Court Opinion

ID: 9942420
Source: CourtListenerOpinion
Date Created: 2024-02-20 23:16:42.468562+00
Date Added: 2024-06-11T13:48:04.268691
License: Public Domain

FILED
                                                                             February 20, 2024
                                                                                C. CASEY FORBES, CLERK
                                                                              SUPREME COURT OF APPEALS
                                                                                    OF WEST VIRGINIA
                             STATE OF WEST VIRGINIA
                           SUPREME COURT OF APPEALS

Nathan L. Goines,
Claimant Below, Petitioner

vs.)   No. 22-0167 (BOR Appeal No. 2055582)
                   (JCN: 2020008218)

Standard Corporation,
Employer Below, Respondent

                               MEMORANDUM DECISION

         Petitioner Nathan L. Goines appeals the decision of the West Virginia Workers’
Compensation Board of Review (“Board of Review”). Respondent Standard Corporation filed a
timely response.1 The issue on appeal is the compensability of an occupational disease claim. The
claims administrator rejected the claim because (a) there was no evidence of a work-related injury
or disease, and (b) the claim was barred by the applicable statute of limitations. The Workers’
Compensation Office of Judges (“Office of Judges”) affirmed the claims administrator’s decision
in its July 30, 2020, order. The order was affirmed by the Board of Review on January 21, 2021.
Upon our review, we determine that oral argument is unnecessary and that a memorandum decision
affirming the Board of Review’s decision is appropriate. See W. Va. R. App. P. 21.

        From the sparse appellate record in this case,2 we glean the following. On September 12,
2019, petitioner, a retired shift lead operator, completed an Employees’ and Physicians’ Report of
Injury stating that during his former employment with respondent, he was exposed to a chemical
known as C8. Petitioner indicated that the chemical exposure affected his stomach and blood
pressure. Petitioner stated that his date of last exposure was on May 14, 2007, over twelve years
before the filing of the instant claim. Petitioner indicated that he did not quit working until May 3,
2016. To the form, petitioner attached a handwritten letter in which he explained that the
physician’s section was not completed because the “C-8 doctors” told him that he was being seen
only for the “poison” in his system, and not for his workers’ compensation claim. Thus, the doctors
were unable to fill out the physician’s section of the form. Petitioner stated that he was being

       1
        Petitioner is a self-represented litigant, and respondent is represented by Tracey B.
Eberling.

       Petitioner’s appendix consists of only ten pages, and respondent submitted a twenty-page
       2

appendix.

                                                  1
treated for stomach issues, high blood pressure, and diverticulitis. Also attached to the form were
lab results dated February 8, 2018. A urinalysis showed several abnormal readings.

       The claims administrator rejected the claim on September 24, 2019. The claims
administrator found that (a) there was no evidence of a work-related injury or disease, and (b) the
claim was barred by the applicable statute of limitations. Petitioner protested the claims
administrator’s decision.

        On a second, undated,3 Employees’ and Physicians’ Report of Injury, petitioner indicated
May 5, 2007, was both his date of last exposure and the date on which he quit working. He listed
the stomach as the only body part affected. Petitioner did not sign this form. The physician’s
section was also unsigned, but was partially completed by a healthcare provider named Singh.4
The healthcare provider made a diagnosis of GERD and marked that the condition was non-
occupational. To this form, petitioner attached a handwritten memo in which he stated respondent
placed him in a hazardous chemical plant. Petitioner also attached a patient prescription record
from CVS Pharmacy showing petitioner’s filled prescriptions during 2018 and 2019.

       Christopher Martin, M.D., conducted a review of petitioner’s medical records on February
13, 2020. Petitioner’s primary medical problem was poorly controlled diabetes, which led to
secondary conditions. For example, petitioner underwent an amputation of his left leg below the
knee due to cellulitis caused by his diabetes. Petitioner also had elevated levels of C8 in his blood.
Based on petitioner’s handwritten descriptions, Dr. Martin found that the elevated levels of C8
may have arisen from occupational exposures “in addition to environmental [exposure] from
known contamination of drinking water sources in this region.” However, Dr. Martin could not
causally relate the elevated levels of C8 in petitioner’s blood to any disease petitioner had. Dr.
Martin explained that one recent study showed reduced rates of diabetes among populations
exposed to C8 and provided the citation to that study in his report. In addition, the C8 monitoring
program in which petitioner was participating published a paper stating that there was no
demonstrable association between C8 and diabetes.

        In support of his protest, petitioner wrote a letter. Petitioner indicated that he worked for
respondent beginning in 2002 and became the lead operator in the area where liquid Teflon was
packed. Petitioner stated that he became soaked with the liquid Teflon during each shift.
Respondent provided petitioner rubber gloves and a face shield, which were not effective
protection. Petitioner was subsequently given a uniform to wear. By 2007, petitioner stated that
the levels of C8 in his blood were the highest of all of the workers in his area. Petitioner desired
medical treatment for his blood pressure and stomach and heart problems.

        In its July 30, 2020, order, the Office of Judges affirmed the claims administrator’s
rejection of the claim. Relying on Dr. Martin’s February 13, 2020, report, the Office of Judges

       3
        The Office of Judges considered this undated Employees’ and Physicians’ Report of
Injury “under the date of January 28, 2020.”
       4
           The provider’s first name is not clearly legible.
                                                    2
found that the medical evidence did not support petitioner’s allegation that he suffered from an
occupational disease. In addition, because petitioner alleged that he was last exposed to C8 in May
2007 but did not file his claim until September 12, 2019, the Office of Judges also upheld the
claims administrator’s finding that the claim was barred by the three-year statute of limitations.
The Board of Review adopted the findings of fact and conclusions of law of the Office of Judges
and affirmed the order on January 21, 2021.5

        This Court may not reweigh the evidentiary record, but must give deference to the findings,
reasoning, and conclusions of the Board of Review, and when the Board’s decision affirms prior
rulings by both the Workers’ Compensation Commission and the Office of Judges, we may reverse
or modify that decision only if it is in clear violation of constitutional or statutory provisions, is
clearly the result of erroneous conclusions of law, or is based upon a material misstatement or
mischaracterization of the evidentiary record. See W. Va. Code § 23-5-15(c) & (d). We apply a de
novo standard of review to questions of law. See Justice v. W. Va. Off. Ins. Comm’n, 230 W. Va.
80, 83, 736 S.E.2d 80, 83 (2012).

        Both the claims administrator and the Office of Judges rejected the claim because (a) there
was no evidence of a work-related injury or disease, and (b) the claim was barred by the applicable
statute of limitations. West Virginia Code § 23-4-1(f) generally provides6 that a disease is
considered to have been incurred in the course of or to have resulted from the employment only if
(1) there is a direct causal connection between the conditions under which work is performed and
the occupational disease; (2) it can be seen to have followed as a natural incident of the work as a
result of the exposure occasioned by the nature of the employment; (3) it can be fairly traced to
the employment as the proximate cause; (4) it does not come from a hazard to which workers
would have been equally exposed outside of the employment; (5) it is incidental to the character
of the business and not independent of the relation of employer and employee; and (6) it appears
to have had its origin in a risk connected with the employment and to have flowed from that source
as a natural consequence, though it need not have been foreseen or expected before its contraction.
The applicable statute of limitations for occupational disease claims (other than occupational
pneumoconiosis claims) is found at West Virginia Code § 23-4-15(c). Pursuant to West Virginia
Code § 23-4-15(c), to be entitled to compensation for an occupational disease, a claimant must file
his claim within (1) three years from the day on which the claimant was last exposed to the
occupational hazard, or (2) three years after the claimant’s occupational disease was made known
to him by a physician, or which the claimant should have known. West Virginia Code § 23-4-15(c)
provides that filing a claim within the limitations period is a jurisdictional prerequisite to receiving
compensation.

       After review, we find no error in the reasoning and conclusions of the Office of Judges as
affirmed by the Board of Review. “Pursuant to W. Va. Code § 23-4-1g(a) (2003) (Repl. Vol. 2010),
a claimant in a workers’ compensation case must prove his or her claim for benefits by a

       5
        The Board of Review made a minor clarification in finding of fact no. 2 of the Office of
Judges’ July 30, 2020, order, which is not relevant to this appeal.
       6
           West Virginia Code § 23-4-1(f) does not govern occupational pneumoconiosis claims.
                                                   3
preponderance of the evidence.” Syl. Pt. 2, Gill v. City of Charleston, 236 W. Va. 737, 783 S.E.2d
857 (2016). In this case, no healthcare provider diagnosed petitioner with an occupational disease,
and, as explained by Dr. Martin, the medical evidence of record revealed no causal connection
between any disease petitioner had and the elevated levels of C8 in his blood. Furthermore,
petitioner’s claim is jurisdictionally barred pursuant to West Virginia Code § 23-4-15(c) because
petitioner alleged that he was last exposed to C8 in May 2007 but did not file his claim until
September 12, 2019. Therefore, petitioner failed to show by a preponderance of the evidence that
he had a compensable occupational disease claim.

                                                                                        Affirmed.

ISSUED: February 20, 2024

CONCURRED IN BY:

Chief Justice Tim Armstead
Justice Elizabeth D. Walker
Justice John A. Hutchison
Justice William R. Wooton

DISQUALIFIED:

Justice C. Haley Bunn

                                                4