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the Virginia Court of Appeals.
SURRY COUNTY SCHOOL BOARD, et al.
COURT OF APPEALS OF VIRGINIA
Present: Chief Judge Fitzpatrick, Judges Frank and Clements
Record No. 1727-03-1
LOUISE BLOUNT FAUNTLEROY
SURRY COUNTY SCHOOL BOARD AND
VSBA WORKERS’ COMPENSATION BOARD
DECEMBER 9, 2003
FROM THE VIRGINIA WORKERS’ COMPENSATION COMMISSION
(John H. Klein; Montagna Breit Klein Camden, L.L.P., on brief),
(Andrew R. Blair; Blair Law Offices, on brief), for appellees.
Louise Blount Fauntleroy (claimant) contends the Workers’
erred in finding that she failed to prove she sustained a
compensable injury by accident on July
13, 1999, arising out of and in the course of her employment
with Surry County School Board
(employer). Claimant argues the commission erred in finding that
she failed to prove that her
exposure to tobacco scent and fumes, while traveling in employer’s
vehicle on July 13, 1999,
caused an aggravation of her pre-existing asthma. Upon reviewing
the record and the parties’
briefs, we conclude that this appeal is without merit.
Accordingly, we summarily affirm the
commission’s decision. Rule 5A:27.
"In order to establish entitlement to compensation
benefits, the claimant must prove, by a
preponderance of the evidence, an injury by accident which arose
out of and in the course of his
employment." Classic Floors, Inc. v. Guy, 9 Va. App. 90,
95, 383 S.E.2d 761, 764 (1989).
"[T]o establish an injury by accident, a claimant must
prove: (1) an identifiable incident; (2) that
occurs at some reasonably definite time; (3) an obvious sudden
mechanical or structural change
in the body; and (4) a causal connection between the incident
and the bodily change."
Chesterfield County v. Dunn, 9 Va. App. 475, 476, 389 S.E.2d
180, 181 (1990) (citation
omitted). Unless the evidence carried that burden of proof as a
matter of law, the commission’s
findings are binding and conclusive upon us. See Tomko v.
Michael’s Plastering Co., 210 Va.
697, 699, 173 S.E.2d 833, 835 (1970).
The commission ruled that claimant failed to prove that her
pre-existing asthma was
aggravated by her exposure to the odor of tobacco in the course
of her employment on July 13,
1999. In so ruling, the commission found as follows:
On July 17, 1999, Dr. [Robert S.] Davis, the treating pulmonary
specialist, could only state that the claimant’s asthma was
"questionably" exacerbated by one of three scenarios:
allergy shot, acute bronchitis, or exposure to a tobacco smoker.
an August 2, 1999, disability slip, after having the benefit of
testing and examinations concluded during the claimant’s
hospitalization, the most Dr. Davis could state was that the
of asthma "seemed" to have been precipitated by
tobacco smoke and smell. Significantly, the evidence does not
indicate that the claimant was exposed to tobacco smoke, but
merely to stale tobacco smell while traveling in a car for 1.5
Dr. [David C.] Cangcuesta, a consulting specialist during
the claimant’s hospitalization, indicated that he had no
record of a
history of exposure to tobacco fumes and could not state to a
reasonable medical certainty that the exposure to the fumes
her condition. His admission that the fumes "could"
triggered her symptoms does not rise to an opinion of causation
a reasonable medical probability.
We also do not find Dr. [June R.] Tunstall, the claimant’s
family physician, persuasive. She never explained the basis for
opinion on the attending physician’s report of July 14, 1999.
Finally, Dr. [Burton A.] Moss, who reviewed the claimant’s
records, could not identify a specific trigger for the claimant’s
None of the specialists in this case has been able to state to
any reasonable medical probability that the claimant’s
more than likely resulted from exposure to tobacco smells on
14, 1999. Under the circumstances, the claimant has failed to
her burden of proof.
The medical records support the commission’s factual findings.
"Medical evidence is not
necessarily conclusive, but is subject to the commission’s
consideration and weighing."
Hungerford Mechanical Corp. v. Hobson, 11 Va. App. 675, 677, 401
S.E.2d 213, 215 (1991).
As fact finder, the commission was entitled to weigh the medical
evidence and to determine what
probative weight, if any, to assign to that evidence. In light
of the speculative nature of
Dr. Davis’s opinions; the lack of any explanation or basis for
Dr. Tunstall’s opinion;
Dr. Cangcuesta’s notation on July 19, 1999 that claimant had
been having severe asthma
symptoms for two weeks; evidence that claimant was exposed only
to tobacco smells, not smoke,
while riding in employer’s vehicle on July 13, 1999; evidence
that she was also exposed to other
allergens or environmental irritants that day; and Dr. Moss’s
opinions, the commission, as fact
finder, was entitled to conclude that the opinions of Drs. Davis
and Tunstall did not constitute
sufficient evidence to sustain claimant’s burden of proof.
Based upon this record, we cannot find as a matter of law that
sustained her burden of proving that her July 13, 1999 exposure
to tobacco smells while riding in
employer’s vehicle caused an aggravation of her pre-existing
For these reasons, we affirm the commission’s decision.
Code ? 17.1-413, this opinion is not designated for publication.
 We note that
Dr. Tunstall’s Attending Physician’s Report is actually dated November
11, 1999, and references a July 13, 1999 injury and a July 14,
1999 office visit.