Stewart v. Commissioner of Social Security

CourtDistrict Court, S.D. Ohio
DecidedAugust 10, 2021
Docket2:20-cv-04391
StatusUnknown

This text of Stewart v. Commissioner of Social Security (Stewart v. Commissioner of Social Security) is published on Counsel Stack Legal Research, covering District Court, S.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Stewart v. Commissioner of Social Security, (S.D. Ohio 2021).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF OHIO EASTERN DIVISION

BRENDA M. STEWART,

Plaintiff, v. Civil Action 2:20-cv-4391 Judge Michael H. Watson Magistrate Judge Jolson

COMMISIONER OF SOCIAL SECURITY,

Defendant.

REPORT AND RECOMMENDATION Plaintiff, Brenda M. Stewart, brings this action under 42 U.S.C. § 405(g) seeking review of a final decision of the Commissioner of Social Security (“Commissioner”) denying her application for Supplemental Security Income (“SSI”). For the reasons set forth below, it is RECOMMENDED that the Court OVERRULE Plaintiff’s Statement of Errors and AFFIRM the Commissioner’s decision. I. BACKGROUND Plaintiff protectively filed her application for SSI on August 29, 2017, alleging disability beginning May 21, 2016. (Doc. 14, Tr. 205–09). After her application was denied initially and on reconsideration, the Administrative Law Judge (the “ALJ”) held the hearing on September 19, 2019. (Tr. 35–58). On October 15, 2019, the ALJ issued a decision denying Plaintiff’s application for benefits. (Tr. 12–34). The Appeals Council denied Plaintiff’s request for review, making the ALJ’s decision the final decision of the Commissioner. (Tr. 1–6). Plaintiff filed the instant case seeking a review of the Commissioner’s decision on August 27, 2020 (Doc. 1), and the Commissioner filed the administrative record on February 16, 2021 (Doc. 14). Plaintiff filed her Statement of Errors on April 28, 2021, and this matter is now ripe for consideration. (See Docs. 18, 20, 21). A. Relevant Medical History and Hearing Testimony Because Plaintiff’s statement of errors pertains to only her physical impairments, the Undersigned limits her discussion of the medical record and hearing testimony to the same.

1. Medical History The medical evidence of record shows that [Plaintiff] has degenerative disc disease of the spine (Exhibits D9F, p. 14). A computed tomography (CT) scan of the lumbar spine in June 2017 revealed stable severe degenerative disc changes at L5-S1 (Exhibit D9F, p. 14). However, [Plaintiff] has specifically denied having any back pain or any falls during the period at issue in this case (Exhibit D24F, p. 7). Additionally, she has not received any specific treatment for this condition since her current application date. Although [Plaintiff] was noted to be using a cane on a couple of occasions during her medical appointments, there is no indication from the record that a cane is medically necessary (Exhibits D17F, p. 2 and D24F, p. 3).

The record indicates that [Plaintiff] has a history of seizure disorder (Exhibit D7F, p. 2). [Plaintiff] has reported experiencing small seizures or absence-type spells and intermittent hand tremors (Exhibits D7F, p. 2; D8F, p. 2; and D24F, pp. 1, 5, 8). However, her doctor indicated that the hand tremors are predominantly anxiety- related (Exhibit D24F, p. 9). Neurological examinations of record have been normal (Exhibits D8F, p. 3; D17F, p. 21; and D24F, p. 3). Additionally, a CT scan of her brain in February 2018 was normal, as has been prior work-ups and electroencephalograms (EEGs) (Exhibits D22F, p. 1 and D24F, pp. 8, 10). [Plaintiff] has been prescribed Gabapentin and Phenytoin to treat this condition (Exhibit D8F, p. 2 and D24F, p. 4). Her seizure disorder has been stable on medication (Exhibit B17F, p. 23).

The evidence demonstrates that [Plaintiff] has diabetes mellitus with diabetic retinopathy and diabetic neuropathy (Exhibits D25F, p. 1). [Plaintiff] has presented to the doctor with elevated blood glucose and A1c levels (Exhibits D17F, pp. 22, 26). She has reported intermittent low blood sugar (Exhibits D17F, p. 19). She indicated that she experiences bilateral foot and toe pain consistent with diabetic neuropathy (Exhibit D25F, p. 4). However, physical examinations of her lower extremities have generally been unremarkable, with some diminished proprioception sensation (Exhibits D21F, p. 2 and D25F, pp. 2, 5). She has been prescribed diabetic shoes (Exhibit D17F, p. 18). She has also been prescribed Metformin, Glyburide, and Januvia to help regulate her blood sugar and has been prescribed Folbee to treat her neuropathy (Exhibits D17F, pp. 19, 23 and D25F, p. 4). Her condition is considered to be uncontrolled (Exhibits D17F, p. 23). Nevertheless, the current file does not document any significant issues or treatment for diabetic retinopathy.

The medical evidence suggests that [Plaintiff] has a history of [Deep Vein Thrombosis] (“DVT”) (Exhibit D5F, p. 8). However, [Plaintiff] has not had any DVT issues since her application date (Exhibit D24F, p. 4).

(Tr. 23–24).

2. Relevant Hearing Testimony The ALJ also summarized Plaintiff’s hearing testimony:

[Plaintiff] testified at the hearing to the following: She stated that she has little seizures that cause her to have tremors. She remarked that she had surgery on her trigger thumb in June 2017. She noted that she has numbness in her hands, feet, and legs. She maintained that she needs to elevate her legs every day for about an hour up to twice per day to reduce the swelling, and that at times she has to stand for a while before sitting back down. She reported that she has a ruptured disc in her back and that part of it has broken off and is floating around in her back, causing lower back pain that radiates into her lower extremities. She noted that she is not able to able to sit for long periods of time because of her back problems. She mentioned that she has headaches two to three times per week, with associated nausea and vomiting. She remarked that she has vomited for an entire day with her severe headaches. She stated that she uses a cane constantly for balance because she has a brace on her right foot. [ ]

(Tr. 23).

B. The ALJ’s Decision

The ALJ found that Plaintiff has not engaged in substantial gainful activity since August 29, 2017, the application date. (Tr. 19). He then determined that Plaintiff suffered from the following severe impairments: degenerative disc disease of the spine, history of seizure disorder, diabetes mellitus, diabetic retinopathy, diabetic neuropathy, history of DVT, depressive disorder, and generalized anxiety disorder. (Id.). The ALJ, however, found that none of Plaintiff’s impairments, either singly or in combination, met or medically equaled a listed impairment. (Tr. 20). As to Plaintiff’s residual functional capacity (“RFC”), the ALJ opined: [Plaintiff] has the residual functional capacity to perform sedentary work as defined in 20 CFR 416.967(a) except [Plaintiff] can occasionally climb ramps and stairs, but can never climb ladders, ropes, or scaffolds; can occasionally stoop, kneel, crouch, and crawl; can occasionally operate foot controls; can have no exposure to commercial driving, moving machinery, or unprotected heights. Mentally, [Plaintiff] retains the ability to understand, remember, and carry out simple, repetitive tasks; able to respond appropriately to supervisors and co-workers in a task-oriented setting with only occasional public contact and occasional interaction with co-workers; and able to respond to simple changes and avoid hazards in a setting without strict production quotas.

(Tr. 22).

Upon “careful consideration of the evidence,” the ALJ found that Plaintiff’s “statements concerning the intensity, persistence and limiting effects of [her] symptoms are not entirely consistent with the medical evidence.” (Tr. 23). The ALJ then considered to the opinion evidence, turning first to the state agency consultants’ physical assessments: The State agency medical consultants’ physical assessments are not persuasive (Exhibits 3A and 5A).

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Stewart v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/stewart-v-commissioner-of-social-security-ohsd-2021.