Gordon v. HHS

CourtDistrict Court, D. New Hampshire
DecidedMarch 31, 1994
DocketCV-93-132-B
StatusPublished

This text of Gordon v. HHS (Gordon 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
Gordon v. HHS, (D.N.H. 1994).

Opinion

Gordon v . HHS CV-93-132-B 03/31/94 UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Albert E . Gordon

v. Civil N o . 93-132-B Secretary of Health and Human Services

O R D E R

Albert Gordon 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 for Order

Reversing the Decision of the Secretary, and Defendant's Motion to Affirm the Secretary's Decision.

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 Gordon was born on June 2 3 , 1942. He has a ninth grade

education and has received his Graduate Equivalency Degree while

he was in the military. His job history includes positions in an

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).

2 automobile body shop, performing jobs such as straightening,

painting, and body work, however, he is not a qualified

automobile mechanic. Gordon asks this court to review the

findings and determinations of the Secretary, and either remand

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

January 8 , 1991 to date.

A. Medical History

Gordon's medical records indicate that in 1981 he underwent

back surgery to treat decompression of a nerve root. Although he

recovered completely from this initial surgery, his pain recurred

in January 1990 when he was bending over to pick up a garage

door. He sought medical treatment from D r . Hoke Shirley in

December 1990 when he again suffered pain while using a sledge

hammer at work. His symptoms included lower back pain and

associated numbness on the plantar surface of his foot, but he experienced no weakness in his lower extremities. D r . Shirley's

diagnosis was left lumbar radicular syndrome, most likely caused

by a prolapsed disk in the L4 - L5 region. Gordon was referred

to physical therapy.

In January 1991, D r . Shirley expressed the view that Gordon

needed to discontinue work and start a physical therapy program,

which Gordon complied with. In February, D r . Shirley noted that

3 Gordon's condition had improved only minimally, with tenderness

bilaterally in the iliolumbar angles and over the spinuous

processes of L3 through L 5 . D r . Shirley scheduled an MRI which

showed no herniated discs, though it did reveal some scarring and

fibrosis at the level L5-S1 without clear radicular encroachment.

He referred Gordon to D r . David J. Nagel to perform EMG/NCV

studies.

Gordon saw D r . Nagel in April 1991, for electrophysiologic

studies. After performing the necessary tests, D r . Nagel

concluded that the results were consistent with a diagnosis of a

left S1 radiculopathy.

Gordon saw D r . Shirley again in April 1991, where he noted

that Gordon's condition was continuing to decline. Gordon was

exhibiting pain down the back of his right leg which inhibited

his ability to continue with physical therapy. D r . Shirley prescribed a steroid injection through D r . Beasley and a

continued physical therapy program.

Gordon was referred to D r . Scala and D r . Sachs in May 1991,

who performed various physical tests. Gordon had a symmetric

gait, and was able to toe and heel walk without problem, but was

only able to bring his finger tips to the level of his knees

bending forward. Gordon had normal range of motion for shoulder

4 twisting, trunk twisting, and side bending, and showed good range

of motion of all joints in both lower extremities. D r . Sachs

diagnosed Gordon as having: 1 ) a failed previous lumbar spine

laminectomy discectomy syndrome with persistent pain, 2 ) a

prolapsed lumbar disc which could be a discogenic lumbar

radicular pain syndrome, 3 ) some remnants of internal disc

derangement and disruption particularly at L5-S1 which would

correspond to his previous surgery, 4 ) a weight problem. He

recommended further evaluation through a lumbar discography to

find out which disc was causing the problem, and further physical

therapy and nutritional consultation. He also prescribed

Feldene, a non-steroid anti-inflammatory drug.

The results of Gordon's discogram were very nonspecific and

did not reveal the pathologic source of Gordon's pain. D r . Sachs

noted that Gordon was "wavering and facilitating" in his responses and could not say what was causing his pain. He noted

some abnormal discs but did not feel that there was a specific

area that could be addressed with surgical intervention or

further testing. He reiterated the previous 4-part diagnosis and

discharged Gordon from his care stating that he could offer no

further treatment or diagnoses.

Gordon returned to D r . Nagel in August 1991, complaining of

5 stabbing, aching pain across the back that extended down both

legs as far as the knee. This pain also resulted in tingling in

Gordon's left foot. Gordon asserted that the pain was

exacerbated by lifting or prolonged walking, and that it kept him

awake at night. D r . Nagel opined that Gordon had multilevel disc

disease at L2-3, L3-4, L4-5 and L5-S1, which was consistent with

an S1 radiculopathy. He recommended that Gordon begin swim

therapy to improve his conditioning and flexibility and that he

get vocational counseling. He also recommended a diagnostic

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