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Gonzales v. Astrue, 11-1511 (2013)

Court: Court of Appeals for the Tenth Circuit Number: 11-1511 Visitors: 36
Filed: Feb. 19, 2013
Latest Update: Feb. 12, 2020
Summary: FILED United States Court of Appeals UNITED STATES COURT OF APPEALS Tenth Circuit FOR THE TENTH CIRCUIT February 19, 2013 Elisabeth A. Shumaker Clerk of Court JAMES GONZALES, Plaintiff-Appellant, v. No. 11-1511 (D.C. No. 1:10-CV-02178-RPM) CAROLYN W. COLVIN, Acting (D. Colo.) Commissioner of Social Security,* Defendant-Appellee. ORDER AND JUDGMENT** Before HARTZ, ANDERSON, and EBEL, Circuit Judges. James Gonzales applied for disability and supplemental security income benefits, claiming he was d
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                                                              FILED
                                                  United States Court of Appeals
                     UNITED STATES COURT OF APPEALS       Tenth Circuit

                            FOR THE TENTH CIRCUIT                      February 19, 2013

                                                                      Elisabeth A. Shumaker
                                                                          Clerk of Court
JAMES GONZALES,

             Plaintiff-Appellant,

v.                                                          No. 11-1511
                                                  (D.C. No. 1:10-CV-02178-RPM)
CAROLYN W. COLVIN, Acting                                    (D. Colo.)
Commissioner of Social Security,*

             Defendant-Appellee.


                            ORDER AND JUDGMENT**


Before HARTZ, ANDERSON, and EBEL, Circuit Judges.


      James Gonzales applied for disability and supplemental security income

benefits, claiming he was disabled by a number of physical and mental conditions.

An administrative law judge (ALJ) held a hearing and issued an unfavorable


*
       In accordance with Rule 43(c)(2) of the Federal Rules of Appellate Procedure,
Carolyn W. Colvin is substituted for Michael J. Astrue as the defendant-appellee in
this action.
**
      After examining the briefs and appellate record, this panel has determined
unanimously to grant the parties’ request for a decision on the briefs without oral
argument. See Fed. R. App. P. 34(f); 10th Cir. R. 34.1(G). The case is therefore
ordered submitted without oral argument. This order and judgment is not binding
precedent, except under the doctrines of law of the case, res judicata, and collateral
estoppel. It may be cited, however, for its persuasive value consistent with
Fed. R. App. P. 32.1 and 10th Cir. R. 32.1.
decision. The Appeals Council and district court upheld the ALJ’s decision, and

Gonzales now appeals. Exercising jurisdiction under 42 U.S.C. § 405(g) and

28 U.S.C. § 1291, we affirm.

   I.      BACKGROUND

        Gonzales filed his first application for disability-insurance benefits and

supplemental security income in 1999. An ALJ denied the claim after a hearing in

2001. The Appeals Council declined Gonzales’s request for review. He did not

pursue any further appeal. Gonzales filed his current application in June 2002 and

was ultimately denied benefits after an administrative hearing in 2008 before a new

ALJ. At the hearing Gonzales asked the ALJ to consider evidence from his prior

1999 application.

        The ALJ found that Gonzales suffers from degenerative disc disease of the

lumbar spine and osteoarthritis of the left shoulder but not radiculitis (nerve root

irritation). Despite these impairments the ALJ determined at step four of the

five-step sequential process that Gonzales was not disabled because he retained the

residual functional capacity (RFC) to perform his past relevant work as a boiler

operator, both as it is generally performed (medium exertion) and as he actually

performed it (light exertion). See 20 C.F.R. § 404.1520(a)(4); § 416.920 (a)(4);

Wall v. Astrue, 
561 F.3d 1048
, 1052 (10th Cir. 2009) (explaining the five-step

process). The ALJ did not consider evidence from the previous application.




                                           -2-
The Appeals Council denied review and the district court upheld the ALJ’s decision.

This appeal followed.

   II.      DISCUSSION

         “We review the Commissioner’s decision to determine whether the factual

findings are supported by substantial evidence in the record and whether the correct

legal standards were applied.” Doyal v. Barnhart, 
331 F.3d 758
, 760 (10th Cir.

2003). On appeal Gonzales argues: (1) the ALJ failed to accord proper weight to the

opinions of Gonzales’s treating physician; (2) the ALJ inappropriately relied on the

assessment of a nonexamining agency physician; (3) the ALJ’s credibility finding is

not supported by substantial evidence; and (4) additional evidence that Gonzales

submitted to the Appeals Council should be considered in this appeal, and that

evidence (in particular, an IQ test) demonstrates that the ALJ erred. Gonzales also

argues that the first ALJ’s findings were entitled to preclusive effect during the

hearing before the second ALJ.

          A. Gonzales’s Treating Physician

         Dr. Michael Barris was Gonzales’s treating physician. He opined that

Gonzales’s lumbar radiculitis, left-forearm neuropathy, and right-knee osteoarthritis

limited him as follows during a regular work day: to sitting no more than three

hours, standing no more than two hours, and walking no more than one hour; lifting

frequently no more than five pounds, lifting occasionally no more than 10 pounds,

and lifting 20 pounds only rarely; and no bending, kneeling, crouching, crawling, and


                                          -3-
only rare squatting. Dr. Barris concluded that Gonzales was disabled and unable to

work. Gonzales contends that the ALJ erred by disregarding this opinion and not

according it proper deference.

      In deciding how much weight to give a treating physician’s opinion, an ALJ

must first determine if the opinion is entitled to controlling weight. See Watkins v.

Barnhart, 
350 F.3d 1297
, 1300 (10th Cir. 2003). An opinion is so entitled if it is

well-supported by the medical evidence and is consistent with other substantial

evidence in the record. See 
id. Substantial evidence is
“such relevant evidence as a

reasonable mind might accept as adequate to support a conclusion.” Fowler v.

Bowen, 
876 F.2d 1451
, 1453 (10th Cir. 1989) (internal quotation marks omitted).

      The ALJ did not give controlling weight to Dr. Barris’s opinion because it was

not supported by medical evidence and was inconsistent with the record. He said that

the opinion was based primarily on Gonzales’s own reports of pain and not the

objective medical evidence. Gonzales asserts that the ALJ erred because he

improperly discounted Gonzales’s credibility while ignoring medical evidence. We

are not persuaded. First, the ALJ did not reject Dr. Barris’s opinion, he merely

declined to give it controlling weight. See Krauser v. Astrue, 
638 F.3d 1324
, 1330

(10th Cir. 2011) (distinguishing between denying controlling weight to a treating

physician’s opinion and completely rejecting it). Second, the ALJ referred to

Gonzales’s self-reports of pain as the apparent foundation for Dr. Barris’s opinion

precisely because the opinion differed from the extensive medical evidence to which


                                         -4-
the ALJ gave close examination. For example, the ALJ noted that, contrary to

Dr. Barris’s opinion about Gonzales’s severe pain, Dr. Barris’s own observations

showed normal gait and normal neurological exam results, and he found that

Gonzales exhibited only moderate back pain and a full range of motion in the knee.

Dr. Moser, an examining physician, reports similar findings, and imaging showed

only mild disc disease of the lower spine and a mild degenerative condition in the left

shoulder. The ALJ reasonably found the evidence inconsistent with Dr. Barris’s

opinion that Gonzales was severely limited and hence properly did not accord it

controlling weight.

       B. Nonexamining Agency Physician

      Dr. George Twombly, an agency physician who reviewed Gonzales’s record in

2002, found that Gonzales was more capable than Dr. Barris stated. Gonzales argues

that the ALJ erroneously “rejected” Dr. Barris’s opinion “in favor of” the opinion of

Dr. Twombly, because Dr. Twombly had access to only a small portion of the

evidence available to Dr. Barris and the ALJ. Aplt. Br. at 22. We again note that the

ALJ did not reject Dr. Barris’s opinion at all, nor did he rely on Dr. Twombly’s

opinion “in favor of” Dr. Barris’s. Instead, the ALJ found that the same record

evidence undermining Dr. Barris’s opinion supported Dr. Twombly’s and thus gave

greater weight to the latter’s opinion. And although it is true that Dr. Twombly was

privy to only an incomplete record, the ALJ specifically addressed this point in

finding that the more recent record evidence failed to establish that Gonzales’s


                                         -5-
conditions had worsened since Dr. Twombly’s review. The ALJ did not err in

adopting the conclusion that Gonzales could still perform medium exertional work.

        C. Credibility Finding

      Gonzales argues that the ALJ’s credibility finding is not supported by

substantial evidence. “Credibility determinations are peculiarly the province of the

finder of fact, and we will not upset such determinations when supported by

substantial evidence in the record, provided the determinations are closely and

affirmatively linked to that evidence.” Adams ex rel. D.J.W. v. Astrue, 
659 F.3d 1297
, 1302 (10th Cir. 2011) (alteration and internal quotation marks omitted). We

refuse to reject the ALJ’s finding.

      The ALJ found that Gonzales was not credible because there was “little

objective medical support” for many of his claimed ailments and there were

inconsistencies in his testimony. Aplt. App., Vol. IIb at 303. For instance, although

Gonzales testified to severe symptoms in his low back and shoulders, imaging results

have shown little evidence of severe dysfunction. Regarding Gonzales’s complaints

of severe symptoms in his low back and legs due to lumbar radiculitis, the ALJ

referred to the lack of imaging results showing nerve-root impingement and

inconsistent results from straight-leg-raise testing. The ALJ also noted instances of

Gonzales’s noncompliance with treatment, including discontinuing prescribed

medication for pain and depression, failing to show up for a stress test, and failing to

follow recommendations for his diabetic condition. Finally, the ALJ identified


                                          -6-
inconsistencies in Gonzales’s statements, such as his testimony that he has been

unable to grip even though Dr. Barris’s and Dr. Moser’s reports indicate no such

complaints.

      Gonzales contends that the ALJ erred in finding that medical evidence did not

corroborate his reported levels of pain, especially with regard to the ALJ’s finding

that Gonzales did not have lumbar radiculitis. Gonzales asserts that the ALJ either

ignored or improperly discounted “multiple objective findings in the record,”

including MRI evidence of a bulging disc in Gonzales’s lumbar spine that touches a

nerve root. Aplt. Br. at 25. But the imaging report notes that the disk bulge does not

impinge on the nerve. Gonzales asserts that the results of the MRI mean that the

nerve root contact is “capable of irritating the nerve and producing symptoms” and

can provide a “medically probable explanation” for the positive results on

straight-leg-raise testing. 
Id. (emphasis added). This,
however, is only Gonzales’s

speculation that the contact is capable of producing the pain of which he complains;

there is no supporting testimony or statement by a doctor. Because of the lack of

objective evidence connecting the nerve-root contact with Gonzales’s pain, and in

light of the record as a whole, we cannot say that the ALJ’s finding was contrary to

substantial evidence.

      Gonzales also argues that the ALJ erred by concluding that he has had only

“‘conservative’” treatment for his conditions and was noncompliant in taking

medications, while ignoring that Gonzales’s indigence was a factor. 
Id. at 26. -7-
Gonzales states that Dr. Barris “repeatedly recommended” that he see an orthopedic

surgeon but he was limited by his indigence and lack of medical coverage in pursuing

such recommendations, facts which the ALJ did not properly take into account. 
Id. The ALJ did,
however, acknowledge Gonzales’s financial state before finding that it

could not account for all of Gonzales’s failures to refill prescribed medications and

follow recommendations, a finding supported by the record. And contrary to

Gonzales’s argument, the ALJ never suggested that Gonzales’s financial difficulties

had no impact on his decision to forgo surgery. Thus it was reasonable for the ALJ

to conclude that Gonzales was noncompliant in spite of financial limitations.

        D. Additional Evidence

           1. Administrative Res Judicata

      Gonzales contends that principles of administrative res judicata bound the

second ALJ to accept the first ALJ’s findings from his 2001 hearing that he was

unable to perform a full range of light work, was unable to perform his past work as a

boiler operator, and did not have any transferable skills from prior work experience.

At the 2008 hearing before the second ALJ, Gonzales’s attorney asked that he

consider the first ALJ’s 2001 decision and evidence from his prior claim, but the

second ALJ declined to do so. At the hearing Gonzales did not contend that

res judicata applied. But he now asserts that the first ALJ’s findings were in fact

binding on the second ALJ even though the first ALJ did not find Gonzales disabled.

Gonzales argues that applying res judicata necessitates a determination of disability


                                         -8-
under “grid” Rule 202.06, 20 C.F.R. § 404, Subpart P, Appendix 2, because he turned

55 in 2006.

      Res judicata may apply in a social security case when a previous determination

is made about the claimant’s rights “on the same facts and on the same issue or

issues, and this previous determination has become final by either administrative or

judicial action.” Poppa v. Astrue, 
569 F.3d 1167
, 1170 (10th Cir. 2009)

(nonprecedential order and judgment) (emphasis and internal quotation marks

omitted); see also 20 C.F.R. § 404.957(c)(1); 
id. § 416.1457(c)(1). To
support his

preclusion argument Gonzales relies on Lively v. Secretary of Health & Human Services,

820 F.2d 1391
(4th Cir. 1987), Drummond v. Commissioner of Social Security, 
126 F.3d 837
(6th Cir. 1997), and Chavez v. Bowen, 
844 F.2d 691
(9th Cir. 1988). In these

cases, however, the second ALJ reevaluated evidence already presented and

adjudicated by the first ALJ. By contrast, in Rucker v. Chater, 
92 F.3d 492
, 495

(7th Cir. 1996), the court held that an ALJ’s evaluation of the claimant’s second

application for benefits was “an independent consideration of her eligibility at the

time of her second application.” 
Id. It noted that
even though the second ALJ

concluded that the claimant was capable of medium work in spite of the first ALJ’s

finding that she was capable only of sedentary work, “[t]he time period was different,

and a different outcome is not necessarily inconsistent.” 
Id. The court reasoned
that

the first ALJ’s findings were binding only on the time period of the claimant’s

eligibility during her first application and had no effect on the second application for


                                          -9-
a later time period. See id.; see also Hardy v. Chater, 
64 F.3d 405
, 407 (8th Cir.

1995) (similar).

      In this case Gonzales’s second application involved a different, unadjudicated

time period involving over five years of new evidence. Unlike Lively, Drummond,

and Chavez, the second ALJ did not reevaluate evidence nor did he contradict the

first ALJ’s ultimate finding that Gonzales was not disabled. We need not decide

whether in other circumstances the findings from a prior decision are binding on a

subsequent ALJ.

           2. Mental Impairment

      Gonzales argues that the ALJ improperly failed to consider evidence of his

mental limitations. He presented to the ALJ results of a 2001 psychological test that

scored his full-scale IQ at 70. Listing 12.05C, which sets standards for disability

based on mental retardation, requires a claimant to have an IQ of 60-70 “and a

physical or other mental impairment imposing an additional and significant

work-related limitation of function.” See 20 C.F.R. Pt. 404, Subpt. P, App. 1

§ 12.05C. Because the ALJ found Gonzales to have physical limitations, Gonzales

asserts that he met the requirements of the listing. Because the ALJ did not consider

evidence of Gonzales’s IQ, he contends that there is reversible error.

      As the Commissioner points out, however, Listing 12.05C requires not only

the necessary IQ but “significantly subaverage general intellectual functioning with




                                         - 10 -
deficits in adaptive functioning” manifested before age 22. 
Id. § 12.05. The
record

shows no evidence of impaired adaptive functioning manifested before age 22.

      For the foregoing reasons, the judgment of the district court is AFFIRMED.


                                                Entered for the Court


                                                Harris L Hartz
                                                Circuit Judge




                                       - 11 -

Source:  CourtListener

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