Spencer v. Celebrezze

221 F. Supp. 528, 1963 U.S. Dist. LEXIS 6711
CourtDistrict Court, W.D. Virginia
DecidedSeptember 26, 1963
DocketCiv. A. No. 1270
StatusPublished
Cited by1 cases

This text of 221 F. Supp. 528 (Spencer v. Celebrezze) is published on Counsel Stack Legal Research, covering District Court, W.D. Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Spencer v. Celebrezze, 221 F. Supp. 528, 1963 U.S. Dist. LEXIS 6711 (W.D. Va. 1963).

Opinion

MICHIE, District Judge.

This action was brought to review a decision of a Hearing Examiner of the Department of Health, Education and Welfare holding that the plaintiff, Leo S. Spencer, was not entitled to the establishment of a period of disability under § 216 (i) of the Social Security Act, as amended, hereinafter called “the Act”, (42 U.S.C.A. § 416 (i)), nor to disability benefits under § 223 of the Act (42 U.S. C.A. § 423). The Appeals Council of the Social Security Administration having denied a review of the Examiner’s holding, that holding became a final decision of the Secretary of Health, Education and Welfare (hereinafter called “the Secretary”) and therefore reviewable by action in this Court under § 205(g) of the Act (42 U.S.C.A. § 405(g)).

On October 25, 1960 the plaintiff filed an application to establish a period of disability and an application for disability insurance benefits, alleging that he first became unable to engage in substantial work on December 10, 1959. [529]*529The applications were disallowed by the Bureau of Old Age and Survivors Insurance for the Social' Security Administration on January 31, 1961. Plaintiff requested reconsideration on November 25, 1961 and on March 29, 1962 the Bureau reaffirmed its original decision. The plaintiff then filed a request for a hearing and a hearing was held at Roanoke, Virginia, before a Hearing Examiner on June 13, 1962. Evidence was taken and the Examiner found that the plaintiff was not entitled to the establishment of a period of disability or to disability benefits and, as above noted, this finding has now become a final decision of the Secretary.

§ 205(g) of the Act provides that in such a proceeding as this the “findings of the Secretary as to any fact, if supported by substantial evidence, shall be conclusive.” And the definitions of “disability” in § 216 (i) of the Act, applicable to the establishment of a period of disability, and § 223(c), applicable to disability insurance benefits, are identical as applied to the facts of this case, namely, “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 to be of long-continued and indefinite duration.” § 216 (i) adds blindness, as there defined, as an additional definition of “disability” for the purposes of that section but blindness is not involved in this case.

The issue to be decided here, then, is whether there is substantial evidence to support the Secretary’s conclusion that the plaintiff was not, at the time he filed his application on October 25, 1960, unable to engage in any substantial gainful activity by reason of a medically determinable physical or mental impairment which can be expected to result in death or to be of long continued and indefinite duration.

In the case of Underwood v. Ribicoff, 298 F.2d 850 (4th Cir., 1962), the Court of Appeals set out certain standards or elements of proof that must be considered in determining whether a elaimant can or cannot engage in substantial gainful activity. They are: (1) objective medical facts — these are the clinical findings of doctors who have examined the claimant and are to be divorced from the expert judgment and opinions of said doctors, (2) the diagnosis and expert medical opinion of the doctors who have examined the claimant, (3) subjective evidence of pain and disability testified to by the claimant and corroborated by his wife and his neighbors, (4) claimant’s education, background, work history and age. It should be noted that the Underwood case, supra, is factually distinguishable from the present case. There were no objective medical facts refuting the existence of the physical impairments claimed, while in the instant case there is very little, if any, objective medical testimony to support the plaintiff’s claims. Nevertheless, the standards set forth in Underwood are helpful in determining whether or not the plaintiff is disabled within the meaning of the Act.

There are a number of medical reports in the file. On March 14, 1960 Dr. Louis P. Ripley examined Mr. Spencer, who was complaining of back discomfort and pain. During this examination Mr. Spencer told Dr. Ripley that he had sustained his injury on December 10, 1959 while operating a polishing-sander machine in a furniture factory in Martins-ville, Virginia. He “hung” his foot under a two-by-four and, in an effort to keep himself from falling, twisted his back. He continued working until early February when he was hospitalized for pain on his right side and swelling of the ankles. After five weeks he returned to work for three weeks, missed a short period of time because of the pain in his back, worked for one more week and has been off since then. Dr. Ripley’s examination at this time revealed a well developed and nourished man of 48 years, not in acute distress. He found a slight limitation on forward bending but Mr. Spencer was able to extend his finger tips to within 6" of the floor. Straight leg raising tests were essentially nega[530]*530tive and reflexes were active and equal. Diagnosis at this time was acute strain of the low back with the possibility of some nerve root compression. He recommended ultra-conservative measures for the time being and continued back support.

Dr. Ripley again examined Mr. Spencer on November 2, 1961. The plaintiff was again complaining of intermittent pain and discomfort in the low back and stated that he was disabled. On examination, the doctor found moderate limitation of motion in the lumbar spine with acute bending and extension producing discomfort in the lumbosacral area. Again the reflexes were found to be active and equal and the straight leg raising test negative. Dr. Ripley saw no sign of change in the x-rays from previous x-rays but said that Mr. Spencer had had some change in the structure of the low back which might well produce some pain. Dr. Ripley also assured Mr. Spencer that spinal fusions are highly successful in a large number of cases and that one should get him, Spencer, back to a gainful occupation.

Dr. Claude P. Sherman first examined the plaintiff on December 29,1959, shortly after plaintiff sustained his injury. He was unable to find significant evidence of injury other than muscle spasm and limited motion of the lumbar spine region. X-rays revealed minor congenital anomaly of the lumbarsacral spine. Dr. Sherman stated, “although Mr. Spencer’s claims for total disability have been persistent and emphatic on his part, I have never been able to support the completeness of his claim for disability by objective findings * *

Dr. Sherman saw Mr. Spencer again on March 12, 1962, at which time he was informed that Mr. Spencer had been admitted to the hospital in Roanoke and a Dr. John Varner had done a myelogram which failed to find any indications of a herniated disc. Dr. Sherman’s examination revealed that the plaintiff’s muscle tone remained fairly good and his posture normal, and any disability involved the back region only. Motion tests showed about 60% of normal forward bending, with hyperextension of the lumbar spine completely limited. The doctor found that claimant had about a 20% range of motion when he attempted to bend his lower spine to the left and only 10% range to the right. The straight leg raising test was painful on the right side at 30° and beyond and painful on the left when his leg was elevated to 40°. In Dr. Sherman’s estimation a spinal fusion would not rehabilitate this man.

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Related

Gray v. Celebrezze
245 F. Supp. 718 (W.D. Virginia, 1965)

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Bluebook (online)
221 F. Supp. 528, 1963 U.S. Dist. LEXIS 6711, Counsel Stack Legal Research, https://law.counselstack.com/opinion/spencer-v-celebrezze-vawd-1963.