DeJesus v. Chater

899 F. Supp. 1171, 1995 U.S. Dist. LEXIS 13763, 1995 WL 559028
CourtDistrict Court, S.D. New York
DecidedSeptember 18, 1995
Docket94 Civ. 0772 (JGK)
StatusPublished
Cited by14 cases

This text of 899 F. Supp. 1171 (DeJesus v. Chater) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
DeJesus v. Chater, 899 F. Supp. 1171, 1995 U.S. Dist. LEXIS 13763, 1995 WL 559028 (S.D.N.Y. 1995).

Opinion

OPINION AND ORDER

KOELTL, District Judge:

The issue in this case is whether substantial evidence supports the finding by the Commissioner of Social Security (“Commissioner”) that the plaintiff, Jose Luis DeJesus, is not entitled to Social Security Disability Insurance Benefits (“DIB”) under the Social Security Act (the “Act”) because he is not disabled within the meaning of that program. After listening to the sworn testimony of the plaintiff and reviewing all the medical records that were submitted, on July 30, 1993 the Administrative Law Judge (“ALJ”) determined that the plaintiff was not eligible for a Period of Disability or Disability Insurance Benefits. (R. 18.) The ALJ determined that while the plaintiff had chronic low back derangement before his date of last insurance, March 31, 1984, making him incapable of performing his past relevant work, *1173 he retained the residual functional capacity to perform the full range of sedentary work. (R. 17.) On November 10, 1993, the Appeals Council of the Social Security Administration denied the request to review the ALJ’s decision. (R. 5.) Thereafter, the Appeals Council vacated its prior action in order to consider arguments raised by the claimant’s counsel. Upon further review, the Appeals Council again concluded there was no basis for granting the request to review. (R. 2.) This appeal followed. 2

This matter was referred to Magistrate Judge Andrew J. Peck for a report and recommendation. Magistrate Judge Peck recommended that the plaintiffs motion for judgment on the pleadings be granted, the Commissioner’s motion be denied, and the matter be remanded to the Commissioner for the calculation and payment of benefits. The Commissioner objects to these recommendations. For reasons explained below, after reviewing Magistrate Judge Peck’s Report and Recommendation dated June 14, 1995, and the Commissioner’s objections, and after a de novo review of the administrative record in light of the objections, this Court concludes that there is not substantial evidence supporting the Commissioner’s determination that the plaintiff is not disabled within the meaning of the Disability Insurance program. 3

I.

The plaintiff Jose Luis Dejesus was bom on December 12, 1945, has an education of seven years, and speaks no English. (R. 30.) He testified that prior to his injury in 1978, he had performed general work in a factory from 1972 to 1978, including cleaning, packing boxes, loading and unloading trucks, and repair work. (R. 30-31.) The plaintiff testified that he became disabled on October 9, 1978, due to back pain and numbness in his leg, rendering him unable to continue working. (R. 32, 39.)

On August 30, 1991, the plaintiff filed an application for Social Security Disability Insurance benefits. (R. 39-42.) There is no question that the benefits sought are for the period October 9, 1978, when the plaintiff allegedly became disabled, to March 31,1984, his date last insured for purposes of the Social Security Act. 4 His application was denied at both the initial and reconsideration levels of administrative review. (R. 43-44, 46-47.) On December 28, 1992, a hearing was held by ALJ Herbert Forsmith to determine if the plaintiff was entitled to a Period of Disability or Disability Insurance Benefits under the Social Security Act. The ALJ found that on or before his date last insured, March 31, 1984,

[t]he [plaintiff] did not have an impairment or combination of impairments listed in or medically equal to one set forth in the Listing of Impairments, Appendix 1, Sub-part P, Regulations No. 4, nor did he have an impairment which would have prevented him from performing sedentary work activity.

(R. 14.) The ALJ noted the statements made by Dr. Tacktill, the plaintiff’s treating physician, on forms submitted to the Workers’ Compensation Board on August 30, 1983 and May 24, 1983, that the plaintiff was totally disabled. The ALJ discounted these statements, however, first because the statements were made to the Workers’ Compensation Board and, therefore, “it is reasonable to infer that the physician was relating claimant’s disability to his prior work, a repairman and packer, which was at least medium in terms of exertional demands.” (R. 15.) Additionally, the ALJ noted that Dr. Tacktill *1174 also reported on forms prepared for the Workers’ Compensation Board dated December 6,1983, May 31,1984, and September 11, 1984 that the plaintiff was only partially disabled. The ALJ found that the clinical findings and diagnosis remained the same, noting specifically that the physician reported chronic lower back derangement with pain, restricted motion, muscle spasms, and radi-culopathy. (R. 15.) The ALJ concluded that the plaintiff was not under a “disability” as defined in the Social Security Act at any time on or before his last date insured. 5 (R. 14.) On November 10, 1993, the Social Security Administration’s Appeals Council denied the plaintiffs request for a review of the ALJ Forsmith’s decision. (R. 5.) Thereafter, the Appeals Council vacated its prior action in order to consider arguments raised by the claimant’s counsel. Upon further review, the Appeals Council again concluded there was no basis for granting the request to review. (R. 2.) Consequently, ALJ Forsmith’s decision became the final decision of the Commissioner with respect to the August 30,1991 application for Disability Insurance Benefits. 6 The plaintiff filed the complaint in this action on February 8, 1994. The plaintiff and the Commissioner both moved for judgment on the pleadings under Fed.R.Civ.P. 12(c), and the matter was referred to Magistrate Judge Peck for a report and recommendation. Magistrate Judge Peck submitted a thorough Report and Recommendation on June 14, 1995 in which he recommended that this Court “reverse the [Commissioner's decision that plaintiff was not disabled on or before March 31, 1984, and remand the case to the [Commissioner] for the calculation and payment of benefits.” (Report and Recommendation at 18.) In particular, Magistrate Judge Peck noted:

It is clear that an ALJ’s evaluation of residual work capacity must be based on objective medical evidence, diagnoses and medical opinions based on such facts, and subjective evidence of pain as well as disability testified to by the claimant or others....
An ALJ’s lay evaluation of the medical reports, without more, is not substantial evidence of plaintiff’s work capabilities.... [TJhere is no evidence in the record that DeJesus could perform other basic work activities such as walking, sitting or standing for prolonged periods of time.
In sum, because the ALJ failed to adequately develop the record in reaching his determination of plaintiff Dejesus’s residual functional capacity, I recommend that the Court cannot conclude that substantial evidence exists to support the ALJ’s finding on this issue.

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Bluebook (online)
899 F. Supp. 1171, 1995 U.S. Dist. LEXIS 13763, 1995 WL 559028, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dejesus-v-chater-nysd-1995.