Pettigrew v. SSA

2011 DNH 180
CourtDistrict Court, D. New Hampshire
DecidedNovember 1, 2011
DocketCV-11-167-PB
StatusPublished

This text of 2011 DNH 180 (Pettigrew v. SSA) is published on Counsel Stack Legal Research, covering District Court, D. New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pettigrew v. SSA, 2011 DNH 180 (D.N.H. 2011).

Opinion

Pettigrew v. SSA CV-11-167-PB 11/1/11 UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Michael L. Pettigrew

v. Case N o . 11-cv-167-PB Opinion N o . 2011 DNH 180 Michael J. Astrue, Commissioner, Social Security Administration

MEMORANDUM AND ORDER

Michael Pettigrew seeks judicial review of a decision by

the Commissioner of the Social Security Administration denying

his application for disability insurance benefits. Pettigrew

contends that the Administrative Law Judge (“ALJ”) who

considered his application did not adequately assess the medical

opinions of Pettigrew’s treating providers and that the ALJ’s

assessment of Pettigrew’s credibility is not supported by

substantial evidence. For the reasons provided below, I affirm

the Commissioner’s decision.

I. BACKGROUND1

Pettigrew applied for disability insurance benefits on

January 1 4 , 2009, when he was thirty-six years old. He alleged

1 The background information is taken from the parties’ Joint Statement of Material Facts. See L.R. 9.1(b). Citations to the Administrative Transcript are indicated by “Tr.” a disability onset date of September 3 , 2008, due to thyroid

cancer, chronic fatigue syndrome,2 and an adjustment disorder

with depressed mood.3 After graduating from high school, he

served in the U.S. Marine Corp from 1991 until 1995, when he was

honorably discharged. He subsequently worked as a mail handler

and a plumber/solderer.

A. Pettigrew’s Physical Impairments

Pettigrew was diagnosed with papillary thyroid cancer in

1995, while stationed as a Marine at Camp LeJeune in North

Carolina. He had a cancer recurrence in December of 2006 on the

left side of his neck, requiring surgical removal. On March 2 0 ,

2007, Dr. Christopher Knox, who removed the cancerous nodule,

noted that Pettigrew was “doing well,” but that he would require

regular monitoring for the rest of his life.

2 Chronic fatigue syndrome (“CFS”) is “a syndrome of persistent incapacitating weakness or fatigue, accompanied by nonspecific somatic symptoms, lasting at least 6 months, and not attributable to any known cause.” Stedman’s Medical Dictionary at 1894 (28th ed. 2006) (“Stedman’s”). 3 Adjustment disorder is “a disorder the essential feature of which is a maladaptive reaction to an identifiable psychological stress, or stressors, that occurs within weeks of the onset of the stressors and persists for as long as 6 months; the maladaptive nature of the reaction is indicated by impairment in occupational [ ] functioning, or in usual social activities or relationships with others . . . .” Stedman’s at 567.

2 On November 8 , 2007, Dr. Knox observed a small lesion on

Pettigrew’s neck and suggested that it be monitored for six

months. As of April 3 , 2008, however, Dr. Knox did not find any

evidence of cancer recurrence. On May 1 2 , 2008, Pettigrew

reported that he was doing fairly well, but explained that he

was feeling slightly tired. An ultrasound of the neck revealed

two small masses. Dr. Knox recommended continued monitoring,

noting that the masses appeared stable and did not warrant

surgery. On September 1 1 , 2008, Dr. Knox explained that

Pettigrew had not been cancer-free since 1995, and that his

aggressive form of papillary cancer required regular monitoring.

On September 3 , 2008, Pettigrew reported to Dr. G. Joshi

that he was experiencing fatigue, loss of energy, and pain. He

explained that he was ambulatory and able to manage his self-

care, but noted that he was incapable of normal activity.

On November 1 0 , 2008, Dr. Paul Tung, Pettigrew’s

endocrinologist, noted that an ultrasound still demonstrated two

small nodules in Pettigrew’s neck, but explained that Dr. Knox

had opined that no surgical intervention was needed, as those

nodules appeared stable. Pettigrew reported that, overall, he

3 had been feeling well. Dr. Tung instructed Pettigrew to follow

up in six months.

On January 7 , 2009, Dr. Joshi diagnosed Pettigrew with

chronic fatigue syndrome. At that time, Pettigrew reported that

he was exercising five to ten times a week, and that the

exercise included the use of weights. On the same date,

Pettigrew met with Dr. Tung, who explained that Pettigrew’s

thyroid cancer was fairly stable and that he was on an

unorthodox treatment regimen of thyroid hormone replacement

therapy and suppression therapy.

On April 1 6 , 2009, at a follow-up appointment with Dr.

Tung, Pettigrew reported increased dizziness, increased

appetite, trouble sleeping, shortness of breath, and

irritability. He explained, however, that he began feeling

calmer and sleeping better after an adjustment was made to his

thyroid suppression regimen. Pettigrew added that he had been

experiencing no dysphagia4 or neck pain. On May 1 1 , 2009,

however, Pettigrew reported to Dr. Tung that he was not feeling

well, and explained that he was feeling tired. Accordingly, Dr.

Tung adjusted his medication cycle and changed the dosage.

4 Dysphagia is “[d]ifficulty in swallowing.” Stedman’s at 599. 4 On June 2 , 2009, Dr. Matt Masewic reviewed Pettigrew’s

medical records for the New Hampshire Disability Determination

Service, and concluded that Pettigrew’s physical impairment was

not severe. Dr. Masewic explained that Pettigrew’s papillary

thyroid cancer, initially diagnosed in 1995 with one recurrence

in 2007, was not a metastatic disease5 and required no ongoing

treatment apart from thyroid replacement therapy and continued

monitoring. He added that the medical evidence revealed no

evidence of irritable bowel syndrome or functional loss

secondary to Epstein–Barr virus. Dr. Masewic concluded that

there was insufficient evidence to support a diagnosis of

chronic fatigue syndrome, and that the fatigue Pettigrew

reported was more likely related to depression.

On November 1 0 , 2009, Pettigrew continued to report feeling

tired, but informed Dr. Tung that he had not adhered to the

medication cycle change that Dr. Tung had instituted in May of

2009. On January 7 , 2010, Pettigrew reported that he had

implemented the recommended medication changes, and that since

then he had experienced no symptoms apart from some shortness of

5 Metastasis is defined as “[t]he shifting of a disease or its local manifestations, from one part of the body to another.” Stedman’s at 1195. 5 breath. Dr. Tung noted that Pettigrew’s thyroid cancer remained

fairly stable and that Pettigrew felt comfortable on his

existing medication regimen.

Pettigrew began treatment with Dr. Charles Brummer on March

2 , 2010. Pettigrew primarily complained of chronic fatigue

syndrome. On March 2 6 , 2010, Dr. Brummer offered an opinion

regarding Pettigrew’s residual functional capacity since

September of 2008. He opined that Pettigrew could lift and

carry 10 and 20 pounds occasionally, and that he could sit,

stand, and walk for one hour each in an 8-hour workday. Dr.

Brummer supported these limitations by explaining that Pettigrew

had classic and severe chronic fatigue syndrome, resulting in

overwhelming fatigue, lack of stamina, diffuse aches, severe

irritability, dizziness, and an inability to complete tasks,

concentrate, or think clearly. Dr. Brummer also limited

Pettigrew to occasional use of his dominant hand and right foot.

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2011 DNH 180, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pettigrew-v-ssa-nhd-2011.