Donald G.

Main

Jurisdictional

Disability Hearing Officer Denies Continuing Benefits

12/22/2005

Because claimant failed to cooperate with the process. Clmt had been receiving benefits since 1992 (Title II & XVI)

DLI

3/31/06

Unfavorable Decision from ALJ Sacks

2/9/08

SI (as of 2/1/2004): Schizophrenia; morbid obesity; herniated cervical disc; degenerative disc disease, carpal tunnel syndrome, drug abuse.

ALJ Found Medical Improvement as of 2/1/2004. Found that, based on claimant's testimony, claimant could perform Sedentary work.

Treatment

Mercy Hospital ER Visit for Asthma

7/14/2005 - 7/15/2005

Dr. Yarus: R. Wrist

11/30/2006 - 8/2/2007

11/30/2006: Complaint of pain and weakness in right wrist. On physical examination, decreased grip strength accompanied by atrophy of the wrist musculature and positive Tinel's and Phalen's signs. DX: chronic uncontrolled hand pain and enthesopathy of the wrist and carpus.

Regional Orthopedic Health Center

2/22/07 - 8/2/07

Complaining of Wrist pain in right wrist

Lankenau ER for SOB

1/31/08

Multiple ER Visits at Lankenau Medical Center

1/31/2008 - 11/9/11

Lankenau ER for Fall

9/17/09

(X-rays performed)

Multiple Visits to Mercy Health Associates

9/29/09 - 12/8/11

Lankenau ER for Asthma Exacerbation

7/2/10

On physical exam wheezing was present

ER Visit to Lankenau Medical Center for Back Pain

12/18/10

Severe pain in the lower lumbar spine radiating to right leg

Lankenau Medical Center ER

4/2/11

DX: Sciatica, Baker's Cyst, and L. Knee degenerative Joint Disease. Prescribed Ibprofen and Percocet, and told to follow up with an orthopeadic surgeon.

Dr. Dworkin- Epidural injection in back

4/28/11

C/O chronic back and leg pain. Impression: low back pain w/ sciatica. Tx: epidural Injection

Mercy Fitzgerald Physical Therapy (Knee)

10/26/11 - 11/23/11

Objective Medical Evidence

MRI of Cervical Spine

7/6/07

Revealed DDD of cervical spine: at C3-4, broad-based herniation causing moderate effacement of the thecal sac and bilateral neural foraminal narrowing; at C4-5, disc buldge with hypetrophy of the unconvertable joint; at C5-6 and C6-7. broad-based osseous ridging and sic herniation and bilateral neural foraminal narrowing.

MRI of the L. Shoulder

7/12/2007

Revealed changes indicative of tendinosis along the distal one-third of the supraspinatus joint, and moderate DJD of the acromioclavicular joint with impingement.

X0Ray of R. Wrist

9/17/09

mild degenerative changes. Soft tissue calcificaiton in the region of the carpal tunnel.

X-Ray of L. Hand

9/17/09

5th PIP arthritic changes

X-Ray of L. Knee

9/17/09

Moderate multi-compartment arthritic change

X-Ray R. Foot

9/17/09

mild-moderate arthritic change involving the medial tarsal bones and the first MTP joint with bulky dorsal spurring; hallux valgus deformity and bunion formation

X-Ray of Left Leg from LMC

4/2/11

Revealed Baker's Cyst that had enlarged since 3/11, currently at 5cm.

MRI of lumbar spine from LMC

4/2/11

Revealed Hypertrophic spondylitic degenerative changes of lumbar spine. Discogenic degenerative narrowing.

MRI of L. Knee from LMC

4/22/11

Revealed osteoarthitic degenerative changes with moderate to large left knee joint effusion.

MRI of L. Hand from LMC

11/07/11

Revealed prominent dorsal soft tissue swelling at the level of the metacarpal heads; mild degenerative change at the fifth proximal interphalangeal joint (stable since '09)

Weight

Penn Pain Medicine Center- 398lbs

1/22/07

Gerald Drowkin: 400lbs

4/28/2011

Opinion Evidence

Physical RFC- Opinion Evidence

8/11/2009

Limited to Sedentary work