Padagomas Ex Rel. Padagomas v. Director, Office of Workers' Compensation Programs

OPINION * FISHER, Circuit Judge. Patricia Padagomas petitions for review of the decision of the Benefits Review Board (“BRB”) affirming the decision of the Administrative Law Judge (“ALJ”). The ALJ denied disability benefits pursuant to the Black Lung Benefits Act (“BLBA”) for her husband’s miner claim, as well as a survivor’s claim benefitting Mrs. Padagomas. We will deny, the petition for review. I. We write principally for the parties, who are familiar with the factual context and legal history of this case. Therefore, we will set forth only those facts that are necessary to our analysis. Edward Padagomas worked in a coal mine in Pennsylvania between 1956 and 1959. He was a heavy cigarette smoker, though he quit approximately twenty years before his death. Mr. Padagomas had significant medical issues as he neared the end of his life. He had difficulty breathing, making it difficult for him to walk even short distances. Dr. Vinay Desai, at the Veterans’ Hospital in which Mr. Pada-gomas was treated, listed his eventual cause of death as cardiac arrhythmia due to myocardial infarction. The death certificate listed pleural effusion, renal failure, congestive heart failure, and coronary artery disease as other factors leading to Mr. Padagomas’s death. Mr. Padagomas first filed for benefits via the Black Lung Disability Trust Fund in 2006. That claim was denied in February 2007. He filed a subsequent claim on September 2, 2008, and he died in October *143 2008 while that claim was pending. Mrs. Padagomas, representing her late husband, requested a hearing and filed a claim of her own fob survivor’s benefits on November 3, 2008. Following a hearing, the ALJ denied both Mr. Padagomas’s subsequent claim and Mrs. Padagomas’s surviv- or’s claim, holding that Mr. Padagomas did not have pneumoconiosis because x-ray evidence was inconclusive. The BRB affirmed parts of the ALJ decision, but reversed and remanded the ALJ’s decision to discount the validity of the x-ray evidence. On remand, the ALJ held that Mr. Padagomas did, in fact, have clinical pneu-moconiosis based on his reexamination of the x-ray evidence. After determining that Mr. Padagomas had pneumoconiosis, the ALJ then determined that the pneu-moconiosis was due to Mr. Padagomas’s coal-mine employment. The ALJ examined the medical opinions of Dr. Sander Levinson and Dr. Samuel Spagnolo, along with pulmonary function tests and arterial blood gas. studies. Following her examination of the medical evidence, the ALJ held there was insufficient evidence to prove Mr. Padagomas was totally disabled due to pneumoconiosis and insufficient evidence to establish that pneumoconiosis caused or contributed to Mr. Padagomas’s death. Therefore, the ALJ again dismissed both claims. The BRB affirmed the ALJ’s decision. Mrs. Padagomas seeks review of the BRB’s decision. II. The Department of Labor had jurisdiction in this case under 30 U.S.C. § 932(a). The BRB had jurisdiction under 33 U.S.C. § 921(b). We have jurisdiction under 33 U.S.C. § 921(c), as incorporated by 30 U.S.C. § 932(a). ■ We exercise' plenary review of the legal conclusions made by the BRB. 1 We review the factual'findings of the BRB to determine if it properly adhered to its scope of review. 2 In order to do so, we independently review the opinion of the ALJ to see if it is supported by substantial evidence. 3 Substantial evidence is that which allows a reasonable mind to support a conclusion. 4 III. A. First, we analyze whether the ALJ and the BRB properly denied benefits for Mr. Padagomas’s claim. Benefits under the BLBA are available to miners who prove they suffer from total pulmonary disability. 5 A miner must also, prove that he has pneumoconiosis, that he contracted pneumoconiosis due to coal-mine employment, and that he was disabled because of the pneumoconiosis. 6 The ALJ concluded that Mr. Padagomas suffered from pneumoconiosis and that he contracted it due to coal-mine employment, However, the ALJ concluded that any pulmonary disability was not dué to pneumoconiosis and therefore denied benefits. Mrs. Padagomas objects to the ALJ’s finding that theré was not total disability due to pneumoconiosis, and the Director of the" Office of Workers’ Compensation Programs (“OWCP”) objects to the ALJ’s finding that Mr. Padagomas had pneumoconiosis to begin with. Because we agree with the *144 ALJ that Mr. Padagomas did not suffer from total disability due to pneumoconio-sis, we need not reexamine the ALJ’s determination that Mr. Padagomas., suffered from pneumoconiosis. Total disability can be established in two ways. -First, qualifying arterial blood gas or pulmonary function tests can prove total disability. 7 Second, the reasoned judgment of a medical professional based on clinical and- laboratory techniques can prove that a 'miner’s pulmonary condition was totally disabling. 8 Mrs. Padagomas objects to the ALJ’s holding that the pulmonary function studies were not reliable. Mrs. Padagomas also objects to the ALJ’s rejection of Dr. Levinson’s medical opinion that ML Padagomas suffered from a total pulmonary disability. Additionally, Mrs. Padagomas argues that the ALJ required a heightened burden of proof because the ALJ allegedly required a medical opinion and arterial blood gas tests or pulmonary function tests in order to prove total ’disability, when disability can be established in either of those two ways. Dr. Levinson opined that a pulmonary function study conducted on September 27, 2006 by another doctor revealed impaired pulmonary function. Dr. Levinson believes this study shows “that there was a moderate restrictive ventiliatory impairment.” 9 However, Dr. Spagnolo concluded that this test was invalid because Mr. Padagomas did not provide sufficient effort and cooperation, and because the study was improperly performed. - Dr. Levinson did not respond to Dr. Spagnolo’s conclusion. Dr. Spagnolo’s opinion that the test was invalid constitutes substantial evi-denee that a reasonable person could use to discount Dr. Levinson’s opinion. Therefore, the ALJ’s decision to discount the probative value of the pulmonary function study was based on substantial evidence. Next; the ALJ questioned the reliability of the arterial blood gas study results that suggested impairment. Each of the three studies conducted between February 2006 and April 2007 occurred while Mr. Padagomas was suffering from acute medical issues including congestive heart failure. The ALJ therefore found that the tests did not reflect Mr. 1 Padagomas’s usual pulmonary condition. Dr. Levinson, who specifically cited at least' one of the' tests,' did not provide any explanation as to the effect of illness on the tests, nor did he Otherwise explain how he had isolated the effects of Mr. Padagomas’s pneumoconiosis from his other maladies in rendering the opinion that Mr. Padagomas was disabled due to pneumoconiosis. In light of those shortcomings, the ALJ discounted Dr. Levinson’s opinion. Because there was substantial evidence supporting that discounting — namely, that Dr. Levinson relied on invalid medical tests and failed to explain how he could determine that pneumoconiosis, rather than another medical problem, caused Mr. Padagomas’s disability — the ALJ properly concluded that Mrs. Padagomas failed to establish total disability due to pulmonary disease. 10 Finally, the ALJ did not apply a heightened standard by discounting Dr. Levinson’s opinion due to. the unreliability of the tests. Dr. Levinson did not offer evidence for total disability outside of the test results that were discounted by the *145 ALJ. Because Dr. Levinson’s opinion was so reliant on the disputed testing, it was appropriate to discount his opinion. Therefore, the decision to deny benefits on Mr. Padagomas’s claim was proper. B. Next, we analyze whether the ALJ and BRB properly denied benefits stemming from Mrs. Padagomas’s survivor’s claim. Benefits from a survivor’s claims are payable when a miner’s death is due to pneumoconiosis. 11 A death is considered due to pneumoconiosis if pneumoconiosis is the sole cause of death, if it was a substantial factor leading to death, or if a statutory presumption is applicable. 12 Pneumoconiosis is a substantial factor in a miner’s death if it hastens the miner’s death. 13 To determine if Mr. Padagomas’s death was due to pneumoconiosis, the .ALJ utilized the death certificate prepared by Dr. Desai and the medical opinions of Dr. Levinson and Dr. Spagnolo. The death. certificate listed the cause of death as cardiac arrhythmia due to a myocardial infarction, and lists a variety of other contributing factors — none of which were pneumoconiosis. Dr. Spagnolo was of the opinion that Mr. Padagomas did not even have pneumoconiosis, and therefore it could not have been a contributing factor in his’ death. Finally, though Dr. Levinson opined that pneumoconiosis was a contributing factor in Mr. Padagomas’s death, the ALJ discounted Dr. Levinson’s opinion as merit-less and conclusory.- Mrs. Padagomas objects to this determination. We are not persuaded that the ALJ erred in discounting Dr. Levinson’s opinion. It is not sufficient for a physician to articulate a conclusion without offering an explanation for that conclusion. 14 Dr. Levinson stated that if Mr. Padagomas “hadn’t had those coal dust accumulations, those speculated nodules in the upper lobes ... he would have been able to somewhat better weather the storm caused by his heart disease.” 15 Dr. Levinson, however, also acknowledged that Mr. Padagomas’s death was caused by ischemic cardiomyopathy resulting in heart failure, and the pleural effusion, renal failure, and longstanding diabetes also contributed to his death. After that acknowledgment Dr. Levinson still concludes that, “I aih! also of the opinion that [his] pneumoconiosis was a significant contributing and aggravating factor in the occurrence of his death.” 16 Dr. Levinson also said that pneumoconiosis was a “contributing cause to [the miner’s] cardiac arrhythmia and congestive heart failure.” 17 Dr. Levinson’s opinion is the only evidence provided-linking pneumoconiosis to Mr. Padagomas’s death. It was appropriate for the ALJ to conclude that Dr. Levinson’s opinion was not persuasive due to its lack of explanatory power. Including the death certificate’s failure to mention pneumoconiosis, and Dr. Levinson’s insufficiently reasoned opinion, substantial *146 evidence supports the ALJ’s decision to deny Mrs. Padagomas’s survivors’ claim. IV. For the reasons set forth above, we will deny the petition for review. Footnotes [*] This disposition is not an opinion of the full Court and pursuant to I.O.P. 5.7 does not constitute binding precedent. [1] Soubik v. Dir., Office of Workers' Comp. Programs, 366 F.3d 226, 233 (3d Cir.2004). [2] Dir., Office of Workers' Comp. Programs v. Siwiec, 894 F.2d 635, 638 (3d Cir.1990). [3] Id. [4] Soubik, 366 F.3d at 233. [5] 20 C.F.R. § 718.204(a)-(b), [6] 20 C.F.R. §§ 718.201~.203; Siwiec, 894 F.2d at 636. [7] 20 C.F.R. § 718.204(b)(2)(i)-(ii). [8] Id. § 718.204(b)(2)(iv). [9] App. at 6. [10] Balsavage v. Dir., Office of Workers' Comp. Programs, 295 F.3d 390, 395 (3d Cir.2002) (holding that if there is substantial evidence to support the -ALJ’s conclusion, we must affirm even if we may have interpreted the evidence differently). [11] 20 C.F.R. §§ 718.1, 718.205. [12] Mr. Padagomas was not diagnosed with complicated pneumoconiosis and no evidence suggests he suffered from complicated pneu-moconiosis, so the statutory presumption of 20 C.F.R. § 718.304 does not apply. Because there is no applicable presumption, the burden rests . on Mrs.. Padagomas to establish pneumoconiosis as a cause of death. [13] 20 C.F.R. § 718.205(b)(6); Lukosevicz v. Dir., Office of Workers’ Comp. Programs, 888 F.2d 1001, 1005 (3d Cir.1989). [14] Longo v. Dir., Office of Workers' Comp. Programs, 104 F.3d 573, 577 (3d Cir.1997). [15] App. at 9 (alteration in original). [16] App. at 9 (alteration in original). [17] App. at 10 (alteration in original).