VIRGINIA EMERSON HOPKINS, District Judge.
Plaintiff Dwight Ledlow ("Ledlow") 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"), who denied his application for disability and disability insurance benefits ("DIB"). Ledlow timely pursued and exhausted his administrative remedies available before the Commissioner. The case is thus ripe for review under 42 U.S.C. § 405(g).
Ledlow was 48 years old on the date of the ALJ's decision, October 22, 2012. (Tr. 9, 68, 179). He has a seventh-grade education and vocational training as a truck driver. (Tr. 68-69, 187-88). He has past relevant work as a logger, log truck driver, mining driller, mine supervisor, millwright, and conveyor belt mechanic. (Tr. 103-105, 188, 200-07). Ledlow alleged disability since October 2, 2010, because of right arm pain, right rotator cuff injuries, pain in his left knee, and arthritis throughout his body. (Tr. 179-85).
Ledlow protectively filed applications for a period of disability and DIB on November 2, 2010. (Tr. 119, 128-43). The Social Security Administration denied these applications on December 15, 2010. (Tr. 128-32). He timely requested and appeared at a hearing before an administrative law judge ("ALJ"). (138, 154). The hearing was held on April 9, 2012, and the ALJ issued a decision, dated October 22, 2012, denying Ledlow's application. (Tr. 12,29). The Appeals Council denied Ledlow's request for review on March 6, 2014. (Tr. 1-6).
Ledlow filed a complaint with this court on May 1, 2014, seeking review of the Commissioner's determination. (Doc. 1). The Commissioner answered on August 6, 2014. (Doc. 6). Ledlow filed a supporting brief on September 22, 2014. (Doc. 8). The Commissioner responded with her own brief on October 20, 2014. (Doc. 10). Ledlow then filed a reply brief on November 3, 2014. (Doc. 11).
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 v. Heckler, 703 F.2d 1233, 1239 (11th Cir. 1983). Substantial evidence is "such relevant evidence as a reasonable person would accept as adequate to support a conclusion." Id. It is "more than a scintilla, but less than a preponderance." Id.
This court must uphold factual findings that are supported by substantial evidence. However, it reviews the ALJ's legal conclusions 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, it must reverse the ALJ's decision. 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 define "disabled" as "the inability to do any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than twelve (12) months." 20 C.F.R. § 404.1505(a). To establish an entitlement to disability benefits, a claimant must provide evidence about a "physical or mental impairment" which "must result from anatomical, physiological, or psychological abnormalities which can be shown by medically acceptable clinical and laboratory diagnostic techniques." 20 C.F.R. § 404.1508.
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 in significant numbers. Id.
After consideration of the entire record, the ALJ made the following findings:
(Tr. 15-29).
The court may reverse a finding of the Commissioner only 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)).
Ledlow raises four arguments against the ALJ's decision. First, he contends that the ALJ did not properly apply the pain standard, by improperly discrediting his subjective reports of pain and other symptoms. Second, he argues that the ALJ failed to properly evaluate a treating physician's opinion. Third, he says that the ALJ did not properly consider the effect of his overall combination of impairments on his ability to work. Fourth and finally, Ledlow contends that the Appeals Council was incorrect to deny review of the ALJ's decision. The
The Eleventh Circuit has laid out a two-step standard to apply when a claimant alleges disabling pain. The standard requires:
Holt v. Sullivan, 921 F.2d 1221, 1223 (11th Cir. 1991) (emphasis added). The ALJ is obligated to consider
The ALJ may reject a plaintiff's complaints of pain if he finds them not credible. Marbury v. Sullivan, 957 F.2d 837, 839 (11th Cir. 1992) ("[a]fter considering a claimant's complaints of pain, the ALJ may reject them as not creditable, and that determination will be reviewed for substantial evidence"). However, if the ALJ discredits a claimant's testimony regarding the
This other evidence includes "any symptom-related functional limitations and restrictions which [the claimant], [the claimant's] treating or non-treating source, or other persons report, which can reasonably be accepted as consistent with the objective medical evidence and other evidence[.]" Id. Relevant factors that may show the effect of the claimant's symptoms on his or her functional abilities include: the claimant's daily activities; the location, duration, frequency and intensity of the claimant's pain; any precipitating and aggravating factors; the type, dosage, effectiveness, and side effects of medication taken to alleviate the pain; and other treatments or measures taken by the claimant, not including medication. Id. Using these other evidence factors, the ALJ must show substantial evidence supporting his attempt to discredit the claimant's pain testimony. Id.
In applying this standard to the present case, the ALJ ultimately found that Ledlow's medically determinable impairments could reasonably be expected to cause "some pain and limitations." (Tr. 22). However, the ALJ determined that "the claimant's statements concerning the intensity, persistence and limiting effects of these symptoms are not credible to the extent they are inconsistent with the above residual functional capacity assessment." Id. The ALJ found that the medical evidence submitted by Ledlow supported only a residual functional capacity ("RFC") of light work with several restrictions. (Tr. 21-26).
The court agrees with Ledlow's argument that the ALJ's decision to discredit his testimony was not supported by substantial evidence. Specifically, the ALJ failed to provide "explicit and adequate reasons" for rejecting Ledlow's testimony as to the severity of his symptoms, as he is required to do. See Foote, 67 F.3d at 1559. In his decision, the ALJ summarizes Ledlow's testimony, but then, after reciting the standard language finding the claimant's statements not to be entirely credible, fails to provide specific reasons to discredit any of Ledlow's statements. (Tr. 22). Instead, without explaining why he considers them to be inconsistent with Ledlow's testimony, the ALJ merely summarizes various pieces of evidence:
(Tr. 22-23). In this case, without explanation from the ALJ, the court is unable to surmise how any of this evidence
As to the fourth piece of evidence, the ALJ's analysis
Later in his opinion, in the midst of explaining why he assigned little weight to the opinions of the examining neurologist, Dr. Todorov, the ALJ does mention one particular supposed inconsistency between Ledlow's testimony and other medical evidence. The ALJ writes, "The claimant testified at the hearing that he had level 8 to 10/10 pain but reported to Bledsoe that he had 4/10 pain. Moreover he was able to work through his pain in all activities and able to perform at the light physical demand level." (Tr. 25). However, a close reading of Ledlow's testimony and Bledsoe's reports fails to show any actual contradiction. At the oral hearing, the ALJ asked Ledlow "If you had to put that pain on a number of one to 10, with 10 being the greatest, what is your level of pain,
These statements are easily reconciled: Ledlow's pain varies, becoming particularly worse when engaging in physical activity. On the specific day recorded by Bledsoe, Ledlow only had a constant pain level of four, but Ledlow never testified that his pain was
The ALJ failed to mention any other evidence in his decision, and the court declines to speculate about what other evidence, if any, he considered. See Moore v. Barnhart, 405 F.3d 1208, 1211 (11th Cir. 2005) ("This limited review precludes deciding the facts anew, making credibility determinations, or re-weighing the evidence."); see also Richardson v. Perales, 402 U.S. 389 (1971) ("We therefore are presented with the not uncommon situation of conflicting medical evidence. The trier of fact has the duty to resolve that conflict."). Therefore, for the reasons discussed above, the ALJ's credibility determination is not supported by substantial evidence due to his failure to articulate an adequate reason to discredit Ledlow. This appeal is therefore due to be remanded. See Williams v. Astrue, No. 5:07-CV-1914-VEH, (Doc. 14 at 19) (N.D. Ala. Aug. 5, 2008) (holding that the ALJ's failure to adequately discredit the claimant was an independent reason for remanding); Hollis v. Astrue, No. 4:07-CV-2061-VEH, (Doc. 12 at 21) (N.D. Ala. Oct. 24, 2008) (similar holding).
Ledlow also argues that the ALJ improperly rejected the opinions of Dr. Alexandre Todorov, which supported a more restrictive RFC. Dr. Todorov, a neurologist, examined Ledlow twice (in November, 2011 and March, 2012) and completed a medical source statement and a pain questionnaire on April 5, 2012. (Tr. 360-61, 374-75). Dr. Todorov:
(Tr. 376-78).
The Eleventh Circuit has held that a treating physician's medical opinion should be given significant weight, absent a finding of good cause to disregard it. Lewis v. Callahan, 125 F.3d 1436 (11th Cir. 1997) ("The ALJ must clearly articulate the reasons for giving less weight to the opinion of a treating physician, and the failure to do so is reversible error"). The opinion of an examining physician is not entitled to
The ALJ rejected Dr. Todorov's opinions of Ledlow's limitations on three grounds, stating that they were not based on adequate methodology, inconsistent with some of Todorov's other opinions, and inconsistent with findings of Dave Bledsoe, the previously-mentioned occupational therapist. (Tr. 23-25). Two of the ALJ's reasons for discrediting Dr. Todorov's opinion are clearly without merit. First, the ALJ wrote that he "seemed to accept the claimant's subjective symptom's without performing any objective testing himself." (Tr. 23). This is contradicted by Dr. Todorov's notes, which show that he performed physical testing of Ledlow's range of motion at each of the two examinations, and made observations of his physical condition (e.g. limping while walking and swelling in his knee). (Tr. 360-61, 374-75). Second, the ALJ stated that Dr. Todorov's opinions "are inconsistent with the medical source opinion (physical) Dr. Todorov completed in which he reported that the claimant was capable of working eight hours per day." (Tr. 25). In fact, Dr. Todorov made no such statement.
The final reason the ALJ rejected Dr. Todorov's opinion is its alleged inconsistency with the findings of Dave Bledsoe, an occupational therapist who completed a functional capacity examination ("FCE") on September 17, 2012. (Tr. 23-24, 459-64). The ALJ pointed to Bledsoe's conclusions that Ledlow "would be unable to return to strenuous work" but "is at the light physical demand level." (Tr. 459). In his credibility determination, the ALJ also focused on Bledsoe's notes that Ledlow "gave good effort throughout FCE and worked through pain in all activities." (Tr. 25, 459). The ALJ considered Bledsoe's notations to be inconsistent with Dr. Todorov's opinions that Ledlow's pain distracted him from adequate performance of daily work and that physical activity would increase his pain to such a degree as to cause distractions from or total abandonment of his tasks. (Tr. 24-25).
Whether Bledsoe's notes alone constitute substantial evidence for the ALJ's decision to reject Dr. Todorov's opinions is a close question. Because the court has already found that the ALJ's decision is due to be reversed in light of a failure to properly apply this circuit's pain standard, the court declines to reach this issue.
Based upon the court's evaluation of the evidence in the record and the parties' submissions, the court finds that the decision of the Commissioner is not supported by substantial evidence, specifically due to the ALJ's failure to properly apply the pain standard. Accordingly, the decision of the Commissioner is