Jennifer Skinner v. Frank Bisignano, Commissioner of Social Security

CourtDistrict Court, M.D. Pennsylvania
DecidedJanuary 20, 2026
Docket1:24-cv-01725
StatusUnknown

This text of Jennifer Skinner v. Frank Bisignano, Commissioner of Social Security (Jennifer Skinner v. Frank Bisignano, Commissioner of Social Security) is published on Counsel Stack Legal Research, covering District Court, M.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jennifer Skinner v. Frank Bisignano, Commissioner of Social Security, (M.D. Pa. 2026).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF PENNSYLVANIA

JENNIFER SKINNER, : Civ. No. 1:24-CV-1725 : Plaintiff, : : v. : : (Chief Magistrate Judge Bloom) FRANK BISIGNANO, : Commissioner of Social Security, : : Defendant. :

MEMORANDUM OPINION

I. Introduction Jennifer Skinner filed a Title II application for a period of disability and disability insurance benefits on December 23, 2021.1 Following an initial hearing before an Administrative Law Judge (“ALJ”), the ALJ found that Skinner was not disabled from her alleged onset date of disability of December 22, 2021, through November 16, 2023, the date of the ALJ’s decision.2 Skinner now appeals this decision, arguing that the ALJ’s decision is not supported by substantial evidence. After a review of the record,

1 Tr. 15. 2 Tr. 15-30. and mindful of the fact that substantial evidence “means only—‘such relevant evidence as a reasonable mind might accept as adequate to

support a conclusion,’”3 we conclude that substantial evidence supported the ALJ’s findings in this case. Therefore, we will affirm the decision of the Commissioner denying this claim.

II. Statement of Facts and of the Case On December 23, 2021, Skinner applied for disability insurance benefits, citing an array of physical impairments, including Turner

syndrome, type one diabetes, thyroid disease, and high blood pressure.4 Skinner was 43 years old at the time of the alleged onset of disability, had at least a high school education, and had past employment as a

cashier.5 With respect to these alleged impairments the record revealed the

following: The earliest relevant records are from Skinner’s virtual outpatient visit with Dr. David Macaluso in March of 2021 for an

3 , 139 S. Ct. 1148, 1154 (2019). 4 Tr. 200. 5 Tr. 36-69. 2 endocrinology follow-up appointment.6 She explained to Dr. Macaluso her impairments of and medications for type one diabetes mellitus,

Turner syndrome, vitamin D deficiency, osteomalacia, osteopenia, and hypothyroidism.7 In June of 2021, Skinner presented to the emergency department

after a syncopal episode at work. Skinner reported feeling very tired when she woke up.8 She received a differential diagnosis of syncope,

dehydration, hypoglycemia, and cardiac arrhythmia.9 Skinner again presented to the emergency department in October of 2021 following another syncopal episode at work.10 That same month, Skinner

underwent a tilt table evaluation that indicated symptoms consistent with orthostatic hypotension with provoked syncope after nitroglycerin.11

6 Tr. 326-28. 7 8 Tr. 357-62. 9 Tr. 361. 10 Tr. 448. 11 Tr. 446-47 3 Skinner experienced another syncopal episode in December of 2021 while at work, which caused her to fall and sustain a fractured nose.12

In January of 2022, Skinner appeared for a neurology outpatient consultation with Dr. Muhamad Salman Siddiqi for further assessment of her reoccurring syncopal episodes.13 Dr. Siddiqi ordered a brain MRI,

a head and neck CT, and a EEG.14 The EEG returned abnormal results and showed “infrequent left temporal sharp waves with propencity to

develop seizures.”15 As a result, Skinner was placed on antiepileptic medication.16 The MRI revealed small enhancing heterogeneous lesions on the left side calvarium.17 Skinner was referred to Dr. Gregory Arnone

for a neurosurgery consultation.18 During her consultation with Dr. Arnone, Skinner reported feeling normal with the exception of her

12 Tr. 430-35. 13 Tr. 419-24. 14 Tr. 424. 15 Tr. 418-19. 16 Tr. 419. 17 Tr. 417. 18 4 syncopal episodes.19 Dr. Arnone reviewed Skinner’s imaging and noted a lack of concern over the appearance of the lesions.20 He ordered a nuclear

med bone scan to assess for any further lesions, which showed uptake in the left parietal lesion and three additional lesions in the skull and an additional lesion in the ribs.21

In August of 2022, Skinner appeared for a neurology visit with Certified Physician Assistant (“PA-C”) John Dinma Chukwudifu Jr.22

Skinner reported that a syncopal episode occurred a week prior with a 15-minute postictal.23 PA-C Chukwudifu increased Skinner’s antiepileptic medication and ordered an Magnetic Resonance Angiogram

(“MRA”) of the head and neck.24 Around this time, Skinner received a brain MRI, which showed, , a small area stroke in the left

19 Tr. 411. 20 Tr. 414. 21 Tr. 407, 414. 22 Tr. 759. 23 24 Tr. 762. 5 parietal region.25 Skinner’s head MRA reported 60-70% carotid stenosis on the right and intracranial atherosclerotic disease which is mild.26

In September of 2022, Skinner was transported to the emergency department following a seizure.27 Skinner’s mother reported that the seizure lasted about one minute.28 Skinner was discharged with a

diagnosis of generalized epilepsy and instructed to follow up with her neurologist.29 During a follow-up visit with PA-C Chukwudifu in May of

2023, Skinner reported a syncopal episode occurred a month prior to the visit.30 It is against this factual backdrop that the ALJ conducted a hearing

in Skinner’s case on September 29, 2023.31 Skinner, her mother, and a vocational expert (“VE”) each testified at this hearing. Skinner testified about her treatment, the varying nature of her syncopal episodes, her

25 Tr. 755, 757. 26 Tr. 750. 27 Tr. 741. 28 Tr. 742. 29 Tr. 744. 30 Tr. 1025-26. 31 Tr. 36-69. 6 difficulties balancing and lifting things, her inability to handle loud music or vibrations, and her activities of daily living.32 Skinner’s mother

testified about her observations of Skinner when a syncopal episode occurs.33 The VE in her testimony first classified Skinner’s past work, then answered hypothetical questions about an individual with Skinner’s

background and specific types of limitations.34 On November 9, 2023, Skinner’s counsel informed the ALJ that she experienced another seizure

the day prior to the hearing.35 Following this hearing, on November 16, 2023, the ALJ issued a decision denying Skinner’s application for benefits.36 In that decision,

the ALJ first concluded that Skinner met the insured status requirement through December 31, 2025.37 At Step 2 of the sequential analysis that governs Social Security cases, the ALJ found Skinner suffered from the

32 Tr. 42-68. 33 Tr. 58-63. 34 Tr. 63-68. 35 Tr. 316. 36 Tr. 15-30. 37 Tr. 17. 7 following severe impairments: seizure disorder, syncope, orthostatic, hypertension, brain lesions, Turner syndrome, and diabetes Type One.38

At Step 3 the ALJ determined that Skinner did not have an impairment or combination of impairments that met or medically equaled the severity of one of the listed impairments.39

Between Steps 3 and 4 the ALJ concluded that Skinner retained the following residual functional capacity to:

[P]erform light work as defined in 20 CFR 404.1567(b) subject to the following: never climb ladders, ropes, or scaffolds, work at unprotected heights, contact moving mechanical parts, or operate a motor vehicle; can frequently climb ramps or stairs or balance; can tolerate occasional exposure to temperature extremes, humidity, wetness, vibration, or concentrated dust, fumes, or gases; requires a no loud noise work environment; a[n]d can maintain concentration, persistence, and pace for two hour segments sufficient to perform routine two to three step tasks or instructions.40

In reaching this RFC determination, the ALJ made the following findings: the ALJ considered Skinner’s reported, subjective symptoms, and found that “claimant’s medically determinable impairments could

38 Tr. 17-19. 39 Tr. 20-21. 40 Tr. 21-28.

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

Related

Consolo v. Federal Maritime Commission
383 U.S. 607 (Supreme Court, 1966)
Richardson v. Perales
402 U.S. 389 (Supreme Court, 1971)
Pierce v. Underwood
487 U.S. 552 (Supreme Court, 1988)
Kacee Chandler v. Commissioner Social Security
667 F.3d 356 (Third Circuit, 2011)
Franklin Young v. Commissioner Social Security
519 F. App'x 769 (Third Circuit, 2013)
Diaz v. Commissioner of Social Security
577 F.3d 500 (Third Circuit, 2009)
Johnson v. Commissioner of Social Security
529 F.3d 198 (Third Circuit, 2008)
Burton v. Schweiker
512 F. Supp. 913 (W.D. Pennsylvania, 1981)
Leslie v. Barnhart
304 F. Supp. 2d 623 (M.D. Pennsylvania, 2003)
Roseann Zirnsak v. Commissioner Social Security
777 F.3d 607 (Third Circuit, 2014)
Titterington v. Comm Social Security
174 F. App'x 6 (Third Circuit, 2006)
Jessie Holloman v. Commissioner Social Security
639 F. App'x 810 (Third Circuit, 2016)

Cite This Page — Counsel Stack

Bluebook (online)
Jennifer Skinner v. Frank Bisignano, Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jennifer-skinner-v-frank-bisignano-commissioner-of-social-security-pamd-2026.