Lucas Michael Baillargeon v. Nancy A. Berryhill, Acting Commissioner, Social Security Administration

2019 DNH 009
District Court, D. New Hampshire·Decided January 15, 2018·No. Civil No. 17-cv-615-JL·Published·Cited by 1 cases

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Lucas Michael Baillargeon

v. Civil No. 17-cv-615-JL Opinion No. 2019 DNH 009

Nancy A. Berryhill, Acting Commissioner, Social Security Administration

O R D E R

Lucas Baillargeon moves to reverse the decision of the Acting Commissioner of the Social Security Administration (“SSA”) to deny his applications for Social Security disability insurance benefits, or DIB, under Title II of the Social Security Act, 42 U.S.C. § 423, and for supplemental security income, or SSI, under Title XVI, 42 U.S.C. § 1382. The Acting Commissioner, in turn, moves for an order affirming her decision. For the reasons that follow, this matter is remanded to the Acting Commissioner for further proceedings.

I. Scope of Review The scope of judicial review of the Acting Commissioner’s decision is as follows:

The [district] court shall have power to enter, upon the pleadings and transcript of the record, a judgment affirming, modifying, or reversing the decision of the Commissioner of Social Security, with or without remanding the cause for a rehearing. The findings of the Commissioner of Social Security as to any fact, if

supported by substantial evidence, shall be conclusive . . . .

42 U.S.C. § 405(g) (setting out standard of review for decisions on claims for DIB); see also 42 U.S.C. § 1383(c)(3) (applying § 405(g) to SSI decisions). Substantial evidence, in turn, is evidence that “a reasonable mind . . . could accept . . . as adequate to support [a] conclusion.” Purdy v. Berryhill, 887 F.3d 7, 13 (1st Cir. 2018) (quoting Rodriguez v. Sec’y of HHS, 647 F.2d 218, 222 (1st Cir. 1981)). However, the court “must uphold a denial of social security disability benefits unless ‘the [Acting Commissioner] has committed a legal or factual error in evaluating a particular claim.’” Manso-Pizarro v. Sec’y of HHS, 76 F.3d 15, 16 (1st Cir. 1996) (per curiam) (quoting Sullivan v. Hudson, 490 U.S. 877, 885 (1989)).

II. Background The parties have submitted a Joint Statement of Material Facts. That statement1 is part of the court’s record and is summarized here, not repeated in full.

Baillargeon applied for SSI and DIB in May of 2013, claiming that he became disabled in September of 2012 due to

1 Document no. 13.

diabetes, weight, joint pain, neuropathy,2 knees, and a crushed disc. On the day on which he claims to have become disabled, i.e., his alleged onset date (“AOD”), Baillargeon was 46 years old.

In June of 2012, approximately three months before his AOD, Baillargeon’s primary-care physician, Dr. Brian Sponseller, referred him to an occupational therapist, Lynn Chauvette, for a Functional Capacity Evaluation. According to Ms. Chauvette, Baillargeon could perform each of the following activities occasionally (i.e., up to one third of the day): standing, walking, sitting, lifting 10 pounds, carrying 10 pounds, pushing 10 pounds, pulling 10 pounds, climbing, stooping, reaching forward, handling, working above his shoulders, pinching, and writing. Ms. Chauvette also opined that Baillargeon could never crouch, crawl, or kneel.

In an October 2012 letter, Dr. Sponseller wrote: “I have reviewed a functional capacity evaluation [by Ms. Chauvette] and I concur with its findings concerning [Baillargeon’s] sitting, standing and manipulative limitations.” Administrative Transcript (hereinafter “Tr.”) 566.

Neuropathy is “[i]n contemporary usage, a disease 2

involving the cranial nerves or the peripheral or autonomic nervous system.” Stedman’s Medical Dictionary 1313 (28th ed. 2006).

In July of 2014, Dr. Sponseller completed a Medical Source Statement of Ability to do Work-Related Activities (Physical). In it, he opined that Baillargeon could frequently lift ten pounds, stand and/or walk for at least two hours in an eight- hour workday, and sit for about six hours in an eight-hour workday. He further opined that Baillargeon could occasionally climb ramps/stairs/ladders/ropes/scaffolds, kneel, and crouch, but could never balance, crawl, or stoop. Finally, he opined that Baillargeon had no manipulative, visual/communicative, or environmental limitations.

The SSA denied Baillargeon’s applications. In November of 2014, he received a hearing before an Administrative Law Judge (“ALJ”). The ALJ ruled that Baillargeon was not disabled.

In her decision, the ALJ determined that Baillargeon had four severe impairments,3 but also found that none of them, either alone or in combination with any other impairment(s), met or medically equaled the severity of any of the impairments on the SSA’s list of impairments that are per se disabling. Next, the ALJ assessed Baillargeon’s residual functional capacity (“RFC”),4 and described it this way:

3 Those impairments are diabetes mellitus, obesity, obstructive sleep apnea, and degenerative disc disease of the lumbar spine.

4 “[R]residual functional capacity ‘is the most [a claimant]

can still do despite [his or her] limitations.’” Purdy, 887

[T]he claimant has the residual functional capacity to perform sedentary work as defined in 20 CFR 404.1567(a) and 416.967(a) except he could lift and carry ten pounds; stand or walk for two hours and sit for six hours in an eight-hour day; [could] never climb ladders, ropes, or scaffold[s] and [needed to]

avoid balancing on narrowing or elevated surfaces;

[needed to] avoid crawling or stooping; [could]

occasionally climb ramps or stairs, kneel, or crouch;

and [could] rarely stoop with rarely defined as less than five percent of the workday.

Tr. 159. Based upon that RFC, the ALJ determined that Baillargeon could not perform his past work, all of which was performed at the medium exertional level.5 But, in reliance upon the testimony of a vocational expert (“VE”), the ALJ determined that Baillargeon retained the RFC to perform three sedentary jobs.6 The SSA’s Appeals Council (“AC”) vacated the ALJ’s decision and remanded the matter for a new decision. It did so because the ALJ made two conflicting findings about the same postural activity when she determined that claimant: (1) could not stoop at all; but (2) could stoop up to five percent of the workday.

F.3d at 10 n.2 (quoting 20 C.F.R. § 416.945(a)(1), a regulation governing claims for SSI that is worded identically to 20 C.F.R. § 404.1545(a)(1), which governs claims for DIB) (brackets in the original).

5 “Medium work involves lifting no more than 50 pounds at a time with frequent lifting or carrying of objects weighing up to 25 pounds.” 20 C.F.R. §§ 404.1567(c) & 416.967(c).

6 “Sedentary work involves lifting no more than 10 pounds at a time . . . .” 20 C.F.R. §§ 404.1567(a) & 416.967(a).

In its remand order, the AC directed the ALJ to: (1) “[o]btain additional evidence concerning the claimant’s impairments in order to complete the administrative record in accordance with the regulatory standards regarding consultative examinations and existing medical evidence (20 CFR 404.1512-1513 and 416.912- 913),” Tr. 175; (2) further consider claimant’s RFC “and provide [a] rationale with specific references to evidence of record in support of the assessed limitations,” id.; and (3) obtain evidence from a VE, if necessary.

On remand, claimant received a second hearing before the same ALJ who had conducted his previous hearing and who had issued the decision that resulted in the AC’s remand. At that hearing, the ALJ took testimony from Dr. John Kwock.7 Following his review of claimant’s medical records, Dr. Kwock opined that none of the impairments he considered met or medically equaled the severity of any of the impairments on the SSA’s list of impairments that are per se disabling.8 Then he assessed claimant’s RFC and said, among other things:

7 Of the three different spellings of this name that appear in the record, this is the one that appears most frequently.

8 Dr. Kwock considered “thoracolumbar scoliosis, . . .

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Lucas Michael Baillargeon v. Nancy A. Berryhill, Acting Commissioner, Social Security Administration, 2019 DNH 009 (D.N.H. 2018).

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