Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-alnd-4_19-cv-00236/USCOURTS-alnd-4_19-cv-00236-0/pdf.json

Nature of Suit Code: 864
Nature of Suit: Social Security - SSID Title XVI
Cause of Action: 42:405 Review of HHS Decision (SSID)

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UNITED STATES DISTRICT COURT

NORTHERN DISTRICT OF ALABAMA

MIDDLE DIVISION

STEFANIE DAWN WILLIAMS,

Claimant,

vs.

ANDREW SAUL, Commissioner,

Social Security Administration, 

Defendant.

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Case No. 4:19-cv-0236-CLS

MEMORANDUM OPINION

Claimant, Stefanie Dawn Williams, commenced this action on February 7,

2019, pursuant to 42 U.S.C. § 405(g), seeking judicial review of a final adverse

decision of the Commissioner of the Social Security Administration, affirming the

decision of the Administrative Law Judge (“ALJ”) and thereby denying her claim for

a period of disability, disability insurance, and supplementalsecurity income benefits. 

Upon review of the record and briefs and for the reasonsstated herein, the court finds

that the Commissioner’s ruling is due to be reversed, and this case remanded to the

Commissioner for further proceedings.

The court’s role in reviewing claims brought under the Social Security Act is

a narrow one. The scope of review is limited to determining whether there is

substantial evidence in the record as a whole to support the findings of the

FILED

 2020 Jan-21 PM 02:36

U.S. DISTRICT COURT

N.D. OF ALABAMA

Case 4:19-cv-00236-CLS Document 11 Filed 01/21/20 Page 1 of 11
Commissioner, and whether correct legal standards were applied. See, e.g., Lamb v.

Bowen, 847 F.2d 698, 701 (11th Cir. 1988); Tieniber v. Heckler, 720 F.2d 1251, 1253

(11th Cir. 1983).

Claimant contends that the Commissioner’s decision is neither supported by

substantial evidence nor in accordance with applicable legalstandards. Specifically,

claimant asserts the following:

1. The ALJ failed to adequately consider Plaintiff’s [Claimant’s]

testimony concerning the side effects of her pain medication.

2. The finding that Claimant can perform her past work is notsupported

by substantial evidence and is not in accordance with proper legal

standards.

3 The Appeals Council erred in failing to grant review based on new,

material, and chronologically relevant, submissions including an

independent Medical Evaluation by an examining physician, holding

that that the submissions “do not create a reasonable possibility that it

would change the outcome of the decision”.

4. The denial of benefits was not based on substantial evidence. In

reviewing the Commissioner’s decision to deny benefits, this court must

evaluate any evidence not submitted to the ALJ but instead first

considered by the Appeals Council.

Doc. no. 8, at 1 (alteration supplied). 

Claimantfiled her application for benefits under TitlesII and XVI of the Social

Security Act on September 21, 2015, alleging that her disability began on April 23,

2015 (commonly referred to as date of onset). She last met the insured status

2

Case 4:19-cv-00236-CLS Document 11 Filed 01/21/20 Page 2 of 11
requirements of the Social Security Act on June 30, 2017.

1 Her initial application was

denied by the disability determination service on November 24, 2015. Claimant then

requested a hearing before an ALJ which was held by video conference on November

28, 2017.

2 The ALJ issued a written decision on January 12, 2018, finding the

claimant not disabled during the period from her date of onset thru the date of his

decision.

3 On April 8, 2018, three months after claimant’s hearing before the ALJ,

Dr. Janie Teschner of the Mercey Medical Clinic in Gadsden, Alabama, completed

a physical capacities examination form concerning the claimant.

4 Dr. Teschner’s

opinion is that the claimant is severally limited in her ability to perform work in an

eight-hour period. In addition, her opinion states that claimant’s limitations existed

as far back as April 23, 2015, the alleged onset date. Claimant filed a request for

review of the ALJ’s opinion with the Appeals Council on March 16, 2018, and

submitted Dr. Teschner’s opinion along with numerous other medical records on

April 13, 2018. Roughly nine months later the Appeals Council denied her request

for review, stating that “we find this evidence does notshow a reasonable probability

that it would change the outcome of the decision.”5

1 Tr. 20, 295 and 322 (Social Securitycertified earnings record shows consistent employment

earnings without a break from 1998 thru 2015).

2

 Tr. 20.

3

 Tr. 29.

4

 Tr. 10.

5

 Tr. 1-2.

3

Case 4:19-cv-00236-CLS Document 11 Filed 01/21/20 Page 3 of 11
However, since the new evidence was not available to the ALJ before he made

his decision, but was firstsubmitted to the Appeals Council, the court must apply the

following standard:

When a claimant submits new evidence to the AC [Appeals Council],

the district court must consider the entire record, including the evidence

submitted to the AC, to determine whether the denial of benefits was

erroneous. Ingram [v. Commissioner of Social Security Admin.], 496

F.3d [1253,] at 1262 [11th Cir. 2007]. Remand is appropriate when a

district court fails to consider the record as a whole, including evidence

submitted for the first time to the AC, in determining whether the

Commissioner’sfinal decision issupported by substantial evidence. Id.

at 1266-67. The new evidence must relate back to the time period on or

before the date of the ALJ’s decision. 20 C.F.R. § 404.970(b).

Smith v. Astrue, 272 Fed. App’x. 789, 802 (11th Cir. 2008) (alterations supplied). 

The Commissioner assertsthat the new evidence, specificallyDr. Teschner’s opinion,

does “not raise a possibility of changing the ALJ’s decision and does not undermine

the substantial evidence of the record supporting the ALJ’s determination that

Plaintiff [Claimant] is not disabled.”6 No argument is presented that the new

evidence fails to relate back to the period of disability alleged.

The court will first address claimant’s third and fourth arguments, since they

involve the new evidence which the ALJ did not have the opportunity to review. The

court notesthat all of claimant’s arguments morph into one central assertion – that the

6

 Doc. no. 9, at 13 (alteration supplied).

4

Case 4:19-cv-00236-CLS Document 11 Filed 01/21/20 Page 4 of 11
ALJ erred in steps four and five,7

by finding that the claimant could perform her past

relevant work, as a cashier II, or other work and, therefore, is not disabled. 

In his decision the ALJ found the following severe impairments: status post

anterior cervical fusion and discectomy at C-5 & C-6 and C-6 & C-7, cervical C-6

corpectomy

8

and status post lumbar hemilaminectomy at L-3 & L-4 and L-4 & L-5.

9

Further, the ALJ specifically considered claimant’s symptoms (her complaints of

pain) and found that her medical conditions “could reasonably be expected to cause

the alleged symptoms; however, the claimant’s statements concerning the intensity,

persistence and limiting effects of these symptoms are not entirely consistent with the

medical evidence and other evidence. . . [and] because the objective medical evidence

does not support [the] severity alleged by the claimant.”10

A review of the claimant’s medical recordsindicate that although her back and

neck issues may have reached maximum medical improvement, she continued to

7 The Social Security Administration uses a five-step sequential evaluation process (20

C.F.R. 404.1520(a) and 416.920(a)) to determine whether an individual is disabled. Step four

involves the determination of an individual’s residual functional capacity (“RFC”) followed by a

determination of their ability to perform their past relevant work considering the RFC. If the ALJ

determines that the individual cannot perform their past relevant work, the evaluation proceeds to

step five which involves the determination of whether the individual can perform anyother work that

exists in significant numbers in the national economy. Tr. 21.

8 According to the operative report the procedure performed on October 28, 2014 was a C-6

corpectomy [removal of part of the vertebral body] with Valeo VBR strut fusion C-5 to C-7, local

bone graft, Trinity allograft and Atlantis plate fixation C-5 to C-7. Tr. 489 (alteration supplied).

9

 The procedure was performed on March 10, 2017, and claimant seemed to be recovering

well until she fell down some steps few weeks after the procedure. Tr. 603, 606, and 634.

10

 Tr. 25-26 (ellipsis and alteration supplied).

5

Case 4:19-cv-00236-CLS Document 11 Filed 01/21/20 Page 5 of 11
suffer from considerable pain even after the surgical procedures.

11 Her medical

records are replete with consistent complaints of pain and prescribed pain

medication.

12 During the hearing claimant testified that she has had consistent neck

and back pain even after her surgeries, that the neck pain caused her to experience left

arm spasms once a week, resulting in the loss of use of her left arm, and that she has

fallen numerous times after her surgeries.

13 Also, she testified that the neck pain

causes her acute migraines, one every two weeks which last for two days, but the

migraines are not mentioned in the ALJ’s opinion.

14 There is also testimony that

claimant is no longer covered by medical insurance and the new medical records

support this assertion.

15

Nonetheless, the ALJ found that claimant’s complaints as to the level of pain

were inconsistent with the medical imaging evidence. Specifically, he states that

“imaging studies do not support the level of severity [of pain] alleged by the

claimant.”16 Although pain is usually not a symptom that can be conclusively

determined upon the review of medical imaging, the ALJ did consider her complaints

11

 Tr. 59-61.

12

 Tr. 474, 475, 477, 479, 481, 484, 487, 489, 491, 495, 498, 502, 509, 510, 517, 523, 531,

544, 560, 569, 581, 601, 603, 606, and 634.

13

 Tr. 62-63.

14

 Tr. 70.

15

 Tr. 50 and 99-104.

16

 Tr. 26 (alteration supplied). 

6

Case 4:19-cv-00236-CLS Document 11 Filed 01/21/20 Page 6 of 11
of pain in determining her residual functional capacity (“RFC”) by imposing

restrictions, such as, a sit/stand option, finding that:

After careful consideration of the entire record, the undersigned finds

that the claimant has the residual functional capacity to perform light

work as defined in 20 CFR 404.1567(b) and 416.967(b) except the

claimant would require a sit/stand option with the retained ability to stay

on or at a work station in no less than 30 minute increments each

without significant reduction of remaining on task and she is able to

ambulate short distances up to 100 yards per instance on flat, hard

surfaces. She is able to occasionally use bilateral foot controls and

frequently use non-dominant left hand controls. She can frequently

reach overhead as well as reach in all other directions with the left nondominant hand. She can frequently handle, finger and feel with the left

non-dominant hand. She can occasionally climb ramps and stairs but

never climb ladders or scaffolds. She can frequently balance but can

only occasionally stoop, crouch, kneel, and crawl. The claimant should

never be exposed to unprotected heights or operate commercial motor

vehicles.

(Tr. 25). In sum, the ALJ determined that the claimant could perform light work at

a level less than the full range of this work classification.

Based upon this RFC, the ALJ concluded at step four that the claimant could

perform her past relevant work, as a cashier II. However, upon testimony by the

vocational expert that the availability of such jobs is reduced by the “sit/stand

option,” the ALJ questioned the vocational expert about the claimant’s ability to

perform other work.

17

In response, the vocational expert testified that the claimant,

with adjustment for her RFC, could perform other jobs, such as: small parts

17

 Tr. 28.

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Case 4:19-cv-00236-CLS Document 11 Filed 01/21/20 Page 7 of 11
assembler, laundry folder, and hand packager.18

Interestingly, the consideration of

pain in relation to claimant’s capability to perform regular work is found in the last

hypothetical posed by the ALJto the vocation expert which requeststhatshe consider

an individual who can perform light work, with severe pain, and who “would be

unable to sustain sufficient concentration, persistence and pace to do even simple

tasks or an 8-hour day or a 40-hour week on a regular and continuing basis.”19 The

vocational expert responded thatsuch a person would not be able to perform any type

of work in the national economy.

20 The attorney for the claimant posed one

hypothetical to the vocational expert, concentrating upon the level of absenteeism

generally tolerated in the employment arena to maintain gainful activity. The

vocational expert testified that “[a]nything in excess of one day a month, an

individual would not be able to maintain competitive employment.”21 This line of

questioning was based upon a medical opinion dated March 30, 2015, by Dr. Daniel

Ryan,

22

regarding claimant’s left arm spasms, in which he states: “I feel it’s very

reasonable for her to miss a few days a month due to cervical spasm.”

23 This medical

18

 Tr. 29.

19

 Tr. 88.

20

 Tr. 89.

21

Id.

22 Dr. Ryan is a medical doctor with the Northeast Orthopedic Clinic in Gadsden, Alabama. 

Tr. 477 & 479.

23

 Id..

8

Case 4:19-cv-00236-CLS Document 11 Filed 01/21/20 Page 8 of 11
opinion, however, was not addressed or referenced in the ALJ’s opinion.

Among the new evidence submitted after the ALJ’s opinion,

24 Dr. Teschner’s

opinion is the most significant record, for it substantially limits the claimant’s

functional capacity. This opinion providesthat the claimant during an eight-hour day

would not be able sit or stand for more than 15 minutes at one time; she would have

to lie down for 5-6 hours a day; she would be off-task with normal breaks 65% of the

time; and she would miss 5-6 days in a 30 day period.

25 The opinion attributes the

cause of her limitationsto pain in her back and neck, and statesthat it is “worse [post]

surgery”

26 Also, the opinion highlights drowsiness as a side effect of her

medications.

27 There was extensive evidence before the ALJ of prescribed pain

medication, but he did not address any possible side effects in making his

determination. Dr. Teschner’s opinion appears consistent with claimant’s physical

injuries,

28

subsequent surgeries, the medical opinion of Dr. Ryan regarding her neck

spasms and absenteeism, and constant complaints of pain, as noted in her medical

records before and after her surgical procedures.

24 The other medical records filed with claimant’s request for review before the Appeals

Council provide additional support for her claims of neck and back pain before and after her surgical

procedures along with consistent prescriptions for pain medication. Tr. 95-202.

25

 Tr. 10.

26

Id. (alteration supplied).

27

Id.

28 The record provides that claimant has experienced a four wheeler accident, a car accident,

numerous falls, and an incident where she fell off a horse. See footnote 11.

9

Case 4:19-cv-00236-CLS Document 11 Filed 01/21/20 Page 9 of 11
Social Security Regulation (“SSR”) 96-8p provides that an individual must be

able to perform work on “[a] ‘regular and continuing basis’ [which] means 8 hours

a day, for 5 days a week, or an equivalent work schedule.29

 A medical opinion that

the claimant cannot maintain the level of work capacity required under SSR 96-8p is

substantial evidence of the inability to perform any gainful activity. Therefore, in

consideration of the new medical evidence along with the entire record, including the

possible lack of insurance, consistent complaints of pain, and Dr. Ryan’s opinion as

noted above, the court finds that this new evidence, given the appropriate

consideration and weight, would be substantial evidence of disability. Therefore, the

court concludes that the newly submitted medical evidence, specifically the physical

capacities evaluation by Dr. Jane Teschner, is significant and creates more than a

reasonable possibility that it would change the outcome the decision. Smith, 272 Fed.

App’x. at 802. 

Accordingly, the decision of the Commissioner is REVERSED, and this action

is REMANDED to the Commissioner of the Social Security Administration for

further proceedings consistent with this opinion. On remand, the Commissioner

should consider the new evidence, to include, Dr. Teschner’s medical opinion along

with that of Dr. Ryan, articulate the weight given to each and the reasons therefor,

and revisit, if necessary, the decision regarding the claimant’s ability to perform

29

 SSR 96-8p, at ¶ 1 (alteration supplied).

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Case 4:19-cv-00236-CLS Document 11 Filed 01/21/20 Page 10 of 11
gainful activity. Based upon the foregoing, it is not necessary to address the

claimant’s remaining arguments. Aseparate order will be entered contemporaneously

herewith. 

DONE this 21st day of January, 2020.

______________________________

Senior United States District Judge

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