Ward v. Commissioner of Social Security

CourtDistrict Court, W.D. New York
DecidedOctober 4, 2019
Docket1:18-cv-00454
StatusUnknown

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

Bluebook
Ward v. Commissioner of Social Security, (W.D.N.Y. 2019).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NEW YORK

HOLLY WARD,

Plaintiff, Hon. Hugh B. Scott

v. 18CV454

CONSENT

ANDREW SAUL, COMMISSIONER, Order

Defendant.

Before the Court are the parties’ respective motions for judgment on the pleadings (Docket Nos. 9 (plaintiff), 16 (defendant Commissioner)). Having considered the Administrative Record, filed as Docket No. 8 (references noted as “[R. __]”), and the papers of both sides, this Court reaches the following decision. INTRODUCTION This is an action brought pursuant to 42 U.S.C. § 405(g) to review the final determination of the Commissioner of Social Security that plaintiff is not disabled and, therefore, is not entitled to disability insurance benefits and/or Supplemental Security Income benefits. The parties consented to proceed before a Magistrate Judge (Docket No. 19, reassignment Order of July 9, 2019). PROCEDURAL BACKGROUND The plaintiff (“Holly Ward,” “plaintiff,” or “claimant”) filed an application for disability insurance benefits on July 9, 2014 [R. 162]. That application was denied initially. The plaintiff appeared before an Administrative Law Judge (“ALJ”), who considered the case de novo and concluded, in a written decision dated November 8, 2016, that the plaintiff was not disabled within the meaning of the Social Security Act [R. 160]. The ALJ’s decision became the final decision of the Commissioner on February 16, 2018, when the Appeals Council denied plaintiff’s request for review [R. 1].

Plaintiff commenced this action on April 16, 2018 (Docket No. 1). The parties moved for judgment on the pleadings (Docket Nos. 9, 16), and plaintiff duly replied (Docket No. 18). Upon further consideration, this Court then determined that the motions could be decided on the papers. FACTUAL BACKGROUND Plaintiff, a 36-year-old as of her onset date of January 1, 2013, with a high school education, last worked as a cook helper (medium exertion work), baker helper (heavy exertion work), and a cashier (light exertion work) [R. 176, 162, 168, 175]. The vocational expert in this case opined that with her residual functional capacity (as described below) plaintiff could not

return to that work [R. 175]. Plaintiff also worked part time as a pizza delivery person in 2013- 14 but quit due to pain [R. 162, 168, 173]. The ALJ found that this work did not meet the standard for substantial gainful activity [R. 162]. She contends that she was disabled as of the onset date of January 1, 2013, with her claim continuing until March 31, 2016 [R. 162]. Plaintiff claims the following impairments deemed severe by the ALJ: degenerative disc of cervical spine [R. 162]. Plaintiff had surgery April 2013. Impartial medical expert Dr. Michael Lorber initially found that plaintiff met

2 Listing 1.04A due this surgery from Jan. 1, 2013, to Apr. 14, 2014 (or one year after surgery) [R. 166]. Dr. Darius Ghazi the impartial medical expert in the supplemental proceeding, however, found that Listing 1.04A was not met, except for period from January 1, 2013, to May 2013 (or late 2013) after recovery from surgery [R. 166-67, 59]. The ALJ credits Dr. Ghazi, finding that

Dr. Lorber did not have all medical records, did not answer interrogatories, resulting in the ALJ having to call a supplemental hearing (and second impartial medical expert) [R. 167]. Defendant now argues that plaintiff does not challenge the ALJ’s consideration of Dr. Lorber’s findings (Docket No. 16. Def. Memo. at 14 n.5). Plaintiff also claims other impairments deemed not to be severe by the ALJ: carpel tunnel syndrome [R. 163], sleep apnea [R. 163], tennis elbow [R. 163], bursae and tendon disorder of left shoulder [R. 163-64]. These conditions were all diagnosed by Dr. David Stahl, plaintiff’s treating physician. She also claimed depression but the ALJ found that this was not severe [R. 164-66].

MEDICAL AND VOCATIONAL EVIDENCE Plaintiff had a second neck surgery in 2013 and had three disks removed; she then complained of pain in her left shoulder that continued to at least June 2015 [R. 602, 866]. For example, plaintiff was examined for shoulder pain on June 12, 2015; she had full range of motion but was diagnosed with left shoulder impingement syndrome [R. 602, 604]. During prescribed physical therapy of June 17, 2015, the physical therapist found plaintiff’s left shoulder had limited range of motion consistent with impingement [R. 739-40]. On August 5, 2015, plaintiff reported tingling in her fingers and an MRI was performed [R. 609]. The examination

3 of the upper left shoulder found tendinopathy, degenerative changes, and a hypodense lesion [R. 610]. On January 6, 2016, Dr. Stahl completed a physical residual functional capacity questionnaire [R. 828, 171] and asserted what the ALJ termed “rather extreme functional limitations for listed diagnoses of chronic cervicalgia and left shoulder pain” [R.171]. Dr. Stahl

found that plaintiff could walk only a city block before requiring rest [R. 829, 171-72], could stand for two hours in an eight-hour workday, stand or walk for less than two hours [R. 171, 829- 30]. The ALJ, however, found that these limitations were not borne out by the objective evidence including Dr. Stahl’s own treatment notes [R. 172, 509-63, 753-96]. The ALJ gave little weight to Dr. Stahl’s January 2016 assessment [R. 175]. In response to the ALJ’s interrogatories [R. 854-64], Dr. Stahl submitted a detailed narrative on March 16, 2016, that the ALJ later found contradicted the January 2016 assessment [R. 172, 866]. For the neck impairment, Dr. Stahl then found that plaintiff did not have tremors

or muscle atrophy [R. 172, 866]. X-rays and MRI show post-operate changes to the C5-T1 spine [R. 866]. On her left shoulder pain, Dr. Stahl noted that x-rays on August 2013 was normal and an October 2014 MRI revealed only minimal infraspinatus tendinopathy with no evidence of rotator cuff tear [R. 172, 866-67]. He also noted that a treating orthopedist opined that no surgical intervention for shoulder pain [R. 172, 866]. Dr. Stahl noted the lack of tremors and muscle atrophy in her upper extremities and hands [R. 866]. On August 28, 2013, an x-ray was taken of plaintiff’s left shoulder and it appeared normal [R. 866]. An MRI of that shoulder on October 13, 2014, revealed minimal infraspinatus tendinopathy and showed no evidence of

4 rotator cuff tear [R. 866]. Dr. Stahl reported that plaintiff was treated by two orthopedists who diagnosed left shoulder impingement syndrome [R. 866]. Plaintiff reported that physical therapy made her pain and symptoms worse and she stopped the therapy [R. 866-67]. A second MRI of that shoulder on August 15, 2015, showed tendinopathy at the distal supraspinatus tendon and did not show rotator cuff or labral tear [R. 867]. From these observations, Dr. Stahl

concluded that due to plaintiff’s neck movement “and to a lesser degree shoulder movement coupled with chronic tenderness in her upper back concentrated over the left scapular region, I feel she is limited in doing physical tasks repetitively” [R. 867]. During plaintiff’s supplemental August 12,2016, ALJ hearing, Dr. Ghazi testified, upon review of plaintiff’s medical record (including Dr. Stahl’s last report) that the medical record did not support plaintiff’s claims of severe pain [R. 172, 59, 55]. Dr. Ghazi found that plaintiff did not meet Listing 1.04 because she had spondylosis but without reflect and sensory changes [R. 56]. The doctor found that before her surgery, plaintiff’s condition did meet Listing 1.04 but following surgery “the pressure on the nerve roots of the cervical spine [were] effectively

relieved” [R. 57]. Dr.

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