Falgout v. Social Security

CourtDistrict Court, W.D. Louisiana
DecidedSeptember 25, 2024
Docket6:24-cv-00534
StatusUnknown

This text of Falgout v. Social Security (Falgout v. Social Security) 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
Falgout v. Social Security, (W.D. La. 2024).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF LOUISIANA LAFAYETTE DIVISION

EVANGELIA FALGOUT CASE NO. 6:24-CV-00534

VERSUS JUDGE ROBERT R. SUMMERHAYS U S COMMISSIONER OF SOCIAL MAGISTRATE JUDGE CAROL B. SECURITY WHITEHURST

REPORT AND RECOMMENDATION

Before the Court is an appeal of the Commissioner’s finding of non-disability. Considering the administrative record, the briefs of the parties, and the applicable law, the Court recommends that the Commissioner’s decision be reversed and remanded for further administrative action. Administrative Proceedings Claimant, Evangelia Falgout, fully exhausted her administrative remedies before filing this action in federal court. She filed an application for child’s disability income benefits and an application for supplemental security income benefits, alleging disability beginning on January 15, 2015, when she was twelve years old. (Rec. Doc. 6-1, p. 203). Her application was denied. She then requested a hearing, which was held on October 10, 2023, before Administrative Law Judge Robert Grant. (Rec. Doc. 6-1, p. 41). The ALJ issued a decision on January 5, 2024, concluding that Claimant was not disabled within the meaning of the Social Security Act from the claimed disability onset date through the date of the decision. (Rec. Doc. 6-1, p. 16-28). Claimant requested that the Appeals Council review the ALJ’s

decision, but the Appeals Council found no basis for review. (Rec. Doc. 6-1, p. 7). Therefore, the ALJ’s decision became the final decision of the Commissioner for the purpose of judicial review. Higginbotham v. Barnhart, 405 F.3d 332, 336 (5th Cir.

2005). Claimant then initiated this action, seeking review of the Commissioner’s decision. Summary of Pertinent Facts Claimant was born on August 8, 2022. She was twelve years old on the alleged

disability onset date and twenty-one years old at the time of the ALJ’s decision. She has a ninth-grade education and lives with her parents and a sibling. (Rec. Doc. 6-1, p. 49). She has never worked. (Rec. Doc. 6-1, p. 49). She alleged that she has been

disabled since January 2015, due to postural orthostatic tachycardia syndrome (POTS), which she alleges causes her to get dizzy when she stands up and sometimes faint and causes lack of focus and pain. (Rec. Doc. 6-1, p. 46-47). She testified that she also suffers from dyslexia, anxiety, and depression. (Rec. Doc. 6-1, p. 47). She

testified at the hearing that she was diagnosed with cubital tunnel syndrome, but she no longer has that problem. (Rec. Doc. 6-1, p. 48). She testified that she can dress and bathe on her own, and that sometimes she only bathes once a week because of how much energy it takes. (Rec. Doc. 6-1, p. 48-49). The medical records in the record reveal the following pertinent history:

• In October 2015, when Claimant was 13, she presented to Dr. John Willis for dizziness. She had been treated for sinusitis and otitis media and dizziness a month earlier and had not attended school in the last month. She stated that she was dizzy in any body position and her dizziness never went away. She had seen an ENT with no diagnosis and had a normal MRI. She had no change in vision, though she felt dizzy and nauseous all the time. She also complained that she was unable to walk unless she held on to something. Dr. Willis’s examination was normal. She appeared neurologically intact, and he could elicit no abnormalities on exam. “Despite saying she cannot walk without support, she was able to hop on one foot, run down the hall and do a normal tandem gait. There [was] not objective evidence of any neurological or vestibular dysfunction. Her complaints [we]re in fact all subjective,” and he thought her symptoms were probably a stress reaction. (Rec. Doc. 6-1, p. 649- 50).

• In August 2018, Claimant sprained her right ankle and completed physical therapy through December 2018. The physical therapy notes recorded no notes of dizziness, fatigue, or weakness. She performed functional activities (e.g. squatting, ascending/descending stairs, jogging, and jumping) without any noted POTS symptoms. (Rec. Doc. 6-1, p. 425-45). She had earlier that year sprained her left ankle. The treatment records do not evidence any complaints or notes regarding POTS symptoms. (Rec. Doc. 6-1, p. 452-55).

• Claimant saw Dr. Scott Macicek, pediatric cardiologist for POTS, which she had since September 2015 after having sinusitis and fluid in her ears. She had felt off balance ever since and experienced dizziness and nausea when sitting up or walking around too long. She first saw Dr. Macicek in November 2015 for POTS and annually thereafter. She was noted as homebound at that time, but Dr. Macicek wanted her reintegrated as quickly as possible. She saw him most recently in January 2019 noting dizziness about every 1.5 to 2 months (which Dr. Macicek described as “rarely”). She sat down when she felt dizzy and reported no syncope and good energy. She was no longer having racing episodes. Dr. Macicek recommended continued increased fluid and regular aerobic exercise. (Rec. Doc. 6-1, p. 609-17; 624-46). • Claimant went to the emergency room several times in 2019. In February 2019 she presented for flu like symptoms and fatigue. She denied syncope and discharged instructions for acute URI, sinusitis. Her past medical history noted anemia and POTS. (Rec. Doc. 6-1, p. 342-44). In September 2019 she presented for cough and wheezing. She had a normal chest x-ray with no acute findings. (Rec. Doc. 6-1, p. 340-41).

• On August 15, 2019, Claimant presented to the emergency room as an obese girl with a history of anemia, POTS, dysmenorrhea and sinusitis complained of nausea, dizziness, and rapid heartbeat. She denied syncope, chest pain, and shortness of breath. She was then taking Fluonef. Her Pulmonary/chest exam was normal with no respiratory distress. She was treated with Zofran for nausea, given a liter of fluid, and discharged after an EKG demonstrated sinus tachycardia without signs of arrythmia, ACS or other abnormality. Blood tests were normal without electrolyte abnormalities and normal glucose. She was no longer tachycardic or orthostatic and her dizziness had improved. (Rec. Doc. 6-1, p. 350-62).

• In August 2019, Claimant was referred to Dr. Mary Younger-Rossi by her primary care doctor, Dr. Lindsay York, for obesity and noted family history of diabetes and thyroid problems. Physical exams were negative for fatigue, syncope, and weakness. Shad was diagnosed with mixed hyperlipidemia and dysmenorrhea and was advised of the risks for diabetes and hypertension and counseled on weight loss. Her obesity was noted as greater than/equal to 95% for her age. She noted that a lack of money made it difficult to choose healthy foods, because bad food is cheaper; however, a dietician counseled on ways to eat healthy for cheaper. (Rec. Doc. 6-1, p. 415-24).

• In October 2019, she saw Dr. Victor Ramirez at Children’s Hospital Pulmonology for pertussis, reflux disease, and cough. The exam showed occasional wheeze and occasional rales, indicating pertussis consistent with diagnosis and treatment for GERD. (Rec. Doc. 6-1, p. 407-12).

• Claimant went to the emergency room in August 2020, after passing out for 35 seconds. She reported that she had passed out before but never for so long. After waking up, it took her some time to regain her sight and thoughts. She was discharged with an impression of POTS and syncope. (Rec. Doc. 6-1, p. 601-605). • In August 2020, Claimant began seeing Dr. Shibu Varughese, who noted she had been diagnosed with POTS at 13. She had suffered a sinus infection, but her balance issues did not resolve thereafter. She had been taking Flourinef.

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