Nash v. Heckler

616 F. Supp. 132, 1985 U.S. Dist. LEXIS 20521, 11 Soc. Serv. Rev. 474
CourtDistrict Court, W.D. Missouri
DecidedApril 22, 1985
Docket84-4197-CV-C-5
StatusPublished

This text of 616 F. Supp. 132 (Nash v. Heckler) is published on Counsel Stack Legal Research, covering District Court, W.D. Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nash v. Heckler, 616 F. Supp. 132, 1985 U.S. Dist. LEXIS 20521, 11 Soc. Serv. Rev. 474 (W.D. Mo. 1985).

Opinion

ORDER

SCOTT O. WRIGHT, Chief Judge.

This is a proceeding under Title II of the Social Security Act, 42 U.S.C. § 401 et seq. Section 405(g) of the Act provides for judicial review of a final decision of the Secretary of Health and Human Services. Plaintiff’s application for a period of disability and disability insurance benefits was denied initially and upon reconsideration. Following a request for a hearing, the same was held before Administrative Law Judge William E. Zleit. Plaintiff was represented by counsel. The decision of the ALJ was adverse to plaintiff, and the Appeals Council affirmed on April 13, 1984. Thus, the decision of the ALJ stands as a final decision of the Secretary.

The case now pends on cross-motions for summary judgment. For the following reasons, defendant’s motion will be granted and the decision of the Secretary affirmed.

Plaintiff is a 62-year-old man with a high school education. He last worked in November of 1981 when he was laid-off as a truck driver. Other previous work included a job as a machinist and as a mobile home salesman. At one time, plaintiff owned and operated a mobile home dealership. Plaintiff quit his job as a mobile home salesman, and refuses to return, due to the pressure and stress he encounters in dealing with customers. Plaintiff denies, however, any problems relating to others on a social level. Plaintiff’s previous work required medium exertion, or less, as described in the Dictionary of Occupational Titles.

Plaintiff was hospitalized in August of 1982 for the “heart problem” on which he now bases his disability application. Plaintiff was admitted to the hospital with chest pain and shortness of breath. Plaintiff was diagnosed as having a mild left axis deviation with questionable left ventricular hypertrophy pattern. He was released four days later.

The medical evidence of record could be described as abbreviated, at best. It consists of plaintiff’s hospital records and discharge summary, including the results of two stress/treadmill tests performed on plaintiff during his hospitalization and shortly thereafter. The only other evidence of record is plaintiff’s testimony and three letters written by plaintiff’s osteopath, Kenneth Ridgeway, D.C.

*134 The discharge summary of September 20, 1982, concedes the possibility of previous inferior wall myocardial infarction. The report reveals a “strongly positive” electrocardiographic stress test for arteriolateral ischemia at high levels of exertion. During the test plaintiff experienced shortness of breath but no angina. Plaintiff left the hospital without chest pain, was ambulatory, and experienced no aberrant heart rhythms. Plaintiff was prescribed nitroglycerin (for chest pain), however, has only used it “four or five” times since 1982. In the two months preceding the hearing plaintiff has not taken any nitro pills. The discharge summary (written by Kenneth Ridgeway, D.C.) offered no opinion as to possible or probable disability.

Plaintiff underwent a second stress-test on September 17, 1982. The report of this test noted improvement, found no arrythmia, and blood pressure normal at rest levels. Plaintiff was noted to have a poor tolerance to exercise, however.

The remainder of the “medical evidence” consists cf. three letters written by plaintiffs osteopath to plaintiffs lawyer, the Social Security Administration and to “whom it may concern.” 1 Ridgeway has apparently been treating plaintiff since his admission to the hospital in 1982. He has seen plaintiff from time to time since then. Ridgeway maintains plaintiff is disabled, yet offers no support or explanation for his opinion beyond the previously described discharge summary.

The form and scope of judicial review of the defendant’s actions is statutorily defined and limited. Under 42 U.S.C. § 405(g), the Secretary’s decision is conclusive upon the Court if it is supported by substantial evidence. Alexander v. Weinberger, 536 F.2d 779 (8th Cir.1976); Yawitz v. Weinberger, 498 F.2d 956, 957 (8th Cir. 1974) . This standard of substantial evidence is defined as such relevant evidence as a reasonable mind might accept as adequate to support a conclusion. Russell v. Secretary of HEW, 540 F.2d 353, 356 (8th Cir.1976); Brinker v. Weinberger, 522 F.2d 13, 17 (8th Cir.1975). This standard of review “is more than a mere rubberstamp of the Secretary’s decision, and is more than a mere search for the existence of substantial evidence supporting the Secretary’s decision.” McMillian v. Schweiker, 697 F.2d 215, 220 (8th Cir.1983). The substantiality of the evidence must take into account whatever the record fairly detracts from its weight. Id.

The claimant has the initial burden of establishing the existence of a disability as defined by 42 U.S.C. § 423(d)(1). In order to meet the statutory definition, the claimant must show (1) that he has a medically determinable physical or mental impairment that will either last for at least twelve months or result in death, (2) that he is unable to engage in any substantial gainful activity, and (3) that this inability is a result of his impairment. Timmerman v. Weinberger, 510 F.2d 439, 442 (8th Cir. 1975) .

*135 If the claimant establishes that his impairment is so severe that he cannot engage in his former occupation, the burden shifts to the Secretary to prove that the claimant can perform some other kind of substantial gainful employment. Johnson v. Califano, 572 F.2d 186, 187 (8th Cir. 1978).

The ALJ acknowledged plaintiffs history of heart problems, yet concluded that plaintiff did not have an impairment or combination of impairments listed, in or medically equivalent to, one in Appendix 1, Subpart P of Regulation 4. Plaintiff lives with his wife and is able to adequately care for his personal needs. The AU specifically noted plaintiffs daily activities, including walking one mile (per his doctor’s orders), raking leaves, fishing and/or reading. Plaintiff’s testimony also revealed that his condition had not changed, i.e., not deteriorated, since his initial hospitalization.

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Bluebook (online)
616 F. Supp. 132, 1985 U.S. Dist. LEXIS 20521, 11 Soc. Serv. Rev. 474, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nash-v-heckler-mowd-1985.