Swyers v. Kijakazi

CourtDistrict Court, E.D. Missouri
DecidedAugust 3, 2023
Docket4:22-cv-00927
StatusUnknown

This text of Swyers v. Kijakazi (Swyers v. Kijakazi) is published on Counsel Stack Legal Research, covering District Court, E.D. Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Swyers v. Kijakazi, (E.D. Mo. 2023).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MISSOURI EASTERN DIVISION

BRIDGETTE LYNN SWYERS, ) ) Plaintiff, ) ) v. ) No. 4:22 CV 927 CDP ) KILOLO KIJAKAZI, Acting ) Commissioner of Social Security, ) ) Defendant. )

MEMORANDUM AND ORDER Plaintiff Bridgette Lynn Swyers brings this action under 42 U.S.C. §§ 405 and 1383 seeking judicial review of the Commissioner’s final decision denying her claims for disability insurance benefits (DIB) under Title II of the Social Security Act, 42 U.S.C. §§ 401, et seq., and for supplemental security income (SSI) under Title XVI of the Act, 42 U.S.C. §§ 1381, et seq. Because additional evidence considered by the Appeals Council renders the Commissioner’s final decision not supported by substantial evidence on the record as a whole, I will reverse the decision and remand for further proceedings. Procedural History On August 24, 2018, the Social Security Administration denied Swyers’ May 2018 applications for DIB and SSI in which she claimed she became disabled on October 8, 2016, because of depression, traumatic brain injury, and injuries to her head, neck, and back. A hearing was held before an administrative law judge (ALJ) on September 16, 2019. On October 22, 2019, the ALJ entered a decision

denying Swyers’ claims for benefits. The Appeals Council granted Swyers’ request to review the ALJ’s decision and remanded the matter to the ALJ for further consideration. Upon remand, a hearing was held on February 8, 2021, at

which Swyers and a vocational expert (VE) testified. On May 13, 2021, the ALJ entered a decision again denying Swyers’ claims for benefits, finding that VE testimony supported a conclusion that Swyers could perform work that exists in significant numbers in the national economy. On July 6, 2022, after consideration

of additional evidence, the Appeals Council denied Swyers’ request for review of the ALJ’s decision. The ALJ’s May 2021 decision is thus the final decision of the Commissioner.

In this action for judicial review, Swyers contends that the ALJ failed to follow the Appeals Council’s directives set out in its remand order. Swyers also claims that the ALJ erred in finding that her impairment did not meet or equal § 12.02 of the Listings of Impairments. Swyers also argues that the ALJ erred in

failing to reopen her earlier application for benefits that she filed pro se in April 2017. Finally, Swyers contends that consideration of new and material evidence submitted to the Appeals Council requires reversal of the ALJ’s decision. Swyers

asks that I reverse the ALJ’s decision and remand for further consideration. Medical Records and Other Evidence of Record On October 8, 2016, Swyers was struck in the head by the hook of a towing

strap that broke and snapped back from a towing vehicle, fracturing her skull and detaching part of her left ear. She was twenty-three years old at the time of the accident. She underwent emergency surgery that same date and several follow up

surgeries over the following year. She also underwent months of therapy for speech, cognition, and hearing. She has permanent hearing loss in the left ear. Swyers claims that she cannot work because of constant migraine-type headaches, poor concentration, and memory issues.

A review of the extensive administrative record in this case shows the following1: Swyers participated in physical therapy for one month after her initial surgery. She participated in speech therapy as well and was discharged in March

2017, at which time it was noted that Swyers continued to experience limitations in word finding, expressive aphasia, and reading comprehension. (Tr. 617-32.) Post-surgery, Swyers suffered from chronic infections involving her left ear, which prevented it from healing fully and correctly. She underwent additional

surgeries in December 2016 and January 2017 to clear the infection and to remove bone fragments that remained in the ear canal. In January 2017, under the supervision of an infectious disease specialist, she began an eight-week regimen of

1 The statements of material facts submitted by the parties (ECF 10-1, 11-1) do not adequately set out the facts necessary for resolution of Swyers’ claims in this action. intravenous antibiotics and transitioned to oral antibiotics in March 2017. Swyers complained of occasional tinnitus, headaches, ear pain, and imbalance during this

period. Swyers continued to experience infections, and her ENT, Dr. Mark Packer, noted in the summer of 2017 that her ear continued to drain and the ear canal was

“nonhealing.” (Tr. 1181, 1184.) In September 2017, Dr. Packer performed a revision tympanomastoidectomy, which involved, inter alia, skull base repair with bone graft,2 excision of necrotic cartilage, and reconstruction of Swyers’ eardrum using a prosthesis. (Tr. 1184-87.) Swyers’ headaches worsened after the surgery,

and she continued to experience occasional dizziness and ringing in her ears. Dr. Packer noted on January 2, 2018, that the temporal bone fracture was resolving but Swyers’ tinnitus was inadequately controlled. Swyers underwent debridement of

the mastoid cavity to remove debris, which Dr. Packer noted was affected by ongoing inflammation. Noting that the mastoidectomy was healing well, Dr. Packer permitted Swyers to resume full activities at that time. (Tr. 1206.) On April 24, 2018, upon follow up examination and in response to Swyers’

continued complaints of headaches, Dr. Packer diagnosed Swyers with inadequately controlled chronic paroxysmal headaches and paroxysmal hemicrania, which had been ongoing since the September 2017 surgery. (Tr. 1210-

2 Before repair, the skull base defect resulted in the herniation and exposure of the brain’s temporal lobe in the ear canal. (Tr. 115, Packer dep. at p. 26; Tr. 1184.) 12.) Earlier, on April 5, 2018, Swyers’ neurosurgeon, Dr. Jeffrey Sweeney, had referred Swyers to a neurology headache specialist for her post-traumatic bifrontal

headaches. (Tr. 3411.)3 Dr. Packer and Dr. Jacob Buhrow, the headache specialist, medically managed Swyers’ headache condition thereafter. During follow up appointments with Dr. Packer in August and December

2018, December 2019, and August 2020, Swyers continued to complain of chronic headaches, tinnitus, and occasional imbalance. Likewise, from August 2018 through January 2021, Swyers complained to Dr. Buhrow and his nurse practitioner, Patricia Schrader, that she experienced near-constant headaches each

month, with the headaches being debilitating several days each month. She also complained of dizziness, balance issues, and impaired memory. In February 2021, Dr. Buhrow’s office began administering occipital nerve blocks. (Tr. 4237.)

During a video nursing assessment on March 31, 2021, Swyers reported to Linda Schwieder, RN, that the two nerve blocks she had received to date provided only short-term relief of her headaches. (Tr. 88.) Swyers also regularly received chiropractic treatment. From April 2017

through July 2018, and from October 2018 to early April 2019, Swyers received weekly treatment for, inter alia, intermittent flare-ups of moderate-to-severe headaches, with such treatment occasionally providing temporary relief. She was

3 With no surgical intervention indicated, Dr. Sweeney discharged Swyers from his care at that time and instructed her to follow up as needed. (Tr.

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