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Green v. Commissioner of Social Security

United States District Court, E.D. New York

February 13, 2017

LAWRENCE GREEN, Plaintiff,
v.
COMMISSIONER OF SOCIAL SECURITY, Defendant.

          MEMORANDUM AND ORDER

          KIYO A. MATSUMOTO, United States District Judge

         Plaintiff Lawrence Green (“plaintiff”) appeals the final decision of the Commissioner of the Social Security Administration (“defendant” or “Commissioner”), denying plaintiff's application for Supplemental Security Income (“SSI”) under Title XVI of the Social Security Act (“the Act”). Plaintiff, proceeding pro se, contends that severe medically determinable impairments prevent him from performing any work and that the Commissioner erred in denying him SSI benefits. Presently before the court is the defendant's motion for judgment on the pleadings. For the reasons stated herein, defendant's motion for judgment on the pleadings is GRANTED, and the decision of the Commissioner is AFFIRMED.

         BACKGROUND

         I. PLAINTIFF'S PERSONAL AND EMPLOYMENT HISTORY

         Plaintiff was born on January 24, 1971, in Brooklyn, New York. (Tr. 52-53.)[1] He is not married, has no children, and lists his mother's residence as his current address. (Tr. 55-56.) Plaintiff completed either the seventh or the eighth grade in special education classes. (Tr. 53, 427.) Plaintiff stopped attending regular school after he was incarcerated as a minor. (Tr. 53.) Plaintiff continued receiving special education during the four-and-half-years he was incarcerated as a juvenile, but he never obtained a high school equivalency diploma through General Educational Development (“GED”) testing. (Tr. 53-54.) Plaintiff testified at the Initial Hearing held on December 6, 2012 (hereinafter “Initial Hearing”), that he could not read and did not know how to do math but could count money. (Tr. 54.) Plaintiff reported to his doctors that he could read, however. (Tr. 381, 496, 619.) Further, plaintiff has written several letters and made several motions to this court, and he passed a licensing exam for security work. (Tr. 427; see generally the docket.)

         Plaintiff reported that he had the following jobs between 1996 and 2012. (Tr. 282.) From 2004 to 2005, for six months, he worked in the maintenance department for the New York City Department of Parks and Recreation. (Tr. 59, 282.) His responsibilities included picking up garbage and cleaning bathrooms. (Tr. 59, 262.) In 2007, also for six months, plaintiff worked as a packer and cleaner for FedEx. (Tr. 59, 282.) His responsibilities at FedEx included picking up garbage and packages. (Tr. 281.) From 2007 to 2009, plaintiff worked as a security guard for Elite Investigations and Madison Security Group. (Tr. 60, 242-43, 282.) His responsibilities included patrolling his designated areas and ensuring that there were no irregularities. (Tr. 263.) Plaintiff testified that he left the position after he was shot and robbed on duty. (Tr. 60.) These three roles required an eight-hour work day and five-day work weeks. (Tr. 272.) Plaintiff also testified that he has not been employed since he stopped working as a security guard in 2009. (Tr. 381.) Plaintiff, however, reported to one of his doctors in June 2012, that he was currently working as a security guard, though he denied this at the hearing; plaintiff also reported that he was in the process of getting a permit to carry a firearm. (Tr. 61-62, 529.)

         II. MEDICAL HISTORY

         A. Evidence Related to Claimed Physical Impairments

         Records from St. John's Episcopal Hospital from September 2009 to March 2011

         On September 10, 2009[2] plaintiff visited Dr. Jayesh Sampat, M.D. with complaints of pain in his right arm and shoulder that radiated to his back. (Tr. 349.) Dr. Sampat noted that plaintiff had normal motor functioning and coordination. (Tr. 350.) The physical examination also revealed that plaintiff's right shoulder was tender and that plaintiff was unable to abduct it; Dr. Sampat diagnosed plaintiff with a shoulder sprain. (Id.) On March 4, 2010, plaintiff visited Dr. Saif Khan, M.D. with complaints of itchy skin, skin rash, and earache. (Tr. 355-56.) Dr. Khan diagnosed plaintiff with an ear infection, acute otitis externa, and contact dermatitis while noting that plaintiff had normal motor functioning and coordination. (Tr. 356.)

         Dr. Mendel Warshawsky, M.D., examined plaintiff on September 17, 2010. (Tr. 535.) Plaintiff visited the clinic for a pre-employment physical exam; plaintiff had no complaints and reported that he was not in pain. (Id.) Dr. Warshawsky observed that plaintiff was “obese, healthy looking” and not in any respiratory distress, and he found no physical abnormalities, other than plaintiff's hypertension and morbid obesity. (Tr. 535.) Plaintiff went in for a follow-up visit on September 20, 2010, and was examined by Drs. Sanda, M.D and Dr. Yan, M.D. (Tr. 537.) Plaintiff indicated that he was not in pain, and Dr. Sanda observed that plaintiff was “healthy looking, ” was not in any respiratory distress and had normal distal pulses, no edema, no organomegaly and no focal deficits; plaintiff's labs were in normal range. (Tr. 537-38.) Dr. Sanda found that plaintiff had no physical limitations and that plaintiff could engage in recreational programs including sports and swimming. (Tr. 365-66.) Another follow-up visit on October 20, 2010, with Dr. Susana Bundoc, M.D., returned the same findings. (Tr. 539-40.) Dr. Bundoc noted that plaintiff had normal motor functioning and coordination, and that plaintiff was counselled to lose weight during the last visit but plaintiff had not made any changes in his diet or exercise regime as instructed by the other doctors. (Id.)

         Plaintiff visited St. John's Episcopal hospital on December 9, 2010, March 11, 2011, and March 14, 2011 and saw Drs. Katz, M.D. Wubishet, M.D., and Sandhu M.D.; reports from all three visits showed normal motor functions and coordination. (Tr. 542- 44, 545-46, 548-49.) Plaintiff had indicated that he had no pain and reported no other complaints during these visits, between September 2010 and March 2011, but was consistently diagnosed with hypertension and morbid obesity. During these visits, plaintiff was also advised about losing weight to address his obesity. (Tr. 464-65, 466-67, 535, 542-43, 545-46, 548-49.)

         Records from Industrial Medicine Associates in May 2011

         On May 4, 2011, plaintiff was referred to Robert Dickerson, D.O., for a consultative examination. (Tr. 380.) Plaintiff reported to Dr. Dickerson that he had “bad legs.” However, Dr. Dickerson's examination revealed no abnormality in plaintiff's legs, normal range of motion, no pain on palpation, no sensory motor deficits, he showed no signs of synovitis or inflammation; plaintiff's neurologic examination was normal. (Tr. 380, 383.) Dr. Dickerson's examination revealed that plaintiff exhibited normal gait and stance, walked on heels and toes without difficulty, performed full squats, and used no assistive devices. (Tr. 382.)

         Plaintiff complained of a bad back and graded his back pain at a “10/10.” (Tr. 380.) Plaintiff reported that the pain was intermittent and associated with prolonged standing and extreme range of motion. Dr. Dickerson found that plaintiff had normal range of motion in his back. (Id.) Examination of his spine showed full flexion and extension, and his joints had full range of motion. (Tr. 383.) Dr. Dickerson found that plaintiff had 5/5 strength in his extremities, with no sensory deficit noted. (Id.) Plaintiff also reported that he has a “bad heart.” (Tr. 380.) The cardiac examination was normal and plaintiff did not report chest pain. Dr. Dickerson noted that plaintiff had high blood pressure and plaintiff stated that he did not take his blood pressure medication on that day. (Tr. 380.) Dr. Dickerson also noted that plaintiff had a history of seizure. (Tr. 381.)

         Plaintiff reported that he rode the bus to the examination and that he had the ability to cook, clean, launder, shop, and provide childcare. (Tr. 381.) Plaintiff also said he showered, bathed, and dressed himself five or six times a week and engaged in some recreational activity, including playing sports. (Id.) Based on his examination, Dr. Dickerson concluded that plaintiff was “unrestricted for any physical activity.” (Tr. 383.)

         Records from St. John's Episcopal Hospital from June 2011 to March 2012

         Plaintiff next visited St. John's Episcopal Hospital on June 9, 2011, seeking referrals for pain management and for anxiety. (Tr. 550.) Plaintiff reported that he had been seeing a pain management doctor for years where he was prescribed OxyContin & Gabapentin, and that he wanted to switch doctors because the doctor did not want to dispense pain medications to him anymore because the medications were not found in plaintiff's urine. (Id.) Plaintiff reported no acute problems and again was counseled “at length” about monitoring his weight, his blood pressure, and other healthy lifestyle issues. (Tr. 550, 552.) He was discharged with referrals for anxiety disorder treatment and pain management. (Tr. 552.)

         On June 13, 2011, plaintiff complained of pain in his lower back, left hip, and knee. (Tr. 553.) Drs. Grohovski, M.D. and Challa, M.D. noted that an x-ray performed on June 9, 2011, revealed that plaintiff had generalized degenerative disc disease and mild osteo-arthritic changes. (Tr. 553, 598.) Plaintiff was discharged with prescriptions for Ibuprofen and Flexeril and a referral for physical therapy and a follow up with a pain management specialist. (Tr. 554.) Plaintiff visited Drs. Bundoc, M.D., Marie M.D., and Rebolledo, M.D., on August 16, 2011, November 3, 2011 and November 18, 2011, respectively for refills of his medications, a routine examination and to have a form filled out for psychiatry. (Tr. 555, 557, 559.) Plaintiff had no complaints during these visits. (Id.) At the November 3, 2011 visit, plaintiff reported that he did not have any pain because his back pain was controlled with Percocet use, and at the November 18, 2011 visit, plaintiff stated he felt well. (Tr. 557, 559.)

         Plaintiff complained of pain in his back and left leg, as well as sleep-related problems during his December 16, 2011 visit with Drs. Yan and Grohoviski. (Tr. 561-62.) Plaintiff also reported that he had a mild cough, snored at night, felt fatigued in the day time, and had stomach discomfort. (Id.) He was given a refill of his current medications and referrals for his sleep and stomach problems. (Tr. 563.)

         On March 9, 2012, Plaintiff visited with Drs. Argishti, M.D. and Bundoc, M.D. for a regular medical check-up, refill of his medications, and a note for his landlord. (Tr. 564-66.) Dr. Argishti noted that plaintiff was referred to the pulmonary clinic for sleep studies after he complained of snoring issues, but plaintiff refused to have the test done. (Tr. 564.) Dr. Argishti also noted that plaintiff showed no acute distress and no abnormalities were detected. (Tr. 564.) It was suggested to plaintiff that he make a new appointment with the gastrointestinal specialist but plaintiff refused and said that his condition was controlled by his Pepcid medication. (Tr. 564.) All the doctors that examined plaintiff from June 2011 to March 2012 noted plaintiff's history of hypertension and morbid obesity. (Tr. 553, 555, 557, 559, 562, 565.)

         Records from Bushwick Community Health Center from May to August 2012

         Between May 8, 2012 and August 23, 2012, plaintiff was evaluated by various healthcare professionals, including Vivene Salkey, a medical case manager at the Bushwick Community Health Center, and Dr. Loretta Greenidge-Patton, M.D., in order to complete a biopsychosocial report for plaintiff. (Tr. 567-635.) The report indicated that plaintiff can speak, read, and write English. (Tr. 568.) The report also indicated that plaintiff was moderately depressed and that plaintiff was currently being treated for the condition. (Tr. 570.) Plaintiff reported that he watched television, got himself dressed, bathed and used the bathroom by himself. (Tr. 574.) He also reported that he had no hobbies, was not able to wash dishes or his clothes, sweep or mop the floor, vacuum, make the bed, shop, cook, or socialize. (Tr. 574.)

         Plaintiff's medical examination revealed hypertension, pain in the back, left hip and leg, joint pain, dizziness and depression. (Tr. 579.) His physical examination revealed obesity and inability to raise left leg fully. (Tr. 580.) Plaintiff reported that his pain was a 10, on a scale from 1 to 10 with 10 being the worst. (Id.) Dr. Greenidge-Patton, M.D. opined that during an 8-hour work period, plaintiff could consistently sit for 1-3 hours, stand for 1-3 hours, walk for 1-3 hours, reach for 1-3 hours, and grasp for 1-3 hours, but could not pull, climb, bend, or kneel. (Tr. 580-81.) Dr. Greenidge-Patton found that plaintiff should be on temporary unemployment for 90 days but found that although that plaintiff was depressed because of his chronic physical condition, his depression was not severe enough in itself to warrant his not returning to work. (Tr. 583.) Dr. Greenidge-Patton found most of plaintiff's chronic conditions were stable but she found his morbid obesity, his glucose condition and his depressive disorder to be unstable. (Id.) She recommended adding an anti-depressant to plaintiff's treatment regimen. (Tr. 584-85.)

         On May 8, 2012, Dr. Pierre Felix, M.D., examined plaintiff and opined that plaintiff could sit, stand, walk, lift, push, pull, climb and descend stairs, bend at the hip, bend at the knee, turn his head, bend his neck, and write and grasp normally. (Tr. 609.) Plaintiff refused to perform some of the tests, but to the extent that the plaintiff complied with movement tests, Dr. Felix reported normal findings and noted that there was no evidence of sensory deficits and noted that plaintiff had a normal gait. (Tr. 609, 611-12, 614.) Dr. Felix diagnosed plaintiff with pain in his back, joints, and lower leg, but found that plaintiff's condition was stable. (Tr. 614.)

         Georgene Servio, a case manager, conducted a functional capacity assessment on August 23, 2012. (Tr. 586-94, 626-30.) In conducting her assessment she reviewed all the findings from the biopsychosocial assessment, including the psychosocial assessment, lab and other tests, specialty medical exams and any clinical documentation provided. (Tr. 629-630.) Ms. Servio found that plaintiff required a modified work environment where kneeling, pushing, pulling, carrying, stooping, bending, and reaching are limited or eliminated. (Tr. 629.) She also found that plaintiff did not require a travel accommodation. Ms. Servio ultimately concluded that plaintiff was unable to work. (Tr. 629.) She cited plaintiff's morbid obesity, chronic lower back pain, hip and knee pain, hypertension, his depressive disorder, his complaints about his anxiety and issues with sleeping in support of her determination. (Tr. 629-630.)

         Records from Beth Israel Medical Center in June 2012

         Plaintiff made several visits to Beth Israel Medical Center in June 2012. He requested oxycodone at the June 1 and June 14, 2012 visits, but was refused on both occasions because the doctors suspected drug abuse. (Tr. 644-47, 649-51.) Plaintiff was diagnosed with hypertension, morbid obesity, and backache; no abnormalities were revealed from the physical examinations at the June 1st and June 14th visits. (Tr. 644-45, 650-51.) Dr. Masias-Castanon, M.D. during the June 1, 2012 visit, called two pharmacies to verify that plaintiff had prescriptions for oxycodone. (Tr. 650-51.) The first pharmacy reported that plaintiff never had any prescriptions at that pharmacy, and the second pharmacy reported that plaintiff had one prescription for Percocet during November 2011. (Id.) Dr. Lau, M.D. also reported on June 1, 2012 that plaintiff's records from the outside facility also demonstrated a possibility of opiate abuse. (Tr. 651.) Plaintiff refused over the counter pain medications after being denied a prescription for oxycodone, he instead requested a pain management referral for oxycodone. (Tr. 651.)

         At the June 14, 2012 visit, plaintiff reported that his last oxycodone use was 2 months earlier. (Tr. 644.) He denied using any over the counter medication or any other pain medications during the two months since he ran out of oxycodone. (Id.) Plaintiff also reported that he sleeps to overcome the pain and again refused other non-opioid pain medication. (Tr. 644-45.) At the June 14th visit, Dr. Madrid, M.D. observed that plaintiff was in no apparent pain and easily walked back and forth to the exam room several times, and created a stir in the waiting room as he demanded oxycodone. (Tr. 646-47.) Dr. Madrid further noted that security was called but plaintiff left the clinic without causing other issues. (Tr. 647.)

         On June 20, 2012, Dr. Ricardo Cruciani, M.D. examined plaintiff. Dr. Cruciani reported that plaintiff rated his pain as a 5 out of 10 and noted that plaintiff walked “without difficulties but was in clear discomfort when bending over to pick up a piece of paper that he had accidentally dropped.” (Tr. 529.) Dr. Cruciani also reported that plaintiff was working as a security guard at the time and was in the process of getting a legal permit to carry a firearm. (Id.) Dr. Cruciani's physical examination of plaintiff revealed that plaintiff was in no acute distress but appeared anxious and depressed. (Id.) He also noted that plaintiff's range of motion was decreased in all directions and there was tenderness along para-spinal lumbar levels. (Tr. 530.) Dr. Cruciani assessed that plaintiff had lower back pain and recommended an MRI to rule out facet disease. (Tr. 530.) Dr. Cruciani's psychiatric exam revealed that plaintiff's mood was eurythmic, plaintiff had appropriate insight and judgment and plaintiff's short term and long term memory were intact. (Id.) On June 27, 2012, Dr. Jan Slomba examined plaintiff. (Tr. 532.) Her findings were materially consistent with Dr. Cruciani's findings on June 20, 2012. (Id.)

         Records from Industrial Medicine Associates in July 2012

         On July 9, 2012, Louis Tranese, D.O., performed a consultative orthopedic examination on plaintiff. (Tr. 502.) Plaintiff reported that he did not cook, clean, do laundry, or shop and that he depended on his parent to shower, to dress and for grooming. (Tr. 503.) Dr. Tranese noted that x-ray reports showed generalized degenerative disk disease in plaintiff's lumbar spine and minimal degenerative arthritis in his left hip and knee. (Tr. 502.) Dr. Tranese found that plaintiff could walk on heels and toes without difficulty but refused to squat, had full flexion and extension in his cervical spine, and had full range of motion in his upper extremities. (Tr. 503-04.) Plaintiff refused to flex or extend his back but was able to bend down to pick up an object from the floor, and had full range of motion in his lower extremities. (Tr. 504.) Plaintiff used no assistive device and needed no help changing for the exam, or getting on and off the exam table, and could rise from the chair without difficulty. (Tr. 503.) Based on his examination and a review of the x-rays that plaintiff provided, Dr. Tranese found that plaintiff may have moderate restriction with heavy lifting and frequent bending, minimal restriction with standing long periods or walking long distances, and mild to moderate restriction with stair climbing, squatting, or kneeling. (Tr. 505.) He also found that plaintiff had no limitations using his “upper extremities, or fine and gross manual activities” and that plaintiff “ha[d] no other physical functional deficits.” (Id.)

         Dr. Tranese completed the “Medical Source Statement of Ability to do Work-Related Activities (Physical)” form. (Tr. 506-512.) Dr. Tranese concluded that plaintiff could lift and carry up to 20 pounds continuously; plaintiff could frequently lift, and occasionally carry up 50 pounds; plaintiff could occasionally lift, but never carry 51 to 100 pounds. (Tr. 506.) He also found that plaintiff, at one time without interruption, could sit for 8 hours, stand for 6 hours, and walk for 4 hours, and in total for an 8 hour work day, plaintiff could sit for 8 hours, stand for 7 hours and walk for 6 hours. (Tr. 507.) Dr. Tranese found that plaintiff had no limitations with either hand or with use of his right foot but noted that plaintiff had some minor limitations with use of his left foot. (Tr. 508.) Plaintiff was found to frequently be able to climb stairs and ramps, balance, stoop, kneel, crouch and crawl but could only occasionally climb ladders or scaffolds. (Tr. 509.) Plaintiff was not found to have any environmental exposure limitations. (Tr. 510.)

         Also on July 9, 2012, Rahel Eyassu, M.D., performed a consultative internal medicine examination on plaintiff. (Tr. 513.) Plaintiff reported that he does not clean, cook, do laundry or shop, but he reported that he showered and dressed himself. (Tr. 514.) He also reported that he liked to listen to the radio and he liked to read. (Id.) Plaintiff used no assistive device and needed no help changing for the exam, or getting on and off the exam table, and could rise from the chair without difficulty. (Id.) Plaintiff declined to walk on his heels and toes and he declined to squat. (Id.) Dr. Eyassu reported that since plaintiff refused some of the tests, she was only able to find full range of motion in plaintiff's cervical spine, in his upper extremities, in his knees and in his ankles. (Tr. 515.) Dr. Eyassu found that plaintiff experienced pain with forward elevation of the left shoulder. (Id.) Dr. Eyassu found no sensory deficits in plaintiff's upper or lower extremities and found that plaintiff had full strength in his upper extremities. (Tr. 516.) She could not determine the strength of his lower extremities because plaintiff refused most of the tests. (Id.) Dr. Eyassu's determined that plaintiff would be limited in repetitive bending and activities with heavy lifting, and mildly limited in walking, prolonged standing, prolonged sitting, and excessive neck movements. (Id.)

         Dr. Eyassu completed the “Medical Source Statement of Ability to do Work-Related Activities (Physical)” form. (Tr. 518-524.) Dr. Eyassu concluded that plaintiff could lift and carry up to 10 pounds frequently; plaintiff could occasionally lift and carry up to 50 pounds; plaintiff could never lift or carry 51 to 100 pounds. (Tr. 518.) She also found that plaintiff, at one time without interruption, could only sit, stand, and walk for 30 minutes, and in total for an 8 hour work day, plaintiff could sit and stand for 4 hours, and walk for 3 hours. (Tr. 519.) Dr. Eyassu found that plaintiff had some limitation with pushing and pulling, but found no other limitations with either hand. (Tr. 520.) She also found that plaintiff had some minor limitations with using his feet. (Tr. 520.) Dr. Eyassu found that plaintiff could occasionally climb stairs and ramps, kneel, crouch, crawl and climb ladders or scaffolds, and he could frequently balance, operate a motor vehicle and tolerate loud noise; plaintiff could occasionally tolerate unprotected heights, moving mechanical parts, humidity and wetness, dust, odors, fumes and pulmonary irritants, extreme cold, extreme heat, and vibrations. (Tr. 521-22.)

         Records from Brownsville Community Development Corporation from August to December 2012

         On August 28, 2012, Family Nurse Practitioner, Maggie Farley, F.N.P., of Brownsville Community Development Corporation conducted a physical examination of plaintiff. (Tr. 668-73.) Practitioner Farley noted that plaintiff requested a pain management referral in order to attain a prescription for oxycodone. (Tr. 668.) She also noted that although plaintiff had not had pain medication for the past month, plaintiff showed no signs of acute distress; he was able to ambulate, sit, stand, change positions and complete his visit comfortably despite reporting that his pain was 10 out of 10. (Tr. 668.) Practitioner Farley reported that plaintiff had a history of hypertension, back pain, anxiety disorder, extreme obesity, and some limitations in his range of motion due to obesity, but otherwise presented no abnormalities. (Tr. 668-70.)

         On September 4, 2012, plaintiff saw Practitioner Farley for a “letter for disability” and for the results of the labs conducted at the August 28, 2012 visit. (Tr. 674-680.) Practitioner Farley diagnosed plaintiff with diabetes mellitus type 2, elevated cholesterol, and degenerative disc disease. (Tr. 675.) She noted that plaintiff was newly diagnosed with type 2 diabetes and that there were no associated symptoms. (Tr. 674.) At plaintiff's September 28, 2012 follow up visit, Practitioner Farley noted that plaintiff's compliance with diet was fair but his compliance with exercise was poor. (Tr. 681.) She also noted that plaintiff's diabetes was well controlled. (Tr. 682.) Plaintiff was referred to a podiatrist. (Id.)

         At a December 17, 2012, plaintiff was seen by the dietician Kelly Weiss. (Tr. 690-91.) Plaintiff reported that he lost 30 pounds over the course of the last two months. (Tr. 690.) He also reported that he did the food shopping and “walked a lot” as a means of exercise. (Id.) Records from Starrett City Podiatry from October to November 2012 On October 19, 2012, plaintiff visited Starrett City Podiatry seeking diabetic foot care. (Tr. 660.) Dr. Vasilios Spyropoulos, D.P.M., assessed that plaintiff had diabetes with neuropathy, hammertoe, posterior calcaneal bone spur, nail fungus and athlete's foot. (Tr. 661.) Plaintiff was educated on the risks and possible complications of, and how to prevent complications associated with, his diabetic foot condition. (Id.) Plaintiff received a prescription for diabetic shoes, lotrisone cream and nystatin powder. (Id.) On November 2, 2012, Brian Levy, D.P.M., found prolonged distal peak latency and decreased conduction velocity in certain nerves in plaintiff's lower left leg, and decreased conduction velocity in plaintiff's right foot. (Tr. 653, 708.) Plaintiff's symptoms were found to be mild to moderate. (Id.)

         B. Evidence Related to Claimed Mental Impairments

         Dr. Christopher Flach, Ph.D.

         On May 4, 2011, Christopher Flach, Ph.D. conducted a consultative “psychiatric evaluation” of plaintiff. (Tr. 376-79.) Plaintiff reported that he stopped working as a security guard because it required standing. (Tr. 376.) The only medical problems plaintiff reported to Dr. Flach was high blood pressure, diabetes and a seizure disorder. (Id.) Plaintiff reported that he slept “okay” with medication and that he had a mixed appetite. (Id.) Plaintiff reported that he was able to dress and bathe himself, do some general ...


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