Ordean L. NELSON, Plaintiff-Appellant, v. Louis W. SULLIVAN, M.D., Secretary of Health and Human Services, Defendant-Appellee

946 F.2d 1314, 1991 U.S. App. LEXIS 25023, 1991 WL 213800
CourtCourt of Appeals for the Eighth Circuit
DecidedSeptember 3, 1991
Docket90-5582
StatusPublished
Cited by59 cases

This text of 946 F.2d 1314 (Ordean L. NELSON, Plaintiff-Appellant, v. Louis W. SULLIVAN, M.D., Secretary of Health and Human Services, Defendant-Appellee) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ordean L. NELSON, Plaintiff-Appellant, v. Louis W. SULLIVAN, M.D., Secretary of Health and Human Services, Defendant-Appellee, 946 F.2d 1314, 1991 U.S. App. LEXIS 25023, 1991 WL 213800 (8th Cir. 1991).

Opinion

PER CURIAM:

In this Social Security disability case, the claimant Ordean L. Nelson challenges the Secretary of Health and Human Services’ findings that his medical condition has improved and that there are a significant number of jobs in the national economy which he can perform. The Secretary’s decision is supported by substantial evidence on the record as a whole, and thus we affirm the district court’s grant of summary judgment for the Government.

Claimant’s application for disability benefits on September 25, 1980, asserted that a back injury suffered in a workplace accident had become so severe that he was no longer able to engage in gainful activity. Although this application was initially denied, plaintiff requested a hearing at which an Administrative Law Judge (ALJ) determined that claimant was in fact disabled and was therefore entitled to benefits as of June 15, 1980.

On February 18, 1983, Nelson received notice from the Social Security Administration (SSA) that his benefits would cease on April 30, 1983, due to an improvement in his condition. After a series of internal agency review proceedings, the SSA Appeals Council ultimately confirmed the Secretary’s initial decision to discontinue benefits.

The initial critical question in a case such as this is whether the claimant’s physical condition has improved since the prior award of disability benefits. The claimant in a disability benefits case has a “continuing burden” to demonstrate that he is disabled, Mathews v. Eldridge, 424 U.S. 319, 336, 96 S.Ct. 893, 903, 47 L.Ed.2d 18 (1976), and no inference is to be drawn from the fact that the individual has previously been granted benefits. 42 U.S.C. § 423(f). Once the claimant meets this initial responsibility, however, the burden shifts to the Secretary to demonstrate that the claimant is not disabled. Lewis v. Heckler, 808 F.2d 1293, 1297 (8th Cir.1987). If the Government wishes to cut off benefits due to an improvement in the claimant’s medical condition, it must demonstrate that the conditions which previously rendered the claimant disabled have ameliorated, and that the improvement in the physical condition is related to claimant’s ability to work. 20 C.F.R. § 404.1594(b)(2)-(5).

Although this is a close case, a careful review of the record reveals enough evidence of medical improvement to meet the substantial evidence on the record as a whole standard of review. Richardson v. Perales 402 U.S. 389, 401, 91 S.Ct. 1420, 1427, 28 L.Ed.2d 842 (1971). Medical im *1316 provement is defined as a decrease in the medical severity of the impairments present at the time of the most recent favorable medical condition. 20 C.F.R. §§ 404.1594(b)(1). The decision concerning whether or not an individual’s condition has improved is primarily a factual inquiry, which so often depends upon the credibility to be given to the various witnesses, a responsibility particularly given to the trier of fact. Benskin v. Bowen, 830 F.2d 878, 883 (8th Cir.1987). As a result, if substantial evidence supports the Secretary’s position then it must be upheld. See Steele v. Sullivan, 911 F.2d 115, 116 (8th Cir.1990) (Secretary has “zone of choice” within which to operate).

In 1981, shortly before the hearing when Nelson was awarded disability benefits primarily due to severe back pain occasioned by degenerative disc disease, he had undergone surgery to repair some of the damage and alleviate the pain. The AU hearing the case specifically noted that the effects of the surgery prevented plaintiff from engaging in work at the time but that after an undetermined period of convalescence, he would be able to return to some sort of gainful activity. At that time, examinations demonstrated that claimant had severe osteoarthritis of the lumbar spine and disc space narrowing resulting in severe pain, substantial motor loss, and an inability to stoop, bend, twist, or sit for any length of time. Claimant also had reduced strength in his right hand and arm and a prosthesis in the left eye.

At the hearing under review here, evidence was taken from four witnesses: the claimant himself, Dr. John H. Beaumier (Nelson’s treating physician), Dr. Roger Davis (the attending physician during a 10-day rehabilitation program), and Dr. Daniel Schmelka, (the Secretary’s examining physician). The Secretary bases his decision primarily on the reports of Dr. Davis and Dr. Schmelka.

Dr. Schmelka, the physician assigned to the case by the Secretary, examined claimant in February 1983. He indicated that although claimant’s injuries prevented him from returning to his former job, there were tasks claimant could perform which would allow him to obtain some sort of sedentary work. His tests found that the motor weakness in claimant’s back and left leg observed in 1981 had dissipated by the time of his examination in 1983. In addition, the grip strength difficulties in the right hand and arm noted by the AU were no longer detectable.

Dr. Davis monitored claimant’s treatment during a week long rehabilitation program in March 1983. His tests also indicated that claimant was no longer suffering from motor weakness. He suggested that claimant could return to work with certain specified limitations on the amounts which he could lift and the amount of time he could stand during the day. Upon Nelson’s release from the program, Dr. Davis reported that claimant stated that his pain had been completely alleviated. Although claimant maintains that Dr. Davis’ favorable analysis was the result of a personality conflict with the claimant, this is the kind of argument as to credibility and weight of the evidence that must be settled by the trier of fact. Johnson v. Heckler, 744 F.2d 1333, 1338 (8th Cir.1984). There is nothing in the record that compels a decision that Dr. Davis’ findings should not be credited.

The reports of claimant’s own treating physician are not inconsistent with these views. Dr. Beaumier suggested that although claimant was restricted in what he could do, he was not prevented from doing certain “fine work.” His statements as to the limitations on claimant’s ability to lift or carry objects, on the length of time claimant could sit, and the amount of bending he could do were largely consistent with the diagnoses of the other physicians. Although Dr. Beaumier did state that in his opinion claimant could not be gainfully employed, such statements are not medical opinions but opinions on the application of the statute, a task assigned solely to the discretion of the Secretary.

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Bluebook (online)
946 F.2d 1314, 1991 U.S. App. LEXIS 25023, 1991 WL 213800, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ordean-l-nelson-plaintiff-appellant-v-louis-w-sullivan-md-ca8-1991.