Lee v. Commissioner of Social Security

District Court, N.D. New York

Lee v. Commissioner of Social Security

Trial Court Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF NEW YORK _________________________

TERRELL J. L.,

Plaintiff, v. Civil Action No. 6:22-CV-0978 (DEP)

COMMISSIONER OF SOCIAL SECURITY,

Defendant. __________________________

APPEARANCES: OF COUNSEL:

FOR PLAINTIFF

LAW OFFICES OF MELISSA KUBIAK, ESQ. KENNETH HILLER, PLLC 6000 North Bailey Avenue, Suite 1A Amherst, NY 14226

FOR DEFENDANT

SOCIAL SECURITY ADMIN. AMANDA LOCKSHIN, ESQ. OFFICE OF GENERAL COUNSEL 6401 Security Boulevard Baltimore, MD 21235

DAVID E. PEEBLES U.S. MAGISTRATE JUDGE ORDER Currently pending before the court in this action, in which plaintiff seeks judicial review of an adverse administrative determination by the Commissioner of Social Security (“Commissioner”), pursuant to

42 U.S.C. §§ 405

(g) and 1383(c)(3), are cross-motions for judgment on the

pleadings.1 Oral argument was heard in connection with those motions on August 30, 2023, during a telephone conference conducted on the record. At the close of argument, I issued a bench decision in which, after

applying the requisite deferential review standard, I found that the Commissioner=s determination resulted from the application of proper legal principles and is supported by substantial evidence, providing further detail regarding my reasoning and addressing the specific issues raised by the

plaintiff in this appeal. After due deliberation, and based upon the court=s oral bench decision, which has been transcribed, is attached to this order, and is

incorporated herein by reference, it is hereby ORDERED, as follows: 1) Defendant=s motion for judgment on the pleadings is GRANTED.

1 This matter, which is before me on consent of the parties pursuant to 28 U.S.C. ' 636(c), has been treated in accordance with the procedures set forth in the Supplemental Social Security Rules and General Order No. 18. Under those provisions, once issue has been joined, an action such as this is considered procedurally as if cross-motions for judgment on the pleadings had been filed pursuant to Rule 12(c) of the Federal Rules of Civil Procedure. 2) |The Commissioner’s determination that the plaintiff was not disabled at the relevant times, and thus is not entitled to benefits under the Social Security Act, is AFFIRMED. 3) The clerk is respectfully directed to enter judgment, based

upon this determination, DISMISSING plaintiff's complaint in its entirety.

U.S. Magistrate Judge Dated: September 6, 2023 Syracuse, NY

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF NEW YORK --------------------------------------------x TERRELL JOHN L.,

Plaintiff,

vs. 6:22-CV-978

COMMISSIONER OF SOCIAL SECURITY,

Defendant. --------------------------------------------x Transcript of a Decision held during a Telephone Conference on August 30, 2023, the HONORABLE DAVID E. PEEBLES, United States Magistrate Judge, Presiding. A P P E A R A N C E S (By Telephone) For Plaintiff: LAW OFFICE OF KENNETH HILLER, PLLC Attorneys at Law 6000 North Bailey Ave. - Suite 1A Amherst, New York 14226 BY: MELISSA KUBIAK, ESQ.

For Defendant: SOCIAL SECURITY ADMINISTRATION Office of Program Litigation, Office 2 6401 Security Blvd. Baltimore, Maryland 21235 BY: AMANDA LOCKSHIN, ESQ.

Jodi L. Hibbard, RPR, CSR, CRR Official United States Court Reporter 100 South Clinton Street Syracuse, New York 13261-7367 (315) 234-8547 1 (The Court and counsel present by telephone.) 2 THE COURT: Let me begin by thanking both counsel 3 for excellent and spirited presentations, I've enjoyed 4 working with you. 5 Plaintiff has commenced this proceeding pursuant to 6

42 United States Code Sections 405

(g) and 1383(c)(3) to 7 challenge a determination of the Commissioner of Social 8 Security finding that he was not disabled at the relevant 9 times and therefore ineligible for the benefits that he 10 applied for. 11 The background is as follows: Plaintiff was born 12 in February of 1969, he is currently 54 years of age. He was 13 46 years old at both the alleged onset of disability in 14 February of 2015 and the date of his application in September 15 of 2015. Plaintiff lives in Utica alone in an apartment. 16 There is indication in the record he has two sons and has 17 visitation of at least a seven-year-old son. Plaintiff 18 stands 5 foot 8 inches in height and weighs 185 pounds 19 approximately. Plaintiff has a GED. The evidence is 20 equivocal as to whether while in school he was placed in 21 special education. At page 509 in his adult function report 22 he stated he was not but during the hearing at page 46, he 23 stated that he was in special education. At page 507, or 24 509, I can't read my own writing, he stated that he is unable 25 to read and/or write English. Plaintiff stopped working in 1 December of 2012. He has a very modest employment history, 2 including one month as a telephone survey person. He was 3 self-employed doing bicycle repairs, he was an oil tank 4 installer, and had various temporary jobs. The 5 administrative law judge in this case reviewed his work 6 history and concluded that he had not engaged in what could 7 be considered as past relevant work. 8 Physically, plaintiff experiences seizures, and 9 although he claimed at one point to have arthritis in his 10 knees, it was not mentioned during the hearing as a basis why 11 he is unable to work. There are other various conditions 12 mentioned but none rising to a level of severe according to 13 the administrative law judge. 14 Mentally, he suffers from various diagnosed mental 15 conditions, such as schizophrenia, alcohol dependence, 16 cannabis abuse, personality disorder, depression and general 17 anxiety disorder, and paranoia. He has received treatment 18 from Community Health and Behavioral Services, from Upstate 19 Cerebral and Mental Health Connections where he has seen 20 Nurse Practitioner Sylvia Redmond. He has received care from 21 the Sister Rose Vincent Family Medical Center and from 22 Dr. Ahmed Shatla. 23 Plaintiff has a fairly wide range of activities of 24 daily living. He's able to dress, bathe, groom, cook, clean, 25 shop, use public transportation, he does not drive, he 1 watches television, he reads, he listens to the radio, he 2 attends sporting events with friends, he plays basketball, he 3 works out at a local gym, he goes to his son's school, and he 4 volunteers at church. 5 Procedurally, plaintiff applied for Title XVI 6 Supplemental Security Income payments on September 24, 2015, 7 alleging an onset date of February 27, 2015. In support of 8 his application, he claimed disability due to anxiety, 9 depression, a mood disorder, a psychotic disorder, seizures, 10 and knee arthritis. A hearing was conducted on June 26, 2018 11 by Administrative Law Judge, or ALJ, Lawrence Levey. ALJ 12 Levey issued an unfavorable decision on November 26, 2018. 13 On May 26, 2020, the Social Security Administration Appeals 14 Council vacated the determination and remanded the matter. 15 The instruction was that on remand the administrative law 16 judge must give the claimant the opportunity to examine the 17 post-hearing evidence and comment on, object to, or refute it 18 by submitting other evidence, and offer the claimant an 19 opportunity for a supplemental hearing. That was based upon 20 a finding that following the June 26, 2018 hearing, the ALJ 21 received additional documents that were not shared with the 22 claimant as required by the internal procedures and practices 23 of the agency. 24 On November 2, 2021, a hearing was conducted, at 25 which a vocational expert testified, by ALJ Elizabeth 1 Koennecke. On November 16, 2021, ALJ Koennecke issued an 2 unfavorable decision, which became a final determination of 3 the agency on July 20, 2022, when the Social Security 4 Administration Appeals Council denied plaintiff's application 5 for review. This action was commenced on September 16, 2022, 6 and is timely. 7 In her decision, ALJ Koennecke applied the familiar 8 five-step sequential test for determining disability. At 9 step one, she concluded that plaintiff has not engaged in 10 substantial gainful activity since the date of his 11 application. 12 At step two she concluded that plaintiff does 13 suffer from severe impairments that impose more than minimal 14 limitations on his ability to perform work-related functions, 15 including a seizure disorder and variously characterized 16 mental diagnoses. 17 At step three, the administrative law judge 18 concluded that plaintiff's conditions do not meet or 19 medically equal any of the listed presumptively disabling 20 conditions set forth in the Commissioner's regulations; 21 specifically considering Listings 11.02, related to epilepsy; 22 12.02, related to neurocognitive disorders; 12.03, dealing 23 with schizophrenia and psychotic disorders; 12.04, dealing 24 with depressive disorders and bipolar disorder; 12.06, 25 addressing anxiety and obsessive compulsive disorders; and 1 12.08, involving personal and impulse control disorders. 2 The ALJ next surveyed the available evidence and 3 concluded that notwithstanding his limitations, he is capable 4 of performing a full range of work at all exertional levels 5 with the following exceptions: He should not have 6 concentrated exposure to unprotected heights and hazards. 7 Mentally, the claimant retains the ability to understand and 8 follow simple instructions and directions, perform simple 9 tasks independently, maintain attention and concentration for 10 simple tasks and regularly attend to a routine and maintain a 11 schedule. The claimant can handle simple repetitive 12 work-related stress, in that he can make occasional decisions 13 directly related to the performance of simple tasks in a 14 position with consistent job duties that does not require the 15 person to supervise or manage the work of others. He should 16 avoid work requiring more complex interaction or joint effort 17 to achieve work goals. The claimant can tolerate superficial 18 contact with the public. Applying that residual functional 19 capacity and after finding at step four that plaintiff had 20 not engaged in past relevant work, with the testimony of a 21 vocational expert, ALJ Koennecke concluded that 22 notwithstanding plaintiff's limitations, he is capable of 23 performing available work in the national economy, citing as 24 representative examples positions of dishwasher, floor waxer, 25 and sweeper-cleaner, industrial, and therefore concluded that 1 plaintiff was not disabled at the relevant times. 2 As you know, the court's function is limited and 3 the standard which I apply is extremely deferential. I must 4 determine whether correct legal principles were applied and 5 the resulting determination is supported by substantial 6 evidence, to find as such relevant evidence as a reasonable 7 person would find sufficient to support a fact. As the court 8 noted in Brault v. Social Security Administration 9 Commissioner,

683 F.3d 443

, from the Second Circuit 2012, the 10 standard is exceedingly deferential. In that case, the court 11 noted that under the -- under the standard of substantial 12 evidence, a court can reject a fact only if a reasonable fact 13 finder would have to conclude otherwise. The standard was 14 more recently reaffirmed by the Second Circuit in Schillo v. 15 Kijakazi,

31 F.4th 64

from 2022. 16 The plaintiff's argument in this case 17 surrounds the characterization of plaintiff's mental 18 impairments in a grouping. She argues -- he argues that it 19 was error to lump the mental conditions together and analyze 20 functional limitations caused by -- and failure to analyze 21 functional limitations caused specifically by plaintiff's 22 paranoid schizophrenia. Of course the first, the first task 23 of an ALJ is to determine the plaintiff's residual functional 24 capacity which represents the finding of the range of tasks 25 he is capable of performing notwithstanding a plaintiff's 1 impairments. Ordinarily, the RFC represents a claimant's 2 maximum ability to perform sustained work activities in an 3 ordinary setting, on a regular and continuing basis, meaning 4 eight hours a day for five days a week or an equivalent 5 schedule. An RFC determination is informed by consideration 6 of all relevant medical and other evidence. 7 The ALJ in this case lumped the various mental 8 diagnoses of plaintiff's mental condition into one grouping. 9 While plaintiff argues that that was error per se, I 10 disagree. I have seen other administrative law judges faced 11 with multiple potential diagnoses similarly conclude that 12 they should be grouped as variously characterized mental 13 diagnoses and of course it is not the diagnosis that controls 14 but it is the resulting limitations flowing from the mental 15 impairments. And I note that the administrative law judge at 16 page 14 of her decision specifically states that she has 17 considered all of the symptoms that plaintiff experiences 18 affecting her mental -- his mental functioning. The ALJ in 19 this case did not lose sight of the possibility of 20 schizophrenia as a diagnosis. It was mentioned on page 14 as 21 a diagnosis, his symptoms were recounted at page 15 and 16 of 22 the decision, and at step three, the administrative law judge 23 considered Listing 12.03 which addresses schizophrenia. 24 Listing 12.03, I should note, requires either a showing of a 25 B criteria or a C criteria having been met, much like the 1 other mental health listings, and the administrative law 2 judge concluded that the B criteria were not met for the 3 mental health listings and that would apply equally to the 4 schizophrenia, so it would not be considered as a 5 presumptively disabling condition. 6 I note that this case in my view is 7 distinguishable from the cases cited by the plaintiff, one 8 case was Wahler v. Colvin,

2014 WL 6390320

from the Western 9 District of New York 2014. In this case plaintiff was found 10 to suffer from post-traumatic stress disorder, or PTSD, and 11 anxiety but the administrative law judge ignored major 12 depressive disorder and panic disorder with agoraphobia at 13 step two, and more significantly did not include any 14 limitations, did not further consider those diagnoses and 15 omitted any limitations that would address those diagnoses. 16 Similarly, in the Rivera v. Berryhill,

2019 WL 17

3497810, from the Western District of New York 2019, the 18 administrative law judge failed to consider plaintiff's 19 post-traumatic stress disorder and therefore did not include 20 in the RFC any limitation on interacting with people and that 21 was found to be error. 22 In this case, by contrast, all of the symptoms 23 that plaintiff experienced, regardless of which mental health 24 condition they're attributable to, were considered. I note 25 that not all, not all of the medical sources in the record 1 diagnosed plaintiff as suffering from schizophrenia. 2 Dr. Noia did not at page 1140, and I recognize that his 3 examination was a one-time examination and a snapshot of the 4 plaintiff as he had presented on that day. Dr. Stephen 5 Hudyncia at page 971 questioned whether plaintiff was 6 properly diagnosed with schizophrenia. In any event, the 7 administrative law judge in this case, in formulating her 8 RFC, relied on the opinion of Dr. Noia in this case which is 9 uncontradicted. It is appropriate to rely on the 10 consultative examiner's report, particularly when it is 11 uncontradicted and supported by the record. And in this 12 case, he did -- she did just that. Laura Ann H. v. Saul, 13

2021 WL 4440345

from the Northern District of New York, 2021. 14 And I'll note, digressing, it is plaintiff's burden to 15 establish greater limitations than those set forth in the 16 RFC. In my view, the plaintiff did not offer anything to 17 carry that burden. 18 Dr. Noia, after examining the plaintiff, noted 19 that plaintiff appeared to be his stated age, was 20 appropriately dressed and well groomed, his speech was -- 21 intelligibility was fluent, his thought processes were 22 coherent and goal directed with no evidence of 23 hallucinations, delusions, or paranoia in the evaluation 24 setting, his affect was anxious. The claimant reported 25 feeling good today, his mood was anxious, sensorium, clear, 1 oriented times three. His attention and concentration were 2 intact. His recent and remote memory skills were relatively 3 intact. His insight was determined to be fair as was his 4 judgment. 5 In the medical source statement, Dr. Noia 6 concluded that plaintiff suffers from only mild limitations 7 with the exception of moderate limitations in regulating 8 emotions, controlling behaviors, and maintaining well-being, 9 and did not find any marked or extreme limitations. The 10 administrative law judge's RFC is supported by that, by that 11 consultative opinion. 12 I do note that the treatment notes lend 13 support to this opinion as the administrative law judge 14 concluded. Plaintiff on various occasions denied having any 15 psychiatric problems to Dr. Shatla, his neurologist, at pages 16 650, 652, 646, 712, 714, 718, 721, 725, 729, and 732. He was 17 reported to be oriented and denied auditory and visual 18 hallucinations at page 694. He was described as doing well 19 on medications at 694. He was described as improved on 696. 20 The notes of LMSW Lisa LeMura and CMHSH Kaitlyn LaPolla show 21 that only modest symptomology was observed. 22 I note that there is indication of GAF 23 assessments which were mentioned by the administrative law 24 judge. GAF, of course Global Assessment of Functioning, is a 25 snapshot of a patient at a specific point in time. The 1 administrative law judge noted that she considered those GAF 2 scores but did not consider them necessarily conclusive and I 3 think that was totally appropriate. There are GAFs of 50, 4 that's at 660; 55, 786; 60 at 689; 62 at 695; 60 at 801; and 5 64 at 803 are reported, and of course 51 to 60 reflects 6 moderate symptoms, and 61 to 70 reflects some mild symptoms 7 or some difficulty in social, occupational, or school 8 functioning but generally functioning pretty well, has some 9 meaningful interpersonal relationships. I also note that 10 reviewing the treatment records, I found many denials by 11 plaintiff of experiencing hallucinations or psychosis, and 12 many references show that his symptomology is controlled 13 and/or improved with medications. 14 The administrative law judge also properly 15 considered plaintiff's extremely broad range of activities of 16 daily living at page 16 of the transcript. I'll also note 17 that the plaintiff has failed to point to any additional 18 limitations that a reasonable fact finder would have to 19 incorporate in the residual functional capacity as I think 20 was his burden. 21 Plaintiff complains that the administrative 22 law judge found plaintiff to be more restricted than 23 Dr. Noia's opinion reflected. In that regard the ALJ did not 24 substitute her lay opinion but instead relied on the 25 consultative examination plus plaintiff's treatment notes and 1 clinical findings which was entirely appropriate. Heaman v. 2 Berryhill,

765 F.App'x 498

from the Second Circuit, 2019. 3 And in any event, the fact that plaintiff was given the 4 benefit of the doubt by the ALJ and a more restrictive RFC 5 was incorporated into the decision than would have been 6 justified by Dr. Noia presents no ground for remand. Theresa 7 G. v. Saul,

2021 WL 1535472

, from my colleague Magistrate 8 Judge Daniel Stewart on April 19, 2021. Judge Stewart 9 subsequently refused to reconsider his decision at

2021 WL 10

2282021, that's from June 4, 2021. 11 In summary, I conclude that the correct legal 12 principles were applied in this case and the resulting 13 determination is supported by substantial evidence; therefore 14 will deny plaintiff's motion for judgment on the pleadings, 15 grant judgment on the pleadings to defendant, and order 16 dismissal of plaintiff's complaint. 17 Thank you both for excellent presentations, I 18 hope you enjoy the rest of your short summer. 19 MS. KUBIAK: Thank you, your Honor. 20 MS. LOCKSHIN: Thank you, Judge. 21 (Proceedings Adjourned, 1:42 p.m.) 22 23 24 25 1 CERTIFICATE OF OFFICIAL REPORTER 2 3 4 I, JODI L. HIBBARD, RPR, CRR, CSR, Federal 5 Official Realtime Court Reporter, in and for the 6 United States District Court for the Northern 7 District of New York, DO HEREBY CERTIFY that 8 pursuant to Section 753, Title 28, United States 9 Code, that the foregoing is a true and correct 10 transcript of the stenographically reported 11 proceedings held in the above-entitled matter and 12 that the transcript page format is in conformance 13 with the regulations of the Judicial Conference of 14 the United States. 15 16 Dated this 31st day of August, 2023. 17 18 19 /S/ JODI L. HIBBARD

20 JODI L. HIBBARD, RPR, CRR, CSR Official U.S. Court Reporter 21 22 23 24 25

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