Brooks v. Berryhill

321 F. Supp. 3d 958
CourtDistrict Court, S.D. Iowa
DecidedAugust 20, 2018
Docket4:17-cv-271 RP-CFB
StatusPublished

This text of 321 F. Supp. 3d 958 (Brooks v. Berryhill) is published on Counsel Stack Legal Research, covering District Court, S.D. Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brooks v. Berryhill, 321 F. Supp. 3d 958 (S.D. Iowa 2018).

Opinion

ROBERT W. PRATT, U.S. DISTRICT JUDGE

Plaintiff, Traci Lee Brooks, filed a Complaint in this Court on July 21, 2017, seeking review of the Commissioner's decision to deny her claim for Social Security benefits under Title II and Title XVI of the Social Security Act, 42 U.S.C. §§ 401 et seq. and 1381 et seq. This Court may review a final decision by the Commissioner. 42 U.S.C. § 405(g).

Plaintiff filed an application for Title II benefits on May 15, 2014. Tr. at 160-61. Plaintiff was forty-five years old at the time of a hearing on April 21, 2016, before Administrative Law Judge John E. Sandbothe (ALJ). Tr. at 29-50. The ALJ issued a Notice of Decision - Unfavorable on June 2, 2016. Tr. at 7-22. On September 21, 2016, the Appeals Council declined to review the ALJ's decision. Tr. at 1-3. Thereafter, Plaintiff commenced this action.

The ALJ noted that Plaintiff meets the insured status requirements of the Social Security Act until December 31, 2018. At the first step of the sequential evaluation, 20 C.F.R. § 404.1520(a)(4), the ALJ found that Plaintiff had not engaged in substantial gainful activity after July 10, 2013, the alleged disability onset date. At the second step, the ALJ found that Plaintiff had the following severe impairments: morbid obesity ; fibromyalgia ; major depressive disorder ; generalized anxiety disorder ; panic disorder ; and rule-out personality disorder. Tr. at 12. The ALJ found that Plaintiff's impairments were not severe enough to qualify for benefits at the third step of the sequential evaluation. Tr. at 13. At the fourth step, the ALJ found:

After careful consideration of the entire record, the undersigned finds that the claimant has the residual functional capacity to perform light work as defined in 20 CFR 404.1567(b) and 416.967(b) such that she could lift 20 pounds occasionally and 10 pounds frequently; only occasionally balance, stoop, kneel, crouch, crawl or climb; simple, routine, repetitive tasks; no contact with the public; and no specific production rate requirements.

*961Tr. at 14. The ALJ found that Plaintiff is unable to perform any of her past relevant work. At the fifth step of the sequential evaluation, the ALJ found that jobs exist in significant numbers which the claimant can perform. Tr. at 21. Examples of such jobs are cleaner/housekeeper, folder, and marker. It was the ALJ's decision that Plaintiff is not disabled nor entitled to the benefits for which she applied. Tr. at 22.

For reversal, Plaintiff argues the ALJ erred by failing to afford controlling weight to the opinion of the treating psychologist, Kenneth J. Israel, Ph.D. Plaintiff also argues the ALJ improperly weighed the opinion rendered by the nurse practitioner who prescribed Plaintiff's psychiatric mediation. Plaintiff argues the ALJ's finding of residual functional capacity is flawed because it is not supported by medical evidence from a treating or examining source. Plaintiff also argues that the ALJ improperly discounted her subjective allegations.

MEDICAL EVIDENCE

In this voluminous (approximately 900 pages) medical record, Plaintiff received medical care for all of the impairments that the ALJ found to be severe at step two of the sequential evaluation. In the following summary, the Court will highlight only those entries that are most relevant to the central issue of this case, i.e., whether the ALJ erred by failing to accord controlling weight to Dr. Israel's opinion.

Over the years covered in this record, Plaintiff saw several health care providers for the medical management of her mental health impairments. Changes in providers were often dictated by changes in Plaintiff's health insurance. Plaintiff saw Judy Gonzalez, PMHNP-BC, at the clinic of James R. Trahan, M.D. It was noted that Plaintiff had a history of panic attacks and diagnoses were noted to be major depressive disorder and generalized anxiety disorder. Tr. at 465. Plaintiff's psychiatric medication was prescribed by Ana A. Valencia, ARNP, at Unity Point Health counseling and psychiatry clinic. The record reflects ongoing treatment at this clinic, as well as at other mental health clinics, for medication management of these disorders. Medication, prescribed at various times, included Lexapro, Effexor XL, Trazodone, Lorazepam, Clonazepam, Abilify, Klonopin, Amitriptyline, Wellbutrin, Savella, Duloxetine HCI (Cymbalta ), and Buspar.

Much of Plaintiff's medical care took place at McFarland Clinic in Ames, Iowa. Plaintiff was seen in the hematology and oncology clinic because of a history of breast cancer. Plaintiff saw rheumatologists for treatment of fibromyalgia Those specialists included David D. Gerbracht, M.D., and Mary Radia, D.O., both of whose examinations showed multiple tender points consistent with their diagnoses of fibromyalgia. Tr. at 381.

On January 5, 2012, Plaintiff saw Dr. Israel at Ames Counseling and Psychological Services. It is clear this was not Plaintiff's first visit with Dr. Israel because Plaintiff noted that she had only one panic attack since the last appointment. Plaintiff also complained of fatigue. Tr. at 494. Thereafter, Plaintiff saw Dr. Israel on a regular basis-usually three or four times each month. Tr. at 493-580, 1130-1210.

In his treatment notes, Dr. Israel sometimes expressed his opinion on Plaintiff's ability to work. Some examples of those notations are:

• January 31, 2013: "I am concerned about her ability to maintain her job, given her current level of impairment." Tr. at 514.
• February 7, 2013: "Clearly her level of depression and anxiety is impacting *962her work performance. It may be in her best interest to consider a reduced workload or several weeks of disability leave to help her gain traction in addressing these long-standing issues." Tr. at 515.
• February 28, 2013: Dr. Israel noted Plaintiff was on short-term disability but that she hoped to return to work in three weeks. Tr. at 518.
• March 7, 2013: Dr. Israel opined Plaintiff would not be able to return to work the following week as previously planned. Tr. at 519.
• March 21, 2013: Dr. Israel recommended Plaintiff should attempt to gradually return to work over the next several weeks. Tr. at 521.
• March 28, 2013: Dr. Israel noted Plaintiff was attempting to return to work as he had recommended. Tr. at 522.
• May 30, 2013: Dr. Israel noted Plaintiff was better able to attend work and to complete her shifts, although fatigue and pain remained problems. Tr. at 529.
• June 13, 2013: Dr.

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Bluebook (online)
321 F. Supp. 3d 958, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brooks-v-berryhill-iasd-2018.