Sanchez v. O'Malley

CourtDistrict Court, M.D. Pennsylvania
DecidedMarch 26, 2025
Docket3:24-cv-00240
StatusUnknown

This text of Sanchez v. O'Malley (Sanchez v. O'Malley) is published on Counsel Stack Legal Research, covering District Court, M.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sanchez v. O'Malley, (M.D. Pa. 2025).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF PENNSYLVANIA

ANGELINA SANCHEZ, : Civil No. 3:24-CV-00240 : Plaintiff, : : v. : (Magistrate Judge Carlson) : LELAND DUDEK, : Acting Commissioner of Social Security1 : : Defendant. :

MEMORANDUM OPINION

I. Introduction Administrative Law Judges (ALJs) make disability determinations using a five-step sequential analysis which first establishes a residual functional capacity (RFC) for a claimant and then determines whether an individual with the claimant’s same age, education, and RFC could perform either their past work or any work that exists in significant numbers in the national economy. ALJs use a number of tools and experts to aid in this determination, including vocational experts (VEs) whose

1Leland Dudek became the Acting Commissioner of Social Security on February 16, 2025. Pursuant to Rule 25(d) of the Federal Rules of Civil Procedure, Leland Dudek should be substituted for the previously named defendant in this suit. No further action need be taken to continue this suit by reason of the last sentence of section 205(g) of the Social Security Act, 42 U.S.C. § 405(g).

1 testimony often informs and supports the decision of the ALJ as to whether any jobs exist which the claimant could perform. Indeed, “vocational expert testimony may

provide substantial evidence to support an ALJ’s finding at Step 5.” Evans v. Kijakazi, No. 1:21-CV-00554, 2023 WL 2761125, at *8 (M.D. Pa. Apr. 3, 2023) (citing Zirnsak v. Colvin, 777 F.3d 607, 616 (3d Cir. 2014) (“The Commissioner can

also rely on testimony from a VE to meet its step-five evidentiary burden”)). But it is also axiomatic that an ALJ must address and resolve any material ambiguities and inconsistencies between vocational expert testimony, the Dictionary of Occupational Titles (DOT), the reference work upon which the expert relies upon when rendering

an opinion, and the ALJ’s decision, or remand may be appropriate. See Boone v. Barnhart, 353 F.3d 203, 209 (3d Cir. 2003); Smith v. Astrue, 961 F. Supp. 2d 620, 658 (D. Del. 2013); Williams v. Barnhart, 424 F. Supp. 2d 796, 802 (E.D. Pa. 2006).

So it is here. In the instant case, the ALJ based her decision that the plaintiff, Angelina Sanchez, was not disabled upon the flawed and fatally ambiguous testimony of the vocational expert which seemingly never concluded that a plaintiff with both the plaintiff’s mental and physical RFC could perform all three jobs

referenced by the ALJ in the decision. Moreover, two of the occupations identified by the ALJ clearly conflict with the RFC, which limits Sanchez to no fast-paced production work, since they are assembly line occupations which are definitionally

2 fast-paced production rate work. In our view, the ALJ’s failure to address these ambiguities and inconsistencies results in a decision which cannot be sustained when

viewed pragmatically in light of economic realities. Accordingly, for the reasons set forth below, we will remand this case for further consideration by the Commissioner. II. Statement of Facts and of the Case

On August 11, 2020, Angelina Sanchez filed an application for a period of disability insurance benefits, alleging disability beginning March 15, 2020.2 (Tr. 17). Sanchez alleged that she was disabled due to the combined effects of the following physical and emotional impairments: fibromyalgia, degenerative joint disease,

chronic pain, depression, anxiety, chronic back pain, sciatica, fatigue, insomnia, chronic headaches, and thrombotic thrombocytopenic purpura. (Tr. 87). Sanchez was born on February 22, 1978, and was thirty-eight years old, which is defined as

a younger individual under the Social Security guidelines, on the alleged disability onset date. (Tr. 53). She had a limited education, having left school in eighth grade. (Id.) Sanchez alleges limitations in her ability to perform work-related activity

based upon both her physical impairments, including constant, widespread pain all

2 Sanchez’s original alleged onset date was amended to this date at the hearing based upon her work history. (Tr. 43).

3 over her body and chronic fatigue, (Tr. 364-65, 372), as well as difficulty understanding instructions, memory issues, and social anxiety. (Tr. 67-69). With

regard to her mental impairments, the ALJ aptly summarized the longitudinal treatment records: The record establishes the claimant has a history of major depressive disorder and anxiety disorder. The claimant treated the conditions prior to the alleged onset date (Exhibit 1F). During the relevant period, the claimant continued to treat her conditions with the use of medication (Exhibit 15F at 19). Despite the presence of the conditions, treatment records from March 2020 note that the claimant’s orientation, memory, attention, language, and fund of knowledge were normal and intact (Exhibit 3F at 11). Thereafter, treatment records note the claimant underwent a consultative examination in November 2020 (Exhibit 8F). At the time, the claimant reported difficulty falling and staying asleep, appetite fluctuations, dysphoric moods, crying spells, guilt, hopelessness, loss of interest in activities, irritability, fatigue, loss of energy, worthlessness, diminished self-esteem, concentration difficulties, diminished sense of pleasure, and social withdrawal (Exhibit 8F at 4). The claimant also reported anxiety-related symptoms that included excessive apprehension or worry, being easily fatigued, irritability, restlessness, difficulties concentrating, muscle tension, avoidance of social settings, ruminating and overthinking, and racing thoughts (Exhibit 8F at 4). In addition, she reported panic symptoms of heart palpitations, nausea, sweating, dizziness, trembling, and chest pain (Exhibit 8F at 5). During the visit, she also reported cognitive symptoms of short-term memory deficits, concentration difficulties, difficulty learning new material, organization difficulty, word findings deficits and planning difficulties (Exhibit 8F at 5). Notably, she reported that she had never been hospitalized for psychiatric treatment (Exhibit 8F at 3). On examination, the claimant was alert and oriented to person, place, and time, with a clear thought process and adequate speech (Exhibit 8F at 6). However, she had mildly impaired attention, concentration, and recent and remote memory skills (Exhibit 8F at 6).

4 The claimant reported similar symptoms during a consultative examination in April 2021 (Exhibit 10F). On examination, normal findings were again noted with regard to her appearance, speech, thought process, orientation, intellectual functioning, and judgment and insight (Exhibit 10F). However, she continued to maintain mildly impaired attention, concentration, and recent and remote memory (Exhibit 10F at 6). Thereafter, treatment records from June 2021 note that the claimant reported depression and worry, with thoughts of self- harm (Exhibit 13F at 31). On examination, she continued to have normal orientation, memory, attention, language, and fund of knowledge (Exhibit 13F at 32).

(Tr. 25-26).

As to the medical opinion evidence of Sanchez’s mental abilities, the state agency psychological consultants Drs. Fink and Amanullah both agreed that Sanchez had moderate limitations in her ability to concentrate, persist, or maintain pace and Dr.

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