Rodriguez v. Commissioner of Social Security

CourtDistrict Court, N.D. Ohio
DecidedMay 10, 2024
Docket1:23-cv-01305
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 2024).

Opinion

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

ELSA MARIA RODRIGUEZ, ) Case No. 1:23-CV-01305 ) Plaintiff, ) MAGISTRATE JUDGE ) REUBEN J. SHEPERD v. ) ) COMMISSIONER OF ) MEMORANDUM OPINION AND SOCIAL SECURITY, ) ORDER ) Defendant. )

I. Introduction Plaintiff, Elsa Maria Rodriguez (“Rodriguez”), seeks judicial review of the final decision of the Commissioner of Social Security, denying her application for disability insurance benefits (“DIB”) under Title II of the Social Security Act. This matter is before me pursuant to 42 U.S.C. §§ 405(g) and 1383(c)(3). The parties consented to the jurisdiction of the magistrate judge pursuant to 28 U.S.C. § 636(c)(1). I find the Administrative Law Judge (“ALJ”) did not apply the proper legal standards and reached a decision that is not supported by substantial evidence, and vacate and remand the Commissioner’s final decision denying Rodriguez’s DIB application. II. Procedural History Rodriguez filed for DIB on November 9, 2018, alleging an amended disability onset date of April 21, 2017. (Tr. 170-78, 195). The claims were denied initially and on reconsideration. (Tr. 81, 90). She then requested a hearing before an ALJ. (Tr. 115-16). The ALJ issued a written opinion on October 7, 2019, finding Rodriguez not disabled. (Tr. 15-25). The Appeals Council denied her request for review on August 19, 2020, making the hearing decision the final decision of the Commissioner. (Tr. 1-3; see 20 C.F.R. §§ 404.955, 404.981). Rodriguez appealed the ALJ’s decision to the U.S. District Court for the Northern District of Ohio. The District Court reversed the Commissioner’s decision and remanded the case

to the ALJ. (Tr. 634). On remand, Rodriguez and a vocational expert (“VE”) testified before the ALJ on April 4, 2023. (Tr. 585-609). On April 28, 2023, the ALJ issued a written decision finding Rodriguez not disabled. (Tr. 562-84). As the case had previously been remanded by the District Court, the hearing decision is the final decision of the Commissioner. (Tr. 634; see 20 C.F.R. § 404.984). Rodriguez timely filed this action on June 30, 2023. (ECF Doc. 1). III. Evidence A. Personal, Educational, and Vocational Evidence Rodriguez was 54 years old on the date last insured, making her an individual closely approaching advanced age according to Agency regulations. (See Tr. 576). She attended school

through the ninth grade. (See Tr. 201, 594). She has worked as a small product assembler, hotel housekeeper, and laundry aide. (Tr. 201, 595-96). B. Relevant Medical Evidence1 On April 21, 2017, Rodriguez reestablished care with her primary care physician, Leonor Osario, D.O. (Tr. 310). Rodriguez’s chief complaints were anxiety and depression. (Id.). Rodriguez explained that her husband died four months prior to her visit and that she was having a difficult time with grief. (Id.). She felt very anxious and would overeat. (Id.). Rodriguez had no

1 This recitation of the medical evidence is limited to evidence relevant to Rodriguez’s challenge to the ALJ’s findings regarding her mental health impairments, all other claims are deemed waived. See Kennedy v. Comm’r of Soc. Sec., 87 F. App’x 464, 466 (6th Cir. 2003). suicidal ideations and was negative for sleep disturbance, mood disorder, and recent psychosocial stressors. (Id.). Dr. Osario informed Rodriguez about the importance of exercising and decreasing her coffee intake to help with her anxiety. (Tr. 311). Dr. Osario prescribed Lexapro and recommended a psychological consultation. (Id.).

On August 15, 2017, Rodriguez had an appointment with Dr. Osario for pain in her back. (Tr. 303-04). During this appointment, Rodriguez reported that she was depressed but did not have any suicidal or homicidal ideations. (Tr. 304). She complained that she did not have energy and was overeating. (Id.). Rodriguez was alert and cooperative during her appointment. (Id.). Dr. Osario increased Rodriguez’s Lexapro prescription to 20 mg per day. (Tr. 305). On December 7, 2017, Rodriguez attended a follow up appointment with Dr. Osario for weight management. (Tr. 293). Dr. Osario encouraged Rodriguez to write in a journal and meditate rather than eat for stress relief. (Tr. 294). Rodriguez saw Ilda Felix, CNP, on April 3, 2018. (Tr. 289). Rodriguez came to the appointment with her daughter, who reported that Rodriguez was depressed and in denial after

her husband’s death. (Id.). Rodriguez would lose her patience which affected her family. (Id.). CNP Felix noted that Rodriguez was negative for sleep disturbance, mood disorder, and recent psychosocial stressors. (Tr. 291). CNP Felix referred Rodriguez to a consultation with psychology for her depression and anxiety and instructed Rodriguez to continue taking Lexapro for depression. CNP Felix prescribed Buspirone for anxiety. (Id.). On May 9, 2018, Rodriguez saw Dr. Osorio, reporting that she was still experiencing depression. (Tr. 286-87). Rodriguez was alert and cooperative with no signs of distress during the appointment. (Tr. 287). Dr. Osario instructed Rodriguez to continue taking her Lexapro. (Id.). On August 10, 2018, Rodriguez had a consultation with Dr. Osorio for right carpal tunnel release. (Tr. 267). During the appointment, Rodriguez was alert and oriented, with no acute distress. (Tr. 269). Dr. Osario noted that Rodriguez was “somewhat stable” regarding her anxiety and depression with medication, but that Rodriguez would like to increase her dosage. (Id.). The

notes from this encounter indicate that Rodriguez was taking her Lexapro, but on August 7, 2018, she reported she was not taking her Buspirone. (Tr. 268-69). On August 30, 2018, Rodriguez saw Dr. Osorio for a follow up regarding her depression. (Tr. 265-66). Rodriguez reported having good days and bad days, noting that her family was an active stressor. (Id.). She reported being medication compliant with no suicidal or homicidal ideations. (Tr. 266). During the appointment, Rodriguez was alert and cooperative with no signs of distress. (Id.). Dr. Osario noted that Rodriguez was negative for sleep disturbance, mood disorder, and recent psychosocial stressors. (Id.). Rodriguez was informed that counseling, journal writing, and exercise would help with depression. (Id.). Dr. Osario recommended that Rodriguez consult with psychiatry. (Id.).

On September 28, 2018, Rodriguez went to the emergency room due to increased depression. (Tr. 257). Rodriguez was described as tearful, nervous, and anxious during the visit. (Tr. 257, 259). Rodriguez reported problems with her daughter which caused her to feel overwhelmed and more depressed. (Tr. 257). She denied suicidal and homicidal ideations but had passive death wishing thoughts. (Tr. 257, 261). Rodriguez reported palpitations, dizziness, and a headache. (Tr. 258). Rodriguez stated she was compliant with her medication; however, she did not take her psychiatric medications that day. (Id.). Emma Borrelli, LPC, conducted a behavioral health intake with Rodriguez during her emergency room visit. (Tr. 261). Rodriguez was calm and cooperative during the assessment. (Id.). She answered questions appropriately, but with a flat affect. (Id.). Rodriguez reported that she did not have a support system, but that she was comfortable talking to two of her children. (Tr. 261).

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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-2024.