Tejeda v. Saul

CourtDistrict Court, N.D. Illinois
DecidedFebruary 5, 2020
Docket3:18-cv-50288
StatusUnknown

This text of Tejeda v. Saul (Tejeda v. Saul) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tejeda v. Saul, (N.D. Ill. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF ILLINOIS WESTERN DIVISION

Cynthia T. ) ) Plaintiff, ) ) Case No. 18 CV 50288 v. ) ) Magistrate Judge Lisa A. Jensen Andrew Marshall Saul, ) Commissioner of Social Security, ) ) Defendant. )

MEMORANDUM OPINION AND ORDER1 Plaintiff Cynthia T. appeals a denial of disability benefits. Her appeal centers on her visual and mental health impairments. For the reasons set forth below, plaintiff’s motion for summary judgment is denied, the Government’s motion for summary judgment is granted, and the decision of the ALJ is affirmed. BACKGROUND Plaintiff suffers from a variety of medical issues including fibromyalgia, cervicalgia, and obesity. R. 16. However, because plaintiff’s appeal focuses exclusively on her visual and mental impairments, the Court will limit its factual summary accordingly. Plaintiff has complained of “macular problems” since 2006. R. 621. In April 2013, plaintiff was referred to ophthalmologist Dr. Michael Ip at the University of Wisconsin. R. 620. Dr. Ip measured visual acuity of 20/25 in the right eye and 20/20 in the left eye. R. 623. In describing her vision to Dr. Ip, plaintiff stated that “lines were stretched out” and “a little wavy

1 The Court will assume the reader is familiar with the basic Social Security abbreviations and jargon. still but . . . better.” Id. She also complained of a “blurry spot” in the middle. Id. Dr. Ip diagnosed plaintiff with macular dystrophy and cataracts in both eyes. Id. In January 2014, Dr. Jonathan O’Neil noted plaintiff’s eyes were “[n]egative for photophobia, pain, discharge, redness, itching and visual disturbance.” R. 1131. A few months later in May 2014, plaintiff visited Dr. Ip again and complained of increased light sensitivity but

no pain. R. 1357. Plaintiff’s diagnoses of macular dystrophy and cataracts in both eyes remained unchanged, and her visual acuity was 20/25 in both eyes. Id. Next month, plaintiff saw Dr. Michael Paxhia who found that plaintiff had best corrected visual acuity of 20/25 in both eyes. R. 1341. He also identified paracentral scotomas on her visual field, and plaintiff’s retinal evaluation revealed areas of central atrophy. Id. After noting plaintiff’s previous diagnosis of cone dystrophy, Dr. Paxhia opined that there was no known treatment or cure and that it was gradually progressive, affecting central and color vision. Id. In July 2014, plaintiff’s visual acuity was 20/20 for both eyes. R. 1348. And in November 2014, plaintiff saw Dr. T. Michael Nork who wrote a progress note describing an

electrophysiologic evaluation for plaintiff. R. 1364. Dr. Nork opined that plaintiff had a normal full-field electroretinography (“ERG”) and nearly normal multifocal ERG, except for mild central depression. Id. These ERGs were consistent with the anatomic appearance of plaintiff’s macula and her macular dystrophy diagnosis. Id. In June and August 2015, Dr. Hosni Begum noted that plaintiff denied any blurry vision or double vision. R. 1454, 1464. A year later in June 2016, plaintiff saw Dr. Herbert Becker who noted “Macular Dystrophy, OS>OD, light sensitivity.” Plaintiff’s visual acuity was 20/20 in the right eye and 20/25 in the left eye. R. 1509. On the side of his report, Dr. Becker wrote nonspecific changes and repeat in six months. R. 1508. The administrative law judge (“ALJ”) held an initial hearing on May 20, 2016 and a supplemental hearing on April 5, 2017 to allow more medical evidence to be entered. At the initial hearing, plaintiff testified that she stopped driving in October 2014 because the brightness of the sun during the day and the brightness of the lights from cars during the night made it unsafe to drive. R. 99. She also has to print everything on color paper because white paper is too

bright. Id. Plaintiff testified that the bright lights generally hurt her eyes and give her headaches. R. 103. She also cannot distinguish between dark colors like black, brown, purple, and blue. R. 104. At the supplemental hearing, she testified that her vision “declined” since the last hearing. R. 43. She still has problems with colors and bright lights, and she cannot read large print for more than fifteen to twenty minutes because the lines get wavy. R. 44. Plaintiff also complained that she cannot do the dishes because she cannot see the dirty spots. Id. Dr. Jerda Riley, a board-certified ophthalmologist and impartial medical expert, testified at the supplemental hearing and responded to two sets of medical interrogatories. Dr. Riley identified plaintiff’s previous cone dystrophy diagnosis but thought that it was significant that

her vision had remained pretty decent and her central vision had remained intact. R. 50. Plaintiff’s vision remained 20/20 in the right eye and 20/25 in the left eye from 2014 through the last recorded exam in 2016. R. 50–51, 1509. Dr. Riley opined that there was no central scotoma or blind spots. R. 51. Dr. Riley noted that Dr. Becker’s notes indicated macular dystrophy, and it was nonspecific. Id. According to Dr. Riley, nonspecific meant that Dr. Becker could not identify any central scotoma “to go along with cone dystrophy.” R. 54. In other words, while plaintiff has nonspecific macular dystrophy, Dr. Becker’s notes were not specific to cone dystrophy. R. 53. Dr. Riley noted that Dr. Becker wanted retesting in six months. R. 55. According to Dr. Riley, macular dystrophy can be progressive, but it can also be stationary. R. 53. Plaintiff’s visual acuity showed that, from 2014 to her last exam in 2016, there was no macular dystrophy progression and her visual acuity had not worsened. Id. Based on her review of the complete medical record and plaintiff’s testimony, Dr. Riley determined the following visual limitations: she should work in situations where she could wear tinted glasses but can function with large, medium, and small objects; she should avoid ordinary hazards; she should

avoid constant precision detailed work. R. 56–57. A vocational expert (“VE”) also testified at the supplemental hearing. Relevant to this appeal, the ALJ asked the VE: “And is there any problem with wearing tinted glasses when exposed to bright light, in your opinion, for these jobs?” R. 70. The VE answered, “No.” Id. The ALJ asked for the VE’s basis, to which the VE responded, “Well, one, people – the people wear sunglasses in bright conditions all the time. I don’t think people have a problem with it as long as you perform a job.” Id. The VE was also asked if wearing tinted glasses when exposed to bright light indoors would not be a problem, to which the VE responded, “Well, I don’t think there are any bright lights indoors in these two jobs.” R. 71. Later, the ALJ asked the VE whether the need

to wear tinted glasses would affect the availability of jobs. R. 71. The VE answered, “No, it would not impact these jobs at all, no.” Id. The VE also testified that his testimony was consistent with the Dictionary of Occupational Titles (“DOT”). R. 65. Plaintiff’s attorney later questioned the VE but never raised any potential conflict between the VE’s testimony and the DOT. Regarding plaintiff’s mental health impairments, she has sought treatment at Rosecrance since January 2012. In January 2012, she was diagnosed with major depressive disorder, panic disorder without agoraphobia, and personality disorder. R. 402. In February 2016, she was diagnosed with bipolar I disorder, posttraumatic stress disorder (“PTSD”), and borderline personality disorder. R. 1521. On May 13, 2014, plaintiff was examined by Dr. Julie Harris, Psy. D. for a consultative examination. R. 1333–36. She documented that plaintiff was “oriented to person, place and situation” and that she was able to recall several facts when engaging in memory testing. R. 1335. Dr. Harris opined that plaintiff did not need assistance in regard to managing funds on her behalf. Id.

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Tejeda v. Saul, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tejeda-v-saul-ilnd-2020.