DANIELS v. ASTRUE
Filing
32
ENTRY Reviewing Commissioner's Decision - The Court can find no legal basis presented by Ms. Daniels to overturn the Commissioner's decision that Ms. Daniels does not qualify for disability, disability insurance benefits, or supplemental security income. The new records submitted by Ms. Daniels cannot be considered in the present context. Therefore, the decision below is AFFIRMED. Final judgment will be entered accordingly. (SEE ENTRY). Signed by Judge Jane Magnus-Stinson on 1/24/2013. (copy to Plaintiff via US Mail) (JKS)
UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF INDIANA
INDIANAPOLIS DIVISION
NATALIE R. DANIELS,
Plaintiff,
vs.
MICHAEL J. ASTRUE,
COMMISSIONER OF THE SOCIAL SECURITY
ADMINISTRATION,
Defendant.
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1:12-cv-00168-JMS-MJD
ENTRY REVIEWING THE COMMISSIONER’S DECISION
Pro se Plaintiff Natalie R. Daniels applied for disability, disability insurance benefits, and
supplemental security income from the Social Security Administration (“SSA”) on October 8,
2008. After a series of administrative proceedings and appeals, including a hearing in December
2010 before Administrative Law Judge (“ALJ”) Albert Velasquez, the ALJ issued a finding on
May 24, 2011 that Ms. Daniels was not entitled to disability, disability insurance benefits, or
supplemental security income. In September 2011, the Appeals Council denied Ms. Daniels’
request for a review of the ALJ’s decision, rendering that decision the final decision of the Defendant, Commissioner of the Social Security Administration (“the Commissioner”), for the purposes of judicial review. 20 C.F.R. § 404.981. Ms. Daniels then filed this action under 42
U.S.C. § 405(g), requesting that the Court review the Commissioner’s denial.
I.
RELEVANT BACKGROUND
Ms. Daniels was forty-seven years old at the time of her disability application on October
8, 2008. [Dkt. 12-5 at 2, 5.] She attended college for four years and worked up until 2003 as a
paralegal. [Dkt. 12-2 at 30, 33.] Ms. Daniels claims she is disabled for a variety of impairments,
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which will be discussed as necessary below. She was last insured for purposes of disability on
September 30, 2008. [Id. at 12.]
Using the five-step sequential evaluation set forth by the SSA, the ALJ issued an opinion
on May 24, 2011. [Id. at 12-20.] The ALJ found as follows:
•
At Step One of the analysis, the ALJ found that Ms. Daniels had not engaged
in substantial gainful activity1 since the alleged onset date of her disability.
[Id. at 14.]
•
At Step Two, the ALJ found that Ms. Daniels suffered from degenerative disc
disease, degenerative joint disease, and plantar fasciitis bilaterally. The ALJ
further concluded that Ms. Daniels also suffered from the non-severe impairment of temporomandibular joint disorder. [Id.]
•
At Step Three, the ALJ found that Ms. Daniels did not have an impairment or
combination of impairments that met or medically equaled one of the listed
impairments. The ALJ concluded that Ms. Daniels had the residual functional
capacity (“RFC”) to perform light work, with certain restrictions (e.g., she can
never crawl or kneel, and cannot perform repetitive forceful gripping or operation of vibrating tools). [Id. at 15-19.]
•
At Step Four, the ALJ found that Ms. Daniels is capable of performing her
past relevant work as a paralegal, because it does not require the performance
of work-related activities precluded by her RFC. [Id. at 19-20.]
Based on these findings, the ALJ concluded that Ms. Daniels was not entitled to receive
disability, disability insurance benefits, or supplemental security income. [Id. at 20.]
On July 15, 2011, Ms. Daniels requested that the Appeals Council review the ALJ’s decision. [Id. at 7.] On September 29, 2011, the Appeals Council denied Ms. Daniels’ request for
review. [Id. at 4-6.] Accordingly, the Appeals Council’s decision became the final decision of
the Commissioner for the purposes of judicial review.
1
Substantial gainful activity is defined as work activity that is both substantial (i.e., involves significant physical or mental activities) and gainful (i.e., work that is usually done for pay or profit,
whether or not a profit is realized). 20 C.F.R. § 404.1572(a) and § 416.972(a).
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II.
STANDARD OF REVIEW
The Court’s role in this action is limited to ensuring that the ALJ applied the correct legal
standards and that substantial evidence exists for the ALJ’s decision. Barnett v. Barnhart, 381
F.3d 664, 668 (7th Cir. 2004) (citation omitted).
For the purpose of judicial review,
“[s]ubstantial evidence is such relevant evidence as a reasonable mind might accept as adequate
to support a conclusion.” Id. (quotation omitted). Because the ALJ “is in the best position to
determine the credibility of witnesses,” Craft v. Astrue, 539 F.3d 668, 678 (7th Cir. 2008), this
Court must afford the ALJ’s credibility determination “considerable deference,” overturning it
only if it is “patently wrong.” Prochaska v. Barnhart, 454 F.3d 731, 738 (7th Cir. 2006) (quotations omitted).
If the ALJ committed no legal error and substantial evidence exists to support the ALJ’s
decision, the Court must affirm the denial of benefits. Otherwise the Court will remand the matter back to the SSA for further consideration; only in rare cases can the Court actually order an
award of benefits. See Briscoe v. Barnhart, 425 F.3d 345, 355 (7th Cir. 2005).
To evaluate a disability claim, an ALJ must use the following five-step inquiry:
(1) [is] the claimant…currently employed, (2) [does] the claimant ha[ve] a severe
impairment, (3) [is] the claimant’s impairment…one that the Commissioner considers conclusively disabling, (4) if the claimant does not have a conclusively disabling impairment,…can [he] perform h[is] past relevant work, and (5) is the
claimant…capable of performing any work in the national economy[?]
Dixon v. Massanari, 270 F.3d 1171, 1176 (7th Cir. 2001) (citations omitted). After Step Three,
but before Step Four, the ALJ must determine a claimant’s RFC, which represents the claimant’s
physical and mental abilities considering all of the claimant’s impairments. The ALJ uses the
RFC at Step Four to determine whether the claimant can perform his own past relevant work and
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if not, at Step Five to determine whether the claimant can perform other work. See 20 C.F.R. §
416.920(e).
III.
DISCUSSION
In support of her request for remand, Ms. Daniels has submitted numerous medical records not previously presented to the ALJ or the Appeals Council, and has made only vague arguments regarding the ALJ’s decision. Specifically:
•
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On July 11, 2012, Ms. Daniels submitted medical records, most of which related to treatment she received well after the ALJ issued his decision on May
24, 2011. [Dkt. 18 at 4-67.] Some of the records reflect medical tests or
treatment performed before the May 24, 2011 ALJ decision. [Id. at 68-88.]
•
On August 1, 2012, Ms. Daniels filed a “Response to Brief,” which the Court
considers her opening brief, in which she stated that she was submitting “[a]
final medical report from rheumatologist Dr. Veronica Mesquida, emergency
room medical diagnosis, and attorney contacts.” [Dkt. 19 at 1.] The documents she submitted include medical records relating to treatment she received well after the May 24, 2011 ALJ decision, [id. at 2-25], and various
emails and a fax cover sheet related to Ms. Daniels’ referral to, and submission of documents to, an attorney, [id. at 26-28].2
•
2
In her Complaint, filed February 6, 2012, Ms. Daniels stated “[since] my last
hearing I was informed that I have diabetes and also gout in hands (chronic)
diagnosed during a recent ER visit. Also I only care for one child living at
home; not #4 as reported.” [Dkt. 1 at 1.] Ms. Daniels also listed several prescription medications she was taking, and stated “[p]odiatrist diagnosed neuropathy in feet.” [Id.]
On January 14, 2013, Ms. Daniels submitted a reply brief in which she argued that she is not able to perform “any job in any capacity, no matter how
‘light’ the duties – due to pain, and physical limitations in her feet, legs,
hands, back and neck; conditions previously outlined by Dr. Veronica
Mesquida,” and that her medications make it “very difficult if not impossible
for [her] to function early [in the] morning, and for any extended period of
time thereafter.” [Dkt. 29 at 1.] She also re-capped some of her prior diagnoses, and noted new impairments such as neuropathy and diabetes. [Id. at 23.]
No attorney has entered an appearance on Ms. Daniels’ behalf in this case.
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•
On January 16, 2013, Ms. Daniels submitted additional medical records relating to treatment after the May 24, 2011 ALJ decision. [Dkt. 30.]
•
On January 22, 2013, Ms. Daniels submitted a letter from Dr. Ann Busha
stating that she has been under her care since July 2011, and that “[d]ue to
[her] multiple medical conditions, she is unable to work at this time.” [Dkt.
3.]
The Commissioner responded to Ms. Daniels’ initial filings by arguing that substantial
evidence supports the ALJ’s decision, [dkt. 24 at 8-12], and that the new medical records she has
submitted are not properly before the Court because they were not presented to the ALJ or the
Appeals Council, and because they relate to treatment she received in 2012. [Id. at 12.]
A. Submission of Medical Records Relating to New Impairments
The Court is mindful of the fact that Ms. Daniels is proceeding pro se in this matter.
However, her pro se status does not alter the fact that this Court’s role is limited to reviewing the
ALJ’s decision, and making sure that the evidence that was before the ALJ supports that decision. Barnett, 381 F.3d at 668. The Court cannot consider the medical records Ms. Daniels has
submitted which relate to her condition during the time period after the ALJ issued his decision.
[Dkts. 18 at 4-67; 19 at 2-25; 30; 31.]3 See, e.g., Schmidt v. Barnhart, 395 F.3d 737, 742 (7th
Cir. 2005) (“medical records ‘postdating the hearing’ and that ‘speak only to [the applicant’s]
current condition, not to his condition at the time his application was under consideration by the
3
For example, Ms. Daniels submitted a January 15, 2013 “Final Report,” wherein Dr. Ann
Busha states that she has treated Ms. Daniels since July 2011, that Ms. Daniels suffers from fibromyalgia, hypertension, type II diabetes, and headaches, and that Ms. Daniels “is unable to
work at this time.” [Dkt. 31.] This report relates only to treatment performed after the ALJ decision, and to impairments that were not the subject of Ms. Daniels’ disability application.
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[SSA]’ do not meet the standard for new and material evidence”) (citing Kapusta v. Sullivan, 900
F.2d 94, 97 (7th Cir. 1989)).4
If Ms. Daniels has, in fact, developed additional impairments since the application for
benefits at issue in this case, her proper recourse is not a remand of this action, but rather to file a
new application for benefits. Bowen v. Astrue, 2007 U.S. Dist. LEXIS 36412, *26-27 (S.D. Ind.
2007) (remand improper based on medical records that post-dated ALJ hearing, but claimant
could file a new applicable for benefits based on new impairments).
B. Challenges to the ALJ’s Decision
As for the propriety of the ALJ’s decision viewed in light of the evidence that was before
it, Ms. Daniels does not point to any errors by the ALJ other than listing several conditions she
has been diagnosed with since the administrative hearing, [dkt. 1 at 1], stating that she only cares
for one child living at home, not four, [id.], and asserting that she cannot perform any jobs, no
matter how light, [dkt. 29 at 1].
First, as discussed above, the Court cannot remand this case based on evidence relating to
Ms. Daniels’ medical condition after the ALJ issued his decision. Second, the Court acknowledges that the ALJ mistakenly stated that Ms. Daniels “lives with her three children,” [dkt. 12-2
at 17], even though Ms. Daniels testified that only one minor child lived at home with her, [id. at
33]. But Ms. Daniels does not explain the significance, if any, of this error. The Court finds the
discrepancy between living with one child versus three children insignificant to the ALJ’s decision, and a remand based on that mistake of fact would be inappropriate because it would not be
4
To the extent some of the medical records Ms. Daniels submitted relate to treatment or medical
tests which occurred before the ALJ’s May 24, 2011 decision, [see dkt. 18 at 68-88], the Court
cannot properly consider those records in determining whether to remand this matter pursuant to
42 U.S.C. § 405(g) because they are not “new.” Schmidt, 395 F.3d at 743. Additionally, Ms.
Daniels has not provided any explanation as to why she did not previously submit those records.
Id.
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likely to lead to a different result. Fisher v. Bowen, 869 F.2d 1055, 1057 (7th Cir. 1989) (“No
principle of administrative law or common sense requires us to remand a case in quest of a perfect opinion unless there is reason to believe that the remand might lead to a different result”)
(citation omitted). Finally, Ms. Daniels’ general argument that she cannot perform any job is
unavailing. Her belief that she cannot work is implicit in the fact that she applied for disability,
disability insurance benefits, and supplemental security income in the first instance, and she must
do more than simply maintain her position that she is disabled – she was required to specify why
she believes the ALJ erred in denying her application. She has not done so.
IV.
CONCLUSION
The standard for disability claims under the Social Security Act is stringent. “Even
claimants with substantial impairments are not necessarily entitled to benefits, which are paid for
by taxes, including taxes paid by those who work despite serious physical or mental impairments
and for whom working is difficult and painful.” Williams-Overstreet v. Astrue, 364 Fed. Appx.
271, 274 (7th Cir. 2010). Furthermore, the standard of review of the Commissioner’s denial of
benefits is narrow. Id. Taken together, the Court can find no legal basis presented by Ms. Daniels to overturn the Commissioner’s decision that Ms. Daniels does not qualify for disability, disability insurance benefits, or supplemental security income. The new records submitted by Ms.
Daniels cannot be considered in the present context. Therefore, the decision below is AFFIRMED. Final judgment will be entered accordingly.
01/24/2013
_______________________________
Hon. Jane Magnus-Stinson, Judge
United States District Court
Southern District of Indiana
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Distribution via ECF only:
Thomas E. Kieper
UNITED STATES ATTORNEY'S OFFICE
tom.kieper@usdoj.gov
Distribution via U.S. Mail:
NATALIE R. DANIELS
2836 Roberta Drive
Indianapolis, IN 46222
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