VIRGINIA EMERSON HOPKINS, District Judge.
Plaintiff Gary Watkins ("Mr. Watkins") brings this action under 42 U.S.C. § 405(g), Section 205(g) of the Social Security Act. He seeks review of a final adverse decision of the Commissioner of the Social Security Administration ("Commissioner"),
The sole function of this court is to determine whether the decision of the Commissioner is supported by substantial evidence and whether proper legal standards were applied. Bloodsworth v. Heckler, 703 F.2d 1233, 1239 (11th Cir. 1983). To that end this court "must scrutinize the record as a whole to determine if the decision reached is reasonable and supported by substantial evidence." Id. Substantial evidence is "such relevant evidence as a reasonable person would accept as adequate to support a conclusion." Id. The court has carefully reviewed the entire supported by substantial evidence and that proper legal standards were not applied in reaching that decision. Accordingly, the decision of the Commissioner must be
Mr. Watkins filed a Title II application for DIB on November 26, 2012. (Tr. 29). He filed a Title XVI application for SSI on February 27, 2013. Id. In both applications, Mr. Watkins alleged disability beginning October 15, 2011 (Tr. 29), which was subsequently amended to February 12, 2013. (Tr. 167). The applications were denied administratively on May 16, 2013, and Mr. Watkins timely requested a hearing before an Administrative Law Judge ("ALJ"). (Tr. 29). That hearing was held on September 12, 2014, and the ALJ denied both claims. Id. Mr. Watkins filed a complaint on July 5, 2016, which asks this court to review the ALJ's decision. (Doc. 1).
The court's review of the Commissioner's decision is narrowly circumscribed. The function of this court is to determine whether the decision of the Commissioner is supported by substantial evidence and whether proper legal standards were applied. Richardson v. Perales, 402 U.S. 389, 390 (1971); Wilson v. Barnhart, 284 F.3d 1219, 1221 (11th Cir. 2002). This court must "scrutinize the record as a whole to determine if the decision reached is reasonable and supported by substantial evidence." Bloodsworth, 703 F.2d at 1239. This court will determine that the ALJ's opinion is supported by substantial evidence if it finds "such relevant evidence as a reasonable person would accept as adequate to support a conclusion." Id. Substantial evidence is "more than a scintilla, but less than a preponderance." Id. Factual findings that are supported by substantial evidence must be upheld by the court. The ALJ's legal conclusions, however, are reviewed de novo, because no presumption of validity attaches to the ALJ's determination of the proper legal standards to be applied. Davis v. Shalala, 985 F.2d 528, 531 (11th Cir. 1993). If the court finds an error in the ALJ's application of the law, or if the ALJ fails to provide the court with sufficient reasoning for determining that the proper legal analysis has been conducted, the ALJ's decision must be reversed. Cornelius v. Sullivan, 936 F.2d 1143, 1145-46 (11th Cir. 1991).
To qualify for disability benefits and establish his or her entitlement for a period of disability, a claimant must be disabled as defined by the Social Security Act and the Regulations promulgated thereunder.
The Regulations provide a five-step process for determining whether a claimant is disabled. 20 C.F.R. § 404.1520(a)(4)(i-v). The Commissioner must determine in sequence:
Pope v. Shalala, 998 F.2d 473, 477 (7th Cir. 1993) (citing to formerly applicable C.F.R. section), overruled on other grounds by Johnson v. Apfel, 189 F.3d 561, 562-63 (7th Cir. 1999); accord McDaniel v. Bowen, 800 F.2d 1026, 1030 (11th Cir. 1986). The sequential analysis goes as follows:
Pope, 998 F.2d at 477; accord Foote v. Chater, 67 F.3d 1553, 1559 (11th Cir. 1995). The Commissioner must further show that such work exists in the national economy.
After consideration of the entire record, the ALJ made the following findings:
The court may only reverse a finding of the Commissioner if it is not supported by substantial evidence. 42 U.S.C. § 405(g). "This does not relieve the court of its responsibility to scrutinize the record in its entirety to ascertain whether substantial evidence supports each essential administrative finding." Walden v. Schweiker, 672 F.2d 835, 838 (11th Cir. 1982) (citing Strickland v. Harris, 615 F.2d 1103, 1106 (5th Cir. 1980)).
Mr. Watkins urges this court to reverse the Commissioner's decision to deny his DIB and SSI. (Doc. 9 at 1). He asserts that the ALJ failed to properly credit his pain testimony pursuant to the Eleventh Circuit pain standard. Id. at 4. More specifically, he contends that the ALJ improperly discounted his claims of disabling physical limitations. Id. Mr. Watkins also maintains that the ALJ failed to fully and fairly develop the record.
The Eleventh Circuit pain standard applies when a claimant attempts to "establish disability through his or her testimony of pain or other subjective symptoms." Holt v. Sullivan, 921 F.2d 1221, 1223 (11th Cir. 1991). This standard requires "(1) evidence of an underlying medical condition and either (2) objective medical evidence that confirms the severity of the alleged pain arising from that condition or (3) that the objectively determined medical condition is of such a severity that it can reasonably be expected to give rise to the alleged pain." Id.
The ALJ "acknowledges there is evidence of degenerative disc disease in the record" and that Mr. Watkins's "medically determinable impairments could reasonably be expected to cause the alleged symptoms." (Tr. 16). This objective evidence includes Mr. Watkins's MRI report (Tr. 309-10), x-ray report (Tr. 233), his consulting physician, Dr. Ledet's, notes and records (Tr. 278-83) and all accounts from his check-ups with his treating physician, Dr. Balasky (Tr. 220-28, 285-86, 312-14).
(Tr. 233, 309-10).
In part three of the pain standard analysis, the ALJ determined that even though Mr. Watkins presented sufficient evidence to prove that he had degenerative disc disease, "the claimant's statements concerning the intensity, persistence and limiting effects of these symptoms are not entirely credible." (Tr. 16); (see also id. (acknowledging evidence of degenerative disc disease, but concluding that "the medical evidence of record does not substantiate the alleged resulting limitation severity")). If a claimant has supported his testimony with objective medical evidence, as Mr. Watkins has done in this case, the ALJ is required to articulate "explicit and adequate reasons" if he is to properly discredit that testimony. Wilson, 284 F.3d at 1225 (citing Hale v. Bowen, 831 F.2d 1007, 1011 (11th Cir. 1987)). An ALJ can use his own objective evidence, supported by other relevant factors, such as the "claimant's daily activities; [and] the location, duration, frequency, and intensity of the claimant's pain," to discredit the claimant's pain testimony. Rudder v. Berryhill, No. 4:16-CV-0717-VEH, 2017 WL 2289128, at *11 (N.D. Ala. May 25, 2017) (citing 20 C.F.R. § 404.1529(c)(3)). The Eleventh Circuit has regularly followed the rationale presented in Foote, when the reviewing court criticized the ALJ for "fail[ing] to identify any inconsistencies between [the plaintiff's] statements to her physicians and those she ha[d] made to the Secretary, through her application for disability benefits and during her administrative hearing," and concluded that the ALJ failed to apply the Eleventh Circuit pain standard to the facts of the claimant's case. Foote, 67 F. 3d at 1562; see also Tieniber v. Heckler, 720 F.2d 1251, 1255 (11th Cir. 1983) ("[W]here proof of a disability is based upon subjective evidence and a credibility determination is, therefore, a critical factor in the Secretary's decision, the ALJ must either explicitly discredit such testimony or the implication must be so clear as to amount to a specific credibility finding."); Walden, 672 F.2d at 839 (explicit credibility "findings are necessary and crucial where subjective pain is an issue"). The court finds that although the ALJ did articulate explicitly why he chose to discredit Mr. Watkins's pain testimony attributable to his degenerative disc disease, his reasons for doing so are inadequate as explained below.
The ALJ attempted to discredit Mr. Watkins's alleged pain by using his daily activities and ability to perform simple tasks to conclude that his statements about the persistency and intensity of his pain could not be completely accurate. (Tr. 20). More specifically, the ALJ pointed to Mr. Watkins's statements about his ability to occasionally take out the trash, cook some meals for himself (Tr. 37), go to the store,
In Venette v. Apfel, 14 F.Supp.2d 1307, 1314 (S.D. Fla. 1998), the district court held that housework, light cooking, and light grocery shopping are minimal daily activities and "are not dispositive evidence of one's ability to perform sedentary work in a Social Security case."
Additionally, judges sitting in the Northern District of Alabama (including the undersigned) have held that a claimant's ability to perform limited daily activities, such as light household chores, going to church, cooking, watching television and shopping with assistance is inadequate to substantially support an ALJ's adverse credibility determination. See Rutledge v. Barnhart, 391 F.Supp.2d 1057, 1602 (N.D. Ala. 2005) ("Evidence of minor personal activities do not alone provide substantial evidence of [a] functional capacity necessary to engage in substantial gainful activity nor does it discredit a claimant's testimony regarding pain."); see also Frizzell v. Astrue, 487 F.Supp.2d 1301, 1305-06 (N.D. Ala. 2007); (determining that "fix[ing] breakfast, dress[ing] . . . , watch[ing] television . . . cook[ing] meals . . . [,] shop[ping], . . . perform[ing] light cleaning, dusting and clothes washing . . ." "do not rule out the presence of disabling pain"); Pollard v. Astrue, 867 F.Supp.2d 1225, 1232 (N.D. Ala. 2012) (finding that ALJ's credibility analysis was flawed because it gave great weight to daily activities, such as cooking and caring for personal hygiene, that did "not support a finding that the plaintiff's pain testimony is not true" and, therefore, failed to "rule out the presence of disabling pain"); Bennett v. Barnhart, 288 F.Supp.2d 1246, 1252 (N.D. Ala. 2003) ("What counts is the ability to perform as required on a daily basis in the `sometimes competitive and stressful' environment of the working world." (quoting Douglas v. Bowen, 836 F.2d 392, 396 (8th Cir. 1987)); Bennett, 288 F. Supp. 2d at 1252 ("[A]n applicant need not be completely bedridden or unable to perform any household chores to be considered disabled." (quoting Easter v. Bowen, 867 F.2d 1128, 1130 (8th Cir. 1989) (citing Yawitz v. Weinberger, 498 F.2d 956, 960 (8th Cir. 1974))).
Alternatively, to the extent that Mr. Watkins's daily activities, because of his ability to drive a car, partially support the ALJ's credibility determination, such evidence cannot ever be the only basis for discrediting pain. Lewis, 125 F.3d at 1441. As long as Mr. Watkins's statements and actions are consistent regarding the intensity, persistence and limiting effects of the alleged pain caused by his degenerative disc disease, he can still be found to be disabled, despite his ability to drive a car short distances and partially care for himself. Id. Here, none of the ALJ's other reasons are adequate, as explained infra, to discredit Mr. Watkins's pain. Therefore, the ALJ's reliance upon Mr. Watkins's daily activities including his ability to drive a car is insufficient to sustain the ALJ's adverse credibility finding.
The ALJ inadequately discredited Mr. Watkins's pain by incorrectly concluding that he did not adhere to the appropriate treatment schedule advised by Dr. Balasky. (Tr. at 18-19). The ALJ stated that Mr. Watkins "only presented every four months for medication refills." Id. After careful inspection of the record, there is evidence that Mr. Watkins visited Dr. Balasky for check-ups in two month intervals (approximately), just as Dr. Balasky had instructed him to do.
Regarding statements concerning the intensity and persistence of pain, the ALJ may not reject a claimant's testimony "solely because the available objective medical evidence does not substantiate [the claimant's] statements." 20 C.F.R. § 404.1529(c)(2). Furthermore, an ALJ cannot discredit a claimant's subjective allegations of pain entirely on the basis of a consulting physician's opinion that the claimant has no physical limitations. Id. As long as the claimant has not been inconsistent with his statements or actions, his allegations of pain must be accepted as true pursuant to the Eleventh Circuit pain standard. Holt, 921 F. 2d at 1223; see generally Foote, 67 F. 3d at 1562 (describing broad principles applicable to credibility determinations).
The ALJ in this case relied heavily on consulting physician Dr. Ledet's observations and opinions (Tr. 278-83) in forming his decision to partially discount Mr. Watkins's credibility and deny him benefits. (Tr. 16-17). After a single examination of Mr. Watkins, Dr. Ledet concluded that he had no physical limitations. (See Tr. 16-17 (summarizing Dr. Ledet's objective observations from his examination of Mr. Watkins, including his conclusion that Mr. Watkins had no physical limitations)). Dr. Ledet's records concerning his examination of Mr. Watkins do not reflect that Mr. Watkins made any statements about the intensity or persistence of his pain and other disabling symptoms. (Tr. 278-83). Therefore, Dr. Ledet's opinion that Mr. Watkins had no physical limitations appears to be based solely upon objective observations made during the consultative visit. Further, because a lack of objective evidence is an inadequate reason to discredit a claimant's subjective allegations of pain, the court is persuaded that a medical opinion based solely upon the results of objective testing is likewise inadequate to discredit a claimant, especially in the absence of any authority cited by the Commissioner in which a court has held otherwise.
The ALJ attempts to discredit Mr. Watkins's pain through his work history predating his disability. (Tr. 19). The ALJ commented that Mr. Watkins's lack of stable employment since 1997
The court acknowledges several cases that the Commissioner has cited to in support of the ALJ's decision. However, most of the decisions relied upon by the Commissioner are non-binding on this court and, regardless, are factually dissimilar. Importantly, the persuasive authorities cited by the Commissioner involve either "totally groundless" claims such as Higgs v. Bowen, 880 F.2d 860, 863 (6th Cir. 1988) or have been addressed elsewhere in this opinion.
As for the binding decisions cited by the Commissioner, those cases are cited primarily for general propositions applicable in all social security cases and the Commissioner's reliance upon them does not impact the court's pain standard analysis under the circumstances of this appeal. For example, in reviewing Moore v. Barnhart, this court agrees that "the mere existence of these impairments does not reveal the extent to which they limit her ability to work;" however, unlike in this case, Moore's claims for disability rested "solely on the fact that she ha[d] varus leg instability and shoulder separation" with no additional evidence of any limiting effects or pain. (emphasis removed) (doc. 12 at 8) (quoting Moore, 405 F.3d 1208, 1213 n.6 (11th Cir. 2005)). Likewise, the Commissioner's reliance upon McCruter v. Bowen to determine if an impairment is severe or not is cumulative because the ALJ in this case continued to analyze Mr. Watkins's degenerative disc disease as if it were classified as a severe impairment.
Additionally, the Commissioner misinterpreted Wolfe v. Chater, 86 F.3d 1072, 1078 (11th Cir. 1996) when applying it to this case. (Doc. 12 at 11). The ALJ in Wolfe did consider the fact that the claimant was only recommended to receive conservative treatment, and nothing more, from his physician when he discredited Wolfe's pain testimony. Id. However, unlike in this case, the determination was in accordance with other factors, including Mr. Wolfe's ability to lift rocks and wash mobile homes. Id. Finally, although the Commissioner's description of Foote is correct in stating that a "clearly articulated credibility finding with substantial supporting evidence . . . will not be disturbed," that substantial evidence standard has not been met based on the specific circumstances of this case. (emphasis added) (Doc. 12 at 14) (quoting Foote, 67 F. 3d at 1562).
The court has found that the ALJ incorrectly applied the Eleventh Circuit pain standard in determining if the alleged pain can reasonably be a result of the impairment by failing to appropriately credit Mr. Watkins's subjective testimony. For those reasons, this court has found that the Commissioner's decision is not supported by substantial evidence and the ALJ did not apply the proper legal standard. This case is
Tucker v. Colvin, No. 2:15-CV-00629-VEH, 2016 WL 3519391, at *6 (N.D. Ala. June 28, 2016) Additionally, later within his decision, the ALJ identifies Mr. Watkins's degenerative disc disease as a severe impairment and proceeds with analyzing it under the disability framework. (Tr. 13).