Appeal from the Circuit Court of Franklin County. No. 92-MR-19. Honorable Robert S. Hill, Judge Presiding. Appeal from the Circuit Court of Franklin County. No. 90-MR-31. Honorable John I. Lundmark, Judge Presiding.
Slater, McCULLOUGH, Rakowski, Woodward, Rarick
The opinion of the court was delivered by: Slater
JUSTICE SLATER delivered the opinion of the court:
Claimant, Robert Forsythe, filed an application for adjustment of claim pursuant to the Workers' Occupational Diseases Act (the Act) (Ill. Rev. Stat. 1981, ch. 48, par. 172.36 et seq.) on September 27, 1982. The arbitrator found that claimant was permanently partially disabled to the extent of 17 1/2% as a result of pneumoconiosis. Both claimant and his employer, Freeman United Coal Mining Company, filed petitions for review. The Industrial Commission (the Commission) reversed the decision of the arbitrator, finding that claimant failed to prove that he sustained disablement due to an occupational disease within the statutory two-year period under section 1(f) of the Act (Ill. Rev. Stat. 1981, ch. 48, par. 172.36(f)). Claimant appealed the decision of the Commission to the circuit court as case number 90-MR-31. Judge John Lundmark reversed the Commission and found, inter alia, that the Commission's finding that claimant had failed to prove that disablement occurred within two years of the date of last exposure to the hazards of an occupational disease was against the manifest weight of the evidence. The court also found that a claim based on coal miner's pneumoconiosis was not barred by section 1(f) but was instead subject to the five-year limitations provision contained in section 6(c) of the Act (Ill. Rev. Stat. 1981, ch. 48, par. 172.41(c)). The court remanded the cause to the Commission to determine the amount of disability, if any, attributable to pneumoconiosis. On remand, the Commission found that claimant had sustained permanent partial disability to the extent of 25% as a result of pneumoconiosis. Both claimant and the employer appealed the Commission's decision to the circuit court as case number 92-MR-19. Judge Robert Hill reversed the Commission's decision and found that claimant had failed to prove any disability due to anoccupational disease. The employer now appeals from the order which Judge Lundmark rendered in case number 90-MR-31 which reversed the Commission's initial decision. Claimant appeals from the order of Judge Hill in case number 92-MR-19 which reversed the Commission's decision after remandment. These appeals were consolidated by this court. The issues presented by the employer on appeal are: (1) whether the circuit court erred in reversing the Commission's finding that section 1(f) of the Act applied to a claim based on pneumoconiosis; and (2) whether the court's reversal of the Commission's determination that the claimant failed to prove disablement within two years pursuant to section 1(f) of the Act was erroneous. The issues presented by the claimant on appeal are: (1) whether the circuit court erred in reversing the Commission's decision after remandment which had awarded the claimant permanent partial disability to the extent of 25%; and (2) whether the circuit court's order was contrary to the doctrine of "law of the case."
Claimant was born on November 10, 1909. Claimant was 78 years old at the time of arbitration, and he was 68 on November 12, 1977, his last day of work. Claimant began working as a coal miner in 1947 at Freeman's No. 3 Mine where he worked as a laborer, truck driver, and road builder. During this time he was exposed to rock dust. In 1951 he was transferred to a job where he ran a tripper belt filling silos with coal. The coal would fall off a tripper onto a track and into the silos making an updraft of dust. Claimant was also required to sweep and clean up the floors. In addition, he had to unplug the feeders at the bottom of the silo by using a crow bar and hammer to free the jam. This was very dusty work, and while he tried to wear a respirator, the device made it difficult to breath. In 1957 claimant became a portal attendant in charge of a console board which operated a number of pieces of equipment. A slope belt brought the coal out from the bottom of the mine onto an apron feeder and then to a shaker and a tiler feeder where the coal was screened. This process created quite a bit of dust.
Beginning in 1972 or 1973, claimant experienced shortness of breath when exerting himself or climbing stairs while at work. On November 12, 1977, claimant had a heart attack while at work. Before the heart attack, claimant had never experienced chest pains, and his only problem was shortness of breath. Claimant has not worked since his heart attack. In 1978 or 1979, claimant was hospitalized for shortness of breath and dizziness. He was again hospitalized in 1983 with an aneurysm in his abdomen. Presently, claimant does not engage in physical activity and can only walk about one block before becoming short of breath.
Claimant smoked one-half of a pack of cigarettes a day for about 30 years. He quit after he had the heart attack. Claimant's personal physician is Dr. Khan, who he began seeing following the heart attack.
Thomas J. Smith worked at Freeman's No. 3 mine for approximately 35 years. For three years Smith worked in a position where he was able to observe claimant in his job as portal attendant. According to Smith, the job site was dusty due to the coal being poured over the shakers. Smith observed claimant become short of breath while going up and down stairs.
Dr. Saeed Khan testified on behalf of claimant. Dr. Khan is board certified in internal medicine, and his practice consists of internal medicine, cardiology, and pulmonary disease. Dr. Khan began seeing the claimant after his heart attack in November of 1977. He sees claimant every two to three months. Dr. Khan noted that claimant has bilateral dry crepitations and wheezing in his lungs. An Xray taken in March of 1986 revealed bilateral pulmonary fibrosis, which Dr. Kahn described as scarring due to occupational disease. Arterial blood gas studies showed diminished levels of PO2 and PCO2, which is consistent with black lung disease and chronic bronchitis. Claimant's bronchitis was likely due to smoking. Pulmonary function studies done in March of 1986 were abnormal and could be consistent with pneumoconiosis. Claimant told Dr. Kahn that he had been experiencing slight shortness of breath and a productive cough for several years prior to 1977.
In Dr. Kahn's opinion, claimant has pneumoconiosis, heart disease, and cor pulmonale, which is congestive heart failure secondary to pneumoconiosis, making him totally disabled. Claimant was initially unable to return to work due to his heart attack, although he later experienced increased shortness of breath. By 1981, claimant had developed symptoms of congestive heart failure and cor pulmonale. Claimant's symptoms of cor pulmonale were swelling of the feet, increased shortness of breath, rapid heart rate, and increased cough. Although breathlessness on exertion can develop after a heart attack, Dr. Kahn stated that this occurs if the patient goes into heart failure after the heart attack, which was not the case with claimant.
Due to claimant's age, heart condition and lung disease, Dr. Khan concluded that it was unlikely that he could be employed. In Dr. Khan's opinion, 50% of claimant's impairment was due to heart disease and 50% was due to pneumoconiosis. Coal workers' pneumoconiosis is a contributing factor in both claimant's lung disease and his cor pulmonale. Continued exposure to coal dust would aggravate these conditions.
Dr. James Vest is a pulmonary physician who is board certified in both pulmonary and internal medicine. Dr. Vest examined claimant on April 19, 1984. At that time, claimant was 74 years old. Claimant related an eight- to ten-year history of shortness of breath that had increased in both nature and severity. He was able to walk approximately one block and climb approximately a half of a flight of stairs. Claimant's Xrays revealed fibrosis, or scarring of the lungs. Dr. Vest concluded that claimant had some evidence of coal workers' pneumoconiosis which resulted in some evidence of impairment of his pulmonary status. His findings were based on claimant's occupational history, physical findings, and chest Xray. Dr. Vest explained that a heart attack could cause shortness of breath if there is congestive heart failure, but he saw no evidence of congestive heart failure in claimant. He also found no impairment directly related to claimant's heart attack, nor did he find any evidence of cor pulmonale. Dr. Vest stated that it would be very difficult for claimant to be engaged in full-time employment and that pneumoconiosis was a contributing factor in his overall disability. Dr. Vest would recommend that claimant not return to coal mine employment for a number of reasons, including his age, myocardial infarction, and pulmonary status.
Dr. Parviz Sanjabi was called as a witness by the employer. Dr. Sanjabi's clinical practice is focused on internal medicine and pulmonary diseases. Dr. Sanjabi first saw claimant on March 29, 1978, when he was referred by the United States Department of Labor for an evaluation of the presence or absence of pneumoconiosis. At that time claimant was complaining of shortness of breath when walking up inclines or stairs. Dr. Sanjabi conducted arterial blood gas studies and pulmonary function studies, and they were within the normal range. Dr. Sanjabi's diagnosis was coronary artery disease, history of myocardial infarction, and mild simple coal workers' pneumoconiosis. The diagnosis of coal workers' pneumoconiosis was based primarily on the history of exposure and Xray findings. Dr. Sanjabi testified that in 1978 he did not expect any significant disabling condition with regard to the respiratory function of claimant. His opinion at that time was that claimant had simple pneumoconiosis, but he did not have any impairment as a result.
Dr. Sanjabi again examined claimant in March of 1987. Claimant's chief complaints were shortness of breath and a reduction of exercise tolerance. He also complained of chest pain. Claimant indicated that he had shortness of breath for the past 10 years and it had progressively worsened. Dr. Sanjabi testified that claimant's coronary artery disease and heart problems were the source of his chestpain. He also testified that shortness of breath and reduction of exercise tolerance are common symptoms of post-myocardial infarction patients. Arterial blood gas studies performed at that time were within normal limits. Xray results showed the presence of mild ...