HAYES v. COMMISSIONER OF SOCIAL SECURITY

CourtDistrict Court, M.D. Georgia
DecidedSeptember 12, 2023
Docket5:22-cv-00155
StatusUnknown

This text of HAYES v. COMMISSIONER OF SOCIAL SECURITY (HAYES v. COMMISSIONER OF SOCIAL SECURITY) is published on Counsel Stack Legal Research, covering District Court, M.D. Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
HAYES v. COMMISSIONER OF SOCIAL SECURITY, (M.D. Ga. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF GEORGIA MACON DIVISION

V.L.H., : : Plaintiff, : : v. : Case No. 5:22-cv-00155-CHW : COMMISSIONER : OF SOCIAL SECURITY, : Social Security Appeal : Defendant. : ___________________________________ :

ORDER This is a review of a final decision of the Commissioner of Social Security denying Plaintiff V.L.H.’s application for disability benefits. The parties consented to have a United States Magistrate Judge conduct all proceedings in this case, and as a result, any appeal from this judgment may be taken directly to the Eleventh Circuit Court of Appeals in the same manner as an appeal from any other judgment of the United States District Court. Because the ALJ correctly applied the pain standard to Plaintiff’s case and substantial evidence supports the Commissioner’s decision, Plaintiff’s case is AFFIRMED. BACKGROUND Plaintiff applied for Title II disability benefits on January 11, 2019, alleging disability beginning on November 13, 2018, based on having high blood pressure, thyroid issues, and both hips replaced. (R. 75-76). Her date last insured (DLI) was September 30, 2020. (R. 75). After Plaintiff’s applications were denied initially and on reconsideration at the state agency level of review (Exs. 1A, 3A), Plaintiff requested further review before an administrative law judge (ALJ). The reviewing ALJ held a telephonic hearing on May 20, 2021. (R. 36-74). The ALJ issued an unfavorable opinion on July 19, 2021. (R. 12-35). Plaintiff’s request for review of that decision by the Appeals Council was denied on March 14, 2022. (R. 1-6). The case is now ripe for judicial review. See 42 U.S.C. § 405(g).

STANDARD OF REVIEW Judicial review of a decision of the Commissioner of Social Security is limited to a determination of whether that decision is supported by substantial evidence, as well as whether the Commissioner applied the correct legal standards. Winschel v. Comm’r of Soc. Sec., 631 F.3d 1176, 1178 (11th Cir. 2011). “Substantial evidence” is defined as “more than a scintilla,” and as “such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Id. The Eleventh Circuit has explained that reviewing courts may not decide the facts anew, reweigh the evidence, or substitute their judgment for that of the Commissioner. Id. Rather, if the

Commissioner’s decision is supported by substantial evidence, the decision must be affirmed even if the evidence preponderates against it. EVALUATION OF DISABILITY Social Security claimants are “disabled” if they are unable to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death, or which has lasted or can be expected to last for a continuous period of not less than 12 months. 42 U.S.C. § 423(d)(1)(A). To be eligible for benefits, Plaintiff’s disability must be established prior to her date last insured. See id. The Social Security Regulations outline a five-step sequential evaluation process for

determining whether a claimant is disabled: “(1) whether the claimant is currently engaged in substantial gainful activity; (2) whether the claimant has a severe impairment or combination of impairments; (3) whether the impairment meets or equals the severity of the specified impairments in the Listing of impairments; (4) based on a residual functional capacity (“RFC”) assessment, whether the claimant can perform any of his or her past relevant work despite the impairment; and (5) whether there are significant numbers of jobs in the national economy that the claimant can perform given the claimant’s RFC, age, education, and work experience.” Winschel, 631 F.3d at

1178 (citing 20 C.F.R. §§ 404.1520(a)(4)(i)-(v); 416.920(a)(4)(i)-(v)). MEDICAL RECORD Plaintiff primarily treated with Dr. David Wiley at Middle Georgia Orthopaedic Surgery and Sports Medicine for issues related to her hips. (Exs. 1F, 2F, 11F, 12F, 16F, 19F). Plaintiff was first referred to Dr. Wiley for issues with her right hip in February 2017. (R. 379-382, 384-387). Plaintiff underwent a total right hip replacement in March 2017, and her post-operative appointments showed that she was healing well. (R. 362-378). Plaintiff returned to Dr. Wiley several times between November 2017 and October 2018, complaining of left hip pain, which had

caused her to miss some days from work. (R. 301, 304, 307, 310, 313, 316, 319). Plaintiff described the pain as “dull, sharp, throbbing, aching, pressure, and radiating.” (Id.) These visits’ notes reflect that Plaintiff’s had no complaints about her right hip. (Id.) X-rays showed the right hip replacement’s components remained in good position but also showed severe degenerative changes in her left hip. (R. 303, 305, 308, 311, 314, 317, 321). Dr. Wiley noted that Plaintiff had several comorbidities, including diverticulitis, hypertension, right knee osteoarthritis, and thyroid disease. See e.g., (R. 309). At the November 2017 and June 2018 appointments, Plaintiff received steroid injections in her left hip (R. 309), but following the September and October 2018 appointments, Dr. Wiley scheduled Plaintiff for a left total hip arthroplasty. (R. 303, 306). Plaintiff underwent a left hip replacement on November 14, 2018. See, e.g., (R. 295).

Imaging completed contemporaneous to surgery showed satisfactory alignment of the new hip. (R. 293). Three weeks after the surgery, Plaintiff’s incision was healing well, and Plaintiff’s at-home physical therapy was going well. (R. 299). Plaintiff returned to Dr. Wiley seven weeks after surgery. (R. 297-298). Physical therapy was going well, but Plaintiff continued to have difficulty lifting her left hip while seated and had some pain while sleeping. (R. 297). X-rays showed that

the hip replacement hardware was in good position. (Id.) Dr. Wiley encouraged Plaintiff to exercise and to work on stretching and strength training. (Id.) At her 12-week post-op appointment, Plaintiff continued to do well in physical therapy and to have difficulty lifting her hip while seated. (R. 295). Otherwise, Plaintiff was healing well, and the hip replacement components remained in good position. (R. 295, 324). The record also reflects treatment at Pavilion Family Medicine Center and Houston HealthCare med stops. (Exs. 5F, 17F, 20F). At a May 2019 visit, Plaintiff primarily complained of pain in her left wrist following a fall1 and explained that she missed her last post-operative appointment with Dr. Wiley due to a lack of insurance. (R. 439). She stated that she completed physical therapy and was able to walk around her home without a cane. (Id.) She had also ignored

her medication due to costs. (Id.) She reported some joint pain, but her gait was normal. (R 439, 440). Notes from the same visit, however, also describe her gait as weak and indicate that she used an unspecified ambulatory aid. (R. 441). Plaintiff had fractured her left hand and was instructed to follow-up with an orthopedic doctor. (R. 425, 427, 440). Plaintiff did not go to the orthopedist because of out-of-pocket costs. (R. 407). At the June check-up, Plaintiff reported that she needed a cane to walk but had left it at home. (Id.) Plaintiff returned for several follow-up visits to monitor the hand fracture and her hypertension. (R. 400-404, 405, 406, 408). She received a referral to occupational therapy for her

1 Duplicate records regarding Plaintiff’s hand injury also appear in Exhibit 15F.

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