Claimant asserts he has a compensable claim at this time, necessitating that Employer and Insurer pay for the ongoing medical monitoring recommended by Dr. Belz. He relies on Coloney v. Accurate Superior Scale Co., 952 S.W.2d 755, 763 (Mo. App. W.D. 1997), in which the Court of Appeals held that an occupational disease is compensable when the employee has suffered a loss of earning ability due to an occupational disease. Claimant contends he lost earning capacity with K \& R Electric when he quit work to avoid additional exposure to asbestos, as recommended by Dr. Belz. As noted above, however, Dr. Belz's recommendation came two years after Claimant quit work for Employer.
In further support of his position, Claimant notes the applicable version of § 287.800 RSMo, in effect in 1999. The statute requires that the Workers' Compensation Law be "liberally construed" and doubts are to be resolved in favor of the injured employee. Jennings v. Station Casino St. Charles, 196 S.W.3d 552, 557 (Mo. App. E.D. 2006). Even though this statutory provision has since been amended to require strict statutory construction of the Workers' Compensation Law, a substantive change in the law does not apply retroactively. Lawson v. Ford Motor Company, 217 S.W.3d 345, 348-350 (Mo. App. E.D. 2007).
The definition of an occupational disease, set forth in § 287.067.1 and 2 RSMo 1994, reads in applicable part as follows:
- In this chapter the term 'occupational disease' is hereby defined to mean, unless a different meaning is clearly indicated by the context, an identifiable disease arising with or without human fault out of and in the course of employment. Ordinary diseases of life to which the general public is exposed outside of the employment shall not be compensable, except where the diseases flow as an incident of an occupational disease as defined in this section. The disease needs not to have been foreseen or expected, but after its contraction, it must appear to have had its origin in a risk connected with the employment and to have flowed from that source as a rational consequence.
- An occupational disease is compensable if it is clearly work related and meets the requirement of an injury which is compensable [as defined as a substantial factor]. An occupational disease is not compensable merely because work was a triggering or precipitating factor.
Even with the most liberal construction of the above statute, the facts simply do not support a claim for compensation. Dr. Belz clearly stated that while Claimant suffers some mild chronic obstructive pulmonary disease related to Claimant's smoking, Claimant has no occupational disease.
Claimant cites to Cunningham v. Research Medical Center, 108 S.W. 3d 177 (Mo. App. W.D. 2003), which addressed the issue of whether an employee was entitled to an annual diagnostic chest x-ray due to tuberculosis exposure. The Labor and Industrial Relations Commission ruled that an annual chest x-ray was necessary for the remainder of Ms. Cunningham's lifetime to monitor her condition for signs of an active infection. The Court of Appeals affirmed, noting that Claimant had a "substantially increased likelihood for future medical treatment than the general population because of her work exposure." 108 S.W.3d at 180. Claimant contends he is entitled to have Employer and Insurer pay for the medical surveillance program contemplated by Dr. Belz, just as the ongoing monitoring was ordered in Cunningham.
In Cunningham v. Research Medical Center, however, the employee had tested positive for tuberculosis antibodies through a skin test. 108 S.W.3d at 178. Despite prophylactic treatment, there remained a possibility that the bacteria were not completely eliminated, and Ms. Cunningham still could develop active tuberculosis. Unlike Ms. Cunningham who had a demonstrable positive skin test, Claimant's exposure to asbestos in the instant case has caused no pathology. Objective radiographic tests do not even substantiate exposure to asbestos. Clinical examination reveals no asbestos related symptoms. "Exposure to disease-producing conditions is not synonymous with contraction of the disease." Copeland v. Associated Wholesale Grocers, 207 S.W.3d 189, 193 (Mo. App. S.D. 2006), quoting Tunstill v. Eagle Sheet Metal Works, 870 S.W.2d 264, 267 (Mo. App. S.D.1994). Likewise, "a stipulation to a date of exposure is not a stipulation to a date of disability." Garrone v. Treasurer, 157 S.W.3d 237, 244 (Mo. App. E.D. 2004). See also, McGhee v. W.R. Grace \& Co., 312 S.W.3d 447, 456 (Mo. App. S.D. 2010) (holding that the date of injury for purposes of applying a workers' compensation rate cap was the date the injury becomes compensable, which is the date on which the claimant becomes disabled). Here, there is no evidence that Claimant is disabled from an occupational disease or otherwise.
Claimant also asserts that a determination that his claim is premature and he does not yet have an occupational disease will cause confusion as to when a claim must be filed. But, it long has been the law that the statute of limitations for occupational diseases does not begin to run "until it becomes reasonably discoverable and apparent that a compensable injury has been sustained...."§ 287.063.3 RSMo 1994. "[A]nd usually this is when some degree of disability results, which can be the subject of compensation under the Act." Staples v. A. P. Green Fire Brick Co., 307 S.W.2d 457, 461 (Mo. banc 1957). In this case, Claimant has no occupational disease, no symptoms of a disease related to asbestos exposure, and no degree of disability as a result of asbestos exposure. Claimant is not entitled to ongoing medical surveillance at Employer/Insurer's expense. The claim is not compensable and is denied.
Made by: /s/ Victorine R. Mahon
Victorine R. Mahon
Administrative Law Judge
Division of Workers' Compensation