Greene v. Colvin

999 F. Supp. 2d 845, 2014 U.S. Dist. LEXIS 17698, 2014 WL 580247
CourtDistrict Court, E.D. North Carolina
DecidedFebruary 12, 2014
DocketNo. 5:13-CV-28-BO
StatusPublished
Cited by1 cases

This text of 999 F. Supp. 2d 845 (Greene v. Colvin) 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
Greene v. Colvin, 999 F. Supp. 2d 845, 2014 U.S. Dist. LEXIS 17698, 2014 WL 580247 (E.D.N.C. 2014).

Opinion

ORDER

TERRENCE W. BOYLE, District Judge.

This matter is before the Court on the parties’ cross-motions for judgment on the pleadings. [DE 18 & 26]. A hearing on this matter was held in Raleigh, North Carolina on January 30, 2014 at 4:15 p.m. For the reasons discussed below, plaintiffs motion is GRANTED, defendant’s motion is DENIED, and, accordingly, the judgment of the Commissioner is REVERSED.

BACKGROUND

On June 27, 2005, plaintiff protectively filed an application for a period of disability and disability insurance benefits, alleging a disability onset date of November 6, 2002 [Tr. 41-42, 46]. His application was denied initially and upon reconsideration. During a video hearing on June 27, 2007, plaintiff testified, represented by an attorney, and a vocational expert testified. [Tr. [846]*84681862]. On August 31, 2007, an Administrative Law Judge (“ALJ”) found plaintiff not disabled. [Tr. 43-56]. On December 9, 2008, the Appeals Council remanded the case to an ALJ [Tr. 99102], A second hearing was held on March 22, 2009. [Tr. 798817]. On May 12, 2009, a new ALJ found plaintiff not disabled. [Tr. 51531]. On October 22, 2010, the Appeals Council remanded the case to an ALJ again. [Tr. 532-35]. The Appeals Council also directed that on remand, plaintiffs subsequent claims for Title II and Title XVI benefits on June 12, 2009, be associated with plaintiffs initial claim for Title II. [Tr. 534]. A third hearing was held on July 22, 2011. [Tr. 75197]. On October 3, 2011, a third ALJ found plaintiff not disable. [Tr. 1939]. On November 13, 2012, the Appeals Council denied plaintiffs request for review rendering the ALJ’s decision the final decision of the Commissioner. On January 10, 2013, plaintiff filed this action seeking judicial review of the Commissioner’s final decision pursuant to 42 U.S.C. § 405(g).

MEDICAL HISTORY

The instant claim originated with injuries sustained in an on-the-job accident. [Tr. 106-27]. Medical treatment was thereafter directed by the employer pursuant to N.C. Gen.Stat. § 97-25. An MRI done on April 29, 2003, noted degenerative changes as well as spinal stenosis. [Tr. 277], A second MRI was done on June 18, 2004 which also noted multilevel degenerative disc disease and facet arthropathy as well as central and neural foraminal canal stenosis. [Tr. 324-25]. Exercising his right to a second opinion examination with a physician of his choice pursuant to N.C. Gen.Stat. § 97-25, Mr. Greene saw a Dr. Derian. [Tr. 326-30]. Dr. Derian classified Mr. Greene’s condition as lumbar degenerative disc disease at L3-S1 with herniated nucleus pulposus at L5-S1, and lumbar radiculopathy. [Tr. 326]. Dr. Derian believed surgery was necessary. [M], The employer then sent Mr. Greene back to their own physician, Dr. Rice, who found that surgery was a reasonable option based on the last MRI scan. [Tr. 331].

After two recommendations for surgery, the employer then sent Mr. Greene to Dr. Lestini for an independent medical examination. [Tr. 354-56]. Dr. Lestini opined that he did not think surgery was the correct solution at the time, and instead suggested aggressive weight loss and paraspinal strengthening measures. [Tr. 355]. Surgery was then denied. The worker’s compensation matter was resolved on May 17, 2005, subsequent to litigation. [Tr. 108].

The ALJ found that Mr. Greene has the following severe impairments: degenerative disc disease/herniated disc, obesity, acute stress disorder, and depression. [Tr. 25]. The ALJ found that claimant did not meet the Listing. [Tr. 26].

DISCUSSION

When a social security claimant appeals a final decision of the Commissioner, the district court’s review is limited to the determination of whether, based on the entire administrative record, there is substantial evidence to support the Commissioner’s findings. 42 U.S.C. § 405(g); Richardson v. Perales, 402 U.S. 389, 401, 91 S.Ct. 1420, 28 L.Ed.2d 842 (1971). Substantial evidence is defined as “evidence which a reasoning mind would accept as sufficient to support a particular conclusion.” Shively v. Heckler, 739 F.2d 987, 989 (4th Cir.1984) (quoting Laws v. Celebrezze, 368 F.2d 640, 642 (4th Cir.1966)). If the Commissioner’s decision is supported by such evidence, it must be affirmed. Smith v. Chater, 99 F.3d 635, 638 (4th Cir.1996).

[847]*847In making a disability determination, the ALJ engages in a five-step evaluation process. 20 C.F.R. § 404.1520; see Johnson v. Barnhart, 434 F.3d 650 (4th Cir.2005). The analysis requires the ALJ to consider the following enumerated factors sequentially. At step one, if the claimant is currently engaged in substantial gainful activity, the claim is denied. At step two, the claim is denied if the claimant does not have a severe impairment or combination of impairments significantly limiting him or her from performing basic work activities. At step three, the claimant’s impairment is compared to those in the Listing of Impairments. See 20 C.F.R. Part 404, Subpart P, App. 1. If the impairment is listed in the Listing of Impairments or if it is equivalent to a listed impairment, disability is conclusively presumed. However, if the claimant’s impairment does not meet or equal a listed impairment then, at step four, the claimant’s residual functional capacity (“RFC”) is assessed to determine whether plaintiff can perform his past work despite his impairments. If the claimant cannot perform past relevant work, the analysis moves on to step five: establishing whether the claimant, based on his age, work experience, and RFC can perform other substantial gainful work. The burden of proof is on the claimant for the first four steps of this inquiry, but shifts to the Commissioner at the fifth step. Pass v. Chater, 65 F.3d 1200, 1203 (4th Cir.1995).

Here, the ALJ erred at step three by finding that plaintiff did not meet the requirements for disorders of the spine under Section 1.04 of the Social Security Administration’s Listing of Impairments.

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Bluebook (online)
999 F. Supp. 2d 845, 2014 U.S. Dist. LEXIS 17698, 2014 WL 580247, Counsel Stack Legal Research, https://law.counselstack.com/opinion/greene-v-colvin-nced-2014.