Morales v. Commissioner of the Social Security Administration

CourtDistrict Court, E.D. New York
DecidedSeptember 29, 2022
Docket2:21-cv-00511
StatusUnknown

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

Bluebook
Morales v. Commissioner of the Social Security Administration, (E.D.N.Y. 2022).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK -------------------------------------------------------x RAFAEL MORALES,

Plaintiff, MEMORANDUM & ORDER - against - 21-CV-511 (PKC)

COMMISSIONER OF SOCIAL SECURITY,

Defendant. -------------------------------------------------------x PAMELA K. CHEN, United States District Judge: Plaintiff Rafael Morales brings this action under 42 U.S.C. § 405(g) and 42 U.S.C. § 1383(c), seeking judicial review of the Social Security Administration’s (“SSA”) denial of his claims for Disability Insurance Benefits (“DIB”). The parties have cross-moved for judgment on the pleadings. (Dkts. 14, 18.) For the reasons stated herein, the Court grants Plaintiff’s motion and denies the Commissioner’s cross-motion. BACKGROUND I. Factual and Procedural Background Plaintiff was born in October 1960. (Tr. 34.1) At the alleged onset of his disability on August 30, 2018, Plaintiff was 57 years old. (Tr. 40, 183, 193.) After graduating from military school, Plaintiff served in the Army for twenty-five years, including five-and-a-half years in active duty. (Tr. 37.) After completing his active military service, Plaintiff began training as an electrician in 1985. (Tr. 40, 75.) Following a four-year apprenticeship, Plaintiff worked as an electrician foreman between 1989 and 1993. (Tr. 40.)

1 All references to “Tr.” refer to the consecutively paginated Administrative Transcript (see Dkts. 10–12), and not to the internal pagination of the constituent documents. In August 1993, Plaintiff joined the Nassau County Police Department (“NCPD”), where he worked for twenty-five years as a police officer. (Tr. 75, 196.) For eighteen of the years Plaintiff was employed by NCPD, he was a member of its tactical SWAT unit. (Tr. 38.) As a police officer, Plaintiff was cross-trained and had several tasks, including acting as a plainclothes

police officer and being the senior sniper within the SWAT unit. (Tr. 38–39.) After the 9/11 attacks, Plaintiff worked on rescue and recovery at the World Trade Center site. (See Tr. 45, 592, 598.) In December 2017, Plaintiff suffered injuries to his jaw, right shoulder, and right hand— his dominant hand—while arresting a violent and intoxicated individual. (Tr. 42, 352.) MRI exams revealed that Plaintiff suffered a “high-grade, nearly full-thickness rotator cuff tear” in his right shoulder and “a longitudinal split tear” in his right bicep tendon. (Tr. 352.) On January 23, 2018, Dr. George Ackerman, an orthopedic surgeon, operated on Plaintiff to address these injuries, but just days later, still “[e]arly in the post-operative period” of recovery, Plaintiff fell down several steps at home, and fell onto his right shoulder. (Tr. 352.) X-rays revealed a clavicle fracture on

the right side, and Plaintiff reported “significant pain and tenderness” in that area. (Tr. 352, 377, 378.) On February 12, 2018, Plaintiff was hospitalized after experiencing upper back pain and shortness of breath, which were later diagnosed as being caused by multiple pulmonary embolisms.2 (Tr. 461, 521, 535, 593.) After being discharged, Plaintiff continued to receive

2 A pulmonary embolism is a “blood clot that travels through the blood stream, lodges in the pulmonary blood vessels, blocks blood flow to the lungs, prevents acquisition of oxygen and discharge of carbon dioxide, and [can] cause dilation of the heart and deprivation of oxygen to the rest of the body, including the brain.” Arkin v. Gittleson, 32 F.3d 658, 661 (2d Cir. 1994). treatment for his pulmonary embolisms, while also undergoing physical therapy for his shoulder injuries. (Tr. 238, 352, 642–92.) In May 2018, because physical therapy was not improving Plaintiff’s condition, Dr. Ackerman performed a distal clavicle resection surgery on Plaintiff to repair the right clavicle.3

(Tr. 14, 615–16.) Following the surgery, Dr. Ackerman advised Plaintiff that he would be able to return to restricted duty as a police officer on August 15, 2018. (Tr. 353, 658.) However, during a follow-up visit on January 7, 2019, Dr. Ackerman found that Plaintiff’s degree of impairment was 100%, and Plaintiff reported mild pain in his right arm and shoulder, and numbness in his right hand. (Tr. 651.) At a follow-up visit with Dr. Ackerman on March 4, 2019, Plaintiff was observed to be experiencing “persistent weakness in his infraspinatus as well as pain in the distal clavicle[.]”4 (Tr. 353.) On March 26, 2019, Plaintiff saw Dr. Leon Sultan, an orthopedic and reconstructive surgeon, who examined Plaintiff at the request of Plaintiff’s attorney. (Tr. 348.) Dr. Sultan’s examination confirmed that while Plaintiff had “reached a point of maximum medical

improvement in regard to [his] right shoulder surgery and post-operative therapy,” the prognosis as to his right shoulder remained “guarded to poor.” (Tr. 350.) Dr. Sultan concluded that Plaintiff’s “significant right shoulder motion restriction” will “prevent [Plaintiff] from resuming full unrestricted work activity as a Police Officer.” (Id.)

3 A distal clavicle resection is “a medical operation performed to ameliorate shoulder pain and discomfort by excising the distal (lateral) end of the clavicle.” McCallister v. Colvin, No. 14- CV-1488 (TWD), 2016 WL 1122059, at *6 n.5 (N.D.N.Y. Mar. 22, 2016). 4 The infraspinatus is “a muscle of the shoulder joint, the tendon of which contributes to the rotator cuff.” Hogans v. Comm’r of Soc. Sec., No. 19-CV-2737 (SDA), 2020 WL 5496114, at * 7 n.8 (E.D.N.Y. Sept. 11, 2020). Plaintiff’s attorney also arranged for Dr. Edward Toriello, who specializes in orthopedic surgery, to examine Plaintiff on April 29, 2019. (Tr. 361–64.) Dr. Toriello found that Plaintiff’s right shoulder had an abduction and flexion of 90 degrees (as compared to the normal range of 150 to 180 degrees), and internal and external rotation of 45 degrees (normal being 90 degrees), with

normal range of extension and abduction. (Tr. 362.) Based on his physical examination and review of prior medical records, Dr. Toriello found Plaintiff permanently incapable of returning to work as police officer. (Tr. 363.) Plaintiff applied for disability insurance benefits on May 16, 2019, alleging that he had been disabled since August 30, 2018. (Tr. 10, 183.) Several days later, Plaintiff returned to Dr. Ackerman for a follow-up appointment. (Tr. 646.) Dr. Ackerman determined that Plaintiff’s right shoulder was found to reach 45 degrees on external rotation, and he further assessed a 30% loss of use of the right shoulder, 10% each of which was caused by the lack of external rotation, the distal clavicle fracture, and the effects of the distal clavicle surgery. (Tr. 646.) In July 2019, consultative internist Dr. Kanista Basnayake evaluated Plaintiff, upon the

SSA’s request. (Tr. 592–96.) Dr. Basnayake reviewed Plaintiff’s daily activities, which included shopping two to three times a week with his wife, dressing and washing himself, cooking one to two times a week as needed, and socializing. (Tr. 593.) Dr. Basnayake found Plaintiff suffered from elevated blood pressure, right shoulder pain with limitation of movement, sleep apnea, gastroesophageal reflux disease, esophagitis, and hypothyroidism. (Tr. 595.) Dr. Basnayake concluded that Plaintiff had moderate to marked limitations for carrying, lifting, pushing, pulling, and overhead reaching, and that Plaintiff should not operate heavy machinery. (Tr. 595–96.) State Agency medical consultants evaluated Plaintiff in July 2019 and August 2019. (Tr.

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Morales v. Commissioner of the Social Security Administration, Counsel Stack Legal Research, https://law.counselstack.com/opinion/morales-v-commissioner-of-the-social-security-administration-nyed-2022.