 19, 2007
Docket06-1248
StatusPublished
Cited by6 cases

This text of 490 F.3d 609 (Zeigler Coal Co. v. Office of Workers' Compensation Programs) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Zeigler Coal Co. v. Office of Workers' Compensation Programs, 490 F.3d 609, 2007 WL 1745888 (7th Cir. 2007).

Opinion

RIPPLE, Circuit Judge.

Edward Griskell first applied for black lung benefits on January 19, 1976, when he was 39 years old. His claim went through several administrative iterations. Finally, the ALJ awarded benefits and the Board affirmed. Zeigler Coal Company (“Zeig-ler”) timely petitioned for review by this court. 1 For the reasons set forth in this *611 opinion, we affirm the decision of the Board.

I

BACKGROUND

A. Facts

Mr. Griskell began working for a coal mining company in 1960. This coal mine eventually was succeeded by Zeigler. Mr. Griskell worked in the mines until 1974 in a variety of capacities. In 1976, he filed a claim for black lung benefits under Title TV of the Federal Coal Mine Health and Safety Act of 1969, as amended by the Black Lung Benefits Act of 1977. His claim progressed through the administrative system; it was reviewed multiple times by both an administrative law judge (“ALJ”) and the Benefits Review Board (“Board” or “BRB”). Finally, the Board affirmed the ALJ’s award of benefits on July 11, 2005.

Before the ALJ, Mr. Griskell supported his claim with several reports that contained a diagnosis that he had probable coal workers’ pneumoconiosis. He presented five positive x-ray readings for pneumoconiosis that had been read by four radiologists, all of whom were certified B-readers, and by one internist who was also a B-reader. He also submitted three medical opinions that concluded that he was disabled due to coal workers’ pneumoconi-osis.

First, Dr. Barnett submitted reports indicating Mr. Griskell’s respiratory problems primarily were due to coal dust exposure and secondarily were due to cigarette smoking. He concluded that Mr. Gris-kell’s pulmonary function reports indicated a moderate obstructive defect and Grade III dyspnea; these pulmonary problems rendered Mr. Griskell totally disabled. He also diagnosed Mr. Griskell with coal workers’ pneumoconiosis based on chronic bronchitis and a fourteen year history of heavy exposure to coal dust while on the job. The ALJ determined Dr. Barnett’s opinion set forth his clinical observations and findings and that his reasoning was supported by adequate data. Therefore, the ALJ accorded probative weight to Dr. Barnett’s opinion.

The ALJ devoted the largest portion of his opinion to a discussion of Dr. Hessl’s examinations of Mr. Griskell. Dr. Hessl first examined Mr. Griskell in 1989 and determined that the miner had chronic bronchitis, mild obstructive lung disease and probable coal workers’ pneumoconio-sis. Dr. Hessl believed that all these conditions primarily were caused by coal dust exposure and determined their secondary etiology was Mr. Griskell’s smoking history. He made similar findings when he saw Mr. Griskell in 1991 and 1993. Each time, he considered an account of Mr. Griskell’s coal mine employment and smoking history and conducted a variety of medical tests. In 1996, Dr. Hessl submitted reports containing a positive diagnosis for coal workers’ pneumoconiosis and chronic obstructive pulmonary disease. He further stated that the primary etiology for this diagnosis was exposure to coal dust during Mr. Griskell’s coal mine employment. He determined that Mr. Griskell had mild to moderate respiratory impairment and Grade III-IV dyspnea and that Mr. Griskell was totally disabled for any work requiring physical ability, including his coal mine job. Dr. Hessl’s report also included reviews of x-rays of Mr. Griskell from 1989, 1991 and 1993, all of which *612 were negative for changes compatible with pneumoconiosis.

Dr. Hessl submitted an updated report in 1997 after again reviewing chest x-rays from 1995 and 1996, which he determined were positive for pneumoconiosis. He attributed this change to the fact that coal workers’ pneumoconiosis is a chronic, progressive disease. The ALJ found Dr. Hessl’s opinions to be reasoned, documented, supported by adequate data and thus entitled to probative weight.

In order to establish rebuttal of the interim presumption of total disability accorded Mr. Griskell, Zeigler presented the reports of Drs. Andracki, Nay, Bass, Castle and Cugell to the ALJ. Zeigler also contended that the opinions of Drs. Hessl and Barnett were not well-reasoned and documented. Dr. Andracki diagnosed Mr. Griskell with mild emphysema that was not related to coal dust exposure. Dr. Andracki merely checked a box marked “no” in response to whether Mr. Griskell’s emphysema was linked to coal dust exposure; the ALJ therefore determined that, because Dr. Andraeki’s opinion was neither reasoned nor documented, it was entitled to a lesser degree of probative weight. Dr. Bass diagnosed Mr. Griskell with insignificant obstructive pulmonary disease and determined this disease was not due to coal dust exposure. The ALJ stated that Dr. Bass did not set forth observations or findings to support his conclusions and that therefore this opinion was entitled to a lesser degree of probative weight. Dr. Nay opined that Mr. Griskell suffered from only mild bronchitis consistent with his smoking history. Noting Dr. Nay’s board certification in internal medicine, the ALJ determined this opinion to be both well-reasoned and documented and thus accorded it probative weight. Dr. Castle provided a consultative opinion after examining the reports and x-rays taken and submitted by other physicians. He determined that Mr. Griskell had mild obstructive airways disease with no evidence of coal workers’ pneumoconiosis. Noting Dr. Castle’s credentials as a board-certified pulmonologist, the ALJ found this opinion entitled to probative weight.

Dr. Cugell, who examined Mr. Griskell, did not find evidence of coal workers’ pneumoconiosis, although he did find that Mr. Griskell suffered from chronic bronchitis. Dr. Cugell did not provide an etiology for this disease. The ALJ accorded Dr. Cugell’s opinion probative weight but, because his opinion did not address the etiology of Mr. Griskell’s chronic bronchitis, the ALJ did not believe the physician’s opinion was sufficient to rebut the interim presumption of eligibility for benefits.

On July 22, 1974, before leaving his job with Zeigler, Mr. Griskell pleaded guilty to a charge of petty theft. This petty theft involved property belonging to the coal company. He also suffered a back injury in 1981 that required surgery. 2

B. Proceedings Before the ALJ and the Board

As noted previously, Mr. Griskell first applied for black lung benefits on January 19, 1976, when he was 39 years old. His claim was denied administratively on February 27, 1981. Mr. Griskell, acting pro se, requested reconsideration of his claim in December 1981. On March 26, 1982, Mr. Griskell filed a new application for benefits; he had a hearing before an ALJ on January 24, 1990. At this hearing, the Department of Labor conceded that Mr. *613 Griskell had 15 years of coal mine employment, which met the minimum required to obtain black lung benefits. The ALJ denied this claim on April 13, 1990. On January 28, 1993, the Board issued a decision determining that Mr. Griskell’s 1976 claim was still viable and remanded the case to the ALJ for further findings. In that order, the Board determined that Mr.

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Bluebook (online)
490 F.3d 609, 2007 WL 1745888, Counsel Stack Legal Research, https://law.counselstack.com/opinion/zeigler-coal-co-v-office-of-workers-compensation-programs-ca7-2007.