Fred G. Lawyer v. Commissioner of Social Security Administration

CourtDistrict Court, C.D. California
DecidedMarch 19, 2020
Docket8:18-cv-01543
StatusUnknown

This text of Fred G. Lawyer v. Commissioner of Social Security Administration (Fred G. Lawyer v. Commissioner of Social Security Administration) is published on Counsel Stack Legal Research, covering District Court, C.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fred G. Lawyer v. Commissioner of Social Security Administration, (C.D. Cal. 2020).

Opinion

8 UNITED STATES DISTRICT COURT

9 CENTRAL DISTRICT OF CALIFORNIA

11 FRED G. L., an Individual, Case No.: 8:18-01543 ADS

12 Plaintiff,

13 v. MEMORANDUM OPINION AND ORDER 14 ANDREW M. SAUL, Commissioner of OF REMAND Social Security, 15 Defendant. 16 17 I. INTRODUCTION 18 Plaintiff Fred G. L.1 (“Plaintiff”) challenges Defendant Andrew M. Saul2, 19 Commissioner of Social Security’s (hereinafter “Commissioner” or “Defendant”) denial 20 of his application for a period of disability and disability insurance benefits (“DIB”). For 21

22 1 Plaintiff’s name has been partially redacted in compliance with Federal Rule of Civil Procedure 5.2(c)(2)(B) and the recommendation of the Committee on Court 23 Administration and Case Management of the Judicial Conference of the United States. 2 On June 17, 2019, Saul became the Commissioner of Social Security. Thus, he is 24 automatically substituted as the defendant under Federal Rule of Civil Procedure 25(d). 1 the reasons stated below, the decision of the Commissioner is REVERSED and 2 REMANDED. 3 II. FACTS RELEVANT TO THE APPEAL 4 A review of the entire record reflects certain uncontested facts relevant to this 5 appeal. Prior to filing his application for social security benefits, Plaintiff last worked as

6 a warehouse worker. (Administrative Record “AR” 65, 193). Plaintiff testified that he 7 has suffered from arteriovenous malformation (“AVM”)3 since he was 12 years old, at 8 one point causing him to go into a coma. (AR 51-52, 53). In the 1990s, when he had full 9 medical coverage, doctors performed experimental surgeries on him. (AR 52). These 10 relieved some of the headaches “a little bit.” (AR 53). Doctors thought he was cured, 11 but his head started pounding one day at work in January 2015. (AR 51, 54). He was 12 hospitalized, and they discovered he still had AVM and that bleeding in his head caused 13 the pounding. (AR 51-52, 54). Plaintiff testified he stopped working because they told 14 him to do so. (AR 51). In addition to head pounding, he experiences dizziness, vomiting, 15 and headaches. (AR 52). He has the headaches every day. (AR 58). The pain from 16 them increases when does certain activities, like climbing stairs. (AR 58). He has to use

17 the bathroom three or four times in the morning because he can’t push. (AR 58). If he 18 carries a gallon of milk, he has to stop, put it down, and let his heart rate come down. 19 (AR 59). He cannot drive. (AR 61). Plaintiff used to ride a bike, but he testified he 20 crashed several times due to dizziness. (AR 61-62). If he stands too long, his head will 21 22 3 Generally, AVM is an “abnormal tangle of blood vessels connecting arteries and veins, 23 which disrupts normal blood flow and oxygen circulation.” McGiboney v. Corizon, 2019 WL 3048339, at *1 (D. Idaho July 11, 2019) (internal quotation marks and citation 24 omitted). 1 pound. (AR 63). Plaintiff stated he has “acute emergencies” due to his condition about 2 once a week. (AR 54). 3 Plaintiff also testified that the only things that have really helped reduce his 4 headaches is medical marijuana, laying down, and sleeping. (AR 53-54). He was 5 prescribed OxyContin and Norco, but he stopped taking them because of adverse side

6 effects. (AR 53-54). As follow up treatment after he was hospitalized, he received 7 embolizations. 4 (AR 54). The embolizations did not shrink his AVM enough, so 8 medical professionals considered scheduling him for the Gamma knife.5 (AR 63). But, 9 because his AVM “is wrapped around [his] optic nerve,” they did not administer that 10 procedure because they were concerned it would blind him. (AR 63). 11 During the embolizations, medical professionals discovered Plaintiff’s 12 hydrocephalus6 from his “brain not draining” correctly and resulting in swelling that 13 pushes his brain against his skull. (AR 55). Plaintiff’s doctor recommended surgery and 14 placement of a stent in his head, so Plaintiff scheduled that surgery. (AR 55). Although 15 Plaintiff’s insurance company initially said it would pay for the procedure, four days 16 before surgery they informed him they would no longer cover it and told him to cancel.

17 (AR 55). The insurance company explained that he had been out of work for a year, and 18 they no longer were required to insure him. (AR 55-56). Plaintiff stated that ever since 19 4 Embolization procedures are performed “by injecting a substance which blocks the 20 sources of bleeding into the blood stream.” McCord v. Maguire, 873 F.2d 1271, 1272 (9th Cir.), as amended, 885 F.2d 650 (9th Cir. 1989). 21 5 The Gamma knife procedure involves providing “intense doses of radiation given to target area(s) while largely sparing the surround tissues.” Silvis v. California Dep’t of 22 Corr., 2011 WL 766130, at *9 (E.D. Cal. Feb. 25, 2011). 6 “Hydrocephalus results from an excessive accumulation of cerebrospinal fluid . . . in 23 the brain, causing abnormal widening of spaces in brain ventricles and potentially harmful pressure on brain tissues.” Howard v. Colvin, 2016 WL 5420558, at *2 (C.D. 24 Cal. Sept. 27, 2016). 1 then his headaches have grown exponentially. (AR 55). He can hear his heart beat in 2 his head due to the swelling. (AR 55-56, 63). 3 After his insurance company cancelled his insurance, Plaintiff stated that he 4 obtained Medi-Cal, but the hospital wouldn’t take that coverage. (AR 56). He is angry 5 that they cancelled his insurance and surgery, but he’s also scared that if he has it done

6 they will “mess[] with my head.” (AR 56). He tried to buy a better insurance plan 7 through Obamacare, but the plan he found charged even more for the procedure, and he 8 couldn’t afford it. (AR 56; see also AR 242). 9 Plaintiff testified that his headaches and overall condition have stopped him from 10 being able to work and having a normal life. (AR 63). 11 III. PROCEEDINGS BELOW 12 A. Procedural History 13 Plaintiff filed a claim for Title II social security benefits on September 3, 2015, 14 alleging disability beginning January 5, 2015. (AR 162-63). Plaintiff’s DIB application 15 was denied initially on May 5, 2016 (AR 71), and upon reconsideration on June 30, 2016 16 (AR 94). A hearing was held before ALJ Susanne M. Cichanowicz on February 16, 2018.

17 (AR 43-70). Plaintiff, represented by counsel, appeared and testified at the hearing, as 18 well as vocational expert Alan Boroskin. (AR 43-70). 19 On April 16, 2018, the ALJ found that Plaintiff was “not disabled” within the 20 meaning of the Social Security Act.7 (AR 29-36). The ALJ’s decision became the 21 Commissioner’s final decision when the Appeals Council denied Plaintiff’s request for 22

7 Persons are “disabled” for purposes of receiving Social Security benefits if they are 23 unable to engage in any substantial gainful activity owing to a physical or mental impairment expected to result in death, or which has lasted or is expected to last for a 24 continuous period of at least 12 months. 42 U.S.C. § 423(d)(1)(A). 1 review on July 22, 2018. (AR 1-7). Plaintiff then filed this action in District Court on 2 August 29, 2018, challenging the ALJ’s decision. [Docket (“Dkt.”) No. 1]. 3 On January 28, 2019, Defendant filed an Answer, as well as a copy of the 4 Certified Administrative Record. [Dkt. Nos. 19, 20]. The parties filed a Joint 5 Submission on April 18, 2019. [Dkt. No. 22]. The case is ready for decision.8

6 B.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Feliciano-Hill v. Veterans Affairs
439 F.3d 18 (First Circuit, 2006)
Dorothy R. McCord v. John Patrick Maguire
873 F.2d 1271 (Ninth Circuit, 1989)
United States v. Michael Leslie Blaylock
20 F.3d 1458 (Ninth Circuit, 1994)
United States v. Marcus L. Robertson
21 F.3d 1030 (Tenth Circuit, 1994)
Clinton Hiler v. Michael Astrue
687 F.3d 1208 (Ninth Circuit, 2012)
Ryan v. Commissioner of Social Security
528 F.3d 1194 (Ninth Circuit, 2008)
Orn v. Astrue
495 F.3d 625 (Ninth Circuit, 2007)
Augustine Ex Rel. Ramirez v. Astrue
536 F. Supp. 2d 1147 (C.D. California, 2008)
Price v. Workers' Compensation Appeals Board
10 Cal. App. 4th 959 (California Court of Appeal, 1992)
Karen Garrison v. Carolyn W. Colvin
759 F.3d 995 (Ninth Circuit, 2014)
Kim Brown-Hunter v. Carolyn W. Colvin
806 F.3d 487 (Ninth Circuit, 2015)
Robbins v. Social Security Administration
466 F.3d 880 (Ninth Circuit, 2006)
Bernard Laborin v. Nancy Berryhill
867 F.3d 1151 (Ninth Circuit, 2017)

Cite This Page — Counsel Stack

Bluebook (online)
Fred G. Lawyer v. Commissioner of Social Security Administration, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fred-g-lawyer-v-commissioner-of-social-security-administration-cacd-2020.