Perez v. Mathews

411 F. Supp. 1276, 41 Cal. Comp. Cases 944, 1976 U.S. Dist. LEXIS 15943
CourtDistrict Court, E.D. California
DecidedMarch 24, 1976
DocketCiv. S-74-675
StatusPublished
Cited by5 cases

This text of 411 F. Supp. 1276 (Perez v. Mathews) is published on Counsel Stack Legal Research, covering District Court, E.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Perez v. Mathews, 411 F. Supp. 1276, 41 Cal. Comp. Cases 944, 1976 U.S. Dist. LEXIS 15943 (E.D. Cal. 1976).

Opinion

MEMORANDUM AND ORDER

WILKINS, District Judge.

This is a judicial review of the final decision of November 8, 1974, of the Secretary of Health, Education, and Welfare, 42 U.S.C. § 405(g), denying plaintiff’s claim for continuing disability insurance benefits. Plaintiff initially applied for benefits on May 18, 1973, alleging that he became unable to work on January 22, 1972. After a hearing, an administrative law judge allowed benefits from January 22, 1972 until September 30, 1973. That decision was affirmed by the Appeals Council and the decision of the Secretary has now become final.

The plaintiff has moved for summary judgment, F.R.Civ.P. 56(b), and the defendant has responded with a cross motion for summary judgment.

The sole issue before the Court on review is whether the record contains substantial evidence to support the decision of the Secretary. Chavies v. Finch, 443 F.2d 356 (9th Cir. 1971); Rhinehart v. Finch, 438 F.2d 920 (9th Cir. 1971). Substantial evidence is defined as such relevant evidence as a reasonable mind might accept as adequate to support a conclusion, and it must be based on the record as a whole. Richardson v. Perales, 402 U.S. 389, 400, 91 S.Ct. 1420, 1427, 28 L.Ed.2d 842, 852 (1971); Celebrezze v. Bolas, 316 F.2d 498, 501 (8th Cir. 1963).

A claimant is eligible for Social Security benefits if he is under a “disability”. 42 U.S.C. § 423(a)(1)(D). This term is defined in both 42 U.S.C. § 416(i)(l)(A) and 42. U.S.C. § 423(d)(1)(A) to mean:

. inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months .

Title 42 U.S.C. § 423(d)(2)(A) provides that:

an individual . . . shall be determined to be under a disability only if his physical or mental impairment or impairments are of such severity that he is not only unable to do his previous work but cannot, considering his age, education, and work experience, engage in any other kind of substantial gainful work which exists in the national economy, regardless of whether such work exists in the immediate area in which he lives, or whether a specific job vacancy exists for him, or whether he would be hired if he applied for work.

The term “period of disability” is defined by Title 42 U.S.C. § 416(i)(2)(A) as:

a continuous period . during which an individual was under a disability . . . but only if such period is of not less than five full calendar months’ duration or such individual was entitled to benefits under section 423 of this title for one or more months in such period.

These statutes place the burden of proof on the plaintiff to establish his entitlement to benefits. Seitz v. Secretary, 317 F.2d 743 (9th Cir. 1963). This burden shifts to the government only when the plaintiff makes “a showing of inability to return to his former work, and the record does not otherwise contain any evidence of [plaintiff’s] ability to engage in substantial gainful work.” Meneses v. Secretary, 143 U.S.App.D.C. 81, 442 F.2d 803, 806 (1971).

*1279 In order to meet his burden of proof the plaintiff must show that he has a “physical or mental impairment,” which is defined in 42 U.S.C. § 423(d)(3) as:

an impairment that results from anatomical, physiological, or psychological abnormalities which are demonstrable by medically acceptable clinical and laboratory diagnostic techniques.

A review of the record reveals that plaintiff has a seventh grade education and has worked as a construction laborer doing tasks such as pouring concrete. On January 22, 1972, plaintiff was involved in a car accident which gives rise to his present complaints. Plaintiff alleges disability as a result of shortness of breath, abdominal pain, and seizure disorder. Plaintiff further objects to the failure of the Secretary to require, request and consider additional medical evidence relating to plaintiffs alleged seizure disorder.

Plaintiff was hospitalized after the automobile accident and that is what caused the Secretary to find a disability for the time period from January 22, 1972 through September 30, 1973. The basis of the Secretary’s decision to terminate benefits was plaintiff’s ability to return to work. The objective evidence that was before the administrative law judge concerned the shortness of breath and the abdominal pain. Pulmonary studies and a chest X-ray were conducted at the Sacramento Medical Center after Stanley W. Ruggles, M.D., an internist, suggested that they be done. The pulmonary studies failed to show any significant decline in pulmonary function, and the X-ray was also normal. In his letter dated December 20, 1973, Dr. Ruggles says he is at a loss to explain plaintiff’s shortness of breath, that there are no clinical findings to support plaintiff’s claim, and that it is also difficult to see how the alleged disability relates to the automobile accident.

There is absolutely no objective evidence in this record that supports plaintiff’s claim that he is suffering abdominal pain. 20 C.F.R. 404.1501(c) provides in part:

“Statements of the applicant, including his own description of his impairment (symptoms) are, alone, insufficient to establish the presence of a physical or mental impairment.” This regulation has been cited with approval in Sorenson v. Weinberger, 514 F.2d 1112 (9th Cir. 1975). The same regulation is equally applicable to the complaint of shortness of breath.

In his memorandum, plaintiff emphasizes his seizure disorder. In that regard, two problems are presented.

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Cite This Page — Counsel Stack

Bluebook (online)
411 F. Supp. 1276, 41 Cal. Comp. Cases 944, 1976 U.S. Dist. LEXIS 15943, Counsel Stack Legal Research, https://law.counselstack.com/opinion/perez-v-mathews-caed-1976.