Simon v. Kijakazi

CourtDistrict Court, M.D. Pennsylvania
DecidedMay 21, 2024
Docket1:23-cv-01363
StatusUnknown

This text of Simon v. Kijakazi (Simon v. Kijakazi) 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
Simon v. Kijakazi, (M.D. Pa. 2024).

Opinion

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

TAMANTHA DAWN SIMON, : Civil No. 1:23-CV-1363 : Plaintiff, : : v. : : (Magistrate Judge Bloom) MARTIN O’MALLEY, : Commissioner of Social Security,1 : : Defendant. :

MEMORANDUM OPINION

I. Introduction Tamantha Simon filed an application for disability and disability insurance benefits on October 24, 2020. Following an initial hearing before an Administrative Law Judge (“ALJ”), the ALJ found that Simon was not disabled from her amended onset date of disability of January 20, 2020, through June 2, 2022, the date of the ALJ’s decision. Simon now appeals this decision, arguing that the ALJ’s decision is not supported by substantial evidence. After a review of the record, and

1 Martin O’Malley was appointed as the Commissioner of the Social Security Administration on December 20, 2023. Accordingly, pursuant to pursuant to Rule 25(d) of the Federal Rules of Civil Procedure and 42 U.S.C. § 405(g), Martin O’Malley is substituted for Kilolo Kijakazi as the defendant in this suit. mindful of the fact that substantial evidence “means only—‘such relevant evidence as a reasonable mind might accept as adequate to support a

conclusion,’” , 139 S. Ct. 1148, 1154 (2019), we conclude that substantial evidence supported the ALJ’s findings in this case. Therefore, we will affirm the decision of the Commissioner denying

this claim. II. Statement of Facts and of the Case

Tamantha Simon filed for disability and disability insurance benefits, alleging disability due to chronic pain, back injury, status post auto accident, depression, and anxiety. (Tr. 92). She initially alleged an

onset date of disability of January 24, 2019, which was later amended to January 20, 2020. (Tr. 61, 92). Simon was closely approaching advanced age at the time of her alleged onset of disability and had past relevant

work as a medical coder and biller. (Doc. 10 at 2; Tr. 34). The medical record indicates that Simon suffered from lower back and neck pain following two motor vehicle accidents in 2018 and 2019,

prior to her amended onset date of disability. In May of 2018, Simon was involved in a motor vehicle accident in which another driver rear-ended

2 her vehicle. (Tr. 470). She suffered a neck injury that required surgery. (Tr. 481). In January of 2019, it was reported that following her surgery,

she had some continuing pain around her neck, but she was 80% better and “overall fe[lt] excellent.” ( ). On examination, she exhibited intact range of motion and 5/5 strength in her bilateral upper extremities. (Tr.

482). Treatment notes from follow up appointments around this time noted that Simon was improving, and in May of 2019, she reported

working full time. (Tr. 484, 486, 490-92). However, in August of 2019, Simon was involved in a second motor vehicle accident and subsequently reported an exacerbation of her neck pain. (Tr. 457, 509). She underwent

interlaminar epidural steroid injections in September, and in October, she reported some relief in her left extremities but only 50% relief in her right extremeties. (Tr. 518). She also attended physical therapy, although

she was discharged in October of 2019 after she expressed a desire to discontinue care. (Tr. 420-21). In December of 2019, just prior to the relevant period, Simon

presented to OSS Health, at which time she requested to cancel another injection and instead increase her pain medication. (Tr. 526). Around this

3 time, Simon was also treated for lower back pain. (Tr. 530). It was noted that she had experienced some relief from injections in July, but that the

pain was returning. ( ). On examination, she exhibited normal strength in her lower extremities and mild tenderness. (Tr. 532). Her provider recommended she receive interlaminar lumbar epidural steroid

injections. ( ). Simon followed up with OSS in January of 2020 for a post-op visit

after her neck surgery. (Tr. 543). Treatment notes indicated that she was doing well, and her strength was improving, although she was experiencing some discomfort using a computer and exercising. ( ). On

examination, she had intact strength and range of motion in her bilateral upper extremities, and imaging showed well-healed fusion from C4-C5 and C5-C6 and no acute abnormalities. (Tr. 544). However, her provider

ordered an ultrasound of her neck due to some swelling around the incision. (Tr. 545). The ultrasound showed no focal abnormalities. (Tr. 547). At a follow-up in February, Simon’s provider noted that she was

“doing excellent.” (Tr. 548). In June, it was noted that her overall function and pain had improved. (Tr. 555). Simon also complained of wrist pain in

4 June and was diagnosed with mild carpal tunnel syndrome. (Tr. 561-63). Her provider recommended conservative treatment consisting of wearing

a splint at night for six weeks. (Tr. 563). Simon treated with physical therapy throughout the summer of 2020. (Tr. 372-414). Her initial evaluation noted her motor vehicle

accidents and history of back and neck pain, as well as headaches. (Tr. 414). Simon reported difficulty with sitting, standing, and walking. ( ).

In July, she noted pain relief after she had an injection but worsening pain between her shoulder blades. (Tr. 385). Her therapist noted that she had made steady progress from therapy with improvements in her range

of motion, strength, and decreased pain, although she continued to exhibit deficits in flexibility, gait, and endurance. (Tr. 382). Simon was ultimately discharged from therapy in August after several no-show

appointments, although it was noted that her progress and tolerance to treatment were good. (Tr. 372). In October of 2020, Simon complained of continued neck and back

pain despite having undergone injections in May and June. (Tr. 574). An x-ray of her cervical spine showed disc herniation and postoperative

5 changes but no significant neural foraminal compromise or spinal stenosis. (Tr. 576). Her provider ordered a cervical MRI, as her symptoms

had progressed since her last visit. (Tr. 576-77). Following an MRI and a CT scan, her provider recommended surgical intervention, and Simon underwent surgery in November of 2020. (Tr. 581-82). At a follow-up

appointment in December, Simon reported some swelling and difficulty swallowing, and her pain was being treated with oxycodone. (Tr. 584).

However, one week later, she presented in a slight amount of distress and pain and was sent to the emergency room. (Tr. 586-87). Treatment notes from the emergency department indicate that Simon was admitted

with sepsis secondary to a MRSA surgical site infection. (Tr. 720). In January of 2021, at her six-week follow up appointment, Simon was noted to be “doing quite well,” and she reported feeling like she had

made good progress. (Tr. 1072). On examination, she had good strength in her bilateral upper extremities and 5/5 grip strength. ( ). In March, treatment notes indicate that Simon experienced 100% relief since

surgery, and that she was doing well. (Tr. 1076-78). An examination

6 revealed great strength in her upper extremities, intact sensory examination, and that Simon was ambulating well. (Tr. 1077).

Simon underwent an internal medicine examination with Dr. Ahmed Kneifati, M.D., in April of 2021. (Tr. 1081-94). Dr. Kneifati’s examination revealed a normal gait, an ability to walk on heels and toes

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