Document ID: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-ca8-15-03298/USCOURTS-ca8-15-03298-0/pdf.json

Parties Involved:
Theresa Kay Aguiniga
Appellant
Carolyn W. Colvin
Appellee

Document Text:

United States Court of Appeals

For the Eighth Circuit

___________________________

No. 15-3298

___________________________

Theresa Kay Aguiniga

lllllllllllllllllllll Plaintiff - Appellant

v.

Carolyn W. Colvin, Acting Commissioner of Social Security

lllllllllllllllllllll Defendant - Appellee

____________

Appeal from United States District Court 

for the Southern District of Iowa - Des Moines

____________

 Submitted: April 13, 2016

 Filed: August 15, 2016

____________

Before WOLLMAN, BEAM, and MURPHY, Circuit Judges.

____________

BEAM, Circuit Judge.

Theresa Aguiniga appeals the district court's decision affirming the

1

Commissioner's decision to deny Aguiniga social security disability benefits. We

affirm.

The HonorableCharlesR. Wolle, United States DistrictJudge for the Southern 1

District of Iowa.

Appellate Case: 15-3298 Page: 1 Date Filed: 08/15/2016 Entry ID: 4437363 
I. BACKGROUND

Aguiniga, a 44-year-old woman (at the time of her alleged onset date), was in

a motorcycle accident in September 2007, wherein she fractured her pelvis in six

places, and also broke her wrist. An MRI performed in January 2008 indicated

bulging discs in the lumbar and cervical region at several different locations. She

complained of numbness and tingling in her extremities in numerous doctor visits

following the accident. She saw doctors for these conditions and complained of pain

regularly in the year following the accident. Nonetheless, in the fall of 2008,

Aguiniga was discharged from physical therapy after cancelling three appointments

and not rescheduling. Although she wastreated with steroid injections for a time, she

ultimately stopped that treatment, requesting that her pain be controlled with pain

medications. Too, shortly after the accident, Aguiniga experienced psychological

problems and saw mental health practitioners. However, she did not seek mental

health therapy from June 2008 until December 2008. In the first half of 2009, she

saw doctors for her back pain and a licensed social worker for mental health issues.

Aguiniga first applied for social security disability benefits in late 2007, and

was denied benefits initially on January 15, 2008, and on reconsideration on June 4,

2008. Aguiniga did not appeal the denial of benefits after this first application. 2

Instead, on May 12, 2009, Aguiniga filed a new application for disability benefits,

alleging an onset disability date of April 28, 2009. In late June and early July 2009,

Aguiniga's physical and mental Residual FunctionalCapacity (RFC) evaluations were

prepared by the Social Security Administration's disability determination services. 

The physical assessment indicated some exertional limitations and occasional

postural limitations. Themental assessment indicated Aguiniga would bemoderately

limited in sustained concentration and social interaction. Aguiniga's application was

The specifics of this initial application for benefits are not in the current

2

administrative record because, as best we can tell, Aguiniga did not appeal the denial

of benefits on reconsideration to an Administrative Law Judge (ALJ), and the denial

of the first application therefore became final.

-2-

Appellate Case: 15-3298 Page: 2 Date Filed: 08/15/2016 Entry ID: 4437363 
denied initially and on reconsideration. She appealed to the ALJ, and after filing her

appeal, via a March 26, 2010 letter from her attorney to the ALJ, she moved to reopen

her prior (2007) application, effectively alleging that her current onset of disability

date should be the date of the motorcycle accident, September 7, 2007. Included with

the attorney's letter to the ALJ was a March 2010 report from a vocational expert who

opined that Aguiniga would not be able to return to her past relevant work as a mail

clerk or information specialist, because of her physical and mental impairments. 

Without addressing her motion to reopen or holding a hearing, on March 30, 2010,

the ALJ issued a favorable decision, awarding Aguiniga benefits with an onset date

of April 28, 2009. The ALJ found that Aguiniga had the severe impairments of

adjustment/mood disorder; anxiety disorder; chronic pain syndrome; sequelae of

motorcycle accident; status post multiple pelvic and sacral fractures, with left wrist

fracture; degenerative changes of the cervical and lumbar spine; and exogenous

obesity. The ALJ determined Aguiniga had the capability of performing sedentary

work except that her ability to perform sedentary work was significantly limited by

her mental impairments.

Aguiniga appealed that favorable ruling, alleging that the ALJ should have

considered her motion to reopen and awarded benefits from the onset date of

September 7, 2007. The Commissioner also filed an unopposed motion to remand,

arguing that the ALJ should have considered Aguiniga'srequest to reopen. On March

25, 2013, the district court directed the Appeals Council to remand the case to the

ALJ to issue a new decision and consider the entire relevant period. Accordingly, the

Appeals Council vacated the prior favorable decision, remanded, and directed the

ALJ to hold a new hearing, as necessary, to issue a new decision that addresses the

entire relevant period, and to resolve whether or not Aguiniga's original request for

reopening (to consider the new date) should be granted.

In September 2013, an ALJ (a different ALJ than the one who originally

awarded benefits without a hearing) sent Aguiniga a notice of hearing stating,

"[a]lthough you were previously determined to meet the disability requirements as of

-3-

Appellate Case: 15-3298 Page: 3 Date Filed: 08/15/2016 Entry ID: 4437363 
April 28, 2009, I will consider whether you have been disabled at any time from the

alleged onset date of September 7, 2007 through the present." The ALJ also stated

that if Aguiniga disagreed with the issues designated for hearing, "you must tell me

in writing why you disagree." Aguiniga did not write to disagree with the issues so

designated, and waived her right to appear at the hearing. At the hearing on

November 4, 2013, the Commissioner's vocational expert testified but was only

examined by the ALJ because Aguiniga's attorney did not appear at the hearing either.

On December 23, 2013, the ALJ issued its decision and found Aguiniga has the

following severe impairments: degenerative disc disease of the cervical and lumbar

spine; residuals of fracture and fixation of the left radius; the residuals of sacral and

pelvic fractures; obesity; a mood disorder; and an anxiety disorder. The ALJ,

expressly noting that the period of time it was considering was from September 7,

2007, through the date last insured, September 30, 2013, concluded Aguiniga could

not performher past relevant work as a general clerk, but retained the RFC to perform

light work, with additional limitations, as a retail marker, mail clerk, and copy

machine operator. Accordingly, Aguiniga wasfound to be not disabled. The district

court affirmed the ALJ's decision. Aguiniga appeals, arguing the district court erred

by failing to apply collateral estoppel to the first ALJ's decision awarding benefits. 

Aguiniga further faults the (second) ALJ's adverse credibility finding and its decision

to discount the treating source physicians' opinions.

II. DISCUSSION

We review the district court's decision upholding the denial of social security

benefits de novo, applying the same standard as the district court to the ALJ's

decision–affirming if substantial evidence supports the decision and if on the whole,

a reasonable mind could accept the ALJ's decision. Juszczyk v. Astrue, 542 F.3d 626,

631 (8th Cir. 2008).

-4-

Appellate Case: 15-3298 Page: 4 Date Filed: 08/15/2016 Entry ID: 4437363 
Aguiniga contends the ALJ should have been precluded from reconsidering

Aguiniga's disability status post-April 2009, because in its Motion to Remand, the

Commissioner only asked the ALJ to determine whether it should have considered

Aguiniga's motion to reopen to add her new onset date. The Commissioner argues

the doctrine of collateral estoppel is wholly inapplicable to this case because there is

no final judgment to which the doctrine of collateral estoppel could conceivably

attach. See Ginters v Frazier, 614 F.3d 822, 826 (8th Cir. 2010) (setting forth the

elements required for operation of collateral estoppel, the fourth element being that

the issue sought to be precluded must have been determined by a valid and final

judgment). The Commissioner argues that the prior favorable decision Aguiniga

would like to be given preclusive effect was actually vacated by the Appeals Council.

Collateral estoppel and resjudicata can apply in certain circumstances ofsocial

security determinations, when the issue involves the same evidence, and the same

period of disability. See Rucker v. Chater, 92 F.3d 492, 495 (7th Cir. 1996) (holding

that collateral estoppel was not applicable because the subsequent application for

benefits involved a different time period and a different record); Hardy v. Chater, 64

F.3d 405, 407 (8th Cir. 1995) (same). Citing Rucker and Hardy, Aguiniga argues by

extension, that because her application involves the same evidence and (part of) the

same time period as her original application, the original ALJ's findings should be

preclusive. However, in Hardy we noted that collateral estoppel applies in social

security disability cases only after a decision has become final. 64 F.3d at 407. 

Neither Hardy nor Rucker involves what has happened here–the judgment sought to

be enforced (the original ALJ decision) was vacated before it became final. See

Atkins v. Comm'r, Soc. Sec. Admin., 596 F. App'x 864, 868 (11th Cir. 2015) (per

curiam) (noting that collateral estoppel doctrine did not revive a previously favorable

ALJ decision that never became final because the Appeals Council vacated it). To

the extent that Aguiniga argues the Appeals Council decision did not "vacate" the

ALJ's decision, we disagree. In an order dated July 9, 2013, the Appeals Council very

clearly states that it "hereby vacates the final decision of the Commissioner of Social

-5-

Appellate Case: 15-3298 Page: 5 Date Filed: 08/15/2016 Entry ID: 4437363 
Security and remands this case to an Administrative Law Judge for further

proceedings consistent with the order of the court."

Nor does the law-of-the-case doctrine revive Aguiniga's original application.

"'The law of the case doctrine prevents the relitigation of a settled issue in a case and

requires courts to adhere to decisions made in earlier pleadings.'" Brachtel v. Apfel,

132 F.3d 417, 419 (8th Cir. 1997) (quoting United States v. Bartsh, 69 F.3d 864, 866

(8th Cir. 1995)). The doctrine "applies to administrative agencies on remand." Id. 

Thus, an administrative agency is bound by any finding that a district court renders

prior to remanding a case for further consideration. Id. at 420. Similar to the

collateral estoppel issue, however, nothing in this case was settled fact or law given

the Appeals Council's vacation of the original opinion of the ALJ. The ALJ was

further directed to "[a]ddress the entire relevant period" and "issue a new decision." 

Accordingly, neither the doctrine of collateral estoppel nor law of the case applies to

Aguiniga's claim.

With regard to the merits, Aguiniga argues that there was not substantial

evidence to support the current ALJ's decision because he erroneously gave her an

adverse credibility finding and discounted the opinion of her treating physicians. 

Aguiniga points to her treatment with Kelly Kinney, a licensed social worker, and

argues that the ALJ discounted her opinion as not being a "treating source" medical

opinion because she is a licensed social worker. Aguiniga contends the ALJ

erroneously did not consider more recent administrative guidelines that would

consider Kinney a "treating source," even though the current social security

regulations do not consider a social worker as such. See 20 C.F.R. 404.1502

(defining treating sources as medical practitioners). Aguiniga cites Social Security

Ruling 06-03p, which recognizes that licensed clinical social workers are handling

more cases now than in previous years and that their opinions are "important and

should be evaluated."

-6-

Appellate Case: 15-3298 Page: 6 Date Filed: 08/15/2016 Entry ID: 4437363 
The record indicates, however, that the ALJ did, in fact, consider and evaluate

Kinney's opinion. Indeed, the ALJ formulated Aguiniga's RFC to reflect the

concentration and stress factors described by Kinney. The ALJ did discount some of

Kinney's opinion about Aguiniga's marked limits on performing work at a consistent

pace because it found the record did not support Kinney's conclusions. We find there

wassubstantial evidence in the record to support the ALJ's conclusions on this point. 

Aguiniga next argues the ALJ ignored the opinion of treating source Dr.

Heims, who opined that Aguiniga could not keep up with the demands of a work

schedule, and of Dr. Stubblefield, a treating physician who opined that Aguiniga's

anxiety causes difficulty with following through and that chronic fatigue would

impair her ability to concentrate at work. An ALJ must assign controlling weight to

a treating source's medical opinion if it is "well-supported by medically acceptable

clinical and laboratory diagnostic techniques and is not inconsistent with . . . other

substantial evidence." 20 C.F.R. § 404.1527(c)(2). Treating source opinions are

generally entitled to substantial weight, but an ALJ may "justifiably discount" such

an opinion when it is "inconsistent or contrary to the medical evidence as a whole." 

Martise v. Astrue, 641 F.3d 909, 925 (8th Cir. 2011) (second passage quoting

Halverson v. Astrue, 600 F.3d 922, 930 (8th Cir. 2010)). For example, an ALJ may

discount a treating source opinion that is unsupported by treatment notes. Id. at

925-26.

The ALJ thoroughly considered Dr. Stubblefield's opinion, and in fact spent

nearly two pages setting forth the opinion and treatment notes of Stubblefield in its

written opinion. The ALJ gave Stubblefield's opinions some weight where it was

warranted, and discounted it when it was contradicted by a lack of evidence or was

undermined by contrary evidence in the treatment notes. Given this, the ALJ

appropriately employed Dr. Stubblefield's opinion. See id.

Similarly, the ALJ set forth Dr. Heims's opinion, albeit in much more cursory

fashion than Dr. Stubblefield's opinion, because none of Dr. Heims's treatment notes

-7-

Appellate Case: 15-3298 Page: 7 Date Filed: 08/15/2016 Entry ID: 4437363 
were submitted by Aguiniga into the administrative record. Nonetheless, the ALJ did

give some weight to Dr. Heims's opinion, and noted that the opinion was somewhat

consistent with other record evidence that Aguiniga has some exertional limits and

limitations upon interactions with the public. The ALJ's utilization of Dr. Heims's

opinion was supported by substantial evidence in the record. See Martise, 641 F.3d

at 925-26; Cline v. Colvin, 771 F.3d 1098, 1104 (8th Cir. 2014) (holding that the ALJ

is not required to scour the record to find additional support for the opinion). 

Finally, Aguiniga argues the ALJ erroneously assessed her with an adverse

credibility determination by discounting her subjective complaints of pain. An ALJ

may discredit any subjective allegations that cannot reasonably be expected to flow

from an established, medically determinable impairment. 20 C.F.R. § 404.1529(b).

Once a claimant has demonstrated the existence of an impairment that could

reasonably be expected to produce the alleged symptoms, the question becomes

whether the claimant's subjective allegations regarding the extent of her symptoms

are credible. See id. §§ 404.1528, 404.1545(e). The ALJ must consider the

consistency of the evidence, and consider information provided by the claimant, her

doctors, and others with knowledge of her circumstances. Id. § 404.1529(c); Polaski

v. Heckler, 739 F.2d 1320, 1322 (8th Cir. 1984).

Here the ALJ discounted Aguiniga's subjective allegations for many reasons:

she had not sought treatment for some of the complained limitations, the objective

medical evidence wasinconsistent with several of her allegations, there was a general

lack of consistent medical treatment, and she seemed to return to the doctors only

when she needed disability forms filled out. The ALJ also noted Aguiniga was noncompliant with suggestions by her own treating physician for things like attending a

pain clinic. All of these reasons demonstrate that the ALJ closely considered

Aguiniga's claims and the extent to which they squared with evidence in the record. 

Given the fact that Aguiniga chose not to attend the hearing, the ALJ was not in a

position to assess her credibility any other way than it did. Thus, there is substantial

evidence to support the ALJ's adverse credibility finding. 

-8-

Appellate Case: 15-3298 Page: 8 Date Filed: 08/15/2016 Entry ID: 4437363 
III. CONCLUSION

We affirm.

______________________________

-9-

Appellate Case: 15-3298 Page: 9 Date Filed: 08/15/2016 Entry ID: 4437363