Dow v. HHS

District Court, D. New Hampshire·Decided March 31, 1994·No. CV-93-76-B·Published

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

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

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

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 noted that he felt M r . Dow was capable of returning to light work as of June, 1990.

Claimant continued to be treated by D r . Lon Sherman, a

cardiologist, from May through September, 1990. Claimant complained of chest pain in May, but cardiac ultrasound and

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