Dow v. HHS

CourtDistrict Court, D. New Hampshire
DecidedMarch 31, 1994
DocketCV-93-76-B
StatusPublished

This text of Dow v. HHS (Dow v. HHS) is published on Counsel Stack Legal Research, covering District Court, D. New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dow v. HHS, (D.N.H. 1994).

Opinion

Dow v . HHS CV-93-76-B 03/31/94

UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF NEW HAMPSHIRE

Forrest J. Dow

v. Civil N o . 93-76-B

Secretary of Health and Human Services

O R D E R

Forrest Dow brings this action pursuant to 42 U.S.C.A. §

405(g) (West Supp. 1993), challenging a final determination by

the Secretary of Health and Human Services ("Secretary") denying

his application for Social Security disability benefits.

Presently before the court are Plaintiff's Motion to Admit New

Evidence, Plaintiff's Motion to Reverse the Decision of the

Secretary, and Defendant's Motion for Order Affirming the

Decision of the Secretary.

I. STANDARD OF REVIEW

Pursuant to 42 U.S.C.A. § 405(g), the court is empowered to

"enter, upon the pleadings and transcript of the record, a

judgment affirming, modifying, or reversing the decision of the Secretary, with or without remanding the cause for a rehearing."

In reviewing a Social Security decision, the factual findings of

the Secretary "shall be conclusive if supported by 'substantial

evidence.'" Irlanda Ortiz v . Secretary of Health & Human Serv.,

955 F.2d 765, 769 (1st Cir. 1991) (quoting 42 U.S.C. § 405(g)). 1

Thus the court must "'uphold the Secretary's findings . . . if a

reasonable mind, reviewing the evidence in the record as a whole,

could accept it as adequate to support [the Secretary's]

conclusion.'" Id. (quoting Rodriguez v . Secretary of Health &

Human Serv., 647 F.2d 2 1 8 , 222 (1st Cir. 1981)). Moreover, it is

the Secretary's responsibility to "determine issues of

credibility and to draw inferences from the record evidence," and

"the resolution of conflicts in the evidence is for the

Secretary, not the courts." Irlanda Ortiz, 955 F.2d at 769

(citing Rodriguez, 647 F.2d at 2 2 2 ) .

II. BACKGROUND

Claimant was born on February 4 , 1953. He has a fifth or

1 The Supreme Court has defined 'substantial evidence' as "such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Richardson v . Perales, 91 S . C t . 1420, 1427 (1971). "This is something less than the weight of the evidence, and the possibility of drawing two inconsistent conclusions from the evidence does not prevent an administrative agency's finding from being supported by substantial evidence." Consolo v . Federal Maritime Comm'n, 86 S . C t . 1018, 1026 (1966). sixth grade education and can read simple words and write his

name. His job history includes positions as a shoe laster, a

general laborer, and a carpenter. Claimant asks this court to

review the findings and determinations of the Secretary, and the

new evidence he seeks to admit to the court, and either remand

for further hearing or rule that he is entitled to benefits from

June 1 4 , 1990 to date.

A. Medical History

Claimant's medical records indicate that he suffered a work

related accident on August 2 6 , 1988 while lifting a heavy door.

He was treated by D r . David Glazer, an orthopedic surgeon, for

complaints of back pain radiating down his left buttock and leg.

Initial x-rays revealed spondylolisthesis at L5-S1. A CAT scan showed a question of a disc herniation at L4-L5, but a myelogram

was negative. Physical therapy was prescribed, which improved

claimant's condition minimally, and D r . Glazer recommended

surgery. The claimant declined surgery, and sought a second

opinion. D r . William Lipman reviewed claimant's previous test

results and confirmed the diagnosis of a herniated disc at L4-5,

but felt that because the herniation was so small, the claimant

was a better candidate for an epidermal steroid injection or

3 percutaneous suction discectomy rather than surgery. Claimant

declined both treatments and continued with physical therapy.

Claimant sought psychological help at the Seacoast Mental

Health Center in March 1989, where he complained of sleeping

problems, nervousness, and headaches. The psychologist felt that

claimant's problems stemmed from a need to work through the loss

of his daughter, who was violently murdered. She recommended

short term therapy to help claimant work through his anger and

helplessness.

Complaining of left chest and shoulder pain, claimant was

admitted to Catholic Medical Center in June 1989. On admission

claimant's EKG was normal, serial cardiac enzymes showed no

evidence of myocardial infarction, and telemetry monitoring

showed no significant arrhythmias. D r . James Clayburgh treated

claimant with a cardiac catheterization, which revealed a high grade 90% stenosis of the left anterior descending artery with

otherwise normal coronary circulation. D r . Clayburgh reported

that the claimant tolerated the procedure well and recovered

uneventfully.

Claimant returned to physical therapy in August, 1989, when

Dr. Lipman indicated that although his herniated disc had

resolved, he did not feel that M r . Dow could return to manual

4 labor and instead must be retrained. A visit in September

revealed that the claimant was continuing to improve with pain in

the morning which sometimes extended down his left leg. In

February 1990, claimant received a epidural steroid injection for

inflammation, and was started on Talwin NX and Indocin SR.

Claimant continued to be treated for back pain, but declined a

suction discectomy, preferring an operation if his condition

worsened.

Claimant was admitted for a second coronary angiography and

angioplasty in December 1989, and was successfully treated by D r .

John O'Meara. Follow-up visits with D r . Clayburugh revealed that

claimant had a minimal luminal irregularity in the left anterior

descending artery, however his other coronary arteries were

normal, with excellent post-angioplasty recovery. Claimant had a

normal chest x-ray and EKG. Claimant was examined by D r . Clinton Miller, a neurosurgeon,

in March of 1990. He complained of a sharp sudden pain in his

left buttock which progressed into his left calf and the heel of

his foot, and eventually his entire left leg and hip ached,

restricting his walking and standing activity. He received a

Medrol Dosepak and a course of epidural steroid injections,

however they did not help his symptoms. He also complained of

5 numbness and tingling in his foot and toes. Lumbosacral x-rays

showed spondylolisthesis at L5-S1 with a minimal anterior

slippage of L5 forward over the sacrum. A CAT scan showed some

disc herniation with left protrusion of soft tissue with L4-L5

encroaching on the left nerve root. D r . Miller opined the

claimant was totally disabled at the time and recommended a L4-L5

hemi-laminotomy and discectomy. This surgery was scheduled, but

had to be cancelled due to an insurance problem. In May, 1990

Dr. Lipman noted that claimant showed much improvement, with easy

heel and toe walking and no weakness. No surgery was scheduled

and claimant said that he would call if he got worse. D r . Lipman

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