United States District Court, W.D. Louisiana, Lafayette Division
B. WHITEHURST UNITED STATES MAGISTRATE JUDGE.
the Court is an appeal of the Commissioner's finding of
non-disability. Considering the administrative record, the
briefs of the parties, and the applicable law, the Court
finds that the Commissioner's decision should be
claimant, Letty Tereasa Guidry, was born on October 5, 1963.
R. 7-1, p. 83. On December 11, 2013, when she was
fifty years old, Ms. Guidry applied for a period of
disability and disability insurance benefits, alleging a
disability onset date of September 2, 2012, the date of her
myocardial infarction. Tr. 250-253, 324. She also
applied for Supplemental Security Income benefits on February
11, 2014. Tr. 246-247, 324. Ms. Guidry has a high
school education and worked as a legal secretary. Tr. 42,
79-80, 270, 286.
2011 through 2015, Ms. Guidry received treatment at
University Medical Center (“UMC”) for, inter
alia, coronary artery disease, high blood pressure,
COPD, and diabetes. Tr.724-815, 1198-1289,
1931-2210. From May 2012 through September 2013, Ms.
Guidry was treated at SWLA Primary Care Center for depression
and trichotillomania (hair-pulling disorder).
Tr.532-541. From July 2014 through October 2015, Ms.
Guidry received mental health treatment from psychiatrist
Edgardo Concepcion, M.D., at the Iberia Comprehensive
Community Health Center. Tr.1498-1578. He prescribed
multiple psychotropic medications to address her symptoms
caused by obsessive compulsive disorder, major depression,
and anxiety, including hair pulling. Id.
following is a chronology of medical treatment as provided by
On January 4, 2013, Ms. Guidry was treated at UMC for back
and hand pain. Tr.1246-1248. Examination revealed
that the first digit on her left hand had pain on palpation.
Tr.1247. A repeat EMG was recommended.
Tr.1248. On March 14, 2013, Ms. Guidry reported to
UMC that she “has no feeling in L[eft] hand -
painful.” Tr.1267. The need for an EMG study
was recommended again. Tr.1268.
On January 29, 2013, the Louisiana Department of Health and
Hospitals (“DHH”) found that Ms. Guidry was
disabled since September 2012. Tr.500-502.
April 8, 2013 MRI of the lumbar spine revealed mild lower
lumbar spine degenerative disc disease with moderate right
foraminal stenosis at ¶ 4-L5. Tr.961. An
October 20, 2015 x-ray of the lumbar spine indicated lumbar
facet hypertrophy and spondylosis. Tr.2006. Norco
was prescribed. Tr.2007.
16, 2014, Ms. Guidry attended a consultative examination with
Julana Monti, M.D. Tr.817-820. Dr. Monti's
examination revealed decreased grip strength on the left
(3/5). Tr.818. Her diagnoses included Carpal Tunnel
syndrome, s/p surgical release. Tr.819. Dr. Monti
opined that Ms. Guidry could lift or carry objects weighing
up to 15 pounds. Tr.819.
25, 2015, Ms. Guidry was admitted to Our Lady of Lourdes
Hospital (“OLOL”) due to generalized weakness and
frequent falls. Tr.1362-1369. Her symptoms were
attributed to dehydration, hyperglycemia, and weakness.
October 9, 2015 through 10/12/2015, Ms. Guidry was admitted
to OLOL for low blood pressure, headache, and lethargy.
November 8, 2015, Ms. Guidry was admitted to Seaside Health
System Inpatient Psychiatric Unit following an overdose of
March 16, 2016, Ms. Guidry was treated at OLOL after a fall.
10, 2014, it was determined that Ms. Guidry is not disabled.
R. 7-1, p. 33. Ms. Guidry requested a hearing, which
was held on March 14, 2016 before Administrative Law Judge
(“ALJ”) Lawrence T. Ragona. Id. at p.