                             STATE OF WEST VIRGINIA

                                                                                   FILED
                          SUPREME COURT OF APPEALS                                May 7, 2014
                                                                            RORY L. PERRY II, CLERK
                                                                          SUPREME COURT OF APPEALS
BRUCE A. BUZZARD,                                                             OF WEST VIRGINIA

Claimant Below, Petitioner

vs.)   No. 12-1007 (BOR Appeal No. 2046967)
                   (Claim No. 2012012738)

WEST VIRGINIA OFFICE OF
INSURANCE COMMISSIONER
Commissioner Below, Respondent

and

PRINCESS BEVERLY COAL COMPANY,
Employer Below, Respondent


                             MEMORANDUM DECISION
       Petitioner Bruce A. Buzzard, by John H. Shumate Jr., his attorney, appeals the decision of
the West Virginia Workers’ Compensation Board of Review. The West Virginia Office of
Insurance Commissioner, by Jay W. Craig, its attorney, filed a timely response.

       This appeal arises from the Board of Review’s Final Order dated August 1, 2012, in
which the Board reversed a February 24, 2012, Order of the Workers’ Compensation Office of
Judges. In its Order, the Office of Judges reversed the claims administrator’s October 25, 2011,
decision rejecting the claim for left ulnar palsy. The Court has carefully reviewed the records,
written arguments, and appendices contained in the briefs, and the case is mature for
consideration.

       This Court has considered the parties’ briefs and the record on appeal. The facts and legal
arguments are adequately presented, and the decisional process would not be significantly aided
by oral argument. Upon consideration of the standard of review, the briefs, and the record
presented, the Court finds that the Board of Review’s decision is based upon a material
misstatement or mischaracterization of the evidentiary record. This case satisfies the “limited
circumstances” requirement of Rule 21(d) of the Rules of Appellate Procedure and is appropriate
for a memorandum decision rather than an opinion.
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        Mr. Buzzard worked as a loader and heavy equipment operator for Princess Beverly Coal
Company. Mr. Buzzard’s job required him to operate heavy equipment with his elbows bent and
his arms flexed. His job also subjected his hands and arms to heavy vibrations. Mr. Buzzard
stopped working on March 19, 1999. Following his employment, he began developing tingling
and numbness in both hands and forearms. On August 28, 2001, Joe Othman, M.D., performed
electromyogram (EMG) and nerve conduction studies (NCS) on Mr. Buzzard’s left upper
extremity. The testing revealed evidence of left carpal tunnel syndrome but no further injuries.
Dr. Othman tested Mr. Buzzard again on February 16, 2010, and the EMG and NCS testing
revealed left ulnar neuropathy. Yogesh Chand, M.D., then evaluated Mr. Buzzard and found that
he had tardy ulnar palsy in the left elbow. Dr. Chand also found that Mr. Buzzard had received a
prior occupational injury on February 19, 1979, which resulted in a contusion of the left elbow.
Dr. Chand found that Mr. Buzzard’s work conditions at Princess Beverly Coal Company were
consistent with his ulnar palsy. However, Dr. Chand believed that Mr. Buzzard’s ulnar palsy was
related to the left elbow injury he sustained in 1979. On October 6, 2011, Mr. Buzzard filed an
application for workers’ compensation benefits. His application stated that he had developed
tardy ulnar palsy from repetitive use of his left elbow in the flexed position while operating
heavy equipment at Princess Beverly Coal Company. The physician’s portion of the application
was filled out by Paul Oar, M.D., who concluded that this was an occupational injury. On
October 25, 2011, the claims administrator rejected Mr. Buzzard’s application. The claim
administrator stated that Mr. Buzzard had failed to meet the requirement under West Virginia
Code § 23-4-15(c) (2010) that an initial filing be made within three years from the date of last
exposure. The claims administrator also stated, based on Dr. Chand’s report, that the condition
related to a prior injury. But on February 24, 2012, the Office of Judges reversed the claims
administrator’s decision and held Mr. Buzzard’s claim compensable. The Board of Review then
reversed the Order of the Office of Judges on August 1, 2012, leading Mr. Buzzard to appeal.

       The Office of Judges concluded that Mr. Buzzard’s application was timely filed. The
Office of Judges found that Mr. Buzzard had met the requirement of West Virginia Code § 23-4­
15(c) because he filed his claim for tardy ulnar palsy within three years of being diagnosed with
the occupational condition. The Office of Judges found that Mr. Buzzard was first informed that
he had the condition on October 12, 2010, and that he filed his application for benefits on
October 6, 2011, which was within three years of the initial diagnosis.

        The Office of Judges also concluded that Mr. Buzzard sustained the disease of left elbow
tardy ulnar palsy in the course of and resulting from his employment. The Office of Judges found
that Dr. Chand’s report was the most persuasive evidence in the record regarding the issue of
compensability. The Office of Judges further found that Dr. Chand believed that Mr. Buzzard
has some residual impairment of the left elbow as a result of the 1979 elbow contusion.
However, the Office of Judges interpreted his report to say that Mr. Buzzard had an elbow
contusion in 1979 and then, due to the repetitive vibration and awkward use of his elbow while
working at Princess Beverly Coal Company, he developed the condition of tardy ulnar palsy.

      The Board of Review reversed the Order of the Office of Judges and concluded that Mr.
Buzzard failed to sustain his burden in proving that he sustained an occupational disease or
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occupational injury. The Board of Review found that Mr. Buzzard last worked on March 19,
1999, and that he filed his claim on October 6, 2011. The Board of Review found that the EMG
and NCS studies performed on August 28, 2001, did not show left ulnar palsy. However, it found
that when the studies were repeated on February 16, 2010, almost eleven years after Mr.
Buzzard’s last day of work, there was evidence of left ulnar neuropathy in the elbow. The Board
of Review stated that Dr. Chand’s report was not persuasive because it provided conflicting
opinions regarding the cause of Mr. Buzzard’s condition. The Board of Review found that Dr.
Chand attributed Mr. Buzzard’s condition to the left elbow contusion he sustained in 1979 and
alternatively to his use of heavy equipment at Princess Beverly Coal Company. The Board of
Review also found that the remainder of the medical evidence was not reliable because it did not
explain how Mr. Buzzard developed the condition of ulnar palsy approximately eleven years
after he stopped working at Princess Beverly Coal Company.

        The decision of the Board of Review is based on a material misstatement or
mischaracterization of Dr. Chand’s report. Although Dr. Chand’s report relates the left ulnar
palsy to his 1979 elbow contusion, he clearly states that Mr. Buzzard’s documented vibrational
and awkward use of his left elbow while he worked for Princess Beverly Coal Company
contributed to the condition. Mr. Buzzard has presented sufficient evidence to show that his left
ulnar palsy was sustained in the course of and resulting from his employment. Dr. Oar also
related Mr. Buzzard’s condition to his occupation. The electrodiagnostic evidence in the case
demonstrates that Mr. Buzzard has tardy ulnar palsy in the left elbow, and his testimony provides
a sufficient causal connection between his work and this condition to hold his claim
compensable.

        For the foregoing reasons, we find that the decision of the Board of Review is based upon
a material misstatement or mischaracterization of particular components of the evidentiary
record. Therefore, the decision of the Board of Review is reversed and remanded with
instructions to reinstate the February 24, 2012, Order of the Office of Judges.


                                                                       Reversed and Remanded.

ISSUED: May 7, 2014

CONCURRED IN BY:
Justice Brent D. Benjamin
Justice Margaret L. Workman
Justice Menis E. Ketchum

DISSENTING:
Chief Justice Robin J. Davis

Justice Allen H. Loughry II dissents and files a separate opinion.




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        Mr. Buzzard has failed to show a causal connection between his left ulnar palsy and his
employment. Mr. Buzzard last worked for Princess Beverly Coal Company on March 19, 1999.
The Board of Review correctly pointed out that his left ulnar palsy condition was not diagnosed
until nearly eleven years after his date of last employment. Although Dr. Chand diagnosed Mr.
Buzzard with tardy ulnar palsy, he believed the condition was the result of a left elbow injury
suffered by Mr. Buzzard in 1979. There is simply insufficient evidence in this case to
demonstrate that Mr. Buzzard developed left ulnar palsy in the course of and resulting from his
employment.

       In view of the foregoing, I respectfully dissent.




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