McNeill v. Commissioner of Social Security

CourtDistrict Court, M.D. Pennsylvania
DecidedFebruary 28, 2022
Docket1:21-cv-00634
StatusUnknown

This text of McNeill v. Commissioner of Social Security (McNeill v. 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
McNeill v. Commissioner of Social Security, (M.D. Pa. 2022).

Opinion

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

JOHN T. MCNEILL, JR., : Civil No. 1:21-CV-634 : Plaintiff : (Magistrate Judge Carlson) : v. : : : KILOLO KIJAKAZI, : Acting Commissioner of Social Security,1 : : Defendant :

MEMORANDUM OPINION

I. Introduction This is a curious case. John McNeill applied for disability and supplemental security income benefits pursuant to Titles II and XVI of the Social Security Act, citing degenerative joint disease in his left hip, chronic obstructive pulmonary disease, asthma, and obesity as his disabling impairments. With respect to these allegedly disabling conditions, the existing clinical record was meager, fragmentary, and largely unremarkable. This clinical record consisted of an August 2017

1 Kilolo Kijakazi became the Acting Commissioner of Social Security on July 9, 2021. Accordingly, pursuant to Rule 25(d) of the Federal Rules of Civil Procedure and 42 U.S.C. § 405(g) Kilolo Kijakazi is substituted for Andrew Saul as the defendant in this suit. 1 appointment at a walk-in clinic where he was treated for right knee pain; a May 2018 emergency room visit in which McNeill complained of pain in his side; and

treatment records from a primary care practice spanning from November of 2018 to March 2019. None of these brief treatment encounters described a disabling level of impairment for McNeill and, in fact, it is undisputed that McNeill worked part-time

during this period of claimed disability. Moreover, every medical professional who opined on the degree to which these conditions were disabling appeared to conclude that McNeill was capable of performing work at either a light or medium exertional level.

Given this record, which was largely devoid of any evidence of a disabling level of impairment, the ALJ denied McNeill’s claim finding that he could perform light work. However, several aspects of this decision were potentially problematic.

For example, the ALJ’s decision rejected every medical opinion offered in this case, finding all of the opinions unpersuasive. Thus, in fashioning the residual functional capacity (RFC) assessment for McNeill, the ALJ seemingly discounted all medical opinions, including an opinion that largely supported the light work residual

functional capacity assessment ultimately adopted by the ALJ in this decision. Further, the ALJ’s treatment of one of McNeill’s presenting concerns, his obesity, was cursory.

2 While these problematic aspects of the ALJ’s analysis might have called for a remand on a more compelling factual record, in this case where there is simply no

material evidence supporting a finding a disability, we conclude that any errors in the analysis of McNeill’s claim are harmless. Therefore, we will affirm the decision of the Commissioner in this case.

II. Statement of Facts and of the Case

On June 8, 2018, John McNeill applied for disability and supplemental security income benefits pursuant to Titles II and XVI of the Social Security Act, citing degenerative joint disease in his left hip, chronic obstructive pulmonary disease, asthma, and obesity as his disabling impairments. (Tr. 22, 25). According to McNeill, he had experienced an onset of disability in October of 2017. (Tr. 24). McNeill was born in November 1968 and was 48 years old at the time of the alleged

onset of his disability, making him a younger individual under the Commissioner’s regulations. (Tr. 30). McNeill stated that he had not graduated high school but had attained an Associate’s Degree. (Tr. 44). McNeill had prior employment as a laborer, contractor, fabricator, grocery

store employee and maintenance worker. (Tr. 227). Some of this employment had occurred after the alleged date of the onset of McNeill’s disability. (Id.) Moreover, at the time of his disability hearing in June of 2019 McNeill testified that he was

3 employed part-time at a grocery store. (Tr. 46-7). Thus, McNeill was actually working during the time when he asserted he was wholly disabled.

McNeill’s disability application drew sparse support from the clinical record. That clinical record revealed that in August of 2017, McNeill reported to a walk-in clinic complaining of pain his right knee. (Tr. 329). He was seen by a physician who

diagnosed McNeill with bursitis, and instructed him to ice the knee, wrap it in an ace bandage and take medication for pain relief. (Tr. 330-31). Some eight months later, in May of 2018, McNeill reported to the emergency room at the Moses Taylor Hospital complaining of pain in his left side. (Tr. 294-

326). Examination results were largely unremarkable, (Tr. 299), and a CT examination was normal except for the presence of urinary tract infection and some kidney stones. (Tr. 302). McNeill was discharged with a prescription for antibiotics.

(Tr. 309). Finally, between November of 2018 and March of 2019, McNeill was seen by a primary care practice, which documented his chronic COPD, edema, asthma and obesity. (Tr. 365-387). While these treatment notes observed that McNeill would

benefit from care management, none of the treatment records of this practice described McNeill’s chronic conditions in terms that were wholly disabling. (Id.) In particular McNeill’s obesity was thoroughly documented in the clinical record, with

4 care-givers assigning McNeill a height of five feet seven inches, a weight which fluctuated between 255 and 287 pounds, and a Body Mass Index (BMI), which

ranged between 40 and 46. (Tr. 43, 100, 104, 226, 305, 347, 385). Given this sparse treatment record, no medical expert has found that McNeill was totally disabled and two experts opined that McNeill was able to perform either

light or medium work. Thus, on October 1, 2018, a state agency expert, Dr. David Hutz, concluded that while McNeill was obese, he nonetheless could work at a medium exertional level. (Tr. 96-119). Likewise, on September 10, 2018, a consulting examining source, Dr. Zita Monfared, determined that McNeill suffered

from obesity, COPD, degenerative hip disease, and asthma but could perform light exertional work, with some limitations on climbing, stooping, kneeling, crouching and crawling. Specifically, Dr. Monfared concluded that McNeill should never

climb ladders or scaffolds, balance or crouch, but could occasionally climb stairs, stoop, kneel, and crawl. (Tr. 354). It was against this clinical backdrop, a backdrop which provided meager support for McNeill’s disability claim, that an ALJ conducted a hearing regarding

this disability application on June 7, 2019. (Tr. 35-72). McNeill and a vocational expert both appeared and testified at this hearing. (Id.) Following this hearing, on August 19, 2019 the ALJ issued a decision denying McNeill’s application for

5 benefits. (Doc. 19-31). In that decision, the ALJ first concluded that McNeill satisfied the insured status requirements of the Act. (Tr. 24). At Step 2 of the

sequential analysis that governs Social Security cases, the ALJ found that McNeill suffered from the following severe impairments: degenerative joint disease in his left hip, chronic obstructive pulmonary disease, asthma, and obesity. (Tr. 25).

At Step 3 the ALJ determined that McNeill did not have an impairment or combination of impairments that met or medically equaled the severity of one of the listed impairments. (Tr. 25-26). The ALJ then fashioned an RFC for McNeill that restricted him to light work with certain postural limitations. (Tr. 26). Based upon

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