Ellwanger v. Astrue

642 F. Supp. 2d 891, 2009 U.S. Dist. LEXIS 72324, 2009 WL 2488083
CourtDistrict Court, W.D. Wisconsin
DecidedAugust 13, 2009
Docket3:09-cr-00080
StatusPublished

This text of 642 F. Supp. 2d 891 (Ellwanger v. Astrue) is published on Counsel Stack Legal Research, covering District Court, W.D. Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ellwanger v. Astrue, 642 F. Supp. 2d 891, 2009 U.S. Dist. LEXIS 72324, 2009 WL 2488083 (W.D. Wis. 2009).

Opinion

OPINION AND ORDER

BARBARA B. CRABB, District Judge.

This is an action for judicial review of an adverse decision of the Commissioner of Social Security, denying plaintiff Harry R. Ellwanger’s application for Supplemental Security Income under Title XVI of the Social Security Act, codified at 42 U.S.C. § 1382(c)(3)(A). Plaintiff is an obese 45-year-old former bartender who has problems with weakness and swelling in his lower left leg resulting from an injury he sustained when he was 14. In addition, he has weakness in his hands following carpal tunnel surgery. While plaintiff was working behind the bar in June 2005, his left ankle gave out, causing it to break. In August 2005, plaintiff applied for supplemental security income, alleging that he was unable to work because he could not walk or stand for very long. After the state agency denied his application, plaintiff requested a hearing before an administrative law judge, who determined that plaintiff had significant limitations. Specifically, he found that plaintiff could perform only sedentary jobs that did not require him to lift more than 10 pounds, stand for more than 10 minutes at a time or perform more than occasional fine or gross manipulation with his dominant left hand. A vocational expert testifying at the hearing was ultimately able to identify only one occupation that satisfied these restrictions, that of customer service representative. The expert told the administrative law judge at the hearing that a person with the restrictions outlined by the administrative law judge could meet the requirements of this job and that her testimony was consistent with information provided in the Dictionary of Occupational Titles, published by the Department of Labor. In a decision issued June 5, 2008, the administrative law judge relied on this testimony as a basis for finding that plaintiff was not disabled.

I agree with plaintiff that this case must be remanded. According to the Dictionary of Occupational Titles, the occupation of customer service representative is a skilled job. However, the administrative law judge found that plaintiff could perform only unskilled work. In that respect, a conflict exists between the vocational expert’s testimony and the Dictionary that was never explained at the hearing and that calls into question the reliability of the expert’s testimony. In addition, the administrative law judge conducted a faulty evaluation of the medical evidence in evaluating plaintiffs subjective complaints. In particular, his decision suggests that he disregarded the effect of plaintiffs 1977 injury and other impairments on his present condition and focused solely on the evidence relating to plaintiffs broken ankle. Accordingly, because it is unclear whether plaintiff actually is capable of performing the jobs identified by the vocational expert and because the administrative law judge failed to make a well-reasoned credibility determination, I am remanding the case to the commissioner for further proceedings.

The following facts are drawn from the administrative record (AR):

FACTS

A. Background

Plaintiff was born on September 19, 1963. AR 288. He completed high school and has past relevant work as a bartender. AR 141, 147. In 1977, plaintiff suffered an injury to his left leg when he was hit by a motor vehicle. Since then, he has suffered some chronic loss of sensation and weak *895 ness in his left leg. AR 198, 262. He is obese, weighing about 330 pounds and standing six feet, two inches.

B. Medical Evidence

1. Dr. R.E. Huizenga

In June 2005, plaintiffs left ankle “gave out” while he was at work tending bar. AR 200. An x-ray showed a nondisplaced ankle fracture. AR 202. On July 1, 2005, Dr. R.E. Huizenga, an orthopedist, saw plaintiff for his fractured ankle. He noted that plaintiffs entire left leg was discolored, with moderate swelling and tenderness at the ankle. Huizenga prescribed hydrocodone for plaintiffs pain. AR 216. Plaintiff saw Huizenga throughout July. The hydrocodone seemed to be helping, but plaintiff was unable to bear weight on his left ankle. He was unable to work because of swelling and tenderness in the ankle and a marked limitation of motion. AR 213. On August 11, 2005, plaintiff saw Huizenga and reported pain and an inability to function at his previous level of activity. AR 212. Huizenga prescribed physical therapy three times a week to increase plaintiffs range of motion and to strengthen his ankle. AR 213.

At plaintiffs first physical therapy appointment on August 16, 2005, he was using a cane and had decreased left ankle strength and range of motion. The therapist thought plaintiffs rehabilitation potential was good. AR 194. After six visits, however, the therapist noted that plaintiffs progress was slow and that he was still suffering from more pain with prolonged standing and walking. AR 191.

On September 8, 2005, plaintiff saw Huizenga. On examination, Huizenga noted that plaintiff had moderate swelling and tenderness of the left ankle and diffuse weakness in the left lower limb, especially at the knee, ankle and toes. Huizenga noted that before he broke his ankle, plaintiff walked with a limp because of the injury to his leg when he was 14. Huizenga continued plaintiffs physical therapy. AR 210.

When plaintiff returned to Dr. Huizenga on October 6, 2005, he reported left ankle pain and instability. He told Huizenga that he had recently used some of the hydrocodone that had been prescribed three months earlier. Huizenga noted that plaintiff had tenderness and swelling of his ankle. After looking at the x-rays again, Huizenga noted no evidence of osteoarthritis at the ankle. AR 210. Huizenga told plaintiff that he might have persistent ankle problems because of the weakness secondary to his childhood injury and his excessive weight. Because plaintiff was making very little progress in physical therapy, Huizenga discontinued it. AR 211.

On March 16, 2006, plaintiff returned to see Dr. Huizenga. He reported ongoing severe ankle pain and weakness, with frequent giving way of the ankle. Plaintiff walked with a cane. Plaintiff said that his left leg had been lacerated during the 1977 accident, causing vascular and nerve damage and permanent weakness in the lower leg. An x-ray showed that plaintiffs left ankle fracture had healed completely with no evidence of osteoarthritis. AR 272. Huizenga noted that plaintiff was grossly overweight. Plaintiff walked with a limp favoring the left leg. Huizenga detected weakness in plaintiffs left ankle and knee and observed extensive scarring in plaintiff’s left leg. He prescribed an ankle foot orthotic. AR 262. After a visit with plaintiff on December 20, 2006, Huizenga wrote that, because of the weakness in plaintiffs left lower limb, he would never be able to do any standing work. AR 263.

In June 2007, plaintiff reported to Dr. Huizenga that the pain in his left ankle had worsened and that he also had knee and low back pain. Plaintiff was using a cane and reported that he could be on his *896 feet for 15 minutes at a time at most and could walk 200-300 feet at most and then only if he went slowly.

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642 F. Supp. 2d 891, 2009 U.S. Dist. LEXIS 72324, 2009 WL 2488083, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ellwanger-v-astrue-wiwd-2009.