Gonzalez v. Commissioner of Social Security

CourtDistrict Court, E.D. New York
DecidedOctober 19, 2020
Docket1:19-cv-02848
StatusUnknown

This text of Gonzalez v. Commissioner of Social Security (Gonzalez v. Commissioner of Social Security) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gonzalez v. Commissioner of Social Security, (E.D.N.Y. 2020).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK

--------------------------------------X

LIZETTE GONZALEZ,

Plaintiff,

-against- MEMORANDUM AND ORDER

19-CV-2848(KAM) COMMISSIONER OF SOCIAL SECURITY,

Defendant.

KIYO A. MATSUMOTO, United States District Judge: Plaintiff Lizette Gonzalez (“plaintiff”) appeals the final decision of the Commissioner of the Social Security Administration (“defendant” or the “Commissioner”), which found that plaintiff was not disabled, and therefore not entitled to disability insurance benefits under Title II of the Social Security Act (the “Act”). Plaintiff and the Commissioner both moved for judgment on the pleadings. For the reasons herein, plaintiff’s motion for judgment on the pleadings is GRANTED, the Commissioner’s motion is DENIED, and the case is REMANDED for further proceedings consistent with this Memorandum and Order. Background The parties in this case have filed a joint stipulation of facts that appear in the record, which the court incorporates by reference. (See generally ECF No. 15-1, Joint Stipulation of Facts (“Stip.”).) The court will briefly recount the factual background here only to the extent such facts are

relevant to the parties’ pending motions. On May 19, 2015, plaintiff went to the emergency room, complaining of left shoulder and knee pain after falling out of a car. (Id. at 4.) At the hospital, x-rays revealed minimal subacromial osteophytosis, also known as “bone spurs.” (Id.) On February 3, 2015, plaintiff began treatment with Dr. Laximidhar Diwan, a board-certified physician, who observed restrictions in plaintiff’s range of motion in both her cervical spine and left shoulder. (Id.) More specifically, Dr. Diwan’s examination notes revealed tenderness at the C4-C5 and C5-C6 levels in plaintiff’s spine, with a cervical range of motion in all planes of 25 degrees (with 45 degrees being normal). (Id.)

Furthermore, Dr. Diwan noted tenderness in plaintiff’s left shoulder, where flexion was 100 degrees (170 being normal) and abduction was 100 degrees (180 being normal). (Id.) Dr. Diwan referred plaintiff for an MRI of her left shoulder, which revealed cuff tendinosis/tendonitis of the infraspinatus and supraspinatus tendons. (Id. at 5.) Based on the February 2015 examination, Dr. Diwan opined that plaintiff was totally disabled, and Dr. Diwan maintained that opinion over the course of various examinations of plaintiff through January 13, 2016. (Id. at 4-5.) Beginning on June 29, 2015, plaintiff sought treatment from Dr. Perry Drucker, a board-certified physician. (Id. at

5.) Dr. Drucker found tenderness in plaintiff’s shoulder and reduced flexion, extension, abduction, and internal rotation strength. (Id.) Dr. Drucker reaffirmed these findings in August 2015 and September 2015. (Id. at 6.) On November 18, 2015, Dr. Drucker administered a steroid injection into plaintiff’s shoulder. (Id.) Dr. Jack D’Angelo, a physician in the same practice with Dr. Drucker, administered a trigger point injection on February 16, 2016. (Id.) On December 6, 2017, Dr. Drucker completed a Disability Impairment Questionnaire. (Id.) He reported that he treated plaintiff monthly, between July 1, 2015 and December 6, 2017. (Id.) Dr. Drucker opined that

plaintiff was restricted to sitting for one to two hours in an eight-hour workday, and standing or walking for one to two hours in an eight-hour workday. (Id. at 7.) Dr. Drucker further opined that plaintiff should never lift or carry more than five pounds, and that plaintiff could never grasp, turn, or twist objects with her left hand, never use her left hand or fingers for fine manipulations, but could occasionally use her right hand and fingers for fine manipulations and for reaching. (Id.) Contemporaneous treatment notes showed tenderness in plaintiff’s shoulder upon palpitation, reduced flexion, rotation, extension, and strength in her left shoulder, and reduced flexion extension, and rotation in her cervical spine. (Id.) Dr. Drucker noted similar findings as of January 3, 2018. (Id.)

From March 2017 through November 2017, plaintiff sought treatment from Dr. Mohammed Ibrahim. (Id.) Dr. Ibrahim opined that plaintiff had limitations in terms of sitting, standing, walking, lifting, and carrying; that she could never use her arms for grasping, turning, twisting, or fine manipulation; and could never use her left arm for reaching, but could occasionally use her right arm for reaching. (Id. at 8.) Dr. Ibrahim further opined that plaintiff would need to take unscheduled thirty-minute breaks every hour, and would likely miss work three times per month due to her impairments or related treatments. (Id.)

Plaintiff first filed applications for Social Security Disability and Supplemental Security Income benefits on October 8, 2015, with an alleged onset date of May 19, 2015 (i.e., the date she first went to the emergency room). (Id. at 1.) On November 24, 2015, Dr. Sujit Chakrabarti conducted a consultative examination of plaintiff. (Id. at 8.) Dr. Chakrabarti assessed a dislocated shoulder with possible internal derangement of the left shoulder, but offered no opinion regarding plaintiff’s functional limitations. (Id.) Dr. Chakrabarti did not review any x-ray reports as part of the examination. (Id.) Plaintiff’s claim for benefits was denied, and on

January 13, 2016, plaintiff requested a hearing before an Administrative Law Judge (“ALJ”). (Id. at 1.) A hearing was before ALJ Dina R. Loewy on February 1, 2018 in Jersey City, New Jersey, at which plaintiff and a vocational expert testified. (Id.) In a decision dated March 29, 2018, the ALJ found that plaintiff was not disabled. (Id.) Thereafter, on March 19, 2019, the Appeals Council denied plaintiff’s request for review of the ALJ’s decision, which rendered the ALJ’s decision the final decision of the Commissioner. (Id. at 2.) This action in federal court followed. (See generally ECF No. 1, Complaint.) Standard of Review A claimant must be “disabled” within the meaning of the Act to receive disability benefits. See 42 U.S.C. §§

423(a), (d). A claimant qualifies as disabled when she is unable 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.” Id. § 423(d)(1)(A); Shaw v. Chater, 221 F.3d 126, 131–32 (2d Cir. 2000). The impairment must be of “such severity” that the claimant is unable to do her previous work or engage in any other kind of substantial gainful work. 42 U.S.C. § 423(d)(2)(A). The regulations promulgated by the Commissioner set

forth a five-step sequential evaluation process for determining whether a claimant meets the Act’s definition of disabled. See 20 C.F.R. § 404.1520. The Commissioner’s process is essentially as follows: [I]f the Commissioner determines (1) that the claimant is not working, (2) that [s]he has a ‘severe impairment,’ (3) that the impairment is not one [listed in Appendix 1 of the regulations] that conclusively requires a determination of disability, and (4) that the claimant is not capable of continuing in [her] prior type of work, the Commissioner must find [her] disabled if (5) there is not another type of work the claimant can do.

Burgess v. Astrue, 537 F.3d 117, 120 (2d Cir. 2008) (quoting Green-Younger v.

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Gonzalez v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gonzalez-v-commissioner-of-social-security-nyed-2020.