Rodriguez v. Commissioner of Social Security

CourtDistrict Court, N.D. Ohio
DecidedApril 13, 2022
Docket1:20-cv-02326
StatusUnknown

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

Bluebook
Rodriguez v. Commissioner of Social Security, (N.D. Ohio 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF OHIO EASTERN DIVISON

ELSA M. RODRIGUEZ, ) CASE NO. 1:20-CV-02326-CEH ) Plaintiff, ) CARMEN E. HENDERSON ) UNITED STATES MAGISTRATE JUDGE v. ) ) MEMORANDUM OF OPINION & ORDER COMMISSIONER OF SOCIAL SECURITY, ) ) Defendant, ) )

I. Introduction Plaintiff, Elsa M. Rodriguez (“Rodriguez” or “Claimant”), seeks judicial review of the final decision of the Commissioner of Social Security denying her application for Disability Insurance Benefits (“DIB”). This matter is before me by consent of the parties under 28 U.S.C. § 636(c) and Fed. R. Civ. P. 73. (ECF No. 21). For the reasons set forth below, the Court REVERSES the Commissioner of Social Security’s nondisability finding and REMANDS this case to the Commissioner and the ALJ under Sentence Four of § 405(g). II. Procedural History On October 30, 2018, Claimant filed an application for DIB, alleging a disability onset date of July 1, 2012 and claiming she was disabled due to carpal tunnel in both hands, left elbow pain, left shoulder injury, depression, anxiety, and type II diabetes. The application was denied initially and upon reconsideration, and Rodriguez requested a hearing before an administrative law judge (“ALJ”). On September 12, 2019, an ALJ held a hearing, during which Rodriguez, represented by counsel, and an impartial vocational expert testified. (ECF No. 10, PageID #: 99- 132). On October 7, 2019, the ALJ issued a written decision finding Claimant was not disabled. (ECF No. 10, PageID #: 82-98). The ALJ’s decision became final on August 19, 2020, when the Appeals Council declined further review. (ECF No. 10, PageID #: 71-76). On October 13, 2020, Claimant filed her Complaint to challenge the Commissioner’s final decision. (ECF No. 1). The parties have completed briefing in this case. (ECF Nos.14, 17,

19). Claimant asserts the following assignments of error: 1. The ALJ’s Step Two mental findings are unsupported by substantial evidence, which impacted the remainder of the decision and Plaintiff’s RFC.

2. The ALJ’s physical RFC determination is unsupported by any medical opinion.

(ECF No. 14 at 3). III. Background1 A. Relevant Hearing Testimony

Claimant testified that she previously treated with a psychologist. (ECF No. 10, PageID #: 120). She stated that her mental state is getting worse and she wants to find another psychologist. (ECF No. 10, PageID #: 120). Claimant testified that she is on medication for her mental health and that it makes her feel “like [a] zombie.” (ECF No. 10, PageID #: 123). Finally, she testified that she suffers from crying spells. (ECF No. 10, PageID #: 124). B. Relevant Medical Evidence

On April 21, 2017, Claimant treated with Leonor Osorio, D.O., due to anxiety and depression due to the recent death of her husband. (ECF No. 10, PageID #: 380). Dr. Osorio diagnosed depression and anxiety, and prescribed Lexapro. (ECF No. 10, PageID #: 380-381).

1 Because this Memorandum of Opinion resolves this matter based on Claimant’s first issue related to her mental health impairments, only the facts related to her mental health treatment are included here. Dr. Osorio referred Claimant to psychology for further consultation. (ECF No. 10, PageID #: 381). Records from a visit with Dr. Osorio on May 9, 2018, show that Claimant continued to use Lexapro to treat her depression, but that she had concerns about the status of her depression. (ECF No. 10, PageID #: 357). Dr. Osorio continued her treatment with Lexapro. (ECF No. 10,

PageID #: 357). Medical evidence after June 30, 2018, Claimant’s date last insured, also includes treatment for depression and anxiety. On August 30, 2018, Claimant treated with Dr. Osorio due to her depression. (ECF No. 10, PageID #: 334-335). Dr. Osorio diagnosed Claimant with obesity, depression, and hyperlipidemia. (ECF No. 10, PageID #: 335). Dr. Osorio recommended Claimant consult with a psychiatry specialist. (ECF No. 10, PageID #: 335). On September 28, 2018, Claimant presented to the emergency room because of her increased depression. (ECF No. 10, PageID #: 327, 328). Staff notes state that “Patient presents to ED with increasing depression since her husband died 2 years ago. [Patient] states she has been having more problems with one of her daughters and it has become overwhelming and

causing her to feel very depressed. Patient denies [suicidal and homicidal ideations] and [audio/visual hallucinations] at this time. [Patient] states she does not want to hurt anyone but does not to go home, states she has not slept in two days. At this time, patient is very tearful and reluctant to discuss further with RN.” (ECF No. 10, PageID #: 327). The nurse noted that Claimant was nervous/anxious, had a flat affect, had poor eye contact, and admitted to passive death-wishing thoughts (ECF No. 10, PageID #: 329, 330, 331). On November 16, 2018, Claimant treated with Yaritza Colon, LISW-S, due to increased depressing mood, anxiety, and symptoms of grief. (ECF No. 10, PageID #: 475-476). Claimant reported she was still not over the death of her husband and felt overwhelmed by her symptoms. (ECF No. 10, PageID #: 476). She did not feel that her symptoms were well managed. (ECF No. 10, PageID #: 476). She reported being tearful, having low mood, decreased interest, low energy, increased apathy, feeling lonely, and having increased appetite. (ECF No. 10, PageID #: 476). She indicated that she preferred to stay in bed all day. (ECF No. 10, PageID #: 476). She stated

that her sleep was poor, and she felt tired daily. (ECF No. 10, PageID #: 476). She reported chronic worry and ruminating thoughts. (ECF No. 10, PageID #: 476). She admitted having death wishes. (ECF No. 10, PageID #: 476). Colon assessed Claimant’s energy level as low. (ECF No. 10, PageID #: 476). Colon noted that Claimant’s concentration fluctuated and that her memory was good. (ECF No. 10, PageID #: 476). Colon indicated that Claimant suffered from mild anxiety. (ECF No. 10, PageID #: 476). Claimant appeared engaging, tearful, and melancholic. (ECF No. 10, PageID #: 477). Her mood was sad. (ECF No. 10, PageID #: 477). Colon reported that Claimant scored 25 on the PHQ-9 and 13 on the GAD-7, both indicative of moderate to severe symptoms of depression and anxiety. (ECF No. 10, PageID #: 477). On December 13, 2018, Claimant treated with Dr. Osorio. (ECF No. 10, PageID #: 134).

Plaintiff admitted that her depression had improved but was still present and that she had an appointment with a psychiatrist the following week. (ECF No. 10, PageID #: 133). Dr. Osorio prescribed her Buspirone and Lexapro for anxiety and depression. (ECF No. 10, PageID #: 134- 135). IV. The ALJ’s Decision The ALJ made the following findings relevant to this appeal: 3. Through the date last insured, the claimant had the following severe impairments: left elbow epicondylitis; lumbar radiculopathy; carpal tunnel syndrome status-post right carpal tunnel release surgery; and obesity (20 CFR 404.1520(c)). 4. Through the date last insured, the claimant did not have an impairment or combination of impairments that met or medically equaled the severity of one of the listed impairments in 20 CFR Part 404, Subpart P, Appendix 1 (20 CFR 404.1520(d), 404.1525 and 404.1526).

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Rodriguez v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rodriguez-v-commissioner-of-social-security-ohnd-2022.