Rhone v. Commissioner of Social Security
Filing
20
MEMO ENDORSEMENT on 19 Report and Recommendations. ENDORSEMENT: No timely objections have been received to the Report. The Court thus adopts the Report as its opinion and directs that the Clerk enter judgment for the Commissioner dismissing the Complaint. (Signed by Judge Colleen McMahon on 3/6/2018) (kgo)
Case 1:16-cv-07213-CM-SDA Document 19 Filed 02/08/18 Page 1 of 22
USDCSDNY
DOCUMENT
ELECTRONICALLY FILED
UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF NEW YORK
DOC~------2/8/2018
WAYNE T. RHONE,
DATE FILED:
Plaintiff,
l:16-cv-07213 (CM) (SDA)
-against-
REPORT AND RECOMMENDATION
NANCY A. BERRYHILL
Acting Commissioner of social Security,
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'j'usDC SDI\Y
,nOCUME~T
Defendant.
----i
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ELECTRO?~ICALLY FILED 1
STEWART D. AARON, UNITED STATES MAGISTRATE JUDGE.
DOC#:
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TO THE HONORABLE COLLEEN MCMAHON, UNITED STATES DISTRICT JUDGE:
Plaintiff, Wayne T. Rhone ("Rhone" or "Plaintiff"), brings this action pursuant to§ 205(g)
of the Social Security Act, 42 U.S.C. § 405(g), challenging the final decision of the Commissioner
of Social Security ("Commissioner") denying his application for disability insurance benefits.
(Compl., dated Sept. 15, 2016, ECF No. 2.) Presently before the Court is Rhone's motion, pursuant
to Fed. R. Civ. P. 12(c), for judgment on the pleadings (Pl.'s Notice of Mot., ECF No. 14), and the
Commissioner's cross-motion for judgment on the pleadings. (Def.'s Notice of Mot., ECF No. 17.)
For the reasons set forth below, the Court recommends that Plaintiff's motion be DENIED
and the Commissioner's cross-motion be GRANTED.
PROCEDURAL HISTORY
~✓1Ef\~O ENDORSED
Rhone filed for disability insurance benefits on September 30, 2010, alleging a disability
onset date of February 21, 2009. (Administrative R. ("R."), ECF No. 10, at 546.) The Social Security
Administration ("SSA") denied Rhone's application on February 9, 2011, and Rhone subsequently
requested a hearing with an Administrative Law Judge ("AU"). (R. 22, 45-54.) On January 17,
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Case 1:16-cv-07213-CM-SDA Document 19 Filed 02/08/18 Page 2 of 22
2012, Rhone appeared and testified before AU Wallace Tannenbaum. (Id. at 31-44.) In a decision
issued on January 23, 2012, AU Tannenbaum found that Rhone was not entitled to disability
insurance benefits, and the Appeals Council denied Rhone's request for review. (Id. at 22-27, 3154.) Rhone then filed an action in this Court challenging the final decision of the Commissioner.
See Rhone v. Colvin, No. 13-CV-5766 (CM) (RLE), 2015 WL 920942, at *1 (S.D.N.Y. Jan. 16, 2015).
District Court Judge Colleen McMahon remanded the case to further develop the record. Id. at
*12. On August 11, 2015, Rhone, appearing pro se, attended a hearing before AU Michael
Friedman. (R. 546.) AU Friedman denied Rhone's benefits application on September 23, 2015. (R.
556.) The ALJ's decision became the Commissioner's final decision when the Appeals Council
denied review on August 10, 2016. (R. 536-39.) This action followed.
FACTUAL BACKGROUND
I.
Non-Medical Evidence And Testimony
Born on August 25, 1961, Rhone was 47 years old at the alleged onset of his disability and
53 years old at the time of the 2015 hearing. (R. 35, 562.) At the hearing, Rhone alleged disability
due to rheumatoid arthritis in the left knee, tendonitis in the left ankle, pain in the left shoulder,
difficulty walking and standing for lengths of time, difficulty concentrating and remembering
instructions, and depression. (R. 565-579.)
Rhone is single and has no children. (R. 35) He lives alone in an apartment on West 43rd
Street in Manhattan. (Id.). He is a high school graduate, and previously worked as an actor for
over 20 years. (R. 36.) He has also worked briefly as a park enforcement officer and a ticket sales
agent. (R. 36-37.) Rhone was last employed as a 3-1-1 telephone operator until he was laid off in
2
Case 1:16-cv-07213-CM-SDA Document 19 Filed 02/08/18 Page 3 of 22
February 2009. (R. 565.) He had been seeing a psychiatrist once a week from 2008 until 2013, but
has not seen one since and does not take psychotropic medication. (R. 568-69.)
Rhone testified that he has trouble sitting comfortably and cannot walk very fast, but is
able to lift light groceries and cook modest meals. (R. 569-71.) He performs basic chores around
his apartment, and occasionally reads and watches television. (R. 571.) Rhone testified at his
hearing that he has a history of alcohol abuse but no longer "self-medicate[s]" using alcohol. (R.
572.) A vocational expert also testified at the hearing before AU Friedman. (R. 574-79.)
II.
Medical Evidence Before The AU
A. Ryan Community Health Center
Rhone visited the Ryan Community Health Center ("Ryan Center") a total of eight times
between August 10, 2009 and November 16, 2011. (R. 346-69.) During his first visit on August 10,
2009, Rhone was diagnosed with hypertension and depression. (R. 346-47.) He visited again on
September 23, 2009, complaining of wrist and arm pain, and was given muscle relaxants and
Tylenol and referred for a psychiatry follow-up for his depression. (R. 349, 351.) On April 16, 2010,
Rhone sought a refill of his hypertension medication and also complained of shoulder and ankle
pain. (R. 355). He was treated for ankle pain, benign hypertension and back pain, and prescribed
Flexeril and Naproxen tablets. (Id.) On July 16, 2010, Rhone attended a follow-up visit regarding
the pain in his left ankle. (R. 357.) He was diagnosed with Achilles tendonitis, and a continuing
case of hypertension. (Id.) He was prescribed medication and referred for an orthopedic surgery
consult. (Id.) On August 13, 2010, Rhone underwent an annual physical exam. (R. 359.) He
reported that the pain in his ankle had improved and he had no depressive feelings at that time.
(R. 359-60.) However, he was diagnosed again with hypertension and tendonitis, and additionally
3
Case 1:16-cv-07213-CM-SDA Document 19 Filed 02/08/18 Page 4 of 22
with tobacco use disorder and hyperlipidemia. 1 (R. 361.) On January 11, 2011, Rhone visited
complaining of jaw pain. 2 (R. 364.) The treating physician diagnosed him with gingivitis and
prescribed medication and referred Rhone for diagnostic imaging. (Id.) Rhone's final two visits to
the Ryan Center on April 29, 2011 and November 16, 2011, were both to fill prescriptions and
provided no new diagnoses save for the continuing benign hypertension. (R. 366-68.)
B. Jewish Board Of Family And Children's Services
Rhone received psychiatry treatment through the Jewish Board of Family and Children's
Services ("JBFCS") from at least March 2008 to May 2012. (R. 219-303, 391-535.) Rhone was
diagnosed with depression, anxiety and alcohol abuse. (R. 240.) On March 18, 2008, Rhone was
evaluated by psychiatrist Dr. Michael Merkin. (R. 219.) Dr. Merkin recommended continuing
treatment and psychiatric evaluation to help address his symptoms of anxiety and depression,
and to decrease his consumption of alcohol. (R. 236.)
Due to complications with health
insurance, Rhone's next visit was not until July 31, 2009. (R. 391.) On that date, Rhone was seen
by Licensed Clinical Social Worker ("LCSW") Andrea Levin ("Levin"). Levin reported that Rhone
was suffering from depression, anxiety, and substance control issues based on a relapse after
two years of sobriety. (R. 409.) Levin found that he was a low level risk for suicide based on
passive thoughts of death (R. 399), and a moderate risk for substance abuse. (R. 400.) Levin
recommended continued treatment, psychiatric evaluation and medication. (R. 409.) On October
5, 2009, Levin referred Rhone for psychiatric evaluation. (R. 413.) Levin noted that his alcohol and
1
"Hyperlipidemia" is defined has "[e]levated levels of lipids in the blood plasma." Stedman's Medical
Dictionary 922 (28th ed. 2005).
2
In October 2010, Rhone also visited St. Luke's Hospital on two occasions complaining of toothache. (R.
210, 214.)
4
Case 1:16-cv-07213-CM-SDA Document 19 Filed 02/08/18 Page 5 of 22
marijuana use had become a "serious factor" and concluded that his addiction behaviors required
additional intervention. (R. 413) In September 2009, Levin and Merkin prepared a three-month
treatment plan for Rhone that indicated his diagnoses remained the same, and that he continued
to experience symptoms of depression which impaired his functioning. (R. 415, 417.) The plan
called for Rhone to attend individual psychotherapy on a weekly basis. (R. 415.) When Rhone's
treatment plan was reviewed in December 2009, Levin noted that his treatment has been
delayed, but that at least one session had occurred. (R. 423.) The treatment plan review also
notes that Rhone had reported to Merkin in November 2009 that he was attending Alcoholics
Anonymous ("AA") meetings and was considering other types of treatment for his addiction. (R.
423.)
In March 2010, Rhone's treatment plan indicates that he had been sober since December
2009, was regularly attending AA meetings, and was coping well with associated social anxieties.
(R. 432.) On June 11, 2010, Levin reported that though Rhone was sober, his attendance at AA
meetings was less frequent and that his risk assessment remained "concern of risk." (R.441-42.)
Levin also noted that Rhone's ankle tendinitis was provoking his anxiety. (R. 441.) On September
10, 2010, Rhone's treatment plan indicated that his status with irregular AA attendance remained
unchanged, but that as a result of his tendinitis remitting, Rhone experienced less frustration. (R.
450.) He also began reaching out and engaging in more social situations, though this did trigger
some anxiety for him. (Id.) In November 2010, Rhone's condition remained mostly the same,
though a dental infection had again triggered his emotional response to pain. (R. 459.) Levin and
Merkin indicated that Rhone had a Global Assessment of Function ("GAF") score at the time of
57, indicating moderate symptoms or moderate difficulties in social settings. (R. 460, 463.)
5
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In March of 2011, Rhone reported to Levin that he had been struggling with financial and
occupational concerns, and could not afford a necessary root canal. (R. 476.) The resulting pain
and stress led Rhone to a relapse. (Id.) By May 2011, Rhone had stopped attending AA meetings
due to social anxiety. (R. 485.) Rhone stayed sober, though his treatment plans between May
2011 and May 2012 show that he continued to suffer social anxiety. (R. 496, 503, 511, 520.) In
May 2012, Rhone's diagnosis was changed to a dysthymic disorder 3 due to his chronic depressive
symptoms. (R. 520, 523.)
On June 20, 2012, Levin filled out a Psychiatric/Psychological Impairment Questionnaire
regarding Rhone. (R. 383-90.) She reported that Rhone was suffering from appetite disturbance
with weight change, sleep disturbance, mood disturbance, emotional liability, substance
dependence, feelings of guilt/worthlessness, difficulty concentrating, social withdrawal or
isolation, and generalized persistent anxiety. (R. 384.) Levin declined to comment on Rhone's
potential performance in the workplace, as it was "outside her purview." (R. 386.) She recorded
that his impairments were ongoing and should last for at least 12 months. (R. 389.)
C. Dr. Thresiamma Mathew - Orthopedic Examination
Rhone was referred to Dr. Thresiamma Mathew by the Division of Disability
Determination, and was seen on December 22, 2010. (R. 178.) Dr. Mathew noted Rhone's history
of low back pain and ankle pain as well as his history of hypertension, stomach ulcer, anxiety,
depression and posttraumatic stress disorder. (Id.) Rhone reported that his low back pain and
left ankle pain were gradually getting worse. (Id.) After examination, Dr. Mathew indicated that
"Dysthimic disorder" is defined as "a chronic disturbance of mood characterized by mild depression or
loss of interest in usual activities." Stedman's Medical Dictionary 569 (28th ed. 2005).
3
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Rhone had full dexterity in his hands and fingers, and a full range of motion in his upper
extremities. (R. 179-80.) In addition, Rhone had a full range of motion in his range of motion in
his cervical spine but was limited in his thoracic and lumbar spines with some tenderness in his
right lumbrosacral paraspinal area. (R. 180.) Dr. Mathew also found full range of motion in
Rhone's lower hips and knees, with some diminished plantar flexion in the left ankle. (Id.) Dr.
Mathew ultimately noted that Rhone had "moderate limitation in lifting and ferrying heavy items,
bending forward, prolonged walking, squatting, and climbing up and down stairs, and moderate
limitation in prolonged sitting and standing." (R. 181.)
D. Christopher Flach, Ph.D. - Adult Psychiatric Evaluation
On December 30, 2010, Rhone visited Industrial Medicine Associates P.C. and saw
psychiatrist Christopher Flach, Ph.D., for an Adult Psychiatric Evaluation. (R. 183.) Rhone reported
difficulty sleeping, depression, anxiety and panic attacks. (Id.) After the examination, Dr. Flach
found that Rhone's thought processes were coherent, and that he could understand simple
directions and perform simple tasks independently. (R. 184-85.) Additionally, Rhone was able to
maintain concentration, maintain a regular schedule, was able to socialize with and relate to
others, and could function on a daily basis with chores and transportation. (Id.) Dr. Flach did,
however, diagnose Rhone with a depressive disorder, and reported that he may have difficulties
dealing with stress. (Id.)
E. V. Reddy- Psychiatric Review /Mental Residual Functional Capacity Assessment
Rhone visited psychologist V. Reddy ("Reddy") for a psychiatric review and mental
residual functional capacity assessment on February 7, 2011. (R. 154.) Rhone indicated that he
was feeling depressed, was avoiding social situations, and was suffering from panic attacks. (Id.)
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After the examination, Reddy diagnosed Rhone with depressive disorder, generalized anxiety
disorder, and alcohol and cannabis abuse. (R. 157, 159, 162.) He reported that Rhone would have
mild restrictions in daily living activities and mild difficulties in maintaining social functioning. (R.
164.) He also reported that Rhone would have moderate difficulties in maintaining
concentration, persistence and pace. (Id.) Reddy concluded that Rhone's affective disorder would
not cause more than a minimal limitation on his ability to do work or function outside of his
home. (R. 165.)
Further, as part of the mental residual functional capacity assessment, Reddy found that
Rhone was moderately limited in his ability to understand, remember and carry out detailed
instruction, to maintain attention and concentration for extended periods, to work in
coordination and proximity to others without being distracted by them, and to perform activities
with a schedule, maintain regular attendance and be punctual. (R. 168.) Reddy noted that Rhone
would be moderately limited in his ability to complete a full work day "without an unreasonable
amount and length of rest periods." (R. 169.) Rhone would also be moderately limited in his
ability to interact with the general public, respond to criticism from supervisors, get along with
co-workers, maintain socially appropriate behavior and adhere to basic standards of neatness
and cleanness, respond to changes in a work setting and make plans independently of others.
(Id.) Reddy's ultimate conclusion was that Rhone was functioning independently and branching
out more socially, and was "able to perform entry level tasks in a low personal contact setting"
as supported by Rhone's medical record. (R. 170.)
8
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F.
Dr. J. Koncak - Physical Residual Functional Capacity Assessment
Rhone visited Dr. J. Koncak on February 9, 2011 for a physical residual functional capacity
assessment. {R. 172.) Rhone indicated to Dr. Koncak that he had difficulty walking due to pain in
his left ankle. {R. 173.) Dr. Koncak found that Rhone could occasionally lift and carry up to ten
pounds, stand or walk for at least two hours in an eight-hour workday, and could sit for a total of
around six hours in an eight-hour workday. {R. 173-74.) Dr. Koncak also found that Rhone had
Achilles tendonitis, left ankle tenderness, low back pain and general trouble walking as a result
of ankle pain. {Id.) Dr. Koncak concluded that Rhone had a residual functional capacity for
sedentary work. {R. 174.)
G. FEGS - Biopsychosocial Summaries
Rhone was evaluated by the Federation Employment & Guidance Service {"FEGS") in
February 2011 and June 2013. {R. 304, 655.) In 2011, a FEGS physician confirmed that Rhone was
suffering from depression and general anxiety disorders {R. 323, 341) and ultimately concluded
that Rhone "had substantial limitations to employment," based on the medical conditions
reported which would last at least 12 months and "make [him] unable to work." {R. 322.) Two
years later, in June 2013, FEGS produced another Biopsychosocial Summary on Rhone. {R. 655.)
As for his physical impairments, Rhone indicated that he continued having difficulty walking or
standing for long periods, and was still suffering from pain in his Achilles tendon, tendonitis in his
left foot, pain in his left shoulder, back pain, depression, an anxiety disorder, and posttraumatic
stress disorder. {R. 666.) A FEGS physician found that Rhone's Achilles tendon was not torn, but
that the rest of his statements were accurate. {R. 672.) No work limitations were reported. (Id.)
However, regarding his mental condition, the FEGS psychiatrist determined that Rhone appeared
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to have chronic mental illness including affective disorder, anxiety disorder and personality
disorder that prevents adherence to a regular work routine and, therefore, prevents
employment. (R. 676, 682-83.) The report again concluded that Rhone had "substantial
functional limitations to employment due to medical conditions that will last at least 12 months."
(R. 676, 683.)
DISCUSSION
I.
Legal Standards
A. Standard Of Review
A motion for judgment on the pleadings should be granted if it is clear from the pleadings
that "the moving party is entitled to judgment as a matter of law." Burns Int'/ Sec. Servs., Inc. v.
Int'/ Union, 47 F.3d 14, 16 (2d Cir. 1995). In reviewing a decision of the Commissioner, a court
may "enter, upon the pleadings and transcript of the record, a judgment affirming, modifying, or
reversing the decision of the Commissioner ... with or without remanding the cause for a
rehearing." 42 U.S.C. § 405(g). The AU's disability determination may be set aside if it is not
supported by substantial evidence. See Rosa v. Callahan, 168 F.3d 72, 77 (2d Cir. 1999) (vacating
and remanding AU's decision). "Substantial evidence is 'more than a mere scintilla. It means such
relevant evidence as a reasonable mind might accept as adequate to support a conclusion. 111
Halloran v. Barnhart, 362 F.3d 28, 31 (2d Cir. 2004) (quoting Richardson v. Perales, 402 U.S. 389,
401 (1971)).
If the findings of the Commissioner as to any fact are supported by substantial evidence,
those findings are conclusive. Diaz v. Shala/a, 59 F.3d 307, 312 (2d Cir. 1995). "[O]nce an AU finds
facts, we can reject those facts only if a reasonable factfinder would have to conclude otherwise."
10
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Brault v. Soc. Sec'y Admin., Comm'r, 683 F.3d 443, 448 (2d Cir. 2012) (internal quotation marks
and emphasis omitted); see also Florencio v. Apfel, No. 98 Civ. 7248 (DC), 1999 WL 1129067, at
11
*5 (S.D.N.Y. Dec. 9, 1999) ( The Commissioner's decision is to be afforded considerable
deference; the reviewing court should not substitute its own judgment for that of the
Commissioner, even if it might justifiably have reached a different result upon a de novo review."
(internal quotations & alterations omitted)). The Court, however, will not defer to the
Commissioner's determination if it is '"the product of legal error. 111 See Douglass v. Astrue, 496 F.
App'x 154, 156 (2d Cir. 2012)
B. Determination Of Disability
Under the Social Security Act (the
11
11
Act"), every individual determined to have a
disability" is entitled to disability insurance benefits. 42 U.S.C. § 423(a)(1). The Act defines
"disability" as the "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 12 months .... " 42
U.S.C. §§ 423{d)(1)(A), 1382c{a)(3)(A).
An individual shall be determined to be under a disability only if
[the combined effects of] his physical or mental impairment or
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, regardless of whether
such work exists in the immediate area in which he lives, or
whether a specific job vacancy exists for him, or whether he would
be hired if he applied for work.
42 U.S.C. §§ 423(d)(2)(A), 1382c(a){3)(B).
11
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In determining whether an individual is disabled for disability benefit purposes, the
Commissioner must consider: "(1) the objective medical facts; (2) diagnoses or medical opinions
based on such facts; (3) subjective evidence of pain or disability testified to by the claimant or
others; and (4) the claimant's educational background, age, and work experience." Mongeur v.
Heckler, 722 F.2d 1033, 1037 (2d Cir. 1983) (per curiam).
The Commissioner's regulations set forth a five-step sequence to be used in evaluating
disability claims:
(i) At the first step, we consider your work activity, if any. If you are
doing substantial gainful activity, we will find that you are not
disabled ....
(ii) At the second step, we consider the medical severity of your
impairment(s). If you do not have a severe medically determinable
physical or mental impairment that meets the duration
requirement in § 404.1509 [continuous period of 12 months], or a
combination of impairments that is severe and meets the duration
requirement, we will find that you are not disabled ....
(iii) At the third step, we also consider the medical severity of your
impairment(s). If you have an impairment(s) that meets or equals
one of our listings in appendix 1 of this subpart and meets the
duration requirement, we will find that you are disabled ....
(iv) At the fourth step, we consider our assessment of your residual
functional capacity and your past relevant work. If you can still do
your past relevant work, we will find that you are not disabled ....
(v) At the fifth and last step, we consider our assessment of your
residual functional capacity and your age, education, and work
experience to see if you can make an adjustment to other work. If
you can make an adjustment to other work, we will find that you
are not disabled. If you cannot make an adjustment to other work,
we will find that you are disabled.
20 C.F.R. § 404.1520.
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C. The AU's Duty To Develop The Record
When the AU assesses a claimant's alleged disability, the AU must develop the claimant's
medical history for at least a 12-month period. 42 U.S.C. § 423(d)(5)(b), 20 C.F.R. § 404.1512(d).
Because social security proceedings are "essentially non-adversarial," the AU has an affirmative
duty to develop the record. Lamay v. Comm'r of Soc. Sec., 562 F.3d 503, 508-09 (2d Cir. 2009)
(internal citation omitted). This duty is heightened for a prose claimant, see Morris v. Berryhill,
No. 16-CV-2672, 2018 WL 459678, at *2 (2d Cir. Jan. 18, 2018) (summary order), as well as when
the disability in question is a psychiatric impairment. See Estrada v. Comm'r of Soc. Sec., No. 13CV-04278 (CM) (SN), 2014 WL 3819080, at *3 (S.D.N.Y. June 25, 2014).
The AU's duty to develop the record "encompasses not only the duty to obtain a
claimant's medical records and reports but also the duty to question the claimant adequately
about any subjective complaints and the impact of the claimant's impairments on the claimant's
functional capacity." Emanuel v. Berryhill, No. 16-CV-5873 (JLC), 2017 WL 5990128, at *8 (S.D.N.V.
Dec. 4, 2017) (citations omitted). However, "where there are no obvious gaps in the record, and
where the AU already possesses a complete medical history, the AU is under no obligation to
seek additional information in advance of rejecting a benefits claim." Rosa v. Callahan, 168 F.3d
72, 72 n.5 (2d Cir. 1999) (internal citation omitted).
II.
AU Friedman's Decision
Following the five-step sequence, AU Friedman determined that Rhone did not have a
disability within the meaning of the Act. At step one of the sequential evaluation process, the AU
found that Rhone had not engaged in substantial gainful activity since the February 21, 2009
application date. (R. 548.) Next, the AU carefully reviewed the record evidence and found at step
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two that Rhone had medically determinable impairments of lumbago, 4 left ankle pain secondary
to Achilles' tendinitis, depression, anxiety, and a history of drug and alcohol abuse. (Id.) At step
three, the AU determined that Rhone did not have any one impairment or combination of
impairments that met or medically equaled the severity of one of the listed impairments. (Id.)
Next, the AU found that Rhone had the residual functional capacity to perform light work, except
as restricted to jobs with a sit/stand option involving only occasional contact with supervisors
coworkers or the general public. (R. 55-554.) At step four, the AU found at step four that Rhone
was incapable of performing past relevant work. (R. 554.) The AU's determination was based, in
part, on his finding that Rhone's past work involved more direct contact with people on a regular
basis than was recommended by Rhone's physicians. (Id.) At step five, the AU found that,
"[c]onsidering the claimant's age, education, work experience, and residual functional capacity,
there are jobs that exist in significant numbers in the national economy that the claimant can
perform." (R. 555.) In making that determination, the AU relied on testimony by a vocational
expert that Rhone would have been able to perform the requirements of several light-exertional
level jobs numbering in total up to 400,000 positions nationally. (R. 555, 575-76.) Finally, the AU
noted that the Medical-Vocational Rules supports the finding that Rhone can be found "not
disabled" whether or not his particular job skills were transferrable. (Id.) As such, the AU found
that Rhone was not disabled and denied his claims for benefits. (R. 556.)
4
"Lumbago" is defined as "[p]ain in id and lower back; a descriptive term not specifying cause."
Stedman's Medical Dictionary 1121 (28th ed. 2005).
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Ill.
Analysis
Rhone contends that the decision of the AU should be reversed because it was "not based
upon a full and fair evaluation of the entire record, not supported by substantial evidence and
reached through material error." (Pl.'s Mem. of Law ("Pl.'s Mem."), ECF No. 15, at 4-5.) In support
of his position, Rhone's counsel makes various arguments, including many related to the AU's
alleged failure to fully develop the record. (Pl.'s Mem. at 4-9.) The Court will address these
arguments as best it can discern them. 5
A. The AU Adequately Developed The Record
Rhone argues that the record did not contain functional assessments or medical source
statements from all of his treating sources and that AU Friedman did not take any steps to obtain
all his records. (Pl.'s Mem. at 8). However, Rhone does not identify the treating sources he
contends were not considered. Nor does he identify any additional records that he believes
should have been obtained and reviewed by the AU. Rhone also contends that AU Friedman
should have re-contacted the sources from whom he received "his medical and psychological
treatment" in order to make a reliable assessment of his functional capacity, "particularly in light
of his psychotherapist's refusal to provide additional opinions of each impairment restricted."
(Pl.'s Mem. at 6-7.) However, "[t]he duty to recontact arises only if the AU lacks sufficient
evidence in the record to evaluate the doctor's findings." Morris, 2018 WL 459678, at *2; see also
5
The Court notes that the memorandum of law submitted by Plaintiffs counsel, Herbert S. Forsmith,
consists primarily of a series of case citations with little effort taken to connect them to the facts at issue
in this case. This appears to be consistent with memorandum filed by Mr. Forsmith in other cases. See,
e.g., Grosse v. Comm'r of Soc. Sec., No. 08-CV-4137 (NGG), 2011 WL 128565, at *2 (E.D.N.Y. Jan. 14,
2011) (describing "rudderless, stream-of-consciousness" memorandum submitted by Mr. Forsmith and
noting his routine filing of "similarly incomprehensible" documents).
15
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20 C.F.R. § 404.1520b (giving AUs flexibility in determining whether and how to address
insufficiencies in the record). Here, the record contained 435 pages of medical records, including
Rhone's medical records from the Ryan Center where he was treated by Levin, and there is no
indication that these records were insufficient to allow the AU to evaluate Levin's findings. See
id. (potentially missing records, with no indication that they contained significant information,
did not render record evidence inadequate).
Rhone also argues that AU Friedman did not fully question him, including with regard to
his "emotional reaction to his impairments" and his "psychological symptoms[.]" (Pl.'s Mem. at
7-8.) However, the record included testimony by Rhone that because his injuries prevented him
from being part of the theater community, "that is where the depression happens." (R. 567.) The
AU also asked Rhone if there was anything he would like to say about his situation that had not
been talked about. (R. 572.) After first saying no, Rhone testified further regarding his emotional
state. (R. 572-73.) The Court finds that this testimony, in conjunction with Rhone's medical
records, gave the AU a sufficient basis to assess Rhone's functional capacity. Further, additional
testimony is not likely to have helped Rhone because the AU found that he was not entirely
credible. (R. 551.)
In light of the robust medical record before the AU, and Rhone's failure to identify with
specificity any way in which that record was lacking, the Court finds that the record was sufficient
and AU Friedman did not fail to adequately develop the record.
B. The AU's Finding That Rhone Had A Residual Functional Capacity For Light Work
Was Supported By Substantial Evidence
The AU stated in his decision that Rhone "had the residual functional capacity to perform
light work as defined in 20 CFR 404.1567(b), except that he is restricted to jobs with a sit/stand
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option that involve simple, routine, repetitive type tasks with only occasional contact with
supervisors, coworkers and the general public." (R. 550.) The AU's finding is supported by
substantial evidence from the record.
1. Rhone's Physical Residual Functional Capacity
The AU's determination that Rhone's physical residual functional capacity was for light
work was supported by substantial evidence. Dr. Sheila Minaya of the Ryan Center, Rhone's
treating physician, reported by late 2010 that despite his diagnosis of Achilles tendinitis, Rhone
had a full range of motion in all extremities, and reported living a generally healthy and active
lifestyle. (R. 204, 206.) This diagnosis was supported by the assessment done by Dr. Mathew, a
medical consultant. After a physical examination, Dr. Mathew found full ranges of motion in
most extremities, the exception being limited flexion in Rhone's left ankle, as well as limited
range of motion in his thoracic and lumbar spines. (R. 180.) As a result, Dr. Mathew found that
Rhone was moderately limited in heavy lifting and carrying, bending, prolonged walking,
squatting, and climbing, as well as mildly to moderately limited in prolonged sitting and standing.
(R. 181.)
Dr. Konack, in conducting a physical functional capacity assessment, found similar
limitations in Rhone's ankle and back, but determined that Rhone had a residual functioning
capacity for sedentary work as opposed to light work. (R. 174.) Rhone's last physical assessment
at FEGS noted the development of Rhone's rheumatoid arthritis, but still found no major physical
restrictions. (R. 666, 672.)
The AU ultimately gave "great weight" to Dr. Mathew's opinion because it was based on
her examination findings. The AU took this into account, along with Rhone's testimony that he
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could not stand for long periods of time, in limiting Rhone to light work with a sit/stand option.
(R. 552). Even though Dr. Konack determined that Rhone had capacity only for sedentary work,
he was not a treating physician and therefore his opinion is entitled to no more weight than
Rhone's other providers.
2. Rhone's Mental Residual Functional Capacity
The AU's finding as to Rhone's mental capacity to work was also supported by substantial
evidence in the record. Rhone's psychotherapist, LCSW Andrea Levin, and Dr. Merkin treated
Rhone at the JBFCS with weekly visits between March 2008 and June 2012. (R. 219-303, 391535.) While the diagnoses of depression and anxiety remained, along with other symptoms of
instability, Rhone had been making strides throughout his treatment in limiting his substance
abuse and engaging in social settings more frequently. (R. 272-89.) Dr. Flach's report from
December 2010 ultimately found that Rhone did not suffer from significant mental limitations
aside from minor stresses. However, the AU determined that Rhone was more limited than Dr.
Flach found him to be and gave more credit to the opinion of psychologist Reddy that Rhone
could perform entry-level tasks in a low personal contact setting. (R. 553.) The AU explained that
he gave Reddy's testimony "great weight" as it was consistent with Dr. Flach's findings and with
Rhone's medical records. (R. 553.)
Rhone's medical records do indicate that he continued to suffer from social anxiety in
2011 and 2012, but the AU's determination that Rhone was restricted to jobs with only
occasional contact with supervisors, coworkers and the general public, accounts for this
condition.
And despite the fact that Rhone's two Biopsychosocial summaries by the FEGS
indicated that Rhone "would not be able to function in a work environment," there seems to be
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an improvement in Rhone's condition between his 2011 and 2013 summaries, and the latter
report noted that Rhone's mental status was mostly within normal limits. The AU does not credit
the FEGS psychiatrist's opinion that Rhone would be permanently disabled from work (R. 554),
as he correctly explains that that is a determination reserved for the Commissioner. See, e.g.,
Guzman v. Astrue, No. 09-CV-3928 (PKC), 2011 WL 666194, at *10 (S.D.N.Y. Feb. 4, 2011) (a
treating physician's statement that a claimant is disabled or unable to work is not controlling
because it is a legal conclusion reserved for the Commissioner). However, the AU did take into
account the opinion of the FEGS physician that Rhone had reduced concentration and memory,
and of the FEGS psychiatrist that Rhone needed a low stress environment, by limiting Rhone to
simple, routine, repetitive type tasks. (R. 553-54.)
As for the psychiatric/psychological impairment questionnaire completed by Levin in June
2012 (R. 383-90), the AU notes that she is a social worker, not a doctor, and thus the treating
physician rule, which would have required him give controlling weight to her opinion, does not
apply. (R. 554.) See Rodriguez v. Astrue, No. 11 CIV. 7720 (CM) (MHD), 2012 WL 4477244, at *36
{S.D.N.Y. Sept. 28, 2012) (quotations omitted). Nevertheless, the AU further noted that Levin
refused to comment on Rhone's capacity in the workplace and did not record any specific
limitations in areas of mental functioning. (R. 554.) The AU also highlighted the fact that Levin
reported that Rhone's GAF score at the time was 52, which indicates moderate symptoms. (Id.)
In light of the entire record, the AU's finding regarding Rhone's residual functional
capacity was supported by substantial evidence. See Matta v. Astrue, 508 F. App'x 53, 56 (2d Cir.
2013) (AU "entitled to weigh all of the evidence available to make an RFC finding that was
consistent with the record as a whole.") (citing Perales, 402 U.S. at 399).
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C. The AU's Finding That There Were Jobs That Existed In Significant Numbers In
The National Economy That Rhone Could Perform Was Supported By
Substantial Evidence
The AU recognized that Rhone was 52 years old (R. 554), had at least a high school
education and was able to communicate in English. He then found that a lack of transferability
of job skill was irrelevant given the use of Medical-Vocational Rules as a framework to support a
finding that the claimant is not disabled. See SSR 82-41, 20 C.F.R. Part 404, Subpart P, Appendix
2. These factual findings, together with a residual functional capacity for light work, correspond
to Medical-Vocational Rule 201.18, 20 C.F.R. Part 404, Subpart P, Appendix 2, Rule 201.18.3.
Under that rule, Rhone would be found not disabled. 20 C.F.R. § 416.969; Heckler v. Campbell,
461 U.S. 458, 461 (1983). The AU concluded that Rhone's additional limitations impeded his
ability to perform all or substantially all of the requirements for light work, and therefore relied
upon the vocational expert to determine whether someone matching Rhone's age, education,
work experience, and residual functional capacity could perform a job that existed in significant
numbers in the national economy. (R. 555, 574.)
The AU asked the expert to "assume a light physical RFC [residual functional capacity],
restricted to jobs with a sit-stand option[,]" and "further restricted to jobs involving simple,
routine, repetitive type tasks and requiring only occasional contact with supervisors, co-workers,
and the public." (R. 574.) The vocational expert testified that, based on his knowledge and
expertise from conducting and supervising labor market surveys, he was able to account for three
different job titles amounting to a total of approximately 400,000 positions nationwide that met
the criteria set out by the AU. (R. 574-77.) The three examples of jobs he provided were bench
assembler, assembler of electrical accessories, and inspector. (R. 574-76.) The expert testified
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that his findings were, in part, based on his personal knowledge and experience regarding the
number of sick days and time spent off-task that is consistent with competitive employment. (R.
555, 576-77.) This testimony provides substantial evidence to support the AU's step-five finding.
See McIntyre v. Colvin, 758 F.3d 146, 152 (2d Cir. 2014) (AU reasonably credited vocation expert's
testimony that was based on the expert's professional experience and clinical judgment, and
which was not undermined by any evidence in the record).
CONCLUSION
For the foregoing reasons, the Court recommends that Plaintiff's motion for judgment
on the pleadings be DENIED and the Commissioner's cross-motion for judgment on the
pleadings be GRANTED.
DATED:
February 8, 2018
New York, New York
STEWART D. AARON
United States Magistrate Judge
*
*
*
NOTICE OF PROCEDURE FOR FILING OBJECTIONS
TO THIS REPORT AND RECOMMENDATION
The parties shall have fourteen days from the service of this Report and
Recommendation to file written objections pursuant to 28 U.S.C. § 636(b)(1) and Rule 72(b) of
the Federal Rules of Civil Procedure. See also Fed. R. Civ. P. 6{a), (d) {adding three additional
days when service is made under Fed. R. Civ. P. 5(b)(2)(C), (D), or (F)). A party may respond to
another party's objections within fourteen days after being served with a copy. Fed. R. Civ. P.
72(b)(2). Such objections shall be filed with the Clerk of the Court, with courtesy copies
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delivered to the chambers of the Honorable Colleen McMahon at the United States
Courthouse, 500 Pearl Street, New York, New York 10007, and to any opposing parties. See 28
U.S.C. § 636(b)(1); Fed. R. Civ. P. 6(a), 6(d), 72(b). Any requests for an extension of time for filing
objections must be addressed to Judge McMahon. The failure to file these timely objections will
result in a waiver of those objections for purposes of appeal. See 28 U.S.C. § 636(b)(1); Fed. R.
Civ. P. 6(a), 6(d), 72(b); Thomas v. Arn, 474 U.S. 140 (1985).
22
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