Chartier v. Shalala, Secretary

District Court, D. New Hampshire·Decided February 21, 1995·No. CV-94-458-L·Published

Opinion

Chartier v . Shalala, Secretary CV-94-458-L 02/21/95 THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Mark Chartier v. #C-94-458-L

Donna L . Shalala, Secretary of Health and Human Services

ORDER

Plaintiff Mark Chartier seeks review, pursuant to 42 U.S.C.

§405(g), of a final determination of the Secretary of Health and Human Services (HHS) denying his application for Social Security benefits. Currently before the court are Plaintiff's Motion for Order Reversing Decision of the Secretary (Doc. 5 ) and Defendant's Motion for Order Affirming the Decision of the Secretary (Doc. 6 ) . For the reasons set forth below, the plaintiff's motion is denied and the defendant's motion is granted.

BACKGROUND

Plaintiff, Mark Chartier, is a 34 year-old, high school

graduate, whose past relevant work experience involves truck driving, installing commercial air conditioning and heating and operating machines. T r . 4 7 , 359-360.

Plaintiff last worked on October 3 1 , 1989. On this day he fell from a ladder injuring both knees. T r . 48-49. Previous to this injury, plaintiff had suffered a back injury. Tr. 49. The

initial injury from the October 31st fall was to the left knee and the plaintiff received medical treatment for the injury. Tr. 148. Persistent pain and increased swelling forced the plaintiff to consult D r . James M . Shea, an orthopaedic surgeon, on November 1 0 , 1989. T r . 1 6 0 , 167. At that time, D r . Shea's diagnosis was internal derangement of the left knee. T r . 151. The plaintiff was admitted for arthroscopic surgery to the knee on November 1 5 ,

1989. T r . 152.

Plaintiff continued to receive treatment from D r . Shea and

mild progress was noted with the left knee over the course of the following month. T r . 161. As early as five days following surgery, however, an increasing problem arose in the right knee. Tr. 161. By January 1 1 , 1990, both knees were exhibiting increased problems and pain. T r . 162. Throughout the spring of

1990, plaintiff continued to have visits with D r . Shea. On March 1 4 , 1990, plaintiff underwent arthroscopic surgery in his right knee due to increasing difficulties. T r . 164. In April, 1990, Dr. Shea indicated that plaintiff would be unable to return to his past relevant work of heating and air conditioning. T r . 165.

On April 1 6 , 1990, plaintiff's back problem flared to disability proportions and he was forced to see D r . Shea on an emergency basis. T r . 165. D r . Shea noted a previous diagnosis of spondylolysis at L5-S1 by a D r . Wachs and confirmed that diagnosis. T r . 165.

By May, 1990, plaintiff had become so discouraged with progress concerning his knees and the reliance on pain medication

that he sought a second opinion from D r . Thomas V . Moser, also an orthopaedic surgeon. T r . 5 3 . D r . Moser diagnosed chondrolomalacia in both the right and left knees and ACL deficit in the left knee. T r . 170. Although the plaintiff was prescribed a steroid anti-inflammatory medication, his condition worsened.

On June 2 2 , 1990 plaintiff was referred to D r . Preston Clark. T r . 172. On July 9, 1990, D r . Clark, admitting a personality conflict between himself and the plaintiff, sent a report of examination to D r . Moser, indicating he did not expect further involvement in the case. T r . 175.

On August 2 1 , 1990, plaintiff consulted orthopaedic surgeon Dr. Mark Piscopo. T r . 1 8 0 , 202. D r . Piscopo noted the plaintiff's extensive history of both bilateral arthroscopic surgery and "extensive physical therapy" without improvement. Tr. 180. D r . Piscopo prescribed Darvocet for the plaintiff. Tr. 181. Following an unsuccessful M R I , a left knee arthroscopy was performed in September, 1990, followed once again by physical therapy. T r . 181-182. While some improvement in the left knee was noted with physical therapy, the claimant's progress was "compromised" as the physical therapy aggravated plaintiff's long standing back problem. T r . 183.

By January, 1991, the plaintiff reported increased pain and difficulty standing. T r . 185. Additionally, continued physical therapy for his back had not alleviated the pain. T r . 185. Plaintiff continued to comply with D r . Piscopo's directions

concerning physical therapy, but as improvement was absent, the physical therapy was terminated in February, 1991. T r . 187.

On April 2 3 , 1991, plaintiff's condition was so severe that Dr. Piscopo requested a review by a panel of orthopaedic surgeons. The surgeons diagnosed posterolateral rotary

instability of the knee and determined that the pain experienced by the plaintiff was consistent with this finding. T r . 189.

By June, 1991, plaintiff's condition had worsened and D r .

Piscopo decided to initiate surgical reconstruction. T r . 190. At the same time, increasing effusion of the right knee was taking place. T r . 191. Although reconstruction of the left knee was performed at the end of September, 1991, the plaintiff continued to experience severe pain extending from his knee down to his foot. T r . 198. With the increasing of pain and the continued giving out of his knee, D r . Piscopo felt that additional consultation from other specialists was warranted. Tr. 201. In March, 1992, after review of plaintiff's condition, specialist D r . William W . Tomford, of Massachusetts General Hospital determined that plaintiff is "probably . . . currently disabled." T r . 277.

Plaintiff filed for social security disability benefits on March 2 4 , 1992. He was denied those benefits on July 2 7 , 1992 and again on reconsideration on August 4 , 1992. A timely request for a hearing was filed and the hearing was held before Administrative Law Judge (ALJ) Robert J. Klingebiel on May 3 , 1993.

In assessing the issue of whether the plaintiff is entitled to a period of disability and to disability insurance benefits under Sections 216(i) and 223 of the Social Security Act, the ALJ concluded that "claimant is not entitled to a period of disability or disability insurance benefits under sections 216(i) and 223, respectively, of the Social Security Act." Tr. 25.

Plaintiff now contends that the decision of the Secretary should be reversed. In support of this contention, plaintiff asserts that the Secretary's decision, through the ALJ, concerning his limitations and credibility is not based on substantial evidence. Plaintiff also maintains that the opinion of the vocational expert (VE) does not constitute substantial evidence.

DISCUSSION

An individual seeking social security disability benefits will be considered disabled if he is unable "to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected

to result in death or has lasted or can be expected to last for a continuous period of not less that 12 months." 42 U.S.C. § 416

(i)(1)(A)(Supp. V 1981); 42 U.S.C. § 1382c(a)(3)(A) (1976); See Faford v . Shalala, 856 F. Supp. 13 (D.Mass. 1994). The Secretary of Health and Human Services will find a claimant disabled only if the claimant's

physical or mental impairment or impairments are of such severity that he is not only unable to do his

previous work but cannot, considering his age, education , and work experience, engage in any other kind of substantial gainful work which exists in the national economy, regardless of whether such work exists in the immediate area in which he lives, or

whether a specific job vacancy exists for him, or whether he would be hired if he applied for work.

42 U.S.C. § 423(d)(2)(A) (1994).

The Secretary utilizes a five-step sequential evaluation set forth in 20 C.F.R. §§ 404.1520, 416.920 in considering disability

claims. This five-step procedure is summarized as follows:

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