Lapetina v. Secretary of the Department of Health & Human Services

500 F. Supp. 167, 1980 U.S. Dist. LEXIS 14460
CourtDistrict Court, E.D. New York
DecidedOctober 23, 1980
DocketNo. 79 C 1098
StatusPublished

This text of 500 F. Supp. 167 (Lapetina v. Secretary of the Department of Health & Human Services) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lapetina v. Secretary of the Department of Health & Human Services, 500 F. Supp. 167, 1980 U.S. Dist. LEXIS 14460 (E.D.N.Y. 1980).

Opinion

MEMORANDUM OF DECISION AND ORDER

NEAHER, District Judge.

This action to review a denial of Social Security disability insurance benefits to plaintiff was initially referred to a United States Magistrate to review the administrative record, hear the contentions of the parties and report to the court his recommended disposition of the Secretary’s motion for judgment dismissing the action. The matter is now before the court on the Magistrate’s recommendation that the case be remanded to the Secretary “for further analysis of the evidence and for an amended decision which will permit effective review” of four issues referred to in the Magistrate’s report.

After an independent searching review of the record, the briefs of the parties, the Secretary’s objections to the Magistrate’s recommendation and plaintiff’s additional brief in support of remand, the court is of opinion that the Secretary’s determination adequately took into account all essential matters objected to by plaintiff, is supported by substantial evidence and should be affirmed.

Plaintiff, 44 years of age at the time of his hearing in September 1978, was formerly employed as a truck driver for some 23 years. There is no question that on February 9, 1977, while unloading a heavy delivery order, plaintiff suffered an injury to his back, later diagnosed as a herniated lumbar disc, which has disabled him from returning to his former occupation. During the 19-month period following his accident until the date of the de novo hearing on his disability benefits claim, plaintiff remained at home except for two weeks in June 1977 [168]*168when he was hospitalized and under the care of Dr. Joseph Saal, an orthopedic surgeon, who had first examined him shortly after the accident. In February 1977 Dr. Saal found through x-ray examination that plaintiff had a “mild” scoliosis of the lumbar spine to the left with some “ballooning” of the discs, but the intervertebral spaces were well maintained and there was no evidence of fracture. Plaintiff’s treatment at that time consisted of bed rest on a firm mattress and bedboards, medication and muscle relaxants, and a recommendation that he wear a corset. At that time he was considered “totally disabled” by Dr. Saal.

Plaintiff was again x-rayed during the June 1977 hospitalization and the examining radiologist, Dr. Wolf Rosenkranz, did not identify any fractures or dislocations and found the disc spaces of the lumbosacral spine “well maintained throughout and in normal anatomic alignment.” His impression at that time was that plaintiff’s lumbosacral spine was “normal.” Based upon the x-ray examination and a negative neurological examination, Dr. Saal discharged plaintiff from the hospital at his own request on June 14, 1977, with a final diagnosis of “herniated lumbar disc.”

On November 7,1977, Dr. Saal provided a report by telephone to the Social Security Administration as to plaintiff’s then current condition. The report repeats the diagnosis of herniated disc of the lumbar spine but with no neurological abnormality or sensory abnormalities. Dr. Saal advised that plaintiff could walk and sit for indefinite periods of time but is restricted in lifting and bending. He had a normal range of motion for grasp and manipulation and in Dr. Saal’s opinion he was only “partially disabled” and could definitely handle a sedentary job and possibly a light job.

Beginning November 18, 1977, plaintiff came under the care of Dr. George J. Seaman, also an orthopedic surgeon, in connection with plaintiff’s Workmen’s Compensation disability status and also as a treating doctor whose office plaintiff had visited some 54 times for galvanic current treatments. Dr. Seaman testified that in his opinion plaintiff has a severe limitation of any significant physical activity, by which he meant that plaintiff could not undertake work activity requiring bending, lifting, straining or pushing, although plaintiff’s physical condition would permit “sedentary activity.” He agreed there were some jobs plaintiff could do, specifically a job in the jewelry trade, but not one which would require a tremendous amount of mental concentration, and he cautioned that plaintiff might have some difficulty using public transportation at rush hours.

Dr. Thomas T. Forschner, a specialist in physical medicine and rehabilitation, examined plaintiff on February 21, 1978 as a consultative medical expert at the request of the Social Security Administration. His report notes that plaintiff was taking no medication orally but receiving heat treatments three times a week for what was “considered ... a herniated disc.” Dr. Forschner also observed that plaintiff appeared to be in no acute distress, ambulated normally and was wearing a brace for lumbar support. X-ray examination of the lumbosacral spine revealed normal mineralization of the vertebral body and no evidence of osteoarthritic changes. His impression was that plaintiff had “low back syndrome,” although he had no myelogram or EMG study to evaluate “a possibility of nucleated disc.”

Dr. Forschner also found all of plaintiff’s musculoskeletal systems normal and without neurological involvement or atrophy, except for some restriction of motion in the spine. He concluded that plaintiff had unlimited ability to stand and to sit and that his grasp and ability to manipulate were normal. Dr. Forschner was unable to determine how far plaintiff could walk or how many pounds he could lift and noted complaints of pain by plaintiff when he was required to bend, for which the doctor recommended continuing physiotherapy.

On May 3, 1978, plaintiff was notified that a de novo hearing on his disability claim would be held on June 7, 1978. That date was postponed until September 14, 1978. In the interim plaintiff was exam[169]*169ined on June 20, 1978 by a psychiatrist, Dr. Leon Olinger. Plaintiff complained of “continuous depression,” loss of interest in his environment and friends, feelings of helplessness and hopelessness, lower back pain and avoidance of social contacts. The doctor’s report noted that “Mr. Lapetina came to the office by himself” and was “carelessly dressed . . . [and] unshaved.” Dr. Olinger’s diagnosis was “reactive depression, chronic” with a recommendation for specified medication and “supportive psychotherapy” to help plaintiff develop insight into the factors that triggered his depression. It is noteworthy that on March 31, 1978, less than three months earlier, plaintiff had been interviewed at the Social Security Administration office at which time he was observed to be “well dressed” and “well built” and had no difficulties in “relating to people.”

Plaintiff and his wife testified that he spends most of his day “laying down” and sleeps between 11:30 p. m. and 9:00 or 10:00 a. m., taking the medication given him by Hr. Olinger. He stated he can walk one or two blocks, can stand for a half-hour more or less, and sit from between 15 minutes to a half-hour but cannot bend without pain which shoots down his left leg. During the hearing, which lasted over two hours, the ALJ noted that plaintiff stood up at intervals some seven or eight times. In response to his attorney’s questions, plaintiff said he wore his back brace every time he went out the door (Tr. 56). In contrast, Dr. Seaman testified that although plaintiff was told to wear the “corset,” he said he could not do so (Tr. 79).

Since in Dr. Seaman’s opinion plaintiff had “a severe limitation of any significant physical activity,” and only a “very few sedentary activities” which he could do (Tr.

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500 F. Supp. 167, 1980 U.S. Dist. LEXIS 14460, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lapetina-v-secretary-of-the-department-of-health-human-services-nyed-1980.