LANNY KING, District Judge.
This matter is before the Court on Plaintiff's complaint seeking judicial review, pursuant to 42 U.S.C. 405(g), of the final decision of the Commissioner denying his claim for Social Security disability benefits. The fact and law summaries of Plaintiff and Defendant are at Dockets 15 and 20. The parties have consented to the jurisdiction of the undersigned Magistrate Judge to determine this case, with any appeal lying before the Sixth Circuit Court of Appeals. Docket 14.
Because the administrative law judge's (ALJ's) decision does not comport with applicable legal standards, the Court will REMAND this matter to the Commissioner for a new decision. Specifically, the ALJ should evaluate/re-evaluate the prior administrative finding that Plaintiff's anxiety disorder requires that he have no more than occasional contact with the public and should consider the examining neurologist's opinion that Plaintiff experiences episodes of altered consciousness that would be expected to result in routine absences from work four or more days per month.
In Drummond v. Commissioner, 126 F.3d 837, 842 (6th Cir.1997), the Sixth Circuit established that "the principles of res judicata can be applied against the Commissioner." Accordingly, "[w]hen the Commissioner has made a final decision concerning a claimant's entitlement to benefits, the Commissioner is bound by this determination absent changed circumstances." Id. Drummond applied res judicata to a prior administrative finding with respect to Drummond's residual functional capacity (RFC). "Absent evidence of an improvement in a claimant's condition, a subsequent ALJ is bound by the [RFC] findings of a previous ALJ." Id.
In light of Drummond, the Social Security Administration issued an Acquiescence Ruling, which directs that, for cases arising within the Sixth Circuit, adjudicators must follow Drummond and adopt the prior RFC "unless there is new and material evidence relating to such a finding or there has been a change in the law, regulations, or rulings affecting the finding or the method for arriving at the finding." Social Security Acquiescence Ruling 98-4(6), 1998 WL 283902.
Plaintiff suffers from a seizure disorder of unknown etiology. Administrative Record (AR), p. 510. He "feels high anxiety" before a seizure, becomes very stiff and rigid with myoclonic convulsive jerking movements (AR, p. 326) and "jaws locking up" (AR, p. 552) and experiences either loss of or altered consciousness (AR, pp. 326 and 552).
Plaintiff contends that the ALJ erred in failing to adopt the prior ALJ's RFC finding.
The prior decision found that Plaintiff suffers from a seizure disorder, an anxiety disorder, and alcohol dependence in reported remission. AR, p. 64. The seizure disorder was found to limit Plaintiff to medium work "except he should never climb ladders, ropes, or scaffolds; may only occasionally crouch; should avoid hazards including moving mechanical parts and unprotected heights." AR, p. 66. The anxiety disorder required that Plaintiff "have no more than occasional contact with the public." Id. Plaintiff was found to be not disabled because he retains the ability to return to his past relevant work as a grill cook and silk tree/plant assembler. AR, p. 72.
The current ALJ acknowledged the prior finding of a vocationally-significant anxiety disorder but found Plaintiff suffers only from a seizure disorder and residuals of hernia surgery. ALJ's decision at AR, p. 11. The ALJ found that Plaintiff is limited to light work and "can have no work at unprotected heights, around dangerous moving machinery, open flames, or bodies of water." AR, p. 14. Although Plaintiff cannot perform his past relevant work, he was found to be not disabled because he can perform a significant number of jobs in the national economy. AR, p. 17.
In connection with Plaintiff's second claim for benefits, psychologist Jane Brake, Ph.D., opined that there was no clinical basis for finding medical improvement of Plaintiff's anxiety disorder from the time of the prior decision:
Christi Bruening, Ph.D., concurred with the above opinion of Dr. Brake. AR, p. 108.
The ALJ rejected the opinions of Drs. Brake and Bruening that Plaintiff's anxiety disorder requires only occasional contact with the public because those opinions are allegedly "contradicted" (AR, p. 13) by the fact that:
1. Plaintiff's Four Rivers Behavioral Health treatment notes indicate that he was "polite, smiling, and pleasant." ALJ's decision at AR, p. 13 referring to notes at AR, pp. 422 and 457.
2. There is a "lack of panic attacks depicted in the record."
3. Plaintiff "spends time with his girlfriend, goes to Bible study, and spends time with a friend."
These reasons cited by the ALJ fall short of satisfying the ALJ's burden of showing the presence of a medical improvement or changed circumstances warranting rejection of the prior administrative finding of a vocationally-significant anxiety disorder.
In August 2014, neurologist John Grubbs, M.D., evaluated Plaintiff's seizure disorder. AR, p. 552. In September 2014, Dr. Grubbs completed a physical capacities form, finding, among other things, that Plaintiff's seizure disorder would be medically expected to result in routine absences from work four or more days per month due to "episodes of altered consciousness." AR, p. 551. This is significant because the VE testified that absences of two or more days per month on an ongoing basis are intolerable to most employers. AR, p. 55.
While the ALJ rejected Dr. Grubbs' findings with respect to Plaintiff's abilities to sit, stand, and walk due to lack of supporting objective medical evidence (AR, p. 16), the decision did not evaluate Dr. Grubbs' finding that episodes of altered consciousness would be expected to result in excessive absenteeism. This did not comport with 20 C.F.R. 404.1527(c), which states that "[r]egardless of its source, we [the Social Security Administration] will evaluate every medical opinion we receive."
Plaintiff is entitled to a conclusive presumption of disability if he shows that he suffers from a seizure disorder satisfying the clinical criteria of an impairment listed in Appendix 1 of the regulations.
Disability is found under Listing 11.02 when there is evidence of:
The ALJ found that Plaintiff's seizure disorder does not satisfy Listing 11.02 because he "does not have seizures occurring at least once a month in spite of three months treatment." ALJ's decision at AR, p. 13. Listing 11.03 is unsatisfied because he "does not have seizures occurring more frequently than once weekly in spite of at least three months of prescribed treatment." Id. Additionally, both Listings require that the seizure disorder be "documented by EEG [electroencephalogram]," and the ALJ found that "both EEGs in the record were normal." AR, p. 15 referring to EEGs at AR, pp. 518 and 538.
Substantial evidence supported the ALJ's finding that Plaintiff's seizure disorder does not satisfy the Listing.
Because the Commissioner's final decision does not comport with applicable legal standards, this matter will be REMANDED to the Commissioner for a new decision and any further administrative proceedings deemed necessary and appropriate by the Commissioner.