Thomas v. Astrue

Filing 17

ORDER denying plaintiff's motion for judgment and affirming the decision of the Commissioner. Signed on 9/20/13 by Magistrate Judge Robert E. Larsen. (Wilson, Carol)

IN THE UNITED STATES DISTRICT COURT FOR THE
WESTERN DISTRICT OF MISSOURI
SOUTHERN DIVISION
CHRISTOPHER THOMAS,
Plaintiff,
v.
CAROLYN W. COLVIN, Acting
Commissioner of Social Security,
Defendant.

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Case No.
12-3203-CV-S-REL-SSA

ORDER DENYING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT
Plaintiff Christopher Thomas seeks review of the final decision of the
Commissioner of Social Security denying plaintiff’s application for disability benefits
under Titles II and XVI of the Social Security Act (“the Act”). Plaintiff argues that the
ALJ erred in (1) giving little weight to the opinions of plaintiff’s treating providers, Dr.
Glynn and Dr. Dimalanta; (2) in formulating plaintiff’s residual functional capacity; and
(3) in finding plaintiff’s subjective allegations not credible. I find that the substantial
evidence in the record as a whole supports the ALJ’s finding that plaintiff is not
disabled. Therefore, plaintiff’s motion for summary judgment will be denied and the
decision of the Commissioner will be affirmed.
I.

BACKGROUND
Plaintiff has prior applications for disability benefits dated 1989, 1990, two in

1991 (with a period of disability awarded from 1991 through 1997), and in 2001 (Tr. at
12). On May 15, 2006, plaintiff applied for disability benefits alleging that he had been
disabled since March 31, 2003. Plaintiff’s disability stems from back pain, depression
and panic attacks. Plaintiff’s application was denied on July 13, 2006. On September

4, 2008, a hearing was held before an Administrative Law Judge. On September 25,
2008, the ALJ found that plaintiff was not under a “disability” as defined in the Act. He
requested a review with the Appeals Council on November 13, 2008, but then filed a
new application for disability benefits on February 10, 2009. SSA granted his
application on March 26, 2009, finding that he had been disabled since September 26,
2008. On April 27, 2010, the Appeals Council issued an order reopening and
combining all three of plaintiff’s prior applications and remanding them for a new
hearing and determination. Hearings were held on July 27, 2010, and September 30,
2010. On October 21, 2010, the ALJ found plaintiff not disabled. On February 16,
2012, the Appeals Council denied plaintiff’s request for review.
II.

STANDARD FOR JUDICIAL REVIEW
Section 205(g) of the Act, 42 U.S.C. § 405(g), provides for judicial review of a

“final decision” of the Commissioner. The standard for judicial review by the federal
district court is whether the decision of the Commissioner was supported by substantial
evidence. 42 U.S.C. § 405(g); Richardson v. Perales, 402 U.S. 389, 401 (1971);
Mittlestedt v. Apfel, 204 F.3d 847, 850-51 (8th Cir. 2000); Johnson v. Chater, 108 F.3d
178, 179 (8th Cir. 1997); Andler v. Chater, 100 F.3d 1389, 1392 (8th Cir. 1996). The
determination of whether the Commissioner’s decision is supported by substantial
evidence requires review of the entire record, considering the evidence in support of
and in opposition to the Commissioner’s decision. Universal Camera Corp. v. NLRB,
340 U.S. 474, 488 (1951); Thomas v. Sullivan, 876 F.2d 666, 669 (8th Cir. 1989). “The
Court must also take into consideration the weight of the evidence in the record and

2

apply a balancing test to evidence which is contradictory.” Wilcutts v. Apfel, 143 F.3d
1134, 1136 (8th Cir. 1998) (citing Steadman v. Securities & Exchange Commission, 450
U.S. 91, 99 (1981)).
Substantial evidence means “more than a mere scintilla. It means such relevant
evidence as a reasonable mind might accept as adequate to support a conclusion.”
Richardson v. Perales, 402 U.S. at 401; Jernigan v. Sullivan, 948 F.2d 1070, 1073 n. 5
(8th Cir. 1991). However, the substantial evidence standard presupposes a zone of
choice within which the decision makers can go either way, without interference by the
courts. “[A]n administrative decision is not subject to reversal merely because
substantial evidence would have supported an opposite decision.” Id.; Clarke v.
Bowen, 843 F.2d 271, 272-73 (8th Cir. 1988).
III.

BURDEN OF PROOF AND SEQUENTIAL EVALUATION PROCESS
An individual claiming disability benefits has the burden of proving he is unable

to return to past relevant work by reason of a medically-determinable physical or mental
impairment which has lasted or can be expected to last for a continuous period of not
less than twelve months. 42 U.S.C. § 423(d)(1)(A). If the plaintiff establishes that he is
unable to return to past relevant work because of the disability, the burden of
persuasion shifts to the Commissioner to establish that there is some other type of
substantial gainful activity in the national economy that the plaintiff can perform.
Nevland v. Apfel, 204 F.3d 853, 857 (8th Cir. 2000); Brock v. Apfel, 118 F. Supp. 2d
974 (W.D. Mo. 2000).

3

The Social Security Administration has promulgated detailed regulations setting
out a sequential evaluation process to determine whether a claimant is disabled. These
regulations are codified at 20 C.F.R. §§ 404.1501, et seq. The five-step sequential
evaluation process used by the Commissioner is outlined in 20 C.F.R. § 404.1520 and
is summarized as follows:
1.

Is the claimant performing substantial gainful activity?
Yes = not disabled.
No = go to next step.

2.
Does the claimant have a severe impairment or a combination of
impairments which significantly limits his ability to do basic work activities?
No = not disabled.
Yes = go to next step.
3.

Does the impairment meet or equal a listed impairment in Appendix 1?
Yes = disabled.
No = go to next step.

4.

Does the impairment prevent the claimant from doing past relevant work?
No = not disabled.
Yes = go to next step where burden shifts to Commissioner.

5.

Does the impairment prevent the claimant from doing any other work?
Yes = disabled.
No = not disabled.

IV.

THE RECORD
The record consists of the testimony of plaintiff, medical expert Arthur Lorber,

M.D., and vocational expert Terri Crawford, in addition to documentary evidence.

4

Because plaintiff’s arguments center on the opinions of Dr. Glynn and Dr. Dimalanta in
their Medical Source Statements, I will set out those reports here:
Medical Source Statement - Physical
On May 28, 2010, Paul Glynn, D.O., completed a Medical Source Statement Physical (Tr. at 602-603). Dr. Glynn found that plaintiff could lift and carry 5 pounds
frequently and 10 pounds occasionally. He could stand or walk continuously for less
than 15 minutes and for 1 hour per workday. He could sit for 15 minutes at a time and
for 2 hours total per workday. He was limited in his ability to push or pull with his hands
and/or feet; however, no description of the limitation was provided. He could never
stoop, kneel or crawl. He could occasionally climb, balance, crouch, or reach. He
could frequently handle, finger, feel, see, speak, or hear. Despite finding that plaintiff
can occasionally balance, Dr. Glynn indicated that plaintiff needs a cane to walk or
balance. He found that plaintiff should avoid any exposure to extreme cold, extreme
heat, vibration, hazards and heights; he should avoid moderate exposure to weather
and wetness/humidity; and he should avoid concentrated exposure to dust and fumes.
He indicated that plaintiff needs to lie down frequently due to pain. He wrote, “spends
6-7 hours during day lying down”. Finally he indicated that the sedating side effects of
plaintiff’s medication affect his coordination.
Medical Source Statement - Mental
On October 27, 2006, Antonio Dimalanta, M.D., completed a Medical Source
Statement - Mental (Tr. at 555-556). Dr. Dimalanta found that plaintiff was not
significantly limited in the following:

5

P

The ability to understand and remember very short and simple instructions

P

The ability to carry out very short and simple instructions

P

The ability to sustain an ordinary routine without special supervision

P

The ability to make simple work-related decisions

P

The ability to ask simple questions or request assistance

P

The ability to maintain socially appropriate behavior and to adhere to basic
standards of neatness and cleanliness

P

The ability to be aware of normal hazards and take appropriate precautions

He found that plaintiff was moderately limited in the following:
P

The ability to remember locations and work-like procedures

P

The ability to interact appropriately with the general public

P

The ability to respond appropriately to changes in the work setting

He found that plaintiff was markedly limited in the following:
P

The ability to understand and remember detailed instructions

P

The ability to carry out detailed instructions

P

The ability to perform activities within a schedule, maintain regular attendance,
and be punctual within customary tolerances

P

The ability to work in coordination with or proximity to others without being
distracted by them

P

The ability to accept instructions and respond appropriately to criticism from
supervisors

P

The ability to get along with coworkers or peers without distracting them or
exhibiting behavioral extremes

P

The ability to set realistic goals or make plans independently of others

6

He found that plaintiff was extremely limited in the following:
P

The ability to maintain attention and concentration for extended periods

P

The ability to complete a normal workday and workweek without interruptions
from psychologically based symptoms and to perform at a consistent pace
without an unreasonable number and length of rest periods

P

The ability to travel in unfamiliar places or use public transportation

ALJ’s Residual Functional Capacity Assessment
The ALJ found that plaintiff can lift up to 10 pounds occasionally and 5 pounds
frequently; stand and walk up to 2 hours but no longer than 30 minutes at a time; sit for
6 to 8 hours per day; should be able to alternate sitting and standing at 30-minute
intervals without moving away from the work station; can never crawl or kneel; should
avoid climbing or exposure to significant unprotected heights; can go up no more than
three steps at a time; should avoid potentially dangerous and/or unguarded moving
machinery and commercial driving; cannot walk on uneven surfaces; can have no
exposure to extreme vibration; should avoid extremes of cold and humidity; can no use
foot controls; must have the ability to wear shoes of his choice but exclude safety boots;
must have a cane for walking; and is limited to simple repetitive job instructions with no
public contact and no more than minimal contact with co-workers and supervisors, i.e.,
proximity would be permitted but teamwork duties and responsibilities would be
excluded.
The differences between the ALJ’s findings and the opinions of Dr. Glynn and
Dr. Dimalanta are as follows: Dr. Glynn believes plaintiff is limited to standing or
walking for 1 hour per day and for less than 15 minutes at a time, but the ALJ found

7

that plaintiff could stand or walk for 2 hours per day and for 30 minutes at a time. Dr.
Glynn believes plaintiff is limited to sitting for 2 hours per day and for 15 minutes at a
time, but the ALJ found that plaintiff can sit for 6 to 8 hours per day and for 30 minutes
at a time. Dr. Glynn found that plaintiff would need1 to lie down frequently and for up to
6 or 7 hours per day due to pain and that the sedating side effects of his medication
affect his coordination.
Dr. Dimalanta found that plaintiff was extremely limited in his ability to maintain
attention and concentration for extended periods; complete a normal workday and
workweek without interruption from psychologically based symptoms and perform at a
consistent pace without an unreasonable number and length of rest periods; and his
ability to travel in unfamiliar places or use public transportation. He found that plaintiff
was markedly limited in his ability to perform activities within a schedule, maintain
regular attendance, and be punctual within customary tolerances; and accept
instructions and respond appropriately to criticism from supervisors. The ALJ found
that plaintiff is limited to simple repetitive job instructions with no public contact and no
more than minimal contact with co-workers and supervisors, i.e., proximity would be
permitted but teamwork duties and responsibilities would be excluded.
A.

ADMINISTRATIVE REPORTS
The record contains the following administrative reports:

1

Dr. Glynn actually wrote, “spends 6-7 hrs during day lying down”. He did not say
that plaintiff needs to lie down, only that he does lie down.

8

Earnings Record
The record establishes that plaintiff earned the following income from 1985
through 2008:
Year

Earnings

Year

Earnings

1985

$ 222.11

1998

$ 1,383.02

1986

959.78

1999

12,676.61

1987

0.00

2000

3,439.20

1988

5,667.82

2001

0.00

1989

4,274.28

2002

4,841.62

1990

2,785.07

2003

5,514.94

1991

540.46

2004

0.00

1992

0.00

2005

473.62

1993

0.00

2006

43.12

1994

0.00

2007

0.00

1995

0.00

2008

0.00

1996

13,627.87

2009

0.00

1997

$ 14,152.52

2010

0.00

(Tr. at 302, 309, 350).
Function Report
In a Function Report dated June 10, 2006 (about four and a half months before
Dr. Dimalanta’s Medical Source Statement was prepared), plaintiff reported that it takes
him about 20 minutes every morning to get out of bed (Tr. at 366-373). He watches
television almost all day. He alternates sitting in a chair, lying down on the couch, and
standing; and he takes a nap during the day. Plaintiff helped get his children food,
changed their diapers, and watched over them during the day. He also cared for a dog

9

and a cat. His 10-year-old son and 11-year-old son helped take care of the animals
and helped change diapers. Plaintiff reported no trouble with personal care. Plaintiff
said he would forget when he last took a shower and his wife would have to remind him
to shower. Plaintiff fixed sandwiches for himself and his kids during the day, and his
wife would do the cooking when she got home. Plaintiff did not cook beyond making
sandwiches even before his alleged onset date (Tr. at 368). Plaintiff would try to do
some laundry, he tried to do some dishes, but his wife would generally have to finish
those tasks and clean the house.
Plaintiff reported that he would go outside five times a day to smoke or stand on
the porch. When he went out, he could walk, drive a car, or ride in a car, and he was
able to go out alone. Plaintiff only drove about twice a week because of his panic
attacks and his medication. He was able to handle a savings account, use a
checkbook, count change and pay bills. His hobbies included watching television and
playing video games. He had no problems getting along with family, friends, neighbors
or others.
Plaintiff’s impairments affect his ability to lift, squat, bend, stand, walk, sit, climb
stairs, remember, complete tasks, and concentrate. He has no difficulty with reaching,
kneeling, talking, hearing, understanding, following instructions, using his hands, or
getting along with others. He can walk 50 feet, he can pay attention for 20 minutes, he
does not finish what he starts, but he follows written instructions fairly well. He
generally gets along with everyone “just fine”. Stress sometimes causes panic attacks,
and he does not handle changes in routine well.

10

Disability Report
In a Disability Report, plaintiff indicated that he has hip/back problems, high
blood pressure, depression, panic attacks, and a left heel tumor (Tr. at 375-385). He
takes so much medication that he is foggy all day long. Plaintiff indicated that his
alleged onset date was March 31, 2003, but that he stopped working on November 3,
2005. He was fired because he took pain killers.
Work History Report
Plaintiff worked as a pizza delivery driver in November 2005 (Tr. at 385). He did
temporary work in parts remanufacturing from October 2005 through November 2005.
He did temporary work in box manufacturing in December 2003. He was a customer
service clerk at WalMart from November 2003 to December 2003. He was a floor
clearer in a supermarket for one or two months in early 2003. He was an assistant
manager at an oil change business from August 2002 to March 2003.
Function Report
In a Function Report dated March 9, 2009, plaintiff reported that he spends
about an hour in bed each morning when he first gets up (Tr. at 416-423). He spends
all day sitting or lying down watching television. He has to get up and walk around the
house for a little bit to keep his body from tightening back up. He does that all day until
it is time to go to bed. This has been his typical day for about three years, or since
early 2006.
When asked what he was able to do before his condition that he cannot do now,
plaintiff wrote that he used to go fishing and camping, he used to drive around on back

11

country roads, and he “used to be able to support myself and my family”. Plaintiff
reported that in the last 3 years he has taken about 10 baths. He shaves about once a
month. He only washes his hair when he takes a bath. His mom tries to get him to take
a shower, but he does not want to. He eats one sandwich a day. He said that he used
to cook for his kids but he no longer does because he and his wife got a divorce. He is
able to do a little laundry and hand wash dishes for about ten minutes; his mom was
doing the rest of the household chores because he had moved in with her. Plaintiff
goes outside 15 to 20 times a day to smoke. Plaintiff had stopped driving due to panic
attacks and side effects from medication. He was able to shop in stores for soda and
snacks. He was able to handle a savings account, pay bills and count change. He no
longer had any hobbies, and he did not go out of the house except to see his doctor.
His impairments affect his ability to lift, squat, bend, stand, walk, sit, kneel, climb stairs,
remember, complete tasks, and concentrate. His impairments do not affect his ability to
reach, talk, hear, see, understand, follow directions, use his hands or get along with
others. He follows written directions well and he gets along well with others. Plaintiff
had begun using a cane, but no doctor had prescribed it (Tr. at 422).
B.

SUMMARY OF MEDICAL RECORDS
On October 5, 2000, plaintiff was seen at St. John’s Regional Health Center for

complaints of low back and bilateral thigh and leg pain (Tr. at 582-584). Plaintiff was 31
years of age. He described how, in 1996, he had been lifting a heavy engine part when
his back gave out. It did not improve and had become progressively worse. He had
been able to maintain his employment until February 2000 when his pain became

12

unbearable. Plaintiff had participated in physical therapy and noted some
improvement. Plaintiff reported a long-term problem with panic attacks for which he
had been taking Lorazepam for some time. He was also on Paxil, an antidepressant.
He used Vicodin (narcotic) for pain. Plaintiff was smoking a pack of cigarettes per day.
Plaintiff was observed to walk with a slightly antalgic gait. He had no back
tenderness but some decreased range of motion. Straight leg raising elicited pain
bilaterally, worse on the right. Curtis Evenson, M.D., reviewed MRI scans which
showed decrease signed at L4-5 and L5-S1, a bulging disc at L4-5, and a moderatelysized central protrusion at L5-S1. Neither of these caused any nerve root or thecal sac
embarrassment. “In regard to his smoking, I counseled him on the problems with
smoking associated with degenerative disc disease. I have shown him how his cervical
spine and his lower spine are already undergoing significant dessication and that he
really should consider smoking cessation.” Dr. Evenson recommended a steroid
injection and continued physical therapy.
On October 13, 2000, plaintiff had a steroid injection in his back (Tr. at 580), and
on November 17, 2000, he saw Dr. Evenson for follow up (Tr. at 279). Plaintiff reported
that the injection increased his leg pain for about a week, then the pain was resolved for
a couple days, and then it came back. Plaintiff had another injection that day. On
December 5, 2000, plaintiff had a diagnostic discography2 (Tr. at 578). On December
11, 2000, plaintiff saw Dr. Evenson to go over the results of the discography (Tr. at
2

Lumbar discography is an injection technique used to evaluate patients with back
pain who have not responded to extensive conservative (nonsurgical) care regimens.
The most common use of discography is for surgical planning prior to a lumbar fusion.

13

577). Dr. Evenson discussed possible cervical fusion, “but again, smoking cessation
would be required prior to this. I am going to . . . have him contact Hammons for
smoking cessation.”
On July 10, 2001, plaintiff had an IDET3 treatment on his spine after having
stopped smoking (Tr. at 584).
On February 21, 2002, plaintiff was seen at Burrell Behavioral Health by Antonio
Dimalanta, M.D., a psychiatrist (Tr. at 514). Dr. Dimalanta noted that plaintiff was
taking Lorazepam and Paxil with good control except that the Paxil was causing
decreased sex drive. “He was just operated on his back and the surgery seems to have
helped.” Plaintiff agreed to try Wellbutrin to counter the sexual side effect of Paxil
“since he also is trying to quit smoking.” Plaintiff had taken Wellbutrin before with good
results but “did not take it long enough to try and quit smoking.” Plaintiff was having no
crying spells, no suicidal or homicidal ideation and no psychotic symptoms. He was
assessed with panic disorder with agoraphobia, stable on current medication; and
nicotine dependence.
On July 22, 2002, plaintiff returned to see Dr. Dimalanta (Tr. at 524-525).
Plaintiff had not started taking the Wellbutrin as directed. “He is fearful of change,
including taking another medication. . . . He stated that the current combination has
been the most helpful medication. . . . He has been married four years now, and they
3

Using "live" X-ray imaging (fluoroscopy), a doctor inserts a hollow needle containing
a flexible tube (catheter) and heating element into the spinal disc. The catheter is
positioned in a circle in the outer layer (annulus) of the disc and is then slowly heated to
about 194EF. The heat is meant to destroy the nerve fibers and toughen the disc tissue,
sealing any small tears.

14

have a two-and-a-half-year-old child. His wife has two boys from a previous marriage,
ages six and seven. Chris stays at home and takes care of the kids. The last time he
worked was April 2000. He does some yard work, earning maybe $75 a month.”
Plaintiff was smoking about 1 1/2 packs of cigarettes a day, but said he did not have the
money to get psychological testing as recommended by Dr. Clarke who was treating
plaintiff’s back. “He applied for disability and was turned down and did not appeal it. He
mostly stays at home and does some gardening. He enjoys playing video games. He
socializes with a best friend. They go fishing together.”
Plaintiff was observed to have good hygiene, was appropriately dressed, was
calm and “quite appropriate” in his responses. He had normal range of moods with no
crying. He had no paranoia, hallucinations, delusions, suicidal or homicidal ideations or
plan. He was assessed with panic disorder with agoraphobia, major depression in
remission, and nicotine dependence. His GAF was 63-70. Plaintiff still had Wellbutrin
samples from the last appointment, and he agreed to try them.
On December 12, 2002, plaintiff saw Dr. Dimalanta for a follow up (Tr. at 513).
Dr. Dimalanta discussed plaintiff’s not refilling his medication prescriptions and failing to
show up for appointments. He reminded plaintiff that he would be “dropped from the
program for two missed appointments.” Plaintiff had been working as an assistant
manager at a Quik Oil Change for the past two and a half months. “It affects his back
but he feels better with it.” Plaintiff was getting along with his wife, who was five months
pregnant.

15

Plaintiff was observed to be a little irritable -- he had called Dr. Dimalanta’s office
to say he was running late, and he did not like the secretary’s “tone of voice.” Plaintiff
was not having panic attacks, crying spells, or suicidal thinking. He was assessed with
panic disorder without agoraphobia. “He has a past history of major depression, but
this is not a current problem.” Dr. Dimalanta continued plaintiff on his same
medications.
On February 2, 2003, plaintiff had x-rays of his lumbar spine and both hips due
to complaints of back and hip pain (Tr. at 463-464). The plates and screws from
plaintiff’s previous back surgery were in good position and alignment with no evidence
of malfunction or infection. His lumbar spine was normal post-operatively. He had a
deformity of the right femoral head and neck, and his left hip was normal.
On February 11, 2003, plaintiff saw Patrick McShane, a podiatrist, complaining of
pain on his left heel (Tr. at 490). He was assessed with neoplasm (an abnormal mass
of tissue) of unknown origin. Dr. McShane recommended an ultrasound and then
excision, and plaintiff agreed.
On February 13, 2003, plaintiff had an ultrasound of his left heel which revealed
a mass which measured 1.3 x 1.5 x 0.6 cm (Tr. at 462). The following day plaintiff had
the mass removed (Tr. at 471-472). “Has had it for approximately five years. Cannot
walk on it anymore for about one week.” Plaintiff listed his current medications as
Flexeril (muscle relaxer) and OxyContin (narcotic pain reliever). His past medical
history included only “back pain.” There is no mention of depression or panic attacks,
and plaintiff was clearly not taking any psychiatric medications at this time, even though

16

a few months earlier Dr. Dimalanta had admonished him to start filling his prescriptions
and using them.
On February 18, 2003, plaintiff returned to see Dr. McShane for a recheck after
surgery (Tr. at 490). Dr. McShane indicated the wound was healing well and the mass
had been determined to be benign.
On February 25, 2003, plaintiff canceled his appointment with Dr. McShane
saying that his foot was doing fine (Tr. at 490). He did not reschedule.
On March 4, 2003, plaintiff called Dr. McShane’s office and reported pain in his
leg near where the tourniquet was (Tr. at 490). He was told to go to the emergency
room and be checked for a blood clot. He did go to the Emergency Room the same
day complaining of leg pain (Tr. at 466-470). The pain “started one day ago.” Plaintiff
continued to smoke. On exam his leg strength, tone, and range of motion were normal.
He had no tenderness or swelling. The doctor who had done the surgery two weeks
earlier to remove the mass from plaintiff’s heel had told him to go to the emergency
room to make sure he did not have a blood clot. An ultrasound was done and there
was no evidence of a blood clot. Plaintiff called Dr. McShane’s office back and reported
that he had had an ultrasound which showed no blood clot (Tr. at 489). “Doctor told
patient he had over done which made his leg sore.”
On March 5, 2003, plaintiff had half of his foot stitches taken out, and Dr.
McShane indicated that it was healing well (Tr. at 489). On March 13, 2003, Dr.
McShane removed the remaining stitches (Tr. at 489). He again noted the foot was
healing well and told plaintiff he could return to work in one week with no restrictions.

17

March 31, 2003, is plaintiff’s alleged onset date.
Plaintiff cancelled his follow up appointment with Dr. McShane on April 7, 2003,
saying he was “doing great.” (Tr. at 489).
On June 13, 2003, plaintiff saw Dr. Dimalanta (Tr. at 512). “Chris was last seen
over three months ago. He missed his last appointment, since he has been working.
He works at night. He is doing well on his current medication: Paxil, 25 mgs CR
[continued release] and Lorazepam, 2 mg twice a day. He is aware he cannot stop the
Lorazepam because he has panic attacks. His depression is also controlled by the
Paxil. . . . He is married and gets along with his wife.” Plaintiff’s exam was normal, all
observations made by Dr. Dimalanta were normal. Plaintiff was assessed with major
depression in remission, and panic disorder controlled by medication.
On September 4, 2003, plaintiff saw Dimalanta for a follow up (Tr. at 522-523).
Christopher is being treated for major depression and panic attacks without
agoraphobia. He has done okay on Paxil, 25 mgs CR daily; Lorazepam, 2 mgs
twice a day. He has some sexual side effects from Paxil but otherwise is very
happy with the combination. He will bring his wife next time to discuss this
further, and I can also do an evaluation of the couple’s relationship.
He is being sued because of medical bills; otherwise, there are no other legal
problems.
He smokes two packs of cigarettes per day. He has tried hypnosis, patches,
gum and Wellbutrin with no help.
He is applying for disability after being turned down. He is not able to hold a job.
He worked a month ago and after one week he quit because his back and leg
were bothering him. Before that, he worked six months as an assistant manager
in a Quick Lube store. He was fired because of medical reasons.
*****

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MENTAL STATUS
Chris came in appropriately dressed. He has good personal hygiene. He is alert
and oriented to the three spheres. There is no psychosis, paranoia, or delusions
and no suicidal thinking or plans. He has good insight.
Dr. Dimalanta assessed major depression in remission, panic disorder without
agoraphobia, and a GAF of 60 currently and 60 over the past year. Plaintiff’s
medications were refilled and he was given samples of Paxil.
On February 19, 2004, plaintiff was seen by his podiatrist, Dr. McShane (Tr. at
489). Plaintiff said he thought the mass on his heel had grown back. Plaintiff had two
small lipomas (fatty tumors) in the “fat pad” of his foot. Dr. McShane told him he could
have them removed, or he could “live with” the condition. Plaintiff opted to try
temporary padding, and Dr. McShane recommended a particular insole.
On February 23, 2004, plaintiff returned to see Dr. Dimalanta and brought his
nine-year-old son (Tr. at 509). “He reported having problems with discipline and the
kids not minding including the four-year-old. We discussed referring him to family
therapy which is what he wants.” Plaintiff reported having “maybe three” panic attacks
in the past three months. “His pain medication is regulated by Dr. Clarke, his primary
care physician. It helps his pain, but he is dependent on the narcotics.” Plaintiff
reported that he was “quitting smoking” and “seems to be doing okay with this.” Plaintiff
had gained some weight and was getting more active. He weighed 197 pounds. “He is
not employed. He stays at home and takes care of the chores and the kids.” Plaintiff
was observed to be dressed casually and he had good personal hygiene. There was
no psychosis, paranoia or agitation. There was no noted anxiety, plaintiff had good

19

insight and compliance was good. Plaintiff was told to take an additional Lorazepam
tablet if needed for panic attacks, and he was given an additional ten pills in his monthly
prescription.
On February 26, 2004, plaintiff cancelled his appointment with Dr. McShane, the
podiatrist (Tr. at 489).
On June 11, 2004, plaintiff saw Dr. Dimalanta for a follow up (Tr. at 507).
Plaintiff reported that he had been gradually gaining weight because his back problem
was causing him to be less active; however, plaintiff actually weighed two pounds less
than he did at his last appointment four months earlier. “Taking OxyContin, 40 mgs
three times a day may also be making him less active and somewhat sedated although
he is not complaining of sedation.” Plaintiff said that his Paxil was causing “major
sexual side effects. We discussed ways to switch. He is getting along well with his wife.
Except for the pain from his back problem, he feels he is doing relatively okay.” Dr.
Dimalanta observed that plaintiff showed normal range of mood without crying or having
any suicidal thinking, there was no psychosis, insight was good. He was assessed with
panic disorder with agoraphobia, although it is unclear why the previous diagnosis of
“without agoraphobia” suddenly changed to “with agoraphobia.” He was also diagnosed
with major depression and “situational stressors” of medical problems and sexual side
effects were noted to be present. Dr. Dimalanta suggested switching from Paxil to
Zoloft and gave plaintiff samples of both.
Three weeks later, on July 2, 2004, plaintiff returned to see Dr. Dimalanta (Tr. at
505). Although at his last appointment three weeks earlier he said he and his wife were

20

getting along fine, on this appointment he indicated that he and his wife were struggling,
having a lot of conflict. “Chris is very happy with taking Zoloft, 50 mgs in the morning.
He is not having sexual side effects, unlike when he was taking Paxil.” Dr. Dimalanta
suggested counseling but plaintiff said his wife would not agree to that. “One problem
is finances and he is looking for a job. He thinks this will help them a lot.” Plaintiff
weighed 209 pounds on this visit -- 14 pounds heavier than three weeks earlier.”He is
feeling better and does not have depressive complaints or suicidal thinking. There is no
psychosis or paranoia.” Plaintiff was assessed with, “Panic Disorder, Major Depression,
recurrent, responding well to the above medication.” Plaintiff was continued on his
same medications at the same dosages.
On September 24, 2004, plaintiff returned to see Dr. Dimalanta (Tr. at 503).
Plaintiff said he felt better when he was taking Paxil and Zoloft. “He mostly stays at
home, taking care of their kids while his wife works. He lost his job after having back
surgery.” This is a curious statement since plaintiff’s back surgery occurred more than
three years earlier (July 10, 2001) and Dr. Dimalanta had noted in three different
medical records which post-date plaintiff’s back surgery that plaintiff was working.
Plaintiff’s weight was 192 on this visit. He was dressed appropriately and showed good
hygiene. He was cooperative and polite, responded appropriately to questions, was
completely oriented, had no crying spells or suicidal thinking, no psychosis or paranoia,
and he had good insight. His affect was “somewhat constricted,” otherwise his exam
was perfectly normal. Dr. Dimalanta gave plaintiff samples of Zoloft and told him to

21

increase his dosage from 50 mg to 75 mg in the morning for one week to see if he
could tolerate it.
Four months later, on January 27, 2005, plaintiff returned to see Dr. Dimalanta
(Tr. at 502). “Chris was last seen on 9/24/04, He missed his last appointment. He
tried 100 mgs of Zoloft but he could not tolerate it. He is not sure how he feels about it.
He is back to taking 50 mgs in the morning and it is helping his anxiety and depression.”
Plaintiff stated that he was still taking the same amount of pain medication. “It helps his
back problem. . . . He is planning to attend OTC and study computer programming.
Finances is a problem but other day-to-day stressors are tolerated.” Plaintiff weighed
196 pounds. He was casually dressed and showed good hygiene. He brought his fiveyear-old son with him. “He is calm and predominantly happy. There is no crying, and
he is not having suicidal thoughts. There is no psychosis. Insight is good.” He was told
to return in a month.
About three months later, on April 12, 2005, plaintiff returned to see Dr.
Dimalanta (Tr. at 501). “He does not like the effect of Zoloft. He cannot raise it more
than 50 mgs and he seems to be having more edginess from it. We reviewed other
medications and he wants to go back to taking Paxil. The sexual side effect is probably
not from the medication but more relationship issues. . . . Relationships with family,
situations and children are stressful.” Plaintiff was described as “laid back.” He was
appropriately dressed and showed good hygiene. He was calm, polite and cooperative,
readily sharing information. “He sometimes shows mild anxiety.” He weighed 195
pounds. “There is no psychosis, paranoia, crying spells or suicidal thinking. Insight is

22

good.” Plaintiff was told to taper off Zoloft and restart Paxil and to come back in a
month.
Three and a half months later, on July 28, 2005, plaintiff returned to see Dr.
Dimalanta (Tr. at 499). He had been on Paxil, but “he did better on the CR strength.”
Dr. Dimalanta explained the difference between Paxil and continued release Paxil. “He
does odd jobs, like fixing lawn mowers. He took a test at OTC and scored very high.
He is considering going back to school. . . . He is getting along well with his wife and
they have been married for seven years now. The last time he used alcohol was
fourteen years ago.” Plaintiff weighed 193 pounds. He was dressed appropriately and
showed good personal hygiene. “He is alert and readily shares information. There are
no crying spells, suicidal thinking, paranoia, or delusions. Insight is good.” No
abnormal observations were noted. He was assessed with panic disorder with
agoraphobia and major depression, in remission. Dr. Dimalanta switched plaintiff from
Paxil to Paxil CR and told him to come back in three months.
On October 20, 2005, plaintiff returned to see Dr. Dimalanta (Tr. at 498). “He is
doing well with his medication and has no complaints from taking Paxil, 25 mg CR, and
Lorazepam, 2 mg. three times a day as needed (generally takes two to two and a half a
day). I reviewed his psychosocial systems, and stressors are tolerated. He is looking
for a job and has an interview scheduled today. He plans to work in a transmission
remanufacturing plant if he gets accepted. He is aware of his back problem, and we
discussed to make sure he doesn’t need to be lifting heavy objects. . . . His family life is
mildly a stressor because his kid is needing possible psychiatric care. We discussed

23

how to refer his kid to the Children’s Program, which was done.” Plaintiff weighed 188
pounds. He was casually dressed and showed very good hygiene. He was relaxed and
oriented times three. “No problem with memory, paranoia, delusions, or hallucinations.
No crying spells or suicidal thinking. Insight is good.” No abnormal observations were
noted. He was assessed with panic disorder with agoraphobia and major depression in
remission. “He has responded well to the above medicine. Stress is tolerated.” He
continued plaintiff on his same medications and told him to come back in three months.
On February 6, 2006, plaintiff returned to see Dr. Dimalanta (Tr. at 497). He was
doing well with his medication, and he said he was still on the same medication for his
back pain. “He is getting along with his wife. Review of his psychosocial system
showed he is tolerating daily stress. He is not working. The most difficult problem is
learning his doctor was dying of lung cancer. This is devastating to him, and he has
been feeling sad about the situation.” Plaintiff weighed 190 pounds. He was
appropriately dressed and showed good hygiene. “He got teary eyes discussing above
stressor but otherwise was predominantly happy, showing normal range of mood. He
has no suicidal or homicidal thinking or plan. Thought processes are clear, without
paranoia, delusions, or hallucinations. Insight is good.” He was assessed with panic
disorder with agoraphobia and major depression “responding very well with above
medicine. . . . We agreed he has done well with the above medication.”
About three weeks later, on March 2, 2006, plaintiff saw Dr. Glynn for the first
time and reported back pain (Tr. at 528). Plaintiff had been seeing Dr. Clarke. Plaintiff

24

reported trouble sitting. Plaintiff was assessed with hypertension and lumbar disc
disease. He was prescribed medication. No exam was noted.
On March 30, 2006, plaintiff returned to see Dr. Glynn (Tr. at 528). Plaintiff said
that the OxyContin was no longer helping his pain but he would get sick when he tried
to stop taking them. Dr. Glynn prescribed Norco, another narcotic pain medicine. No
exam was noted.
On May 1, 2006, plaintiff returned to see Dr. Glynn (Tr. at 527). “Extra Norco
has helped a lot.” Dr. Glynn refilled plaintiff’s narcotic pain medicine. The record is four
lines long and does not include any observations or any exam.
On May 15, 2006, plaintiff filed applications for disability.
On May 30, 2006, plaintiff returned to see Dr. Glynn (Tr. at 527). He complained
about a spot on his throat that he wanted checked out. His throat hurt when he tried to
sing or use a loud voice, not all the time and it did not hurt to swallow. He was referred
to an ENT specialist. With regard to his back pain, “says Lidoderm4 patch just didn’t
help. Will continue with oral meds.”
On June 20, 2006, plaintiff saw Dr. Dimalanta after not having seen him for the
past 4 1/2 months (Tr. at 553). “He is doing relatively well on his medication,
Lorazepam, 2 mg, three times a day, and Paxil, 25 mg CR. . . . He has developed
avoidance as a personality pattern. He is not able to work and is applying for disability.

4

Lidoderm patches contain Lidocaine which helps to reduce sharp/burning/aching
pain as well as discomfort caused by skin areas that are overly sensitive to touch.
Lidocaine belongs to a class of drugs known as local anesthetics. It works by causing a
temporary loss of feeling in the area where you apply the patch.

25

He is unable to drive without his wife, and even then, he gets very nervous. . . . He has
four children, two of his own, and two from his wife’s previous relationship. They are
getting along. He changed doctors and is consulting with Dr. Glynn. His OxyContin
and Hydrocodone are still the same medication.” Plaintiff weighed 194 pounds. He
was dressed appropriately and showed good personal hygiene. He did not have any
agitation, paranoia, delusions or hallucinations; he had no suicidal or homicidal thinking
or plan. His insight was good. There were no abnormal observations or findings noted.
Plaintiff was assessed with panic disorder with agoraphobia and major depression
“responding well to Paxil.” “He is disabled and will be unable to work in any full-time
job.” This appointment occurred approximately one month after plaintiff filed his
application for disability benefits. Dr. Dimalanta kept plaintiff on his same medications
at the same dosages and told plaintiff to return in three months.
On June 27, 2006, plaintiff saw Dr. Glynn for a recheck on back pain (Tr. at 548).
Plaintiff said he wanted to quit smoking. The only note beyond plaintiff’s statement that
he wanted to quit smoking was “cancelled appt - didn’t have cash for copay.” Dr. Glynn
refilled plaintiff’s Norco and Oxycontin, both narcotics.
On July 13, 2006, C. K. Bowles completed a Psychiatric Review Technique at
the request of SSA (Tr. at 529-541). Dr. Bowles found that plaintiff’s mental impairment
was not severe. That same day plaintiff’s disability applications were denied initially.
On July 25, 2006, plaintiff went to see Dr. Glynn “with lower back pain” and to
have a Medical Source Statement completed (Tr. at 547). No exam was performed, no
observations were noted. Dr Glynn refilled plaintiff’s narcotic pain medicine and

26

completed the Medical Source Statement Physical (Tr. at 543-544, 547). He found that
plaintiff could lift and carry 15 pounds occasionally and 5 pounds frequently, stand or
walk for 2 hours per day and for 15 minutes at a time, sit for 4 hours per day and for 45
minutes at a time, and that he was limited in his ability to push or pull. He found that
plaintiff could only occasionally reach, even though in a Function Report completed five
weeks earlier plaintiff indicated he has no difficulty reaching. He found that plaintiff
needs to lie down during the day. When asked how often, he wrote, “4 hrs of 8 hr day”
and when asked for the duration he wrote, “1 hr” -- I can only assume he meant plaintiff
would need to lie down for an hour at a time four times per day. He indicated that
plaintiff takes sedating medication and he would therefore suffer a decrease in
concentration, persistence, or pace. He also indicated that his findings were based on
“medical history, clinical findings (such as the result of physical or mental status
examinations), laboratory findings (such as blood pressure, x-rays), diagnosis
(statement of disease or injury base[d] on its signs and symptoms), and treatment
prescribed with response and prognosis.” However, none of these things appear in the
few medical records Dr. Glynn had completed to date, with the exception of Dr. Glynn’s
prescribing pain medication.
On August 22, 2006, plaintiff saw Dr. Glynn for a follow up on his back pain and
complained of “no sleep” (Tr. at 547). The medical record states in its entirety: “No
new issues, back stable - not working, awaiting disability hearing.” His narcotic pain
prescriptions were refilled.

27

On September 19, 2006, plaintiff saw Dr. Glynn (Tr. at 546, 569). The medical
record reads in its entirety: “When I walk in the room he is standing. ‘I couldn’t sit any
longer.’ Walks stiffly. Gets in and out of chair using arms for assist. Have refilled
chronic meds.”
On October 17, 2006, plaintiff saw Dr. Glynn (Tr. at 569). His four-line medical
record is illegible except that he was discussing plaintiff’s 2003 surgery. He refilled
plaintiff’s narcotic pain medications.
On October 26, 2006, plaintiff saw Dr. Dimalanta for a follow up (Tr. at 552). “I
reviewed his psychosocial system and he is basically homebound, taking care of kids.
They have four children and the youngest is three. Three of them are in school during
the day. It has been over two years since he tried to go back to work and he was not
able to do so. He can get jobs and hold them for a few weeks. He has panic attacks
and severe back problems interfere with his ability to work. Over the years he
developed avoidance. He no longer drives a car, since he gets panicky in spite of
taking medication. He takes Lorazepam, 2 mg three times a day and is not misusing it.
His other medicine is Paxil, 25 mgs CR. . . . He was made aware of being physically
dependent on Lorazepam. He gets along with his wife who is very supportive and
helpful. She works and they have role reversal, which is okay with him. . . . He is still
applying for disability.” Plaintiff weighed 201.7 pounds. He was alert and fully oriented,
he had normal range of mood, he had no psychosis, paranoia, delusions, suicidal or
homicidal thinking. His memory and insight were good. The only abnormal observation
was that plaintiff was “mildly anxious.” He was assessed with panic disorder with

28

agoraphobia and major depression. “He is responding well with medicine. Axis II with
avoidance and Cluster C are interfering with his functioning. He quit driving a car
because of anxiety. His back problems makes [sic] him have problems in daily
functioning and he will not be able to work in any full-time job. His concentration is also
affected.” Dr. Dimalanta kept plaintiff on the same medications at the same dosages.
The following day, Dr. Dimalanta completed the Medical Source Statement
Mental that is the subject of plaintiff’s argument in this appeal (Tr. at 555-556). The
specific findings are set out on pages 5 through 8 of this order. Despite observing the
day before that plaintiff’s memory was good, Dr. Dimalanta rated plaintiff “markedly”
limited in his ability to remember detailed instructions and “moderately” limited in his
ability to remember locations and work-like procedures.
On November 14, 2006, plaintiff saw Dr. Glynn who noted that plaintiff walked
with an antalgic gait and “slow”, “guards back.” He noted that the weather affected his
hip pain into his leg “today.” No examination was performed. Plaintiff’s narcotic
medications were refilled.
On December 12, 2006, plaintiff returned to see Dr. Glynn (Tr. at 570). The
three-line record says that weather affects his back, “can’t stand very long.” No
examination was performed. Dr. Glynn refilled plaintiff’s narcotic pain medications.
On January 8, 2007, plaintiff saw Dr. Glynn (Tr. at 571). Again the record is only
a few lines long, is somewhat illegible, discusses pharyngitis and myalgias. No
examination was performed. The same narcotic pain medications were refilled.

29

On February 2, 2007, plaintiff saw Dr. Dimalanta (Tr. at 591). “He will have
problems maintaining work because of panic attacks, depression and Cluster C
personality. He is also getting pressure from his wife who expects a lot more active
participation and cannot understand his avoidance. We will meet next time to include
his wife so I can explain this problem.” Plaintiff weighed 198 pounds. He was casually
dressed and showed good hygiene. He was “very laid back” with no crying spells or
suicidal thinking. There was no psychosis, paranoia or delusions. Insight was “better”
although at his last appointment Dr. Dimalanta noted that his insight was “good.” The
only abnormal observation was that plaintiff was “mildly anxious.” Despite having
conducted no testing, Dr. Dimalanta added a new diagnosis: Personality Disorder, not
otherwise specified.” He noted that “Cluster C is interfering with maximum benefit of
treatment. He is mentally disabled.” Because plaintiff complained that Paxil was not
working as well, Dr. Dimalanta increased his Paxil by 12.5 mg and told him to return in a
month.
On February 5, 2007, plaintiff saw Dr. Glynn (Tr. at 571). “Weather has
significantly affected pain and mobility.” No examination was performed. Plaintiff’s
same narcotic pain medications were refilled.
Dr. Glynn’s medical records include a note dated February 26, 2007, which says
only, “Referral to Martin Center on March 7 @ 11:00 mailed letter” (Tr. at 571). Martin
Center for Diagnostic Imaging is in Cox Health in Springfield.
On March 6, 2007, plaintiff saw Dr. Glynn (Tr. at 568). The entire record states
as follows: “Reminded of MRI at Martin Center tomorrow. Refilled chronic meds.”

30

On April 3, 2007, plaintiff saw Dr. Glynn (Tr. at 568). The record says, “Today
just needs refills meds.” He refilled plaintiff’s narcotic pain medications.
On May 1, 2007, plaintiff saw Dr. Glynn to go over his MRI (Tr. at 572). “MRI
OK. Disc OK.” He refilled plaintiff’s narcotic pain medications.
On May 29, 2007, plaintiff saw Dr. Glynn (Tr. at 572). Dr. Glynn wrote, “moving
stiffly” and then refilled plaintiff’s narcotic pain medications.
On June 26, 2007, plaintiff saw Dr. Glynn (Tr. at 567). The two-line record says
that plaintiff was doing pretty well. His narcotic pain medications were refilled.
On July 18, 2007, plaintiff saw Dr. Glynn (Tr. at 567). The two-line record says
that plaintiff was “doing pretty well - refilled meds.”
On July 26, 2007, plaintiff saw Dr. Dimalanta (Tr. at 590). “He was last seen on
2/2/07. He canceled two appointments and missed one. We discussed compliance and
keeping his appointments. We defined the rules to continue treatment.” Dr. Dimalanta
noted that plaintiff was doing well on Paxil CR and Lorazepam. “There is no change in
his medicine from what it was on 2/6/06. . . . He is still waiting for his disability appeal.
He cannot work because of his back problems. his panic attacks and depression are
helped by his current medicine. . . . He stays at home and takes care of four kids. He
cannot lift heavy things. His wife works at Wal-Mart and finance is a struggle but they
are making it with difficulty. He gets along with his wife.” Dr. Dimalanta observed that
plaintiff was alert and oriented times three, he was calm without depressive symptoms,
he had no suicidal or homicidal thinking or plans. There was no psychosis or paranoia.
Memory, judgment and insight were good. His assessment was: “Major Depression,

31

recurrent and Panic Disorder with Agoraphobia, responding well with medicine. Back
problem makes him disabled. Stressors are tolerated.”
On August 21, 2007, plaintiff saw Dr. Glynn (Tr. at 573). “[illegible] has been OK.
Back is better because lawn mower and weed eater are broken.” That is the complete
medical record. Dr. Glynn refilled plaintiff’s narcotic pain medications.
On September 18, 2007, plaintiff saw Dr. Glynn (Tr. at 573). He noted that
plaintiff complained of chronic pain. Much of the record is illegible, but it does say
“disability application” and “located low back hips” and “alert adult - friendly cooperative - good mood - pleasant affect” and “limited ROM [range of motion] L/S
[lumbosacral]” and “full ROM flexion/extension but painful” and “adjusts position while
sitting.” His assessment included “failed back [illegible] - nerve root compression
[illegible]”.
On October 16, 2007, plaintiff saw Dr. Glynn (Tr. at 566). “Doing OK - just refills.
Has no new issues.” Plaintiff’s narcotic pain medications were refilled.
On November 13, 2007, plaintiff saw Dr. Glynn (Tr. at 566). The entire record
consists of the following: “Doing well”.
On December 11, 2007, plaintiff saw Dr. Glynn (Tr. at 574). The entire record
says, “No new issues - stiff & sore” and then he refilled plaintiff’s narcotic pain
medications.
On January 8, 2008, plaintiff saw Dr. Glynn (Tr. at 574). The record is two lines
long and says, “weather has stiffened up [illegible] over all [illegible].” He assessed

32

degenerative joint disease of the lumbar spine and sciatica and refilled plaintiff’s same
narcotic medications.
On February 5, 2008, plaintiff saw Dr. Glynn (Tr. at 565). Plaintiff said he wanted
to get off oxycodone. The few lines of the medical record are illegible. Dr. Glynn
refilled plaintiff’s narcotic pain medicine, including oxycodone.
On March 4, 2008, plaintiff saw Dr. Glynn (Tr. at 575). The entire record says,
“Discussed means of cutting back.” But then he refilled plaintiff’s same narcotic pain
medications.
On April 1, 2008, plaintiff saw Dr. Glynn (Tr. at 575). The entire record says,
“Here for refills. Doing OK. Gave refills.”
On April 29, 2008, plaintiff saw Dr. Glynn (Tr. at 564). Plaintiff discussed his
stool. No examination was performed. Plaintiff was assessed with degenerative joint
disease, sciatica, fibromyalgia and chronic diarrhea. His narcotic pain medications
were refilled.
On May 27, 2008, plaintiff saw Dr. Glynn (Tr. at 564). He weighed 197 pounds.
Plaintiff reported continued diarrhea. No exam was performed. He was assessed with
degenerative joint disease, sciatica, fibromyalgia, and chronic diarrhea. His narcotic
pain medications were refilled.
On June 24, 2008, plaintiff saw Dr. Glynn (Tr. at 563). The record reads in its
entirety: “[H]as colonoscopy tomorrow. Has chronic constipation.” Dr. Glynn refilled
plaintiff’s narcotic pain medication.

33

On July 22, 2008, plaintiff saw Dr. Glynn (Tr. at 563). The three-line record
discussed the fact that plaintiff had a colonoscopy. Dr. Glynn refilled plaintiff’s narcotic
pain medications.
September 4, 2008, was plaintiff’s first administrative hearing.
On September 16, 2008, plaintiff saw Dr. Glynn for a recheck on anxiety and
chronic pain (Tr. at 599). “Discussed meds and testosterone. He describes symptoms
of androgynous. Refilled meds.”
On September 25, 2008, the ALJ issued an unfavorable decision.
On October 19, 2008, plaintiff saw Dr. Glynn for a recheck on back pain (Tr. at
599). “Needs refills. Pretty good result. No problems.” There is one more sentence in
this record about finances.
On November 11, 2008, plaintiff saw Dr. Glynn for a recheck on anxiety and
chronic pain (Tr. at 598). “Doing well. He did run out of Lorazepam two days early.”
Plaintiff’s medications were refilled. Ordered back brace. Wrote note for workshop with
limitations [illegible] work. Should be able to handle workshop.”
On December 9, 2008, plaintiff saw Dr. Glynn (Tr. at 598). His entire record
reads as follows: “Cannot afford Oxycontin will continue others.”
On January 6, 2009, plaintiff saw Dr. Glynn (Tr. at 597). He reported back pain
and anxiety. The entire record reads as follows: “No new issues. Got back brace.
Feels good.” He refilled plaintiff’s pain medication.
On February 3, 2009, plaintiff saw Dr. Glynn for back pain and anxiety (Tr. at
597). “Doing well. Tired of cold.” The other two lines of this medical record are

34

somewhat illegible: “[illegible] of meds [illegible] about back pain.” He did not perform
an exam, and he did not make any abnormal observations. He did write on a “patient
instruction” pad that plaintiff has severe pain in his lumbar spine, that he has
“significantly reduced motion in his low back”. He wrote, “In spite of, or because of, the
multiple surgeries he has an arachnoiditis-type5 pain of chronic nature that limits his
ability to bend, lift, twist or pull and requires several periods of rest each day. He is
totally disabled and unemployable.” (Tr. at 596).
On February 10, 2009, plaintiff filed the instant applications for disability benefits,
even though he had requested review by the Appeals Council in his previous case in
November of 2008 and that case was still pending.
On March 3, 2009, plaintiff saw Dr. Glynn “with depression and chronic pain” (Tr.
at 595). Plaintiff said he was losing his insurance soon and would like to wean off of
oxycontin. Dr. Glynn switched him to oxycodone. Plaintiff said he was getting divorced
and cannot sleep. “Will try Seroquel” (treats bipolar disorder and schizophrenia). Dr.
Glynn also prescribed Lexapro.
On March 26, 2009, plaintiff’s application for disability benefits was granted by
SSA, with a finding that he had been disabled since September 26, 2008.

5

Arachnoiditis is a pain disorder caused by the inflammation of the arachnoid, one of
the membranes that surrounds and protects the nerves of the spinal cord. It is
characterized by severe stinging, burning pain, and neurological problems. According
to medical expert Dr. Arthur Lorber who testified at the hearing, arachnoiditis is “a very
serious diagnosis . . . [and] can only be determined by imaging studies such as an MRI
and CT scan, it cannot be determined even with x-rays.” (Tr. at 84).

35

On March 31, 2009, plaintiff saw Dr. Glynn for a recheck on anxiety and chronic
pain (Tr. at 613). “Pain less on new meds. Lexapro helping. He says he is happy now.”
That is the entire medical record.
On April 28, 2009, plaintiff saw Dr. Glynn for a recheck on back pain and for
blood work (Tr. at 613). “Doing well. Got his disability. Will continue meds.” That is the
entire record.
On May 21, 2009, plaintiff saw Dr. Glynn with complaints of fatigue, depression
and back pain (Tr. at 612). Plaintiff said he was “very fatigued, loss of interest in
everything, has short term memory problems, disturbed sleep, fatigue, malaise.” Dr.
Glynn decided to check plaintiff’s testosterone level.
On June 16, 2009, plaintiff saw Dr. Glynn to go over labs (Tr. at 611). Plaintiff
had high LDL, low HDS, low free testosterone, high triglycerides. Plaintiff was still
smoking two packs of cigarettes per day. Dr. Glynn prescribed cholesterol medication.
On June 24, 2009, plaintiff saw Dr. Glynn for a recheck on depression and
chronic pain (Tr. at 611). Plaintiff said he had felt a result from the testosterone
medication and he was told to continue using it.
On July 22, 2009, plaintiff saw Dr. Glynn who wrote only “doing well” (Tr. at 610).
On August 19, 2009, plaintiff saw Dr. Glynn for chronic pain and anxiety (Tr. at
610). Dr. Glynn wrote only, “Doing well. Refills meds.”
On September 16, 2009, plaintiff saw Dr. Glynn for chronic pain and depression
(Tr. at 610). Dr. Glynn wrote only, “Doing well on meds. Continue on at present.”

36

On October 13, 2009, plaintiff saw Dr. Glynn complaining of a spot on his nose,
chronic pain and anxiety (Tr. at 609). The one-sentence record is illegible.
On November 10, 2009, plaintiff saw Dr. Glynn (Tr. at 609). The entire record is
two lines long: “Doing well. No new issues. Current meds seem to be helping.”
On December 8, 2009, plaintiff saw Dr. Glynn (Tr. at 608). Plaintiff complained
of numbness in his leg. Dr. Glynn’s two-line record begins with “advised that” and the
rest of the sentence is illegible.
On January 5, 2010, plaintiff saw Dr. Glynn for stress and back pain (Tr. at 608).
Only the phrase “no new issues” is legible in this three-line record.
On February 2, 2010, plaintiff saw Dr. Glynn for a recheck on chronic back pain
(Tr. at 607). The entire record consists of the following sentence: “Refills meds. Needs
tested for residual functional capacity.” There is no indication that any testing was
done.
On March 2, 2010, plaintiff saw Dr. Glynn (Tr. at 607). This is another one-line
medical record: “Very stiff & sore. Hasn’t been walking due to cold.”
On March 30, 2010, plaintiff saw Dr. Glynn for a recheck on chronic pain and
anxiety (Tr. at 606). “Doing well. Feels good. Back better.” That is the entire record.
On April 27, 2010, plaintiff saw Dr. Glynn for a recheck on back pain and
depression (Tr. at 606). Plaintiff said his tailbone was hurting “today. Has been hurting
off and on.” There is no further record - no exam, no testing. That same day, the
Appeals Council reopened plaintiff’s previous case and remanded all of his pending
applications for a new hearing and determination.

37

On May 25, 2010, plaintiff saw Dr. Glynn for a recheck on back pain and anxiety
(Tr. at 605). The entire record is one sentence long and appears to end in midsentence: “Doing well should be getting”.
On May 28, 2010, plaintiff returned to see Dr. Glynn for disability paperwork (Tr.
at 605). Dr. Glynn completed the Medical Source Statement Physical which is the
subject of this appeal and is described on page 5 of this order.
On June 22, 2010, plaintiff saw Dr. Glynn for a recheck on back pain (Tr. at 615).
Plaintiff said he was “really stiff & sore.” Dr. Glynn continued plaintiff on his same
medications.
On July 19, 2010, plaintiff called Dr. Glynn’s office and said his narcotic pain
medication had been stolen (Tr. at 615). Dr. Glynn refilled the medication.
The following day, plaintiff saw Dr. Glynn for a recheck on chronic pain (Tr. at
615). His blood pressure was taken (it was normal) -- there is nothing else in this
record besides diagnoses of depression, degenerative joint disease of the lumbar
spine, and osteoarthritis.
On July 27, 2010, plaintiff testified at another administrative hearing.
On August 16, 2010, plaintiff had x-rays of his hip and back taken at St. John’s
Hospital (Tr. at 619-620). Mark Wilson, M.D., noted plaintiff’s surgical metallic
hardware from his earlier back surgery, the deformity of the right femoral head that had
been present since childhood, and “mild osteoarthritic changes” involving the right

38

acetabulum.6 “I see no evidence of fracture or bone destruction. Vacuum
phenomenon7 is present in the right SI [sacroiliac] joint8 consistent with degenerative
changes.”
On August 17, 2010, plaintiff saw Dr. Glynn and said he had hurt his left
shoulder (Tr. at 635). The record says, “Low back has been pretty good.” The rest of
this brief record is illegible except that it appears Dr. Glynn prescribed Toradol, a nonsteroidal anti-inflammatory, in addition to plaintiff’s other medications.
On August 25, 2010, plaintiff saw Charles Ash, M.D., for a consultative exam at
the request of the administrative law judge (Tr. at 631-632). Plaintiff said he had been
experiencing lower back pain radiating into the toes of both feet for the past 13 years.
His pain is aggravated by bending, lifting and walking. Plaintiff reported smoking a pack
of cigarettes per day.
Plaintiff was described as a “well developed man who stands erect and walks
6

7

Dr. Lorber, the medical expert who testified at the hearing, stated that vacuum
phenomenon means there is some gas within the joint -- it is not a severe finding and
does not add any additional limitations to an arthritic hip (Tr. at 41-42).
8

39

with a limp favoring the right leg. He is unable to walk on the heel of the left foot due to
previous heel pad surgery.” His leg lengths were equal, even though plaintiff had told
Dr. Ash that his right leg was shorter due to his Perthes disease (chronic deformity of
the right femoral head). Plaintiff was able to squat 25 percent normally. He had
moderate difficulty arising from the exam table, but no difficulty arising from the chair,
dressing or undressing. Plaintiff had no abnormality in his cervical spine. He had
tenderness in the sacrum and guarded9 motion but no spasm or deformity. Right and
left lateral bending and right and left rotation were normal. Plaintiff could flex (bending
forward at the waist) 30 degrees (normal is 90) and he could extend (bending
backwards at the waist) 10 degrees (normal is 30).
Plaintiff had normal range of motion in his upper extremities except pain was
produced in the right shoulder with extremes of motion. There was no weakness,
deformity or atrophy. Grip and pinch were strong in both hands.

9

Guarding is an involuntary reaction to protect an area of pain (as by spasm of
muscle on palpation of the abdomen over a painful lesion).

40

Plaintiff had limited motion in his right hip -- he could flex10 90 degrees (normal is
130). Abduction11 was 30 (normal is 40), adduction was 10 (normal is 20), external
rotation was 20 (normal is 50) and internal rotation was 10 (normal is 40).
Dr. Ash assessed lumbosacral fusion and Perthes disease right hip with
degenerative arthritis. He completed a Medical Source Statement (Tr. at 625-630)
finding that plaintiff could perform activities like shopping; traveling without a companion
for assistance; ambulating without using a wheelchair, walker, or two canes or crutches;
walking a block at a reasonable pace on rough or uneven surfaces; using standard
public transportation; climbing a few steps at a reasonable pace with the use of a single
hand rail; preparing simple meals; caring for his personal hygiene; and handling or
using paper files. He found that plaintiff could lift and carry up to 10 pounds
occasionally. He found that plaintiff could sit for 2 hours at a time and for 8 hours per
day, walk or stand for 1 hour at a time and for 2 hours per day, and that plaintiff does

10

11

41

not need a cane to ambulate. He found that plaintiff could frequently reach in all
directions, handle, finger, feel, push or pull. He found that plaintiff could occasionally
use his feet for operation of foot controls. He found that plaintiff could occasionally
climb, balance, stoop, kneel, crouch or crawl and that he could occasionally have
exposure to unprotected heights, moving mechanical parts, humidity, wetness, dust,
odors, fumes, extreme temperatures, and vibrations. Plaintiff could occasionally drive.
On September 3, 2010, plaintiff saw Dr. Glynn complaining of left shoulder pain
(Tr. at 634). He said his elbow “really hurts today as well.” Dr. Glynn indicated that he
examined plaintiff’s arm and plaintiff had pain in his shoulder and elbow. Dr. Glynn
gave plaintiff trigger point injections. He assessed tendinitis in the elbow, degenerative
joint disease of the shoulder, and anxiety. On September 20, 2010, Dr. Glynn set up an
appointment for plaintiff to have an MRI (Tr. at 634).
On September 23, 2010, plaintiff had an MRI of his left shoulder which revealed
supraspinatus tendinopathy12 without a tear, and a trace amount of fluid in the joint.
September 30, 2010, was plaintiff’s follow-up administrative hearing.
On October 21,2010, the ALJ found plaintiff had not been disabled at any time
from his alleged onset date to the present.

12

42

C.

SUMMARY OF TESTIMONY
There are multiple transcripts of administrative hearings in the file.

September 4, 2008, hearing
This hearing was held in connection with plaintiff’s applications which were filed
in 2006 (Tr. at 97). The ALJ noted that plaintiff had filed applications in 1989, 1990, two
in 1991, 1997 and 2001 (Tr. at 97). None of those cases were being reopened (Tr. at
97).
1.

Plaintiff’s testimony.
Plaintiff was born in 1969 (Tr. at 98). He graduated from high school (Tr. at 98).

He is right handed (Tr. at 98). He does not have a driver’s license (Tr. at 99). He used
to have one but it was suspended (Tr. at 99). If he had a valid license and a car,
plaintiff would not be able to drive because of his medical condition (Tr. at 99).
Plaintiff’s Paxil causes him to get sick to his stomach if he goes outside and it’s
over 90 degrees (Tr. at 100). He takes Lorazepam for panic attacks and that makes
him sleepy (Tr. at 100, 109). He takes three pain medications which all have a “sleepy
effect” and can make him feel like he is floating on the clouds (Tr. at 100). The way his
narcotic medicine is designed, they “kind of make you feel good and kind of forget
about the pain, but you also -- your mind’s kind of taking a little trip down la-la land” (Tr.
at 110).
Plaintiff was on disability in the 1990s and that ended because he went back to
work at Peterbilt (Tr. at 100). He was at that job for about a year and a half (Tr. at 101).
Plaintiff left that job because he hurt his back (Tr. at 101). He lifted a heavy part off a

43

shelf and when it came off the shelf and went into his arms, it was too heavy and his
back gave out and “it went to the floor” (Tr. at 101). Plaintiff had back surgery some
years later, but it did not help (Tr. at 101). Since the surgery, he has had pain in his
back 24 hours a day (Tr. at 101). The pain goes down his legs and into his feet (Tr. at
101, 104). Since his surgery, he has not participated in any kind of pain management
program -- his doctor has not recommended anything to him (Tr. at 112).
Walking and bending exacerbate his pain (Tr. at 102). He can walk about 50
feet and then has to lean on something (Tr. at 102). Plaintiff does not know whether
sitting hurts his back or whether it would just hurt regardless of what he was doing (Tr.
at 102). In a straight-back chair with his feet on the floor, plaintiff could sit for maybe
ten minutes before feeling pain (Tr. at 103). He cannot get up from a seated position
without holding onto something to pull himself up (Tr. at 104). On average his back
pain is about a 6 out of 10 (Tr. at 102). Twisting makes the pain worse, and plaintiff
cannot lift and carry anything anymore (Tr. at 103). Plaintiff’s previous doctor put him
on a lifetime lifting limit of ten pounds (Tr. at 103).
Plaintiff takes all of his pain medication like he is supposed to, and he alternates
lying down, sitting up, and standing up (Tr. at 104). He lies down about twice a day for
an hour each time, and sometimes he naps for two or three hours (Tr. at 104, 110).
Plaintiff could not stand at a table to do assembly work because he cannot stand more
than ten minutes without holding onto something or leaning on something (Tr. at 105).
Plaintiff has had problems with his right hip since childhood (Tr. at 105). His ball
socket is half worn off so he does not have the same range of motion in his right leg as

44

he does in his left (Tr. at 106). Plaintiff’s hip causes him problems with squatting down,
kneeling and crawling (Tr. at 106).
Plaintiff had a tumor taken out of his left heel in February 2004 (Tr. at 106). It
has already grown back and his doctor told him to come back and have this one cut out
but the surgery was painful and plaintiff’s not quite ready to have that one cut out yet
(Tr. at 106). It stings and burns when plaintiff walks or stands on his left foot (Tr. at
106). The only relief he gets is from his pain pills (Tr. at 107). Plaintiff can only wear
tennis shoes -- he used to wear cowboy boots but he cannot wear those or hiking boots
anymore (Tr. at 107). Boots are too heavy and cause pain in his hip (Tr. at 107).
Since plaintiff has been unable to work, he has become depressed and does not
care whether tomorrow comes or not (Tr. at 107). Although plaintiff has good days and
bad days, he has about 25 bad days per month (Tr. at 107). Plaintiff is depressed, he
does not feel like doing anything, he is withdrawn, he doesn’t spend time with family,
and his wife kicked him out (Tr. at 108). He has no energy on bad days (Tr. at 108).
He has one to two panic attacks per week (Tr. at 108). Plaintiff does not know what
brings on a panic attack (Tr. at 108). He feels like he is dying, he can’t breathe, and he
has to get out in the open, especially if he is around a lot of people (Tr. at 108). It takes
about 20 minutes for his symptoms to go away completely and then he feels okay (Tr.
at 109).
Plaintiff is not social, and he has no hobbies outside the house (Tr. at 109).
Plaintiff tries to wash the dishes, but he forgets to finish those sometimes (Tr. at
110). Sometimes he will try to help his wife get the dishwasher loaded but he has

45

forgotten to start it (Tr. at 110). He really does not do a lot (Tr. at 111). He does not go
grocery shopping because he does not feel like getting out (Tr. at 111). If he goes with
his wife, he will usually just sit in the car while she goes in (Tr. at 111). Plaintiff does
not cook, but he did when he was younger (Tr. at 111). Plaintiff has not done any
cleaning in a couple of years because it hurts to do it “and that’s one of the reasons me
and my wife are kind of split up right now.” (Tr. at 111).
Plaintiff does not go to the doctor, because he can’t afford to (Tr. at 111-112).
He applied for Medicaid and was denied because “we’re too high in the poverty bracket,
basically. We’re so poor, we can apply. We can qualify for everything except Medicaid”
(Tr. at 112).
2.

Testimony of George Horne, vocational expert.
Plaintiff’s past relevant work includes parts clerk, semi-skilled and heavy,

performed at the very heavy exertional level; lubrication servicer, semi-skilled medium,
performed at the light exertional level; and commercial cleaner, unskilled heavy,
performed at the light exertional level (Tr. at 114).
The first hypothetical involved a person who could lift and carry up to 10 pounds
occasionally and up to 5 pounds frequently; stand and walk up to 2 hours per day; sit 6
to 8 hours per day; should avoid significant unprotected heights, potentially dangerous
and/or unguarded moving machinery and commercial driving; would need an even
surface upon which to stand and walk; should have no exposure to extreme vibrations;
would need to avoid extremes of cold and humidity; would need to be able to wear foot
gear of his choice; could not wear safety shoes or boots; would need to alternate sitting

46

and standing every 30 minutes but would not need to move away from the work station;
would be limited to simple, repetitive one-, two-, or three-step instructions; would not
have contact with the public; and could be in proximity to supervisors and co-workers
but could not do teamwork-type duties (Tr. at 115-116). The vocational expert testified
that such a person could not perform plaintiff’s past relevant work but could work as a
final assembler, DOT 713.687-018, with 1,000 jobs in Missouri and 50,000 in the
nation, or a table worker, DOT 739.687-182, with over 800 jobs in Missouri and over
40,000 in the nation (Tr. at 117).
If the person would need to lie down twice a day for 30 minutes, the person
could not work (Tr. at 118-119).
July 27, 2010, hearing
1.

Plaintiff’s testimony.
Plaintiff’s medication makes him very sleepy (Tr. at 67). His doctor said that is

normal (Tr. at 67). He has been taking that medication daily for over eight years (Tr. at
67). Dr. Glynn prescribed a cane about four months earlier (Tr. at 68). Plaintiff has had
no treatment for his hip other than pain medicine which is for his hip and back, and that
was prescribed by his family doctor (Tr. at 73). The most recent x-rays of his hips were
at least several years earlier (Tr. at 73). He last saw an orthopaedic specialist for his
hip many years ago (Tr. at 73-74). Plaintiff has been taking 6 Hydrocodone pills per
day for the past eight years (Tr. at 74). He has been taking 8 Oxycontin pills (15
milligrams each) per day for the past 6 months (Tr. at 74). Prior to that, he took 3
Oxycontin pills (40 milligrams each) per day for many years (Tr. at 75). He takes

47

Lorazepam for panic attacks (Tr. at 75). His pills are 2 milligrams each and sometimes
he takes two or three per day (Tr. at 75). He takes Lexapro for depression (Tr. at 75).
Plaintiff last saw an orthopaedic surgeon about his back after his surgery which
was about 8 years ago (Tr. at 75). They said there was nothing else they could do
about it (Tr. at 75-76). He has never seen a neurosurgeon (Tr. at 76). He has not seen
any specialist about his back in the last 8 years because he has not had the money (Tr.
at 76). However, there are no referrals in the record to a specialist and plaintiff testified
that he had not been referred for any specialized care with an orthopaedic surgeon or
neurosurgeon (Tr. at 86).
2.

Medical expert testimony.
Arthur Lorber, M.D., tested at the request of the Administrative Law Judge. He

identified plaintiff’s medically determinable impairments as follows: Plaintiff has a
deformity at the head and neck of the right femur which is related to old Legg Perthes
disease which occurred in childhood, history of excision of a lipoma from the left heel in
February 2003, and abnormalities at L4-5 and L5-S1 level (Tr. at 72). There were no
records from any doctor prescribing a cane (Tr. at 72).
Legg Perthes disease occurs in childhood and the femoral head dies, but it can
reform and when it reforms it frequently reforms in a deformed shape (Tr. at 77). Over
time because the shape of the femoral head is abnormal, degenerative arthritis may
occur (Tr. at 77). Plaintiff may have degenerative arthritis in his right hip, but there was
insufficient information -- a thorough examination by an orthopaedic surgeon is
necessary and x-rays as well as possible a CT scan or MRI would be needed to make

48

that determination (Tr. at 77-78). If plaintiff does have degenerative arthritis in his right
hip, that has only been in the last six months because before that he was able to walk
without a cane, and it can be corrected with a total hip arthroplasty, so there is a
durational issue (Tr. at 78). There is no evidence that his childhood condition has
progressed other than his subjective complaints (Tr. at 82). There is “absolutely no
evidence of Arachnoiditis. It is highly unlikely that it would suddenly develop after all
these years. So his general practitioner may have made a very bold statement
concerning a very serious diagnosis but he provides no evidence to prove such a thing.”
(Tr. at 83-84). Arachnoiditis can only be determined by imaging studies such as an MRI
and CT scan, it cannot be determined even with x-rays (Tr. at 84). As far as his back,
an MRI would not be helpful because he has metal in his spine which would nullify any
findings on MRI (Tr. at 85).
Plaintiff’s impairment in his lumbar spine is significant but does not meet a listed
impairment because there is no evidence of ongoing focal neurologic deficit (Tr. at 76).
Although Dr. Glynn assessed failed back syndrome with nerve root compression, there
is no evidence to support that diagnosis (Tr. at 80-81). The only evidence to support
the diagnosis is positive straight leg raising, but Dr. Glynn did not describe whether it
had been done both supine and sitting, so that test is not valid (Tr. at 81). Limited
range of motion in the spine is not evidence of focal neurologic deficit -- that would be
expected with a two-level lumbar fusion.
Plaintiff is taking a large amount of narcotic medication but he has been taking it
for quite a long time (Tr. at 78). The human body develops a tolerance to these

49

medications over time (Tr. at 78). The medication could cause plaintiff to be somewhat
drowsy but Dr. Lorber could not say that for sure (Tr. at 78). If one were to begin taking
that large a dose of narcotics all of a sudden, there would be many side effects, but
over time they would diminish as the body became tolerant (Tr. at 78-79).
Dr. Lorber’s opinion is that plaintiff could lift 10 pounds occasionally and 5
pounds frequently; he could carry 10 pounds occasionally; he could never carry any
weight frequently; he may occasionally bend, stoop or crouch; he should not kneel,
crawl or balance; he should not work at unprotected heights; he should not climb
ladders, scaffolds or ropes. He may occasionally ascend stairs or ramps; he should
avoid exposure to all vibrations; he should not work on slippery, wet or grossly uneven
surfaces. He should not drive or operate machinery (Tr. at 76-77, 79).
September 30, 2010, hearing
1.

Plaintiff’s testimony.
Since the last hearing, plaintiff’s doctor prescribed Fentanyl patches, 25

milligrams, and he is going to start slowly going off the Oxycodone (Tr. at 39). Plaintiff
sees his regular family doctor, Dr. Glynn, for depression (Tr. at 42-43). Plaintiff saw Dr.
Dimalanta, a psychiatrist, for about a year but does not see him anymore because he
does not have any insurance and does not have the money to pay him (Tr. at 43).
Plaintiff is on Medicaid and he has never lost his Medicaid coverage13 (Tr. at 43). “The
referral or the funding was cut and all the psychiatrists were either quitting or going on
13

Although plaintiff testified he had never lost his Medicaid coverage, he stated at the
earlier hearing that he “recently” got Medicaid coverage when he was awarded SSI (Tr.
at 86, 87).

50

and he was getting over staffed and I hadn’t been able to get back with a psychiatrist.”
(Tr. at 43). Plaintiff’s depression causes him to not want to wake up some days (Tr. at
43). He cries once in a while (Tr. at 43). On plaintiff’s worst days, he thinks about
suicide all the time (Tr. at 44). About twice a week plaintiff has a bad day like that (Tr.
at 44). He just stays home and watches television (Tr. at 44). He is able to focus and
follow TV shows all the way through sometimes, but other times things on television
look “so real” (Tr. at 44). Plaintiff has not been able to get in to see a counselor yet (Tr.
at 44). He has tried a little bit, but he does not have the drive to do it (Tr. at 44-45). Dr.
Glynn just prescribes Lexapro for depression and Lorazepam for panic attacks (Tr. at
45).
Plaintiff’s panic attacks make him feel like he is going to pass out, it feels like he
can’t breathe, his chest starts hurting (Tr. at 45). He has a panic attack about every
other week and they last 20 to 30 minutes and then he feels fine again (Tr. at 45).
Plaintiff’s panic attacks occur randomly (Tr. at 45-46). Plaintiff has been dealing with
these for over 20 years (Tr. at 46).
Sometimes when plaintiff goes into large stores with crowds, he feels
uncomfortable and has to leave (Tr. at 46). Plaintiff’s depression is caused by his pain,
not having any income, not being a father to his kids, and not being able to provide for
his kids and himself (Tr. at 46). On days when plaintiff has really bad pain and is very
depressed, he wants to put a bullet through his skull (Tr. at 46).
Plaintiff started experiencing left shoulder pain and his fingers are going numb
(Tr. at 57-58). His arm has gotten weaker and he cannot use it very well (Tr. at 58).

51

This all started a little under two months ago (Tr. at 58).
Plaintiff’s pain is in his lower back and it radiates into his legs (Tr. at 47). On bad
days, the pain is in his back and his hip (Tr. at 47). If his back is hurting “real bad,” it
hurts to stand up (Tr. at 47). He cannot lie down on his right side if his hip is hurting,
and he cannot lie on his back if his back is hurting (Tr. at 47). He has to “flip and flop
and stand and sit” until he can find a comfortable position (Tr. at 47). Rain and cold
weather exacerbate plaintiff’s condition (Tr. at 47). Plaintiff cannot sit for long, but he
did not indicate how long he actually can sit (Tr. at 47). If the chair is soft, he can sit
longer than if the chair is hard (Tr. at 47). On good days he can stand for about 45
minutes at a time, but on bad days he has to support himself by leaning against
something (Tr. at 48). Plaintiff has a cane that he uses on bad days (Tr. at 48). He
uses it maybe two to four times a week (Tr. at 48). He does not like using it -- it makes
him feel old (Tr. at 48).
Plaintiff lives in a small apartment in the back of his sister’s house (Tr. at 48).
There are no stairs to get to his home (Tr. at 48). He does not cook because he
doesn’t know how (Tr. at 48-49). He tries to pick up his clothes and sweep a little bit
(Tr. at 49). Plaintiff’s sister takes his dishes into her house and puts them in her
dishwasher (Tr. at 49).
It is hard for plaintiff to get mentally motivated to take a shower (Tr. at 49). It is
hard for him to put socks on, but he can get dressed (Tr. at 49). On a typical day, he
sits around and watches television all day (Tr. at 49).

52

2.

Medical expert testimony.
Arthur Lorber, M.D., tested at the request of the Administrative Law Judge. After

reviewing the new evidence obtained between the date of the last hearing and the
second hearing, Dr. Lorber has not changed his earlier opinions (Tr. at 37). Plaintiff
would be able to lift and carry 10 pounds occasionally and 5 pounds frequently (Tr. at
37-38). As a result of plaintiff’s medications, Dr. Lorber’s opinion is that plaintiff should
not have exposure to concentrated vibration; no frequent bending or stooping; no
crawling or kneeling; no working at unprotected heights; no climbing ladders, scaffolds
or ropes; he could ascend stairs or ramps (Tr. at 38). Due to his use of narcotic pain
medication, plaintiff should not drive (Tr. at 38-39).
Due to plaintiff’s Legg Perthes disease and according to the hip x-ray, Dr. Lorber
would not object to him using a cane for prolonged distance or prolonged walking, but
plaintiff would not need the cane otherwise (Tr. at 40). There were no significant
differences between the recent hip x-ray and the one from February 2003 (Tr. at 40-41).
The reference to vacuum phenomenon means that there is some gas within the joint
(Tr. at 41-42). Gas in the joint is not a severe finding and does not add any additional
limitations to an arthritic hip (Tr. at 42).
3.

Vocational expert testimony.
Vocational expert Terri Crawford testified at the request of the Administrative

Law Judge. Plaintiff’s past relevant work includes parts clerk, heavy work, semiskilled,
performed at the very heavy exertional level; lubrication services, medium work
semiskilled, performed at the light level (Tr. at 51).

53

The first hypothetical involved a person who could lift and carry up to 10 pounds
occasionally and up to 5 pounds frequently; stand and walk up to 2 hours per day and
up to 30 minutes at a time; sit for 6 to 8 hours per day; must have the ability to alternate
sitting and standing at 30 minute intervals but would not need to move away from the
work station; could never crawl or kneel; should avoid unprotected heights, dangerous
machinery and commercial driving; could go up three steps; should avoid uneven
surfaces; should have no exposure to extreme vibration or extremes of cold and
humidity; no use of foot controls; must have only simple repetitive job instructions with
up to three steps, no public contact, and no more than minimal contact with co-workers
and supervisors -- although proximity to those individuals in the work setting would be
allowed, team work duties would be excluded (Tr. at 52-53). The vocational expert
testified that such a person could work as a production assembler, DOT 706.687-010,
with 1,000 such jobs in Missouri and 50,000 in the country; a general clerk, DOT
209.562-010, with 3,200 in Missouri and 165,000 in the country (Tr. at 53).
The second hypothetical was the same as the first except the person would need
to use a cane in the right dominant hand for walking, but not standing still (Tr. at 54).
The vocational expert said, “I guess as long as the individual doesn’t have to actually
work or use that hand for an entirety of the work.” (Tr. at 54).
If a person had the limitations listed in the Medical Source Statement of Dr.
Glynn or the Medical Assessment Mental of Dr. Dimalanta, the person would be
unemployable (Tr. at 58-59).

54

V.

FINDINGS OF THE ALJ
Administrative Law Judge Linda Carter entered her opinion on October 21, 2010

(Tr. at 11-24). Plaintiff’s last insured date was March 31, 2007 (Tr. at 14).
Step one. plaintiff has not engaged in substantial gainful activity since his
alleged onset date, March 31, 2003 (Tr. at 14). Plaintiff has earned income in 2003 and
2005; however, his earnings do not rise to the level of substantial gainful activity (Tr. at
15).
Step two. Plaintiff has the following severe impairments: history of multi-level
fusion, history of Leggs Perthes (chronic deformity of the right femoral head) with
arthritic changes, history of excision plantar lipoma left heel, history of major
depression, panic disorder with agoraphobia with current treatment for anxiety, and
history of a diagnosis of fibromyalgia (Tr. at 15). Plaintiff’s hypertension does not have
more than de minimus effect on plaintiff’s ability to perform substantial gainful activity
and is therefore non-severe (Tr. at 15). However, the ALJ did consider plaintiff’s
hypertension when assessing his residual functional capacity (Tr. at 15). Plaintiff’s left
shoulder pain is unsubstantiated in the medical evidence, despite a diagnosis of
degenerative joint disease of the left shoulder (Tr. at 15). Therefore, the ALJ
determined that plaintiff’s shoulder pain is not a medically determinable impairment (Tr.
at 15). Even if the shoulder pain were substantiated, the evidence, including plaintiff’s
own testimony, establishes that the pain did not meet the 12-month duration
requirement of the Act (Tr. at 15).

55

Step three. Plaintiff’s impairments do not meet or equal a listed impairment (Tr.
at 15-17).
Step four. Plaintiff has the residual functional capacity to perform sedentary
work except that he can lift up to 10 pounds occasionally and 5 pounds frequently;
stand and walk up to 2 hours but no longer than 30 minutes at a time; sit for 6 to 8
hours per day; should be able to alternate sitting and standing at 30-minute intervals
without moving away from the work station; can never crawl or kneel; should avoid
climbing or exposure to significant unprotected heights; can go up no more than three
steps at a time; should avoid potentially dangerous and/or unguarded moving
machinery and commercial driving; cannot walk on uneven surfaces; can have no
exposure to extreme vibration; should avoid extremes of cold and humidity; can not use
foot controls; must have the ability to wear shoes of his choice but exclude safety boots;
must have a cane for walking; and is limited to simple repetitive job instructions with no
public contact and no more than minimal contact with co-workers and supervisors, i.e.,
proximity would be permitted but teamwork duties and responsibilities would be
excluded (Tr. at 17). In making this determination, the ALJ found plaintiff’s subjective
complaints of disabling limitations to be inconsistent and not credible (Tr. at 18). With
this residual functional capacity, plaintiff cannot perform any of his past relevant work
(Tr. at 23).
Step five. Plaintiff was 34 years old on his alleged onset date, which is a
younger individual under the regulations (Tr. at 23). Given his age, education, work
experience, and residual functional capacity, he is capable of performing other jobs

56

available in significant numbers, such as production assembler or general clerk (Tr. at
23-24). Therefore, plaintiff was found not disabled at the fifth step of the sequential
analysis.
VI.

OPINIONS OF DR. GLYNN AND DR. DIMALANTA
Plaintiff argues that the ALJ erred in discounting the opinions of Dr. Glynn and

Dr. Dimalanta in the Medical Source Statements quoted above. Plaintiff states that the
ALJ’s “arbitrary statements are not supported by overall evidence of record” -- on the
contrary, the ALJ’s findings are supported by the substantial evidence in the record.
The Medical Source Statements contain opinions which were arbitrary and are not
supported by anything in this record.
A lengthy discussion is not necessary here -- a review of the medical records
above establishes that the Medical Source Statements contain opinions that are so far
from consistent with the treatment records that a plausible argument that they are
entitled to any weight is not possible.
Dr. Glynn found that plaintiff could stand, walk and sit for a combined total of 3
hours per day, that he needs to lie down for 6 to 7 hours per day, and that the sedating
side effects of his medication affect his coordination. Yet, Dr. Glynn never performed
any examination of plaintiff except on his elbow, which is not one of plaintiff’s
complaints in this case. He never observed any abnormalities other than on one
occasion right after plaintiff applied for disability benefits. On that day, plaintiff was
observed standing when Dr. Glynn came into the exam room, and he was observed
getting in and out of the chair using his arms for assistance. However, four years after

57

that observation, Dr. Ash observed that plaintiff had no difficulty getting in and out of his
chair. The year after Dr. Glynn first stated that in his opinion plaintiff is disabled,
plaintiff admitted to Dr. Glynn that he had been mowing the lawn and using a weed
eater. There is not one other abnormal observation in Dr. Glynn’s treatment notes
unless he was responding in connection with plaintiff’s disability cases. In almost every
medical record -- dozens of records -- Dr. Glynn observed that plaintiff was doing fine,
had no new issues, was feeling good. There is absolutely no basis for his opinion in the
Medical Source Statement and the limitations set forth in that Medical Source
Statement contradict all of Dr. Glynn’s treatment records. The opinion in the Medical
Source Statement deserves no weight and the ALJ properly so found.
Dr. Dimalanta’s opinion with respect to plaintiff’s mental limitations is likewise
wholly unsubstantiated. During the entire course of plaintiff’s treatment with Dr.
Dimalanta, his medication provided good control of his mental symptoms. His
medication was rarely changed, and plaintiff’s mental exams were consistently normal
in all respects.
The evidence establishes that plaintiff was home watching television all day and
taking care of his four children, which is no small task. He stated that he was fine with
his wife working while he stayed at home. The only side effect of his medication that
appears in any of his treatment records deals with a decreased sex drive, and his
doctor even surmised that the decreased sex drive was caused by plaintiff’s relationship
issues and not his medication. Plaintiff continued to smoke up to two packs of
cigarettes per day -- a very expensive habit -- while claiming not to have the money to

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explore any treatment other than continued heavy use of narcotic pain medication. The
records are clear that despite plaintiff being addicted to his medication, Dr. Glynn was
perfectly agreeable with continuing plaintiff on those medications for years and made
consistent notations that plaintiff was doing well on that treatment regimen. He never
recommended any other treatment which is consistent with his treatment records
indicating that plaintiff was doing fine on his medication.
A treating physician’s opinion is granted controlling weight when the opinion is
not inconsistent with other substantial evidence in the record and the opinion is well
supported by medically acceptable clinical and laboratory diagnostic techniques. Reed
v. Barnhart, 399 F.3d 917, 920 (8th Cir. 2005); Ellis v. Barnhart, 392 F.3d 988, 998 (8th
Cir. 2005). If the ALJ fails to give controlling weight to the opinion of the treating
physician, then the ALJ must consider several factors to determine how much weight to
give the opinion including length of the treatment relationship and the frequency of
examination; nature and extent of the treatment relationship; supportability, particularly
by medical signs and laboratory findings; consistency with the record as a whole; and
other factors, such as the amount of understanding of Social Security disability
programs and their evidentiary requirements or the extent to which an acceptable
medical source is familiar with the other information in the case record. 20 C.F.R. §§
404.1527, 416.927.
As discussed above, the opinions in the Medical Source Statements are not
supported by medical signs or laboratory findings (in fact, they contradict the medical
signs and laboratory findings), they are not consistent with the treatment records or the

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record as a whole, and they are inconsistent with plaintiff’s daily activities of taking care
of his children and performing more in the way of outdoor work than he admitted to
during the hearings. The ALJ properly gave no weight to these opinions.
VII.

CONCLUSIONS
Plaintiff also argues that the ALJ erred in finding his testimony not credible. A

comparison of plaintiff’s testimony to the other evidence summarized above indicates
that this argument is wholly without merit. The substantial evidence in the record as a
whole supports the ALJ’s finding with regard to plaintiff’s residual functional capacity.
Based on all of the above, I find that the substantial evidence in the record as a
whole supports the ALJ’s finding that plaintiff is not disabled. Therefore, it is
ORDERED that plaintiff’s motion for summary judgment is denied. It is further
ORDERED that the decision of the Commissioner is affirmed.

ROBERT E. LARSEN
United States Magistrate Judge
Kansas City, Missouri
September 20, 2013

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