Tully v. Commissioner of Social Security

CourtDistrict Court, S.D. Ohio
DecidedJune 9, 2020
Docket2:20-cv-00163
StatusUnknown

This text of Tully v. Commissioner of Social Security (Tully 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
Tully v. Commissioner of Social Security, (S.D. Ohio 2020).

Opinion

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

SOPHIA TULLY,

Plaintiff, v. Civil Action 2:20-cv-00163 Judge James L. Graham Magistrate Judge Kimberly A. Jolson

COMMISSIONER OF SOCIAL SECURITY,

Defendant.

REPORT AND RECOMMENDATION Plaintiff, Sophia Tully, brings this action pro se under 42 U.S.C. § 405(g) seeking review of a final decision of the Commissioner of Social Security (“Commissioner”) denying her applications for Disability Insurance Benefits (“DIB”) and Supplemental Security Income (“SSI”). For the reasons detailed below, the Magistrate Judge RECOMMENDS that the Court OVERRULE Plaintiff’s Statement of Errors (Doc. 5) and AFFIRM the Commissioner’s decision. I. BACKGROUND

A. Summary of Proceedings

Plaintiff filed her applications for DIB and SSI on January 25, 2017, alleging disability beginning October 30, 2016, due to a herniated disc lower back pain; right SI joint pain; and pain following surgery to remove a tumor from her neck. (Tr. 247–57, 295). After her applications were denied initially and on reconsideration, an Administrative Law Judge (“ALJ”) held a hearing on June 19, 2019, at which Plaintiff, represented by counsel, appeared and testified. (Tr. 47–77). The ALJ denied benefits in a written decision on July 3, 2019. (Tr. 16–41). The Appeals Council denied Plaintiff’s request for review, making the ALJ’s decision the final decision of the Commissioner. (Tr. 1–7). Plaintiff initiated this action pro se on January 10, 2020. (Doc. 1.) Before the Court is Plaintiff’s Statement of Specific Errors (Doc. 5); Plaintiff’s Notice of Filing Verified Statement of Recorded Fact (Doc. 6); Plaintiff’s Notice of Filing of Corroborating Evidence to Claim of Unconstitutionality, to which a page printout of medical diagnoses has been attached (Doc. 7);

Commissioner’s Memorandum in Opposition (Doc. 8); Plaintiff’s Reply (Doc. 11); Plaintiff’s Additional Evidence of Unconstitutionality (Doc. 12); Plaintiff’s request to have a Physical Assessment Examination from OSU Wexner Medical Center East entered into the record (Doc. 13); Plaintiff’s request to have her statement entered into the record, to which an invoice for dental procedures has been attached (Doc. 14); and Plaintiff’s request to have an Exhibit from the administrative proceedings made part of the record (Doc. 15).1 B. Relevant Record Evidence 1. Plaintiff’s Hearing Testimony Plaintiff testified that, after beginning to experience car sickness, she had an MRI, which revealed a syrinx tumor in her neck the size of a small banana. (Tr. 57–58). She had surgery to

remove the tumor in approximately December 2015. (Id.) Despite directions to take a year off work following surgery, Plaintiff returned to work as a flight attendant after only three months because she really wanted to fly. (Tr. 61). She continued to experience pain in her neck averaging a level five on a ten-point scale, and driving exacerbated her neck pain. (Tr. 58–59). She could not turn her head right or left and could reach her arms out only a short distance. (Tr. 60.) A year later, Plaintiff had four screws inserted at the L5-S1 level of her spine. (Tr. 59.) A year after that, she underwent a spinal cord stimulator test. (Id.) She then had a permanent spinal

1 Plaintiff last asks the Court to enter Exhibit 7B/4 into the record. (Doc. 15.) That document is already part of the certified record. (Doc. 9–4, Tr. 165). cord stimulator implanted but testified that she still has pain in her low back and right hip. (Tr. 61– 62). She further testified that, when sitting or driving for more than twenty minutes, her feet sometimes move on their own and curl up and her right calf locks up. (Tr. 62–63). She also testified that the screws in her back impede her movement, and she experiences pain in her back

causing her stomach muscles to cinch and making her vomit. (Tr. 63.) She also indicated that bending forward causes pain. (Tr. 63–64). For pain relief, Plaintiff receives massage and acupuncture therapy, stretches, and uses her sister’s swimming pool. (Tr. 65–66.) Lying down also helps. (Tr. 65). Additionally, Plaintiff testified that, she is often unable to move her right leg and her roommate has to help her to get in and out of the shower and get dressed. (Tr. 64–65). Her roommate also helps with grocery shopping and housecleaning. (Tr. 66–67, 68). She is no longer able to engage in activities that she used to enjoy such as running, working out, traveling, and walking her dog. (Tr. 67–68). Despite that, she can still spend five to six hours each day with her young grandchildren and occasionally babysit them with assistance from her roommate. (Tr. 70–

72). 2. Relevant Medical Records The ALJ usefully summarized Plaintiff’s medical records and symptoms related to her severe impairments: Magnetic resonance imaging (“MRI”) scan results from October 2015 documented combination of degenerative disc along with broad based disc bulging at L4-L5 with disc extrusion of the right with some pressure on the L5 nerve root, not notable on the left, some changes at L3-L4 with some degeneration and facet changes but no significant stenosis, other changes to a lesser degree cephalad to this, and relatively unremarkable L5-S1 (Exhibits 4F/6 and 10F/47). X-ray results from April 2017 documented dextroscoliosis measuring around ten degrees from L3-L4 to the upper lumbar spine, with some angulation resulting from the lower lumbar levels either L4-L5 or L5-S1 (Exhibits 8F/49 and 10F/47). MRI scan results from April 2017 documented six lumbar-type vertebral bodies, far right lateral disc protrusion at L5-L6 resulting in moderate right foraminal narrowing, broad based left paracentral/central disc protrusion at this level contacting the left L6 nerve root in the lateral recess and resulting in mild left foraminal narrowing, and far left lateral disc protrusion at L4-L5 contacting the extraforaminal left L4 nerve root and resulting in mild left L4-L5 foraminal narrowing (Exhibits 5F/5, 8F/9–10, and 10F/50–51). MRI and discography results from June 2017 documented L6 vertebral body, some degenerative changes at L5-L6 and to a lesser degree at L4-L5, and normal architecture at L3-L4 and L6-S1 (Exhibits 7F/6, 8F/51–53, and 10F/39–40). The claimant underwent spinal cord stimulator (“SCS”) trial in October 2017 (Exhibit 7F/20). The claimant underwent anterior lumbar and interbody fusion, insertion of cage, and placement of plate and screws procedure at L5-L6 procedure in December 2017 (Exhibits 7F/40 and 8F/156– 161). X-ray results from December 2017 documented postoperative changes of anterior fixation involving the lower lumbar spine at L5 and the sixth non-rib- bearing lumbar vertebral body, intact, with alignment maintained (Exhibit 16F/137). X-ray results from January 2018 documented cage and anterior to mentation at L5-L6 in proper position (Exhibit 10F/16). X-ray results from March 2018 documented cage and anterior plate at L5-L6 in proper position (Exhibit 7F/40). X-ray results from April 2018 documented stable postsurgical changes status post anterior interbody fusion at L5-L6 with transitional anatomy at the lumbosacral junction and no acute fracture (Exhibit 16F/110). The claimant underwent thoracic SCS permanent placement procedure in May 2018 (Exhibits 7F/44 and 9F/118–121). X-ray results from August 2018 documented cage and anterior plate at L5-L6 in proper position with no findings to suggest pseudarthrosis or failure fixation (Exhibit 10F/8). X-ray results from November 2018 documented intact anterior instrumentation and cage placement at L5-L6 with no evidence of failure fixation or nonunion (Exhibit 16F/63–64).

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