The attacks of September 11th continue to reverberate. Yesterday a woman who died of lung disease five months after Sept. 11th was added to New York City's medical examiner's list of attack victims, marking the first time the city has officially linked a death to the toxic dust caused by the World Trade Center's collapse. For that story Click Here.
In another development today, the Third Department decided a case concerning a survivor of the attack who suffered a heart attack some 6 months after the attack - Matter of Varriano v Hevesi, 2007 NY Slip Op 04396. The man at issue worked as a general manager of operations and maintenance for the Port Authority at the World Trade Center. He was working on the 88th floor of World Trade Center One when the attack occurred. He survived the attack as he escaped the structure immediately before it collapsed. Many of his coworkers did not survive however. In the months that followed, his work reportedly became, at times, virtually around the clock as he took on duties some formerly done by his many deceased coworkers. He also took on the task of notifying families when remains were found and attending over 50 funerals. As explained by his wife, the pressures of this work and the anguish from losing so many friends and coworkers caused a formerly cheerful and energetic man to become moody, melancholy and exhausted. Sadly, on March 31, 2002, at the age of 44, he suffered a fatal heart attack while at home with his family.
Thereafter, his wife filed an application for accidental death benefits with the New York State and Local Employees Retirement System. The application was denied and his wife filed an appeal. At the ensuing hearing, the Retirement System acknowledged that the events of September 11th constituted an "accident," but maintained that the death was not the natural and proximate result of that event. Conflicting medical evidence was presented at the hearing. The wife's expert concluded that decedent's death was "at least in part due to stresses which he sustained in the course of his employment." The Retirement System's expert disagreed and concluded that decedent's death was the result of a preexisting condition and unrelated to September 11th or the events thereafter. The Hearing Officer found the Retirement System's expert to be "credible and persuasive" and, accordingly, denied the application for death benefits. The proceeding mentioned above ensued.
In affirming the denial of the benefits, the Third Department found that there was substantial evidence in the record to support the Retirement System's conclusion, and that it was not at liberty to substitute its assessment of the medical evidence for that of Retirement System's so long as there was adequate evidence to support that determination. The Court reviewed the Retirement System's expert's evidence which indicated that the autopsy report put the cause of death as coronary arteriosclerosis, which the expert characterized as a preexisting disease of the coronary arteries. The expert added that decedent's medical records revealed several risk factors associated with arteriosclerosis, including excess weight, high blood pressure, hypertension, high cholesterol and heavy smoking. He opined that the development of arteriosclerosis takes decades and that emotional stress over the length of time implicated in the case would not have a significant effect in causing a heart attack. While the wife presented conflicting expert testimony, the Court again noted that when varying medical opinions are offered, the Retirement System was "vested with the authority to weigh conflicting medical evidence and credit the opinion of one expert over that of another."
As these two incidents illustrate, it will take a very long time before all the myriad physical (and emotional) effects on the survivors of the attacks are fully appreciated, understood, quantified, and addressed. Thus, it is important that we always keep that horrible day in mind so that we may better empathize with the survivors.