Follensbee v. HHS

District Court, D. New Hampshire·Decided March 28, 1995·No. CV-94-177-JD·Published

Opinion

Follensbee v. HHS CV-94-177-JD 03/28/95 UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Elizabeth Follensbee v. Civil No. 94-177-JD

Secretary, Health and Human Services

O R D E R

The plaintiff, Elizabeth Follensbee, brings this action pursuant to § 205(g) of the Social Security Act ("Act")a 42 U.S.C.A. § 405(g), seeking review of a final decision of the defendant. Secretary of Health and Human Services ("Secretary"), denying her claim for a period of disability and disability insurance benefits under the Act. Before the court are the plaintiff's motion to reverse the decision of the Secretary (document no. 5) and the defendant's motion to affirm the decision of the Secretary (document no. 10).

Background

The plaintiff, born on October 7, 1947, was forty-five years old when the Secretary conducted the administrative hearing. Transcript of Administrative Record ("Tr.") at 40. The plaintiff has completed high school. Id. at 5. Her vocational history includes employment as a seamstress, shirt presser, newspaper

inserter, and a bearings inspector in a factory. Id. at 42-45. The plaintiff has not worked since January 1991 due to Meniere's Syndrome. Id. at 45.1

1. Medical Evidence2 The plaintiff was examined in December 1988 and January 1989 by Dr. Glenn Johnson, an otolaryngologist affiliated with the Dartmouth-Hitchcock Medical Center. Tr. at 120-21. She com­ plained of vertigo, ear pain and tinnitus. Id. Dr. Johnson diagnosed right-sided atypical Meniere's disease and recommended corrective surgery known as a vestibular nerve section. Id. at 121. The surgery was performed in February 1989 and, in a March 2, 1989, medical note Dr. Johnson reported that the plaintiff only suffered unsteadiness when tired. Id. at 127.

On September 26, 1989, the plaintiff was examined by Dr. J.

Oliver Donegan, another physician associated with the Dartmouth- Hitchcock Medical Center. Tr. at 128. She complained of lightheadedness and some altered sensation on the right side of

1Meniere's disease is hearing loss, tinnitus, and vertigo resulting from nonsuppurative disease of the labyrinth with distention of the membranes labyrinth. Stipulation of Facts at n.l (guoting Dorland's Medical Dictionary, 26th ed. (1981) at 795) .

2The plaintiff's medical history is drawn largely from the stipulation of facts filed jointly by the parties.

her face. Id. at 128. Dr. Donegan noted in the medical record that, upon examination, the plaintiff appeared stable and that he could not determine the etiology of her symptoms. Id. at 128.

On July 30, 1990, the plaintiff was examined by Dr. Johnson.

Tr. at 130. She complained of pain in the area of the craniectomy, aggravated by her head-bent position as an inspector. Id. Dr. Johnson noted in the medical record that the plaintiff's balance is "doing great" and that the surgical wound had healed but was still tender. Id.

On September 4, 1990, the plaintiff's ovaries were surgically removed due to pelvic pain caused by adhesions. Tr. at 132-34.

On December 6, 1990, the plaintiff was examined by Dr.

Johnson. Tr. at 134. She complained of fluid retention and increasing difficulties with imbalance. Id. Dr. Johnson prescribed physical therapy, a restricted diet and medication (Dyazide). Id.

On March 5, 1991, the plaintiff was examined by Dr. Johnson.

Tr. at 135. She complained of increased lethargy and near constant unsteadiness aggravated by motion. Id. Dr. Johnson recommended central auditory studies. Id.

Auditory testing was performed in March 1991 and revealed a slight decrease in the plaintiff's hearing. Tr. at 136. The

results showed a decrease in pattern performance which requires intact hemispheric and interhemispheric pathways. Id. The auditory brainstem response test was normal. Id. The audiologist recommended a repeat audiogram including bone conduction. Id.

An MR scan of the plaintiff's head was performed in April 1991. Tr. at 137. The scan was normal and did not reveal evidence of either an acoustic neuroma or a demyelinating disorder. Id.

On June 11, 1991, the plaintiff was examined by Dr. Johnson.

Tr. at 139. She complained of unsteadiness. Id. Dr. Johnson noted in the medical record that the plaintiff was participating in physical therapy. Id. On the same day, the plaintiff underwent additional audiological testing, the results of which were borderline normal. Id. at 140. The audiologist noted in the medical record that although the testing did not reveal "any strong suggestion" of central involvement, a "very slight problem" could not be ruled out. Id.

On March 5, 1992, Dr. Margo Krasnoff, a physician associated with the Hitchcock Clinic, examined the plaintiff. Tr. at 144. Dr. Krasnoff diagnosed the plaintiff with gallstones and, in April 1992, the plaintiff's gallbladder was surgically removed. Id. at 144-46, 152.

On July 6, 1992, the plaintiff was examined at the Dartmouth-Hitchcock Medical Center after complaining of lower back pain on her left side. Tr. at 147. Her x-rays were considered normal and a CT scan revealed a bulging disc at L5-S1 with a lateral herniated disc of the left L4-L5 interspace. Id. 147-49.

In an October 13, 1992, letter Dr. Johnson wrote that the plaintiff experienced periods of motion-related vertigo, nausea, and unsteadiness. Tr. at 150-51. Dr. Johnson noted that the plaintiff's unemployment benefits had run out and that she could resume work under certain restrictions. Id. at 151. Specifically, Dr. Johnson wrote that

[b]ecause of her problems with instability and motion intolerance, she should not be working in an area where she needs to be climbing ladders, working on scaffolding, or working around moving parts . . . she should not be in a situation where she is freguently exposed to a lot of visual movement . . . . [S]he would need to be able to get to work and home from work without having to drive in the dark. Fatigue also plays a role in her performance, and an ideal job would allow her some flexibility in taking breaks to help minimize the fatigue factor.

Id. at 150. Dr. Johnson added that it would be beneficial for the plaintiff to have steady employment. Id.

On October 14, 1992, Dr. Krasnoff summarized the plaintiff's condition in the medical record. Tr. at 152-53. Dr. Krasnoff noted that the plaintiff's condition had improved and that the

Meniere's disease was under fairly good control. Id. at 152. A complete medical exam revealed the plaintiff's condition to be essentially normal. Id. at 152. In a November 11, 1992, letter written at the plaintiff's request. Dr. Krasnoff agreed with Dr. Johnson's assessment of the plaintiff's vocational restrictions by essentially adopting the recommendations in Dr. Johnson's letter of October 13, 1992. Id. at 155.

On January 7, 1993, a state agency physician reviewed the plaintiff's medical records and evaluated her residual functional capacity. Tr. 77-84. The physician concluded that the plaintiff should not climb ramps, stairs, ladders, ropes or scaffolds but did not require any other postural limitations. Id. at 79. On March 25, 1993, a second state physician reviewed the evidence and affirmed the residual functional capacity evaluation.

II. Claimant Questionnaire On December 8, 1992, the plaintiff completed a questionnaire describing her daily routine. Tr. 105-108. On an average day she reads, does crafts and needlework, prepares meals with her husband and washes laundry and dishes. Id. at 106. She goes shopping with her husband for groceries and other items when the stores are not busy. Id. at 105. The plaintiff reads, listens to the radio and watches television programs that do not depict

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