(SS) Sarishamshajian v. Commissioner of Social Security

District Court, E.D. California·Decided September 15, 2023·No. 1:22-cv-00499·Unknown

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF CALIFORNIA

GERVARGEZ SARISHAMSHAJIAN, Case No. 1:22-cv-00499-SKO Plaintiff,

v. ORDER ON PLAINTIFF’S SOCIAL KILOLO KIJAKAZI, Acting Commissioner of Social Security, (Doc. 1) _____________________________________/ Plaintiff Gervargez Sarishamshajian (“Plaintiff”) seeks judicial review of a final decision of the Commissioner of Social Security (the “Acting Commissioner” or “Defendant”) denying his application for Supplemental Security Income (SSI) under Title XVI of the Social Security Act (the “Act”), 42 U.S.C. § 1383(c). (Doc. 1.) The matter is currently before the Court on the parties’ briefs, which were submitted, without oral argument, to the Honorable Sheila K. Oberto, United States Magistrate Judge.1 Plaintiff protectively filed an application for SSI payments on November 27, 2019, alleging disability beginning March 22, 2017, due to neck pain, lower back pain, hearing loss, knee pain, anxiety, right hand nerve damage (unable to grasp), depression, sleep disorder, and acid reflux. (Administrative Record (“AR”) 15, 33, 51–52, 67–68, 72, 90–91, 165, 175.) Plaintiff was born on January 3, 1967, has at least a high school education, and has no past relevant work. (AR 23, 51, 67, 79, 165, 175.) A. Relevant Evidence of Record2 1. Medical Evidence In September 2019, Plaintiff attended an office visit at Golden Valley Health Center to establish care as a new patient. (AR 307.) He was seen by Family Nurse Practitioner Jennings Lee (“FNP Lee”), and he reported a history of lower back pain and arthritis in the right elbow and bilateral knee. (AR 307.) Plaintiff explained that his lower back pain was aggravated by bending, flexion, standing, and twisting, he could not stand and sit for long hours, and he was unable to get a job due to the pain. (AR 307.) A physical examination revealed that Plaintiff’s left-hand strength was at a four out of five, and tremors were present at the left upper and lower extremities. (AR 310.) FNP Lee ordered further diagnostic evaluations, including a MRI of the thoracic spine, the lumbar spine, and cervical spine. (AR 310–11.) The treatment notes from the visit listed FNP Lee as Plaintiff’s primary care provider. (See AR 312.) The MRI of Plaintiff’s cervical spine revealed severe central stenosis at C5-C6, and the MRI of his lumbar spine indicated multiple degenerative disc disease. (AR 302.) At a follow up visit, Plaintiff reported being unable to perform heavy lifting involving the lower back. (AR 302.) FNP Lee noted that Plaintiff likely had osteoarthritis and discussed treatment options with Plaintiff, including chronic pain medication, physical therapy, and surgery if his condition worsened. (AR 302, 304.) Over the next few months, Plaintiff saw other providers at Golden Valley Health Center, though his treatment notes still listed FNP Lee as his primary care provider. (See AR 296–98, 300– 01.) Plaintiff saw FNP Lee again in January 2020 and reported that his impairments affected his

2 Because the parties are familiar with the medical evidence, it is summarized here only to the extent relevant to the daily activities and he was still unable to work. (AR 383.) Plaintiff also indicated that he was denied physical therapy due to lack of improvement for previous sessions, and his pain was at an eight out of ten. (AR 383.) FNP Lee reviewed side effects of his medication regimen to treat pain related to cervical stenosis of the spinal canal. (AR 386.) Plaintiff was also screened for depression and anxiety. (AR 383.) Based on the screenings, FNP Lee listed Plaintiff’s depression and anxiety as severe. (AR 383.) FNP Lee referred Plaintiff to behavioral health services for further evaluation as soon as possible. (AR 386.) In February 2020, Plaintiff continued to report a pain of eight out of ten. (AR 377.) He also described feeling depressed because he was unable to work due to his chronic pain, and he requested medication to help control his depression. (AR 377.) FNP Lee conducted a physical examination, which revealed limited range of motion as to Plaintiff’s cervical spine due to pain. (AR 379.) FNP Lee advised Plaintiff to perform range of motion exercises and stretch to help support the affected area, and the provider refilled his pain medication. (AR 379–80.) FNP Lee also provided Plaintiff with guidance and medication to treat his depression. (AR 380.) Over the following few months, Plaintiff continued reporting chronic pain and he requested refills of his pain medication. (AR 363, 365, 373.) 2. Opinion Evidence On January 23, 2020, FNP Lee completed a questionnaire regarding Plaintiff’s diagnoses of cervical stenosis and degenerative disc disease of the lumbar spine. (AR 345.) Although FNP Lee deemed Plaintiff’s prognosis as stable, the provider also listed the expected duration of the conditions as permanent. (AR 345.) FNP Lee opined that Plaintiff was unable to work full-time or part-time, and he could not participate in agricultural work. (AR 345.) FNP Lee checked “Yes” in the box asking whether Plaintiff had a disability that would restrict his ability to perform certain tasks. (AR 345.) FNP Lee noted that Plaintiff’s limitations were his inability to lift and his right- hand weakness, and opined that the types of tasks Plaintiff could not perform were lifting, sitting, or standing for prolonged hours. (AR 345.) B. Administrative Proceedings The Commissioner denied Plaintiff’s application for benefits initially on April 7, 2020, and again on reconsideration on May 8, 2020. (AR 65–66, 79–81, 90–91, 99–100.) Plaintiff requested a hearing before an Administrative Law Judge (“ALJ”). (AR 105.) The ALJ conducted a hearing on March 1, 2021. (AR 30–50.) Plaintiff appeared at the hearing with counsel and testified. (AR 34–46.) A vocational expert (“VE”) also testified. (AR 46–48.) C. The ALJ’s Decision In a decision dated April 12, 2021, the ALJ found that Plaintiff was not disabled, as defined by the Act. (AR 15–25.) The ALJ conducted the five-step disability analysis set forth in 20 C.F.R. § 416.920. (AR 17–25.) The ALJ determined that Plaintiff had not engaged in substantial gainful activity since November 27, 2019, the application date (step one). (AR 17.) At step two, the ALJ found the impairment of degenerative disc disease to be severe. (AR 17.) Plaintiff did not have an impairment or combination of impairments that met or medically equaled one of the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1 (“the Listings”) (step three). (AR 20.) The ALJ then assessed Plaintiff’s residual functional capacity (“RFC”) and applied the RFC assessment at steps four and five. See 20 C.F.R. § 416.920(a)(4) (“Before we go from step three to step four, we assess your residual functional capacity . . . . We use this residual functional capacity assessment at both step four and step five when we evaluate your claim at these steps.”). The ALJ determined that Plaintiff had the RFC: to perform light work as defined in 20 CFR [§] 416.967(b) except occasionally climb, balance, stoop, kneel, crouch, and crawl; and frequently bilaterally finger. (AR 20.) Although the ALJ recognized that Plaintiff’s impairments “could reasonably be expected to cause the alleged symptoms[,]” the ALJ rejected Plaintiff’s subjective testimony as “not entirely consistent with the medical evidence and other evidence in the record . . . .” (AR 21.) The ALJ determined that Plaintiff had no past relevant work (step four) and that, given his RFC, he could perform a significant number of jobs in t

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