Bush v. Commissioner of Social Security
Filing
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OPINION AND ORDER REMANDING the decision of the ALJ for further proceedings consistent with this Opinion. Signed by Judge William C Lee on 12/3/2018. (lns)
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF INDIANA
FORT WAYNE DIVISION
JAMES A. BUSH,
Plaintiff,
v.
NANCY A. BERRYHILL, Acting
Commissioner of Social Security,
Defendant.
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CIVIL NO. 1:17cv475
OPINION AND ORDER
This matter is before the court for judicial review of a final decision of the defendant
Commissioner of Social Security Administration denying Plaintiff's application for Disability
Insurance Benefits (DIB) and Supplemental Security Income (SSI) as provided for in the Social
Security Act. 42 U.S.C. §416(I). Section 405(g) of the Act provides, inter alia, "[a]s part of his
answer, the [Commissioner] shall file a certified copy of the transcript of the record including the
evidence upon which the findings and decision complained of are based. The court shall have
the power to enter, upon the pleadings and transcript of the record, a judgment affirming,
modifying, or reversing the decision of the [Commissioner], with or without remanding the case
for a rehearing." It also provides, "[t]he findings of the [Commissioner] as to any fact, if
supported by substantial evidence, shall be conclusive. . . ." 42 U.S.C. §405(g).
The law provides that an applicant for disability insurance benefits must establish an
"inability to engage in any substantial gainful activity by reason of any medically determinable
physical or mental impairment which can be expected to last for a continuous period of not less
than 12 months. . . ." 42 U.S.C. §416(i)(1); 42 U.S.C. §423(d)(1)(A). A physical or mental
impairment is "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). It is not enough for a plaintiff to establish that an
impairment exists. It must be shown that the impairment is severe enough to preclude the
plaintiff from engaging in substantial gainful activity. Gotshaw v. Ribicoff, 307 F.2d 840 (7th
Cir. 1962), cert. denied, 372 U.S. 945 (1963); Garcia v. Califano, 463 F.Supp. 1098 (N.D.Ill.
1979). It is well established that the burden of proving entitlement to disability insurance
benefits is on the plaintiff. See Jeralds v. Richardson, 445 F.2d 36 (7th Cir. 1971); Kutchman v.
Cohen, 425 F.2d 20 (7th Cir. 1970).
Given the foregoing framework, "[t]he question before [this court] is whether the record
as a whole contains substantial evidence to support the [Commissioner’s] findings." Garfield v.
Schweiker, 732 F.2d 605, 607 (7th Cir. 1984) citing Whitney v. Schweiker, 695 F.2d 784, 786
(7th Cir. 1982); 42 U.S.C. §405(g). "Substantial evidence is defined as 'more than a mere
scintilla. It means such relevant evidence as a reasonable mind might accept as adequate to
support a conclusion.'" Rhoderick v. Heckler, 737 F.2d 714, 715 (7th Cir. 1984) quoting
Richardson v. Perales, 402 U.S. 389, 401, 91 S.Ct. 1410, 1427 (1971); see Allen v. Weinberger,
552 F.2d 781, 784 (7th Cir. 1977). "If the record contains such support [it] must [be] affirmed,
42 U.S.C. §405(g), unless there has been an error of law." Garfield, supra at 607; see also
Schnoll v. Harris, 636 F.2d 1146, 1150 (7th Cir. 1980).
In the present matter, after consideration of the entire record, the Administrative Law
Judge (“ALJ”) made the following findings:
1.
The claimant meets the insured status requirements of the Social Security Act
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through June 30, 2018.
2.
The claimant has not engaged in substantial gainful activity since February 16,
2014, the alleged onset date (20 CFR 404.1571 et seq., and 416.971 et seq.).
3.
The claimant has the following severe impairments: left shoulder
injury/impingement syndrome/osteoarthritis (Exhibits 1F, 3F, 4F, 5F and 6F);
chronic neck pain due to multi-level degenerative dis disease of the cervical spine
(Exhibits 4F and 8F); history of migraine headaches (Exhibit 5F); sleep apnea and
hypertension (Exhibits 3F, 5F and 8F) (20 CFR 404.1520(c) and 416.920(c)).
4.
The claimant does not have an impairment, or combination of impairments, that
meets or medically equals the severity of one of the listed impairments in 20 CFR
Part 404, Subpart P, Appendix 1 (20 CFR 404.1520(d), 404.1525, 404.1526,
416.920(d), 416.926).
5.
After careful consideration of the entire record, the undersigned finds that the
claimant has the residual functional capacity to perform a limited range of “light”
work as defined in 20 CFR 404.1567(b) and 416.967(b). More specifically, it is
determined that the claimant retains the ability to lift, carry, push, and pull up to
20 pounds occasionally and 10 pounds frequently, sit at least six out of eight hours
in an eight hour workday, and stand/walk, in combination, at least six out of eight
hours in an eight hour workday but with the following additional limitations: the
claimant can lift, carry, push, and pull only 10 pounds occasionally and less than
10 pounds frequently, with the non-dominant left upper extremity; only occasional
climbing of ramps and stairs, balancing, stooping, kneeling, crouching and
crawling; never climbing ladders, ropes, or scaffolds; no overhead reaching with
the non-dominant left upper extremity; only frequent handling and fingering with
the non-dominant left upper extremity; and needs to avoid concentrated exposure
[to] loud noise and bright/flashing lights.
6.
The claimant is unable to perform any past relevant work (20 CFR 404.1565 and
416.965).
7.
The claimant was born on October 17, 1969 and was 44 years old, which is
defined as a younger individual age 18-49, on the alleged disability onset date (20
CFR 404.1563 and 416.963).
8.
The claimant has at least a high school education and is able to communicate in
English (20 CFR 404.1564 and 416.964).
9.
Transferability of job skills is not material to the determination of disability
because using the Medical-Vocational Rules as a framework supports a finding
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that the claimant is “not disabled,” whether or not the claimant has transferable
job skills (See SSR 82-41 an 20 CFR Part 404, Subpart P, Appendix 2).
10.
Considering the claimant’s age, education, work experience, and residual
functional capacity, there are jobs that exist in significant numbers in the national
economy that the claimant can perform (20 CFR 404.1569, 404.1569(a), 416.969,
and 416.969(a)).
11.
The claimant has not been under a disability, as defined in the Social Security Act,
from February 16, 2014, through the date of this decision (20 CFR 404.1520(g)
and 416.920(g)).
(Tr. 12- 19).
Based upon these findings, the ALJ determined that Plaintiff was not entitled to disability
benefits. The ALJ’s decision became the final agency decision when the Appeals Council denied
review. This appeal followed.
Plaintiff filed his opening brief on May 25, 2018. On October 28, 2018, the defendant
filed a memorandum in support of the Commissioner’s decision. Plaintiff has declined to file a
reply. Upon full review of the record in this cause, this court is of the view that the ALJ’s
decision must be remanded.
A five-step test has been established to determine whether a claimant is disabled. See
Singleton v. Bowen, 841 F.2d 710, 711 (7th Cir. 1988); Bowen v. Yuckert, 107 S.Ct. 2287, 229091 (1987). The United States Court of Appeals for the Seventh Circuit has summarized that test
as follows:
The following steps are addressed in order: (1) Is the claimant
presently unemployed? (2) Is the claimant's impairment "severe"?
(3) Does the impairment meet or exceed one of a list of specific
impairments? (4) Is the claimant unable to perform his or her
former occupation? (5) Is the claimant unable to perform any other
work within the economy? An affirmative answer leads either to
the next step or, on steps 3 and 5, to a finding that the claimant is
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disabled. A negative answer at any point, other than step 3, stops
the inquiry and leads to a determination that the claimant is not
disabled.
Nelson v. Bowen, 855 F.2d 503, 504 n.2 (7th Cir. 1988); Zalewski v. Heckler, 760 F.2d 160, 162
n.2 (7th Cir. 1985); accord Halvorsen v. Heckler, 743 F.2d 1221 (7th Cir. 1984). From the nature
of the ALJ's decision to deny benefits, it is clear that step five was the determinative inquiry.
Plaintiff presents three main arguments in this case: (1) the ALJ improperly failed to
accommodate all of Plaintiff’s impairments; (2) the VE’s testimony and ALJ’s step-five finding
were defective; and (3) the ALJ improperly failed to consider Plaintiff’s strong work history, his
desire to work, and his service in the Army.
Plaintiff first argues that the ALJ erred by not accommodating all of Plaintiff’s
impairments, severe and non-severe, in the RFC finding, and by not considering the combination
of his impairments. Plaintiff contends that “[t]he ALJ also failed to include limitations in the
RFC that encompassed lost work days due to absences and limitations due to unpredictable
breaks, extra breaks, or general off task issues that related to Plaintiff’s need to nap”. He also
claims that, given all of his impairments, “and given all the medications that he must take each
day, the fact that he needs to nap during the day time is entirely consistent with the medical
evidence”.
The Commissioner argues that Plaintiff points to no medical evidence to support his
allegation that he needs to nap or that additional limitations were warranted and merely points to
his own testimony and the VE’s testimony, and generally refers to his impairments and
medications he must take.
Notably, the Commissioner has not cited any authority for the position that a Plaintiff
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must present medical evidence of the need to nap. While it is true that a Plaintiff must prove
disability, it is unclear how one would prove the need to nap other than testifying that they need to
nap. It seems that the ALJ’s job here is to determine the credibility of the Plaintiff’s claim of
needing to nap, which would include, as Plaintiff suggests, a discussion of his impairments and
medications, as many medications lead to lethargy and the inability to stay awake during the day.
Due to the absence of such a discussion by the ALJ, this case must be remanded.
Next, Plaintiff also challenges the ALJ’s step-five finding, arguing that “the reaching,
handling, and fingering limitations in the ALJ’s Hypothetical and RFC would be work preclusive
per the Selected Characteristics of Occupations (SCO)”. In response, the Commissioner contends
that Plaintiff’s argument regarding the inconsistency of the handling and fingering limitations is
erroneous, as the ALJ limited Plaintiff to frequent handling and fingering with the non-dominant
left upper extremity (with no handling or fingering limitations at all on the dominant right upper
extremity), and the hand packager and addressing clerk positions both require only frequent
handling and fingering, and the inspector position requires frequent handling and only occasional
fingering. Selected Characteristics of Occupations Defined in the Revised Dictionary of
Occupational Titles, pp. 196, 301, 336, found at: http://onlineresources.wnylc.net/docs/
SelectedCharacteristicsSearch121110.pdf.
The ALJ limited Plaintiff to no overhead reaching with the non-dominant left upper
extremity (but did not include any overhead reaching limitation on the dominant right upper
extremity), and all three positions require frequent reaching. Id. The Commissioner contends that
Plaintiff has not clearly explained and shown, with specific identification to authority, that the
SCO requires that the reaching be bilateral, and thus the ALJ’s finding is supported by substantial
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evidence. However, Plaintiff cites to page 204 of the SCO for his assertion that the inspector and
hand packager jobs require frequent bilateral reaching, handling and fingering. Likewise,
Plaintiff asserts that, as per page 347 of the SCO the reaching, handling and fingering
requirements for the addressing clerk job are also frequent bilaterally. This court has reviewed
the pertinent pages of the SCO, but due to the cryptic format of the document, is unable to discern
whether Plaintiff is correct, as there seems to be no distinction between lateral and bilateral
fingering. The Commissioner has not offered any assistance in deciphering the SCO, even though
he claims that Plaintiff’s reading of the document is incorrect. From what the court has been able
to discern from the SCO, either interpretation could be correct. As this case is being remanded
for other reasons, discussed above, the court will also remand for a closer look at the reaching,
handling and fingering requirements of the jobs the VE and the ALJ rely upon.
Lastly, Plaintiff argues that the ALJ erred in failing to give substantial credibility to
Plaintiff due to his strong work history, desire to work, and service in the United States Armed
Forces. Plaintiff correctly points out that a claimant with a good work record has earned
substantial credibility when claiming an inability to work because of a disability. Stark v. Colvin,
813 F.3d 684 (7th Cir. 2016). In response, the Commissioner contends that Plaintiff’s work
history, desire to work, and military service would not have altered the ALJ’s analysis. However,
as the case is being remanded for further consideration, the ALJ’s analysis may change, and
Plaintiff’s history may have more bearing on the outcome. Thus, on remand, the ALJ is to remain
mindful of the law regarding credibility assessments of persons with Plaintiff’s work and military
history.
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Conclusion
On the basis of the foregoing, the decision of the ALJ is hereby REMANDED for further
proceedings consistent with this Opinion.
Entered: December 3, 2018.
s/ William C. Lee
William C. Lee, Judge
United States District Court
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