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Access over workers' compensation decisions, including En Banc, Significant Panel Decisions, and writ-denied cases.

Case No. ADJ8657415
Regular
Oct 06, 2017

Oliver Boutte IV (Deceased) vs. U.S. XPRESS ENTERPRISES, LIBERTY MUTUAL INSURANCE COMPANY

This Workers' Compensation Appeals Board case involved a petition for reconsideration filed by U.S. Xpress Enterprises and Liberty Mutual Insurance Company. The defendants argued that the medical report relied upon by the Workers' Compensation Judge (WCJ) was not substantial evidence, specifically regarding the timing of the employee's death from a pulmonary embolus. The Board denied the petition, adopting the WCJ's report which found the physician's opinion to be substantial medical evidence based on adequate examination and reasoning. The Board concluded the WCJ properly found this opinion more persuasive than the opposing medical opinion.

Oliver Boutte IVU.S. Xpress EnterprisesLiberty Mutual Insurance CompanyADJ8657415Petition for ReconsiderationWorkers' Compensation Appeals Boardsubstantial evidencemedical opinionpulmonary embolusreasonable medical probability
References
3
Case No. MISSING
Regular Panel Decision
Aug 18, 1977

Claim of Johnson v. International Talc Co.

Claimant's deceased husband, an employee of International Talc Company, developed a partial pulmonary disability, specifically pneumoconiosis and pulmonary emphysema, due to occupational exposure to talc and silicosis dust over 20 years. He filed a compensation claim in May 1973 and died in November 1973. The Workers' Compensation Board determined that while the pulmonary disability was causally related to his occupation, his death was not. Conflicting medical testimonies were presented regarding the extent of disability and the causal link of death to his occupation, with an impartial specialist concurring with the Board's finding on the death. The Appellate Division affirmed the Board's decision, noting that substantial evidence supported the Board's findings and that Section 39 of the Workers' Compensation Law at the time did not permit awards for partial disability resulting from dust disease.

PneumoconiosisSilicosisPulmonary EmphysemaPartial DisabilityDust DiseaseCausal RelationshipMedical EvidenceBoard FindingsAppellate AffirmationStatutory Interpretation
References
2
Case No. MISSING
Regular Panel Decision
Aug 12, 1998

Claim of Cocco v. New York City Department of Transportation

Claimant, a bridge painter for 36 years, was diagnosed with chronic obstructive pulmonary disease, leading to total disability since June 1993. The Workers’ Compensation Board found that his work for the employer aggravated a previously dormant and non-disabling pulmonary condition, deeming it an occupational disease under Workers’ Compensation Law § 3 (2) (30). The employer appealed this decision. The court differentiated between the aggravation of active versus dormant conditions, requiring a distinctive employment feature to activate a dormant one. It was determined that the claimant's exposure to noxious substances from sandblasting, paint stripping, and spraying red lead paint constituted such a feature. Expert testimony supported that the claimant's pulmonary condition was dormant and that his work exposure caused the disability, leading to the affirmation of the Board's decision.

Occupational DiseaseChronic Obstructive Pulmonary DiseaseAggravation of Preexisting ConditionBridge PainterNoxious Substances ExposureSandblasting HazardsCausation in WCDormant Condition ActivationSubstantial Evidence ReviewWorkers' Compensation Board Appeal
References
7
Case No. FRE 0213272
Regular
Oct 02, 2007

ROGER MILLS vs. SUNRISE BUILDERS, VIRGINIA SURETY COMPANY, APPLIED RISK SERVICES

The Workers' Compensation Appeals Board affirmed the WCJ's decision, denying the applicant's contentions regarding a pulmonary injury. The Board found the applicant's permanent disability rating of 40% for an orthopedic injury was consistent with medical opinions and relevant case law, particularly regarding apportionment of pre-existing conditions. The decision disallowed claims for the pulmonary condition and associated medical treatment, upholding the original award.

Workers' Compensation Appeals BoardPulmonary/Respiratory InjuryOrthopedic InjuryPermanent and StationaryTemporary DisabilityPermanent Disability AwardApportionmentSB 899Agreed Medical EvaluatorBrodie v. Workers' Comp. Appeals Bd.
References
1
Case No. MISSING
Regular Panel Decision
Sep 17, 1979

In re the Claim of Brod v. Julius Young Mfg. Co.

The claimant, a 64-year-old jewelry polisher, sought workers' compensation for pulmonary emphysema, alleging it was caused by breathing fumes and dust at work. The Workers' Compensation Board disallowed the claim, a decision which was subsequently appealed. The Board's determination was based on medical evidence, specifically the testimony of an Impartial Specialist, Dr. Sydney Bassin, who concluded there was no causal relationship between the claimant's pulmonary condition and their employment. The appellate court affirmed the Board's decision, finding substantial evidence to support its determination.

References
0
Case No. MISSING
Regular Panel Decision

Claim of Riganti v. South Mall Construction, Inc.

This case is an appeal from a Workers’ Compensation Board decision, filed on May 28, 1993, which found a causal link between the claimant's death and asbestosis, an established occupational disease. The court upheld the Board's finding, citing substantial evidence from Dr. Frank Maxon, a pulmonary physician. Dr. Maxon's expert opinion, based on medical records, confirmed the causal relationship, noting documented pleural thickening and pulmonary fibrosis consistent with asbestosis. The employer's argument regarding non-compliance with form C-64 was not preserved for review and was found to lack merit. The decision of the Workers’ Compensation Board was affirmed.

Workers' CompensationAsbestosisOccupational DiseaseCausationMedical Expert TestimonyPulmonary FibrosisPleural ThickeningAppellate ReviewBoard DecisionMedical Records
References
3
Case No. MISSING
Regular Panel Decision

Claim of Estate of Harris v. General Electric Co.

Francis Harris, a machinist, developed pulmonary fibrosis, leading to a workers' compensation claim. Following his death, his widow, Patricia Harris, filed a claim for death benefits. Initially, a Workers’ Compensation Law Judge denied both claims, citing insufficient evidence to causally link the pulmonary fibrosis to Harris's employment. However, the Workers’ Compensation Board subsequently reversed this decision, establishing both claims. The employer appealed the Board's reversal. The appellate court affirmed the Board's decision, emphasizing that medical opinions in workers' compensation cases do not require absolute certainty, only a reasonable probability supported by a rational basis, which was found to be present in this case.

Pulmonary FibrosisWorkers' Compensation BenefitsDeath BenefitsCausal RelationshipEmployment-Related IllnessMedical Expert OpinionRational BasisSubstantial EvidenceWorkers' Compensation BoardAppellate Affirmation
References
3
Case No. MISSING
Regular Panel Decision

Claim of Hollander v. Valor Clothers, Inc.

Claimant appealed a Workers' Compensation Board decision from August 7, 1981, which denied benefits for an occupational disease. The claimant, employed as a spot cleaner at Valor Clothers, Inc., worked with toxic fluids like carbon tetrachloride and benzene and alleged these conditions caused or aggravated a pre-existing pulmonary condition. The record showed claimant had a long history of pulmonary dysfunction since 1964, predating his 1972 employment. The Board disallowed the claim, and the appellate court affirmed, stating that compensation is not granted for the aggravation of an already active condition. For compensation, a pre-existing condition must be dormant and nondisabling, with employment activating it, conditions deemed not met in this case.

Occupational diseasePulmonary conditionPre-existing conditionAggravation of injuryWorkers' Compensation LawToxic exposureCarbon tetrachlorideBenzeneEmployment disabilityMedical history
References
2
Case No. MISSING
Regular Panel Decision

Claim of Di Nicola v. Crucible Steel, Inc.

Claimant Samuel Di Nicola became disabled from obstructive pulmonary disease, an occupational disease, as a result of his 11-year employment by the self-insured employer, Crucible Steel. He worked in conditions with poor ventilation and significant dust, leading to respiratory complaints that began in 1971. Medical experts, Dr. Enders and Dr. Sipple, diagnosed chronic obstructive pulmonary disease aggravated by industrial exposure, while Dr. Miller, initially skeptical, conceded a possible work-related link. The employer appealed the Workers’ Compensation Board's finding of occupational disease and continuing disability, arguing it was contrary to case law. The court affirmed the board's decision, finding its classification consistent with prior rulings and supported by substantial medical evidence that the work environment aggravated claimant's pre-existing bronchitis and asthma.

Occupational DiseasePulmonary DiseaseChronic Obstructive Pulmonary DiseaseIndustrial ExposureDust ExposureBronchitisAsthmaWorkers' CompensationMedical EvidenceDisability
References
8
Case No. MISSING
Regular Panel Decision

Romanelli v. Long Island Railroad

Frank Romanelli sued his employer, the Long Island Railroad Company (LIRR), under the Federal Employers Liability Act (FELA), alleging that his work as a track worker exposed him to hazardous environmental contaminants, causing pulmonary and cardiac problems. LIRR filed three motions in limine to preclude Romanelli's medical experts from testifying on causation, Romanelli from testifying about exposure to toxins at unsafe levels, and Romanelli from testifying that LIRR had a duty to provide a respirator. The court granted the motions in part and denied in part. It allowed treating physicians to testify on the causation of respiratory issues by workplace exposures due to common knowledge, but not on the link between pulmonary and cardiac problems without demonstrated methodology. Romanelli was permitted to testify about his first-hand exposure to dust, fumes, and chemicals but not to label them as 'hazardous contaminants' or at 'unsafe' levels. Lastly, Romanelli could not testify about LIRR's legal duty to provide a respirator, but could testify about not being provided one despite requests and that its absence caused him to ingest more harmful substances.

FELAMotions in LimineExpert Witness TestimonyLay Witness TestimonyCausationEvidentiary StandardsWorkplace ExposurePulmonary ConditionsCardiac ConditionsRespirator Requirements
References
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