Robinson v. Saul

CourtDistrict Court, N.D. California
DecidedMarch 19, 2021
Docket3:19-cv-05934-JCS
StatusUnknown

This text of Robinson v. Saul (Robinson v. Saul) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Robinson v. Saul, (N.D. Cal. 2021).

Opinion

1 2 3 4 UNITED STATES DISTRICT COURT 5 NORTHERN DISTRICT OF CALIFORNIA 6 I.R.,1 7 Case No. 3:19-cv-05934-JCS Plaintiff, 8 ORDER REGARDING CROSS v. MOTIONS FOR SUMMARY 9 JUDGMENT ANDREW SAUL, 10 Re: Dkt. Nos. 14, 23 Defendants. 11

12 13 I. INTRODUCTION 14 Plaintiff I.R. brings this action challenging the final decision of Defendant Andrew Saul, 15 Commissioner of Social Security (the “Commissioner”), denying I.R.’s application for disability 16 benefits after a hearing before an administrative law judge (“ALJ”). The parties filed cross 17 motions for summary judgment pursuant to Civil Local Rule 16-5. For the reasons discussed 18 below, I.R.’s motion is GRANTED in part, the Commissioner’s motion is DENIED, and the 19 matter is REMANDED for further administrative proceedings consistent with this order.2 20 II. BACKGROUND 21 I.R.’s filed a previous application for benefits on March 3, 2015, alleging a disability onset 22 date of March 1, 2010. See Admin. Record (“AR,” dkt. 13) at 87. The Commissioner denied that 23 application, and ALJ Arthur Zeidman upheld the Commissioner’s denial on May 3, 2017. Id. at 24 84–95. I.R. did not appeal ALJ Zeidman’s decision. 25 1 Because opinions by the Court are more widely available than other filings, and this order 26 contains potentially sensitive medical information, this order refers to Plaintiff only by her initials. This order does not alter the degree of public access to other filings in this action provided by Rule 27 5.2(c) of the Federal Rules of Civil Procedure and Civil Local Rule 5-1(c)(5)(B)(i). 1 On May 25, 2017, I.R. filed her present application for disability benefits, alleging a 2 disability onset date of the same day. Id. at 15. I.R. claims that she suffers from hypertension 3 (high blood pressure), type 2 diabetes, diabetic neuropathy (nerve damage caused by her diabetes), 4 restless leg syndrome, trigger finger in both thumbs, pain in both hands, and a torn retina in her 5 left eye. See, e.g., id. at 105, 115, 132, 141, 223, 235, 241, 243–44, 269, 273. The Commissioner 6 initially denied her application on October 4, 2017, and denied it again on reconsideration on 7 October 26, 2017. Id. at 15, 100–12, 114–26, 132–37, 141–46. On November 3, 2017, I.R. filed a 8 written request for a hearing before an ALJ, see id. at 147, and she testified at the hearing on 9 August 23, 2018, see id. at 27–54. On November 13, 2019, ALJ E. Alis upheld the 10 Commissioner’s denial of benefits, see id. at 15–22, and the Appeals Council denied review on 11 July 26, 2019, see id. at 1–6. On September 23, 2019, I.R. filed the present action challenging the 12 Commissioner’s final decision. See Compl. (dkt. 1). 13 A. Medical Records 14 The following summary of I.R.’s medical records focuses on records identified by the 15 parties and the ALJ and relevant to her alleged disability. Specifically, the Court focuses on 16 records related to I.R.’s ability to use her hands, to stand or walk for extended periods of time, and 17 to lift and carry weight. Accordingly, this summary is not intended as a complete recitation of 18 either the administrative record or I.R.’s medical history. The record includes six categories of 19 relevant treatment records. 20 First, on June 1, 2015, prior to the Commissioner’s denial of I.R.’s previous application of 21 benefits, Robert Tang, MD, conducted a consultative examination. AR at 277–82. His notes 22 indicate that I.R. had a hysterectomy in July 2009 and three follow-up surgeries for “fibroids 23 and . . . postoperative infection,” though the cause of each surgery was “not clear to [I.R.]” Id. at 24 277. Dr. Tang diagnosed I.R. with “decreased lifting and chronic discomfort” due to this “series 25 of four surgeries for hysterectomy and postoperative infection,” and he assessed her as limited to 26 lifting and carrying “up to 10 pounds occasionally and 10 pounds frequently.” Id. at 279; see id. at 27 277 (observing that I.R. “obviously has lifting restrictions and chronic discomfort” related to the 1 “history of right foot neuropathy” related to her diabetes, his assessment indicated that I.R. could 2 “stand without limitations” and “walk up to six hours.” Id. at 279; see id. at 279–80. 3 Second, between August 2015 and March 2017, I.R. regularly visited the Highland 4 Wellness Adult Medicine Clinic. See id. at 283–352, 310-33, 360–403.3 I.R. was initially seen for 5 her diabetes and high blood pressure, but she also complained of pain and triggering in her left 6 thumb during a November 2015 visit, when Natalie Vizcarra, PA, assessed her with trigger finger. 7 Id. at 288. During each of her five follow-up visits between December 2015, and August 2016, 8 primarily with Sancia Ferguson, MD, I.R. again complained of pain and triggering in her left 9 thumb, and during two visits in May and August 2016, I.R. also complained of pain in her right 10 thumb and “a brief episode of numbness in the fingers of her right hand.” Id. at 293, 298–99, 301, 11 304, 308, 311, 313–14, 316–17. Because I.R.’s “chronic” left thumb pain had not been 12 “adequately controlled by acetaminophen and exercises,” Dr. Ferguson referred I.R. for a steroid 13 injection in her left thumb. Id. at 317; see id. at 311, 316–17, 321. On August 11, 2016, I.R. 14 received the injection, see id. at 323–27, and the notes from I.R.’s subsequent September 2016 15 visit indicate that I.R. had experienced “significant improvement” with her left thumb and was 16 “able to flex [it] without difficulty,” though she had also developed “some new symptoms” with 17 her right thumb. Id. at 328; see id. at 331–32. Although I.R. returned to the clinic in December 18 2016 and March 2017, it appears that she did not receive further treatment for her hand pain 19 during those visits. See generally id. at 360–73. The clinic’s records from this period also do not 20 appear to reference any symptoms or diagnoses affecting I.R.’s lower extremities, other than foot 21 pain from stepping on a metal cord splitter in the fall of 2018. See id. at 288–89; see generally id. 22 at 283–352; 360–403. 23 Third, on September 11, 2017, after the previous ALJ had affirmed the Commissioner’s 24 denial of I.R.’s previous application for benefits and I.R. had filed her present application, Eugene 25 McMillan, MD, conducted a consultative evaluation. See id. at 428–34. With respect to I.R.’s 26 3 The medical records from I.R.’s May 2, August 1, August 11, and September 29, 2016 visits 27 appear in the administrative record twice. Compare AR at 310–33, with id. at 374–98. For ease 1 thumbs, Dr. McMillan observed no triggering, no redness, and no thickening of the flexor tendons. 2 Id. at 431. He found that I.R. a grip strength of 28 kilograms in her right hand and 20 kilograms in 3 her left hand. Id. He also observed that I.R. had “decreased vibration sense in her toe tips” and 4 decreased ankle jerk reflexes, but he otherwise recorded no abnormalities related to I.R.’s lower 5 extremities. Id. Dr. McMillan concluded that I.R. has high blood pressure, type 2 diabetes, 6 diabetic neuropathy of her lower extremities, and “arthritis of thumb.” Id. According to his 7 assessment, I.R. has the ability to lift and carry 50 pounds occasionally and 25 pounds frequently; 8 to stand or walk for six hours out of an eight-hour workday; to engage in activities that require 9 stooping, kneeling, or crouching for at least one third of the workday; and to use her hands for 10 gripping occasionally, but without limitation on fine manipulations. Id. 11 Fourth, on October 4, 2017, Kyung Lee, MD, a state examiner, opined that I.R. is capable 12 of medium work; of lifting and carrying 50 pounds occasionally and 25 pounds frequently; of 13 standing or walking six hours out of an eight-hour workday; and of occasionally handling and 14 fingering with her left hand. Id. at 106–10.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
Robinson v. Saul, Counsel Stack Legal Research, https://law.counselstack.com/opinion/robinson-v-saul-cand-2021.