(SS)Stites-Mounts v. Commissioner of Social Security

CourtDistrict Court, E.D. California
DecidedAugust 7, 2023
Docket1:22-cv-00630
StatusUnknown

This text of (SS)Stites-Mounts v. Commissioner of Social Security ((SS)Stites-Mounts 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.

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(SS)Stites-Mounts 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 LINDA ELAINE STITES-MOUNTS, Case No. 1:22–cv–00630–SKO 9 Plaintiff,

10 v. ORDER ON PLAINTIFF’S SOCIAL SECURITY COMPLAINT 11 KILOLO KIJAKAZI, Acting Commissioner of Social Security, 12 Defendant. (Doc. 1) 13 _____________________________________/ 14 15 I. INTRODUCTION 16 17 Plaintiff Linda Elaine Stites-Mounts (“Plaintiff”) seeks judicial review of a final decision 18 of the Commissioner of Social Security (the “Commissioner” or “Defendant”) denying her 19 application for disability insurance benefits (“DIB”) under the Social Security Act (the “Act”). 20 (Doc. 1.) The matter is currently before the Court on the parties’ briefs, which were submitted, 21 without oral argument, to the Honorable Sheila K. Oberto, United States Magistrate Judge.1 22 II. BACKGROUND 23 Plaintiff was born on April 13, 1955, can communicate in English, has a high school 24 education, and previously worked as an executive assistant. (Administrative Record (“AR”) 26, 25 79, 90, 103, 199, 201, 202, 203, 217, 236, 644, 662.) Plaintiff filed a claim for DIB payments on 26 March 5, 2015, alleging she became disabled on July 1, 2013, due to the effects of back, knee, hip, 27 28 1 and joint pain, fibromyalgia, trigeminal neuralgia2, and breast cancer treatments. (AR 21, 23, 41, 2 79, 90, 91, 103, 104, 199, 200, 202, 217, 236, 632, 636, 640, 641, 677.) 3 Following a hearing, an Administrative Law Judge (ALJ) issued a written decision on 4 October 4, 2017, finding Plaintiff not disabled. (AR 16–28.) Plaintiff appealed the decision to the 5 district court, who, on March 19, 2020, remanded the case for further proceedings to evaluate the 6 third-party testimony and statements. (AR 711–25.) Upon remand, the Appeals Council directed 7 the assigned ALJ to offer Plaintiff the opportunity for a hearing and address the additional evidence 8 submitted, take any further action needed to complete the administrative record and issue a new 9 decision. (AR 728.) The ALJ held a hearing and issued a new written decision once again finding 10 Plaintiff not disabled. 11 A. Relevant Medical Evidence3 12 In February 2015, Plaintiff presented for an appointment with her primary care physician. 13 (AR 365–73.) She complained of dizziness and joint pain at her lower extremities. (AR 365.) 14 Plaintiff’s medications were adjusted to address knee pain and dizziness. (AR 373.) 15 In May 2015, Plaintiff presented for an orthopedic evaluation by Vincente R. Bernabe, D.O. 16 (AR 292–97.) Dr. Bernabe observed that Plaintiff had a normal tandem gait; she was able to 17 perform heel and toe walking without difficulty; she walked across the room without difficulty; 18 and she was able to ambulate without an assistive device. (AR 294.) He opined that Plaintiff could 19 perform medium exertional work, could frequently bend and stoops; and frequently perform agility 20 activities. (AR 297.) 21 Plaintiff underwent a psychological evaluation by J. Zhang, Psy.D., in August 2015. (AR 22 300–306.) No mental health treatment history was reported. (AR 301.) Plaintiff stated that she 23 has a “few friends” and “socializes regularly.” (AR 301.) Dr. Zhang noted that Plaintiff is able to 24 take care of her basic grooming and hygiene needs, drive herself, go out alone, pay bills and manage 25

26 2 Trigeminal neuralgia “is a chronic pain condition that affects the trigeminal or 5th cranial nerve, one of the most widely distributed nerves in the head . . .” and “causes extreme, sporadic sudden burning or shock-like facial pain that 27 lasts from a few seconds to two minutes per episode[.]” Elliott v. Life Ins. Co. of N. Am., Inc., No. 16-CV-01348- MMC, 2019 WL 2970843, at *3 (N.D. Cal. July 9, 2019) (internal quotation marks and citations omitted). 28 3 Because the parties are familiar with the medical evidence, it is summarized here only to the extent relevant to the 1 money appropriately and responsibly, and prepare simple meals. (AR 302.) Upon examination, 2 Plaintiff was able to perform the serial sevens exercise, perform simple calculations, and spell the 3 word “world” forward, but not backwards. (AR 302.) Her performance on the Wechsler Memory 4 Scale (4th edition) showed that her memory was mildly impaired. (AR 304–305.) Dr. Zhang’s 5 evaluation “did not find any significant mental impairment” and they opined only mild impairments 6 in mental functional areas. (AR 305–06.) 7 Plaintiff attended a cardiology consult in October 2015. (AR 550–54.) Her fibromyalgia 8 diagnosis was noted (AR 550), and she was treated with Lyrica, but experienced edema (AR 550). 9 In June 2016, Plaintiff presented for a follow-up appointment after treatment for breast 10 cancer. (AR 610–11.) She reported that she “fatigues readily, but has good days and bad days, 11 which she attributes to her fibromyalgia.” (AR 610.) 12 A physical examination by an orthopedist in March 2017 showed Plaintiff was alert, 13 cooperative, and fully oriented. (AR 943.) In April 2017, Plaintiff established care with an arthritis 14 specialist for evaluation of polyarthralgia. (AR 1165–66.) She complained of morning time joint 15 stiffness. (AR 1165.) Upon examination, no synovitis was found, but multiple tender soft tissue 16 points were noted. (AR 1166.) Her muscle strength was intact. (AR 1166.) 17 Plaintiff presented for a follow-up appointment with an arthritis specialist in June 2017. 18 (AR 1171–72.) She complained of dull and burning pain in her legs that was rated an 8/10. (AR 19 1171.) Upon examination, bilateral knee crepitus was noted, as well as multiple soft tissue points. 20 (AR 1171.) No synovitis was indicated, and Plaintiff’s muscle strength was intact. (AR 1171.) It 21 was noted that Plaintiff was taking Gabapentin for fibromyalgia. (AR 1171.) 22 In August 2017, Plaintiff reported to her physical therapist that she would be “out of town 23 for the next couple of weeks.” (AR 966.) 24 In January 2018, Plaintiff presented for another appointment with the arthritis specialist. 25 (AR 1173–74.) She reported feeling “worse [and] unable to function.” (AR 1173.) She 26 complained of dull, sharp, constant, and burning diffuse body pain that is worse with activity. (AR 27 1173.) Plaintiff rated the pain a 7/10. (AR 1173.) Her physical examination results were the same 28 as the prior visit. (AR 1173–74.) In May 2018, Plaintiff’s oncologist documented that Plaintiff 1 had normal mood and intact cognition. (AR 1279–80.) She was also noted to be “completely 2 ambulatory.” (AR 1279.) 3 Plaintiff again presented to the arthritis specialist in August 2018. (AR 1117–18.) She 4 complained of fatigue, joint pain, joint swelling, muscle pain, muscle weakness, skin rash when 5 exposed to sun, tingling, and numbness. (AR 1177.) Plaintiff rated her pain a 5-6/10. (AR 1177.) 6 Her physical examination results remained unchanged. (AR 1178.) 7 In November 2018, Plaintiff returned to the arthritis specialist complaining of dull, sharp, 8 and constant diffuse body pain that is worse with activity. (AR 1182.) Plaintiff rated the pain an 9 8/10. (AR 1182.) Her physical examination results remained unchanged. (AR 1182.) 10 Later that month, Plaintiff presented to an oncology specialist complaining of left knee pain. 11 (AR 1288–90.) Upon examination, Plaintiff had normal sensation and muscle tone, with full 12 muscle strength. (AR 1289.) Her pulses were normal in her upper and lower extremities, and no 13 joint swelling, deformity, edema, cyanosis, or clubbing was noted. (AR 1289.) Plaintiff denied 14 anxiety, depression, hallucinations, and paranoia. (AR 1288.) She was noted to be “completely 15 ambulatory.” (AR 1288, 1289.) 16 In December 2018, an examination by Plaintiff’s cardiology specialist indicated Plaintiff 17 had “[n]o psychological symptoms” and exhibited euthymic mood.

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