Sherman v. SSA

2016 DNH 221
District Court, D. New Hampshire·Decided December 8, 2016·No. 16-cv-125-LM·Published

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Randy G. Sherman

v. Civil No. 16-cv-125-LM Opinion No. 2016 DNH 221

Carolyn W. Colvin, Acting Commissioner, Social Security Administration

O R D E R

Pursuant to 42 U.S.C. § 405(g), Randy Sherman moves to reverse the Acting Commissioner’s decision to deny his application for Social Security disability insurance benefits under Title II of the Social Security Act, 42 U.S.C. § 423. The Acting Commissioner, in turn, moves for an order affirming her decision. For the reasons that follow, this matter is remanded to the Acting Commissioner for further proceedings consistent with this order.

I. Standard of Review

The applicable standard of review in this case provides, in pertinent part:

The [district] court shall have power to enter, upon the pleadings and transcript of the record, a judgment affirming, modifying, or reversing the decision of the Commissioner of Social Security, with or without remanding the cause for a rehearing. The findings of

the Commissioner of Social Security as to any fact, if supported by substantial evidence, shall be conclusive . . . .

42 U.S.C. § 405(g). However, the court “must uphold a denial of social security disability benefits unless ‘the [Acting Commissioner] has committed a legal or factual error in evaluating a particular claim.’” Manso-Pizarro v. Sec’y of HHS, 76 F.3d 15, 16 (1st Cir. 1996) (per curiam) (quoting Sullivan v. Hudson, 490 U.S. 877, 885 (1989)).

As for the statutory requirement that the Acting Commissioner’s findings of fact be supported by substantial evidence, “[t]he substantial evidence test applies not only to findings of basic evidentiary facts, but also to inferences and conclusions drawn from such facts.” Alexandrou v. Sullivan, 764 F. Supp. 916, 917-18 (S.D.N.Y. 1991) (citing Levine v. Gardner, 360 F.2d 727, 730 (2d Cir. 1966)). In turn, “[s]ubstantial evidence is ‘more than [a] mere scintilla. It means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.’” Currier v. Sec’y of HEW, 612 F.2d 594, 597 (1st Cir. 1980) (quoting Richardson v. Perales, 402 U.S. 389, 401 (1971)). But, “[i]t is the responsibility of the [Acting Commissioner] to determine issues of credibility and to draw inferences from the record evidence. Indeed, the resolution of conflicts in the evidence is for the [Acting

Commissioner], not the courts.” Irlanda Ortiz v. Sec’y of HHS, 955 F.2d 765, 769 (1st Cir. 1991) (per curiam) (citations omitted). Moreover, the court “must uphold the [Acting Commissioner’s] conclusion, even if the record arguably could justify a different conclusion, so long as it is supported by substantial evidence.” Tsarelka v. Sec’y of HHS, 842 F.2d 529, 535 (1st Cir. 1988) (per curiam). Finally, when determining whether a decision of the Acting Commissioner is supported by substantial evidence, the court must “review[] the evidence in the record as a whole.” Irlanda Ortiz, 955 F.2d at 769 (quoting Rodriguez v. Sec’y of HHS, 647 F.2d 218, 222 (1st Cir. 1981)).

II. Background

The parties have submitted a Joint Statement of Material Facts. That statement, document no. 12, is part of the court’s record and will be summarized here, rather than repeated in full.

Sherman applied for Social Security disability insurance benefits (“DIB”) in April 2013, claiming that he became disabled on April 2, 2012. He was last insured for DIB on December 31, 2012.

In 2003, Sherman suffered a compound fracture of his left tibia/fibula. Thereafter, a metal rod and screws were implanted in his lower leg. Sherman has been diagnosed with various

impairments, including chronic pain, moderate recurrent major depression, posttraumatic stress disorder (“PTSD”), and rule out attention deficit hyperactivity disorder.1 He has been treated with various medications and has received therapy for his mental impairments.

In March 2011, Sherman began seeing Dr. Peter Moran as his primary care provider. At his first appointment with Dr. Moran, Sherman reported that he had “a ‘metal rod’ in his left leg that was placed in 2003 and . . . continues to hurt him after a compound tib/fib [fracture].” Administrative Transcript (hereinafter “Tr.”) 198. Dr. Moran also reported that Sherman was under “[i]ncreased stress,” for which he was taking Pristiq2 and Budeprion SR,3 and that Sherman had been diagnosed with depression and anxiety disorder. In January 2013, Dr. Moran

1 “‘Rule-out’ in a medical record means that the disorder is suspected but not confirmed — i.e., there is evidence that the criteria for a diagnosis may be met, but more information is needed in order to rule it out.” Byes v. Astrue, 687 F.3d 913, 916 n.3 (8th Cir. 2012) (citing United States v. Grape, 549 F.3d 591, 593 n.2 (3d Cir. 2008)).

2 Pristiq is a “trademark for preparations of desvenlafaxine succinate.” Dorland’s Illustrated Medical Dictionary 1515 (32nd ed. 2012). Desvenlafaxine succinate is “used as an antidepressant.” Id. at 501.

3 Budeprion SR is a brand name of the antidepressant budpropion. See https:www.nlm.nih.gov/medlineplus/druginfo/ meds//a695033.html#brand-name-1 (last revised Feb. 15, 2016).

referred Sherman to Jennifer Bloomgren for a psychiatric evaluation, and she continued treating him thereafter.

In April 2013, on a form provided to her by New Hampshire Disability Determination Services, Bloomgren offered the following opinion concerning the degree to which Sherman’s ability to function was affected by his psychological, psychiatric, or behavioral problems:

Randy has difficulty with focus and concentration as well as significant issues with anxiety and irritability. He has difficulty sleeping at night making things worse. We have started an antipsychotic medication for mood stabilizing effects. Having difficult with weaning off Effexor XR.4 Anxiety still elevated w/difficulty w/sleep + irritability.

Tr. 206.

In July 2014, Dr. Moran drafted a letter, to whom it may concern, that expressed the following opinions concerning Sherman’s ability to work:

In my medical opinion, Mr. Sherman is not capable of standing or walking for longer than thirty minutes at a time due to chronic pain in his right leg. I believe that he is unable to stand or walk for more than two hours over an eight hour period. In addition, his chronic pain is contributing to depression, anxiety and PTSD. He is afraid of social situations and would have difficulty performing in a competitive work environment. . . .

4 Effexor is a “trademark for preparations of venlafaxine hydrochloride.” Dorland’s, supra note 2, at 595. Venlafaxine hydrochloride is “used as an antidepressant and antianxiety agent.” Id. at 2046.

I do not expect any significant improvement in his condition in the future. I consider him unemployable.

He remains the same or worse since his 12/07/2012 visit with me.

Tr. 234.5 After the Social Security Administration (“SSA”) denied Sherman’s application for benefits, he received a hearing before an Administrative Law Judge (“ALJ”). Subsequently, the ALJ issued a decision that includes the following relevant findings of fact and conclusions of law:

3. Through the date last insured, the claimant had the following severe impairments: affective disorder, status post leg fracture, alcohol abuse (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).

. . . .

5. After careful consideration of the entire record, I find that, through the date last insured, the claimant had the residual functional capacity to perform sedentary work as defined in 20 CFR 404.1567(a) except he has the ability to understand, remember, and carry out unskilled, simple tasks of 1-3

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