STATE OF WEST VIRGINIA
 

SUPREME COURT OF APPEALS FILED 

TIMOTHY M. HAGER, August 2, 2017 

RORY L. PERRY II, CLERK 

Claimant Below, Petitioner SUPREME COURT OF APPEALS 

OF WEST VIRGINIA 

vs.) No. 16-1220 (BOR Appeal No. 2051360) 

(Claim No. 2014022136) 

PANTHER BRANCH COAL COMPANY, 

Employer Below, Respondent 

MEMORANDUM DECISION 

Petitioner, Timothy M. Hager, by Wendle D. Cook, his attorney, appeals the decision of 

the West Virginia Workers’ Compensation Board of Review. Panther Branch Coal Company, by 

H. Toney Stroud, its attorney, filed a timely response. 

The issue presented in the instant appeal is the amount of permanent partial disability for 

a claim for occupational pneumoconiosis. On July 11, 2014, the claims administrator granted no 

award for occupational pneumoconiosis. The Workers’ Compensation Office of Judges affirmed 

the claims administrator’s decision on May 26, 2016. This appeal arises from the Board of 

Review’s Final Order dated November 23, 2016, affirming the Office of Judges. The Court has 

carefully reviewed the records, written arguments, and appendices contained in the briefs, and 

the case is mature for consideration. 

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. 

On May 15, 2014, the Occupational Pneumoconiosis Board examined Mr. Hager and he 

was found to be in good general clinical condition and not in respiratory distress at rest. There 

were no rales or wheezing found to be present. Mr. Hager reported experiencing shortness of 

breath for five to seven years and a chronic cough for five years. X-rays were interpreted as 

showing insufficient pleural or parenchymal changes to establish a diagnosis of occupational 

pneumoconiosis. Arterial blood gas testing revealed a PCO2 of forty and a PO2 of 98%. The 

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Board could not make a diagnosis of occupational pneumoconiosis. The report was signed by 

Jack L. Kinder, M.D., Bradley Henry, M.D., and Johnsey L. Leef Jr., M.D. 

The Physician’s Report of Occupational Pneumoconiosis was completed on July 11, 

2015, by Mohammed Ranavaya, M.D. Dr. Ranavaya diagnosed Mr. Hager with occupational 

pneumoconiosis with a 25% impairment based upon arterial blood gas study findings. Dr. 

Ranavaya found the following readings: PO2 of sixty-four and a PaCO2 of forty-two. 

On July 15, 2015, a pulmonary function report was issued by Marshall Family Medicine. 

The report indicated the absence of any significant degree of obstructive pulmonary impairment. 

Blood gas studies conducted at Marshall Family Medicine on July 15, 2015, showed a PaO2 of 

sixty-four and a PaCO2 of forty-two. 

On April 6, 2016, the Occupational Hearing Board conducted a hearing. Mahendra M. 

Patel, M.D., a member of the Board, testified that the difference between the blood gas studies 

performed by Dr. Ranavaya and the blood gas studies performed at the Occupational Lung 

Center were probably due to testing differences. Dr. Patel stated that Dr. Ranavaya likely 

performed the blood gas study with Mr. Hager in the supine position (laying down), and the two 

studies performed at the Occupational Lung Center, one for the Occupational Pneumoconiosis 

Board, and the one at the request of the attorney for the employer, were likely performed with 

Mr. Hager in the upright position. John A. Willis, M.D., a member of the Board, reviewed the 

chest x-rays and testified that the films are insufficient to make a diagnosis of occupational 

pneumoconiosis. Dr. Kinder testified that the Board remained of the opinion that Mr. Hager has 

no permanent partial disability impairment related to occupational pneumoconiosis. Dr. Kinder 

did acknowledge that the studies performed by Dr. Ranavaya are very similar and both represent 

20% impairment. However, Dr. Kinder noted that the blood gas studies from the Occupational 

Lung Center are within normal limits and represent no impairment. Dr. Kinder further noted that 

occupational pneumoconiosis is a permanent condition that does not improve. The Board 

conclude that the best studies of record indicate no permanent impairment. 

The Office of Judges affirmed the claims administrator’s decision to grant no award for 

occupational pneumoconiosis in a final decision dated May 26, 2016. The Office of Judges 

adopted the findings of the Occupational Pneumoconiosis Board and found that the Board did 

not err in finding that Mr. Hager had no impairment due to occupational pneumoconiosis. The 

Office of Judges stated that occupational pneumoconiosis is a permanent and progressive 

disease, and accepted Dr. Patel’s suggestion that variation in the arterial blood gas studies most 

likely occurred because Dr. Ranavaya did his studies with Mr. Hager lying down and the 

Occupational Lung Center’s studies were conducted with Mr. Hager in an upright position. The 

Office of Judges concluded that Mr. Hager is not entitled to a permanent partial disability award 

for occupational pneumoconiosis. The Board of Review adopted the findings of fact and 

conclusions of law of the Office of Judges and affirmed its Order on November 23, 2016. 

We agree with the reasoning and conclusions of the Office of Judges as affirmed by the 

Board of Review. 

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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: August 2, 2017 

CONCURRED IN BY: 

Chief Justice Allen H. Loughry II 

Justice Robin J. Davis 

Justice Margaret L. Workman 

Justice Menis E. Ketchum 

Justice Elizabeth D. Walker 

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