Ford v. SSA

2005 DNH 105
CourtDistrict Court, D. New Hampshire
DecidedJuly 7, 2005
DocketCV-04-194-PB
StatusPublished
Cited by2 cases

This text of 2005 DNH 105 (Ford v. SSA) 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
Ford v. SSA, 2005 DNH 105 (D.N.H. 2005).

Opinion

Ford v. SSA CV-04-194-PB 07/07/05

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Alichia M. Ford

v. Case No. 04-CV-194-PB Opinion No. 2005 DNH 105 Jo Anne B. Barnhart, Commissioner Social Security Administration

MEMORANDUM AND ORDER

Alichia Ford applied for Disability Insurance Benefits

("DIB") on May 6, 2002.1 Ford alleged that she became disabled

on May 11, 2000 due to nerve changes and spinal cord damage

resulting from encephalomyelitis.2 Her application was denied on

July 30, 2002. At Ford's reguest, an administrative hearing to

review the denial was held on May 1, 2003 in front of

Administrative Law Judge ("ALJ") Edward G. Hoban. In a September

26, 2003 order, ALJ Hoban once again denied Ford benefits. Ford

1 Ford also applied for Supplemental Security Income ("SSI") payments on May 6, 2002, with a protective filing date of March 21, 2 002.

2 Encephalomyelitis is an acute inflammation of the brain and spinal cord. Stedman's Medical Dictionary 507 (25th ed. 1990) ("Stedman's") requested review of that decision, and on April 1, 2004, the

Appeals Council denied her request for further review, makinq the

ALJ's determination the final decision of the Commissioner. See

20 C.F.R. § 404.981. Ford now seeks reversal of the

Commissioner's decision.

I. BACKGROUND3

A. Education and Work History

Alichia Ford was born on March 13, 1976, and was twenty-

seven years old when ALJ Hoban issued his decision. She is a

hiqh school qraduate, and her past relevant work include jobs as

a jewelry assembly worker, a sales clerk for a florist and a

qreetinq card store, and an assistant manaqer of a shoe store.

Ford reportedly left her last job because of pain and stress.

B. Medical History

Ford was admitted to Dartmouth Hitchcock Memorial Hospital

on Auqust 4, 1999 in an altered mental state with diffuse body

pain. She was larqely unresponsive to auditory and tactile

3 Unless otherwise noted, the Backqround facts are drawn from the Joint Statement of Material Facts (Doc. No. 7) submitted by the parties pursuant to Local Rule 9.

- 2 - stimulus. A magnetic resonance imaging ("MRI") of her brain

taken the same day was essentially unremarkable, though an August

8 MRI that included images of her spinal cord showed high signals

in the cervical spine. Further, an August 5 electroencephalogram

("EEC") produced results consistent with encephalopathy.4 Based

on these findings. Ford was diagnosed with meningoencephalitis5

and was treated with intravenous antibiotic and antiviral

medications, as well as steroid therapy. Even after her mental

state ultimately returned to normal, however, she continued to

suffer from bilateral lower extremity weakness and diminished

strength, which at times left her unable to walk. Despite these

infirmities. Ford made dramatic improvements in muscle strength

while hospitalized, largely due to physical therapy and

occupational conditioning. Hence, she was "much improved" and

walking independently on the parallel bars as well as

transferring in and out of a wheelchair by the time she was

discharged on August 13, 1999.

4 Encephalopathy is any degenerative disease of the brain. See Stedman's 508.

5 Meningoencephalitis is an inflammation of the brain and its membranes. Stedman's 943.

- 3 - Ford was examined by Dr. Alida Griffith at the Hitchcock

Clinic on September 1, 1999. Dr. Griffith's treatment notes

refer to an MRI revealing increased signal in the thoracic spine.

Ford told Dr. Griffith that she was doing well at home and could

walk without much difficulty, but that her left leg was still

weak. Her physical examination was largely normal, except for

4/5 strength in the right lower extremity, a slight decrease in

vibration sensitivity in the distal lower extremities, and a

slightly unsteady tandem gait. Ford also reported urinary

incontinence, and Dr. Griffith referred her for a urology

consultation. Dr. Griffith instructed Ford to return for a

follow-up in six months.

Instead, Ford returned to Dr. Griffith on October 10, 2000.

Ford explained that she had been doing "pretty well" since being

discharged from the hospital, but complained of an odd feeling in

her legs, with sensitivity and dysethesia6 to hot and cold

temperatures. Ford also reported a jerking sensation and motion

in her legs. A physical examination revealed 4/5 strength in her

right hip flexor and knee extensor, and she complained of pain

6 Dysethesia is a condition in which a disagreeable sensation is produced by ordinary stimuli. Stedman's 476.

- 4 - with cold sensation below the knee, while warm stimulus felt like

pressure. Dr. Griffith opined that Ford's symptoms were the

lingering effect of acute disseminated encephalomyelitis,

although they could have been an unusual presentation of multiple

sclerosis. Ford reported ongoing urinary freguency, though she

admitted that she had not followed up with Dr. Griffith's prior

referral to a urologist. Dr. Griffith gave her a trial dose of

Neurontin for her dysesthesias and leg jerking and again referred

her to a urologist.

Ford next saw Dr. Griffith on December 12, 2000. She

complained of urinary freguency, painful leg spasms, and

difficulty sleeping. The Neurontin had caused intolerable side

effects, including drowsiness and dizziness. A physical

examination revealed that Ford's lower extremity strength was 5/5

and her sensation was intact, except for a small area of

hypesthesia7 on her left thigh. Dr. Griffith believed Ford's

symptoms were secondary to a static lesion of the thoracic spinal

cord. Although she again failed to keep Dr. Griffith's urology

referral. Ford assured Dr. Griffith that she would see a

7 Hypesthesia is diminished sensitivity to stimulation. Stedman's 747.

- 5 - urologist closer to her home. Dr. Griffith prescribed Ditropan

for spastic bladder and Baclofan as a muscle relaxant and

antispastic agent.

Ford next sought medical care on July 17, 2002, after filing

her application for disability benefits, when she was examined by

Dr. Lawrence Jenkyn. Dr. Jenkyn observed that Ford was not

taking any medication for pain. Upon examination. Ford had 5/5

strength in all four extremities, with increased tone in the

lower extremities. Although her sensation was intact, cold

stimulus to her feet resulted in withdrawal responses due to

burning pain that she experienced subjectively. A mental status

exam revealed normal mental status, speech and language

functions, visual fields, and cranial nerves. Her gait and

station were normal. Dr. Jenkyn believed that Ford was suffering

from the chronic after-effects of encephalomyelitis. He opined

that her burning dysesthesias might respond to Baclofen, which

"probably should be offered to her at some point."

Ford returned to Dr. Jenkyn for a follow-up neurological

consultation on April 21, 2003. She reported increasing

difficulty with her right hand, which had caused her to drop

things unpredictably. She also reported that her lower extremity

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