ON AUGUST 4, 2003, EMPLOYEE REPORTED THAT DUE TO EXTREME PAIN IN HIS RIGHT KNEE, HE HAD TO SEEK MEDICAL ATTENTION. HE HAS BEEN AN UNDRGROUND MINER FOR 28+ YEARS AND HAS WORKED IN VARIOUS COAL HEIGHTS AND CONDITIONS. HE HAS BEEN EXPERIENCINGPAIN IN HIS KNEE FOR SEVERAL YEARS DUE TO ACCUMULATIVE TRAUMA FROM BENDING, STOOPING, & KNEELING. SURGERY PERFORMED OCTOBER 2, 2003.