Deuter v. Saul

CourtDistrict Court, N.D. Illinois
DecidedMay 27, 2022
Docket1:19-cv-04149
StatusUnknown

This text of Deuter v. Saul (Deuter v. Saul) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Deuter v. Saul, (N.D. Ill. 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION

BRIAN D., ) ) Plaintiff, ) ) No. 19-cv-04149 v. ) ) KILOLO KIJAKAZI, ) Acting Commissioner of Social Security,1 ) Magistrate Judge Jeffrey I. Cummings ) Defendant. )

MEMORANDUM OPINION AND ORDER Brian D. (“Claimant”) brings a motion to reverse the final decision of the Commissioner of Social Security (“Commissioner”) denying his claim for disability insurance benefits (“DIBs”). The Commissioner brings a motion for summary judgment seeking to uphold the decision to deny benefits. The parties have consented to the jurisdiction of a United States Magistrate Judge pursuant to 28 U.S.C. §636(c). This Court has jurisdiction to hear this matter pursuant to 42 U.S.C. §405(g). For the reasons that follow, Claimant’s motion to reverse the decision of the Commissioner (Dckt. #15) is granted and the Commissioner’s motion for summary judgment (Dckt. #24) is denied. I. BACKGROUND A. Procedural History On November 3, 2015, Claimant (then forty years old) filed a disability application alleging disability dating back to May 25, 2012, due to back pain and mental health impairments.

1 In accordance with Internal Operating Procedure 22, “Privacy in Social Security Opinions,” the Court refers to Claimant only by his first name and the first initial of his last name. Furthermore, Kilolo Kijakazi is now the Acting Commissioner of Social Security and is substituted in this matter pursuant to Fed. R. Civ. P. 25(d). No further action need be taken to continue this suit by reason of the last sentence of section 205(g) of the Social Security Act, 42 U.S.C. §405(g). (R. 197-200). Claimant’s application was denied initially and upon reconsideration. (R. 41). Claimant filed a timely request for a hearing, which was held on April 5, 2018, before an Administrative Law Judge (“ALJ”). (R. 56-93). Claimant appeared with counsel and offered testimony at the hearing. Claimant’s wife and a vocational expert also offered testimony. On June 25, 2018, the ALJ issued a written decision denying Claimant’s application for benefits.

(R. 41-50). Claimant filed a timely request for review with the Appeals Council. On April 24, 2019, the Appeals Council denied Claimant’s request for review, leaving the decision of the ALJ as the final decision of the Commissioner. (R. 1-4). This action followed. B. Evidence in the Administrative Record Claimant seeks disability benefits for symptoms and limitations stemming from back pain and mental health issues. Claimant was regularly employed from 1999 to 2013, working as a custodian, groundskeeper, HVAC assistant, and, most recently, a tire mechanic. (R. 242). On May 10, 2010, he was loading 110-pound tires into a truck when he injured his lower back. (R. 816). He has not worked consistently since. The administrative record contains the following

evidence that bears on his claim. 1. Evidence from Claimant’s Treating Physicians

After his injury, Claimant began seeing Daniel Troy, M.D., for lower back pain. He was treated with epidural steroid injections, (R. 314), extensive physical therapy, (R. 339), and Tramadol, a prescription pain medication, (R. 315). Still, his pain persisted. Dr. Troy described Claimant’s case as “confusing,” because his pain was primarily focused on the right side of his body, but his MRI demonstrated more left-sided pathology. (R. 314). He explained to Claimant that he could undergo a microscopic decompression, but there was a 50% chance that it would not help him. (Id.). On October 21, 2011, Dr. Troy noted that Claimant “does have low back pain and does have advanced degenerative disc disease at the 3-4, 4-5 levels and he will continue to have low back pain because of that, but in my opinion, it is not bad enough to undergo fusion.” (R. 312). Claimant underwent microdiscectomy surgery on April 27, 2012, but the procedure did not have the desired effect. (R. 1038-39). Claimant began seeing Robert Erickson, M.D., in June 2012. On February 27, 2013, he

underwent a second procedure but, again, saw no improvements. (R. 537). Post-operation, Claimant was diagnosed with herniated discs, radiculitis, chronic lower back pain, intractable chronic lower back pain syndrome, and post spinal surgery epidural adhesions. (R. 537). In April 2013, Dr. Erickson found that Claimant could return to work on “modified duty,” but that he could work no more than four hours in a workday and could not stand for prolonged periods or lift items heavier than five pounds. (R. 595-96). Dr. Erickson recommended Claimant receive a third surgery, but Claimant’s insurance did not approve the procedure and Claimant determined that the risks and costs outweighed the potential benefits. Dr. Erickson prescribed Claimant Medrol, Mobic, and Neurontin for his pain, (R. 561), which Claimant described as

“sharp, stabbing, shooting, electrical-like pain,” (R. 555). Claimant received chiropractic care from John Jonihakis, M.D., beginning in 2010. On January 22, 2018, Dr. Jonihakis submitted a letter on Claimant’s behalf, writing that Claimant “continue[d] to have pain in the low back area with radicular type of symptoms which radiate the pain into his legs constantly,” and experienced “constant numbness and tingling.” (R. 816). He added that Claimant’s prognosis was not promising, as his doctors had done as much as they could to little effect. Claimant continued to experience “pain with prolonged sitting, standing, repetitive motion in the low back area” and “continue[d] to have constant pain.” (R. 817). Dr. Jonihakis further observed that Claimant’s “condition [was] aggravate[d] by any type of movement, prolonged sitting over 20 minutes and the same for standing over 10-20 minutes.” (R. 816). 2. Evidence from One-Time Examiners and State Agency Consultants On March 28, 2013, Claimant underwent a Functional Capacity Evaluation. (R. 475). During the evaluation, Claimant was unable to bend his trunk more than sixty degrees, stand for

thirty minutes, or walk for one mile. He was able to occasionally lift thirty pounds and carry forty pounds for twenty feet. He experienced increased lower back pain while standing, walking, sitting, and twisting. Based on these observations, physical therapist A. Hassan determined Claimant’s “current physical demand level [was] Medium.” (R. 476). On March 9, 2014, Claimant underwent a second independent medical evaluation. (R. 1053). Srdjan Mirkovic, M.D., at NorthShore Orthopaedics reviewed Claimant’s medical records, examined Claimant, and evaluated his subjective complaints. (R. 1061). He diagnosed Claimant with degenerative changes of the lumbar spine, chronic low back pain, and degenerative disc disease. (R. 1058). Dr. Mirkovic noted that Claimant’s lower back pain had

continued to worsen despite the April 2012 operation. He further noted that the “duration of symptoms, as well as the severity of the patient’s subjective complaints, in the absence of clear objective criteria and the presence of nonphysiologic signs . . . suggests the possibility of the presence of psychosocial issues interfering with [Claimant’s] recovery,” but added that Claimant’s “chronic low back pain could be attributable to the presence of degenerative disk disease, with aggravation of symptoms casually related to [his work injury].” (Id.). Dr. Mirkovic described the previous functional capacity evaluation as “valid,” and confirmed that Claimant “could return to work at a medium level.” (R. 1060).

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Deuter v. Saul, Counsel Stack Legal Research, https://law.counselstack.com/opinion/deuter-v-saul-ilnd-2022.