Zielinski v. Commissioner of Social Security

CourtDistrict Court, W.D. New York
DecidedMarch 31, 2021
Docket1:19-cv-01110
StatusUnknown

This text of Zielinski v. Commissioner of Social Security (Zielinski 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
Zielinski v. Commissioner of Social Security, (W.D.N.Y. 2021).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NEW YORK ______________________________________

SARAH ANN Z.,1

DECISION AND ORDER Plaintiff,

v. 1:19-cv-01110 (JJM) COMMISSIONER OF SOCIAL SECURITY,

Defendant.

______________________________________

This is an action brought pursuant to 42 U.S.C. §1383(c)(3) to review the final determination of the Commissioner of Social Security that plaintiff was not entitled to Supplemental Security Income (“SSI”) benefits. Before the court are the parties’ cross-motions for judgment on the pleadings [7, 10]. 2 The parties have consented to my jurisdiction [12]. Having reviewed their submissions [7, 10, 11], the Commissioner’s motion is granted.

1 In accordance with the guidance from the Committee on Court Administration and Case Management of the Judicial Conference of the United States, which was adopted by the Western District of New York on November 18, 2020 in order to better protect personal and medical information of non- governmental parties, this Decision and Order will identify the plaintiff by first name and last initial. 2 Bracketed references are to the CM/ECF docket entries. Page references to the administrative record are to the Bates numbering. All other page references are to the CM/ECF pagination (upper right corner of the page). BACKGROUND The parties’ familiarity with the 1,365-page administrative record [4] is presumed. Plaintiff filed an application for SSI in February 2016, alleging a disability beginning on January 26, 2012, due to physical and mental health issues. Id., pp. 13, 16, 171, 241. After plaintiff’s claims were initially denied, an administrative hearing was held on June 20, 2018 before Administrative Law Judge (“ALJ”) Lynette Gohr. Id., pp. 38-81

(transcript of hearing). Plaintiff, who was represented by an attorney, testified along with a vocational expert (“VE”). Id., pp. 42-80. On August 9, 2018, ALJ Gohr issued a decision concluding that plaintiff was not disabled. Id., pp. 18-32. To reach that determination, ALJ Gohr found that plaintiff’s severe impairments were iron deficiency, anemia, inflammatory polyarthropathy, abdominal neuralgia, exocrine pancreatic insufficiency, hypothyroidism, asthma, sacroiliitis, fibromyalgia, major depressive disorder (“MDD”) and anxiety. Id., p. 20.3

A. Functional Assessments in the Record The record does not contain any functional assessments from plaintiff’s many treating providers, but contains the following medical opinions concerning plaintiff’s functional limitations from non-treating sources: 1. Consultative examiner Nikita Dave, M.D. examined plaintiff on June 24, 2016. Id., p. 948. She diagnosed plaintiff with eleven conditions:

3 ALJ Gohr found that plaintiff’s other physical impairments of irritable bowel syndrome with constipation and TMJ disorder were non-severe. Administrative Record, p. 16. Plaintiff does not challenge these findings. - 2 - DIAGNOSIS: i. Depression and anxiety related to chronic unresolving medical illness, 2. Rheymatoid arthritis/fibromyaigia. 3, Hypothyroidism, on treatment. 4, Status post gastrectomy and Whipple surgery with significant history of nutritional deficiencies. 5. Fatigue, multifactorial. 6. Kyphosccliosis, mild to moderate, with some low back pain. 7. Abdominal pain. 8. Nonalcoholic fatty Liver disease, per the claimant. 9. Asthma, quiescent. 10. Status post ascites. li. Malnutrition/malabsorption. Dr. Dave took a significant medical history. Id., pp. 948-50. On examination, plaintiff was able to squat only halfway down, but had a normal gait and stance, and was able to get on and off the exam table and rise from a chair without difficulty. Plaintiff had some mild diffuse tenderness upon palpation of her abdomen. Dr. Dave noted plaintiffs surgical scar, but noted no other abdominal abnormalities. Plaintiff had full range of motion (“ROM”) in her cervical spine. Dr. Dave observed mild scoliosis and mild to moderate kyphosis in plaintiffs thoracic spine. Plaintiff exhibited reduced ROM upon flexion, extension, lateral flexion, and rotary movement of her lumbar spine with mild tenderness at the right lumbosacral paramedian area. Id., p. 952. Plaintiffs strength in the upper and lower extremities was 4+/5. Id. Plaintiff exhibited intact hand and finger dexterity, her grip strength was 5/5 bilaterally, and there was no muscle atrophy evident upon examination. Id., p. 953. Dr. Dave concluded “[o]n the basis of examination” that plaintiff had “mild to moderate limitations in [her] ability to stand, walk, climb, push, pull, carry heavy objects, or do repetitive bending and stretching.” Id.

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2. Consultative examiner Christine Ransom, Ph.D. performed a psychiatric examination of plaintiff on June 24, 2016. Id., pp. 944-47. Dr. Ransom took a comprehensive history from plaintiff. Upon her mental status examination, plaintiff's quality of voice was “mildly tense” and she expressed a “mildly tense affect”. Otherwise, however, plaintiff's appearance was “neat, casual and appropriate with adequate hygiene and grooming” and normal posture, motor behavior and eye contact. Her speech was fluent and intelligible. Plaintiff's thought processes were “coherent and goal-directed with no evidence of hallucinations, delusions or paranoia”. Id., p. 945. Plaintiff's attention and concentration were intact, as demonstrated by, among other things, performing simple calculations. Id., p. 946. Plaintiffs immediate, recent, and remote memory were intact. Id. Dr. Ransom described plaintiffs intellectual functioning as “average” and her insight and judgment as “good”. Id. Dr. Ransom diagnosed plaintiff with “[p]anic disorder with agoraphobia currently mild” and “[b]ipolar disorder currently mild”. Id., p. 947. She characterized plaintiff's psychiatric conditions as “‘mild” and opined that plaintiff had mild limitations in a number of areas of functioning: MEDICAL SOURCE STATEMENT: This individual will have mild difficulty following and understanding simple directions and instructions, perform simple tasks independently, maintain attention and concentration for simple tasks, maintain a simple reguiar schedule and learn simple new tasks, perform complex tasks, relate adequately with others and appropriately deal with stress. Areas of difficulty are secondary to panic disorder with agoraphobia currently mild, bipolar disorder currently mild.

Id. 3. State agency psychiatrist D. Bruno, Psy.D. reviewed plaintiff's medical records, including Dr. Ransom’s report, in July 2016. Id., p. 96. He concluded that

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plaintiff was “moderately limited” in her abilities to “interact appropriately with the general public” and “set realistic goals or make plans independently of others”. Id., p. 100. Based upon the medical evidence, the functional assessments, and plaintiff’s testimony, ALJ

Gohr concluded that plaintiff had the residual functional capacity (“RFC”) to perform sedentary work, with several modifications: “[S]he can occasionally climb ramps and stairs but can never climb ladders, ropes, or scaffolds; can occasionally stoop but can never kneel, crouch, or crawl; can occasionally reach overhead with the bilateral upper extremities; can never work at unprotected heights or around dangerous machinery; must [a]void concentrated exposure to extreme heat, extreme cold, humidity, wetness, dust, odors, fumes, and pulmonary irritants; and can perform no work in environments with greater than moderate noise . . . She is limited to simple, routine tasks, to simple work-related decisions, to minimal changes in work routines and processes, and to work with no strict production quotas. She can have occasional interaction with supervisors, coworkers, and the public.

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Zielinski v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/zielinski-v-commissioner-of-social-security-nywd-2021.