HUGH B. SCOTT, Magistrate Judge.
Before the Court are the parties' respective motions for judgment on the pleadings (Docket Nos. 14 (plaintiff), 19 (defendant Commissioner)).
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.
References noted as "[R. ___]" are to the certified record of the administrative proceedings, filed with this Court (Docket No. 9).
The plaintiff ("Kevin Gallagher" or "plaintiff") filed an application for disability insurance benefits on January 15, 2014 [R. 22]. That application was denied initially. The plaintiff appeared before an Administrative Law Judge ("ALJ"), who considered the case
Plaintiff commenced this action on December 5, 2017 (Docket No. 1). The parties moved for judgment on the pleadings (Docket Nos. 14, 19), and plaintiff duly replied (Docket No. 20). This case was scheduled for oral argument and a status conference on January 30, ' (Docket No. 21), but due to the failure to enact appropriations, the proceedings were stayed (Docket No. 22). Upon further consideration, this Court then determined that the motions could be decided on the papers.
Plaintiff, a 23-year-old with high school education, had no past relevant work [R. 35]. He contends that he was disabled as of the onset date of November 30, 2012 [R. 22], when he stopped working [R. 24]. Plaintiff claims the following impairments deemed severe by the ALJ: depressive disorder, anxiety disorder, post-traumatic stress disorder, and post-concussion syndrome/traumatic brain injury [R. 24]. Plaintiff argues his disabilities arose from a 2005 automobile accident in which he survived but another passenger did not (
The ALJ found the relevant period for this claim is November 30, 2012, to June 30, 2014, the date of last insured [R. 28].
Plaintiff claims disability due to concussion with memory loss, confusion and an inability to focus for long periods, depression, anxiety, headaches, panic attacks, social anxiety, sleep issues, inability to follow directions, and unbalance or dizziness [R. 27, 192]. Plaintiff testified that in 2005 he was injured in a serious car accident, and since then suffered [R. 27]. The ALJ considered records outside of the relevant period as background [R. 28]. Plaintiff was treated for post-concussion syndrome after the 2005 accident [R. 28-29]. In May 2012, plaintiff worked at an auto parts store and considered returning to college [R. 29]. In November 2012 plaintiff had a second car accident [R. 29]. In November 2013, plaintiff reported stopping vestibular rehabilitation due to having a full-time job [R. 29].
The ALJ found that plaintiff had a residual functional capacity to perform a full range of work at all exertional levels with exertional limitations [R. 27]. The ALJ noted that plaintiff was limited to performing simple, routine tasks and to make simple, work-related decisions [R. 27]. Plaintiff would need a work environment where changes are minimal; he could tolerate occasional contact with supervisors, co-workers, and the public [R. 27]. The ALJ found that plaintiff could not engage in work that involves conveyor belts or assembly lines; cannot climb ladders, ropes, or scaffolds; and cannot tolerate exposure to unprotected heights or moving mechanical parts [R. 27].
With this capacity to perform all levels of work but compromised by nonexertional limitations, the vocational expert opined that a hypothetical claimant like plaintiff was able to perform various unskilled occupations such as janitor, warehouse worker, or housekeeper [R. 35, 78-79]. The ALJ then hypothesized that a claimant like plaintiff but who would be off task 25% of the work day, the vocational expert opined that an employer would not tolerate more than one unscheduled absence per month or ten to twelve a year [R. 36, 79]. If that claimant required three verbal reminders that such work would be assistive or accommodated [R. 36, 79-80]. The ALJ rejected these last opinions because the evidence does not support the proffered limitations [R. 36]. As a result, the ALJ held that plaintiff was not disabled [R. 36].
The only issue to be determined by this Court is whether the ALJ's decision that the plaintiff was not under a disability is supported by substantial evidence.
For purposes of both Social Security Insurance and disability insurance benefits, a person is disabled when unable "to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months." 42 U.S.C. §§ 423(d)(1)(A) & 1382c(a)(3)(A).
Such a disability will be found to exist only if an individual's "physical or mental impairment or impairments are of such severity that [he or she] is not only unable to do [his or her] previous work but cannot, considering [his or her] age, education, and work experience, engage in any other kind of substantial gainful work which exists in the national economy. . . ." 42 U.S.C. §§ 423(d)(2)(A) & 1382c(a)(3)(B).
The plaintiff bears the initial burden of showing that the impairment prevents the claimant from returning to his or her previous type of employment.
To determine whether the plaintiff is suffering from a disability, the ALJ must employ a five-step inquiry:
20 C.F.R. §§ 404.1520 & 416.920;
To determine whether an admitted impairment prevents a claimant from performing past work, the ALJ is required to review the plaintiff's residual functional capacity and the physical and mental demands of the work that has done in the past. 20 C.F.R. §§ 404.1520(e) & 416.920(e). When the plaintiff's impairment is a mental one, special "care must be taken to obtain a precise description of the particular job duties which are likely to produce tension and anxiety, e.g. speed, precision, complexity of tasks, independent judgments, working with other people, etc., in order to determine if the claimant's mental impairment is compatible with the performance of such work."
Pertinent to this case is the treating physician's rule (as of October 2016)
In the instant case, the issue is whether the ALJ had substantial evidence to support the decision rendered denying disability coverage. Plaintiff objects to the treatment of the opinion of treating specialist, Dr. John Leddy (Docket No. 14, Pl. Memo. at 13-20, 15 n.4; [
Plaintiff was treated for post-concussion syndrome symptoms with Dr. John Leddy, a brain injury specialist (Docket No. 14, Pl. Memo. at 13; [R. 395]), treating him six times between 2012 and 2014 (Docket No. 14, Pl. Memo. at 15; [R. 259, 395, 264, 852, 864]). In January 2014, Dr. Leddy opined that plaintiff was unable to work because of post-concussion syndrome and anxiety ([R. 32, 257]; Docket No. 19, Def. Memo. at 21). The ALJ gave this opinion little weight because it was not supported by the overall record including Dr. Leddy's own findings (such as noting in November 2013 that plaintiff stopped vestibular rehabilitation due to his working) [R. 32-33, 262]. In March 2014 and March 2015 questionnaires, Dr. Leddy stated that plaintiff was "very limited" in various physical and mental activities ([R. 33, 226-27, 603-04]; Docket No. 19, Def. Memo. at 21), concluding that "any work was not recommended" due to plaintiff's memory loss, anxiety, depression, inability to follow or remember instructions, and survivor's guilt [R. 33, 227]; Docket No. 19, Def. Memo. at 21).
On July 25, 2016, Dr. Leddy completed a Brain Injury Residual Functional Capacity Questionnaire [R. 701] in which the doctor concluded that plaintiff's impairments would frequently interfere with his attention and concentration [R. 706]. Dr. Leddy concluded that plaintiff's limitations were exhibited since November 2012 [R. 706].
The ALJ gave the July 2016 questionnaire little weight because it was from "a checkbox form, without explanation for specific limitations or reference to specific objective findings" [R. 33] and that opinion was rendered years after the relevant period in 2012 [R. 33]. The ALJ, however, considered this opinion for plaintiff's ability to tolerate certain workplace hazards [R. 33, 705]. Generally, the ALJ concluded that plaintiff's alleged mental impairments, depressive disorder, anxiety, and post-concussion syndrome had improved over time "which would not support the claimant's allegations of disabling impairments," noting that plaintiff worked in 2012 prior to filing for disability benefits and noted improvements in 2013 when taking medication [R. 32, 807, 831, 834 (treatment notes of Dr. Junaid Hashim)]. The ALJ diminished Dr. Leddy's November 2013 opinion because the doctor noted that plaintiff said he stopped vestibular rehabilitation due to having a full-time job [R. 33, 262].
Defendant argues that Dr. Leddy's findings that plaintiff was unable to work or work was not recommended were ultimate conclusions on plaintiff's disability that were left for the Commissioner to determine (Docket No. 19, Def. Memo. at 22).
First, this Court considers the July 2016 opinion relative to the relevant period of November 2012 to June 30, 2014. The ALJ considered plaintiff's treatment history after this relevant period [R. 31]. Dr. Leddy's July 2016 opinion did note that it reflected plaintiff's limitations since November 2012 [R. 706]. The ALJ cannot object to Dr. Leddy's 2016 opinion because of its timing where the ALJ considered post-period events.
As for acceptance of the merits of Dr. Leddy's conclusions, plaintiff argues that the ALJ erred in rejecting this opinion since Dr. Leddy did state the clinical findings that supported it (Docket No. 14, Pl. Memo. at 16; [R. 702]). Dr. Leddy, however, did state clinical findings in that questionnaire, an unstable tandem gait and abnormal ocular convergence ([R. 702]; Docket No. 14, Pl. Memo. at 16). Plaintiff emphasized the number of times Dr. Leddy treated plaintiff and Dr. Leddy's specialization in treatment of concussions (Docket No. 14, Pl. Memo. at 13, 15-16).
The ALJ's objection is that the 2016 opinion was rendered on a checkbox form (
Plaintiff's motion for judgment on this ground is
The remaining issue is whether this case is remanded for further fact finding or for determination of benefits. District Courts are authorized to affirm, reverse, or modify the Commissioner's decision "with or without remanding the cause for a rehearing," 42 U.S.C. § 405(g). Remand for calculation of benefits is appropriate only in cases where the record "provides persuasive proof of disability and a remand for further evidentiary proceedings would serve no purpose,"
As discussed above, further findings are necessary here. The proper scope of remand is further evaluation of facts (
For the foregoing reasons, plaintiff's motion (Docket No. 14) judgment on the pleadings is
So Ordered.