James Decker v. Patricia Roberts Harris, Secretary of Health and Human Services

647 F.2d 291, 1981 U.S. App. LEXIS 14379
Court of Appeals for the Second Circuit·Decided April 10, 1981·No. 758, Docket 80-6172·Published·Cited by 120 cases

Opinion

FEINBERG, Chief Judge:

James Decker appeals from a judgment of the United States District Court for the Western District of New York, Harold P. Burke, J., affirming a decision of the Secretary of Health and Human Services that denied Decker’s application for social security disability benefits. We find that the record on which the Secretary’s determination rests, including the decision of the administration law judge who heard the claim, is inadequate in critical respects and accordingly remand for further proceedings.

I

Appellant, who is now fifty years old, filed an application in February 1978 for disability insurance benefits under Title II of the Social Security Act and for Supplemental Security Income (SSI) disability benefits under Title XVI of the Act. The application was initially reviewed by the Bureau of Disability Determinations (BDD), an agency of New York State under contract to the Social Security Administration. 1 The BDD in turn arranged for a medical examination of appellant by Dr. R. William Brand, a Board-certified internist. As a result of his examination, Dr. Brand concluded that appellant suffered from chronic asthmatic bronchitis, chronic nasal congestion, and probable early emphysema. Based on a pulmonary examination, Dr. Brand predicted that dyspnea (shortness of breath) would result from the exertion required for ascending “[a] flight of stairs, carrying groceries, [or] any kind of hurrying.” The pulmonary function test revealed “severe airways obstruction with partial reversibility after inhaled bronchodi-lator. Compatible with chronic bronchitis with superimposed bronchospastic components.”

The BDD also had before it a report from appellant’s physician, Dr. Vincas Sirmenis, who had been treating him since June 1977. Dr. Sirmenis diagnosed appellant’s illness as pulmonary fibrosis, emphysema, and bronchial asthma, with associated “mental apprehension when in respiratory trouble.” His report was essentially conclusory, however, lacking detailed discussion or evaluation of the scope of appellant’s disability. It also reported a “fair” response to treatment by a variety of medications.

On the basis of these two medical reports, the BDD concluded that appellant had failed to establish the requisite period of disability. The Bureau’s examiner gave the following “rationale” for the adverse decision:

*293 Medical evidence shows this claimant to have chronic asthmatic bronchitis, and probable early emphysema. Breathing tests performed April 1978 indicated that the claimant has the capacity to perform light work, but not medium or heavy work. The claimant is a young worker whose past customary work was as a laborer, carpentry, which was heavy work. Although this claimant cannot perform his past customary work, the claimant would be able to do sedentary and light work such as: soldering machine operator, 706.887; tester, eclectronic [sic] components, 726.687; or cable worker, 739.-687. These jobs and similar jobs exist in the national economy in significant numbers, therefore, this claim is denied. ,

Presumably acting on the basis of the BDD report, the Administration notified appellant in May 1978 that he had been found not entitled to disability benefits. After appellant’s requests for reconsideration were denied, he asked for a hearing before an administrative law judge (ALJ); this was held in December 1978.

During the hearing, at which appellant was represented by counsel, appellant testified that he had left school after the seventh grade, served in the Army for four years (1948-52), and worked thereafter principally as a laborer and carpenter. He said he had stopped working in 1976 as the result of worsening problems caused by asthma and emphysema. He had difficulty walking long distances or lifting weights for more than five minutes, and while he was able to help his wife with household tasks and to drive his car on local trips, his breathing problems had compelled him to give up his hobbies of hunting and fishing.

In addition to Decker’s testimony, the ALJ considered the reports from Drs. Sir-menis and Brand and the BDD determination based on them. Dr. Sirmenis also submitted, immediately prior to the hearing, another report “certifying” that Decker had been disabled since June 7, 1977, from any substantial gainful work, and that he would continue to be disabled for at least a year. Finally, Decker submitted a handwritten report from a Veterans Administration officer, dated October 27, 1978, stating that he had been rated “permanently and totally disabled for VA pension purposes from 7/14/78.”

In January 1979, the ALJ concluded that Decker had “a mild to moderate obstructive pulmonary disease for which he has not been hospitalized and which has not resulted in any substantial restrictions in his ability to work in a sedentary job or engage in routine daily activities.” Finding that Decker had “the residual functional capacity to engage in sedentary and light work,” the AU concluded that Decker was capable of working “as a tester of electronic components, cable worker, or a soldering machine operator” — the occupations identified by the BDD — and took administrative notice of the existence of these jobs “in substantial numbers in the regional economy.” Therefore, the ALJ concluded, Decker was not disabled within the meaning of either Title II or Title XVI and thus not entitled to disability benefits.

Decker’s request for review by the Administration’s Appeals Council was denied in June 1979, making the ALJ’s decision the final determination of the Secretary in this case. Decker subsequently brought this action for review, pursuant to 42 U.S.C. §§ 405(g), 1353(c)(3), in federal district court. Acting on cross-motions for summary judgment, the district judge affirmed the Secretary’s determination in June 1980, finding that the denial of benefits was reasonable and supported by substantial evidence. This appeal followed.

II

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James Decker v. Patricia Roberts Harris, Secretary of Health and Human Services, 647 F.2d 291, 1981 U.S. App. LEXIS 14379 (2d Cir. 1981).

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