55 A.2d 507 | Md. | 1947
This appeal is from a judgment of the Superior Court of Baltimore City affirming an order of the State Industrial Accident Commission awarding compensation to the claimants. Jerome Bishop died on July 23, 1942. On August 7, 1942, claim was filed on behalf of his widow and a dependent minor child, on the ground that death was the result of an occupational disease contracted while the decedent was employed as a pipe-fitter by the appellant. After a hearing before one of the Commissioners, the claim was referred to the Medical Board for Occupational Diseases for report. On November 21, 1944, the Medical Board found upon the record of the prior hearing that the decedent "did not contract lead poisoning while in the employ" of the appellant. Upon petition to review this finding, the State Industrial Accident Commission remanded the case to the Medical Board, in order that the Board might "conduct the investigation, hearing and report contemplated by the statute." After further hearing, on March 21, 1945, the Board found that the decedent "did not die as the result of lead intoxication." Upon petition for review, the Commission, with two Commissioners sitting, on January 25, 1946, reversed the finding of the Medical Board, found that the decedent died "as a result of occupational disease resulting from lead poisoning to which he was last injuriously exposed while in the employ of" the appellant, *150 and awarded compensation. The employer filed a motion for rehearing, which was heard by three Commissioners. On April 10, 1946, the motion was denied, one Commissioner dissenting. Appeals were entered from the award of January 25, 1946 and from the order of April 10, 1946. On motion, the Court dismissed the latter appeal. The employer did not pay the compensation awarded at that time, and claimants brought suit under the Speedy Judgment Act, Code Pub. Loc. Laws 1930, art. 75, sec. 312 etseq, as amended. The employer interposed a special plea under oath, contending that the award of January 25, 1946 was not final in that by the order of April 10, 1946, there was a correction made as to the date of decedent's death. The claimants then moved to dismiss the appeal from the award on the ground that the employer was estopped by having taken an inconsistent position in the suit under the Speedy Judgment Act. The Court overruled the claimants' motion, and, sitting without a jury, affirmed the award of January 25, 1946. From that judgment the employer appealed to this Court.
The appellees contend that the motion to dismiss should have been granted, but that in any event the award was properly affirmed. The appellant contends (1) that the Commission erred in reversing the finding of the Medical Board upon a medical issue, where there was evidence to support the Board's finding, and (2) that the Commission's award was improper because it was signed by only two Commissioners and contained no proper findings of fact.
We find no merit in the appellees' contention as to the motion to dismiss. The appellees rely upon the case of Kramer v. GlobeBrewing Co.,
In order to determine whether the Commission properly reversed the finding of the Medical Board, it is necessary to state the evidence in some detail, although the facts are virtually undisputed. Bishop was first employed as a pipe-fitter at the Sparrows Point shipyard of the Bethlehem Steel Company in November 1936. At that time he was 26 years of age, in robust health, and weighed 156 pounds. He had previously worked as a truck-driver. He continued working as a pipe-fitter at the same plant when it was reorganized as Bethlehem-Sparrows Point Shipyard, Inc., in 1941. In April 1942, he transferred to the Bethlehem-Fairfield Shipyard, Inc., another subsidiary, where he worked as assistant foreman. During the entire period of his work at Sparrows Point, he worked in the engine rooms and holds of ships *152 where he was constantly exposed to the fumes of burning white and red lead. In the last two years before his death he lost weight, his skin became yellow, he complained of constipation, loss of appetite and nausea, pains in the stomach and giddiness, a bad taste in his mouth, and nervousness. He was treated for gastro intestinal trouble. At the time of his death, at the age of 32, his weight was 140 pounds. The terminal cause of death, as stated in the Coroner's report, was coronary thrombosis due to arteriosclerosis. There were also findings that the decedent had an "old stomach ulcer associated with considerable scar tissue," and that there was "marked congestion" of the stomach, liver and kidneys.
Dr. Paul Clough, an experienced physician connected with the Johns Hopkins Hospital, testified as an expert. He stated that in his opinion the premature arteriosclerosis which caused the coronary thrombosis was "probably the result of chronic lead poisoning." He stated that a gastric ulcer would have no appreciable effect upon the heart, but that pains in the stomach were a common symptom of lead poisoning. He stated that arteriosclerosis was rare in a person of the decedent's age, and would indicate an extraneous cause. He admitted that medical opinion was not wholly in accord as to the relation between lead poisoning and arteriosclerosis, but stated that "the consensus of opinion is that lead causes injury to the cells which are present in the walls of the blood vessels."
Dr. Charles Wood, who examined Bishop's lungs after the autopsy, stated that he found a deposit which made him suspicious of lead poisoning. He testified that chronic lead poisoning could have caused the heart condition. Medical text books in support of this theory were also offered in evidence.
Dr. Robert L. Graham, who performed the autopsy, stated that he found no evidence of lead poisoning, but admitted that he did not make any laboratory or other tests for it, since he was only interested in the terminal cause of death. He stated that the vascular changes he *153 observed were limited practically to the coronary artery. Assuming that some toxicant had been absorbed "if it were injurious to one vessel it should produce it more or less uniformly in other vessels, at least other vessels of the same caliber." He declined to express any opinion as to the causes of arteriosclerosis, or whether it could be caused by lead poisoning. He made it clear that he was testifying as a pathologist, not as an expert in that field.
The Medical Board declined to adopt the opinion expressed by Dr. Clough, and said: "Medical opinions, as many other opinions hallowed by long acceptance, die notoriously hard. The statement of the relationship of lead intoxication to arteriosclerosis has been perpetuated in text books for a great many years. The recent literature has critically examined this relationship and has to all intents rejected it." The Board found that Bishop "did not die as a result of lead intoxication."
Under the Compensation Act, as originally enacted, occupational diseases were not compensable, at least where they could not be brought within the category of accidental injuries. Union MiningCo. v. Blank,
We think these provisions are clear and free from ambiguity. The Commission has the power to review findings of the Medical Board. Finality, in so far as the legislature can make final the decision of an administrative tribunal, attaches to the decision of the Commission, not to the decision of the Medical Board. We find no merit in the appellant's contention that the Commission may not reverse the Board if there is substantial evidence to support the Board's findings. *155
The appellant relies upon United States v. Dunton, D.C.N.Y., 291 F. 905, 906. In that case the Federal Immigration Law, 8 U.S.C.A., sec. 153, provided for the appointment of "boards of special inquiry" by the Commissioner General of Immigration, with the approval of the Secretary of Labor. The decisions of these Boards were made final, subject to review by the Secretary of Labor. Proceeding under this Act, a Board of Special Inquiry admitted an alien, but its decision was reversed by the Secretary. In a habeas corpus proceeding before Judge Learned Hand, the Court said: "In this kind of case, although the court has nothing to do with the sufficiency of the proof, it may inquire whether the board had any basis in the evidence for their finding. * * * If so, the action of the Secretary must be equally open to review, when he reverses the board. * * * His review is not confined to ascertaining whether there is any evidence to support the board; he exercises a power to examine the whole record and ascertain where the truth lies." The Court found that the Secretary of Labor decided the case upon evidence not in the record and not properly before him. Without this evidence "there was no color for reversal, nothing but the most trivial inconsistencies. Therefore the reversal was unauthorized and the finding of the board should have been affirmed." We see nothing in the case to support the appellant's contention. The appellant also relies upon Shields v. Utah Idaho Cent. R. Co.,
The statute in the instant case clearly provides that the Commission's finding of fact shall be final on appeal, and not subject to review or modification by the court or submitted to a jury. The appellee does not contend that this provision would prevent review under any circumstances, but maintains that the award cannot be reversed or modified if there is evidence to support it. Upon the record before us, we think there was substantial evidence to support the finding of the commission. As we said in the recent case of Bethlehem-Sparrows Point Shipyardv. Scherpenisse,
The appellant contends that the Commission's award of January 25, 1946, was improper because signed by only two Commissioners. The answer to this contention is found in the statute, Code, Art. 101, § 2, which authorizes the three associate members "to hear and determine any hearing, trial, inquiry or investigation *157 which the Commission is authorized to hold or undertake; and any one of such other three members can preside alone at any such hearing, trial, inquiry and investigation, and every order and determination made by any one member shall be deemed to be the order or determination of the Commission." We think the review authorized by Section 29, as to controverted medical questions, may properly be included within the words "hearing" or "inquiry." It is only in the promulgation of rules and regulations that the Commission is enjoined by Section 2, to "act as a body." Even though the determination is made upon the record, the parties are entitled to notice and to be heard. While the Commission, in the order appealed from, did not review the evidence in detail, it made a specific finding that the decedent died "as a result of an occupational disease resulting from lead poisoning to which he was last injuriously exposed while in the employ" of the appellant. The only controverted medical issue was whether the terminal cause of death, coronary thrombosis, was in fact asequelae of, or due to, lead poisoning. Under the circumstances of this case, we think the finding was sufficient.
Judgment affirmed, with costs.