Wimbley v. O'Malley

District Court, N.D. California·Decided March 31, 2025·No. 3:23-cv-06189·Unknown

Opinion

D.W.,1 Case No. 23-cv-06189-PHK

Plaintiff, ORDER REMANDING CASE v.

LELAND DUDECK, Acting Commissioner of Social Security,2 Defendant. Plaintiff D.W. (“Plaintiff”) brings this action under the Social Security Act, 42 U.S.C. § 405(g) (“the Act”), seeking judicial review of a final decision by the Acting Commissioner of the Social Security Administration, Defendant Leland Dudeck (“Commissioner”), denying his applications for disability insurance benefits and supplemental security income. [Dkt. 1]. The Parties have consented to proceed before a Magistrate Judge for all purposes, including the entry of final judgment, under 28 U.S.C. § 636(c). [Dkt. 6; Dkt. 7]. Plaintiff has filed an Opening Brief, the Commissioner has filed a Response Brief, and Plaintiff has filed a Reply Brief. [Dkt. 16; Dkt. 18; Dkt. 20]. The Commissioner has also filed the Administrative Record. [Dkt. 8; Dkt. 13].

1 In actions involving requested review of a decision by the Commissioner of the Social Security Administration, the Court generally uses the first name and initial of last name (or just both initials) of the Plaintiff in the Court’s public orders out of an abundance of caution and regard for the Plaintiff’s potential privacy concerns.

2 This lawsuit was initially filed against Kilolo Kijakazi, who was then the Acting Commissioner of the Social Security Administration. See Dkt. 1. Pursuant to Federal Rule of Civil Procedure 25(d), After carefully analyzing the briefs, the record, and the applicable law, the Court REVERSES the Commissioner’s final decision and REMANDS for further proceedings consistent with this Order. The following background focuses only on the factual matters and procedural history that are relevant to the Court’s analysis herein. Plaintiff was born on December 23, 1965; he was thirty-eight years old on the alleged disability onset date. [AR 87]. He speaks English and has a high school diploma. [AR 587-88]. His employment history includes positions as a construction worker, a delivery driver, a cook, and a warehouse worker. [AR 92-93, 567-78]. On September 27, 2010, Plaintiff filed an application for a period of disability and disability insurance benefits, pursuant to Title II of the Act, as well as an application for supplemental security income, pursuant to Title XVI of the Act. [AR 507-21]. In his applications, Plaintiff alleged that he had been unable to work, since June 30, 2004, due to “major back problems 2 two [sic] rods in back, right eye[.]” [AR 87]. Plaintiff later supplemented his applications to allege that he was unable to work, since December 2010, due to worsening headaches. [AR 88]. The Commissioner denied Plaintiff’s applications, initially on April 29, 2011, and upon reconsideration on September 23, 2011. [AR 12]. Plaintiff then successfully requested a hearing before an Administrative Law Judge (“ALJ”). Hearings took place on March 8, 2012 and October 2, 2012 before ALJ Richard Laverdure. [AR 36-64]. Plaintiff appeared and testified at both hearings, pro se at the March 8, 2012 hearing, and then represented by counsel at the October 2, 2012 hearing. Id. At the October 2, 2012 hearing, the ALJ also heard testimony from a Vocational Expert. [AR 41-46]. On November 19, 2012, the ALJ issued a written decision denying Plaintiff’s applications, and on January 28, 2024, the Appeals Council denied Plaintiff’s request for review of the ALJ’s decision. [AR 71-84]. Subsequently, the Parties stipulated—pursuant to the terms of a class action settlement Commissioner’s decision be reversed and remanded for further administrative proceedings. See AR 12. The purpose of these further administrative proceedings was to determine whether Plaintiff was disabled within the meaning of the Act during the period from the alleged onset date, June 30, 2004, up to the prior date of adjudication, November 19, 2012. In accordance with the terms of the Hart settlement agreement, the consultative examination report prepared by Frank Chen, M.D., was excluded from the record. Hearings were then held on September 30, 2021 and December 7, 2022 before ALJ E. Alis. [AR 1125-82]. Plaintiff appeared and testified at both hearings, accompanied by a non- attorney representative. Id. The ALJ also heard testimony at the September 30, 2021 hearing from a Vocational Expert. [AR 1175-82]. Medical opinions were provided by an examining internal medicine physician, Dr. Rose Lewis; an examining physical medicine and rehabilitation specialist, Dr. Calvin Pon; and a non-examining state agency physician, Dr. M.L. Rees. [AR 887- 94, 900-02, 1115-24]. At the September 30, 2021 and December 7, 2022 hearings, Plaintiff testified that he suffered from chronic, progressively worsening back pain stemming from a 1998 work-related injury. [AR 1132, 1159, 1162]. Plaintiff testified that he underwent spinal fusion surgery, but he denied that the procedure resulted in any improvement to his condition. [AR 1164-65]. Plaintiff testified that he experienced pain every day, describing the pain’s severity as “[a]bout a seven, eight” out of ten. [AR 1138]. He testified that the pain shot from his neck down bilaterally to his feet. [AR 1157]. He testified that he experienced constant numbness in his lower back. [AR 1168]. Plaintiff testified that, due to the pain, he was able to sit or stand continuously for no more than fifteen to twenty minutes at a time. [AR 1133]. He testified that, on a good day, he was able to walk one hundred yards, and, on a bad day, only fifty yards. [AR 1168]. He testified that he had difficulty bending over. [AR 1134]. Plaintiff testified that, due to the physical injury from a 2007 bullet wound to his head, he is completely blind in his right eye. [AR 1171]. Plaintiff testified that he lacks peripheral vision and struggles with depth perception and balance. [AR 1135-36]. Plaintiff testified that he also told the ALJ that he experiences these “severe” headaches “all day.” [AR 1171]. Plaintiff testified that he has been homeless since around 2006 or 2007. [AR 1166]. He told the ALJ that he has no income aside from government assistance. Id. Plaintiff testified that, on a typical day, he does “[n]othing” except “wait[] for the pain to leave.” [AR 1137]. He told the ALJ that he often lays on a park bench or sits against a car “where it’s warm” to alleviate his back pain. [AR 1138, 1167]. At the September 30, 2021 hearing, Plaintiff admitted that, from 2016 to 2018, he worked in a warehouse distribution facility as a void filler, package filler, and crate stacker. [AR 1155]. Plaintiff testified that he took the job, notwithstanding his physical impairments, because he “needed to survive.” [AR 1157]. Plaintiff testified that he intended to work full-time, but because he “couldn’t stand up for too long on the job” and would often need to “take off early” to rest, he ultimately worked only twenty hours per week. [AR 1158]. Plaintiff testified that he quit the job after sustaining a work-related injury to his shoulder in February 2017. [AR 1156]. At the December 7, 2022 hearing, Plaintiff’s non-attorney representative urged the ALJ to review the opinion from consulting physician, Dr. Lewis, regarding her 2022 examination of Plaintiff. The ALJ responded that they would consider the opinion, noting that “given the finding of the consultative examination, it’s possible that [Plaintiff] could be found disabled now.” [AR 1139]. However, the ALJ stressed that, pursuant to the terms of the Hart settlement agreement, the ALJ’s review was “really going to be limited to the period of time from the alleged onset date to the prior date of adjudication.” Id. On January 25, 2023, th

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