Castleman v. Social Security Administration, Commissioner

CourtDistrict Court, N.D. Alabama
DecidedAugust 14, 2019
Docket4:18-cv-00498
StatusUnknown

This text of Castleman v. Social Security Administration, Commissioner (Castleman v. Social Security Administration, Commissioner) is published on Counsel Stack Legal Research, covering District Court, N.D. Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Castleman v. Social Security Administration, Commissioner, (N.D. Ala. 2019).

Opinion

UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF ALABAMA MIDDLE DIVISION

TAMMY FAYE CASTLEMAN, } } Plaintiff, } } v. } Civil Action No.: 4:18-CV-00498-RDP } NANCY A. BERRYHILL, } Acting Commissioner of } Social Security, } } Defendant. }

MEMORANDUM DECISION Plaintiff Tammy Faye Castleman (“Plaintiff”) brings this action pursuant to Section 205(g) of the Social Security Act (“the Act”) seeking review of the decision by the Commissioner of the Social Security Administration (the “Commissioner”) denying her application for disability and disability insurance benefits (“DIB”). See 42 U.S.C. § 405(g). Based on the court’s review of the record and the briefs submitted by the parties, the court finds that the decision of the Commissioner is due to be affirmed. I. Proceedings Below Plaintiff applied for a period of disability and DIB on December 17, 2014, alleging disability commencing September 3, 2013 due to type II diabetes, neuropathy, rheumatoid arthritis, kidney dysfunction, back surgery, neck surgery, mental confusion, memory loss, lack of sleep, and anemia. (R. 61, 74, 80, 203). Plaintiff’s application was initially denied on January 30, 2015. (R. 72-73). On April 3, 2015, she requested a hearing before an Administrative Law Judge (“ALJ”). (R. 100). The hearing was held on January 31, 2017; thereafter, an unfavorable decision was issued on March 22, 2017. (R. 11-32, 37-59). The Appeals Council denied Plaintiff’s request for review of the ALJ’s decision on January 26, 2018. (R. 1-4). Because the denial of review by the Appeals Council constitutes the final act of the Commissioner, the case is now ripe for this court’s review pursuant to 42 U.S.C. § 405(g). II. Facts Plaintiff was born on August 2, 1960 and was 56 years old at the time of the ALJ’s decision.

(R. 11, 41). Plaintiff has some college education and previously worked as an apartment assistant manager, bookkeeper, and accounting technician. (R. 41, 56). She alleges disability due to type II diabetes, neuropathy, rheumatoid arthritis, kidney dysfunction, back surgery, neck surgery, mental confusion, memory loss, lack of sleep, and anemia, commencing September 3, 2013. (R. 203). The date she was last insured for disability benefits, or her date last insured (“DLI”), was December 31, 2014. (R. 16, 174). On May 17, 2012, Plaintiff saw her primary care physician, Dr. Rupen Joshi, for a physical exam. (R. 429-35). He diagnosed her with the following conditions: degeneration of the intervertebral disc; essential hypertension; diabetes mellitus without mention of complication;

abnormal weight gain; heartburn; pain in joint; and allergic rhinitis, cause unspecified. (Id.). On May 31, 2012, Dr. Joseph Christian Scales, a radiologist, performed a radiologic examination of Plaintiff’s thoracic spine, finding her disc spaces to be degenerated at several levels with anterior osteophytes (bone spurs) present; Dr. Scales’s overall impression was “[n]o acute findings in the thoracic spine. Multilevel degenerative disc disease.” (R. 480). Dr. Scales also conducted a radiologic examination of Plaintiff’s cervical spine, finding anterior cervical fusion from C3 to C5, degenerative disc disease at C5 to C6, moderate left foraminal encroachment at C5 to C6, and right foraminal narrowing at C6 to C7. (R. 481). Overall, Dr. Scales noted “[n]o acute findings in the cervical spine. Degenerative change at C5-C6 and C6-C7.” (Id.) The radiological examination of Plaintiff’s lumbosacral spine was unremarkable. (R. 482). On September 27, 2012, Plaintiff saw Dr. Joshi with severe pain in the mid to lower back, neck, and left shoulder. (R. 420). Plaintiff reported being in a car wreck the previous week, where she was hit from behind by another car. (R. 420). Plaintiff’s extremities exhibited no edema. (R.

420). Dr. Joshi also noted mild tenderness in the spine. (R. 420). On that same date, Dr. Thomas Charles Bell, a radiologist, recorded the results of a radiologic examination of the spine as “[m]odest degenerative disease,” noting “moderate degenerative facet changes” and “modest osteophytosis of the vertebral bodies.” (R. 478). On October 11, 2012, Plaintiff saw Dr. Joshi with back pain. (R. 416). Dr. Joshi diagnosed a sprain and strain of her sacrum, degeneration of intervertebral disc, diabetes mellitus without mention of complication, and hypertension. (R. 417). On November 6, 2012, Plaintiff checked into the emergency room complaining of back pain. (R. 259-60). Dr. Russell Simpson diagnosed her with acute lumbar myofascial strain and

chronic low back pain, then prescribed her methocarbamol and Medrol upon discharge. (Id.). The next day, November 7, she called Dr. Joshi’s office, reporting that she was not able to walk without severe pain and that the pain pills and muscle relaxers were not helping her. (R. 452). Dr. Joshi agreed to refill her muscle relaxers and recommended physical therapy. (Id.). On December 12, 2012, Plaintiff saw Dr. Joshi with pain in her toes and lower back. (R. 413). Dr. Joshi treated an ingrown toenail on Plaintiff’s left toe. (R. 415). He also diagnosed onychia1 and paronychia2 of her toe and prescribed Lamisil. (Id.). On March 13, 2013, Plaintiff saw Dr. Joshi, describing pain in her neck and back, as well as numbness in her hands from sleeping on her side. (R. 410). Dr. Joshi prescribed Robaxin for

the degeneration of her intervertebral disc. (R. 412). On April 26, 2013, Dr. Larry Parker, an orthopedist, reported Plaintiff had intractable lower back pain and radiculitis. (R. 254-55). On April 29, 2013, Dr. Parker performed a microlumbar discectomy on Plaintiff’s left L5-S1 vertebral segment, citing her history of back pain with radiation to the left lower extremity. (R. 252). Plaintiff saw Dr. Parker again on May 7, 2013 for a post-surgery visit; Dr. Parker noted that Plaintiff had “not been very active and I have informed her of the importance of her activity and getting back to a normal daily activity level.” (R. 269). On May 26, 2013, Plaintiff was admitted to the hospital, reporting persistent nausea, vomiting, and diarrhea, as well as abdominal pain. (R. 243, 245). Although flat view imaging

initially showed a possible small-bowel obstruction (R. 250), the follow-up helical CT images of Plaintiff’s abdomen presented normal results. (R. 248). On May 27, an abdominal ultrasound revealed suspected fatty infiltration of the liver; there was no indication of hydroureter or hydronephrosis in her kidneys. (R. 247). Upon her discharge on May 28, attending physician Dr. Devi P. Misra diagnosed Plaintiff with acute gastroenteritis (most likely viral type), hypokalemia (corrected), hypomagnesemia (corrected), and fever. (R. 243).

1 Onychia is the inflammation of the matrix of a nail often leading to suppuration and loss of the nail. "Onychia." Merriam-Webster Online Medical Dictionary. 2019. https://www.merriam-webster.com/medical/onychia (29 July 2019).

2 Paronychia is the inflammation of the tissues adjacent to the nail of a finger or toe usually accompanied by infection and pus formation. "Paronychia." Merriam-Webster Online Dictionary. 2019. https://www.merriam- webster.com/dictionary/paronychia (29 July 2019). On June 18, 2013, Plaintiff saw Dr. Joshi in follow up to her hospital visit. (R. 407). Plaintiff reported swelling in her right leg since being discharged from the hospital. (R. 407). Dr. Joshi conducted ultrasound imaging on Plaintiff’s right leg; he ruled out deep vein thrombosis and advised exercise and a low-salt diet. (R. 408, 477). On December 4, 2013, Plaintiff followed up with Dr. Joshi. (R. 401). He reported that

Plaintiff had lost weight after exercising and changing her diet. (R. 402).

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Castleman v. Social Security Administration, Commissioner, Counsel Stack Legal Research, https://law.counselstack.com/opinion/castleman-v-social-security-administration-commissioner-alnd-2019.