Zaldivar v. Apfel

81 F. Supp. 2d 1353, 2000 U.S. Dist. LEXIS 3190, 2000 WL 122112
CourtDistrict Court, N.D. Georgia
DecidedJanuary 25, 2000
DocketCiv.A.1:98-CV2017TWT
StatusPublished
Cited by2 cases

This text of 81 F. Supp. 2d 1353 (Zaldivar v. Apfel) is published on Counsel Stack Legal Research, covering District Court, N.D. Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Zaldivar v. Apfel, 81 F. Supp. 2d 1353, 2000 U.S. Dist. LEXIS 3190, 2000 WL 122112 (N.D. Ga. 2000).

Opinion

ORDER

THRASH, District Judge.

This is an action, pursuant to 42 U.S.C. § 405(g), to review the Commissioner’s denial of Social Security disability benefits. It is before the Court on the Report and Recommendation of the Magistrate Judge [Doc. 19], who recommended that the case be remanded to the Commissioner for further consideration. For the reasons set forth below, this Court declines to adopt the Report and Recommendation. • After careful review of the record, this Court affirms the Commissioner’s denial of Social Security disability benefits.

I. BACKGROUND

Plaintiff was employed as a manager at a travel agency from 1977, until April, 1994, when he was terminated because financial difficulties required the agency to close the office managed by Plaintiff. On April 30, 1994, Plaintiff applied for Supplemental Security Income and Disability Insurance Benefits alleging that he suffers from multiple sclerosis and that it prevents him from performing his relevant past work as manager of a travel agency. At the time, Plaintiff was 56 years old. He attended Georgia Tech for three years. After service in the Navy he worked most of his adult life as a travel agent.

Plaintiff first began having symptoms diagnosed as multiple sclerosis (“MS”) in 1958. MS is a progressive disease of the central nervous system that destroys the protective covering of nerve fibers in both the brain and the spinal cord. The disease is characterized by episodic symptoms that include numbness, weakness, incontinence, slurred speech, fatigue, clumsiness and unsteady gait, blurred or double vision, and mood changes. He received medical treatment and did well thereafter. According to Plaintiff, he began to suffer occasional episodes of slurred speech, double vision and weakness to his right side in the 1970’s. In March, 1990, he awoke one morning suffering weakness in his right arm and was unable to walk. Plaintiff also noticed numbness to the right side of his face, lack of coordination in his right arm, and some difficulty speaking. He visited an emergency room, which referred him to Dr. Jeffrey Woodward. Dr. Woodward diagnosed Plaintiff as suffering from MS and prescribed the steroid Prednisone. The Prednisone dosages prescribed by Dr. Woodward in March, 1990, and March, 1991, relieved Plaintiffs symptoms. Plaintiff did not visit Dr. Woodward again for three years after the March, 1991, treatment.

Two weeks after he lost his job at the travel agency in April, 1994, Plaintiff visited Dr. Woodward again and complained that his MS symptoms were reoccurring. During this visit, Dr. Woodward observed that Plaintiff suffered mild slurring of the speech, minimal gait difficulties, mild decreases in fine finger movements of the right hand, and slow cognitive process. Dr. Woodward attributed many of the symptoms to Plaintiffs recent job dismiss *1357 al from the travel agency and suspected “some degree of psychological overlay to his symptoms.” (R. at 150-51.) Dr. Woodward prescribed Prednisone to treat the MS symptoms, as he had done for Plaintiffs previous episodes.

Four days after this April 26, 1994, visit to Dr. Woodward, Plaintiff applied for Supplemental Security Income (“SSI”) and Disability Insurance Benefits (“DIB”). Plaintiff alleged in the filing that MS has caused him to acquire a speech impediment that has become so severe as to prevent him from performing his relevant past work as manager of a travel agency. Both the applications for SSI and DIB were denied by the Commissioner initially and then again on reconsideration. As a result, Plaintiff requested a de novo administrative hearing. The hearing was held on May 7, 1996, and Plaintiff elected to represent himself without the benefit of counsel in that proceeding. At the hearing, the Administrative Law Judge (“ALJ”) noted that the evidence in the record at that point consisted of 26 exhibits. These exhibits detail certain aspects of Plaintiffs medical history through 1994. During the hearing Plaintiff testified that, in addition to his MS, he is diabetic and suffered a heart attack on July 17, 1995. Plaintiff admitted, however, that the heart condition has not affected his MS. Following his review of the exhibits provided and Plaintiffs testimony, the ALJ informed Plaintiff that a two-year gap from 1994, to 1996, existed in the record; advised Plaintiff how to remedy that gap; offered to assist Plaintiff by requesting additional documentation from Plaintiffs physicians; and directed Plaintiff to submit to a second consultative examination since the previous one was more than two years old. This examination was performed by Dr. James L. Fisher.

On October 23, 1996, the ALJ issued a decision denying benefits to Plaintiff. This decision was based on the record as it existed at the May, 1996, administrative hearing plus additional medical evidence that had since been obtained. The additional medical evidence consisted of (1) an August 21, 1995, report of a visit by Plaintiff to his physician, who stated that Plaintiffs neurological status had not deteriorated sufficiently to support a diagnosis that Plaintiffs multiple sclerosis had existed as long as Plaintiff alleged; (2) an October 2, 1995, report of a doctor’s visit Plaintiff made for other ailments, but which includes a notation that Plaintiffs speech was slurred and he was stuttering; (3) an April 18,1996, report in which Plaintiffs physician stated that an MRI was abnormal and strongly suggestive of multiple sclerosis; (4) other medica records, which mostly recite diabetic complications Plaintiff was suffering at the time; (5) and a report by Dr. Fisher of a July 2, 1996, consultative examination where Dr. Fisher found that while Plaintiff did exhibit an array of symptoms that suggested MS, these symptoms did not seem “profoundly complicating.” Based on this evidence, the ALJ made findings of fact that while Plaintiff suffers from severe impairments that limit him to sedentary work, Plaintiffs limitations nevertheless do not preclude him from performing his past relevant work as the manager of a travel agency. In detail, the ALJ’s findings of facts were as follows:

1. The claimant met the disability insured status requirements of the Social Security Act on April 8, 1994, the alleged disability onset date, and continued to meet them through December 31,1998.
2. The claimant has not engaged in substantial gainful activity since the alleged disability onset date.
3. The medical evidence establishes that the claimant has severe multiple sclerosis, diabetes mellitus, and coronary artery disease, but does not have an impairment or combination of impairments listed in, or medically equal to one listed in Appendix 1, Subpart P, Regulation No. 4.
*1358 4. The claimant’s subjective complaints are disproportionate to the medical evidence and are not fully credible, considering both medical and other evidence.
5. The claimant has the residual functional capacity to perform the physical exertion and nonexertional requirements of work except for (20 CFR 404.1545/416.945).
6.

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Bluebook (online)
81 F. Supp. 2d 1353, 2000 U.S. Dist. LEXIS 3190, 2000 WL 122112, Counsel Stack Legal Research, https://law.counselstack.com/opinion/zaldivar-v-apfel-gand-2000.