case of welfare entitlement)(internal citation and quotations marks omitted). By affording the injured firefighter an opportunity to present her medical records and discuss her injury with the examining physician, an independent medical examination serves as a constitutionally adequate initial check against an erroneous determination that a firefighter is physically capable of returning to active duty. See Loudermill, 470 U.S. at 542-43, 105 S.Ct. 1487. The adequacy of this kind of limited, pre-termination hearing rests in part upon the availability of more rigorous post-deprivation procedures. As the Supreme Court explained in Loudermill, “the existence of post-termination procedures is relevant to the necessary scope of preter-mination procedures.” Id. at 547 n. 12, 105 S.Ct. 1487 (<HOLDING>). Mard does not challenge the grievance
holding that due process does not require the state to provide an impartial decisionmaker at the pretermination hearing where posttermination remedies are available holding that a limited pretermination hearing was sufficient where it was followed by a more comprehensive posttermination hearing holding that a nursing home participating in the medicaid program is not entitled to a pretermination hearing holding that a pretermination hearing need not be in front of a neutral decisionmaker so long as the state affords plaintiff subsequent to his termination a full adversarial hearing before a neutral adjudicator holding that appearance at the scheduled hearing demonstrates actual notice of the hearing