CAROLYN K. DELANEY, Magistrate Judge.
Plaintiff seeks judicial review of a final decision of the Commissioner of Social Security ("Commissioner") denying an application for Disability Income Benefits ("DIB") under Title II of the Social Security Act ("Act").
Plaintiff, born August 9, 1942, applied for DIB, alleging disability beginning July 1, 2002. Administrative Transcript ("AT") 128. Plaintiff alleged he was unable to work due to irritable bowel syndrome, diverticulitis, polyps, problems with leg, back, sciatic nerve, numbness in legs, problems with feet causing pain, arthritis, pain in shoulders, and passing out without warning. AT 122. In a decision after remand from this court, dated August 7, 2014, the ALJ determined that plaintiff was not disabled.
AT 350-358.
Plaintiff argues that the ALJ improperly found plaintiff's impairments were not severe at step two of the sequential analysis and in so doing failed to follow the law of the case. This issue is dispositive.
The court reviews the Commissioner's decision to determine whether (1) it is based on proper legal standards pursuant to 42 U.S.C. § 405(g), and (2) substantial evidence in the record as a whole supports it.
The record as a whole must be considered,
This case was remanded by the appellate court for consideration of additional evidence from Dr. Galanopoulus, who performed laparoscopy on plaintiff on October 6, 2010, eight years after plaintiff last met the insured status requirements. In upholding the ALJ's November 5, 2007 determination that plaintiff was not disabled, the Magistrate Judge noted the total dearth of abnormal objective findings in 2002 despite extensive workup, and concluded that remand for further development of the record in light of Dr. Galanopoulus' findings on laparoscopy was unwarranted. ECF No. 30. The appellate court concluded otherwise, holding that "[t]he presence of serious intestinal adhesions in 2010 is probative of the actual severity of Eilrich's impairment in 2002." ECF No. 37 at p.4. The matter was therefore remanded to the Commissioner for consideration of this new evidence.
In the decision at issue here, the ALJ considered the new evidence but rejected it as probative of plaintiff's medical condition in 2002. Specifically, the ALJ noted that "[t]his new evidence revealed evidence of scarring and other anomalies, likely present during the period at issue. However, while it is possible that the claimant's diverticulitis and past surgery history may have contributed to his increased abdomen pain and his related pain symptoms, this new evidence was not in evidence prior to the claimant's date last insured or even prior to the claimant's hearing date." AT 355. The ALJ then concluded because the 2010 evidence did not exist during the relevant period, disability could not be based on this evidence. AT 356. Such a conclusion fails to follow the mandate of the appellate court.
Disability hearings are not adversarial.
The ALJ's decision misses the point of the appellate mandate. The serious intestinal adhesions discovered in 2010 may reflect the existence of the same adhesions in 2002, i.e. the 2010 evidence may well demonstrate objective evidence that serious intestinal adhesions also existed in 2002. However, without benefit of any medical testimony, the ALJ substituted his own medical judgment and concluded that the 2010 evidence "supports the finding that the claimant's impairments were truly non-severe during the relevant period." AT 356. Because the medical evidence is ambiguous as to whether the 2010 evidence demonstrates that similar adhesions were present in 2002, the ALJ failed in his duty to develop the record by obtaining the services of a medical expert to opine as to whether such adhesions were present in 2002 and to what extent, and if so, whether any functional limitations would have been associated with such adhesions. The matter will therefore be remanded for further evaluation of the medical record.
For the reasons stated herein, IT IS HEREBY ORDERED that:
1. Plaintiff's motion for summary judgment (ECF No. 55) is granted;
2. The Commissioner's cross-motion for summary judgment (ECF No. 57) is denied; and
3. The matter is remanded for further proceedings consistent with this order.
The claimant bears the burden of proof in the first four steps of the sequential evaluation process.