OPPENHEIM v. COMMISSIONER OF SOCIAL SECURITY
Filing
13
OPINION. Signed by Judge Robert B. Kugler on 7/23/2019. (dmr)
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF NEW JERSEY
WENDY LYNNE OPPENHEIM,
HONORABLE ROBERT B. KUGLER
Plaintiff,
v.
Civil Action
No. 18-10217 (RBK)
COMMISIONER OF SOCIAL
SECURITY,
OPINION
Defendant.
APPEARANCES:
Alan H. Polonsky
POLONSKY AND POLONSKY
512 S White Horse Pike
Audubon, NJ 08106
Attorney for Plaintiff
Theresa Ann Casey
Special Assistant U.S. Attorney
Social Security Administration
Office of the General Counsel
300 Spring Garden Street
Philadelphia, PA 19123
Attorney for Defendant
KUGLER, District Judge:
I. INTRODUCTION
In
this
(hereinafter
action,
Plaintiff
“Plaintiff”)
seeks
U.S.C. § 405(g)
Administration’s
of
the
Commissioner
(hereinafter
Wendy
review
of
the
“Defendant”)
Lynne
pursuant
Social
denial
Oppenheim
to
42
Security
of
her
application for disability benefits under Title II of the Social
Security Act.
Plaintiff claims she is disabled due to several conditions
including degenerative disc disease of the lumbar and cervical
spine, bilateral knee osteoarthritis, bilateral meniscal tears
and
fibromyalgia.
On
September
11,
2017,
Administrative
Law
Judge Michael Hertzig (hereinafter “ALJ Hertzig” or “the ALJ”)
issued
a
written
decision
denying
Plaintiff
Social
Security
benefits for the period beginning December 31, 2011 to December
31, 2016.
In
the
pending
appeal,
Plaintiff
argues
that
the
ALJ's
decision must be remanded on two grounds. First, she argues that
the
ALJ’s
conduct
during
the
hearing
reflected
bias
which
precluded her from having a fair and impartial evaluation of her
case. Second, Plaintiff argues that the ALJ’s decision at Step
Four of the Sequential Evaluation Process in finding that she
could return to her past work activity was not supported by
substantial evidence.
For
the
reasons
explained
below,
the
Court
finds
that
substantial evidence supports the ALJ's determinations and will
affirm the ALJ's decision.
II. BACKGROUND
A. Procedural History
Plaintiff Wendy Lynne Oppenheim filed an application for
social security disability benefits on June 16, 2014 alleging
disability beginning on December 31, 2011, at the age of 50. [R.
2
at
87,
178.]
Plaintiff’s
application
was
denied
on
initial
consideration on September 10, 2014 and upon reconsideration on
May 15, 2015. [Id. at 87.] After her claim was denied upon
reconsideration,
Plaintiff,
along
with
her
representative,
Samantha Xander, of the law firm Binder & Binder, appeared for a
hearing before ALJ Hertzig on July 31, 2017. [Id.] During the
hearing,
the
ALJ
received
testimony
from
Plaintiff
and
Vocational Expert Adina Levitan. [Id.] The ALJ denied benefits
in a September 11, 2017 opinion. [Id.] On April 6, 2018 the
Appeals Council denied Plaintiff’s request for review. [Id. at
1-6.] This appeal followed.
B. Factual Background and Relevant Medical Evidence
Plaintiff was born on April 26, 1961 and is currently 58
years old. [Id. at 212.] Plaintiff earned a Bachelor’s degree in
psychology
and
a
Master
of
Social
Work
degree
from
Rutgers
University – Camden. [Id. at 32-33.] From May 1994 to December
2011, she was employed as a mental health therapist. [Id. at
217.] She alleges that she has been disabled and unable to work
since December 31, 2011 due to pain and discomfort emanating
from migraines, knee and spine impairments, and fibromyalgia.
[Id. at 34, 215, 291.]
1. Primary Care Physician Reports
The record indicates that Plaintiff met with her primary
care physician, Vivienne Matalon, M.D. beginning in March 2012.
3
[Id.
at
352.]
unremarkable
Up
until
findings
April
2015,
concerning
Dr.
Matalon
Plaintiff’s
reported
musculoskeletal
system including a normal gait and normal range of motion in her
neck, spine, pelvis and extremities. [Id. at 339, 342, 355.] Dr.
Matalon reported that Plaintiff had knee, lower back and neck
pain in April 2015. [Id. at 327-238.]
2. Knee Pain and Abnormalities
According
to
records
from
South
Jersey
Radiology
Associates, Plaintiff was diagnosed with a medial meniscus tear
and degenerative joint disease in her left knee following an MRI
examination on February 11, 2013. [Id. at 259.] On May 24, 2013,
Plaintiff met with Paul Marchetto, M.D. at the Rothman Institute
(hereinafter “Rothman”) complaining of left knee pain. [Id. at
369.] Dr. Marchetto confirmed that Plaintiff had been diagnosed
with
a
medial
meniscus
tear
in
her
left
knee.
[Id.]
Dr.
Marchetto stated that Plaintiff failed to follow through with
physical
therapy
and
decrease
her
dog-walking.
[Id.]
Dr.
Marchetto reported a positive McMurray’s test result,1 treated
Plaintiff with lidocaine for pain management and advised her to
follow up with physical therapy. [Id.]
On March 14, 2015, Plaintiff was diagnosed with a medial
meniscus
tear,
arthritic
changes,
patellar
chondromalacia,
1
A McMurray’s test is an orthopedic examination used to identify
tears in the meniscus. A “positive” McMurray’s test indicates a
meniscal tear.
4
effusion and popliteal cyst in her right knee. [Id. at 254.]
Later, on July 7, 2014, Dr. Marchetto reported an antalgic gait,
joint tenderness, and positive McMurray’s test result. [Id. at
542.]
The
stress,
physical
patellar
examination
compression
also
and
yielded
patellar
positive
varus
inhibition
test
results. [Id. at 542.] He also reported abnormal muscle strength
and quad atrophy. [Id.] Dr. Marchetto diagnosed Plaintiff with
moderate
degenerative
advised
Plaintiff
nonoperative
joint
to
disease
consider
treatment
a
including
in
her
weight
right
loss
knee
plan
anti-inflammatories
and
and
and
viscosupplementation. [Id. at 543-544.]
Plaintiff began seeing Mitesh Patel, M.D. at Rothman on
August 8, 2014. [Id. at 539.] Dr. Patel diagnosed Plaintiff with
bilateral osteoarthritis and degenerative meniscal tearing. [Id.
at 540.] Dr. Patel reported trace effusion, mild retropatellar
crepitus, tenderness, bilateral pain during McMurray’s tests,
negative drawer signs2
and stability during valgus and varus
stress tests. [Id. at 540.] Plaintiff was instructed to continue
taking current pain medications and was authorized to receive
Orthovisc
viscosupplement
injections
to
treat
her
knee
pain.
[Id.]
2
Drawer tests (or signs) are orthopedic examinations used to
identify injuries in the cruciate ligaments of the knee.
5
On December 17, 2014, Dr. Patel reported that the Orthovisc
injections were ineffective in managing Plaintiff’s pain. [Id.
at
343.]
A
physical
examination
demonstrated
bilateral
tenderness, moderate retropatellar crepitus, limited range of
motion, stability to varus and valgus stress testing, negative
drawer signs and negative McMurray’s and Lachman tests.3 [Id.]
Dr. Patel administered cortisone injections in both knees. [Id.]
3. Back Pain and Spinal Abnormalities
An MRI of Plaintiff’s cervical spine on March 14, 2014
showed multilevel disc bulges and protrusions with uncovertebral
joint hypertrophy resulting in foraminal narrowing. [Id. at 255256.] Concurrently, imaging of Plaintiff’s lumbar spine showed
developmental narrowing of the lumbar canal exacerbated by Grade
I
anterolisthesis4
“L3”)
on
the
of
fourth
the
third
lumbar
lumbar
vertebra
vertebra
(hereinafter
(hereinafter
“L4”).
In
addition, imaging showed moderate narrowing of the canal at L3L4 and mild narrowing at additional levels. Imaging also showed
focal disc protrusions with foraminal disc protrusions and facet
arthropathy
resulting
in
foraminal
narrowing
abutting
the
3
A Lachman test is an orthopedic examination used to identify
injuries to the anterior cruciate ligament in the knee. A
“negative” Lachman test indicates that there is no injury to the
anterior cruciate ligament.
4
Anterolisthesis is a spinal condition in which the upper
vertebral body slips forward onto the vertebra below. Grade I is
the mildest form of anterolisthesis.
6
exiting right L3 nerve root with encroachment upon additional
exiting nerve roots.
An
April
6,
2015
x-ray
of
Plaintiff’s
cervical
spine
indicated normal alignment with reversal of lordosis and mild
discogenic changes and facet joint degeneration. Lumbar x-rays
demonstrated a slight increase in Grade I anterolisthesis of L3
on L4 and mild lower lumbar discogenic changes.
4. Consultative Examination
Juan
Carlos
Cornejo,
M.D.
performed
a
consultative
neurological examination on Plaintiff on March 31, 2015. [Id. at
291.] He diagnosed Plaintiff with chronic neck and lower back
pain, mild cervical and lumbar degenerative disc disease as per
x-rays and chronic migraine history. [Id. at 295.]
noted
that
Plaintiff
complained
of
daily
Dr. Cornejo
migraines,
fibromyalgia, neck and back pain, numbness and tingling in her
extremities,
and
difficulty
moving.
[Id.
at
291-292.]
Dr.
Cornejo reported that Plaintiff walked with a normal gait, was
comfortable sitting during the evaluation and was able to get on
and off the examining table without assistance or difficulty.
[Id. at 293-294.] Plaintiff had full range of motion in her
upper and lower extremities but limited range of motion in her
cervical and lumbar spine. [Id. at 293.] Dr. Cornejo reported
that Plaintiff was awake and alert during the evaluation and
displayed no mental abnormalities. [Id. at 295.]
7
Dr.
Cornejo
concluded
that
despite
medical
treatment,
Plaintiff still had continuing subjective symptoms. [Id.] Based
on
these
symptoms,
difficulty
with
Furthermore,
Dr.
Dr.
Cornejo
prolonged
Cornejo
opined
walking
stated
that
and
that
she
would
standing.
Plaintiff
have
[Id.]
may
have
difficulty turning and bending her neck and lower back. [Id. at
295.]
5. Emergency Room Visit – May 15, 2015
On May 15, 2015, Plaintiff sought emergency room treatment
for numbness in her arm and leg. [Id. at 376.] Emergency room
physicians
diagnosed
her
with
paresthesia
following
an
unremarkable CT scan showing no acute intracranial abnormality.
[Id. at 376-378.]
6. Review with State Physician
Mary McClaron, M.D. filed a report concerning Plaintiff on
May
14,
2015.
degenerative
[Id.
disc
at
77-83.]
disease
and
Dr.
McClaron
degenerative
confirmed
joint
mild
disease
in
Plaintiff’s cervical and lumbar spine. [Id. at 78.] She also
noted that Plaintiff had a normal gait and that she could carry
twenty pounds occasionally and ten pounds frequently. [Id.] Dr.
McClaron stated that Plaintiff could sit for six hours in an
eight hour workday and stand/walk for six hours in an eight hour
workday. [Id.]
8
7. ALJ Hearing before Michael Hertzig
Plaintiff and her attorney representative, Samantha Xander,
of the law firm Binder & Binder, appeared before ALJ Hertzig on
July
31,
2017.
[Id.
at
24.]
The
ALJ
noted
that
some
of
Plaintiff’s records from Rothman were not submitted until three
days
before
the
hearing.
[Id.
at
26.]
The
ALJ
expressed
frustration and asked Ms. Xander why the records were delayed.
[Id. at 27-28.] This conversation lasted for quite some time and
the ALJ asked both Ms. Xander and Plaintiff for an explanation.
[Id. at 26-29, 37-40.]
At
the
hearing,
Plaintiff
testified
that
she
stopped
working in 2011 but continued to receive $240 a year from her
brother’s partner. [Id. at 34-35.] Plaintiff then articulated
her various medical ailments to the ALJ: pain in her knees,
lower back and neck, as well as symptoms related to fibromyalgia
and migraines. [Id. at 47-52.] Plaintiff testified that she has
difficulty walking long distances, cooking and shopping. [Id. at
50-58.]
Vocational Expert Adina Levitan also testified at the July
31,
2017
hearing.
[Id.
at
60.]
Ms.
Levitan
characterized
Plaintiff’s past relevant work as a therapist and confirmed that
a person of Plaintiff’s age and educational background could
perform light or sedentary work. [Id. at 61-62.]
9
8. ALJ Decision
ALJ
Hertzig
issued
a
written
decision
on
September
11,
2017, ultimately finding that Plaintiff was not disabled within
the meaning of the Social Security Act, as he made the following
findings:
1. Plaintiff last met the insured status requirement of the
Social Security Act on December 31, 2016.
2. Plaintiff did not engage in substantial gainful activity
since December 31, 2011, the alleged onset date (20 C.F.R.
§ 404.1571, et seq.)
3. Plaintiff
has
the
following
severe
impairments:
mild
lumbar/cervical degenerative disc disease; bilateral knee
osteoarthritis; left knee meniscal tear; and fibromyalgia
(20 C.F.R. § 404.1520(c)).
4. Plaintiff does not have an impairment or combination of
impairments that meets or medically equals the severity of
one
of
the
listed
impairments
in
20
C.F.R.
Part
404,
Subpart P, Appendix 1 (20 C.F.R. §§ 404.1520(d), 404.1525
and 404.1526).
5. Plaintiff has the residual functional capacity to perform
light work as defined in 20 C.F.R. § 404.1567(b), with the
following
additional
limitations:
Plaintiff
can
occasionally balance, stoop, kneel, crawl, crouch and climb
ramps, stairs, ladders, ropes and scaffolds.
10
6. Plaintiff was capable of performing past relevant work as a
therapist (DOT 045.107-050). This work did not require the
performance
of
work
related
activities
precluded
by
the
claimant’s residual functional capacity.
7. Plaintiff was not under a disability, as defined in the
Social Security Act.
[Id. at 89-93.] In reference to whether Plaintiff’s impairments
meet the severity of those listed in 20 C.F.R. Part 404, Subpart
P, Appendix 1 (Finding 4), the ALJ stated that Plaintiff’s spine
disorders were not severe enough to meet the requirements of
Listing 1.04. [Id. at 90.] Further, in reference to whether
Plaintiff’s knee impairments reached the severity level of a
listed Major Joint Dysfunction, 1.02, the ALJ noted that “the
record
failed
to
illustrate
extreme
walking
limitations
or
extreme loss in upper extremity function.” [Id.] The ALJ also
evaluated Plaintiff’s fibromyalgia by considering the “nature
and severity of the claimant’s symptoms under the guidelines set
forth in SSR 12-2p.” [Id.]
In
determining
Plaintiff’s
residual
functional
capacity
(Finding 5), the ALJ “considered all symptoms and the extent to
which these symptoms can reasonably be accepted as consistent
with the objective medical evidence and other evidence.” [Id.]
The
ALJ
regarding
considered
her
Plaintiff’s
symptoms
and
testimony
determined
11
that
at
the
the
hearing
“intensity,
persistence, and limiting effects of these symptoms were not
entirely consistent” with the medical evidence in the record.
[Id.
at
91.]
In
determining
that
Plaintiff
had
the
RFC
to
perform light work, the ALJ noted that “[p]hysical examinations
were generally unremarkable; diagnostic tests revealed mostly
mild-to-moderate findings; medication decreased the claimant’s
pain;
and
[the
claimant]
engaged
in
relatively
normal
daily
activities.” [Id. at 93.]
Regarding Plaintiff's past relevant work (Finding 6), the
ALJ adopted the VE's testimony that Plaintiff would be able to
return to her past relevant work as a therapist (DOT 045.107050) with the limitations listed in Finding 5. [Id.]
III. STANDARD OF REVIEW
This Court reviews the Commissioner’s decision pursuant to
42 U.S.C. § 405(g). The Court’s review is deferential to the
Commissioner’s
Commissioner’s
“substantial
decision,
factual
evidence.”
and
the
findings
42
Court
where
U.S.C.
they
§
must
uphold
the
are
supported
by
Fargnoli
v.
405(g);
Massanari, 247 F.3d 34, 38 (3d Cir. 2001); Cunningham v. Comm’r
of Soc. Sec., 507 F.App’x 111, 114 (3d Cir. 2012). Substantial
evidence is defined as “more than a mere scintilla,” meaning
“such relevant evidence as a reasonable mind might accept as
adequate to support a conclusion.” Richardson v. Perales, 402
U.S. 389, 400 (1971); Hagans v. Comm’r of Soc. Sec., 694 F.3d
12
287, 292 (3d Cir. 2012) (using the same language as Richardson).
Therefore,
if
substantial
findings,
the
ALJ’s
evidence,
whether
the
or
findings
of
reviewing
not
it
fact
court
would
are
is
supported
bound
have
by
those
the
made
by
same
determination. Fargnoli, 247 F.3d at 38. The Court may not weigh
the evidence or substitute its own conclusions for those of the
ALJ. Chandler v. Comm’r of Soc. Sec., 667 F.3d 356, 359 (3d Cir.
2011).
IV. DISCUSSION
A. Alleged Bias
Plaintiff argues that the ALJ’s conduct during the hearing
reflected
bias
impartial
evaluation
asserts
that
representative’s
which
ALJ
precluded
of
her
Hertzig
firm,
Binder
her
case.
from
was
[Pl.
having
Br.
at
&
prejudiced
Binder,
when
a
fair
and
11-15.]
She
against
he
her
expressed
confusion and frustration regarding duplicate records and the
late
submission
of
evidence
from
Rothman.
[Id.]
Moreover,
Plaintiff argues that the ALJ “demonstrated overt hostility” to
her representative. [Id. at 15.] In Plaintiff’s view, “where the
record shows that an [ALJ] has an issue with the claimant’s
representative, it will have to have an impact on how he views
the evidence.” [Id.]
Those claiming disability benefits have a right to a full
and fair hearing. Ventura v. Shalala, 55 F.3d 900, 902 (3d Cir.
13
1995) (citing Richardson, 402 U.S. at 400–01). “Essential to a
fair hearing is the right to an unbiased judge. The due process
requirement
of
an
impartial
decisionmaker
is
applied
more
strictly in administrative proceedings than in court proceedings
because
available
of
the
in
absence
judicial
of
procedural
proceedings.”
safeguards
Id.
(citing
normally
Hummel
v.
Heckler, 736 F.2d 91, 93 (3d Cir. 1984)).
An individual is denied a full and fair hearing “where a
claimant is deprived of the opportunity to present evidence to
an ALJ in support of his or her claim, or where the ALJ exhibits
bias or animus against the claimant.” Bordes v. Comm'r of Soc.
Sec., 235 F.App'x 853, 857–58 (3d Cir. 2007) (citing Ventura, 55
F.3d at 902–03). However, bias is not proven by terseness or
indications of annoyance. See Fraser v. Astrue, 373 F.App’x.
222, 225 (3d Cir. 2010) (finding that even assuming that “the
ALJ was rather brusque, there is no indication that there was
any
conflict
judgment.”).
of
interest
Moreover,
or
the
inability
Supreme
to
Court
render
has
a
fair
held
that
“expressions of impatience, dissatisfaction, annoyance, and even
anger” do not establish judicial bias or partiality. Liteky v.
United States, 510 U.S. 540, 555–56 (1994).
The
hearing
Court
with
has
carefully
special
reviewed
attention
paid
the
transcript
toward
the
of
the
discussion
between the ALJ and Plaintiff’s representative. [R. at 22-63.]
14
Although it is difficult to assess the ALJ’s demeanor and tone
from
the
record,
frustrated
with
the
transcript
Plaintiff’s
suggests
representative
that
and
the
the
ALJ
was
manner
in
which evidence was submitted. [Id. at 26-29.] Notwithstanding
the ALJ’s frustration with the representative, nothing in the
record or Plaintiff’s brief suggests that Plaintiff was deprived
of the opportunity to present evidence in support of her claim.
Furthermore, the record does not suggest that the ALJ exhibited
bias or animus against Plaintiff.
For example, the ALJ allowed Plaintiff to fully discuss her
alleged conditions, the medical records and her work history.
Moreover,
despite
his
frustration
with
Plaintiff’s
representative, the ALJ admitted the records from Rothman and
considered them throughout his decision. [Id. at 29, 90-92.] By
admitting and referring to these additional medical records, the
ALJ displayed his commitment toward fully developing the factual
record. See Siravo v. Comm'r of Soc. Sec., 2017 WL 1246347, at
*7
(D.N.J.
despite
Apr.
4,
indications
2017)
of
(rejecting
frustration
and
argument
alleging
annoyance
because
bias
ALJ
allowed factual record to develop and allowed Plaintiff to speak
at length). Therefore, based on the record and relevant case
law, the Court finds no evidence that the ALJ was biased against
Plaintiff.
15
B. Past Relevant Work
Plaintiff contends that the ALJ erred in concluding that
Plaintiff could return to her past relevant work. [Pl. Br. at
16.]
Specifically,
Plaintiff
argues
that
her
position
as
a
therapist does not qualify as past relevant work because she did
not
earn
enough
to
deem
it
substantial
gainful
activity
(hereinafter “SGA”). [Id.] Plaintiff argues that “special rules
apply for someone who is self-employed” and that the record does
not support the ALJ’s conclusions. [Id. at 16-17.]
For the following reasons, the Court does not agree. Under
the relevant Social Security regulations, past “work experience
applies when it was done within the last 15 years, lasted long
enough for [the claimant] to learn to do it, and was substantial
gainful
activity.”
20
C.F.R.
§
404.1565(a).5
Work
may
be
substantial gainful activity “even if it is done on a part-time
basis.” 20 C.F.R. § 404.1572(a). Plaintiff reported that she
earned $915.33 per month as a therapist in 2002. This monthly
5
In Title II cases in which the “claimant's disability insured
status was last met prior to adjudication, the work performed
for the 15-year period preceding the date the title II
disability insured status requirement was last met would
generally be considered relevant.” SSR 82-62, 1982 WL 31386 at
*2. Here, the 15-year period began on December 31, 2001.
16
income
exceeds
the
SGA
level
for
2002
($780
per
month).6
Plaintiff seems to imply that one year of income exceeding the
SGA
threshold
is
insufficient.
[Pl.
Br.
at
16.]
However,
a
reading of the regulation does not indicate that one must exceed
the SGA level for a certain number of years before their work
qualifies as past relevant work. 20 C.F.R. § 404.1565(a); see
also Rodriguez-Soto v. Comm'r of Soc. Sec., 2019 WL 1349770, at
*5
(D.N.J.
Mar.
26,
2019)
(finding
that
plaintiff’s
job
qualifies as past relevant work even though his earnings only
exceeded the SGA level for 2007 through 2008).
Moreover, Plaintiff’s disability report indicates that she
worked as a mental health therapist until December 2011 and made
$11,000
per
year.
representative
[R.
conceded
at
217.]
that
In
addition,
Plaintiff’s
past
Plaintiff’s
work
as
a
therapist was past relevant work. [Id. at 29.] Thus, Plaintiff’s
job as a therapist qualifies as past relevant work.
Plaintiff’s argument that the ALJ should have applied the
analysis set forth in 20 C.F.R. § 404.1575 for self-employed
individuals
is
neither
fully
articulated
nor
supported
by
evidence in the record. [Pl. Br. at 16.] Plaintiff concedes that
“from the record, we simply cannot determine whether or not
6
These figures were cited in Defendant’s brief with citation to
the record and relevant regulations. [Def. Br. at 11.] Plaintiff
concedes that her earnings were above the SGA level in 2002.
[Pl. Br. at 16.]
17
[Plaintiff's work as a therapist] constituted substantial
gainful work activity." [Pl. Br. at 16-17.] However, Plaintiff
bears the burden of demonstrating that her impairments prevent
her from performing her past work. See Bowen v. Yuckert, 482
U.S. 137, 146-47 n.5 (1987) (delineating the burdens of proof at
each step of the disability determination); Plummer v. Apfel,
186 F.3d 422, 428 (3d Cir. 1999) ("The claimant bears the burden
of demonstrating an inability to return to her past relevant
work"). Plaintiff failed to meet her burden in proving that her
past work as a therapist should not be considered past relevant
work. Consequently, this failure automatically results in the
denial of benefits. Newell v. Comm'r of Soc. Sec., 347 F.3d 541,
545 (3d Cir. 2003).
V. CONCLUSION
For the reasons set forth above, the AL's decision will be
affirmed. An accompanying Order will be entered.
ate
ROBERT B. KUGLER
U.S. District Judge
18
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