LIGUORI v. COMMISSIONER OF SOCIAL SECURITY
Filing
20
OPINION. Signed by Judge Claire C. Cecchi on 9/22/17. (DD, )
NOT FOR PUBLICATION
UNITED STATES DISTRICT COURT
DISTRICT OF NEW JERSEY
MARK G. LIGUORI,
Civil Action No.: 2:16-cv-1504 (CCC)
Plaintiff,
OPINION
v.
COMMISSIONER OF SOCIAL SECURITY,
Defendant.
CECCHI, District Judge.
Before the Court is Plaintiff Mark G. Liguori’s (“Plaintiff’) appeal seeking review of a
final determination by the Commissioner of the Social Security Administration (“Commissioner”)
denying his application for disability insurance benefits (“DIB)” under
§ § 216(i) and 223(d) of the
Social Security Act (“SSA”). The issue to be decided is whether the Commissioner’s denial of
benefits is supported by substantial evidence. For the reasons set forth below, the decision of the
Administrative Law Judge (“AU”) is affirmed in part, vacated in part, and the matter is remanded
for further proceedings consistent with this Opinion.
I.
BACKGROUND
A.
Procedural Background
On July 17, 2012, Plaintiff applied for DIB, alleging disability as of March 17, 2012 due
to anxiety/panic disorder and pain in his lower back, lefi hand, leg, and shoulder. Tr. at 14, 17176, 192. The application was denied initially on December 18, 2012, and upon reconsideration on
March 3, 2013. Id. at 109-17. On April 7, 2014, a hearing was held before AU Elias feuer. Id. at
29-80. AU Feuer issued a decision on August 5, 2014 finding Plaintiff was not disabled, as
defined by the SSA. Id. at 14-24. Plaintiff requested review of the decision and the Appeals
Council denied the request on January 20, 2016. Id. at 1. On March 17, 2016, Plaintiff instituted
this action. ECFNo. 1.
B.
Factual Background
Plaintiff was born on February 11, 1964 and has a high school education. Tr. at 82, 192.
Plaintiff testified that he typically spends his days in his apartment alone unless he has a doctor’s
appointment. Id. at 52-54. Plaintiff had a license to work in the gaming industry in New Jersey
and Florida, and worked as a cashier, line cook, casino dealer, pit supervisor, and dealt craps from
1991 until March 17, 2012. Id. at 34-41, 192-93. Plaintiff testified he was terminated for excessive
absenteeism due to anxiety and pain in his back, shoulder and hands. Id. at 44-46.
Plaintiff
testified that he does not take medication for his physical ailments, but he does take medication to
treat his anxiety, specifically Seroquel, Celexa, and Xanax. Id. at 50-52.
Plaintiff was in a car accident in 2008, and subsequently underwent treatment with a
number of medical professionals. Id. at 329-30. Plaintiff underwent a series of lumbar epidural
injections in 2009 for pain management following a neurosurgical evaluation and right rotator cuff
surgery. Id. at 330, 336. From September to November in 2011, Plaintiff attended eighteen
physical therapy sessions. Tr. at 54, 444-92. Dr. Richard Wilbur indicated Plaintiff had returned
to work by November 11, 2011. Tr. at 336. Plaintiff testified that he sees a social worker on a
monthly basis to help him cope with his anxiety and a doctor for medication management once
every three months. Tr. at 66-67.
II.
LEGAL STANDARD
A.
Standard of Review
This Court has jurisdiction to review the Commissioner’s decision under 42 U.S.C.
§ 405(g) and 1383(c)(3). The Court is not “permitted to re-weigh the evidence or impose [its]
2
own factual determinations,” but must give deference to the administrative findings. Chandler v.
Comm ‘r ofSoc. Sec., 667 f.3d 356, 359 (3d Cir. 2011); see also 42 U.S.C.
§ 405(g). Nevertheless,
the Court must “scrutinize the record as a whole to determine whether the conclusions reached are
rational” and supported by substantial evidence. Gober v. Matthews, 574 F.2d 772, 776 (3d Cir.
1978) (citations omitted). Substantial evidence is more than a mere scintilla, and is “such relevant
evidence as a reasonable mind might accept as adequate to support a conclusion.” Chandler, 667
f.3d at 359 (citing Richardson v. Perales, 402 U.S. 389, 401 (1971)). If the factual record is
adequately developed, substantial evidence “may be ‘something less than the weight of the
evidence, and the possibility of drawing two inconsistent conclusions from the evidence does not
prevent an administrative agency’s finding from being supported by substantial evidence.”
Daniels v. Astrue, No. 4:08-1676, 2009 WL 1011587, at *2 (M.D. Pa. Apr. 15, 2009) (quoting
Consolo v. Fed. Mar. Comm ‘n, 383 U.S. 607, 620 (1966)). In other words, under this deferential
standard of review, the Court may not set aside the AU’s decision merely because it would have
come to a different conclusion. Cruz v. Comm ‘r ofSoc. Sec., 244 F. App’x 475, 479 (3d Cir. 2007)
(citingHartranftv. Apfel, 181 F.3d 358, 360 (3d Cir. 1999)).
B.
Determining Disability
Pursuant to the SSA, in order to be eligible for benefits, a plaintiff must show he is disabled
by demonstrating an inability to “engage in any substantial gainful activity by reason of any
medically determinable physical or mental impairment which can be expected to result in death or
which has lasted or can be expected to last for a continuous period of not less than twelve months.”
42 U.S.C.
§ 423(d)(1)(A), 1382c(a)(3)(A). Taking into account the plaintiff’s age, education,
and work experience, disability will be evaluated by the plaintiffs ability to engage in his previous
work or any other form of substantial gainful activity existing in the national economy. 42 U.S.C.
3
§ 423(d)(2)(A), 1382c(a)(3)(B). A person is disabled for these purposes only if his physical or
mental impairments are “of such severity that he is not only unable to do his previous work, but
cannot, considering his age, education, and work experience, engage in any other kind of
substantial gainful work which exists in the national economy.
.
.
.“
42 U.S.C.
§ 1382c(a)(3)(B).
Decisions regarding disability will be made individually and will be “based on evidence
adduced at a hearing.” Sykes v. Apfel, 228 F.3d 259, 262 (3d
dr. 2000) (citing Heckler v.
Campbell, 461 U.S. 452, 467 (1983)). Congress has established the type of evidence necessary to
prove the existence of a disabling impairment by defining a physical or mental impairment as “an
impairment that results from anatomical, physiological, or psychological abnormalities which are
demonstrable by medically acceptable clinical and laboratory diagnostic techniques.” 42 U.S.C.
§ 423(d)(3), 1382(a)(3)(D).
C.
Sequential Evaluation Process
The Social Security Administration follows a five-step, sequential evaluation to determine
whether a plaintiff is disabled within the meaning of the statute. 20 C.F.R.
§ 404.1520, 416.920.
First, the AU must determine whether the plaintiff is currently engaged in gainful activity. Sykes,
228 f.3d at 262. Second, if he is not, the AU determines whether the Plaintiff has an impairment
that limits his ability to work. Id. Third, if he has such an impairment, the AU considers the
medical evidence to determine whether the impairment is listed in 20 C.F.R. Part 404, Subpart P,
Appendix 1 (the “Listings”). If it is, this results in a presumption of disability. Id.
If the
impairment is not in the Listings, the AU must determine how much residual functional capacity
(“RFC”) the applicant retains in spite of his impairment. Id. at 263. Fourth, the AU must consider
whether the plaintiffs RFC is enough to perform his past relevant work. Id. Fiflh, if his RFC is
not enough, the AU must determine whether there is other work in the national economy the
4
plaintiff can perform. Id.
The evaluation continues through each step unless it is determined at any point the plaintiff
is or is not disabled. 20 C.F.R.
§ 404.1520(a)(4), 4l6.920(a)(4). The plaintiff bears the burden
of proof at steps one, two, and four, upon which the burden shifts to the Commissioner at step five.
Sykes, 22$ F.3d at 263. Neither party bears the burden at step three. Id. at 263 n.2.
III.
DISCUSSION
A.
Summary of the AU’s Findings
At step one, the ALl found Plaintiff met the insured status requirements of the SSA and
had not engaged in substantial gainful work activity since the application date. Tr. at 16. At steps
two and three, the AU found Plaintiffs impairments of degenerative disc disease in the lumbar
spine, status post shoulder surgery for bone spurs in 2011, obesity, anxiety, and depression were
“severe,” but not severe enough to meet, either individually or in combination, any of the
impairments listed in 20 C.FR.
§ 4014, Subpart P, Appendix I. Id. at 16.
The ALl concluded Plaintiff had the residual functional capacity (“RFC”) to perform the
exertional demands of a limited range of light work as defined in 20 C.F.R.
§ 404.1567(b), except,
inter alia, Plaintiff “is limited to performing simple, routine, repetitive tasks and making simple
work-related decisions.” Id. at 19. In making this finding, the AU considered all of Plaintiffs
symptoms and their consistency with the evidence.
Id.
Specifically, the ALl took into
consideration Plaintiffs and Plaintiffs sister’s statements indicating that Plaintiffs symptoms
limit his physical abilities and that Plaintiff suffers from anxiety and panic attacks. Id. at 19-20.
The ALl found that the statements of Plaintiff and Plaintiffs sister concerning the intensity,
persistence, and limiting effects of his symptoms were not fully credible as inconsistent with
medical evidence of clinical findings and diagnostic tests. Id. at 22. The AU considered Dr. A.J.
5
Candela’s clinical findings and consultative evaluation, Dr. Alexander Golin’ s assessment based
upon Plaintiffs file, Dr. Monica Lintott’ s affirmation of Dr. Golin’ s findings, Dr. Wilbur’s records
regarding treatment prior to the alleged onset date of disability, and the physical examination
findings completed by Frank A. Rotella, D.O.
Additionally, the AU concluded that “[gJiven the
allegedly debilitating nature of [Plaintiff sj pain, his failure to pursue some sort of medical
treatment for his symptoms tend[s] to undermine the credibility of his allegations.” Id.
At step four, the AU found that Plaintiffs RFC is not enough to perform his past relevant
work as a line cook, cashier, and casino dealer. Id. at 22-23. At step five, the ALl found there
were jobs in significant numbers in the national economy Plaintiff could perform. Id. at 23-24.
The AU identified these as: ticket taker, messenger, and advertising-material distributor. Id.
B.
Analysis
Plaintiff makes the following arguments in support of his contention that the ALl’s
decision should be remanded: (1) the AU found a “severe” impairment of obesity at step two, but
failed to consider obesity at all subsequent steps; (2) the AU erred in failing to give any
consideration to the observations of Plaintiffs physical therapist; and (3) the AU did not
sufficiently evaluate Plaintiffs panic attacks in the RFC. See Plaintiffs Brief (“P1. Br.”) ECF No.
17. The Court will address each argument in turn.
1.
The AU Failed to Consider Plaintiffs Obesity at Step Three
Plaintiff argues the Court should remand due to the AU’s failure to evaluate Plaintiffs
obesity in accordance with Social Security Ruling (“SSR”) 02-Olp, 2002 SSR UEXIS 1 (Sept. 12,
2002). The Third Circuit addressed this issue in Diaz v. Commissioner ofSocial Security, where
the AU found obesity was a severe impairment at step two, but failed to assess the impact of
obesity on the plaintiffs other impairments at step three. 577 f.3d 500, 503 (3d Cir. 2009). The
6
court determined that “an AU must meaningfully consider the effect of a claimant’s obesity,
individually and in combination with her impairments, on her workplace function at step three and
at every subsequent step.” Id. at 504. In assessing the impact of claimant’s obesity, the AU must
discuss the evidence and explain his reasoning in a manner that would be “sufficient to enable
meaningful judicial review.” Id.
Here, the AU found Plaintiff’s obesity was a “severe” impairment at step two, but failed
to mention obesity at the subsequent steps. As the Court remands on other grounds, as explained
below, to the extent the Court cannot provide meaningful review of the AU’s consideration of
Plaintiffs obesity, on remand, the AU should consider the effects of Plaintiffs obesity in
combination with his other impairments at step three and all subsequent steps.
2.
The AU Failed to Explain the Weight Given to Records of Plaintiffs
Physical Therapist
Plaintiff argues the AU erred in failing to give any consideration to Plaintiffs physical
therapist. P1. Br. at 10. “In evaluating medical reports, the AU is free to choose the medical
opinion of one doctor over that of another.” Diaz v. Comm ‘r ofSoc. Sec., 577 F.3d 500, 505 (3d
Cir. 2009) (citing Cotter v. Harris, 642 F.2d 700, 705 (3d Cir. 1981)). “When a conflict in the
evidence exists, the AU may choose whom to credit but cannot reject evidence for no reason or
for the wrong reason.
The AU must consider all the evidence and give some reason for
discounting the evidence [he] rejects.” Plummer v. Apfel, 186 f.3d 422, 429 (3d Cir. 1999)
(internal citation omitted). See also Logan v. Colvin, No. 14-4571, 2015 WL 5722391, at *7
(D.N.J. Sept. 29, 2015) (finding “[t]he role of the District Court in reviewing an ALl’s denial of
disability benefits is not to reweigh the evidence presented, but instead to determine whether the
AU made a decision supported by substantial evidence”).
Plaintiff argues the AU failed to consider evidence of Plaintiffs physical therapist, Eric
7
J. Quick with whom Plaintiff had over a dozen sessions and his records which include Plaintiffs
subjective pain levels and indicated progress immediately preceding the alleged onset date
of
disability. P1. Br. at 10. The Commissioner argues these records are not probative, as Plaintiffs
physical therapy ended in November 2011 and the alleged onset date is March 17, 2012.
Defendant’s Brief, ECF No. 18, at 9. However, the regulations require that an AU “develop
[Plaintiffs] complete medical history for at least the 12 months preceding the month in which”
Plaintiff files an application. 20 C.F.R.
§ 404.15 12(d). Moreover, in Giese v. Commissioner of
Social Security, 251 Fed. Appx. 799, 804 (3d Cir. 2007), the Third Circuit found that exclusion of
evidence prior to an alleged onset date was held to have been proper when the AU provid
ed an
explanation as to why at least some of the evidence predating the onset date would not be afforded
substantial weight. See also O’Donnell v. Astrue, 10-1478, 2011 U.S. Dist. LEXIS 87382, at *20..
22, 2011 WL 3444194 (W.D. Pa. Aug. 8, 2011). Whereas here, the AU did not provid
e a
discussion of Plaintiffs physical therapy records, the Court cannot provide meaningful judicia
l
review of the AU’s consideration of this evidence. Accordingly, on remand, the ALl
should
provide a sufficient explanation as to the evaluation of Plaintiffs physical therapy records.
3.
The AU Properly Considered Plaintiffs Complaints of Panic Attacks
Plaintiff argues that the AU erred in failing to indicate why Plaintiffs panic attacks would
not have an adverse vocational impact and fails to account for occasional daytime attacks
in
evaluating Plaintiffs RFC. P1. Br. at 14. The Court finds the ALl properly considered Plaintiffs
subjective complaints, and sufficiently articulated why he found Plaintiffs statements to be only
partially credible. Tr. at 19-22.
A plaintiffs allegations, standing alone, will not establish he is disabled. See 20 C.F.R.
§
404.1529(a) (“[S]tatements about your pain or other symptoms will not alone establish that
you
8
are disabled.”). When evaluating credibility, the AU must consider the extent to which
the
claimant’s self-reported symptoms can “reasonably be accepted as consistent with the objecti
ve
medical evidence and other evidence.” Id. The claimant’s treatment history and daily activit
ies
are relevant factors in assessing credibility. Id.
§ 404.1 529(c)(3). The ALl, as the factfinder,
determines whether the plaintiffs subjective complaints are consistent with the objective
medical
evidence and, if not, the AU may discount them. Id.
§ 404.1529(a). Where the ALl “has
articulated reasons supporting a credibility determination,” and substantial evidence suppor
ts the
AU’s findings, that determination will be entitled to “great deference.” See Horod
enski v.
Comm ‘r of Soc. Sec., 215 F. App’x 183, 188-89 (3d Cir. 2007) (quoting Ati. Limousine, Inc.
v.
NLRB, 243 F.3d 711, 718 (3d Cir. 2001)) (internal quotation marks omitted); Vancord v.
Cotvin,
No. 13-27, 2014 WL 585413, at *2 (W.D. Pa. Feb. 14, 2014) (“[U]nder a deferential substa
ntial
evidence standard of review, it is particularly inappropriate to second guess such credibi
lity
determinations.”).
Here, the AU expressly considered Plaintiffs and Plaintiffs sister’s testimony as to
Plaintiffs panic attacks, including Plaintiffs statement as to the worsening and increas
ing
frequency of the panic attacks. Tr. at 20. However, in addressing Plaintiffs testimony
on these
issues, the AU found that the statements concerning intensity, persistence, and limiting effects
were not fully credible, as the medical evidence was not consistent with the severity of sympto
ms
and the degree of limitations with regard to his physical impairments. Id. Specifically,
the AU
indicated Dr. Candela’s report stated Plaintiffs panic attacks “would not significantly interfe
re
with his mental ability to perform basic work activities,” that his panic attacks occur mostly
at
night when he is alone, last about five minutes, and that Plaintiff “indicated that his panic attacks
were alleviated almost immediately after he takes his medications[.]” Id.
9
Further, the AU
sufficiently explained that he “grant{ed] significant weight to []the opinion of Dr. Cande
la because
his clinical findings support his assessment and because his assessment is consistent
with the
record as a whole.” Id. Accordingly, the ALl’ s analysis of Plaintiff’s panic attacks was suppor
ted
by substantial evidence.
IV.
CONCLUSION
For the foregoing reasons, the Court will affirm in part and vacate in part the ALl’s decision
and remands this case for further administrative proceedings consistent with this Opinio
n. An
appropriate order accompanies this Opinion.
Dated:
,
2017
CLAIRE C. CECCHI, U.S.D.J.
10
Disclaimer: Justia Dockets & Filings provides public litigation records from the federal appellate and district courts. These filings and docket sheets should not be considered findings of fact or liability, nor do they necessarily reflect the view of Justia.
Why Is My Information Online?