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                               BRB No. 01-0473 BLA
     
BRYANT HESS                        )
                         )
          Claimant-Respondent      )
                         )
     v.                            )    
                         )
DOMINION COAL CORPORATION               )
                                        )     DATE ISSUED:01/29/2002      
                                              
       Employer-Petitioner      )         
                                        )
DIRECTOR, OFFICE OF WORKERS'            )
COMPENSATION PROGRAMS, UNITED      )
STATES DEPARTMENT OF LABOR              )
                                        )
          Party-in-Interest                  )      DECISION and ORDER

                         
     Appeal of the Decision and Order on Third Remand of Alexander Karst,
     Administrative Law Judge, United States Department of Labor.

     Ronald E. Gilbertson (Bell, Boyd & Lloyd PLLC), Washington, D.C., for 
     employer.

     Helen H. Cox (Eugene Scalia, Solicitor of Labor; Donald S. Shire,
     Associate Solicitor; Rae Ellen Frank James, Deputy Associate Solicitor;
     Richard A. Seid and Michael J. Rutledge, Counsel for Administrative
     Litigation and Legal Advice), Washington, D.C., for the Director, Office
     of Workers' Compensation Programs, United States Department of Labor.

     Before: DOLDER, Chief Administrative Appeals Judge, SMITH and HALL, Administrative Appeals
     Judges. 

     PER CURIAM:

     Employer appeals the Decision and Order on Third Remand (91-BLA-1088) of
Administrative Law Judge Alexander Karst awarding benefits on a claim filed
pursuant to the provisions of Title IV of the Federal Coal Mine Health and Safety
Act of 1969, as amended, 30 U.S.C. §901 et seq. (the Act).[1]   This case is before the Board for the fourth time.  Claimant filed a
duplicate claim on July 17, 1990.[2]   By Decision and Order dated May 4, 1992,
Administrative Law Judge George A. Fath found that the evidence was insufficient to establish a material change in
conditions pursuant to 20 C.F.R. §725.309 (2000).  Accordingly, Judge Fath denied benefits.  By Decision and Order
dated December 28, 1993, the Board held, inter alia, that Judge Fath erred in weighing the evidence supportive
of a finding that claimant established a material change in conditions against the contrary evidence and erred in holding that
claimant was required to demonstrate a material change in conditions with respect to all elements of entitlement that he
failed to establish in his earlier claim. Hess v. Dominion Coal Corp., BRB No. 92-1702 BLA (Dec. 28, 1993)
(unpublished).  The Board, however, held that this error was harmless inasmuch as Judge Fath's finding that the medical
evidence of record was insufficient to establish that claimant's total disability was due to pneumoconiosis could be affirmed.
Id.  The Board, therefore, affirmed Judge Fath's denial of benefits. Id. By Decision and Order dated
September 30, 1994, the United States Court of Appeals for the Fourth Circuit held that the reasoning relied upon by the
Board was insufficient to support a denial of benefits. Hess v. Dominion Coal Corp., No. 94-1066 (4th Cir. Sept.
30, 1994) (unpublished).  The Fourth Circuit, therefore, vacated the Board's Decision and Order and remanded the case to
the Board for further review. Id.   

     By Order dated December 14, 1995, the Board vacated its December 28, 1993 Decision and Order and remanded
the case for further consideration. Hess v. Dominion Coal Corp., BRB No. 92-1702 BLA (Dec. 14, 1995) (Order)
(unpublished). 

     Due to Judge Fath's unavailability, Administrative Law Judge Alexander Karst (the administrative law judge) 
reconsidered the claim on remand.  In a Decision and Order on Remand dated September 30, 1996, the administrative law
judge found that the evidence was sufficient to establish a material change in conditions pursuant to 20 C.F.R.
§725.309 (2000).  The administrative law judge, therefore, considered the merits of claimant's 1990 claim.  The
administrative law judge found that the evidence was sufficient to establish the existence of pneumoconiosis pursuant to
20 C.F.R. §718.204(a)(1) and (a)(4) (2000).  The administrative law judge also found that claimant 
was entitled to a presumption that his pneumoconiosis arose out of his coal mine
employment pursuant to 20 C.F.R. §718.203(b)(2000).  The administrative law
judge further found that the evidence was sufficient to establish that claimant was
totally disabled pursuant to 20 C.F.R. §718.204(c)(1) and (c)(4) (2000) and
that claimant's total disability was due to pneumoconiosis pursuant to 20 C.F.R.
§718.204(b) (2000).  Accordingly, the administrative law judge awarded
benefits.  By Decision and Order dated November 25, 1997, the Board affirmed the administrative law judge's 
findings pursuant to 20 C.F.R. §§718.202(a)(1) (2000), 718.203(b) (2000) and 718.204(b) and (c)  (2000). 
Hess v. Dominion Coal Corp., BRB No. 97-0279 BLA (Nov. 25, 1997) (unpublished).  The Board, therefore,
affirmed the administrative law judge's award of benefits. Id. 

     Employer subsequently filed a motion for reconsideration.  By Decision and
Order on Motion for Reconsideration dated July 21, 1998, the Board vacated the
administrative law judge's finding that the x-ray evidence was sufficient to
establish the existence of pneumoconiosis pursuant to 20 C.F.R. §718.202(a)(1)
and remanded the case for further consideration. Hess v. Dominion Coal Corp., BRB No.
97-0279 BLA (July 21, 1998) (Order on Recon.) (McGranery, J. dissenting)  (unpublished).  The Board also vacated the
administrative law judge's findings pursuant to 20 C.F.R. §718.204(b) and (c) (2000). Id.  

     On remand for the second time, the administrative law judge found that the evidence was sufficient to establish a
material change in conditions pursuant to 20 C.F.R. §725.309 (2000).  In his consideration of the merits of claimant's
1990 claim, the administrative law judge found that the evidence was sufficient to establish the existence of pneumoconiosis
pursuant to 20 C.F.R. §718.202(a)(1) and (a)(4) (2000).  The administrative law judge also found that
claimant was entitled to a presumption that his pneumoconiosis arose out of his
coal mine employment pursuant to 20 C.F.R. §718.203(b)(2000).  The
administrative law judge further found that the evidence was sufficient to
establish that claimant was totally disabled pursuant to 20 C.F.R. §718.204(c)
(2000) and that claimant's total disability was due to pneumoconiosis pursuant to
20 C.F.R. §718.204(b) (2000).  Accordingly, the administrative law judge
awarded benefits.  By Decision and Order dated September 29, 2000, the Board
affirmed the administrative law judge's denial of employer's motion to reopen the
record on remand.  Hess v. Dominion Coal Corp., BRB No. 99-0758 BLA (Sept. 29, 2000) (unpublished). 
The Board also affirmed the administrative law judge's finding that the medical opinion evidence was sufficient to establish
total disability pursuant to 20 C.F.R. §718.204(c)(4) (2000).  However, because the administrative law judge did not
adequately discuss all of the contrary probative evidence, the Board vacated the administrative law judge's finding that the
newly submitted evidence was sufficient to establish total disability pursuant to 20 C.F.R. §718.204(c) (2000) and
remanded the case for further consideration. Id.  In light of this holding, the Board also vacated the administrative
law judge's finding that the evidence was sufficient to establish a material change in conditions pursuant to 20 C.F.R.
§725.309 (2000). Id.  The Board further noted that, subsequent to the issuance of the administrative law
judge's 1999 Decision and Order on Remand, the Fourth Circuit held that although Section 718.202(a)
enumerates four distinct methods of establishing pneumoconiosis, all types of
relevant evidence must be weighed together to determine whether a miner suffers
from the disease. Id; see Island Creek Coal Co. v. Compton, 211 F.3d 203, 22 BLR
2-162 (4th Cir. 2000).  The Board, therefore, remanded the case to the administrative law
judge for his weighing of all the evidence together under Section 718.202(a) in
accordance with Compton. Id.   The Board also vacated the administrative law judge's
finding pursuant to 20 C.F.R. §718.204(b) (2000). Id.   

     On remand for the third time, the administrative law judge found that the evidence was sufficient to establish total
disability pursuant to 20 C.F.R. §718.204(c) (2000) and was, therefore, sufficient to establish a material change in
conditions pursuant to 20 C.F.R. §725.309 (2000).  The administrative law judge, therefore, considered the merits
of claimant's 1990 claim.  The administrative law judge found that the evidence was sufficient to establish the existence
of pneumoconiosis pursuant to 20 C.F.R. §718.202(a).  The administrative law judge also found that
claimant was entitled to a presumption that his pneumoconiosis arose out of his
coal mine employment pursuant to 20 C.F.R. §718.203(b).  The administrative
law judge further found that the evidence was sufficient to establish that
claimant's total disability was due to pneumoconiosis.  Accordingly, the
administrative law judge awarded benefits.  On appeal, employer argues that the
administrative law judge erred in finding the evidence sufficient to establish a
material change in conditions pursuant to 20 C.F.R. §725.309 (2000).  Employer
also argues that the administrative law judge erred in finding the evidence
sufficient to establish the existence of pneumoconiosis pursuant to 20 C.F.R.
§718.202(a).  Employer also contends that the administrative law judge erred
in finding the evidence sufficient to establish that claimant's total disability
was due to pneumoconiosis.  The Director, Office of Workers' Compensation Programs,
has filed a limited response, noting his belief that the instant case is not
affected by any of the revisions to the regulations.  Claimant has not filed  a
response brief.      

     The Board must affirm the findings of the administrative law judge if they are
supported by substantial evidence, are rational, and are in accordance with
applicable law.  33 U.S.C. §921(b)(3), as incorporated by 30 U.S.C.
§932(a); O'Keeffe v. Smith, Hinchman & Grylls Associates, Inc., 380
U.S. 359 (1965).

     Employer argues that the administrative law judge erred in finding the evidence sufficient to establish a material
change in conditions pursuant to 20 C.F.R. §725.309 (2000).[3]   The
United States Court of Appeals for the Fourth Circuit, within whose jurisdiction this case arises, has held that in assessing
whether a material change in conditions has been established, an administrative law judge must consider all of the new
evidence, favorable and unfavorable, and determine whether the miner has proven at least one of the elements of entitlement
previously adjudicated against him. Lisa Lee Mines v. Director, OWCP [Rutter], 86 F.3d 1358, 20 BLR 2-227 (4th
Cir. 1995), cert. denied, 117 S.Ct. 763 (1997).  Claimant's prior 1983 claim was denied because claimant failed
to establish the existence of pneumoconiosis or that he was totally disabled.  Director's Exhibit 48.  Consequently, in order
to establish a material change in conditions pursuant to 20 C.F.R. §725.309 (2000), the newly submitted evidence
must support a finding of pneumoconiosis pursuant to 20 C.F.R. §718.202(a) or total disability pursuant to 20 C.F.R.
§718.204(b).[4]   

     Employer argues that the administrative law judge erred in finding the newly submitted pulmonary function study
evidence sufficient to support a finding of total disability.  We agree.  In its most recent decision, the Board instructed the
administrative law judge to weigh the August 22, 1990 and December 21, 1990 studies, along with the contrary probative
evidence, under Section 718.204(c) (2000).  The Board specifically instructed the administrative law judge to: 

     weigh the evidence he credited as demonstrating total respiratory disability, i.e., the qualifying
     pulmonary function study and the medical opinion of Dr. Robinette, against all the contrary probative
     evidence, including the August and December 1990 pulmonary function studies, the non-qualifying blood gas studies and the contrary medical opinions. 

Hess v. Dominion Coal Corp., BRB No. 99-0758 BLA, slip op. at 6 (Sept. 29, 2000) (unpublished) (emphasis
added).

     Instead of complying with the Board's instructions to weigh claimant's August 22, 1990 and December 21, 1990
pulmonary function studies, the administrative law judge found that these studies should not be accepted as evidence.  In
making this determination, the administrative law judge discredited Dr. Renn's assessment regarding the usefulness of these
studies.  In his assessment of claimant's August 22, 1990 and December 21, 1990 pulmonary function studies, Dr. Renn
stated that:

     As an individual cannot artificially increase his ventilatory function the numerical values represent
     ventilatory function less than that of which he would be capable were the study to have been performed with
     complete cooperative effort and optimal technical quality.  

Employer's Exhibits 23, 24.

     The administrative law judge additionally erred in discrediting Dr. Renn's assessment of claimant's August 22, 1990
and December 21, 1990 pulmonary function studies because Dr. Renn "did not review any other type of medical data." 
Decision and Order on Third Remand at 3.  Having reviewed the tracings from the actual studies, Dr. Renn was able to
provide an assessment as to the usefulness of the values obtained therefrom.  The administrative law judge has not explained
how Dr. Renn's review of additional evidence would assist him in evaluating the reliability and usefulness of the values
obtained from claimant's August 22, 1990 and December 21, 1990 pulmonary function studies.          

     The administrative law judge also erred to the extent that he found that the opinions and Drs. Tuteur and Castle
supported a finding that the values from claimant's August 22, 1990 and December 22, 1990 pulmonary function studies
"should not be accepted as evidence."  Decision and Order on Third Remand at 2.  Dr. Tuteur noted that the results of
claimant's August 22, 1990 and December 21, 1990 pulmonary function studies could not be "validated as an assessment
of maximum function."  Employer's Exhibit 26.  Although Dr. Tuteur subsequently concluded that the presence or absence
of pulmonary impairment could not be assessed because of the invalidity of most of the physiologic data base, Dr. Tuteur
did not contradict his earlier statement that claimant's pulmonary function studies were not valid indicators of claimant's
"maximum function." Id. 

     Similarly, Dr. Castle opined that claimant's August 22, 1990 and December 1, 1990 pulmonary function studies
were invalid and should not be accepted as evidence because of claimant's less than maximal effort.  Employer's Exhibit
28.  However, Dr. Castle subsequently relied upon the results of claimant's December 21, 1990 study to illustrate that there
was no substantial or significant change in claimant's pulmonary function values from 1985 until 1990, thereby evidencing
his belief that the December 21, 1990 study was sufficient to demonstrate at least claimant's minimal lung function.
Id. 

     As the Board has noted on two occasions previously, a pulmonary function that has been invalidated for poor effort
and cooperation may be weighed by the administrative law judge as contrary probative evidence since the non-qualifying
high scores would have been higher with sufficient effort. See Hess v. Dominion Coal Corp., BRB No. 99-0758
BLA (Sept. 29, 2000) (unpublished); Hess v. Dominion Coal Corp., BRB No. 97-0279 BLA (July 21, 1998) (Order
on Recon.) (McGranery, J. dissenting)  (unpublished).  Because the administrative law judge did not weigh claimant's
August 22, 1990 and December 21, 1990 pulmonary function studies, along with the contrary probative evidence, as
instructed in the Board's prior decisions, we vacate the administrative law judge's finding that the newly submitted evidence
is sufficient to establish total disability and remand the case for the administrative law judge to specifically weigh the
contrary probative evidence under 20 C.F.R. §718.204(b).[5]   See 
Shedlock v. Bethlehem Mines Corp., 9 BLR 1-195 (1986), aff'd on recon. 9 BLR 1-236 (1987)
(en banc).  

     In light of our holding to vacate the administrative law judge's finding that the newly submitted evidence is
sufficient to establish total disability, we also vacate the administrative law judge's finding that the evidence is sufficient
to establish a material change in conditions pursuant to 20 C.F.R. §725.309 (2000).

     Employer contends that the administrative law judge erred in finding the evidence sufficient to establish the
existence of pneumoconiosis.  Employer argues that the administrative law judge erred in his consideration of the x-ray
evidence.  In his consideration of whether the x-ray evidence was sufficient to establish the existence of pneumoconiosis,
the administrative law judge focused upon the interpretations of claimant's three most recent x-rays taken on August 22,
1990, December 21, 1990 and May 23, 1991.  Because these three x-rays were obtained within a nine month period, the
administrative law judge found that these x-rays were "entitled to equal weight based on their age."  Decision and Order
on Third Remand at 3.

     Claimant's August 22, 1990 and December 21, 1990 x-rays were uniformly interpreted as negative for
pneumoconiosis.[6]   Director's Exhibits 13-15, 44, 46; Employer's Exhibits 2, 5,
6, 19-22.  Dr. Robinette, a B reader, interpreted claimant's May 23, 1991 x-ray as positive for pneumoconiosis.[7]   Claimant's Exhibits 1, 2.  

     In his consideration of whether the x-ray evidence was sufficient to establish the existence of pneumoconiosis, the
administrative law judge stated that:

          The qualifications of the readers range from board-certified radiologist (BCR) to B-readers (B) to
     dually qualified readers (BCR/B).  A comparison of the qualifications with the readings do not show any
     correlation.  While only one B diagnosed pneumoconiosis, and the other readers did not, the record also
     shows that a BCR and a B both detected atelectasis, while the other readers did not.  Two BCR/Bs found
     hyperinflation of the lungs, while four BCR/Bs and one B found completely negative lungs.  Therefore, I
     find no basis to accord greater weight to any reading based on the qualifications of the reader.

          As to the quality of the films, the August 22, 1990 and December 21, 1990 x-rays were rated as
     quality 1 through 3.  The May 23, 1991 x-ray was read as only quality 1.  Again, I give additional weight
     to the May 23, 1991 x-ray because its quality 1 rating is undisputed.  While the other x-rays were rated
     quality 1 by one reader each, there were three quality 3 ratings of the August 22, 1990 x-ray, one quality 3
     rating of the December 21, 1990 x-ray, and a suggestion by another reader of the December 21, 1990 x-ray
     that the x-ray be repeated.

          Thus, considering these factors, I find that the x-ray evidence is in equipoise.  Two less than
     optimum quality x-rays were read as negative, while an optimum x-ray was read as positive.  The x-ray
     evidence by itself is inconclusive.  Therefore, I find that the x-ray evidence does not establish
     pneumoconiosis under §718.202(a)(1), I also find that it does not establish its absence.  

Decision and Order on Third Remand at 3-4.        

     Employer argues that the administrative law judge erred in finding the x-ray evidence to be in "equipoise."  We
agree.  Of the twelve interpretations of claimant's three most recent x-rays, only one is positive for pneumoconiosis. 
Although Dr. Robinette, a B reader, interpreted claimant's May 23, 1991 x-ray as positive for pneumoconiosis, numerous
physicians dually qualified as B readers and Board-certified radiologists interpreted claimant's August 22, 1990 and
December 21, 1990 x-ray as negative for pneumoconiosis.  The administrative law judge's finding that the readings by the
dually qualified physicians were not entitled to additional weight because they differed as to the presence of incidental
findings, i.e., atelectasis and hyperinflation, is not rational.  These physicians all agreed that claimant's August 22,
1990 and December 21, 1990 x-rays were negative for pneumoconiosis, the relevant inquiry under Section 718.202(a)(1). 
The administrative law judge also erred in according less weight to the interpretations of claimant's August 22, 1990 and
December 21, 1990 x-rays because physicians differed as to the quality of these films.  No physician opined that either the
August 22, 1990 film or the September 21, 1990 film was not suitable for interpretation for the presence or absence of
pneumoconiosis.  Consequently, we vacate the administrative law judge's finding that the x-ray evidence was in "equipoise"
and remand the case for further consideration.  

     Employer also contends that the administrative law judge erred in finding the medical opinion evidence sufficient
to establish the existence of pneumoconiosis.  In finding the medical opinion evidence sufficient to establish the existence
of pneumoconiosis, the administrative law judge accorded Dr. Robinette's opinion the greatest weight.  The administrative
law judge explained that:

     [Dr. Robinette] interpreted a quality 1 x-ray, obtained after the Claimant had ceased his coal mine
     employment.  As the x-ray evidence is in equipoise and Dr. Robinette is a B reader, his finding of
     pneumoconiosis based on a positive x-ray is well-reasoned.  He explained that the x-ray reading was
     compatible with his findings on the lung capacity and pulmonary function studies, as well as the physical
     examination.  Dr. Robinette was the only physician in the instant claim to review a valid pulmonary function
     study, and the only physician in the record to review a disability-qualifying study.  His opinion is thus better
     supported, as Drs. Garzon, Abernathy, Endres-Bercher, Castle and Tuteur had only outdated or invalid
     studies to consider.  For these reasons, I find that the Claimant has established pneumoconiosis by the
     medical opinion evidence under §718.202(a)(4).

Decision and Order on Third Remand at 5.  

     Employer argues that the administrative law judge erred in crediting Dr. Robinette's opinion.  The administrative
law judge credited Dr. Robinette's finding of pneumoconiosis because it was based upon his positive interpretation of a
quality 1 x-ray and the results of a valid non-qualifying pulmonary function study.  In light of our decision to vacate the
administrative law judge's findings that the pulmonary function study evidence is sufficient to establish total disability and
the administrative law judge's finding that the x-ray evidence is in "equipoise," we also vacate the administrative law
judge's finding that Dr. Robinette's opinion that claimant suffered from pneumoconiosis is entitled to the greatest weight.[8]  

     The administrative law judge also erred in crediting Dr. Robinette's finding of pneumoconiosis because he relied
upon a qualifying pulmonary function study.  The Board has recognized that pulmonary function studies are relevant only
to the issue of total disability and not the existence of pneumoconiosis. Trent v. Director, OWCP, 11 BLR 1-26,
1-28 (1987).  
     The administrative law judge also failed to explain why Dr. Robinette's finding that claimant suffered from 
pneumoconiosis was "better supported" than the contrary opinions of Drs. Abernathy, Endres-Bercher, Tuteur and Castle.[9]   Consequently, we vacate the administrative law judge's finding that medical opinion
evidence is sufficient to establish the existence of pneumoconiosis.  

     If, on remand, the administrative law judge again finds the evidence sufficient to establish the existence of
pneumoconiosis pursuant to either 20 C.F.R. §718.202(a)(1) or (a)(4), he must then weigh all of the evidence relevant
to Section 718.202(a)(1)-(4) together in determining whether claimant has established the existence of pneumoconiosis. 
See Compton, supra.

     Employer finally contends that the administrative law judge erred in finding the evidence sufficient to establish
that claimant's total disability was due to pneumoconiosis.  In according the greatest weight to Dr. Robinette's opinion that
claimant's total disability is due to pneumoconiosis, the administrative law judge did not adequately address the contrary
opinions of Drs. Abernathy, Castle, Endres-Bercher and Tuteur, each of whom provided non-coal mine employment related
causes for claimant's respiratory problems.  Moreover, the administrative law judge did not address whether the evidence
was sufficient to establish that claimant's total disability was due to pneumoconiosis pursuant to the revised disability
causation standard set out at 20 C.F.R. §718.204(c).  Consequently, we vacate the administrative law judge's finding
that the evidence is sufficient to establish that claimant's total disability was due to pneumoconiosis.  On remand, should
the administrative law judge find the evidence sufficient to establish the existence of pneumoconiosis pursuant to 20 C.F.R.
§718.202(a) and that claimant is totally disabled pursuant to 20 C.F.R. §718.204(b), he must then determine
whether the evidence is sufficient to establish that claimant's total disability is due to pneumoconiosis pursuant to 20 C.F.R.
§718.204(c).    

     Accordingly, the administrative law judge's Decision and Order on Third Remand
is  affirmed in part and vacated in part, and the case is remanded for further
consideration consistent with this opinion.     

     SO ORDERED.



                                                                   
                         NANCY S. DOLDER, Chief
                         Administrative Appeals Judge



                                                                   
                         ROY P. SMITH
                         Administrative Appeals Judge



                                                                   
                         BETTY JEAN HALL
                         Administrative Appeals Judge

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Footnotes.


1)The Department of Labor has amended the regulations implementing the Federal Coal Mine Health and Safety Act of 1969, as amended. These regulations became effective on January 19, 2001, and are found at 65 Fed. Reg. 80,045-80,107 (2000)(to be codified at 20 C.F.R. Parts 718, 722, 725, and 726). All citations to the regulations, unless otherwise noted, refer to the amended regulations. Pursuant to a lawsuit challenging revisions to 47 of the regulations implementing the Act, the United States District Court for the District of Columbia granted limited injunctive relief for the duration of the lawsuit, and stayed, inter alia, all claims pending on appeal before the Board under the Act, except for those in which the Board, after briefing by the parties to the claim, determined that the regulations at issue in the lawsuit would not affect the outcome of the case. National Mining Ass'n v. Chao, No. 1:00CV03086 (D.D.C. Feb. 9, 2001)(order granting preliminary injunction). On August 9, 2001, the District Court issued its decision upholding the validity of the challenged regulations and dissolving the February 9, 2001 order granting the preliminary injunction. National Mining Ass'n v. Chao, 160 F.Supp.2d 47 (D.D.C. 2001). The court's decision renders moot those arguments made by the parties regarding the impact of the challenged regulations. Back to Text
2)The relevant procedural history of the instant case is as follows: Claimant initially filed a claim for benefits on December 15, 1983. Director's Exhibit 48. By Decision and Order dated February 29, 1988, Administrative Law Judge Gerald T. Hayes found that the evidence was insufficient to establish the existence of pneumoconiosis pursuant to 20 C.F.R. §718.202(a)(1)-(4) (2000). Id. Judge Hayes further found that the evidence was insufficient to establish total disability pursuant to 20 C.F.R. §718.204(c) (2000). Id. Accordingly, Judge Hayes denied benefits. Id. There is no indication that claimant took any further action in regard to his 1983 claim. Claimant filed a second claim on July 17, 1990. Director's Exhibit 1. Back to Text
3)Although Section 725.309 has been revised, these revisions only apply to claims filed after January 19, 2001. Back to Text
4)The provision pertaining to total disability, previously set out at 20 C.F.R. §718.204(c), is now set out at 20 C.F.R. §718.204(b) while the provision pertaining to disability causation, previously set out at 20 C.F.R. §718.204(b), is now found at 20 C.F.R. §718.204(c). Back to Text
5)Employer argues that the administrative law judge erred in finding that the medical opinion evidence was sufficient to establish total disability. The Board has affirmed the administrative law judge's finding that the medical opinion evidence is sufficient to establish total disability. See Hess v. Dominion Coal Corp., BRB No. 99-0758 BLA (Sept. 29, 2000) (unpublished). Our previous holding on this issue constitutes the law of the case and governs our determination. See Brinkley v. Peabody Coal Co., 14 BLR 1-147 (1990); Bridges v. Director, OWCP, 6 BLR 1-988 (1984). Consequently, we reaffirm the administrative law judge's finding that the medical opinion evidence is sufficient to establish total disability. See 20 C.F.R. §718.204(b)(2)(iv). However, employer's contention that the administrative law judge failed to explain the weight that he accorded the non-qualifying arterial blood gas study evidence has merit. On remand, the administrative law judge must explain the weight accorded to the arterial blood gas study evidence. Back to Text
6)Drs. Greene, Spitz, Wiot and Shipley, each dually qualified as a B reader and Board-certified radiologist, interpreted claimant's August 22, 1990 x-ray as negative for pneumoconiosis. Director's Exhibits 13, 44, 46; Employer's Exhibit 10. Dr. Dumic, a Board-certified radiologist, also interpreted claimant's August 22, 1990 x-ray as negative for pneumoconiosis. Director's Exhibits 14, 15. Drs. Wheeler and Scott, each dually qualified as a B reader and Board-certified radiologist, interpreted claimant's December 21, 1990 x-ray as negative for pneumoconiosis. Employer's Exhibits 19-22. Three B readers, Drs. Hippensteel, Castle and Stewart, also interpreted claimant's December 21, 1990 x-ray as negative for pneumoconiosis. Employer's Exhibits 2, 5, 6. Back to Text
7)Dr. Epling interpreted claimant's May 23, 1991 x-ray as revealing bibasalar atelectasis. Claimant's Exhibit 3. The administrative law judge noted that there was no indication that Dr. Epling interpreted claimant's May 23, 1991 x-ray for the presence or absence of pneumoconiosis. See 1999 Decision and Order on Remand at 7. Dr. Epling's radiological qualifications are not found in the record. Back to Text
8)The administrative law judge also failed to explain why Dr. Robinette's reliance upon a positive x-ray entitled his opinion to additional weight, given the administrative law judge's own determination that the x-ray evidence of record was insufficient to support a finding of pneumoconiosis. Back to Text
9)Employer also notes that the administrative law judge failed to address the superior qualifications of the physicians who found that claimant did not suffer from pneumoconiosis. The Fourth Circuit has held that experts' respective qualifications are important indicators of the reliability of their opinions. See Milburn Colliery Co. v. Hicks, 138 F.3d 524, 21 BLR 2-323 (4th Cir. 1998); Sterling Smokeless Coal Co. v. Akers, 131 F.3d 438, 21 BLR 2-269 (4th Cir. 1998). Drs. Tuteur and Castle are Board-certified in Internal Medicine and Pulmonary Disease. Employer's Exhibits 8, 27. Dr. Endres-Bercher is Board-certified in Internal Medicine. Employer's Exhibit 3. Dr. Robinette's qualifications are not found in the record. Back to Text

NOTE: This is an UNPUBLISHED BLA Document.

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