S. ARTHUR SPIEGEL, Senior District Judge.
This matter is before the Court on the Magistrate Judge's Report and Recommendation, (doc. 11), Plaintiff's Objections (doc. 13), and Defendant's Response (doc. 14). In her Report and Recommendation, the Magistrate Judge recommended the decision of the Administrative Law Judge ("ALJ") denying Plaintiff Disability Insurance Benefits ("DIB") be affirmed and this matter be closed on the Court's docket. For the reasons indicated herein, the Court disagrees, REJECTS the Magistrate Judge's Report and Recommendation, REVERSES the ALJ, and REMANDS this matter for an award of benefits.
Plaintiff has alleged a disability onset of May 1, 2007, due to low back pain, post lumbar laminectomy at L2-3, degenerative disc disease, major depression and anxiety disorder, and is seeking disability insurance benefits ("DIB"). Plaintiff, now in his early fifties, has a history of health difficulties, and was previously found to be entitled to a closed period of disability benefits from October 2002 through April 1, 2004 (doc. 11). In 2004, Plaintiff's condition improved such that he was able to resume his work as a masonry construction worker, which he performed at a heavy level until May 2006. (
In his consideration of Plaintiff's instant DIB application, the ALJ found binding the previous decision that Plaintiff could work as of 2004, absent new and material evidence or changed circumstances pertaining to Plaintiff's residual functional capacity ("RFC"). The ALJ found no evidence of any change in Plaintiff's physical condition since Plaintiff's disability ceased, but noted some changes in Plaintiff's mental status that resulted in a slightly more restrictive RFC. The ALJ concluded Plaintiff could perform light work, although not his past work, and that there are jobs that exist in significant numbers in the national economy that he could perform.
Plaintiff appealed the rejection of his application, contending 1) the ALJ erroneously relied on the 2006 decision to find that Plaintiff is not presently disabled, 2) the ALJ erroneously concluded Plaintiff has not been disabled since his original onset day of January 1, 2002 even though Plaintiff was found disabled for a closed period of disability from October 2002 through April 1, 2004, 3) the ALJ erroneously indicated Plaintiff suffered from alcohol dependence in partial remission, 4) the ALJ erred in weighing the opinion of the consultative examining psychologist, and 5) the ALJ erred in assessing Plaintiff's credibility as it relates to his physical impairments.
The Magistrate Judge rejected each of Plaintiff's assignments of error, concluding that substantial evidence supported the ALJ's decision that the record does not disclose material evidence or changed circumstances pertaining to Plaintiff's RFC since April 1, 2003 (doc. 11). The Magistrate Judge therefore recommended the Court affirm the decision of the ALJ (
In her Report and Recommendation, the Magistrate Judge addressed the specific errors raised by the Plaintiff, and rejected them one-by-one (doc. 11). First, the Magistrate found the ALJ did not err by adopting findings from the prior ALJ decision (
The Magistrate Judge found the record showed substantial evidentiary support for the ALJ's finding that Plaintiff's physical RFC remained unchanged after April 1, 2004 (
The Magistrate Judge further found harmless the ALJ's error in misstating the alleged onset date as January 1, 2002, due to the fact that Plaintiff's period of closed disability showed such onset date to be wrong (
The Magistrate Judge next found the ALJ did not err by finding Plaintiff suffers from alcohol dependence in partial remission (
Next, the Magistrate Judge found the ALJ did not err in assessing the weight to afford the findings of Dr. Sparks, who assessed Plaintiff a Global Assessment of Functioning score of 45 (
Finally, the Magistrate Judge found no error in the ALJ's assessment of Plaintiff's credibility (
Having reviewed this matter
The Court need not rely on any opinion of the chiropractor, Dr. Stricker, nor is it convinced that Plaintiff's record of substance abuse is a factor in his application. The Court further rejects Defendant's contention that Plaintiff merely repeats his contentions from his principal brief. Plaintiff cites to Exhibits B17 through B23, which were filed and entered in the record after the state agency physician Dr. McCloud made his assessment on October 15, 2008, affirming "no new medical evidence" to alter the RFC. Records from Fall 2008 show Plaintiff continued to suffer from sprain and strain to the lumbar region of his back, and that Dr. Martinez continued to prescribe Percocet for back pain, which Dr. Martinez increased in dosage by November 2008. The record shows by summer 2009 Plaintiff's pain was getting worse, and that he was using ice, heat, and a transcutaneous electrical nerve stimulation unit to seek relief. By October 2009 Plaintiff reported constant back pain, and an MRI that month showed multilevel central spinal stenois, severe multi-level disc degeneration with disc space narrowing and multi-level facet arthropathy, post operative changes and clumping at nerve roots L3-4, representing arachnoiditis. In November 2009, Dr. Ray noted Plaintiff was scheduled for a series of epidural steroid injections. This evidence contradicts the Magistrate Judge's observation that the ALJ noted "plaintiff has not required. . .physical, or other therapy since 2004 for his back pain."
Moreover, the Court finds well-taken Plaintiff's citation to evaluations that showed a discrepancy in calf circumference noted by Drs. Wolf and Ray, that remained consistent from 2007 to 2009 and suggests muscle atrophy. In fact, the circumferences of both calves continued to shrink.
Finally, the Court notes that although it cannot reverse the ALJ based on Plaintiff's GAF score alone, such score cannot be ignored in the light of the other record evidence just cited that establishes physical disability. Dr. Sparks assigned such a score which means Plaintiff has a serious impairment in social and occupational functioning. Dr. Sparks' November 2007 evaluation further chronicled Plaintiff's depression and obvious pain in ambulation due to chronic back pain.
The Court notes that although Dr. Ray's ultimate assessment in 2009 was that in his view, Plaintiff could lift ten pounds eight hours a day, it views that other observations in Dr. Ray's assessment, and the record as a whole, show evidence that Plaintiff's condition has deteriorated since 2004. As such, the Court cannot accept the conclusions in the record adopting the 2006 RFC.
In conclusion, the Court does not find the ALJ's reliance on the 2006 RFC supported by substantial evidence, and therefore declines to adopt the Magistrate Judge's Report and Recommendation. This is a close and difficult case. In such a case, "it is well to bear in mind" that, "[t]he Social Security Act is a remedial statute that must be `liberally applied'; its intent is inclusion rather than exclusion."
Under the circumstances of this case, the Court finds no real unresolved essential factual issue. The record establishes Plaintiff's disability and remand would only create delay.
The Parties were served with the Report and Recommendation and were therefore afforded proper notice of the Magistrate Judge's Report and Recommendation required by 28 U.S.C. § 636(b)(1)(C), including that failure to file timely objections to the Report and Recommendation would result in a waiver of further appeal.
Accordingly, having reviewed this matter
SO ORDERED.