(SS) Hernandez Gonzalez v. Commissioner of Social Security

CourtDistrict Court, E.D. California
DecidedSeptember 21, 2023
Docket1:21-cv-01676
StatusUnknown

This text of (SS) Hernandez Gonzalez v. Commissioner of Social Security ((SS) Hernandez Gonzalez v. Commissioner of Social Security) is published on Counsel Stack Legal Research, covering District Court, E.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
(SS) Hernandez Gonzalez v. Commissioner of Social Security, (E.D. Cal. 2023).

Opinion

1 2 3 4 5 UNITED STATES DISTRICT COURT 6 EASTERN DISTRICT OF CALIFORNIA 7

8 REINA HERNANDEZ GONZALEZ, Case No. 1:21-cv-01676-SKO 9 Plaintiff,

10 v. ORDER ON PLAINTIFF’S SOCIAL 11 SECURITY COMPLAINT KILOLO KIJAKAZI, 12 Acting Commissioner of Social Security, 13 Defendant. (Doc. 1) _____________________________________/ 14

15 16 I. INTRODUCTION 17 18 Plaintiff Reina Hernandez Gonzalez (“Plaintiff”) seeks judicial review of a final decision of 19 the Commissioner of Social Security (the “Commissioner” or “Defendant”) denying her application 20 for disability insurance benefits (“DIB”) under Title II of the Social Security Act (the “Act”). (Doc. 21 1.) The matter is currently before the Court on the parties’ briefs, which were submitted, without 22 oral argument, to the Honorable Sheila K. Oberto, United States Magistrate Judge.1 23 II. BACKGROUND 24 Plaintiff was born on September 6, 1963, completed high school, and previously worked as 25 a fast food worker and nut sorter. (Administrative Record (“AR”) 52–53, 69, 91, 106, 108, 130, 26 132, 377, 620–21.) Plaintiff filed a claim for DIB on May 29, 2018, alleging she became disabled 27 on August 24, 2016, due to a back injury. (AR 21, 91–92, 108–10, 139, 164, 170, 175, 377.) 28 1 A. Relevant Evidence of Record2 2 1. Medical Evidence 3 Plaintiff has a past medical history of rheumatoid arthritis. (AR 1670.) In September 2015, 4 she presented to a rheumatologist and indicated she was taking Humira and Methotrexate for the 5 condition. (AR 1670.) Plaintiff reported good control of her arthritis symptoms on this medication 6 regimen and no major flareups. (AR 1670.) The provider noted Plaintiff had laboratory tests with 7 positive rheumatoid factor, a positive anti-CCP, and a positive SSA antibody. (AR 1670.) Pursuant 8 to an examination, the provider noted there was no visible synovitis in Plaintiff’s joints. (AR 1672.) 9 Plaintiff was directed to continue with her medications, update her laboratory tests, and return in two 10 months for a follow-up. (AR 1672.) 11 At the follow-up appointment, Plaintiff continued reporting satisfaction with her current 12 regimen and no major flareups. (AR 1674.) She stated that she was using hydrocodone up to twice 13 a day for breakthrough joint pain. (AR 1674.) Her updated laboratory tests were within normal 14 limits. (AR 1674.) In January 2016, Plaintiff reported good control of her symptoms with 15 medication and no major flareups, and her laboratory tests continued to be normal. (AR 1678.) 16 In March 2016, Plaintiff reported residual stiffness in her third fingers bilaterally, but 17 otherwise, she indicated she was doing better. (AR 1682.) The provider noted that her last 18 laboratory tests indicated her Vitamin D level was somewhat low. (AR 1682.) The provider 19 diagnosed Plaintiff with a Vitamin D deficiency and adjusted her medications, noting that she had 20 already started taking a Vitamin D replacement. (AR 1685–86.) By April 2016, Plaintiff indicated 21 she had stable control of her arthritis symptoms. (AR 1687.) 22 In July 2016, Plaintiff reported that she ran out of Methotrexate three weeks prior and her 23 pain had gotten worse. (AR 1691.) She explained that her pain was under fair control when she was 24 taking the Methotrexate. (AR 1691.) The provider refilled her prescription for Methotrexate (AR 25 1692), and when Plaintiff returned in August 2016, she indicated the current regimen continued to 26 result in good control of her symptoms (AR 1693). 27

28 2 Because the parties are familiar with the medical evidence, it is summarized here only to the extent relevant to the 1 Though Plaintiff reported hurting her back at work around August 2016, as for her 2 rheumatoid arthritis, Plaintiff continuously indicated stable control of her symptoms on the current 3 medication regimen over the following few years. (AR 1693, 1697, 1701, 1704, 1706, 1710–14, 4 1718.) For example, an x-ray of Plaintiff’s hands and wrists taken in October 2018 revealed no 5 osseous erosion, no significant arthropathy or acute abnormality, and no visible soft tissue swelling. 6 (AR 1806–07.) By September 2019, the provider noted Plaintiff had normal gait and no synovitis 7 was visible. (AR 2232.) 8 2. Opinion Evidence 9 In September 2018, Leslie E. Arnold, M.D., a state agency physician, reviewed the record 10 and assessed Plaintiff’s residual functional capacity (RFC).3 (AR 103–07.) Dr. Arnold opined, inter 11 alia, that Plaintiff could lift and/or carry 50 pounds occasionally and 25 pounds frequently. (AR 12 103, 105.) Dr. Arnold also opined that Plaintiff could sit, stand, and walk for six hours out of an 13 eight-hour day, and she could frequently climb ramps and stairs, balance, stoop, kneel, crouch, or 14 crawl. (AR 103–05.) Dr. Arnold further opined that Plaintiff could occasionally climb ladders, 15 ropes, or scaffolds. (AR 104–05.) 16 Upon reconsideration, another state agency physician, D. Tayloe, M.D., reviewed the record 17 and agreed with Dr. Arnold’s assessments. (See AR 125–28, 131.) 18 B. Administrative Proceedings 19 The Commissioner denied Plaintiff’s application for benefits initially on September 14, 20 2018, and again on reconsideration on January 10, 2019. (AR 107–08, 131–32, 139, 164, 170, 175.) 21 Consequently, Plaintiff requested a hearing before an Administrative Law Judge (“ALJ”). (AR 182– 22 83.) The ALJ conducted a hearing on July 23, 2020. (AR 63–90.) Plaintiff appeared at the hearing 23 with her attorney representative and testified as to her alleged disabling conditions and work history. 24

25 3 RFC is an assessment of an individual’s ability to do sustained work-related physical and mental activities in a work setting on a regular and continuing basis of 8 hours a day, for 5 days a week, or an equivalent work schedule. TITLES 26 II & XVI: ASSESSING RESIDUAL FUNCTIONAL CAPACITY IN INITIAL CLAIMS, Social Security Ruling (“SSR”) 96-8P (S.S.A. July 2, 1996). The RFC assessment considers only functional limitations and restrictions that result from an 27 individual’s medically determinable impairment or combination of impairments. Id. “In determining a claimant’s RFC, an ALJ must consider all relevant evidence in the record including, inter alia, medical records, lay evidence, and 28 ‘the effects of symptoms, including pain, that are reasonably attributed to a medically determinable impairment.’” 1 (AR 69–83.) In a decision dated August 18, 2020, the ALJ rejected Plaintiff’s application for DIB 2 payments, assessing an RFC of medium work with additional mental and physical restrictions. (AR 3 133–56.) 4 Plaintiff appealed the adverse determination and on November 9, 2020, the Appeals Council 5 granted Plaintiff’s appeal, remanding her claim for a new hearing. (AR 157–63.) The ALJ 6 conducted a hearing on April 1, 2021. (AR 45–62.) A Vocational Expert (“VE”) testified at the 7 hearing.4 (AR 53–60.) 8 C. The ALJ’s Decision 9 In a decision dated April 15, 2021, the ALJ found that Plaintiff was not disabled, as defined 10 by the Act. (AR 21–35.) The ALJ conducted the five-step disability analysis set forth in 20 C.F.R. 11 § 404.1520. (AR 23–35.) The ALJ decided that Plaintiff met the insured status requirements of the 12 Act through December 31, 2021, and she had not engaged in substantial gainful activity since August 13 24, 2016, the alleged onset date (step one). (AR 23–24.) At step two, the ALJ found Plaintiff’s 14 following impairments to be severe: degenerative disc disease of the lumbar spine, rheumatoid 15 arthritis, and depressive disorder. (AR 24.) Plaintiff did not have an impairment or combination of 16 impairments that met or medically equaled one of the listed impairments in 20 C.F.R. Part 404

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(SS) Hernandez Gonzalez v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ss-hernandez-gonzalez-v-commissioner-of-social-security-caed-2023.