Fitzmayer v. Commissioner of Social Security

District Court, W.D. Kentucky·Decided February 24, 2025·No. 3:23-cv-00606·Unknown

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF KENTUCKY LOUISVILLE DIVISION CIVIL ACTION NO. 3:23-CV-00606-CHL

SHAWN F.,1 Plaintiff,

v.

COMMISSIONER OF SOCIAL SECURITY, Defendant.

MEMORANDUM OPINION AND ORDER Before the Court is the Complaint filed by Plaintiff, Shawn F. (“Claimant”). Claimant seeks judicial review of the final decision of the Commissioner of Social Security (“the Commissioner”). (DN 1.) Claimant and the Commissioner each filed a Fact and Law Summary and/or supporting brief, and Claimant filed a reply. (DNs 15, 17, 18.) The Parties have consented to the jurisdiction of a Magistrate Judge to enter judgment in this case with direct review by the Sixth Circuit Court of Appeals in the event an appeal is filed. (DN 13.) Therefore, this matter is ripe for review. For the reasons set forth below, the final decision of the Commissioner is REVERSED, and this matter is REMANDED, pursuant to sentence four of 42 § U.S.C. 405(g), to the Commissioner to conduct additional proceedings to remedy the herein identified defects in the original proceedings. I. BACKGROUND Claimant had previously been found disabled in a July 13, 2011, decision. (R. at 97.) On June 29, 2018, Administrative Law Judge (“ALJ”) Jerry Lovitt (“ALJ Lovitt”) issued an unfavorable decision finding that Claimant’s disability ended on March 11, 2015, and that

1 Pursuant to General Order 23-02, the Plaintiff in this case is identified and referenced solely by first name and last initial. Claimant had not become disabled again since that date. (Id. at 94-110.) In doing so, ALJ Lovitt found that Claimant had the residual functional capacity (“RFC”) to perform sedentary work with the following exceptions: [H]e may occasionally stoop, kneel, crouch, and climb ramps or stairs, but cannot crawl or climb ladders, ropes, or scaffolds. He can tolerate no more than occasional exposure to vibrations and workplace hazards such as machinery with moving parts that fails to stop when human contact is lost, but cannot be exposed to any unprotected heights. He may occasionally reach overhead with the bilateral upper extremities. He is expected to be off task no more than 10% of the workday in addition to normally scheduled breaks, and he would miss no more than 1 day of work per month.

(Id. at 99-100.) The record does not show that Claimant appealed ALJ Lovitt’s unfavorable decision. (DN 15, at PageID # 863.) Instead, on July 27, 2020, Claimant applied for disability insurance benefits under Title II (“DIB”) and supplemental security income under Title XVI (“SSI”). (R. at 48, 112, 128, 130, 146-47, 154-55, 162, 296-306.) His applications alleged disability beginning on June 30, 2018, due to his lower lumbar L5-S1 spinal injury and vasovagal syncope. (Id. at 112, 130, 147, 155.) Claimant’s applications were denied initially and again on reconsideration. (Id. at 170-73, 187- 90, 198-203.) At Claimant’s request, ALJ Candace A. McDaniel (“ALJ McDaniel”) conducted a hearing on Claimant’s applications on September 1, 2022. (Id. at 64-93, 204-05.) Claimant attended the hearing in person with his attorney. (Id. at 66.) An impartial vocational expert also participated in the hearing. (Id.) During the hearing, Claimant testified to the following. He currently lives with his father and does drive some. (Id. at 69-70.) His current pain management doctor was trying to get him scheduled for epidurals for his back but was waiting on word from Claimant’s “neuro people,” who he was going to see the day after the hearing. (Id. at 75.) His pain management doctor was also looking into getting him a spinal stimulator pending insurance approval. (Id. at 77-78.) He takes multiple medications for pain, uses patches and creams, and uses both a back brace and a knee brace; these measures help with his pain but do not get rid of it. (Id. at 76-77.) He has worn the back brace continuously except when sleeping or showering for fifteen years since his original back injury and surgery. (Id. at 76.) The medications he takes cause him to feel

fatigued, tired, and worn out, and he spends at least half of his day lying down. (Id. at 77.) He had an MRI of his head done and was told he had two dozen vascular brain tumors everywhere that he believes are causing “the vasovagal, the headaches, [and] the seizure-like activity” he has been experiencing. (Id. at 78.) He has headaches all the time, and sometimes they are so bad that he passes out. (Id. at 78-79.) He has also been experiencing tremors and muscle spasms all throughout his legs, arms, lower lumbar and beyond that his physicians have marked as seizure- like activity. (Id. at 79.) He can walk a block before his sciatic pain gets very bad, can only stand for fifteen minutes at the most before he feels the need to sit down, and cannot sit in a chair very long without pain. (Id. at 79-80.) He can cook for himself and shop for groceries but does

require assistance with shopping depending on how many groceries he gets. (Id. at 80.) He is doing physical therapy for his back and knee. (Id. at 82.) In response to questioning from the ALJ about his vasovagal syncope and passing out after headaches, he could not identify any such episodes 2018 going forward after which he got treatment. (Id. at 83-84.) ALJ McDaniel issued an unfavorable decision on October 31, 2022. (Id. at 45-63.) Applying the five-step sequential evaluation process promulgated by the Commissioner to determine whether an individual is disabled, ALJ McDaniel made the following findings. First, the Claimant had not engaged in substantial gainful activity since June 30, 2018, his alleged onset date. (Id. at 51.) Second, Claimant had the following severe impairments: lumbar degenerative disc disease and chondromalacia of the right patella and internal derangement of the right knee. (Id.) Third, Claimant did not have an impairment or combination of impairments that met or medically equaled any of the listed impairments in 20 C.F.R. Pt. 404, Subpt. P, App. 1. (Id. at 52.) Fourth, Claimant had the RFC to perform light work with the following exceptions:

The claimant can lift and carry 10 pounds frequently and 20 pounds occasionally. The claimant is able to sit for six hours in an eight-hour workday and he is able to stand and walk for six hours in an eight-hour workday. The claimant should not climb ladders, ropes or scaffolding. The claimant is able to climb ramps and stairs frequently. The claimant is able to kneel[,] stoop, crouch and crawl occasionally. The claimant should be afforded the ability to alternate positions at a 30 or 60 minute interval[] taking one to two minutes to change position without leaving the workplace while staying on task. The claimant should have no concentrated exposure to vibration. The claimant should have no exposure to work hazards, meaning unprotected heights and the operation of dangerous moving machinery.

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