Ronald R. Tolbert, Jr. v. Electrolux Corp. ( 1995 )


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  •                     COURT OF APPEALS OF VIRGINIA
    Present:   Judges Benton, Coleman and Willis
    RONALD R. TOLBERT, JR.
    v.   Record No. 1233-95-3                       MEMORANDUM OPINION *
    PER CURIAM
    ELECTROLUX CORPORATION                           OCTOBER 10, 1995
    AND
    EMPLOYERS INSURANCE OF WAUSAU
    FROM THE VIRGINIA WORKERS' COMPENSATION COMMISSION
    (Ronald R. Tolbert, Jr., pro se, on briefs).
    (Ramesh Murthy; Penn, Stuart, Eskridge & Jones,
    on brief), for appellees.
    Ronald R. Tolbert, Jr. contends that the Workers'
    Compensation Commission erred in finding that he failed to prove
    that his allergic rhinitis and sinusitis were occupational
    diseases caused by his employment.     Pursuant to Rule 5A:21(b),
    Electrolux Corporation ("employer") raises the additional
    question of whether the commission erred in finding that
    Tolbert's application was not barred by the applicable statute of
    limitations.   Upon reviewing the record and the briefs of the
    parties, we conclude that this appeal is without merit.
    Accordingly, we summarily affirm the commission's decision.      Rule
    5A:27.
    I.   Background
    For ten years, Tolbert has worked as a molding machine
    operator in employer's manufacturing plant.    In this job, he
    *
    Pursuant to Code § 17-116.010 this opinion is not
    designated for publication.
    operates a machine which produces vacuum cleaner parts.    Tolbert
    testified that, in the fall of 1991, he began experiencing nasal
    stuffiness at work.   He testified that his symptoms increased
    during the course of his work shift.   Tolbert alleged that these
    problems were caused by his exposure to filtered air at work.     He
    also testified that over a period of months his symptoms
    worsened, and he developed respiratory problems.   He also began
    to experience dizziness, elevated blood pressure, and chest
    tightness.   Tolbert, who is thirty-six years old, testified that
    he smoked a pack of cigarettes per day for eighteen to twenty
    years.   Currently, he smokes a half a pack per day.
    In March 1992, Tolbert sought medical treatment from Dr.
    Douglas Pote.   Dr. Pote diagnosed hypertension, migraines, and
    dizziness.   After Tolbert was given an MRI, Dr. Pote diagnosed
    sinusitis and dizziness.   Dr. Pote prescribed a course of
    antibiotics and reported that Tolbert's sinuses had returned to
    normal on June 15, 1992.   Dr. Pote's medical records do not
    indicate that Tolbert reported that his work environment was
    causing his symptoms; his records do not indicate any comment
    from Dr. Pote on causation.
    On June 18, 1992, Tolbert sought medical treatment from Dr.
    Carol Dewey, a family practitioner.    At that time, he complained
    of migraines, dizziness, increased heart rate, and chest pain; he
    also told Dr. Dewey that heat and smoke triggered respiratory
    problems.    Tolbert also mentioned to Dr. Dewey that his symptoms
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    increased when he was in his mother's house and in air
    conditioned stores.   Dr. Dewey diagnosed sinusitis, allergic
    rhinitis, and vertigo.
    Dr. Dewey referred Tolbert to Dr. R. Alan Davis, an ear,
    nose, and throat specialist.   Dr. Davis performed an audiogram
    and an ENG, both of which were normal.    Finding no abnormality in
    Tolbert's sinuses or eustachian tubes, Dr. Davis referred him
    back to Dr. Dewey and recommended that Tolbert undergo
    psychological therapy and allergy testing.   Dr. Davis noted that
    Tolbert believed his allergy symptoms were related to exposure to
    air conditioning at work; Dr. Davis did not render an opinion on
    causation.
    In the fall of 1992, Dr. W. Jan Kazmier performed allergy
    tests on Tolbert which revealed that he is allergic to mold
    spores.   Dr. Kazmier informed Dr. Dewey that Tolbert believed
    dust exposure, leaf-raking, and hay aggravated his allergy
    symptoms.    Dr. Kazmier diagnosed nonallergic rhinitis and
    recommended that Tolbert avoid irritants and stop smoking.    Dr.
    Kazmier noted that air conditioning vents, smoke and perfumes can
    also increase nasal stuffiness and chest congestion.   Dr. Kazmier
    did not render an opinion on causation.
    Dr. Dewey informed Tolbert that it was highly likely that
    mold was a factor in causing his respiratory problems and that
    air conditioning vents are a perfect environment for mold.    Dr.
    Dewey admitted she could not identify the specific mold which
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    could have caused Tolbert's allergic reaction nor could she state
    where Tolbert was originally exposed to the molds which caused
    his allergy symptoms.   Dr. Dewey acknowledged that Tolbert's
    symptoms occurred in employment and non-employment settings.      She
    agreed that Tolbert's mold allergy could be triggered in any
    environment that has filtered air, such as shopping malls and
    office buildings, and she opined that Tolbert's work environment
    and exposure to air conditioning exacerbated his allergy symptoms
    and were precipitating factors in causing his respiratory
    problems.
    Dr. Dewey also listed dust, pollen, grass, perfume, and
    animal dander as other potential causes of Tolbert's allergy
    symptoms.   Although her report did not specifically address
    Tolbert's pets, Tolbert has five cats living on his home's
    enclosed porch and he has approximately forty to fifty tropical
    birds living in his home.    In addressing causation, Mr. Dewey
    stated, "One can't cause allergic rhinitis, one can be allergic
    to an allergen."
    II.    Occupational Disease
    The commission ruled that the evidence did not prove that
    Tolbert had an occupational disease as defined by Code
    § 65.2-400.   In so ruling, the commission found that the evidence
    established that Tolbert's allergic reaction could be triggered
    by exposures independent of his workplace.    This finding is
    supported by credible evidence consisting of Tolbert's testimony
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    and the medical records.   Because the issue whether a disease is
    an occupational disease is a medical issue to be decided by the
    commission upon credible evidence, we affirm that decision.       See
    Ross Labs v. Barbour, 
    13 Va. App. 373
    , 377, 
    412 S.E.2d 205
    , 208
    (1991); Knott v. Blue Bell, Inc., 
    7 Va. App. 335
    , 338, 
    373 S.E.2d 481
    , 483 (1988).
    III.   Ordinary Disease of Life Analysis
    For an ordinary disease of life to be treated as an
    occupational disease, Tolbert was required to establish by clear
    and convincing evidence, to a reasonable degree of medical
    certainty, that the disease arose out of and in the course of the
    employment, that it did not result from causes outside the
    employment, that it is characteristic of the employment, and that
    it was caused by conditions peculiar to the employment.    Code
    § 65.2-401; Greif Companies v. Sipe, 
    16 Va. App. 709
    , 714, 
    434 S.E.2d 314
    , 317-18 (1993).
    In denying compensation to Tolbert, the commission found as
    follows:
    The evidence here establishes that
    exposure to air conditioning systems at the
    work place caused [Tolbert's] allergic
    rhinitis to become symptomatic beginning
    approximately in the Fall of 1991. However,
    the evidence also shows that [Tolbert] had
    substantial exposure to causes of that
    condition injury [sic] outside the work
    place, in shopping malls and neighbors'
    homes, and even in the home of his mother.
    It appears that the aggregate exposures
    caused his symptomatic allergic rhinitis and
    sinusitis to develop, possibly including the
    exposure to filtered and conditioned air at
    work. However, it is equally likely that the
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    nonwork exposures initially triggered his
    allergic reaction, and the work exposure only
    further aggravated the resulting condition.
    At most, [Tolbert's] evidence shows only that
    the work exposures contributed with the
    nonwork exposures to produce the injury, but
    the evidence does not establish that the
    primary exposure is at work or that his
    condition did not result from causes
    independent of the employment. Rather the
    evidence shows substantial exposure to
    potential causes of the condition outside the
    workplace, which would preclude a finding of
    a compensable occupational disease.
    Tolbert's testimony and the medical evidence amply support
    the commission's decision.   The evidence established that
    Tolbert's allergy symptoms were triggered in non-employment and
    employment settings.    Dr. Dewey did not opine that the air
    conditioning system or mold in Tolbert's workplace caused his
    allergic rhinitis.    Rather, she stated that Tolbert's workplace
    exacerbated his symptoms.    Because Tolbert failed to prove by
    clear and convincing evidence, to a reasonable degree of medical
    certainty, that the origin of his allergic rhinitis and sinusitis
    could be traced to his employment as the proximate cause,
    aggravation of these conditions was not compensable as an
    occupational disease.    See Ashland Oil Co. v. Bean, 
    225 Va. 1
    ,
    
    300 S.E.2d 739
     (1983).
    For the reasons stated, we affirm the commission's decision.
    Because our ruling on the causation issue disposes of this
    appeal, we will not address the statute of limitations issue
    raised by employer.
    Affirmed.
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