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Pay Per Click: an Online Marketing Strategy for Legal Copy (Case 13, p.3)



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Disabilities: somatoform disorder and status post myocardial infarction with defibrillator implantation

Notice of Decision:
Fully Favorable
Administrative Law Judge:
(Insert Judge's Name)
Office of Disability Adjudication & Review (ODAR):
(Insert Name of Hearing Office)

Return to Page 1 of Decision

The claimant suffered a myocardial infarction in March 2007 that required extensive surgery, including a valvuplasty and bypass times four because of his severe coronary artery disease. He underwent placement of a defibrillator shortly thereafter and subsequently suffered several shocks that required him to undergo ablation in order to treat the tachycardia. According to the claimant's cardiologist, he had improved from a cardiac standpoint with subsequent improvement noted in his echocardiogram. He was hospitalized with chest pain in February 2008, however, his symptoms resolved quickly, his chest pain was described as atypical, and he was told to avoid salt as that had instigated his episode of hypertension and dizziness. The claimant's cardiologist informed his primary care physician in May 2007 that the claimant continued to have unusual pain and sensitivity about his incisions. He did very little in the way of activity.

A recent transthoracic echo revealed an ejection fraction of 35%. The cardiologist felt that the claimant had what appeared to be a satisfactory technical outcome as judged by his physical examination and echo, but he appeared to have a very unusual amount of post operative pain. His cardiologist did not think that he should be considered permanently disabled and could resume full activities. In fact, the claimant's cardiologist had noted on a second occasion that the claimant was not disabled and was able to perform sedentary and light activity. While the claimant's primary care physician assessed his functioning as not even below the sedentary level,the cardiologist progress notes establish that the claimant made a more than adequate recovery from surgery and was stable from a cardiac standpoint.

The Administrative Law Judge finds, however, that while the claimant is not disabled due to his cardiac condition, he does possess a somatoform disorder that prevents him from engaging in work activity. Section 12.07 of the Listing of Impairments refers to physical symptoms for which there are no demonstrable organic findings or known physiological mechanisms with medically documented evidence of unrealistic interpretation of physical signs or sensations associated with the preoccupation or belief that one has a serious disease or injury and resulting in marked restrictions ofactivities of daily living and marked difficulties in maintaining concentration, persistence or pace. In this case, the claimant has continued to believe that his cardiac condition prevents him from performing most activities despite his fairly nonnal cardiac examinations and his cardiologist's statements that he had made a good recovery and was able to return to full activities.

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