Hudson Venetian Blind Service, Inc.et al. v. Hudson ( 1999 )


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  •                      COURT OF APPEALS OF VIRGINIA
    Present:    Judges Benton, Coleman and Willis
    HUDSON VENETIAN BLIND SERVICE, INC.
    AND PENNSYLVANIA GENERAL
    INSURANCE COMPANY
    MEMORANDUM OPINION *
    v.   Record No. 1611-98-2                         PER CURIAM
    MAY 18, 1999
    DONALD A. HUDSON
    FROM THE VIRGINIA WORKERS’ COMPENSATION COMMISSION
    (Bradford C. Jacob; Taylor & Walker, P.C., on
    brief), for appellants.
    (Andrew J. Reinhardt; Kerns, Kastenbaum &
    Reinhardt, on brief), for appellee.
    Hudson Venetian Blind Service, Inc., and its insurer
    (hereinafter referred to as “employer”) contend that the Workers’
    Compensation Commission erred in holding that Donald A. Hudson
    proved (1) that he suffers from a polyneuropathy or a peripheral
    neuropathy based upon the opinion of Dr. Robert J. DeLorenzo; (2)
    that his condition was caused by exposure to chemicals at work;
    (3) that he suffers from a compensable occupational disease rather
    than a gradually incurred, noncompensable, cumulative exposure to
    chemical solvents; (4) that a June 1, 1995 extender spill incident
    caused his condition; and (5) that he was totally disabled since
    March 1, 1996, and, therefore, was not obligated to market his
    *Pursuant to Code § 17.1-413, recodifying Code § 17-116.010,
    this opinion is not designated for publication.
    residual capacity.   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.      See
    Rule 5A:27.
    I., II. and IV.
    On appeal, we view the evidence in the light most favorable
    to the prevailing party below.    See R.G. Moore Bldg. Corp. v.
    Mullins, 
    10 Va. App. 211
    , 212, 
    390 S.E.2d 788
    , 788 (1990).
    Factual findings made by the commission will be upheld on appeal
    if supported by credible evidence.       See James v. Capitol Steel
    Constr. Co., 
    8 Va. App. 512
    , 515, 
    382 S.E.2d 487
    , 488 (1989).
    Moreover, “[t]he actual determination of causation is a factual
    finding that will not be disturbed on appeal if there is credible
    evidence to support the finding.”    Ingersoll-Rand Co. v. Musick, 
    7 Va. App. 684
    , 688, 
    376 S.E.2d 814
    , 817 (1989).
    Dr. DeLorenzo, chief neurologist at the Medical College of
    Virginia Hospital (“MCV”), a neurology professor, and the Director
    of the Neuroscience Research Facility, testified that he talked to
    Hudson on several occasions, performed a one and one-half hour
    history and complete physical and neurological examination of
    Hudson, reviewed Hudson’s MCV medical chart for approximately four
    to five hours at various intervals, spent another hour reading
    Hudson’s initial evaluations, and another two hours reviewing all
    of his laboratory testing.   In his de bene esse deposition, Dr.
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    DeLorenzo opined that Hudson suffers from “a peripheral neuropathy
    with both sensory and motor components, as well as evidence of
    central nervous system damage . . . probably . . . in the spinal
    cord . . . called a myelopathy.”   Dr. DeLorenzo testified that to
    a reasonable degree of medical certainty the damage to Hudson’s
    nervous system was caused by his unprotected exposure to paint
    solvents and chemicals in the workplace.   Dr. DeLorenzo opined
    that Hudson’s condition could have been caused by “one or two very
    large exposures in the workplace, which it’s my understanding that
    that happened . . . or [by] chronic accumulation.”   Dr. DeLorenzo
    stated that Hudson’s condition was probably due to both causes and
    was “[d]efinitely not” due to an idiopathic cause.   Dr.
    DeLorenzo’s December 13, 1996 letter report was consistent with
    the opinions he expressed in his deposition.
    As fact finder, the commission was entitled to accept Dr.
    DeLorenzo’s opinions and to reject any contrary medical opinions.
    “Questions raised by conflicting medical opinions must be decided
    by the commission.”   Penley v. Island Creek Coal Co., 
    8 Va. App. 310
    , 318, 
    381 S.E.2d 231
    , 236 (1989).   Dr. DeLorenzo’s opinions
    provide credible evidence supporting the commission’s finding that
    Hudson suffers from a polyneuropathy or peripheral neuropathy
    caused by exposure to paint solvents and chemicals in his
    workplace.   “The fact that there is contrary evidence in the
    record is of no consequence if there is credible evidence to
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    support the commission’s finding.”     Wagner Enters., Inc. v.
    Brooks, 
    12 Va. App. 890
    , 894, 
    407 S.E.2d 32
    , 35 (1991).
    Furthermore, whether Hudson’s condition was caused by a
    single exposure or prolonged high exposure to chemical solvents in
    the workplace is immaterial.   Dr. DeLorenzo stated that Hudson’s
    condition was attributable to either situation or both.    Based
    upon Hudson's testimony and Dr. DeLorenzo’s opinions, the
    commission properly concluded that “the particular event on June
    1, 1995 produced a definitive change in [Hudson’s] condition, such
    that it suddenly and unexpectedly produced the myriad effects in
    [Hudson’s] central nervous system that significantly altered his
    condition.”
    III.
    The Supreme Court’s recent decision in A New Leaf, Inc. v.
    Webb, 
    257 Va. 190
    , 
    511 S.E.2d 102
     (1999), is dispositive of this
    issue.   In Webb, the Supreme Court held that a florist’s
    allergic contact dermatitis was compensable as an occupational
    disease because it was caused by a reaction to allergens in
    certain flowers encountered in the claimant’s job as a florist,
    not by cumulative trauma induced by repetitive motion.      See id.
    at 192, 511 S.E.2d at 102.
    “‘[W]hether a worker has suffered an impairment that
    constitutes a compensable disease is a mixed question of law and
    fact.’   Thus, the Commission’s finding on that question is not
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    conclusive but is a proper subject for judicial review.”     Id. at
    196, 511 S.E.2d at 104.   In determining whether Hudson’s
    condition qualifies as an occupational disease, we must consider
    the nature and cause of the impairments.    See id. at 197, 511
    S.E.2d at 105.
    Here, credible medical evidence, including the medical
    records and opinions of Dr. DeLorenzo, proved that Hudson’s
    polyneuropathy or peripheral neuropathy was caused by the
    reaction of his body to unprotected high exposure to paint
    solvents and chemicals in the workplace, whether over an
    extended period of time or over several large exposures.    No
    evidence established that Hudson’s condition was caused by
    cumulative trauma induced by repetitive motion.   Accordingly,
    the commission did not err in holding that Hudson’s condition is
    a compensable occupational disease within the meaning of the
    Workers’ Compensation Act.
    V.
    The commission held that Hudson proved he had been totally
    disabled since March 1, 1996, and, therefore, had no obligation
    to market a residual work capacity.    In so ruling, the
    commission found as follows:
    The record establishes that [Hudson] is
    severely disabled by his neurological
    problems, such that he is essentially
    limited to sitting in a chair, and talking
    on the telephone. Moreover, Dr. [Richard]
    Waller persuasively testified that he doubts
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    whether [Hudson] can perform such activities
    under stress, which he defined as “any type
    of complex intellectual functioning, or
    maybe interpersonal interactions, I guess
    outside the context of his family.”
    The testimony of Dr. Waller and Dr. DeLorenzo, who opined
    that Hudson was totally disabled from work and that his
    condition would not improve, constitutes credible evidence
    supporting the commission’s findings.   Based upon their
    testimony, coupled with evidence of Hudson’s age, his
    significant neurological deficits and brain impairments, and his
    work history, the commission did not err in concluding that
    Hudson proved that he had been totally disabled since March 1,
    1996, and therefore, was not obligated to market his residual
    capacity.
    For these reasons, we affirm the commission’s decision.
    Affirmed.
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