Feldmeyer v. Heckler

585 F. Supp. 1367, 5 Soc. Serv. Rev. 743
CourtDistrict Court, W.D. New York
DecidedMay 31, 1984
DocketNo. CIV-81-487E
StatusPublished

This text of 585 F. Supp. 1367 (Feldmeyer v. Heckler) is published on Counsel Stack Legal Research, covering District Court, W.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Feldmeyer v. Heckler, 585 F. Supp. 1367, 5 Soc. Serv. Rev. 743 (W.D.N.Y. 1984).

Opinion

MEMORANDUM and ORDER

ELFVIN, District Judge.

Plaintiff brought this action under 42 U.S.C. § 405(g), section 205(g) of the Social Security Act, to obtain review of a final determination by the Secretary of Health and Human Services (“the Secretary”) that plaintiff was not entitled to receive disability insurance benefits after April 30, 1980. Plaintiff has moved for summary judgment on the grounds that the Secretary’s final determination was not supported by substantial evidence and was affected by numerous legal errors. I am remanding this case for further proceedings because of legal error.

According to the record, plaintiff filed an application for disability insurance benefits in May 1977 and began to receive such benefits that August. The award of benefits was based on plaintiff’s extreme obesity and hypertension, which combination qualified him automatically under listing 10.10 B, Appendix 1, Subpart P, Part 404 of the Regulations (20 C.P.R. 404, Subpart P, Appendix I). His body weight of 503 pounds was greater than the listing for his height and his blood pressure was greater than the listing for diastolic blood pressure.

In November 1978 plaintiff underwent an intestinal bypass operation in which a large section of his lower intestine was tied off. He stated that one of the reasons he chose to undergo this radical surgical procedure, which provided for him an estimated survival rate of only 50% (R 157), was to improve his chances of returning to work (R 99). By November 1979, when plaintiff was examined by Dr. B, his weight had fallen to 312 pounds. Dr. B noted that plaintiff experienced elevated blood pressure even with prescribed medication, an umbilical hernia, and varicose veins. Dr. B noted that plaintiff complained of considerable musculoskeletal pain which Dr. B could not fully explain. (R 141, 142.)

Plaintiff was informed by a termination notice dated May 19, 1980 (R 108) that he had ceased being disabled during November 1979 and that his entitlement to benefits had terminated at the end of January 1980. Before receipt of this notice and after Dr. B’s examination, however, plaintiff apparently had undergone surgery to [1369]*1369repair his hernia January 15, 1980 and to remove a ureteral calculus January 18, 1980. (R 182.) On April 1, 1980 he underwent bilateral vein stripping in both legs. Plaintiff testified that following the operation, he developed hematomas in both legs (R 94) and had to keep his legs up for several months because of swelling and pain (R 94). On April 8, 1980 Dr. T, plaintiff’s treating physician, informed New York’s Department of Social Services, Bureau of Disability, that he believed plaintiff was totally disabled at that time because of hypertension, obesity and venous insufficiency. (R 204.)

Kidney and ureter problems continued to plague plaintiff and led to visits to the emergency room. On June 10, 1980 he requested that his termination of benefits be reconsidered. Although a disability examiner who reconsidered plaintiff’s request July 16, 1980 stated that “significant problems arose following the cessation of benefits,” the examiner concluded that these problems “were not disabling within the definition and criteria applied by the social security system.” (R 112.) The decision to terminate was confirmed by a letter dated August 20, 1980 from the Office of Disability Operations.

Plaintiff requested an administrative hearing and such took place December 9, 1980. The only testimony taken was that of plaintiff, who was represented by an attorney. By the time of the hearing plaintiff had had surgery to remove two kidney stones in October, 1980. After the hearing, he apparently had more vein stripping in January, 1981 and unidentified surgery in May, 1981. In addition, plaintiff had elective surgery on several occasions to remove excess tissue.

The Administrative Law Judge’s decision of January 7,1981 extended disability benefits to plaintiff through April 30, 1980 with entitlement to cease June 30th. Plaintiff requested review of this decision. The Appeals Council denied his request April 13, 1981. Consequently the Secretary’s decision became final. Plaintiff began this action June 16, 1981.

Section 205(g) of the Social Security Act provides that the Secretary’s factual findings must be upheld if they are supported by substantial evidence. Richardson v. Perales, 402 U.S. 389, 401, 91 S.Ct. 1420, 1427, 28 L.Ed.2d 842 (1971); Levine v. Gardner, 360 F.2d 727, 729 (2d Cir.1966). The function of a reviewing court is not to make findings de novo but to assess whether the findings of fact are supported by substantial evidence. Dousewicz v. Harris, 646 F.2d 771, 773 (2d Cir.1981). The evidence that must be considered in determining whether an individual is disabled includes (1) objective medical facts, (2) diagnoses and medical opinions based on such facts, (3) subjective evidence of disability, such as the individual’s testimony concerning pain and discomfort, and (4) the individual’s educational background, age and work history. Rivera v. Harris, 623 F.2d 212, 216 (2d Cir.1979); Marcus v. Califano, 615 F.2d 23, 26 n. 2 (2d Cir.1979); Bastien v. Califano, 572 F.2d 908 (2d Cir. 1978). Where evidence has been evaluated improperly because of an erroneous view of law, however, the Secretary’s determination will not be upheld. Cutler v. Weinberger, 516 F.2d 1282 (2d Cir. 1975). A claimant has the burden of proving a disability which entitles him to disability insurance. E.g. Bastien v. Califano, supra, at 911. The claimant has the same burden when challenging a termination of benefits granted previously. Magee v. Califano, 494 F.Supp. 162 (W.D.N.Y.1980).

The Secretary concedes that plaintiff was automatically entitled to benefits at the time of his application. The Secretary had determined that plaintiff was no longer entitled to the receipt of benefits when his weight fell below the listing. After the administrative hearing had been held in December, 1980, however, the Administrative Law Judge (“the AU”) extended plaintiff’s entitlement to receive continuation of benefits to the end of the prior April. This extension of entitlement covered the period during which plaintiff had undergone surgery to repair his hernia, to remove a ureteral calculus and to strip [1370]*1370both legs of varicose veins. The extension did not, however, cover the period leading up to plaintiff’s operation to remove kidney stones in October 1980 or his operation to strip more veins in January 1981.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
585 F. Supp. 1367, 5 Soc. Serv. Rev. 743, Counsel Stack Legal Research, https://law.counselstack.com/opinion/feldmeyer-v-heckler-nywd-1984.