GWALDIS v. COMMISSIONER OF SOCIAL SECURITY

CourtDistrict Court, D. New Jersey
DecidedMay 31, 2022
Docket2:21-cv-01952
StatusUnknown

This text of GWALDIS v. COMMISSIONER OF SOCIAL SECURITY (GWALDIS v. COMMISSIONER OF SOCIAL SECURITY) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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GWALDIS v. COMMISSIONER OF SOCIAL SECURITY, (D.N.J. 2022).

Opinion

NOT FOR PUBLICATION

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW JERSEY

MICHAEL G., Civil Action No. 21-01952 (SDW) Plaintiff, OPINION v. May 31, 2022 COMMISSIONER OF SOCIAL SECURITY, Defendant.

WIGENTON, District Judge. Before this Court is Plaintiff Michael G.’s (“Plaintiff”)1 appeal of the final administrative decision of the Commissioner of Social Security (“Commissioner”) with respect to Administrative Law Judge Beth Shillin’s (“ALJ”) denial of Plaintiff’s claim for disability insurance benefits (“DIB”) under the Social Security Act (the “Act”). This Court has subject matter jurisdiction pursuant to 42 U.S.C. §§ 405(g) and 1383(c)(3). Venue is proper pursuant to 28 U.S.C § 1391(b). This appeal is decided without oral argument pursuant to Federal Rule of Civil Procedure 78. For the reasons set forth below, this Court finds that the ALJ’s factual findings are supported by substantial evidence and that her legal determinations are correct. Therefore, the Commissioner’s decision is AFFIRMED.

1 Plaintiff is identified only by his first name and last initial in this opinion, pursuant to Chief District Judge Freda Wolfson’s Standing Order 2021-10, issued on October 1, 2021, available at https://www.njd.uscourts.gov/sites/njd/ files/SO21-10.pdf. I. PROCEDURAL AND FACTUAL HISTORY A. Procedural History Plaintiff filed for DIB on August 2, 2018, alleging disability as of September 13, 2017, due to left knee reconstructive surgery, back surgeries, and anxiety. (See D.E. 5 (Administrative

Record (“R.”) at 186–94; 250–52.) Plaintiff later amended the onset date to March 19, 2018. (R. 206.) The state agency responsible for disability determinations denied Plaintiff’s claim at the initial and reconsideration levels. (R. 115–23.) Subsequently, Plaintiff requested a hearing before an ALJ. (R. 124–25.) Plaintiff, who was represented by counsel, and vocational expert, Richard Hall (“VE Hall”), testified at a hearing on January 22, 2020. (R. 32–84.) On April 15, 2020, ALJ Shillin determined that Plaintiff was not disabled. (R. 10–24.) On December 9, 2020, the Appeals Council denied Plaintiff’s request for review. (R. 2–6.) Plaintiff filed the instant appeal in this Court, and the parties completed timely briefing. (See D.E. 1, 13, 17.) B. Factual History Plaintiff is fifty-three years old and has a high school diploma. (R. 40, 85.) He previously

worked as a propane truck driver, which is medium exertion work, but which Defendant performed at a very heavy level. (R. 42–43, 76.) The following is a summary of the relevant medical evidence in the record. Physical Impairments In September 2017, prior to the relevant period, Plaintiff sustained a back injury at work. (R. 369, 377.) Treatment records show that Plaintiff “had straight leg raising to 75 degrees on the left with minimal discomfort and raising to 75 degrees on the right with lumbar spine pain. (R. 19 (citing Exhibit 2F), 376.) Plaintiff had full deep-tendon reflexes, and he had “5/5 muscle strength on the left and 4/5 on the right,” exacerbated pain with side bending and twisting to the right, and normal ambulation. (R. 19, 4 (citing Exhibit 2F), 376–77.) Plaintiff was instructed “to rest and ice his back, and . . . use over[-]the[-]counter Advil and Aleve . . . .” (R. 19 (citing Exhibit 2F), 377.) An October 2017 MRI “showed that Plaintiff was status-post hemilaminotomy at L4-5 and

impingement of the right L5 nerve root and moderate spinal stenosis.” (R. 19 (citing Exhibit 1F), 339.) He also had right-side herniation, “suspicion for post-surgical fibrosis,” and “hypertrophy of the residual facets.” (R. 339.) An October 2017 physical examination revealed that Plaintiff had “reduced lumbar flexion, but normal extension.” (R. 19, citing Exhibit 6F), 425.) Plaintiff could “stand erect and ambulate without a limp.” (R. 19, (citing Exhibit 6F), 425.) He also “had no tenderness to lumbar palpation and negative bilateral straight leg raising in the seated position.” (R. 19 (citing Exhibit 6F), 425–26.) A return-to-work release from September 18, 2017 through October 2, 2017 indicated that Plaintiff “could occasionally use foot controls on the right and frequently on the left with full use of his hands and could lift a maximum of [ten] pounds.” (R. 21 (citing Exhibit 1F), 357.) A return-

to-work release from October 2, 2017 through October 16, 2017 indicated that Plaintiff could “continuously use foot controls bilaterally, would have full use of hands, and could lift a maximum of 10 pounds.” (R. 21 (citing Exhibit 1F), 350.) Plaintiff’s lumbar pain continued even after he had nine epidural injections, tried oral steroids and anti-inflammatory medications, and went to physical therapy. (R. 19 (citing Exhibit 6F), 419.) Plaintiff underwent “a third revision decompression at L4-5, which occurred in March 2018.” (R. 19 (citing Exhibit 6F), 417, 419–20.) Post-surgical treatment records from September 2018 showed that Plaintiff was “doing very well” approximately six months after his revision surgery, and that “he describe[d] very little residual symptoms.” (R. 405; see also R. 19 (citing Exhibit 6F).) Plaintiff’s “prognosis [was] good,” but his physician advised him to “seek employment in the future where he [could] avoid lifting over [twenty-five] pounds and avoid jobs that require repetitive bending.” (R. 405–06; see also R. 19.) A September 2018 return-to-work note indicated that Plaintiff “could not lift over [twenty-five] pounds” and could not perform work

requiring “repetitive or prolonged bending or stooping.” (R. 21 (citing Exhibit 5F), 401.) In November 2018, Disability Determination Services (“DDS”) medical consultants Arthur Pirone, M.D. and Ibrahim Housri, M.D. independently reviewed Plaintiff’s medical records and found that he could perform a range of light work. (R. 21 (citing Exhibits 1A, 3A), 92, 106–07). During a January 2019 consultative examination with Samuel Wilchfort, M.D., Plaintiff reported “low back pain with left leg sciatica,” and numbness in his left calf. (R. 457; see also R. 19 (citing Exhibit 10F).) Dr. Wilchfort noted that Plaintiff had “decreased [range of motion]” in his back, but no demonstration of neuro deficit. (R. 457.) Plaintiff also had normal range of motion in his left knee and was “able to squat.” (Id.) Also in January 2019, Plaintiff was examined by a new doctor, Adity Bhattacharyya, M.D.,

who noted that Plaintiff ambulated normally and reported no falls within the past year. (R. 745). Dr. Bhattascharyya noted that Plaintiff “complain[ed] of back pain and stiffness.” (R. 747.) At a March 2019 evaluation and nerve conduction study with Martin Diamond, M.D., Plaintiff reported “low back pain bilaterally with numbness to the right lateral leg as far as the ankle.” (R. 526.) He also reported “buckling on the left twice with fall.” (R. 526.) Dr. Diamond noted that “the only electrodiagnostic abnormalities seen in the legs [were] asymptomatic loss of the left peroneal F-wave,” which could have resulted from a nerve block Plaintiff had been given or may have been a sign of “L-5 radiculopathy.” (R. 528.) In a July 2019 workers’ compensation physical examination, David Weiss, D.O., noted that Plaintiff “ambulates with a forward-flexed antalgic gait,” and is “unable to perform calcaneal or equinus gait.” (R. 770; see also R. 20 (citing Exhibit 15F).) Dr. Weiss found that Plaintiff had “paravertebral muscle spasm and tenderness over the posterior midline,” tenderness over the

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GWALDIS v. COMMISSIONER OF SOCIAL SECURITY, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gwaldis-v-commissioner-of-social-security-njd-2022.