Hrobak v. ABC Coal Co. , 142 F. App'x 559 ( 2005 )


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  •                                                                                                                            Opinions of the United
    2005 Decisions                                                                                                             States Court of Appeals
    for the Third Circuit
    6-28-2005
    Hrobak v. ABC Coal Co
    Precedential or Non-Precedential: Non-Precedential
    Docket No. 04-3185
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    Recommended Citation
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    http://digitalcommons.law.villanova.edu/thirdcircuit_2005/952
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    NOT PRECEDENTIAL
    UNITED STATES COURT OF APPEALS
    FOR THE THIRD CIRCUIT
    No. 04-3185
    JOSEPH G. HROBAK,
    Petitioner
    v.
    ABC COAL COMPANY; LACKAWANNA CASUALTY COMPANY;
    DIRECTOR, OFFICE OF WORKERS’ COMPENSATION
    PROGRAMS, UNITED STATES DEPARTMENT OF LABOR,
    Respondents
    On Petition for Review of a Decision and Order
    of the Benefits Review Board
    (D.C. No. 0090-1: 03-0660 BLA)
    Submitted Pursuant to Third Circuit LAR 34.1(a)
    June 3, 2005
    BEFORE: FUENTES, GREENBERG and COWEN, Circuit Judges
    (Filed June 28, 2005)
    OPINION
    COWEN, Circuit Judge.
    Joseph G. Hrobak, a former miner, petitions for review of the United States
    Department of Labor Benefits Review Board’s (the “Board”) order affirming the
    Administrative Law Judge’s (the “ALJ”) decision to deny benefits on his claim filed
    pursuant to the federal black lung program, first enacted as Title IV of the Federal Coal
    Mine Health and Safety Act of 1969, as amended, 30 U.S.C. § 901 et seq. (the “Act”).
    Hrobak contends that the ALJ erred in not affording his treating physician’s opinion
    controlling weight. He further asserts that the ALJ improperly substituted his own
    medical judgment for that of Hrobak’s treating physician and another physician who
    supported his claim of pneumoconiosis. We have jurisdiction pursuant to section 21(c) of
    the Longshore and Harbor Workers’ Compensation Act, 33 U.S.C. § 921(c), as
    incorporated by section 422(a) of the Act, 30 U.S.C. § 932(a). Because we conclude that
    the Board’s order was supported by substantial evidence and was in accordance with the
    law, we will deny the petition.
    As we write solely for the parties, we only provide a brief recitation of the facts.
    Hrobak first saw Charles J. Aquilina, M.D. in February 1983. In July 1998 when Hrobak
    became ill he remained under the care of Dr. Aquilina. Throughout the remainder of
    1998 and 1999 Hrobak consulted with Dr. Aquilina for various medical problems. In
    1999 and 2000, after undergoing numerous tests, Hrobak was diagnosed with chronic
    obstructive pulmonary disease (“COPD”) and antracosilicosis. Dr. Gacad, whom Hrobak
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    consulted for a second opinion, agreed that he could have coal worker related COPD, but
    indicated that he does not have coal worker pneuemoconiosis based on his chest x-ray.
    Hobrak then saw Dr. Levinson at the request of counsel, who opined that Hrobak does not
    suffer from pneuemoconiosis.
    Hrobak filed claims for benefits under the Act in 1983 and 1986, which were
    denied. In June 1997, Hrobak filed the instant claim for benefits which was also denied
    after the ALJ concluded that pneumoconiosis had not been established. After a hearing
    before the Office of Administrative Law Judges, his claim was again denied. On appeal,
    the Board partially affirmed and partially reversed the ALJ’s decision and remanded the
    matter back for a determination of whether Dr. Aquilina qualified as Hrobak’s treating
    physician and the weight to be afforded to his opinion. On remand, the ALJ found that
    although Dr. Aquilina qualified as Hrobak’s treating physician, the evidence was
    insufficient to establish the existence of pneumocosniosis. The Board affirmed the ALJ’s
    order denying benefits and this appeal ensued.
    We review the Board’s decision for conformance with applicable law and
    adherence to its statutory scope of review. See Nelson v. American Dredging Co., 
    143 F.3d 789
    , 792 (3d Cir. 1998). We review the factual findings for substantial evidence by
    conducting an independent review of the record. See 
    id. at 793.
    Substantial evidence is
    “such relevant evidence as a reasonable mind might accept as adequate to support a
    conclusion.” Richardson v. Perales, 
    402 U.S. 389
    , 401 (1971).
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    In order to establish eligibility for benefits, a claimant must establish that he
    suffers from pneumoconiosis, that it arose out of coal mine employment, and that he is
    totally disabled as a result. See Beatty v. Danri Corp. and Triangle Enters., 
    49 F.3d 993
    ,
    997 (3d Cir. 1995). Here, the Board affirmed the ALJ’s decision denying Hrobak’s claim
    because he failed to establish that he suffered from pneumoconiosis. Although the ALJ
    found that Dr. Aquilina was Hrobak’s treating physician, he ultimately concluded that the
    medical opinion evidence was insufficient to support his diagnosis of pneuemoconiosis.
    Particularly, the ALJ accorded greater weight to the opinion of Dr. Levinson, who found
    no pneumoconiosis, because it was more well reasoned and better documented. Further,
    the ALJ found that as a board-certified internist and pulmonologist, Dr. Levinson was
    better qualified to render an opinion than Dr. Aquilina, who was a board-certified
    anesthesiologist.
    On appeal, Hrobak contends that under the treating physician rule, the ALJ is
    required to give controlling weight to the judgment of his treating physician, Dr.
    Aquilina. Recognizing the limitation of the rule, Hrobak maintains that Dr. Aquilina’s
    opinion was supported by his records and diagnostic testing and was not impeached by
    substantial evidence. He asserts that the ALJ avoided application of the rule by merely
    accepting the medical records to determine whether there was a doctor-patient
    relationship, rather than for the contents of the records. Finally, he maintains that the ALJ
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    improperly discredited the opinion of Dr. Gacad, which was based on objective testing
    results.
    We recognize that under the Act, the ALJ is required to give “consideration to the
    relationship between the miner and any treating physician whose report is admitted into
    the record.” 20 C.F.R. § 718.104(d). Further, in “appropriate cases, the relationship
    between the miner and his treating physician may constitute substantial evidence in
    support of the [ALJ’s] decision to give that physician’s opinion controlling weight.” 20
    C.F.R. § 718.104(d)(5). However, the Act also provides that “the weight given to the
    opinion of the miner’s treating physician shall also be based on the credibility of the
    physician’s opinion in light of its reasoning and documentation, other relevant evidence
    and the record as a whole.” 20 C.F.R. § 718.104(d)(5).
    The ALJ in this case applied the correct standard for considering the treating
    physician’s opinion before according greater weight to the countervailing evidence. After
    examining the record, it is clear that the ALJ re-weighed the medical opinions, as ordered
    by the Board. Contrary to Hrobak’s assertions, the opinion of Dr. Aquilina was
    contradicted by substantial evidence in the record. As the Board explained:
    In weighing the medical opinions, the [ALJ] accorded greater
    weight to the opinion of Dr. Levinson, who found no
    pneumoconiosis, as he found it to be better reasoned and
    documented than the opinion of Dr. Aquilina. The [ALJ] placed
    substantial weight on Dr. Levinson’s opinion because he relied,
    in part, on the reversibility exhibited on claimant’s August 24,
    2000 pulmonary function study to find that claimant did not have
    pneumoconiosis. The [ALJ] further found significant the fact
    5
    that Dr. Aquilina agreed with Dr. Levinson that this was a
    clinical sign contradicting the presence of pneumoconiosis. In
    addition, the [ALJ] accorded greater weight to the opinion of Dr.
    Levinson because as a board-certified internist and
    pulmonologist, he was better-qualified than Dr. Aquilina, who
    was a board-certified anesthesiologist.
    (App. at 6a.)
    The ALJ was permitted, and actually required, to consider the treating
    physician’s diagnosis in light of the record as a whole. The cases cited by
    Hrobak are not to the contrary. As example, in Jones v. Sullivan, this Court
    had held that “in light of [the] conflicting and internally contradictory evidence,
    the ALJ correctly determined that the opinions of Jones’s treating physicians
    were not controlling.” 
    954 F.2d 125
    , 129 (3d Cir. 1991). Because there was
    substantial evidence to support the ALJ’s decision to afford less weight to Dr.
    Aquilina’s opinion than Dr. Levinson’s testimony, we will affirm on this
    ground.
    We also disagree with Hrobak’s alternative argument that there was no
    logical reason for discrediting Dr. Gacad’s opinion. The ALJ offered an
    adequate reason for diminishing the weight of Dr. Gacad’s testimony—he
    found that the “opinion was unclear and contradictory.” (App. at 15a.) The
    ALJ pointed out the inconsistencies in the doctor’s own diagnoses. The
    statements are contradictory, he explained, “in that prior to his 2001 report the
    most [Dr. Gacad] said was the Claimant ‘could have’ COPD that was related to
    6
    his coal mine employment (i.e. pneumoconiosis as defined by the regulations),
    while in his 2001 report he said that his diagnosis ‘was still’ pneumoconiosis.”
    (App. at 39a.) Accordingly, Dr. Gacad never clearly stated that Hrobak has
    pneumoconiosis. In fact, Dr. Gacad opined in May 2000 that Hrobak “does
    not have coal worker pneumoconiosis because he does not have the chest x-ray
    criteria that would fit this diagnosis.” (App. at 183a.) Further, in his 2001
    report Dr. Gacad recommended an additional diagnostic test to help establish
    pneumoconiosis in light of a negative X-ray. (App. at 39a.) We agree with the
    Board that the ALJ reasonably accorded diminished weight to Dr. Gacad’s
    opinions based on his inherently inconsistent positions.
    Accordingly, we conclude that the Board’s order affirming the denial of benefits
    was supported by substantial evidence, including the competent opinion of an examining
    pulmonologist , and was in accordance with the law.
    For the foregoing reasons, the petition for review will be denied.
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