Liner v. Commissioner of Social Security

CourtDistrict Court, S.D. New York
DecidedJuly 1, 2019
Docket1:17-cv-03215
StatusUnknown

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

Bluebook
Liner v. Commissioner of Social Security, (S.D.N.Y. 2019).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK

JOSHUA LINER, Plaintiff, 17-CV-3215 (JPO) -v- OPINION AND ORDER COMMISSIONER OF SOCIAL SECURITY, Defendant.

J. PAUL OETKEN, District Judge: Plaintiff Joshua Liner brings this action pro se pursuant to the Social Security Act, 42 U.S.C. § 405(g), challenging the final decision of the Commissioner of Social Security (the “Commissioner”) denying his application for supplemental security income (“SSI”). The Commissioner has now moved for judgment on the pleadings. (Dkt. No. 16.) For the reasons that follow, the Commissioner’s motion is denied. The Court remands this case to the Social Security Administration for further proceedings. I. Background A. Factual Background and Medical History Plaintiff Joshua Liner was born in 1958 (Dkt. No. 15 (“R.”) 99), and he has a tenth-grade education (R. 121). Liner alleges that his disability began, and he stopped working due to disability, on April 1, 2004. (R. 99, 120.) Prior to the onset of disability, Liner worked as a store clerk and the stocker in a warehouse. (R. 121.) In applying for SSI, Liner listed six medical conditions that limited his ability to work: back injury, skin disorder, hernia, glaucoma, “sickle cell trait,” and finger injury. (R. 120.) The Court recounts below a brief summary of Liner’s medical history for these conditions, and other medical issues of which Liner has complained. Back issues: Liner alleges that he has had a problem with his back for about 30 years, and wears a back brace. (R. 30, 33.) He has reported back pain to medical providers on multiple occasions. (R. 176, 179.) An x-ray of Liner’s back on October 11, 2013, revealed “no evidence of fracture or dislocation.” (R. 205.) But the x-ray showed “disc space narrowing . . . with a

vacuum disc” which the doctor opined was “most probably on the basis of either disc degeneration or herniation.” (R. 205.) Starting in December 2013 Liner underwent six sessions of physical therapy to address his lower back pain. (R. 208–13, 215–16.) Leg issues: In addition to back pain, at various points Liner has complained about pain in his legs. (R. 172–74, 212–13, 252–54, 256.) In October 2013, his left leg was evaluated and determined to have full range of motion and no problems with ambulation. (R. 174.) On December 10, 2013, Liner’s right leg was x-rayed and the tibia and fibula bones were found to contain “no fracture, dislocation or other bony abnormality.” (R. 204.) On December 23, 2013, the day after Liner went to the emergency room complaining of pain in his left leg and was observed to walk with a limp, medical staff noted that Liner “ambulate[d] without any problem”

and “no pathology [was] found.” (R. 171.) Liner went to the emergency room with complaints of pain and swelling in his legs twice in June 2014. (R. 252–54, 256.) He was found to have “lower legs with pitting edema” and “several tortuous superficial veins,” and was diagnosed with “[p]eripheral vascular disease.” (R. 253, 256.) Medical staff scheduled a follow-up appointment for Liner, and instructed him to elevate his legs and wear supportive stockings. (R. 255.) A vascular ultrasound performed July 8, 2014, revealed “[n]o evidence of thrombosis, occlusion or significant stenoses,” and “[n]o significant venous insufficiency.” (R. 250, 296.) In an exam on November 4, 2014, a physician documented that Liner had full strength and movement in his extremities. (R. 287.) Finger injury: On May 1, 2014, Liner went to the emergency room to address pain and swelling in his right hand (R. 229–30, 238–47), which Liner alleges was injured in an assault (R.

31–32). An x-ray showed that one of the joints on the third finger of Liner’s right had had been dislocated, but there was no fracture. (R. 230.) Doctors restored the alignment of the joint (R. 229), and Liner demonstrated a full range of motion in the affected finger and hand before being discharged (R. 244). Liner returned to the emergency room on May 9, 2014 and May 22, 2014, complaining of pain and swelling in the third finger of his right hand. (R. 232, 262.) Examinations of the finger revealed swelling and “[m]ild degenerative changes” but no fracture or dislocation. (R. 228, 251.) On this third emergency room visit, Liner was diagnosed with a “[p]ossible tendon tear” and “[t]enosynovitis,” and scheduled for a follow-up appointment at the hand clinic. (R. 261.) On September 2, 2014, Liner visited the hand clinic to complain of “pain, swelling, and

impaired function in [his] right hand during grasping.” (R. 336.) The clinic noted some swelling, tenderness, and decreased extension in the affected finger, and referred Liner to occupational therapy for a six-week course of treatment. (R. 336.) An x-ray of the hand on September 5, 2014 revealed no fractures, dislocations, abnormalities, erosions, or degenerative changes. (R. 322.) Liner attended occupational therapy for his right hand in September 2014. (R. 339–45.) On October 2, 2014, his physician noted that Liner reported an “improvement in pain, strength and [range of motion],” and was “able to make [a] fist” and “perform[] all [activities of daily life].” (R. 332.) Because the joint in question was still enlarged, however, Liner was referred “for surgical options.” (R. 332.) Liner’s hand was examined again on November 3, 2014, and he was observed to have the ability to make a fist, no tenderness in the finger, perfect grip strength, and normal sensation. (R. 329.) The only abnormality observed was the increased size of the joint. (Id.) As a result of this exam, Liner was again referred to occupational therapy.

(R. 329–30.) Glaucoma: Liner has also been diagnosed with glaucoma, which has been treated with the use of eye drops. (R. 33, 163–65.) Medical providers reported in November 2012 that Liner was “currently doing well on [his] current [medication]” for his eye issues. (R. 163.) Liner was later seen by an ophthalmologist on April 16, 2015 and May 14, 2015 related to glaucoma and ocular hypertension, and his prescription for eye drops was continued. (R. 324–25.) Left shoulder pain: On April 3, 2014, Liner went to a medical clinic to complain about pain in his left shoulder as the result of a fight a month earlier. (R. 169.) Medical staff observed a decreased range of motion in the shoulder, but no swelling. (Id.) In an examination on September 3, 2014, Liner was observed to have full range of motion and motor strength in his

extremities. (R. 292.) On May 19, 2015, Liner went to the emergency room and complained of pain in his left shoulder. (R. 326.) Other conditions: Liner was diagnosed with “[c]ontact dermatitis and other eczema” on November 4, 2014, after going to the emergency room to report a rash on his right arm. (R. 285.) He was treated with hydrocortisone cream. (Id.) Liner alleges that he had a hernia, which was repaired. (R. 33.) However, none of his medical records in the administrative record before the Social Security Administration (“Administration”) relate to this condition. Liner also alleges that he has the “sickle-cell trait,” but does not know if the trait affects him in any functional way. (R. 33.) None of Liner’s medical records in the administrative record relate to this condition. B. Procedural History

Liner filed an application for SSI on June 23, 2014, alleging disability beginning April 1, 2004. (R. 14, 99.) His application was denied on September 8, 2014 (R. 50), and Liner requested a hearing on October 15, 2014 (R. 56). At the request of the Administration, Dr. Peter Graham conducted a consultative internal medicine examination of Liner on June 16, 2015. (R. 308–12.) At the exam, Liner reported experiencing swelling in his legs with “prolonged standing” or at the end of the day. (R.

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