Paige Giamalva McCullars v. Commissioner, Social Security Administration

Court of Appeals for the Eleventh Circuit·Decided September 2, 2020·No. 19-14419·Unpublished

Opinion

[DO NOT PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT

No. 19-14419

Non-Argument Calendar

D.C. Docket No. 4:17-cv-01840-KOB

PAIGE GIAMALVA MCCULLARS, Plaintiff - Appellant,

versus COMMISSIONER, SOCIAL SECURITY ADMINISTRATION, Defendant - Appellee.

Appeal from the United States District Court for the Northern District of Alabama

(September 2, 2020)

Before JORDAN, NEWSOM, and LAGOA, Circuit Judges. PER CURIAM:

Paige McCullars (“McCullars”) appeals the district court’s order affirming the Administrative Law Judge’s (the “ALJ”) decision denying her application for temporary disability and disability insurance benefits. McCullars argues that (1) the ALJ erred in giving only some weight to the opinions of certain consulting physicians, (2) the Appeals Council erred in declining to consider newly submitted evidence because it was not material or chronologically relevant, and (3) the district court failed to conduct a de novo review of McCullars’s objections to the magistrate judge’s report and recommendation and improperly affirmed the ALJ’s decision based on a post hoc rationalization. For the following reasons, we affirm. I. FACTUAL AND PROCEDURAL HISTORY In January 2015, McCullars filed an application for disability benefits due to depression, chronic urticaria and angioedema (hives and swelling), back and neck deterioration, and temporomandibular joint pain, with an alleged onset date of November 11, 2011. The Commissioner of Social Security (the “Commissioner”) denied the application, and McCullars requested a hearing before an ALJ.

In support of her claim, McCullars submitted several medical records. Dr.

Weily Soong (“Dr. Soong”), an allergist at the Alabama Allergy & Asthma Center (“AAAC”), first treated McCullars in April 2012. He diagnosed her with “mild rhinitis,” “mild” dermatographia, and “very mild” urticaria, and prescribed prednisone and Flonase or Nasonex. The next month, McCullars was still suffering

from hives, and Dr. Soong diagnosed her with chronic urticaria and angioedema triggered by environmental allergies, allergic rhinitis, and chronic sinusitis. In June 2012, McCullars’s hives “remain[ed] uncontrolled” despite high-dose antihistamines, and Dr. Soong prescribed monthly injections of Xolair. The Xolair injections appeared to work, and by August, Dr. Soong noted that McCullars “[ha]s had no more hives” and was “[d]oing great on Xolair.” However, McCullars’s insurance discontinued her Xolair injections, and by January 2013, her condition had worsened.

In Spring 2013, Dr. John Wilborn (“Dr. Wilborn”), an internist, treated McCullars for pelvic pain and referred her for a hysterectomy. McCullars returned to Dr. Wilborn in February 2014 complaining of back pain. McCullars had MRIs conducted, which revealed “mild” disc bulging. In November 2013, McCullars visited Dr. Glenn Wilson (“Dr. Wilson”), an orthopedist, for back pain and numbness in her left hand and fingers. As a result, McCullars had carpal tunnel surgery, and in February 2014, Dr. Wilson noted that her carpal tunnel had resolved.

McCullars returned to Dr. Soong in August 2014, informing him that she experienced a one-year remission, but was once again suffering from hives and wanted to resume Xolair injections. Although Dr. Soong did not observe hives in his physical examination, he prescribed her monthly Xolair injections, and

McCullars reported improvement in October 2014. McCullars also continued to see Dr. Wilborn in Fall 2014.

In October 2015, Dr. Maxcic Sikora (“Dr. Sikora”), an allergist at the AAAC, examined McCullars and noted generalized urticaria and swelling of her hands and feet. McCullars informed Dr. Sikora that Xolair controlled her symptoms, but her last injection had been in July 2015 due to insurance issues. McCullars returned to AAAC in August 2016 “to discuss disability.” She stated that after her July 2016 Xolair injection, she had developed edema and hives on her right arm. She reported two episodes of angioedema per month and a pressure urticaria in her feet when she walked. However, she also reported that when she received the injections once a month, her hives and swelling were “pretty controlled.” A physical examination showed no hives or skin abnormalities.

Finally, McCullars submitted a letter from Dr. Soong addressed to the Commissioner, dated August 19, 2016, in which he stated that he had been treating McCullars since 2012 and that she had multiple flares from the chronic idiopathic urticaria and angioedema, which “severely impact her life.” The letter also expressed “hope that with continued monthly management,” McCullars would “eventually go into remission.”

On October 4, 2016, McCullars had a video hearing before the ALJ. She testified that she had last worked full time in 2007 as a vice president at a bank.

After working at the bank for seventeen years, she left in 2007 to stay home with her two children. She was first diagnosed with idiopathic chronic urticaria and angioedema at age fifteen. She was in remission for seventeen years, but relapsed in 2011. She testified that the condition prevented her from doing simple tasks such as talking, walking, and typing. Prolonged sitting or standing would cause angioedemas and hives to form. When she received her monthly injection of Xolair, she would become very sick for five days and then be relatively symptom-free for two weeks. Following the two weeks, the angioedemas and hives would return until her next injection. She further testified that she could do light chores, such as doing laundry, and driving her children to school, but could not do heavier chores, like vacuuming, or driving long distances. She also testified that she could sit or stand for only approximately thirty minutes at a time, and that she could no longer perform her former job at the bank because she could not do repetitive tasks or use her hands without causing an outbreak. When suffering an outbreak, she testified that she was “basically incapacitated.”

At the end of the hearing, the ALJ ordered McCullers to undergo a physical examination regarding her carpal tunnel syndrome and a psychological evaluation regarding her OCD. The ALJ informed McCullars that he would make his decision after receiving those reports.

On October 22, 2016, McCullars saw Dr. Sathyan Iyer (“Dr. Iyer”) for the required physical examination. Dr. Iyer reviewed her prior medical records and current condition. He determined that—although McCullars might have flare-ups that could prevent her from going to work or cause her to leave work early, and her underlying anxiety, depression, and ADHD could impair certain functions—she had no significant physical limitations. Specifically, he found that McCullars could sit, stand, or walk for one-hour periods without interruption, could cumulatively sit for four hours and stand and walk for two hours during an eight-hour workday, and was capable of sorting paper files.

McCullars saw Dr. June Nichols (“Dr. Nichols”) for the required psychological examination on November 8, 2016. Dr. Nichols determined that McCullars suffered from moderate depression and chronic anxiety. McCullars’s condition did not impair her ability to understand, remember, or carry out instructions, but her ability to respond appropriately to supervision, coworkers, and work pressures would be mildly to moderately impaired.

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Paige Giamalva McCullars v. Commissioner, Social Security Administration, (11th Cir. 2020).

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