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When a valid audiogram cannot be obtained due to a suspected medical pathology of the ear , and the physician or audiologist evaluating the audiogram believes that the problem was caused or aggravated by the miner 's exposure to noise or the wearing of hearing protectors , a miner must be referred for a clinical audiological or otological evaluation as appropriate at mine operator expense . Section 62.170 ( c ) requires the operator to instruct the physician or audiologist not to reveal to the operator any specific findings or diagnoses unrelated to the miner 's exposure to noise or the wearing of hearing protectors without the written consent of the miner . Section 62.170 ( a ) requires the operator to refer the miner for a clinical audiological evaluation or an otological examination if a valid audiogram cannot be obtained due to a medical pathology caused or aggravated by the miner 's exposure to noise or the wearing of hearing protectors . If the physician or audiologist concludes that the suspected medical pathology of the ear which prevents obtaining a valid audiogram is unrelated to the miner 's exposure to noise or the wearing of hearing protectors , the miner is to be advised of the need for an otological evaluation ; but in such cases , no financial obligation would be imposed on the mine operator . One student commented on her further reflection on the issue of student respect and the wearing of hats and said " I have really done some hard thinking and am looking at this issue with my students and parents . " It does not hint , therefore , the " obscurity " of the Messiah 's birth , but rather what Irenaeus insists upon , i.e ., His ( premature ) old age ; the worn and stricken appearance of senility in comparative youth.170 This is just what the messengers ( Isa . I hold that as a matter of law , it is not improper for an employer for purposes of business image to proscribe , in a uniform manner , the wearing of tennis shoes and / or blue jeans in an office setting where there is even minimal public contact ,12 regardless of whether or not the wearing of those items of clothing physically interferes with a person 's ability to do their job . He placed his hand on the worn antique couch she was constantly repairing and re-upholstering and thought of pleasant memories .