Rincon Avitia v. Colvin
2:14-cv-00012
E.D. Wis.Aug 28, 2014Background
- Plaintiff Gelacio Rincon Avitia applied for Social Security disability benefits and was denied at initial and reconsideration stages, a hearing before an ALJ occurred, and the Appeals Council denied review, making the ALJ’s decision final.
- Plaintiff alleged disability due to back problems, arthritis, anxiety, and depression, with a onset date of October 30, 2010; MRI showed L2-L3 disc herniation and L4-L5/L5-S1 bulges.
- Medical records show conservative treatment for RA, includingPlaquenil, Enbrel, prednisone, and later Remicade; physical therapy and injections were used; pain management included opioids and neuropathic agents.
- During the hearing, plaintiff testified in Spanish, with limited English ability, an eighth grade education, long residence in the U.S., and prior employment as a heavy, unskilled garbage collector; he described pain and limitations in lifting and daily activities.
- The ALJ found rheumatoid arthritis as a severe impairment, considered diabetes and hypertension non-severe, assessed an RFC for light work with various postural and communication limits, and credited VE testimony to find other work; the decision was reversed and remanded due to multiple issues with credibility, treating-source weight, and English-language ability.
- The district court remanded for further proceedings to address (1) severe impairment determination including back issues, (2) credibility assessment, (3) weight given to Dr. Truong’s treating opinions, and (4) English-language capability under Grid Rule 201.17.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the ALJ properly identified the severe impairments at Step 2. | Rincon Avitia argues back impairment should be severe and considered in combination with RA. | Colvin asserts RA alone supported severity and back issues were not independently disabling. | Remand required for proper Step 2 analysis and consideration of all impairments. |
| Whether the ALJ properly assessed the claimant’s credibility. | Plaintiff contends the credibility analysis relied on daily activities and sparse work history to discount pain. | The ALJ permissibly used daily activities and objective findings to assess credibility. | Remand to reconsider credibility with proper articulation and full record consideration. |
| Whether the ALJ properly weighed Dr. Truong’s treating opinions. | Treating physician opinions should have more weight given their basis in treatment and specialty. | Non-examining opinions supported the RFC. | Remand to reevaluate treating-source evidence with proper legal standards. |
| Whether the ALJ erred in finding English literacy/communication sufficient. | Plaintiff could not read or write English and had limited ability to communicate; Grid 201.00(i) may apply. | For unskilled sedentary/ light work, English literacy has limited significance for most jobs. | Remand to reassess English language ability and Grid Rule application. |
Key Cases Cited
- Schomas v. Colvin, 732 F.3d 702 (7th Cir. 2013) (final SSA decision reviewed for proper legal standards and substantial evidence)
- Briscoe ex rel. Taylor v. Barnhart, 425 F.3d 345 (7th Cir. 2005) (burden shift at Step 5 and vocational framework)
- Villano v. Astrue, 556 F.3d 558 (7th Cir. 2009) (credibility and lack of objective support caution in discounting pain)
- Indoranto v. Barnhart, 374 F.3d 470 (7th Cir. 2004) (court-on-review requires tracing ALJ reasoning and not deferring undisclosed gaps)
- Zurawski v. Halter, 245 F.3d 881 (7th Cir. 2001) (guard against improper discounting of treating-source opinions)
- Terry v. Astrue, 580 F.3d 471 (7th Cir. 2009) (combined effects of impairments must be considered; Grid usage clarified)
