                             STATE OF WEST VIRGINIA

                                                                                 FILED
                          SUPREME COURT OF APPEALS                            March 27, 2015
                                                                          RORY L. PERRY II, CLERK
                                                                        SUPREME COURT OF APPEALS
SHIRLEY BOWER, WIDOW OF                                                     OF WEST VIRGINIA

SILAS BOWER,
Claimant Below, Petitioner

vs.)   No. 14-0415 (BOR Appeal No. 2048859)
                   (Claim No. 860070752)

WEST VIRGINIA OFFICE OF
INSURANCE COMMISSIONER,
Commissioner Below, Respondent

and

EASTERN ASSOCIATED COAL, LLC,
Employer Below, Respondent

and

MCDANIEL MINING COMPANY,
Employer Below, Respondent


                             MEMORANDUM DECISION
       Petitioner Shirley Bower, widow of Silas Bower, by Reginald D. Henry, her attorney,
appeals the decision of the West Virginia Workers’ Compensation Board of Review. The West
Virginia Office of Insurance Commissioner, by Anna L. Faulkner, its attorney, filed a timely
response.

       This appeal arises from the Board of Review’s Final Order dated March 31, 2014, in
which the Board affirmed an October 9, 2013, Order of the Workers’ Compensation Office of
Judges. In its Order, the Office of Judges affirmed the claims administrator’s March 8, 2012,
decision denying Mrs. Bower’s request for dependent’s benefits. The Court has carefully
reviewed the records, written arguments, and appendices contained in the briefs, and the case is
mature for consideration.
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       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 no substantial question of law and no prejudicial error. For these
reasons, a memorandum decision is appropriate under Rule 21 of the Rules of Appellate
Procedure.

        Mr. Bower worked as an underground coal miner for over thirty-six years. During that
time, he worked for Eastern Associated Coal, LLC, and McDaniel Mining Company, but he was
forced to retire in 1986 due to breathing problems. Mr. Bower filed an application for workers’
compensation benefits based on his exposure to the hazards of breathing minute particles of coal
dust while working in the mines. D. L. Rasmussen, M.D., performed the initial pulmonary
function testing on Mr. Bower, and it revealed slight obstructive airway impairment and
pulmonary parenchymal densities consistent with occupational pneumoconiosis in all six of Mr.
Bower’s lung zones. Dr. Rasmussen noted that Mr. Bower had smoked three-quarters of a pack
of cigarettes a day for thirty-five years until he quit smoking in 1980. Several years later, Dr.
Rasmussen evaluated Mr. Bower a second time and concluded that his occupational
pneumoconiosis rendered him totally disabled. Mr. Bower was also evaluated by the
Occupational Pneumoconiosis Board, and on behalf of the Board, Johnsey L. Leef III, M.D.,
found that x-rays of Mr. Bower’s chest taken in 1997 showed nodular and irregular fibrosis
consistent with occupational pneumoconiosis. The Board of Review ultimately granted Mr.
Bower a 40% permanent partial disability award for occupational pneumoconiosis based on Dr.
Rasmussen’s evaluations. Mr. Bower was also granted permanent total disability benefits related
to his occupational pneumoconiosis.

        On April 3, 2011, several years after the litigation of his life claim, Mr. Bower underwent
an exploratory laparotomy at Raleigh General Hospital to evaluate an abdominal mass. The mass
was benign, but he developed pneumonia during his recovery from the surgery which caused
acute hypoxic respiratory distress. Mr. Bower was then transferred to Charleston Area Medical
Center because of symptoms of carotid stenosis. It was then determined that he had significant
blockage of his carotid artery. No further operations were scheduled, but on May 6, 2011, Mr.
Bower was transported to the emergency room at Raleigh General Hospital where he was
pronounced dead. The death certificate stated that the immediate cause of death was
pneumoconiosis and listed hypertension and Cachexia as underlying causes of Mr. Bower’s
death. Mrs. Bower then filed an application for dependent’s benefits, but the Occupational
Pneumoconiosis Board found that occupational pneumoconiosis was not a material cause of Mr.
Bower’s death. On March 8, 2012, the claims administrator denied Mrs. Bower’s application for
benefits based on the Board’s findings. Following this denial, Dr. Rasmussen reviewed Mr.
Bower’s records. Dr. Rasmussen found that Mr. Bower suffered from multiple medical problems
including chronic lung disease and aortic stenosis. Dr. Rasmussen determined that Mr. Bower
died suddenly of an apparent cardiac arrest, but he believed that Mr. Bower’s lung disease put
him at greater risk of death and decreased his chances of surviving his cardiac event. Gregory J.
Fino, M.D., also considered Mr. Bower’s records. He found that there were two CT scans
performed in 2011 and both scans indicated that Mr. Bower’s lung problems were related to a
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diffuse interstitial pulmonary process and not occupational pneumoconiosis. He believed that
Mr. Bower’s death was caused by idiopathic pulmonary fibrosis.

        The Occupational Pneumoconiosis Board then testified before the Office of Judges. The
Board’s radiologist, John A. Willis, M.D., found that the chest x-rays taken in 1998 showed
parenchymal opacities that he would interpret as a mild degree of fibrosis consistent with
occupational pneumoconiosis. However, he found that the CT scan taken in 2011, immediately
before Mr. Bower’s demise, showed lung destruction and advanced emphysema as well as non­
specific opacities in the upper lungs. Jack L. Kinder, M.D., also testified on behalf of the Board
that the CT scan taken before Mr. Bower’s death was more indicative of bronchiectasis and
emphysematous changes. He believed it was a close case but found that occupational
pneumoconiosis was not a material contributing factor in Mr. Bower’s death. Dr. Kinder found
that Mr. Bower developed pneumonia following an exploratory surgery. He testified that Mr.
Bower’s lungs could not handle this additional condition and it placed excessive strain on Mr.
Bower’s heart. Dr. Kinder found that Mr. Bower’s death was caused by cardiac arrhythmia due
to aortic stenosis. On October 9, 2013, the Office of Judges affirmed the claims administrator’s
rejection of Mrs. Bower’s application for dependent’s benefits. The Board of Review affirmed
the Office of Judges’ Order on March 31, 2014, leading Mrs. Bower to appeal.

       The Office of Judges concluded that occupational pneumoconiosis was not a material
contributing factor in Mr. Bower’s death. It noted that the Occupational Pneumoconiosis Board
had considered several chest x-rays taken throughout Mr. Bower’s life. It also noted that the
Occupational Pneumoconiosis Board believed that Mr. Bower’s lung problems were related to
chronic obstructive pulmonary disease instead of occupational pneumoconiosis. It found that the
Occupational Pneumoconiosis Board repeated this finding in its hearing testimony. The Board of
Review adopted the findings of the Office of Judges and affirmed its Order.

        We agree with the conclusions of the Board of Review and the findings of the Office of
Judges. Mrs. Bower has not demonstrated that she is entitled to dependent’s benefits based on
her husband’s death. The evidence in the record does not demonstrate that occupational
pneumoconiosis “contributed in any material degree” to Mr. Bower’s death. Bradford v.
Workers’ Comp. Comm’r, 185 W. Va. 434, 442, 408 S.E.2d 13, 21 (1991). There is evidence that
Mr. Bower had extensive exposure to coal dust and was awarded a significant permanent partial
disability award for occupational pneumoconiosis. This evidence, however, is not sufficient to
support Mrs. Bower’s application in light of the Occupational Pneumoconiosis Board’s finding
that occupational pneumoconiosis did not materially contribute to Mr. Bower’s death. Although
the Occupational Pneumoconiosis Board found that this was a close case, the Office of Judges
properly accorded the Board’s medical determination of the cause of Mr. Bower’s death
“considerable deference” in reaching its own conclusion. Fenton Art Glass Co. v. W. Va. Office
of Ins. Comm’r, 222 W. Va. 420, 431, 664 S.E.2d 761, 772 (2008). The Occupational
Pneumoconiosis Board’s opinion is sufficiently supported by the evidence in the record, and
Mrs. Bower has not demonstrated on appeal that the Board of Review was clearly wrong. West
Virginia Code § 23-4-6a (2005). The Board of Review and the Office of Judges were within their
discretion in basing their conclusions on the Occupational Pneumoconiosis Board’s opinion.

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        For the foregoing reasons, we find that the decision of the Board of Review is not in clear
violation of any constitutional or statutory provision, nor is it clearly the result of erroneous
conclusions of law, nor is it based upon a material misstatement or mischaracterization of the
evidentiary record. Therefore, the decision of the Board of Review is affirmed.

                                                                                        Affirmed.

ISSUED: March 27, 2015

CONCURRED IN BY:
Justice Robin J. Davis
Justice Brent D. Benjamin
Justice Menis E. Ketchum
Justice Allen H. Loughry II

DISSENTING:
Chief Justice Margaret L. Workman




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