Agnes S.

Main

50th Birthday

8/13/2011

202.09 [Closely approaching advanced age] + [unable to communicate in English] + [Unskilled or none] =Disabled

Hearing

3/14/2012

Jurisdictional

PFD

7/21/10

Amended AOD

8/1/11

DLI

12/31/11

Treatment

Therapy and Psychiatry at Nueva Vida

7/21/10 - 2/11/12

Treated for depression and anxiety

Obesity

8/15/11 - 3/14/2012

Claimant's weight is listed as 200+ lbs the whole time

Temple University ER

10/19/2011

Claimant went to Temple ER for back pain, was given Naproxen and released

Atlantic Pain & Wellness Institute

11/21/11 - 2/17/12

Received multiple back injections

Objective Medical Evidence

MRI Lumbar Spine

11/28/2011

Mild spondylotic disease; shallow protrusion of annular tear at L4-5; mild bilateral foraminal enchroachment due to facet arthopathy.

X-Ray of Knee

2/17/12

Revealed mild compartment osteoarthritis in left knee

Opinion Evidence

Physical CE- Arturo Ferreira, M.D.

12/22/2010

On physical exam, CE notes that claimant is obese; has pain with flexion, extension, and rotation, as well as in left shoulder.

Impression: 1) Low back pain radiating to left lower extremity; 2) Left shoulder pain; 3) GERD; 4) Exogenous obesity

MSS:

1) L10 occ, 25 frq; C 2-3 occ, 20 frq
2) Stand and walk for 4 hours
3) Sit for 8/8
4) Occ posturals

Mental CE: Dennis C. Gold

2/15/11

Only significant for ruling out skilled work.

MSS- Dr. Gupta

2/28/12

1 hour continuous sitting, then needs to walk around for an hour; but can only walk around for 15 minutes at a time, then must lay down or recline; only walk for a total of 1 hour a day. Lift only 1-5 pounds at a time occasionally