Eagle v. SSA
Filing
17
MEMORANDUM OPINION & ORDER: (1) that Plaintiff's Motion for Summary Judgment [D.E. 15 ] be, and the same hereby is, DENIED; and (2) that Defendant's Motion for Summary Judgment [D.E. 16 ] be, and the same hereby is, GRANTED. Signed by Judge Joseph M. Hood on 11/20/2014.(KJA)cc: COR
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF KENTUCKY
SOUTHERN DIVISION at LONDON
ANGELA MARIE EAGLE,
)
)
)
)
)
)
)
)
)
)
)
Plaintiff,
v.
CAROLYN W. COLVIN, ACTING
COMMISSIONER OF SOCIAL
SECURITY,
Defendant.
Civil Case No.
6:14-cv-10-JMH
MEMORANDUM OPINION
AND ORDER
***
This
matter
is
before
the
Court
upon
cross-motions
for
Summary Judgment [D.E. 15, 16] on Plaintiff’s appeal of the
Commissioner’s
denial
of
his
application
for
supplemental
security income. [Tr. 17-25].1 The Court, having reviewed the
record
and
being
otherwise
sufficiently
advised,
will
deny
Plaintiff’s motion and grant Defendant’s motion.
I. Overview of the Process and the Instant Matter
The
Administrative
Law
Judge
("ALJ"),
in
determining
disability, conducts a five-step analysis:
1.
An individual who is working and engaging in
substantial
gainful
activity
is
not
disabled,
regardless of the claimant's medical condition.
2.
An individual who is working but does not have a
"severe" impairment which significantly limits his
1
These are not traditional Rule 56 motions for summary
judgment. Rather, it is a procedural device by which the parties
bring the administrative record before the Court.
physical or mental ability to do basic work activities
is not disabled.
3.
If an individual is not working and has a severe
impairment which "meets the duration requirement and
is listed in appendix 1 or is equal to a listed
impairment(s)", then he is disabled regardless of
other factors.
4.
If a decision cannot be reached based on current
work activity and medical facts alone, and the
claimant has a severe impairment, then the Secretary
reviews the claimant's residual functional capacity
and the physical and mental demands of the claimant's
previous work. If the claimant is able to continue to
do this previous work, then he is not disabled.
5.
If the claimant cannot do any work he did in the
past because of a severe impairment, then the
Secretary considers his residual functional capacity,
age, education, and past work experience to see if he
can do other work. If he cannot, the claimant is
disabled.
Preslar v. Sec'y of Health & Hum. Servs., 14 F.3d 1107, 1110
(6th
Cir.
1994)
(citing
20
C.F.R.
§
404.1520
(1982)).
“The
burden of proof is on the claimant throughout the first four
steps of this process to prove that he is disabled.” Id. “If the
analysis
claimant
reaches
is
the
not
fifth
disabled,
step
without
the
burden
a
finding
that
the
transfers
to
the
Secretary.” Id.
In the instant matter, the ALJ determined that Plaintiff
did
not
engage
in
substantial
gainful
activity
during
the
relevant time period under step one. [Tr. 19]. Under step two,
the ALJ found that Plaintiff’s inguinal hernia and history of
2
lupus
with
stress
Reynaud’s
disorder,
phenomenon,
obesity,
and
depression,
history
of
post-traumatic
polysubstance
abuse
were “severe” as defined by the agency’s regulations. [Tr. 19];
20 CFR § 416.920(c).
During step three of the analysis, the ALJ considered all
of Plaintiff’s impairments and decided that none of them met the
criteria listed in 20 C.F.R. pt. 404, subpt. P, app. 1. [Tr. 2021]. After further review of the record, the ALJ concluded at
step
four
(“RFC”)
to
that
Plaintiff
perform
had
light
a
work,
residual
but
was
functional
limited
capacity
to
simple
instructions and tasks in a non-public setting with no more than
casual, infrequent contact with co-workers and supervisors. [Tr.
21].
Plaintiff
was
additionally
limited
in
that
any
work
performed by Plaintiff would have to accommodate her marginal
education. [Tr. 21].
The ALJ found that Plaintiff had no past relevant work.
[Tr. 24]. However, there were jobs in the national economy that
Plaintiff could perform. [Tr. 24]. Thus, the ALJ determined that
Plaintiff is not disabled under the Social Security Act. [Tr.
25].
On this appeal, Plaintiff argues that the ALJ erred by
failing to adopt a prior 1993 finding in favor of the Plaintiff,
that
the
limitations
ALJ
in
failed
the
to
residual
incorporate
functional
3
all
of
capacity
Plaintiff’s
finding
and
subsequent hypothetical to the vocational expert, and that the
ALJ’s determination was not based on substantial evidence.
II. Standard of Review
In
reviewing
the
ALJ's
decision
to
deny
disability
benefits, the Court may “not try the case de novo, nor resolve
conflicts in the evidence, nor decide questions of credibility.”
Cutlip v. Sec'y of Health & Hum. Servs., 25 F.3d 284, 286 (6th
Cir. 1994) (citations omitted). Instead, judicial review of the
ALJ's decision is limited to an inquiry into whether the ALJ's
findings were supported by substantial evidence, 42 U.S.C. §
405(g); Foster v. Halter, 279 F.3d 348, 353 (6th Cir. 2001)
(citations omitted), and whether the ALJ employed the proper
legal standards in reaching her conclusion. See Landsaw v. Sec'y
of Health & Hum. Servs., 803 F.2d 211, 213 (6th Cir. 1986).
"Substantial evidence is more than a scintilla of evidence but
less than a preponderance; it is such relevant evidence as a
reasonable
mind
might
accept
as
adequate
to
support
a
conclusion." Cutlip, 25 F.3d at 286 (citations omitted).
III. Factual and Procedural Background
Plaintiff was 37 years of age at the alleged disability
date. [Tr. 17, 34]. She has a sixth grade education and stated
that
she
is
only
able
to
read
certain
small
words
and
was
generally not able to count money [Tr. 35]. As of the date of
the hearing, she had not worked in nine years, although her last
4
job
was
at
application
a
deli.
for
[Tr.
38].
supplemental
Plaintiff
security
filed
income
a
Title
(SSI),
XVI
alleging
disability beginning on August 1, 2006. The claim was denied
initially
and
upon
reconsideration.
[Tr.
17].
Plaintiff
requested a hearing with the ALJ, which took place on December
14,
2011.
[Tr.
17].
The
ALJ
issued
an
unfavorable
decision
denying SSI on September 17, 2012. [Tr. 25].
According to the Plaintiff, she has pain in her hands,
feet, joints, and knees. [Tr. 49].
suffers
from
arthritis,
lupus,
chronic
Reynaud’s
She
reports
disease,
pulmonary
obstructive
hepatitis,
disease,
that
she
rheumatoid
as
well
as
post-traumatic stress disorder that limit her ability to work.
[Tr. 178].
In 1991, Plaintiff filed a claim for supplemental security
income and awarded benefits in 1993. Noting Plaintiff’s age (23
at the time), 6th grade education, and lack of work experience
the ALJ found her to be disabled and awarded her benefits. [Tr.
60-63].
Following
this
second
claim
for
benefits,
Plaintiff
provided medical records as early as 2001 from Kunath, Burte, &
Temming, M.D., that noted chronic pain in her hands, feet, and
joints as well as her Raynaud’s disease. [Tr. 872-907]. Her
medical
records
also
indicate
a
history
of
drug
abuse
and
hospitalization relating to her drug dependence. [Tr. 208; 228;
5
299;
495].
In
February
2009,
Plaintiff
was
admitted
to
the
Shannon West Texas Memorial Hospital ER in San Angelo, Texas,
with a bone fracture to her left forearm, the injury a result of
her slipping in the shower. She had surgery on the injury and
was
discharged
with
no
complications.
[Tr.
846].
She
was
hospitalized several times in 2010 for complications relating to
a spider bite and twice due to chest pain. [Tr. 342; 392; 431].
Her
records
also
indicate
a
history
of
psychiatric
problems. Most recently, Plaintiff has been under the care of
Dr. Sayed Raza at Appalachian Regional Healthcare who diagnosed
Plaintiff
with
major
depression
and
posttraumatic
stress
disorder. [Tr. 752-53]. She was also treated in 2011 and 2012 at
Cumberland
River
Comprehensive
Care
for
depression
and
difficulty sleeping. [Tr. 835; 873].
In connection with her application for benefits, Dr. Phil
Pack performed a psychological assessment of Plaintiff twice. On
March
4,
2011,
although
he
diagnosed
her
with
polysubstance
dependence in remission and anxiety disorder, Dr. Pack noted
that
the
test
results
were
likely
inconclusive,
suspected
Plaintiff’s efforts were inconsistent, and recommended further
review of her record. [Tr. 729-734]. He saw her again on August
8,
2011,
again
noting
dramatic”
and
accurately
describe
that
questioning
her
Plaintiff
was
whether
his
capabilities
6
based
tearful
and
assessment
on
her
“very
could
efforts.
Similar to her prior visit, Plaintiff reported she was homeless
and unable to count or read. She obtained a full-scale IQ score
of 43, but Dr. Pack otherwise did not provide a diagnosis. [Tr.
822-25].
On
March
16,
2011,
Plaintiff
underwent
a
consultative
examination by state agency physician, Dr. Susan Rhoads. [Tr.
736-750].
At
the
exam
Dr.
Rhoads
relayed
that
Plaintiff’s
intellectual functioning, hearing, and memory appeared normal.
[Tr. 739]. Dr. Rhoads wrote that the examination revealed no
tenderness, redness, warmth or swelling in the hands, and that
Plaintiff was able to make a fist, had a 5/5 grip strength, and
ability to write with her dominant hand. [Tr. 740]. However,
there was a loss in range of motion and bony enlargement in the
left wrist. [Tr. 743]. Dr. Rhoads found that Plaintiff’s ability
to perform work-related activities such as bending, stooping,
lifting,
prolonged
standing,
walking,
crawling,
squatting,
carrying and traveling, pushing and pulling were impaired due to
moderate
Chronic
Obstructive
Pulmonary
Disease
and
mild
Restrictive Pulmonary Disease, lupus with Reynaud’s phenomenon,
rheumatoid
arthritis,
hernia
post-traumatic
and
bradycardia
arthritis
and
in
chest
her
pain,
left
inguinal
wrist.
[Tr.
743].
In April 2011, non-examining consultative physician Dr. Dan
Vandivier reviewed Plaintiff’s record. He found some exertional
7
limitations, that Plaintiff could not push and pull frequently
with lower extremities due to knee pain and tenderness and had a
limited ability to squat as well. [Tr. 72]. Plaintiff was also
limited in her bilateral handling due to pain in wrists and
limited range of motion. [Tr. 73]. However, Dr. Vandivier found
based
on
understand
his
review
and
of
the
remember
record
simple
that
Plaintiff
instructions,
could
sustain
concentration, interact frequently with co-workers but not with
the public, and adapt to her environment. [Tr. 76-77].
Vocational expert Ms. Jane Hall testified at the hearing
before the ALJ. [Tr. 51-54]. Ms. Hall testified that there would
be jobs in the national economy that someone with Plaintiff’s
RFC could perform. [Tr. 52-]. Ms. Hall acknowledged that all of
these jobs would require the Plaintiff to use her hands. [Tr.
54].
Plaintiff
testified
that
the
Reynaud’s
disease
creates
problems using her hands, and requires her to have assistance
when getting dressed and in the shower. [Tr. 43-45]. Plaintiff
also testified that she smokes approximately a pack a day. [Tr.
41]. She gets winded and has trouble breathing and does not go
out for this reason, but rides on the motorized devices at the
grocery
store
if
she
accompanies
her
daughter.
[Tr.
47].
Maintaining that she does not go out, Plaintiff included that
she has not been to the tanning bed in years, [Tr. 36], although
8
she used to go because it relieved the pain in her joints. [Tr.
50]. Plaintiff also testified that she does not drive. [Tr. 38].
In
addition,
Plaintiff
referenced
her
history
of
rape
and
molestation by her brothers and stated that flashbacks of her
experience
lead
to
thoughts
of
hurting
herself
and
feeling
nervous around people. [Tr. 38]. She has been proscribed and is
taking Prozac, Traxodone, and Neurontin. [Tr. 40].
Finally,
Cooperative
the
record
Disability
also
contains
Investigations
Unit
a
report
of
the
from
SSA,
the
which
initiated an investigation of Plaintiff based on alleged fraud.
[Tr. 827]. The investigator found that Plaintiff holds an Ohio
driver’s license that expired in 2011 and a criminal history
relating to controlled substances and public intoxication. [Tr.
831]. The proprietor of a local store told the investigator that
the Plaintiff visited the store one or two times a week, was
able to count change and purchase her items without assistance,
and walk around the store without any noticeable difficulty.
[Tr. 832]. The owner of a local tanning bed salon stated on
October 21, 2011 that the Plaintiff visited the salon twice per
week and the visit log reflected that Plaintiff had used the
tanning beds on 25 occasions between January 2011 and May 2011.
[Tr. 832-33].
IV. Analysis
9
Plaintiff raises three arguments to support her claim, and
the Court will address each in turn.
1. The ALJ did not err by deviating from the previous ALJ
finding from 1993.
Plaintiff argues that, pursuant to Drummond v. Commissioner
of Social Security, 126 F.3d 837 (6th Cir. 1997), and the Social
Security Acquiescence Ruling, AR 98-4(6) (S.S.A. June 1, 1998),
the ALJ should have adopted the 1993 decisional finding awarding
Plaintiff benefits. The Commissioner responds that Plaintiff’s
condition has changed, and thus the ALJ was not bound by the
prior finding.
In Drummond, the Sixth Circuit held that “[a]bsent evidence
of an improvement in a claimant's condition, a subsequent ALJ is
bound by the findings of a previous ALJ.” 126 F.3d at 842. The
SSA
incorporated
this
holding
in
AR
98-4(6),
in
which
it
instructed ALJs to adopt the findings in prior claims “unless
there is new and material evidence relating to such a finding.”
AR 98-4(6).
In the 1993 decision awarding benefits to the Plaintiff,
the
ALJ
report.
relied
It
noted
heavily
a
on
series
the
of
state
agency
psychological
psychiatrist’s
issues
as
well
Plaintiff’s low IQ. The ALJ’s finding, however, focused on the
Plaintiff’s low IQ and learning disability as the reason no work
was possible. [Tr. 62, “Considering age (23), education (6th
10
grade),
and
possible.”].
work
It
experience
is
clear
(none),
from
the
there
record
is
no
that
work
there
is
substantial evidence to suggest that Plaintiff’s circumstances
relating to a learning disability have since changed.
For example, the Plaintiff’s own disability report stated
that
she
could
agency’s
read
and
investigation
understand
into
English.
Plaintiff’s
[Tr.
claims
177].
supplied
The
a
statement by a local store proprietor that Plaintiff often shops
there
and
is
able
to
do
her
own
shopping
and
count
change
without assistance. [Tr. 832]. The state agency’s consultative
examiner, Dr. Rhoads, noted “[i]ntellectual functioning appears
normal
during
the
examination.”
[Tr.
739].
Finally,
recent
medical records from Plaintiff’s treating physicians (Dr. Raza
in particular) indicate that Plaintiff’s intellectual capacities
were normal. [Tr. 910, “Insight and judgment is fair;” Tr. 1066
“Has normal logical associations and normal reasoning pattern
status;” Tr. 1092, “Has fair memory and fund of knowledge.”].
The only evidence to the contrary is Plaintiff’s performance at
both
of
the
state
agency’s
psychiatric
assessments
with
Dr.
Pack, both of which Dr. Pack suspected Plaintiff was malingering
and distrusted her efforts. [Tr. 728; 820].
The ALJ identified such evidence and concluded that new,
material
evidence
showed
the
Plaintiff
at
least
capable
of
carrying out simple instructions. [Tr. 22-24]. This Court finds
11
that because the circumstances had changed, the ALJ was not
bound by the prior decision and thus, did not err in reaching a
different conclusion.
2. The ALJ’s RFC finding and hypothetical posed to the
vocational expert was based on substantial evidence.
Plaintiff
argues
that
the
ALJ
erred
when
it
failed
to
include a restriction based on exposure to cold and Plaintiff’s
mental
impairments
in
its
RFC
finding
and
subsequent
hypothetical to the vocational expert. The Commissioner responds
that
the
ALJ
did
take
Plaintiff’s
mental
impairments
into
account and that the exposure to cold restriction was properly
excluded from the RFC finding and regardless, such a restriction
would not change the ultimate conclusion that Plaintiff is not
disabled.
Plaintiff
Burte,
refers
Temming,
M.D.,
to
records
where
from
the
office
Plaintiff
was
treated
of
Kunath,
from
2001
until 2005. The 2005 record indicates Plaintiff was seen for
chronic pain, livedo, and lupus and the physician proscribed
Plaintiff medicine but stressed “preventative measures to keep
her extremities warm.” [Tr. 885]. The ALJ’s residual functional
capacity
finding
does
not
include
any
limitation
regarding
temperature exposure. However, no treating physician after 2005,
[Tr. 342; 370; 397; 436; 481; 624; 911; 1066; 1092], nor any of
the state agency’s consultative examiners, [Tr. 739-43; 64-78],
12
noted the same or any similar restriction. Given the wealth of
evidence
that
exposure
to
cold
was
not
among
Plaintiff’s
limitations after 2005, the ALJ did not err in excluding such a
limitation from his RFC finding and subsequent hypothetical to
the vocational expert.
Concerning Plaintiff’s mental health, the ALJ did take this
into account, requiring no more than casual, infrequent contact
with
co-workers
consistent
with
examiner’s
and
supervisors
the
recommendations
review
of
the
in
record.
a
non-public
of
[Tr.
the
setting,
state
21;
agency
76-77].
Thus,
Plaintiff’s argument is unavailing.
3.
The
ALJ’s
determination
is
based
on
substantial
evidence.
Plaintiff finally argues that the ALJ’s determination is
not based on substantial evidence because the “objective medical
evidence unequivocally documents that the Plaintiff has several
severe
conditions
responds
that
evidence,
and
which
the
ALJ’s
that
are
disabling.”
finding
Plaintiff
is
has,
The
supported
by
nevertheless,
Commissioner
substantial
waived
her
argument for failure to support her claim with citations to the
record.
While
it
is
difficult
to
discern
from
Plaintiff’s
bare
assertion on this point, if the evidence Plaintiff refers to is
the 2001-2005 medical records regarding Plaintiff’s sensitivity
13
to cold, or Plaintiff’s mental health record, the Court has
already determined above that this argument is unpersuasive and
that the ALJ’s decision is based on substantial evidence. Beyond
that, Plaintiff has not identified other parts of the ALJ’s
decision that lack support and has failed to develop an argument
on
this
point.
“Under
these
circumstances,”
the
Court
“decline[s] to formulate arguments on [the Plaintiff’s] behalf,
or
undertake
an
open-ended
review
of
the
entirety
of
the
administrative record.” Hollon ex rel. Hollon v. Comm'r of Soc.
Sec., 447 F.3d 477, 491 (6th Cir. 2006). On the record before
the
Court,
it
appears
that
the
ALJ’s
decision
was
based
on
substantial evidence, and Plaintiff has provides no reasons why
an alternative conclusion is warranted.
V. Conclusion
Accordingly, for the foregoing reasons, IT IS ORDERED:
(1)
that Plaintiff’s Motion for Summary Judgment [D.E. 15]
be, and the same hereby is, DENIED; and
(2)
that Defendant’s Motion for Summary Judgment [D.E. 16]
be, and the same hereby is, GRANTED.
This the 20th day of November, 2014.
14
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