SOTO v. COMMISSIONER OF SOCIAL SECURITY

CourtDistrict Court, D. New Jersey
DecidedOctober 4, 2022
Docket3:21-cv-02816
StatusUnknown

This text of SOTO v. COMMISSIONER OF SOCIAL SECURITY (SOTO v. COMMISSIONER OF SOCIAL SECURITY) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
SOTO v. COMMISSIONER OF SOCIAL SECURITY, (D.N.J. 2022).

Opinion

*NOT FOR PUBLICATION*

UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY

MIGUEL A. SOTO,

Plaintiff, Civil Action No. 21-02816 (FLW) v. OPINION KILOLO KIJAKAZI, Acting Commissioner of Social Security,

Defendant.

WOLFSON, Chief Judge:

Miguel A. Soto (“Plaintiff”) appeals from the final decision of the Acting Commissioner of Social Security, Kilolo Kijakazi (“Defendant”), denying Plaintiff’s application for disability under Title II of the Social Security Act (the “Act”). After reviewing the Administrative Record (“A.R.”), the Court finds that the Administrative Law Judge’s (“ALJ”) decision was based on substantial evidence, and accordingly, the ALJ’s decision is AFFIRMED. I. FACTUAL BACKGROUND AND PROCEDURAL HISTORY

Plaintiff, born on September 4, 1960, was 51 years old on his alleged disability onset date of November 30, 2011.1 On June 17, 2013, Plaintiff filed a Title II application for a period of disability alleging pain arising from a back injury. (A.R. 168-69; 184.) The application was denied initially and on reconsideration. (A.R. 69-91; 92-95.) Plaintiff then filed a written request for a hearing before an administrative law judge, which was held on March 6, 2015 (“March Hearing”). (A.R. 41-68.) On May 26, 2015, the ALJ issued a written decision, finding that Plaintiff was not

1 To be clear, Plaintiff filed a subsequent application for disability on March 7, 2017, and he was found disabled as of May 27, 2015 (A.R. 500.) Therefore, it appears that Plaintiff is currently receiving disability benefits, and the relevant period in this case is November 30, 2011 to May 26, 2015. (A.R. 500.) disabled. (A.R. 22-40.) Plaintiff requested review of the ALJ’s decision by the Appeals Council, which was denied on November 30, 2016. (A.R. 1-9.) Plaintiff then filed a Complaint in this District, and the Hon. Kevin McNulty, U.S.D.J., vacated the ALJ’s decision and remanded the matter on January 10, 2018. (A.R. 592.) The court

found that the “only issue requiring attention on remand is Dr. [Bruce R.] Rosenblum’s opinion that Mr. Soto will likely be absent from work for four days or more per month.” Soto v. Comm’r of Soc. Sec., No. 17-89, 2018 WL 355138, at *7 (D.N.J. Jan. 10, 2018) (hereinafter “Soto I”). Specifically, as to this issue, Plaintiff argued that the ALJ did not consider Dr. Rosenblum’s opinion that he will likely miss more than four days of work per month. Id. at *5. The court noted that this opinion was found in Dr. Rosenblum’s “Medical Source Statement of Ability to Do Work–Related Activities,” which was a form consisting mostly of check boxes with small areas for comments. Id. Although the court acknowledged that these forms are typically attributed minimal weight, it also explained that when the ALJ’s determination conflicts with the opinion of a treating physician, the ALJ must make clear on the record his or her reasons for rejecting the

opinion of the treating physician. Id. at *6. Thus, because the ALJ did not address the absenteeism issue or offer any reason for rejecting the opinion of Dr. Rosenblum, the court found that the ALJ must address this issue on remand. Id. The District Court further stated that it “did not take a position, express or implied, as to whether there should or should not be a finding of disability on remand; that is for the SSA to determine.” Id. at *7. After remand, a second hearing occurred on July 13, 2018 (“July Hearing”), at which time the ALJ considered only the discrete issue of Dr. Rosenblum’s opinion that Plaintiff would likely be absent from work for four days, or more, per month. On November 7, 2018, the ALJ, again, determined that Plaintiff was not disabled under the relevant statutes. (A.R. 494-516.) Plaintiff requested review of the ALJ’s decision by the Appeals Council, which was denied on December 16, 2020. A. Review of Medical Evidence i. Physical Impairments

Plaintiff’s back issues arose in April 2010, when he underwent lumbar decompression surgery. (A.R. 253; 384.) Neurologist Bruce R. Rosenblum, M.D. released Plaintiff back to work effective June 21, 2010, for light duty, i.e., lifting no more than 20 pounds. (A.R. 300.) Around that same time, Plaintiff stated that he could live with his condition and would return to work on December 12, 2011; however, he indicated that he would need to look for a job because his company had closed and relocated (A.R. 294.) On March 15, 2012, while still out of work, Plaintiff was involved in a car accident, which exacerbated his back issues. (A.R. 293.) On March 26, 2012, he reported to Dr. Rosenbaum that he had been experiencing low back pain since the day following the accident, and several weeks later, on April 17, 2012, Dr. Rosenblum reported that Plaintiff had a positive straight leg raising

test at 45 degrees on the right leg. (A.R. 292.) As a result, Dr. Rosenbaum recommended physical therapy. (Id.) On September 4, 2012, pain management physician, Carmen Quinones, M.D., examined Plaintiff, at which time he reported sharp pain in his mid-lower back. Plaintiff attempted physical therapy for four weeks, but he did not find relief from his pain. (A.R. 341.) However, Dr. Quinones reported that straight leg raising tests performed on Plaintiff were negative bilaterally and his sensation to light touch and pinprick in the lower extremities was intact. Further, Plaintiff’s muscle strength in the left lower extremity was 5/5, and his muscle strength in the right lower extremity was at least 4/5. Plaintiff’s gait was described as normal. (A.R. 342.) Dr. Quinones prescribed Percocet and epidural steroid injections (A.R. 342.) On November 19, 2012, Plaintiff reported that the steroid injection had improved his condition slightly, but Dr. Quinones noted that he still complained of axial pain. (A.R. 333.) Dr.

Quinones also advised Plaintiff to continue taking Percocet, and on December 4, 2012, Plaintiff underwent a right L3-L4 medial branch block and L5 dorsal ramus block, which he claimed relieved his pain by 70% for one week. (A.R. 331; 334.) On December 17, 2012, Dr. Quinones recommended that Plaintiff undergo a lumbar radiofrequency ablation, but Plaintiff’s insurance company initially denied the procedure. (A.R. 329; 332.) During an examination on April 29, 2013, Plaintiff presented with limited range of motion, and back pain, but displayed a normal gait, full strength, intact sensation, and normal reflexes. (A.R. 329.) In addition, his straight leg raising test was negative. (A.R. 329.) On October 7, 2013, following an appeal to his insurance company, Plaintiff underwent radiofrequency ablation (A.R. 436-383.)

On April 29, 2014, Dr. Rosenblum noted that Plaintiff had pain when extending the lumbosacral junction, but he exhibited no motor deficits and negative straight leg raising tests. (A.R. 421.) Based on his review of Plaintiff’s recent MRI studies, Dr. Rosenblum also found “no obvious source for his left lateralizing symptomology.” (A.R. 421.) Specifically, an MRI of Plaintiff’s lumbar spine from April 22, 2014, showed “stable postsurgical change on the right at L2/L3” and “stable central and slightly left paracentral disc herniation at Ll/L2,” with “no other significant abnormalities.” (A.R. 366.) On June 4, 2014, Plaintiff attended a neurological consultation with Paul M. Kostoulakos, D.O. (A.R. 354-56.) Dr. Kostoulakos reported that Plaintiff was in no “acute distress” and that he had normal strength in his upper and lower extremities, diminished deep tendon reflexes in the right patella and the bilateral Achilles’ tendons, and intact sensation. (A.R. 355.). Specifically, Plaintiff was able to toe walk, heel walk, and tandem walk “without difficulty.” (A.R. 355.) While Dr. Kostoulakos prescribed Lyrica and a Medrol Dosepak, and requested an EMG of Plaintiff’s

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SOTO v. COMMISSIONER OF SOCIAL SECURITY, Counsel Stack Legal Research, https://law.counselstack.com/opinion/soto-v-commissioner-of-social-security-njd-2022.