June 2012 Archives

June 19, 2012

Michigan Court Affirms Social Security Disability Judge's Decision to Discredit Doctor's Opinion - Gay v. Commissioner of Social Security

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As experienced Social Security Disability attorneys who have represented clients in New York, New Jersey and Connecticut over a combined 50 years, we know that doctor opinions can go a long way in proving a disability benefits claim. In Gay v. Commissioner of Social Security, the District Court for the Eastern District of Michigan explains that - as important as doctor opinions are - the conclusions in any opinion must be supported by either the findings of a medical examination or the claimant's medical record.

985603_woman_doctor.jpgThe Social Security Administration (SSA) denied Plaintiff Jerry Gay's claim for Social Security Disability benefits, in which he asserted that he's unable to work due to low back pain. Plaintiff then appeared before an SSA Administrative Law Judge (ALJ) at an administrative hearing. In a written opinion, the ALJ found that Plaintiff was not disabled for benefits purposes because he retained the ability to perform light work (lifting no more than 20 pounds at a time).

Plaintiff filed an appeal in federal court. The case was assigned to a magistrate judge and Plaintiff filed a motion for summary judgment in his favor. The judge recommended that Plaintiff's motion be denied and instead that summary judgment be entered in favor of the SSA. Plaintiff then filed an objection to the recommendation, arguing that the ALJ's decision should be reversed because the ALJ failed to give appropriate weight to the opinions of two of his treating physicians, Doctors Cheryl Lerchin and Todd Best.

The District Court adopted the magistrate's recommendation, finding that the magistrate properly determined that the ALJ's ruling was consistent with Dr. Lerchin's opinion and properly discredited Dr. Best's opinion. After examining Plaintiff in August 2005, Dr. Lerchin had concluded that Plaintiff was limited in his bending and twisting, should lift no more than 20 pounds and should limit the amount of time he spends in any one position. This opinion, according to the court, is in line with the ALJ's decision, finding that Plaintiff retained the ability to perform light work.

Dr. Best examined Plaintiff in July 2007. the Court found that "[d]espite finding that Plaintiff was capable of engaging in most daily activities (except shopping) and ambulating without a cane, Dr. Best indicated that he could walk and stand for only one hour at a time and no more than two hours in an eight hour work day." He also concluded that Plaintiff could only sit for 15 minutes at a time. Yet the Court ruled that "there is nothing in Dr. Best's notes and no other medical evidence in the record to support his restrictions on Plaintiff's activities." Dr. Best did not explain the basis for recommending these restrictions, which the court ruled were inconsistent with his finding that Plaintiff was able to engage in normal daily activities. Furthermore, an orthopedic specialist who examined Plaintiff just one month later recommended no such limitations, concluding only that Plaintiff should undergo physical therapy.

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June 18, 2012

Connecticut Court Reverses Social Security Disability Case For Failure to Develop the Record - Bathrick v. Astrue

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In Bathrick v. Astrue, the District Court for the District of Connecticut reminds the ALJ's once again that they cannot make a decision on a disability benefits claim without referring to evidence in the record that is sufficient to support it.

1370556_lots_of_files.jpgSarah Bathrick filed a Social Security Disability benefits claim, asserting that she's unable to work as a result of a number of mental impairments as well as nerve damage in her right leg that resulted from a spider bite. The Social Security Administration (SSA) denied the claim and Ms. Bathrick then appeared before an SSA Administrative Law Judge (ALJ) in an administrative hearing. The ALJ determined that Plaintiff was not disabled because she retained the residual functional capacity (RFC) to perform "medium work, limited to jobs involving simple, routine, repetitive tasks with short simple instructions and few workplace changes."

On appeal, the District Court remanded the case to the ALJ for further proceedings because the ALJ failed to properly develop the record. SSA regulations define "medium work" as lifting no more than 50 pounds at a time with frequent lifting or carrying of objects weighing up to 25 pounds. The evidence in the record, according to the court, was insufficient to determine Plaintiff's ability to lift 50 pounds.

"The ALJ rendered the RFC finding without reference to a medical opinion that specifically described Bathrick's physical limitations," the court ruled. Nor did the evidence of Plaintiff's daily activities - including grocery shopping and housework - indicate that she could lift up to 50 pounds at a time.

An ALJ's decision on a disability claim must be based on substantial evidence. In this case, the evidence regarding Plaintiff's physical ability to perform medium work was not only not supported by substantial evidence, it was not supported by any evidence at all. "Without further evidence specifically relating to Bathrick's physical limitations, it is impossible to make an accurate RFC determination," the court concluded.

As a result, the court determined that it was appropriate to remand the case for further proceedings. Specifically, the ALJ should have re-contacted Plaintiff's treating physicians, obtained a consultative examination or requested the opinion of a medical expert on the issue of lifting and carrying. On remand, the court instructed the ALJ "to obtain the necessary medical opinions regarding Bathrick's physical limitations, including her abilities to perform the tasks required by medium level jobs."

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