Younkins v. Social Security Administration Commissioner
MEMORANDUM OPINION. Signed by Honorable Erin L. Setser on March 6, 2013. (tg)
IN THE UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF ARKANSAS
TAMMY SUE YOUNKINS
MICHAEL J. ASTRUE,1
Commissioner of the Social Security Administration
Plaintiff, Tammy Sue Younkins, brings this action pursuant to 42 U.S.C. § 405(g),
seeking judicial review of a decision of the Commissioner of the Social Security Administration
(Commissioner) denying her claims for a period of disability and disability insurance benefits
(DIB) and supplemental security income (SSI) under the provisions of Titles II and XVI of the
Social Security Act (Act). In this judicial review, the Court must determine whether there is
substantial evidence in the administrative record to support the Commissioner’s decision. See
42 U.S.C. § 405(g).
Plaintiff protectively filed her applications for DIB and SSI on March 9, 2009, alleging
an inability to work since November 1, 2005, due to “ Problems with legs.” 2 (Tr. 116-122, 161,
166). Plaintiff met the insured requirement through December 31, 2008. (Tr. 13, 161). An
Carolyn Colvin became the Acting Social Security Commissioner on February 14, 2013. Pursuant to Rule
25(d)(1) of the Federal Rules of Civil Procedure, Carolyn Colvin has been substituted for Commissioner Michael
J. Astrue as the defendant in this suit.
In the Undated Disability Report - Adult, when asked what the illnesses, injuries, or conditions were that limited
her ability to work, Plaintiff responded “Problems with legs.” (Tr. 166). However, when asked how her
conditions limited her ability to work, she responded: “My arm, head & neck and my back hurt all the time. My
back and arms burn all the time. My legs hurt on the inside and they burn. I have sleep apnea. I have panic
attacks really bad and I have a hypoactive thyroid.” (Tr. 166).
administrative hearing was held on August 3, 2010, at which Plaintiff appeared with counsel and
testified. (Tr. 26-48).
By written decision dated November 2, 2010, the ALJ found that during the relevant time
period, Plaintiff had an impairment or combination of impairments that were severe hypothyroidism, asthma, obesity, and anxiety. (Tr. 13). However, after reviewing all of the
evidence presented, the ALJ determined that Plaintiff’s impairments did not meet or equal the
level of severity of any impairment listed in the Listing of Impairments found in Appendix I,
Subpart P, Regulation No. 4. (Tr. 14). The ALJ found Plaintiff retained the residual functional
capacity (RFC) to perform:
sedentary work as defined in 20 CFR 404.1567(a) and 416.967(a)
except she must avoid concentrated exposure to fumes, odors,
dusts, gases, and poor ventilation. Further, she can only perform
work where interpersonal contact is incidental to the work
performed; where the complexity of tasks is learned and
performed by rote, with few variables and little judgment
required; and where supervision required is simple, direct and
(Tr. 15). With the help of a vocational expert (VE), the ALJ determined Plaintiff was unable to
perform past relevant work, but was capable of performing other jobs, such as assembler and
driver. (Tr. 20).
Plaintiff then requested a review of the hearing decision by the Appeals Council, which
denied the request on January 31, 2012. (Tr. 1-3). Subsequently, Plaintiff filed this action.
(Doc. 1). This case is before the undersigned pursuant to the consent of the parties. (Doc. 5).
Both parties have filed appeal briefs, and the case is now ready for decision. (Docs. 9, 10).
The Court has reviewed the entire transcript. The complete set of facts and arguments
are presented in the parties’ briefs, and are repeated here only to the extent necessary.
This Court’s role is to determine whether the Commissioner’s findings are supported by
substantial evidence on the record as a whole. Ramirez v. Barnhart, 292 F. 3d 576, 583 (8th Cir.
2002). Substantial evidence is less than a preponderance but it is enough that a reasonable mind
would find it adequate to support the Commissioner’s decision. The ALJ’s decision must be
affirmed if the record contains substantial evidence to support it. Edwards v. Barnhart, 314 F.
3d 964, 966 (8th Cir. 2003). As long as there is substantial evidence in the record that supports
the Commissioner’s decision, the Court may not reverse it simply because substantial evidence
exists in the record that would have supported a contrary outcome, or because the Court would
have decided the case differently. Haley v. Massanari, 258 F.3d 742, 747 (8th Cir. 2001). In
other words, if after reviewing the record, it is possible to draw two inconsistent positions from
the evidence and one of those positions represents the findings of the ALJ, the decision of the
ALJ must be affirmed. Young v. Apfel, 221 F. 3d 1065, 1068 (8th Cir. 2000).
It is well established that a claimant for Social Security disability benefits has the burden
of proving her disability by establishing a physical or mental disability that has lasted at least one
year and that prevents her from engaging in any substantial gainful activity. Pearsall v.
Massanari, 274 F. 3d 1211, 1217 (8th Cir. 2001); see also 42 U.S.C. §§423(d)(1)(A),
1382c(a)(3)(A). The Act defines “physical or mental impairment” as “an impairment that results
from anatomical, physiological, or psychological abnormalities which are demonstrable by
medically acceptable clinical and laboratory diagnostic techniques.” 42 U.S.C. §§423(d)(3),
1382(3)(D). A Plaintiff must show that her disability, not simply her impairment, has lasted for
at least twelve consecutive months.
The Commissioner’s regulations require him to apply a five-step sequential evaluation
process to each claim for disability benefits: (1) whether the claimant had engaged in substantial
gainful activity since filing her claim; (2) whether the claimant had a severe physical and/or
mental impairment or combination of impairments; (3) whether the impairment(s) met or equaled
an impairment in the listings; (4) whether the impairment(s) prevented the claimant from doing
past relevant work; and (5) whether the claimant was able to perform other work in the national
economy given her age, education, and experience. See 20 C.F.R. §416.920. Only if the final
stage is reached does the fact finder consider the Plaintiff’s age, education, and work experience
in light of her residual functional capacity (RFC). See McCoy v. Schneider, 683 F.2d 1138,
1141-42 (8th Cir. 1982); 20 C.F.R. §416.920.
For DIB purposes, the relevant time period is November 1, 2005, the date Plaintiff
alleged her disability began, through December 31, 2008, the date she was last insured. For SSI
purposes, the relevant time period is March 9, 2009, the date Plaintiff protectively filed her
application, through the date of the ALJ’s decision, November 2, 2010.
The only 2008 medical record contained in the file is dated May 29, 2008, from Louisiana
State University Health Sciences Center. (Tr. 242). At that time, it was reported that Plaintiff
complained of weakness and had not been taking her thyroid replacement medicine for three
months. (Tr. 242). At that time, Plaintiff was taking Synthroid, Elavil and HCTZ. (Tr. 242).
It is clear that Plaintiff suffered from hypothyroidism prior to December 31, 2008.
However, since there is an absence of medical records indicating Plaintiff had further issues in
2008 with her hypothyroidism, and the next medical record in the transcript is dated March 10,
2009, there is nothing in the record to indicate that Plaintiff’s hypothroidism was not controlled
by medication prior to December 31, 2008. Nor is there anything in the records to indicate that
Plaintiff suffered from any other disabling condition prior to December 31, 2008. Accordingly,
the Court finds there is substantial evidence to support the ALJ’s finding that Plaintiff was not
disabled during the relevant time frame for DIB purposes.
However, with respect to Plaintiff’s request for SSI, what concerns the Court is the fact
that Plaintiff’s most recent treating physician, Dr. John D. Gaston, of Simply Family Medicine,
reported on July 7, 2010, that he called Plaintiff that evening after receiving lab results, due to
Plaintiff’s TSH (thyroid stimulating hormone) being extremely high, after he advised her to stop
taking Levothyroxine, 250 mg. Dr. Gaston reported that “[o]bviously she has severe
hypothyroidism - way beyond what I typically manage at Simply Family Medicine.” (Tr. 289).
In fact, he reported that he had never seen a “TSH value this high that I can remember.” (Tr.
He concluded that Plaintiff’s thyroid problems “should be managed by an
endocrinologist.” (Tr. 289). Dr. Gaston told Plaintiff that he would be willing to call in the 200
mg. dosage of Levothroxine for 2 months, and that she should follow up in six to seven weeks
to recheck her TSH. Dr. Gaston noted that Plaintiff stated she was swollen up, her thyroid gland
was swollen, and that he told her that if her airway was being compromised that she should go
to the ER, although apparently the swelling was not that severe at that time. (Tr. 289). He
reported that he would wait until he received the results back to refill her prescription, in case
another change needed to be made to her dosage, and that he could also do the referral to
endocrinology then. (Tr. 289).
At the hearing held on August 3, 2010, Plaintiff testified that Dr. Gaston wanted her to
see an endocrinologist, “which they haven’t set up yet,...” (Tr. 33). There are no further medical
records in the file subsequent thereto.
The Court believes that questions remain as to the severity of Plaintiff’s hypothyroidism
and the affect it had on Plaintiff’s ability to function in the workplace from March 9, 2009,
through November 2, 2010. The Court believes the ALJ should have Plaintiff examined and
evaluated by an endocrinologist and have said physician complete a Physical RFC Assessment
for the relevant time period, or, at the very least, obtain a Physical RFC Assessment from
Plaintiff’s treating physician, Dr. Gaston, for the relevant time period. Once received, the ALJ
should then re-evaluate Plaintiff’s RFC for purposes of Plaintiff’s request for SSI.
Accordingly, it is hereby ordered that the decision of the Commissioner is affirmed with
respect to Plaintiff’s application for DIB benefits, and reversed and remanded with respect
to Plaintiff’s application for SSI benefits, pursuant to sentence four of 42 U.S.C. § 405(g).
IT IS SO ORDERED this 6th day of March, 2013.
/s/ Erin L. Setser
HON. ERIN L. SETSER
UNITED STATES MAGISTRATE JUDGE
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