Reid v. Commissioner of Social Security

District Court, E.D. Michigan·Decided July 24, 2020·No. 1:19-cv-11546·Unknown

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MICHIGAN SOUTHERN DIVISION DANIEL ALLEN REID, Plaintiff, Civil Action No. 19-11546

v. HON. R. STEVEN WHALEN COMMISSIONER OF SOCIAL U.S. Magistrate Judge SECURITY, Defendant. _____________________________/ OPINION AND ORDER Plaintiff Daniel Allen Reid brings this action under 42 U.S.C. §405(g) challenging a final decision of Defendant Commissioner denying his application for Disability Insurance Benefits (“DIB”) and Supplemental Security Income (“SSI”) under the Social Security Act. On August 28, 2019, both parties consented to United States Magistrate Judge jurisdiction under 28 U.S.C. § 636(c) and Fed. R. Civ. P. 73. Both parties filed summary judgment motions. For the reasons set forth below, Plaintiff’s Motion for Summary Judgment [Docket #14] is GRANTED to the extent that the case is remanded to the administrative level for further proceedings. Defendant’s Motion for Summary Judgment [Docket #15] is DENIED.

-1- PROCEDURAL HISTORY On January 29, 2016, Plaintiff filed applications for DIB and SSI, alleging disability

as of November 13, 2014 (Tr. 268, 275). After the initial denial of the claim, Plaintiff requested an administrative hearing, held on November 30, 2017 in Falls Church, Virginia (Tr. 87). Administrative Law Judge (“ALJ”) John Loughlin presided (Tr. 87). Plaintiff, testifying by teleconference from Mt. Pleasant, Michigan, was represented by attorney Janice Brownson (Tr. 92-109). Vocational Expert (“VE”) Mary Everts also testified (Tr. 110-115).

On April 24, 2018, ALJ Loughlin found that while Plaintiff was unable to perform any of his past relevant work, he could perform a significant range of unskilled work (Tr. 34-35). On March 27, 2019, the Appeals Council denied review (Tr. 1-3). Plaintiff filed for judicial review of the final decision on May 28, 2019.

BACKGROUND FACTS Plaintiff, born September 15, 1964, was 53 at the time of the ALJ’s decision (Tr. 35, 268). He completed two years of college and training as an iron worker (Tr. 339). He worked previously as an iron worker (Tr. 339). He alleges disability due to hyperlipidemia, hypertension, and a right leg and back injury (Tr. 338).

A. Plaintiff’s Testimony Plaintiff’s counsel prefaced her client’s testimony by amending the alleged onset of disability date from November 13, 2014 to June 30, 2015 (Tr. 91).

-2- Plaintiff then offered the following testimony: Between 2002 and June, 2015, he worked “on and off” as an iron worker (Tr. 93).

The job required him to drag up to 100 pounds and stand or walk for the entire workday (Tr. 94). He was unable to work due to severe back, leg, hip, and neck pain (Tr. 95). His upper extremity problems included neck pain radiating to his left shoulder; tendinitis of the left elbow; and Carpal Tunnel Syndrome (“CTS”) (Tr. 95). Plaintiff received mental health treatment beginning in 2011 after his wife’s death the same year (Tr. 95). Since her passing,

he experienced intermittent panic attacks (Tr. 95). His mental health was affected by both her death and his physical problems (Tr. 95). Plaintiff experienced right calf pain constantly since a November, 2014 “crush” injury when an 80-pound weight was dropped on his leg (Tr. 96). He also experienced difficulty

washing dishes and vacuuming due to constant shoulder pain which began in early 2016 (Tr. 96-97). His neck and radiating arm and finger pain/numbness was exacerbated by sitting (Tr. 97). His back problems began in 2001 when he fell four stories and fractured a vertebra (Tr. 98). He underwent surgery and “learn[ed] to walk again,” but began experiencing back pain

again in 2006 due to arthritis and bulging discs (Tr. 98). He worked intermittently as an iron worker since 2001, noting that “people at the union” sent him out on jobs long enough so he could collect unemployment (Tr. 99). His treatment included physical therapy, massage, acupuncture, NSAIDs, Neurontin, and muscle relaxers (Tr. 99). He also iced his shoulder and back (Tr. 105). The medication reduced but did not eliminate his pain (Tr. 99). He

-3- experienced stomach problems due to the medication (Tr. 100). As a result of the body pain, he was ill-tempered and experienced problems sleeping (Tr. 100).

Plaintiff’s most comfortable position was sitting in a reclining chair (Tr. 101). Due to body pain, he shifted positions every hour (Tr. 101). He was unable to sit upright for more than 45 minutes (Tr. 102). His doctor prescribed the use of a cane (Tr. 102). Plaintiff was unable to walk for more than one block (Tr. 102). At the times he aggravated his leg condition, he was unable to exercise for two days (Tr. 102). He was unable to stand for more

than two minutes due to leg pain (Tr. 103). He was able to lift a gallon of milk, with difficulty, on a rare basis, and was unable to reach overhead (Tr. 103). He was unable to use a computer for more than 15 minutes at a time due to neck, arm, and finger pain (Tr. 104). On a good day, he was able to clean his house, provided that he took periodic breaks between

tasks (Tr. 106). He took an extra pain pill before doing yard work or vacuuming (Tr. 106). Plaintiff received individual counseling and group therapy once a month, and was seen by a psychiatrist once every two months (Tr. 104). Psychotropic medication did not help his condition but he received good results from counseling (Tr. 104-105). Due to depression and

anxiety, he lost interest in previously enjoyable activities such as reading, going to the gym, and watching football with his friends (Tr. 105). His meetings with friends were spoiled when they brought up the subject of his deceased wife (Tr. 107). Plaintiff had lost his ability to drink in moderation and was now attending AA meetings (Tr. 107). He had not used alcohol in the past year except on the occasion of his deceased wife’s birthday (Tr. 107). He

-4- thought constantly about his wife and experienced frequent crying jags (Tr. 105-106). Since suffering a traumatic brain injury during the 2001 fall, he experienced short-term memory

problems (Tr. 109). B. Medical Evidence 1. Treating Sources1 In November, 2014 Plaintiff sought treatment after an 80-pound jack fell on his right leg (Tr. 568). He received treatment from orthopedic surgeon Austin J. Boyle, III, M.D. (Tr.

461). In December, 2014, Plaintiff reported that he had returned to work performing a “sitting” job but reported that his pain was not relieved with NSAIDs (Tr. 461, 468, 471). January, 2015 records note Plaintiff’s report of pain after he stopped wearing a leg brace (Tr. 481). In March, 2015, Dr. Boyle observed a slight limp (Tr. 494). In May, 2015,

Dr. Boyle found that Plaintiff could lift up to 30 pounds but required work allowing alternate sitting and standing (Tr. 520). In June, 2015, “work hardening” records note that Plaintiff could lift up to 90 pounds but experienced difficulty squatting (Tr. 531). Dr. Boyle noted that Plaintiff appeared “quite disappointed” upon hearing that opioids would no longer be prescribed (Tr. 535). A July, 2015 MRI of the lower right leg showed “very mild edema”

and a suspected mild fibrosis, but was otherwise unremarkable (Tr. 606). In July, 2015, Dr. Boyle noted a normal gait without the use of a cane or crutch (Tr. 545). In August, 2015,

1Medical records significantly pre-dating the relevant period of June 30, 2015 are included for background purposes only. -5- Michael F. Iossi, M.D.

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