Thao v. Kijakazi

CourtDistrict Court, D. Minnesota
DecidedSeptember 11, 2023
Docket0:22-cv-01992
StatusUnknown

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

Bluebook
Thao v. Kijakazi, (mnd 2023).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF MINNESOTA

Gaoee T., Case No. 22-CV-1992 (JFD)

Plaintiff,

v. ORDER

Kilolo Kijakazi, Acting Commissioner of Social Security,

Defendant.

Pursuant to 42 U.S.C. § 405(g), Plaintiff Gaoee T. seeks judicial review of a final decision by the Defendant Commissioner of Social Security denying her applications for disability insurance benefits (“DIB”) and supplemental security income (“SSI”). The matter is now before the Court on Plaintiff’s Brief (Dkt. No. 11) and Defendant’s Motion for Summary Judgment (Dkt. No. 14). Plaintiff seeks reversal of the final decision of the Acting Commissioner of the Social Security Administration (“SSA”) on the following grounds: (1) the Administrative Law Judge (“ALJ”) did not fully and fairly develop the record concerning Plaintiff’s cognition and memory; (2) the ALJ failed to account for a limitation opined by a medical source whom the ALJ deemed persuasive; and (3) the ALJ was not constitutionally appointed. Defendant opposes Plaintiff’s motion and asks the Court to affirm the final decision. For the reasons set forth below, the Court concludes that the ALJ did not fully and fairly develop the record concerning Plaintiff’s cognition and memory. Therefore, the Court reverses the final decision of the Commissioner and remands the matter to the SSA for further proceedings consistent with that conclusion. The Court also concludes that the

ALJ was constitutionally appointed and that the ALJ did not err in her treatment of the opined limitation. I. Background On October 29, 2019, Plaintiff applied for DIB and SSI asserting that she became disabled on November 15, 2015. (See Soc. Sec. Admin. R. (hereinafter “R.”) 23, 312.)1 Plaintiff’s alleged impairments included migraines, digestive system problems, heart

problems, diabetes, memory loss, depression, loss of focus, low self-esteem with loss of energy and motivation, shoulder and body pain, and an anxiety disorder with sleep problems, nightmares, and mood swings. (R. 345.) A. Relevant Medical Evidence2 On April 7, 2015, Plaintiff attended a therapy appointment with Breck Salisbury,

MSW, LICSW. (R. 470.) Plaintiff’s complaints included daily migraines and short-term memory problems. (Id.) She reported problems remembering meetings, what her husband told her, and her daughter’s name. (Id.) Mr. Salisbury diagnosed Plaintiff with major depressive disorder, recurrent, moderate. (R. 473.) Plaintiff asked Mr. Salisbury to write a

1 The Social Security administrative record is filed at Dkt. No. 9. The record is consecutively paginated, and the Court cites to that pagination rather than docket number and page.

2 The Court limits the facts in this section to those relevant to the specific issues presented for judicial review. letter to her employer requesting additional FMLA leave, but Mr. Salisbury suggested she ask her primary care provider, Dr. Endea Curry, because Dr. Curry had filled out the

original FMLA paperwork. (R. 473.) On April 23, 2015, Plaintiff saw Darrel Cotch, PA-C, for a psychiatric medication management appointment. (R. 483.) Plaintiff reported difficulty sleeping, worsening depression, decreased energy, decreased appetite, poor self-worth, and difficulties with focus, concentration, and memory. (Id.) Mr. Cotch diagnosed Plaintiff with major depressive order and possible anxiety order. (R. 485.) Plaintiff did not mention cognition

or memory problems at a neurology appointment in May 2015 with Dr. Vivian Fink. (R. 486–89.) On July 16, 2015, Plaintiff attended a psychiatric appointment with Dr. Karen Ta. (R. 491.) Plaintiff reported trouble concentrating, difficulty sleeping, fatigue, dizziness, and neck and arm numbness. (R. 492–93.) She said she had stopped working because she

could not concentrate. (R. 493.) She reported that her concentration and memory were poor. (R. 494.) A recent medication change to Bupropion resulted in no side effects, more energy, fewer nightmares, better concentration, and less anxiety. (R. 493.) Dr. Ta’s diagnosis was major depression, single episode, moderate. (R. 494.) On December 17, 2015, Plaintiff saw Dr. Curry for a primary care visit. (R. 512).

Dr. Curry noted significant life changes since Plaintiff’s last visit, including being “let go from her job” and a separation from her husband. (R. 513.) Plaintiff reported feeling depressed, but with the medication Topamax the frequency of her migraines had decreased to approximately once every two weeks. (R. 513.) By the next month, Plaintiff’s migraine headaches had decreased in frequency further, to once a month, with each migraine lasting about two hours. (R. 518.)

Plaintiff attended a psychiatric appointment with Dr. Ta in February 2016. (R. 523.) Plaintiff reported feeling sad, having low self-esteem and nightmares, not sleeping well, having trouble concentrating “sometimes,” and having memory problems when she was nervous. (R. 525.) When Plaintiff saw Dr. Ta the following month, Plaintiff reported feelings of anger and sadness with crying spells and low motivation, but also improved sleep, energy, concentration, and anxiety. (R. 534–35.)

On December 17, 2019, Plaintiff saw Oreoluwa Oye, APRN, CNP, on a referral from Dr. Curry, for a psychiatric evaluation. (R. 693.) Plaintiff’s chief complaints were depression, nightmares, body pains, tiredness, and forgetfulness. (Id.) She also described cognitive dulling, which Ms. Oye noted could be a side effect of Topamax. (R. 694.) The mental status examination revealed good attention and concentration, and intact recent and

remote memory. (R. 698.) On February 19, 2020, Plaintiff reported worsening nightmares, anxiety, and stress to Ms. Oye. (R. 817.) Ms. Oye noted “talk to neurology about concerns about Topamax and cognition.” (Id.) According to Ms. Oye, Plaintiff’s mood symptoms included “concentration impairment,” but Ms. Oye also noted that Plaintiff’s attention and

concentration were good and that her recent memory and remote memory were intact. (R. 818–19.) Plaintiff had a telephone visit with Ms. Oye on April 1, 2020. (R. 830.) Plaintiff reported some improvement; she was sleeping better; and her nightmares had decreased. (Id.) At a July 1, 2020 appointment, Ms. Oye noted that Plaintiff’s anxiety was poorly controlled and her memory was getting worse. (R. 840.) Ms. Oye wrote “Memory

impairment” and “worsening memory—encouraged to discuss with her neurologist. Topamax is on her medication list, may be contributing to symptoms.” (Id.) On July 29, 2020, Plaintiff saw Dr. Curry for a primary care appointment and described memory problems potentially caused by medication. (R. 851–52.) Dr. Curry observed on examination “insight and memory impaired.” (R. 854.) Dr. Curry agreed that Plaintiff should follow-up with her neurologist about her memory concerns. (Id.)

On August 3, 2020, Plaintiff saw her neurologist, Dr. Priyanka Sabharwal. (R. 868.) Dr. Sabharwal’s diagnoses were migraine, cervicalgia, major depressive disorder, vitamin D deficiency, benign essential tremor, and anxiety (R. 868.) Dr. Sabharwal listed Topamax as a “prior treatment” that had caused memory concerns (R. 870), but another notation on the progress note indicated that Plaintiff was “[n]ot sure if she is taking Topamax” (R. 869).

Plaintiff was in fact still taking Topamax at that time. (See R. 894.) Dr. Craig Barron, Psy.D., conducted a consultative psychological evaluation of Plaintiff on October 2, 2020, at the request of the SSA. (R. 34, 1077.) Dr. Barron administered the Wechsler Adult Intelligence Scale-IV (“WAIS-IV”) to assess Plaintiff’s overall cognitive abilities and the and the Wechsler Memory Scale-IV (“WMS-IV”) to

assess Plaintiff’s learning and memory. (R.

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