McDonald v. Saul

District Court, N.D. Illinois·Decided June 7, 2022·No. 1:18-cv-04206·Unknown

Opinion

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION

KIMBERLY M.,

Plaintiff, Case No. 18-cv-4206

v.

KILOLO KIJAKAZI, Judge John Robert Blakey Acting Commissioner of the Social Security Administration,

Defendant.

MEMORANDUM OPINION AND ORDER On October 3, 2013, Plaintiff Kimberly M. applied to the Social Security Administration (SSA) for Disability Insurance Benefits (DIB), alleging that she became disabled as of September 23, 2013 due to: chronic back pain; pelvic floor myalgia; arthritic knees; numbness in her right arm and fingers; depression; attention deficit disorder; and lack of concentration. [5-1] at 195–97, 217–18. An Administrative Law Judge (ALJ) determined that Plaintiff was not disabled and denied her claim for benefits. See id. at 574–82. After the SSA denied review, Plaintiff filed suit in this Court, claiming that the ALJ erred in several respects, and the case was assigned to Magistrate Judge Weisman, who agreed, sending the case back to the SSA for further proceedings. See id. at 608–12. On remand, the ALJ again determined, on March 21, 2018, that Plaintiff is not disabled and again denied her claim for benefits. Id. at 553–64. Plaintiff now seeks judicial review of the second ALJ decision, see [1], and asks the Court to reverse the SSA’s decision and award benefits. See [7]. In response, the Commissioner seeks an order affirming the decision that Plaintiff is not disabled and not entitled to benefits. See [20]. For the reasons explained below, this Court denies Plaintiff’s motion [7], grants Defendant’s motion [20], and affirms the Commissioner’s decision.

I. Factual Background & Procedural History1 Plaintiff was born on July 24, 1961. [5-1] at 84. At the age of fifty-two, she filed an application for DIB, alleging that she became disabled as of September 23, 2013 due to: chronic back pain; pelvic floor myalgia; arthritic knees; numbness in her right arm and fingers; depression; attention deficit disorder; and lack of concentration. Id. The SSA denied her application initially on December 17, 2013,

and on reconsideration on June 11, 2014. Id. at 608. Plaintiff requested a hearing before an ALJ, and the case was assigned to Victoria A. Ferrer, who held the requested hearing on October 2, 2015. Id. at 37–88, 574. ALJ Ferrer issued a decision on January 22, 2016, finding that Plaintiff was not disabled and denying her claim for benefits. Id. at 574–82. The Appeals Council declined to review the decision, making the ALJ’s decision the final decision of the SSA Commissioner. Id. at 6. Plaintiff filed a lawsuit in this Court, seeking review of the SSA’s decision to

deny her benefits. See Kimberly M. v. Berryhill, Case No. 17 C 2344 (N.D. Ill.). Magistrate Judge Weisman, to whom the case was assigned, determined that the ALJ had improperly evaluated the opinions of two agency medical reviewers; failed to credit the reviewers’ opinions that Plaintiff suffered from the severe impairment of “Disorders of Muscle, Ligament, and Fascia”; failed to determine whether Plaintiff’s

1 This Court draws all facts from the Certified Administrative Record [5-1], [6-1], and assumes familiarity with the prior decision in Plaintiff’s case. fibromyalgia equaled the severity of a listed impairment as required by step three of the disability analysis; and improperly weighed the opinion of Plaintiff’s treating physician, Dr. Bancerek-Stengele. [5-1] at 608–12. Accordingly, Judge Weisman

reversed the SSA Commissioner’s decision and remanded the case. Id. at 612. On remand, the case was returned to ALJ Ferrer, who held a second hearing on February 27, 2018 and issued a second decision on March 21, 2018, again denying Plaintiff’s claim for benefits. Id. at 553–64. At the second hearing, the ALJ again heard from Plaintiff, who was represented by counsel, and also heard from both a Vocational Expert (VE), and a

Medical Expert (ME). [6-1] at 3–68. At the outset, counsel agreed that the ALJ needed to address Plaintiff’s fibromyalgia under the Social Security Regulations generally, as no listing covered the condition. Id. at 11. Plaintiff testified that she last worked in 2013; since then, she testified, her “life is on the couch”; she has trouble walking, experiences pain and numbness in her right leg, cannot really use the stairs, and needs to use the bathroom approximately every 15 minutes. Id. at 12. She later testified that she is in the bathroom “maybe every half hour or so.” Id. at 36. She

testified that she babysits her 10-year-old grandson approximately once a month for an hour or two. Id. at 23. Specifically with regard to her fibromyalgia, Plaintiff testified that she had not seen a doctor for this condition; her pain doctor diagnosed it and told her the numbness in her fingers may be a symptom of this condition. Id. at 32–33. She also testified that, although she never sought work, she applied for unemployment benefits, knowing she had to represent she was looking for work when she did so. Id. at 39. With regard to Plaintiff’s impairments, the ME testified on remand that

Plaintiff has “lumbar pain . . . second to laminectomy, degenerative disc disease of the lumbar spine, spinal stenosis, hypertension, and fibromyalgia; she also underwent bariatric surgery for morbid obesity. Id. at 47. The ME testified that the record showed Plaintiff was “doing well” after surgery, and nothing in the record suggested she was experiencing colon issues. Id. The ME further testified that the only evidence in the record relating to fibromyalgia was a June 28, 2016 note

documenting “trigger point tenderness 14 out of 18” on physical examination. Id. at 48, 50. But he also testified that this single source constituted a credible diagnosis; he testified that the record need not contain a second source for him to credit the fibromyalgia diagnosis. Id. at 62. With regard to the impact of these conditions on Plaintiff’s daily life, the ME testified that Plaintiff had no limitations relating to her hypertension and that the record contained no evidence to suggest that Plaintiff’s bariatric surgery or colon

issues affected her daily life. Id. at 52, 58. He testified that her back pain, well documented in the record, appeared to be managed with medication, including injections; he testified that her medication was “fairly effective.” Id. at 54. He also testified that her treaters instructed Plaintiff to use anti-inflammatory medication (NSAIDs, ibuprofen, naproxen) for “breakthrough pain”—that is, pain experienced despite the use of opioids. Id. at 58. The ME also testified, however, that continued use of opioids may not provide total relief from pain, id. at 61–62. He testified that “there is no perfect solution for pain.” Id. at 62. The ME noted that Plaintiff’s treaters were not employing physical therapy, or any other therapies, to address her pain. Id.

at 53, 57. The ME testified that Plaintiff’s impairments, combined, did not meet or equal in severity any listed impairment. Id. at 59. But her impairments, taken together, do limit her ability to work: the ME testified that Plaintiff is limited to sedentary work, with occasional postural activities; no climbing ladders, ropes, or scaffolds; because of her opioid use, she cannot work at unprotected heights, cannot be around

heavy machinery, and cannot drive for commercial purposes; and she must limit her exposure to extreme cold and vibrations. Id. at 59. The ME testified that, given Plaintiff’s condition, repetitive motion and prolonged standing and walking would cause her pain. Id. at 60. The ALJ then heard from a VE who testified on remand that Plaintiff’s past work as a receptionist constituted a sedentary position, both in physical demand and as performed; and the job was classified as SVP 4, semiskilled. Id. at 64. The ALJ

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