Dowles v. Barnhart

258 F. Supp. 2d 478, 2003 WL 1948564
CourtDistrict Court, W.D. Louisiana
DecidedMarch 31, 2003
DocketCIV.A. 99-0631-M
StatusPublished
Cited by1 cases

This text of 258 F. Supp. 2d 478 (Dowles v. Barnhart) is published on Counsel Stack Legal Research, covering District Court, W.D. Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dowles v. Barnhart, 258 F. Supp. 2d 478, 2003 WL 1948564 (W.D. La. 2003).

Opinion

*479 JUDGMENT

JAMES, District Judge.

For the reasons contained in the Report and Recommendation of the Magistrate Judge previously filed herein, and after an independent review of the entire record and the written objections filed herein, and concurring with the Magistrate Judge’s findings under the applicable law;

IT IS ORDERED that Cynthia Y; Dowles’ appeal is GRANTED, the final decision of the Commissioner is REVERSED and VACATED, and Dowles is AWARDED SSI benefits from June 3, 1997.

IT IS FURTHER ORDERED that the case is REMANDED to the Commissioner for a calculation of Dowles’ SSI benefits from June 3,1977.

REPORT AND RECOMMENDATION OF MAGISTRATE JUDGE

KIRK, United States Magistrate Judge.

Cynthia Y. Dowles (“Dowles”) filed an application for supplemental security income (“SSI”) on June 3, 1997 (protective filing date) (Tr. p. 80), alleging a disability onset date of November 15, 1993 (Tr. p. 80), due to systemic lupus erythematosus (Tr. p. 85). 2 That application was denied by the Social Security Administration *480 (“SSA”) both initially (Tr. p. 66) and on reconsideration (Tr. p. 71).

A de novo hearing was held before an Administrative Law Judge (“ALJ”) on April 8, 1998 (Tr. p. 23) at which Dowles appeared with an attorney and two witnesses. The ALJ found that, although Dowles suffers from severe lupus, she had the residual functional capacity to perform the full range of light work, so a finding of “not disabled” was directed by Rule 202.20, Table 2, Appendix II. The Appeals Council declined to review the ALJ’s decision (Tr. p. 4), which became the final decision of the Commissioner of Social Security (“the Commissioner”). However, when Dowles sought judicial review of the Commissioner’s decision, the Commissioner filed a motion for remand for the purpose of considering and evaluating the evidence from Dr. David Thompson, as well as any new medical evidence submitted by Dowles, and to hold another hearing. That motion was granted on October 15, 1999 (Tr. pp. 233-234).

On remand, a hearing was held on May 24, 2000, before an ALJ, at which Dowles appeared with her attorney and two witnesses (Tr. p. 289). On August 7, 2000, the ALJ found that Dowles was able to perform the full range of light work and, therefore, Rule 202.20 of Table 2, Appendix II, directed a fining of “not disabled.” The Appeals Council again declined to review the ALJ’s decision (Tr. p. 4), and the ALJ’s decision became the final decision of the Commissioner.

Dowles next filed an appeal, seeking judicial review of the Commissioner’s decision, which the Commissioner answered. Dowles’ appeal is now before the court for disposition.

Summary of Pertinent Facts

Dowles was diagnosed with systemic lupus erythematosus (“SLE”) 3 in November *481 1993 by Dr. William David Thompson, a family practitioner, when she was admitted to the hospital for chest pain, pneumonia, alopecia (hair loss), and hand pain and swelling (Tr. pp. 186-146). Laboratory tests showed Dowles’ liver was in the upper normal size. Dowles had a butterfly-type rash on her face, 4 both hands were tender and had swelling over PIPs, MCP joints, and wrists (Tr. p. 141). Dowles’ lupus and symptoms were treated with Medrol, Naprosyn, Suprax, and Tagamet (Tr. p. 136).

The medical records show Dowles suffered a “lupus crisis” in September 1996 (Tr. pp. 165-166), with swelling in her feet and headaches. Dowles also had anemia and leukopenia (Tr. pp. 162-165).

Tests in October 1996 and May 1997 showed Dowles’ heart and lungs were normal (Tr. pp. 155, 163). In June 1997, an x-ray of Dowles’ chest was normal (Tr. p. 172), a gall-bladder ultrasound was normal, and an upper GI series snowed only minimal nonspecific distal antritis and duodenal bulb duodenitis (Tr. p. 179). In August 1997, the results of a CT scan of Dowles’ brain were normal (Tr. p. 170).

On July 17, 1997, Dr. Hayan Orfaly, an internist, examined Dowles at the request of the SSA (Tr. pp. 167-168). Dr. Orfaly found that Dowles had mild to moderate SLE, with symptoms of loss of almost all of her hair, “off and on” swelling of her feet and hands, blurry vision, fever that comes and goes, difficulty sleeping, generalized body aches related to the weather, significant mood swings and depression, weight loss, decreasing appetite, and epi-gastric pain related to taking steroid medication (Tr. p. 167). Incredibly, Dr. Orfaly noted there was “no history of hematuria, skin lesions or rash,” and found no edema at that time (Tr. p. 167). Dr. Orfaly went on to note that he believed Dowles could carry ten pounds with either hand. Dr. Orfaly diagnosed mild to moderate SLE, and indicated a need to rule out peptic ulcer disease secondary to the steroid use which could explain the weight loss (Tr. p. 168). Finally, Dr. Orfaly stated that SLE is a “chronic systemic disease that will not be cured and will have periods with exac-erbations and worsening,” but that “at this time the patient is able to work, especially after her medications are adjusted” (Tr. p. 168).

A January 1998 medical report shows Dowles was diagnosed with arthralgia, arthritis, fever, malaise, anemia, and painful, red, swollen joints at times, all secondary to lupus (as indicated by a positive ANA *482 test (Tr. p. 189)). The report went on to note that lupus goes into remission at best, but is never cured, and there is always the potential for life threatening exacerbations (Tr. p. 189).

In May 1998, Dr. Thompson gave a written explanation of Dowles’ medical condition (Tr. pp. 194-196). Dr. Thompson stated that he has treated Dowles regularly since November 1993, and that Dowles has suffered from arthralgia and arthritis in her upper and lower large weight-bearing joints as well as the small joints and wrists with swelling, pain and fever, all of which had for quite some time previously been undiagnosed (Tr. p. 194). In November 1993, when Dowles was admitted to the hospital for treatment of pneumonia, she also had significant liver swelling and significant swelling of joints, which were red hot and extremely painful (Tr. p. 194). Since SLE was diagnosed from Dowles’ blood work, Dowles was prescribed very high doses of cortisone as well as anti-inflammatory medication, to which she responded. Dowles began treatment by Dr. Rangaraj in the rheumatology clinic (Tr. p. 194). Dr. Thompson noted that, since 1993, Dowles has been a frequent, regular and compliant patient (Tr. p. 195). Dowles’ treatment regimen consists of non-steroidal anti-inflammatories, steroids (which she is dependent on), and, from Dr. Rangaraj, Hydrocholoquin (Tr. p. 195).

Dr.

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Bluebook (online)
258 F. Supp. 2d 478, 2003 WL 1948564, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dowles-v-barnhart-lawd-2003.