Pаtricia L. HUGHES, Plaintiff-Appellant, v. Michael J. ASTRUE, Commissioner of Social Security, Defendant-Appellee.
No. 12-1873
United States Court of Appeals, Seventh Circuit
Argued Dec. 12, 2012. Decided Jan. 16, 2013.
705 F.3d 276
Roti also asks that we direct that the case be assigned to another judge, pursuant to
REVERSED.
Cody Marvin (argued), Attorney, Law Offices of Barry A. Schultz, P.C., Evanston, IL, for Plaintiff-Appellant.
Charles R. Goldstein (argued), Assistant Regional Counsel, Social Security Administration, Office of the General Counsel, Region V, Chicago, IL, fоr Defendant-Appellee.
POSNER, Circuit Judge.
An applicant for social security disability benefits appeals from the district court‘s affirmance of the denial of her application by an administrative law judge, whose decision became final when the Appeals Council of the Social Security Administration declined to review it.
The appellant is a 57-year-old woman who was diagnosed in 2002 with adhesive capsulitis (“frozen shoulder“) in her right shоulder and later with chronic obstructive pulmonary disease. The capsulitis limited the range of motion of her right arm. Physical therapy helped. A doctor from whom she sought treatment for her pulmonary condition concluded that her problem wasn‘t pulmonary, but was acute sinusitis and related conditions, triggered by allergies, cold virus, dust, cold air, etc., in her nasal passage.
She stopped medical treatment in 2003, possibly because she had no health insurance and a very low income—$4500 to $9000 a year—as a clerical worker. Her last significant employment, which ended in 2007, was as a “night-clerk auditor,” a type of hotel clerk, where in addition tо clerical work she had to make coffee and fill and empty coffee urns and provide pillows, blankets, and towels to the hotel‘s guests. She quit because she thought the hotel was about to close. She got аnother clerical job, but was fired on her first day because unable to lift a box of paper. She then filed for social security disability benefits and resumed seeking medical treatment for her conditions. Examinations rеvealed that she had regained the full range of arm motion, but that the muscles in her arms and shoulders were weak. And she was again diagnosed with chronic obstructive pulmonary disease, which caused bronchitis, respiratоry infections, and shortness of breath.
She testified at the hearing on her application for benefits that during her stint as a hotel clerk she had had to use copious amounts of Tylenol and nasal spray to be ablе to do the required work and had needed to put ice on her neck and back after carrying the coffee urns (and so she worked the night shift so that she wouldn‘t be seen attending to her health problems by her supervisor). Shе testified that she gets bronchitis between once and four times a year and that in 2008 (the year before the hearing) she had been sick for about 30 days because of a respiratory infection. She explained the adjustments she had had to make in her daily life to cope with the weakness of her shoulders, such as using a small bag instead of a laundry basket to carry laundry and limiting the total weight of her purse to two and a half pounds.
The administrative law judge decided he needed more information and directed that she be examined by an orthopedic surgeon named James P. Elmes. On the basis of the examination Dr. Elmes reported that the applicant is only 5 feet 4 inches tall and weighs only 96 pounds; that X-rays of both shoulders revealed adhesive capsulitis in both, resulting in range-of-motion problems, and also revealed degenerative rotator cuff disease in bоth; that she could lift or carry up to 10 pounds, but only occasionally; and that she could not tolerate exposure to pulmonary irritants.
The administrative law judge decided that the applicant was capаble of performing her past job as a hotel clerk and that therefore she was not disabled. The judge‘s reasoning is hard to fathom. He ignored the finding by Dr. Elmes—whom, remember, he had appointed to examine the applicant, and with whom the applicant had no prior relationship—that she could
The judge thought the applicant‘s failure to have sought medical treatment between 2003 and 2007 inconsistent with her having a disabling medical condition. He noted her explanation that she hadn‘t had medical insurance or an income large enough to pay for medical treatment out of pocket, but said she could have sought treatment in a hospital emergency room. Remarkably, he seemed unaware that emergency rooms сharge for their services and are required to treat an indigent only if the indigent is experiencing a medical emergency. He was troubled by “lack of aggressive treatment” for her health problems, without pausing to сonsider what “aggressive treatment” might have solved them. He said she must be exaggerating her shoulder problems because she had rejected certain medications for them, but he neglected to mention that she had done so because they gave her headaches. She testified that she dislikes taking medicines, but so far as appears this is because of a warranted concern with side effects rather than an irrationаl antipathy to medical treatment.
The administrative law judge dismissed the applicant‘s respiratory problems on the ground that she‘s a smoker and would not be if she really had such problems. He must have forgotten that she‘d given up smoking 30 years earlier. The government dismisses this error as a “harmless error,” on the ground that other evidence demonstrates conclusively that she is not disabled; it doesn‘t. Another ungrounded finding was that the applicant can stand or walk for six hours in an eight-hour workday. The administrative law judge also was derisive that a “nasal spray” could treat a serious condition, apparently overlooking the fact that the nasal spray prescribed for the applicant contains cortisone, which can suppress the immune system and cause headaches, nausea, and nose bleeds.
He confused the range of motion in her shoulders with the strеngth of her arms, maybe because he overlooked her testimony that her clerical employment had required lifting 30 pounds, which was very painful for her. (The coffee urns may well have weighed that much if full; the weight of the сoffee alone in a 40-cup coffee urn would exceed 20 pounds.)
He attached great weight to the applicant‘s ability to do laundry, take public transportation, and shop for groceries. We hаve remarked the naivete of the Social Security Administration‘s administrative law judges in equating household chores to employment. “The critical differences between activities of daily living and activities in a full-time jоb are that a person has more flexibility in scheduling the former than the latter, can get help from other persons (... [her] husband and other family members), and is not held to a minimum standard of performance, as she would be by аn employer. The failure to recognize these differences is a recurrent, and deplorable, feature of opinions by administrative law judges in social security disability cases.” Bjornson v. Astrue, 671 F.3d 640, 647 (7th Cir. 2012); see also Craft v. Astrue, 539 F.3d 668, 680 (7th Cir. 2008); Gentle v. Barnhart, 430 F.3d 865, 867-68 (7th Cir. 2005); Rogers v. Commissioner of Social Security, 486 F.3d 234, 248-49 (6th Cir. 2007); Draper v. Barnhart, 425 F.3d 1127, 1131 (8th Cir. 2005).
Characteristically, and sanctionably, the government‘s brief violates the Chenery doctrine (see SEC v. Chenery Corp., 318 U.S. 80 (1943); Kastner v. Astrue, 697 F.3d 642, 648 (7th Cir. 2012)), arguing for example that the administrative law judge rejected Dr. Elmes‘s report becаuse he is not a pulmonologist.
We do not hold that the applicant is in fact disabled. She is college educated and certainly intellectually capable of a variety of sedentary clerical wоrk, and many of those jobs don‘t require lifting or aggravate respiratory problems. Indeed, it‘s not even clear that she is incapable of doing her past relevant work. The term refers to the type of job, not to idiosyncratic duties that the employer may have imposed.
Really the Social Security Administration and the Justice Department should have been able to do better than they did in this case.
The judgment of the district court is reversed with directions to remand the case to the Social Security Administration for further proceedings consistent with this opinion.
