Graham v. Sullivan
Decision Date | 20 March 1992 |
Docket Number | No. 91-4078-C.,91-4078-C. |
Citation | 794 F. Supp. 1045 |
Parties | Larry A. GRAHAM, Plaintiff, v. Louis W. SULLIVAN, Secretary of Health and Human Services, Defendant. |
Court | U.S. District Court — District of Kansas |
Robert E. Tilton, Tilton & Hoffman, Topeka, Kan., Gerald Benjamin, Levine, Benjamin, Tushman, Bratt, Jerris and Stein, P.C., Southfield, Mich., for plaintiff.
Jackie A. Rapstine, U.S. Attorney's Office, Topeka, Kan., for defendant.
This is an action to review 42 U.S.C. § 405(g) the Secretary's denial of social security disability benefits to plaintiff, Larry A. Graham. The case is ready for decision on the plaintiff's motion for summary judgment (Dk. 8) and on the Secretary's motion to affirm (Dk. 13).
On June 1, 1988, the plaintiff filed his second application for disability benefits under Title II. He alleged that as of May 30, 1981, he suffered from disabling, "permanent injury to both ankles." The plaintiff's claim was denied initially and on reconsideration. Following a hearing held May 3, 1989, the administrative law judge ("ALJ") issued his decision finding that the plaintiff was not disabled at any time before March 31, 1987 and through June 30, 1989, the date of his decision. On November 28, 1989, the Appeals Council remanded the case to the ALJ for further proceedings and a new decision as the ALJ had not fully considered the opinion of the plaintiff's treating physician and the plaintiff's need to elevate his feet.
On remand, the ALJ conducted a supplemental hearing on April 4, 1990, and issued his decision on May 11, 1990 again denying the plaintiff disability benefits. The ALJ specifically discredited the treating physician's opinion and the plaintiff's testimony that plaintiff's feet needed to be elevated after periods of sitting. On March 12, 1991, the Appeals Council denied plaintiff's request for review. Consequently, the ALJ's decision stands as the Secretary's final decision.
The court's standard of review is set forth at 42 U.S.C. § 405(g), which reads that "the finding of the Secretary as to any fact, if supported by substantial evidence, shall be conclusive." Substantial evidence is more than a scintilla and is that evidence which a reasonable mind might accept as adequate to support a conclusion. Richardson v. Perales, 402 U.S. 389, 401-02, 91 S.Ct. 1420, 1427-28, 28 L.Ed.2d 842 (1971); Ray v. Bowen, 865 F.2d 222, 224 (10th Cir.1989). The court's duty to assess whether substantial evidence exists:
Gossett v. Bowen, 862 F.2d 802, 805 (10th Cir.1988) (quoting Fulton v. Heckler, 760 F.2d 1052, 1055 (10th Cir.1985)). Although the court is not to reweigh the evidence, the findings of the Secretary will not be mechanically accepted. Claassen v. Heckler, 600 F.Supp. 1507, 1509 (D.Kan.1985). Nor will the findings be affirmed by isolating facts and labelling them substantial evidence, as the court must scrutinize the entire record in determining whether the Secretary's conclusions are rational. Holloway v. Heckler, 607 F.Supp. 71, 72 (D.Kan.1985).
The Social Security Act 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...." 42 U.S.C. § 423(d)(2)(A). Claimant has the burden of proving a disability that prevents him from engaging in his prior work for a continuous period of twelve months. The burden then shifts to the Secretary to show that the claimant retains the ability to do other work activity and that jobs the claimant could perform exist in the national economy. Sorenson v. Bowen, 888 F.2d 706, 710 (10th Cir.1989). The Secretary satisfies this burden if substantial evidence supports it.
For evaluating a claim of disability, the Secretary has developed a five-step sequential process. Bowen v. Yuckert, 482 U.S. 137, 140, 107 S.Ct. 2287, 2290-91, 96 L.Ed.2d 119 (1987). Step one is whether the claimant is currently engaged in substantial gainful activity. If not, the next consideration is whether "the claimant has a medically severe impairment or combination of impairments." Yuckert, 482 U.S. at 141, 107 S.Ct. at 2291. Step three entails determining whether the impairment is equivalent to one of a number of impairments listed in the "Listing of Impairments," 20 C.F.R. Part 404, subpt. p, app. 1 which the Secretary acknowledges are so severe as to preclude substantial gainful activity, 20 C.F.R. § 416.920(d). If no equivalency, the claimant must show that because of the impairment he is unable to perform his past work. 20 C.F.R. § 416.920(e). The final step is to determine whether the claimant has the residual functional capacity (RFC) to perform other work available in the national economy, considering such additional factors as age, education, and past work experience. 20 C.F.R. § 416.920(f). This process comes to an end if at any point the Secretary determines the claimant is disabled or not. Gossett, 862 F.2d at 805; 20 C.F.R. § 416.920(a).
In his order of May 11, 1990, the ALJ found:
The plaintiff's appeal primarily takes issue with the evidence supporting the ALJ's findings at paragraphs four and five.
The plaintiff was born December 24, 1940. He is 5' 10½? tall and weighs 335 lbs. From 1963 to 1981, the plaintiff worked at the General Motors plant in Kansas City. Around the first of May 1981, the plaintiff injured his ankles in an automobile accident. The plaintiff worked the next day until the pain and swelling forced him to go home at noon.
On May 5, 1981, the plaintiff was treated by Dr. Scott Corder who observed swelling in both ankles and diagnosed bilateral contusion sprains. X-rays on the same day revealed no "acute fracture or other abnormality." Dr. Corder prescribed rest, hot soaks, and no work for six days. Dr. Corder saw the plaintiff on May 11th and 15th for continued swelling and pain in the right ankle. Because of the slow improvement, on May 26, 1981, Dr. Corder placed the ankle in a walking cast and gave the plaintiff crutches. X-rays on this day revealed swelling, but no fracture.
On June 15, 1981, two days after the cast was removed, Dr. Corder observed three-plus swelling in the right ankle. He referred the plaintiff to Dr. Sheffer, who saw the plaintiff for the persistent swelling on June 19, 1981. Dr. Sheffer opined that the plaintiff had a "resolving talofibular ligament sprain" and recommended...
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