Stiles v. Barnhart

258 F. Supp. 2d 996, 2003 U.S. Dist. LEXIS 6934, 2003 WL 1955405
CourtDistrict Court, S.D. Iowa
DecidedApril 24, 2003
Docket4:02-cv-90537
StatusPublished
Cited by1 cases

This text of 258 F. Supp. 2d 996 (Stiles v. Barnhart) is published on Counsel Stack Legal Research, covering District Court, S.D. Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Stiles v. Barnhart, 258 F. Supp. 2d 996, 2003 U.S. Dist. LEXIS 6934, 2003 WL 1955405 (S.D. Iowa 2003).

Opinion

ORDER

PRATT, District Judge.

Plaintiff, Chris A. Stiles, filed a Complaint in this Court on October 16, 2002, seeking review of the Commissioner’s decision to deny his claim for Social Security benefits under Title II and Title XVI of the Social Security Act, 42 U.S.C. §§ 401 et seq. and 1381 et seq. This Court may review a final decision by the Commissioner. 42 U.S.C. § 405(g). For the reasons set out herein, the decision of the Commissioner is reversed.

BACKGROUND

Plaintiff filed applications for Social Security Disability benefits and Supplemental Security Income benefits on August 14, 2000. Tr. at 113-15 & 320-22. Plaintiff claimed to have become disabled January 1, 2000. Tr. at 113. Plaintiff is insured for Title II benefits through September of 2000. Tr. at 120. After the applications were denied, initially and on reconsideration, Plaintiff requested a hearing before an Administrative Law Judge. A hearing was held before Administrative Law Judge John P. Johnson (ALJ) on December 19, 2001. Tr. at 36-94. The ALJ issued a Notice Of Decision — Unfavorable on May 21, 2002. Tr. at 11-22. After the decision was affirmed by the Appeals Council on August 10, 2002, (Tr. at 7-9), Plaintiff filed a Complaint in this Court on October 16, 2002.

MEDICAL RECORDS

Plaintiff was seen at the Mercy Ankeny Medical Clinic 1 on July 22, 1998. His complaints involved an inability to relax, depression and feelings of doom. Plaintiff said that he was an apartment manager which involved a lot of stress. He denied alcohol or drug use. Plaintiff was given a prescription of Prozac. Tr. at 204. When Plaintiff was seen on August 1, 1998, he had been fired from his job as an apartment manager. He felt that being fired was a good thing because of the stress of the job. He reported that the depression was markedly improved. The prescription for Prozac was continued. Tr. at 203. On September 8, 1998, Plaintiff reported that he was having mood swings and bouts of depression to a moderate degree. The doctor wrote that Plaintiff had dyed his hair reddish brown and that his contact lenses were artificial blue. Plaintiffs medication was changed to Effexor. Tr. at 202. On September 22, 1998, Plaintiff was doing well on the Effexor, but he reported that he had been on a drinking binge the previous weekend. Plaintiff asked for a referral for some counseling and was sent to Mercy Franklin for an evaluation and treatment.

On October 8, 1998 (Plaintiffs birth date is October 8, 1956), Plaintiff had been *998 drinking heavily and was taking extra doses of Prozac and Effexor. Plaintiff had been found in a stuporous condition. Plaintiffs wife was told to take him to the emergency room. Tr. at 201. See also, Tr. at 199 which is the emergency department report dated October 8, 1998. On December 16, 1998, it was noted that Plaintiff had been through a 25 day detox, program. During the detoxification process, Plaintiff had been taken off his medication which made him feel anxious and depressed. Plaintiff was described as being very calm and not disheveled as he had been in the past. Tr. at 200.

When Plaintiff was seen at Mercy Ank-eny Clinic on March 12, 1999, for sinus problems, the doctor was concerned about Plaintiff having a flare up of major depression. Tr. at 216. April 8, 1999, Plaintiff saw the doctor for “a long standing history of a leg injury secondary to a motor vehicle accident dating back to 1978.” The doctor wrote that Plaintiff had orthopedic wiring installed at the injury site a piece of which was protruding through the surface of the skin. The doctor performed a surgery to remove the wire. The doctor also increased the dosage of the antidepressant medication. Tr. at 215.

Plaintiff was hospitalized at Iowa Lutheran Hospital from August 13 to 17, 1999. He had been admitted for treatment of alcohol abuse and suicidal ideation. Plaintiff had been drinking at least a 12-pack of beer a week. Plaintiff had been thinking of jumping off a bridge. On discharge, James Kim, M.D. diagnosed major depression and alcohol abuse. Tr. at 205. During the admission history, it was noted that Plaintiff had undergone alcohol treatment in 1993. He had about a 12 year sobriety period until a divorce from his first wife. Under the heading of Family History the following is written: His father was murdered in 1983. His mother went to jail as accomplice and charged with second degree murder. Tr. at 207.

When Plaintiff was seen on September 22, 1999 at the Mercy Ankeny Clinic, he complained of low back pain. The doctor performed soft tissue manipulation of the cervical, thoracic and lumbosacral regions of the back. Tr. at 212. A note dated December 1, 1999, states that Plaintiff had undergone sinus surgery on October 29, 1999. Tr. at 209. On January 24, 2000, Plaintiff reported that he had been out of Wellbutrin for a few days and, as a result, was feeling grumpy and short tempered. Plaintiff also complained of gastroenteritis symptoms of nausea and vomiting. Plaintiff was given a prescription for Wellbutrin and advised to call Dr. Kim, his psychiatrist, for further prescriptions. Tr. at 249.

A Mercy Ankeny Clinic progress note dated May 3, 2000, states that Plaintiff was seen for significant depression. Plaintiff reported that he wanted to return to work, but that his depression would not allow it. “He has had bouts of anger, cannot sleep, cannot function, negative thoughts frequently.” Plaintiff asked for and was given a referral to the Mercy Franklin clinic. First on a list of six diagnoses was poorly controlled major depression. Tr. at 243.

Plaintiff saw Ian Lin, M.D. at Des Moines Orthopaedic Surgeons on August 7, 2000. Plaintiff was walking awkwardly because of his leg injury and complained of back pain as well as more pain in his leg. Plaintiffs left leg was 1% inches shorter than the right. X-rays showed the healed injury. Tr. at 232. After his examination, the doctor diagnosed malunion distal third mid third junction tibia fracture. Tr. at 233.

A consultation report dated August 19, 2000, by Mark Smolik, M.D. states that Plaintiff had recently undergone a repair of a left inguinal hernia. Plaintiff was complaining of pain for which the doctor *999 prescribed additional medication. Tr. at 237.

On October 4, 2000, Plaintiff saw Dr. Akins. Plaintiff was examined because of his back pain which the doctor said was caused from his short leg syndrome. Plaintiff was using a cane when he walked. In addition, Plaintiff appeared to be depressed. Dr. Akins told Plaintiff to discontinue Wellbutrin and to begin taking Serzone. Tr. at 234.

Plaintiff underwent a consultative psychiatric evaluation by Ashwini A. Pradhan, M.D. on November 13, 2000. Tr. at 250-54. Plaintiff said that in 1978, while stopped at a stop sign on a motorcycle, he was hit from the rear by a 18-year-old driver who was under the influence of alcohol. Plaintiffs best friend who was riding with him, was killed.

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Bluebook (online)
258 F. Supp. 2d 996, 2003 U.S. Dist. LEXIS 6934, 2003 WL 1955405, Counsel Stack Legal Research, https://law.counselstack.com/opinion/stiles-v-barnhart-iasd-2003.