Gillikin v. Bisignano

CourtDistrict Court, E.D. North Carolina
DecidedJuly 3, 2025
Docket4:24-cv-00132
StatusUnknown

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

Bluebook
Gillikin v. Bisignano, (E.D.N.C. 2025).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF NORTH CAROLINA EASTERN DIVISION No. 4:24-CV-00132-FL

Shaun Gillikin,

Plaintiff,

v. Memorandum & Recommendation

Frank J. Bisignano, Commissioner of Social Security,1

Defendant.

Plaintiff Shaun Gillikin challenges an Administrative Law Judge’s decision to deny his application for social security income. Gillikin claims that the ALJ erred in reaching that decision by failing to fully address the medical opinion evidence. Both Gillikin and Defendant Frank J. Bisignano, Commissioner of Social Security, seek a decision in their favor. D.E. 10, 12. After reviewing the parties’ arguments, the court has determined that the ALJ erred in his determination. The ALJ found a medical opinion partially persuasive. But for some of Gillikin’s limitations, the residual functional capacity (RFC) determination neither incorporated the restrictions nor sufficiently explained why the ALJ omitted them. This error impedes meaningful judicial review. The undersigned thus recommends that the court grant Gillikin relief, deny Bisignano relief, and remand the matter to the Commissioner for further consideration.2

1 The court substitutes Frank J. Bisignano for former defendant Martin O’Malley. See Fed. R. Civ. P 25(d).

2 The court has referred this matter to the undersigned for entry of a Memorandum and Recommendation. 28 U.S.C. § 636(b). I. Background A. Factual Gillikin has a history of physical and mental conditions. On the physical side, he was in an accident as a teenager. He has several musculoskeletal conditions including rotator cuff tear,

osteoarthritis in his left wrist, DeQuervain’s tenosynovitis, and carpal tunnel syndrome (CTS). Hearing loss and obesity also limit his functioning. In May 2022, Gillikin underwent a CT arthrogram after reporting right shoulder pain. Tr. at 32. It showed full thickness rotator cuff tear without significant retraction or atrophy. Id. After complaining of intermittent left arm tingling three months later, he underwent a cervical spine MRI. Id. It revealed mild to moderate findings. Id. Electromyography (EMG) and nerve conduction studies (NCS) showed severe carpal tunnel syndrome (CTS) on the left and mild CTS on the right. Id. In October, Gillikin again reported constant numbness and pain in his upper extremities. Id. He underwent right CTS release surgery several years before and had left CTS release surgery

performed in December 2022. Id. Following surgery, Gillikin reported doing well, with previous numbness resolved. Id. Providers discharged him with some temporary restrictions. Id. An examination in June 2023 uncovered positive impingement signs and tenderness along the rotator cuff and subacromial bursa. Id. One month later, he reported bilateral wrist pain, worse on the left, with tightness, giving way, inflexibility, and pain with movement. Id. Gillikin also complained of numbness, tingling, and swelling, which did not improve with heat or ice. Id. An examination showed tenderness, positive Finkelstein’s test, and some mild numbness and tingling in the left wrist. Id. His right wrist had no swelling but a mildly positive Finkelstein’s test. Id. In August, Gillikin had pain and weakness throughout his right shoulder consistent with rotator cuff damage. Id. He again sought care for shoulder and wrist pain the next month. Id. Although providers made no notes about his shoulder, they found tenderness in his left hand. Tr. at 32–33. They administered injections. Tr. at 33.

Gillikin experienced hearing loss before his accident, but it has worsened since then. Id. He can hear when the television is loud or by holding a speakerphone close to his ear. Id. At an October 2022 audiology evaluation, the examiner found mild to moderately severe sensorineural hearing loss on the right and moderate to severe mixed hearing loss on the left. Id. But Gillikin retained excellent word recognition. Id. He underwent Vistafix on the right ear five months later. Id. As for mental health, Gillikin has experienced depression and anxiety. In May 2022, involuntary commitment papers reflected a severe episode of recurrent major depressive disorder. Id. He denied suicidal ideation. Id. A week later, Gillikin visited Coastal Carolina Neuropsychiatric Center reporting depression symptoms on and off for 20 years, with worsening symptoms over the

previous six months. Id. He had anxiety about “everything” but noted Cymbalta had been effective. Id. Gillikin also had anxiety related to situational stressors. Id. Two months later, Jared Laino, PA-C, noted Gillikin was doing well on medication, with partial remission of his depressive disorder. Id. Laino also noted an unspecified anxiety disorder. Tr. at 34. By December, Gillikin reported no concerns. Id. Although he has started therapy, he did not continue it. Id. Eight months later, Gillikin complained of ongoing stressors and depressive symptoms. Id. A mental status examination found he had a sad mood but was cooperative, fait insight, judgment, and attention, and intact memory. Id. Gillikin declined a referral to therapy. Id. He noted that medication helped but he still had trouble handling underlying stressors. Id. Theodore Weber, Psy.D., a state agency psychological consultant, determined that Gillikin could understand, remember, and carry out simple, but not detailed, instructions. Id. He could

sustain attention and concentration for two-hours at a time. Id. And he could have informal contact with others with no prolonged, intensive proximity to them. Id. The reviewer also determined that Gillikin could respond to simple and infrequent changes in the work setting. Id. And he may be absent one to two days a month. Id. The ALJ determined that he has moderate limitations in the four broad categories of mental functioning: understanding, remembering, and applying information, interacting with others, concentrating, persisting, or maintain pace, and adapting or managing himself. Tr. at 29. Gillikin testified that since his accident, he cannot bend or move his hands, which are stiff and painful. Tr. at 31. He described his right upper extremity as nearly useless. Id. Gillikin estimated that he could lift 15–20 pounds but had not tried to carry anything. Id. He cannot hold

anything for a period of time and has problems picking up small items Id. Gillikin can load the dishwasher or washing machine if he avoids repetitive movements. Id. Cortisone shots have numbed his upper extremity pain for a few weeks. Id. Providers told him that there were no other treatments. Id. Gillikin underwent CTS surgery on both hands, which initially helped his symptoms. Id. But his problems returned. Id. Gillikin also experiences symptoms from PTSD, depression, and anxiety. Id. And he takes multiple medications for his conditions. Id. He avoids crowds because of facial scarring and an artificial ear. Id. He had hearing issues before his accident, and they have worsened. Id. And Gillikin has not received needed medical treatment because he lacks the financial resources. Id. B. Procedural In June 2022, Gillikin protectively applied for disability benefits alleging a disability that began one month earlier. After the Social Security Administration denied his claim at the initial level and upon reconsideration, Gillikin appeared for a telephonic hearing before an ALJ to

determine whether he was entitled to benefits. The ALJ determined Gillikin had no right to benefits because he was not disabled. Tr. at 24–37. The ALJ found that Gillikin lived with several severe impairments.

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