Monica Renee Kumar v. Nancy A. Berryhill

CourtDistrict Court, C.D. California
DecidedSeptember 25, 2020
Docket8:19-cv-00685
StatusUnknown

This text of Monica Renee Kumar v. Nancy A. Berryhill (Monica Renee Kumar v. Nancy A. Berryhill) is published on Counsel Stack Legal Research, covering District Court, C.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Monica Renee Kumar v. Nancy A. Berryhill, (C.D. Cal. 2020).

Opinion

8 UNITED STATES DISTRICT COURT

9 CENTRAL DISTRICT OF CALIFORNIA

11 MONICA R. K., an Individual, Case No.: 8:19-00685 ADS

12 Plaintiff,

13 v. MEMORANDUM OPINION AND ORDER 14 ANDREW M. SAUL, Commissioner of OF REMAND Social Security, 15 Defendant. 16 17 I. INTRODUCTION 18 Plaintiff Monica R. K.1 (“Plaintiff”) challenges Defendant Andrew M. Saul2, 19 Commissioner of Social Security’s (hereinafter “Commissioner” or “Defendant”) denial 20 of her application for a period of disability and disability insurance benefits (“DIB”). 21

22 1 Plaintiff’s name has been partially redacted in compliance with Federal Rule of Civil Procedure 5.2(c)(2)(B) and the recommendation of the Committee on Court 23 Administration and Case Management of the Judicial Conference of the United States. 2 On June 17, 2019, Saul became the Commissioner of Social Security. Thus, he is 24 automatically substituted as the defendant under Federal Rule of Civil Procedure 25(d). 1 For the reasons stated below, the decision of the Commissioner is REVERSED and 2 REMANDED. 3 II. FACTS RELEVANT TO THE APPEAL 4 A review of the entire record reflects certain uncontested facts relevant to this 5 appeal. Prior to filing her application for social security benefits, Plaintiff worked as a

6 custodian for the state in the Employment Development Department from 2001 until 7 2015. (Administrative Record “AR” 73, 225, 231, 278). In that capacity, she performed 8 vacuuming, dusting, mopping, sweeping, stocking, receiving and shipment, rearranged 9 furniture, and removed trash. (AR 73, 232). In March 2014, she injured herself while 10 grabbing a trash can, which flipped over. (AR 34, 2977). She stopped working March 11 10, 2015, because of her condition, and she received a worker’s compensation settlement 12 and state disability. (AR 71-73, 224, 238, 255). She alleged disability in the underlying 13 application based on problems with her back, shoulder, knee, legs, as well as 14 hypertension and mental health issues. (AR 224, 241, 258). 15 On July 10, 2017, in conjunction with Plaintiff’s workers’ compensation claim, 16 orthopedic surgeon Dr. Charles Schwarz completed an “Agreed Medical Examination

17 Supplemental Report.” (AR 2976-80). In a detailed discussion, he summarized 18 Plaintiff’s medical history since her 2014 injury. (AR 2976-78). Her initial treatment 19 included a cortisone injection in her left shoulder, medication, physical therapy, and 20 acupuncture. (AR 2977). In April 2014, she was given a lidocaine and Depo-Madrol 21 injection, was treated with naproxen and tramadol and referred to physical therapy, and 22 her evaluating doctor recommended “[m]odified duty.” (AR 3977). Dr. Schwartz 23 explained that Plaintiff then had an x-ray on April 5, 2014, which showed mild 24 degenerative changes at the acromioclavicular joint, and magnetic resonance imaging 1 (“MRI”) on August 2, 2014, which showed rotator cuff tendinosis. (AR 2977). On 2 August 6, 2014, she received another steroid injection. (AR 2977). 3 In January 2015, Plaintiff was referred to a different physician, who provided her 4 with more physical therapy, medication, and chiropractic treatment. (AR 2977). By 5 May 2015, shoulder surgery was recommended. (AR 2977).

6 On July 29, 2015, Plaintiff had surgery. Dr. Schwarz described her condition as 7 “arthroscopic decompression for the left shoulder with arthroscopic distal clavicle 8 resection, extensive debridement of the supraspinatus, and infraspinatus rotator cuff 9 tear.” (AR 2977). Her postoperative diagnosis was “impingement syndrome, left 10 shoulder degenerative joint disease acromioclavicular joint, and bursal surface partial 11 thickness rotator cuff tear for the left shoulder.” (AR 2977). 12 After surgery, Dr. Schwarz explained how Plaintiff again took part in physical 13 therapy from 2015-2016, and in July 2016 received another cortisone injection. (AR 14 2977-78). She also received prescription medication, including pain medication and 15 muscle relaxants, but they were discontinued due to adverse side effects. (AR 2978). 16 She had another postoperative MRI, and her doctor recommended a home exercise

17 program to strengthen her left-upper extremity and shoulder. (AR 2978). 18 After reviewing this history, Dr. Schwarz diagnosed Plaintiff with: (1) partial 19 rotator cuff tear, left shoulder; (2) subacromial impingement syndrome, left shoulder; 20 (3) acromioclavicular degenerative joint disease, left shoulder; and (4) status post 21 arthroscopic decompression with distal clavicle resection and debridement, left 22 shoulder. (AR 2978). Dr. Schwarz explained that, as of his last evaluation of Plaintiff on 23 August 26, 2016, Plaintiff reached “maximum medical improvement,” and she was not 24 capable of returning to her “usual customary work.” (AR 2976, 2978). He further 1 concluded that “she cannot perform work at or above shoulder level. In addition, there 2 is a limitation of lifting to no more than 20 pounds with the left upper extremity.” (AR 3 2978). 4 Dr. Schwarz also completed a “Physicians Return To Work and Voucher Report,” 5 and attached it to his supplemental report. (AR 2978). That form indicated Plaintiff

6 “[m]ay not lift/carry at a height of 36 [inches] more than 20 lbs. for more than 2 hours 7 per day” with her left upper extremity; and reiterated that Plaintiff could not work at or 8 above shoulder level with her left upper extremity. (AR 2980). 9 III. PROCEEDINGS BELOW 10 A. Procedural History 11 Plaintiff protectively filed her application for DIB on September 14, 2016, alleging 12 disability beginning March 10, 2015. (AR 27, 197-201). Plaintiff’s application was 13 denied on February 17, 2017. (AR 104). A hearing was held before ALJ Cynthia Floyd 14 on September 5, 2018. (AR 68-85). Plaintiff, represented by counsel, appeared and 15 testified at the hearing, as did vocational expert Robin Generaux. (Id.). 16 On September 25, 2018, the ALJ found that Plaintiff was “not disabled” within

17 the meaning of the Social Security Act (“SSA”).3 (AR 27-40). The ALJ’s decision 18 became the Commissioner’s final decision when the Appeals Council denied Plaintiff’s 19 request for review on February 12, 2019. (AR 1-7). Plaintiff then filed this action in 20 District Court on April 10, 2019, challenging the ALJ’s decision. [Docket (“Dkt.”) No. 1]. 21 22

3 Persons are “disabled” for purposes of receiving Social Security benefits if they are 23 unable to engage in any substantial gainful activity owing to a physical or mental impairment expected to result in death, or which has lasted or is expected to last for a 24 continuous period of at least 12 months. 42 U.S.C. § 423(d)(1)(A). 1 On September 23, 2019, Defendant filed an Answer, as well as a copy of the 2 Certified Administrative Record. [Dkt. Nos. 16, 17]. The parties filed a Joint Stipulation 3 on December 13, 2019. [Dkt. No. 18]. The case is ready for decision.4 4 B. Summary of ALJ Decision After Hearing 5 In the ALJ’s September 25, 2018 decision (AR 27-40), the ALJ followed the

6 required five-step sequential evaluation process to assess whether Plaintiff was disabled 7 under the SSA.5 20 C.F.R. § 404.1520(a)(4). At step one, the ALJ found that Plaintiff 8 had not engaged in substantial gainful activity since March 10, 2015, the alleged onset 9 date. (AR 29).

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Monica Renee Kumar v. Nancy A. Berryhill, Counsel Stack Legal Research, https://law.counselstack.com/opinion/monica-renee-kumar-v-nancy-a-berryhill-cacd-2020.