ERIN L. SETSER, Magistrate Judge.
Plaintiff, Steven Ray Bennett, brings this action pursuant to 42 U.S.C. § 405(g), seeking judicial review of a decision of the Commissioner of the Social Security Administration (Commissioner) denying his claim for supplemental security income (SSI) under the provisions of Title XVI of the Social Security Act (Act). In this judicial review, the Court must determine whether there is substantial evidence in the administrative record to support the Commissioner's decision.
Plaintiff protectively filed his current application for SSI on March 31, 2010, alleging an inability to work since December 18, 2008, due to tension headaches and recurrent headaches, ruptured disc C5 and C7 surgical repair, severe pain which radiates from neck to shoulder and arm, insomnia, knee pain, numbness in arms, anxiety attacks, lack of concentration and focus, and fatigue. (Tr. 175-179, 195, 208). An administrative hearing was held on January 9, 2012, at which Plaintiff appeared with counsel, and he and his wife testified. (Tr. 28-61).
By written decision dated February 8, 2012, the ALJ found that during the relevant time period, Plaintiff had an impairment or combination of impairments that were severe — status post cervical fusion and status/post right knee surgery. (Tr. 15). However, after reviewing all of the evidence presented, the ALJ determined that Plaintiff's impairments did not meet or equal the level of severity of any impairment listed in the Listing of Impairments found in Appendix I, Subpart P, Regulation No. 4. (Tr. 15). The ALJ found Plaintiff retained the residual functional capacity (RFC) to:
(Tr. 16). With the help of the vocational expert (VE), the ALJ determined that during the relevant time period, Plaintiff would be able to perform his past relevant work as an electrical assembler. (Tr. 23).
Plaintiff then requested a review of the hearing decision by the Appeals Council, which denied that request on May 16, 2013. (Tr. 1-5). Subsequently, Plaintiff filed this action. (Doc. 1). This case is before the undersigned pursuant to the consent of the parties. (Doc. 7). Both parties have filed appeal briefs, and the case is now ready for decision. (Docs. 16, 17).
The Court has reviewed the entire transcript. The complete set of facts and arguments are presented in the parties' briefs, and are repeated here only to the extent necessary.
This Court's role is to determine whether the Commissioner's findings are supported by substantial evidence on the record as a whole.
It is well established that a claimant for Social Security disability benefits has the burden of proving his disability by establishing a physical or mental disability that has lasted at least one year and that prevents him from engaging in any substantial gainful activity.
The Commissioner's regulations require him to apply a five-step sequential evaluation process to each claim for disability benefits: (1) whether the claimant had engaged in substantial gainful activity since filing his claim; (2) whether the claimant had a severe physical and/or mental impairment or combination of impairments; (3) whether the impairment(s) met or equaled an impairment in the listings; (4) whether the impairment(s) prevented the claimant from doing past relevant work; and (5) whether the claimant was able to perform other work in the national economy given his age, education, and experience.
Plaintiff raises the following arguments in this matter: 1) The ALJ erred by not developing the record fully and fairly; 2) The ALJ erred in his credibility findings; 3) The ALJ erred in his RFC determination; and 4) The ALJ erred in determining Plaintiff could perform his past relevant work. (Doc. 16).
Plaintiff argues that the ALJ wrongfully compared Plaintiff's subjective allegations to his RFC, when he stated that Plaintiff's allegations were "not credible to the extent they are inconsistent with the above residual functional capacity assessment." (Tr. 18). It is true that in his opinion, the ALJ found that Plaintiff's statements concerning the intensity, persistence and limiting effects of the symptoms were "not credible to the extent they are inconsistent with the above residual functional capacity assessment." (Tr. 18). The use of this language may indicate that the ALJ determined Plaintiff's RFC prior to making his credibility determination. This is similar to the language used in
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In the ALJ's decision now before the Court, the ALJ noted that after Plaintiff's right knee surgery in 1997, he was able to return to work. (Tr. 18). He also addressed the fact that after Plaintiff's anterior cervical fusion with iliac crest graft, tricortical with plating, Plaintiff was observed to be doing very well by Dr. D. Luke Knox, the surgeon, who allowed Plaintiff to return to work with limitations of no lifting over 30 pounds and avoid stooping and bending and persistent looking up. (Tr. 18, 275). The ALJ discussed the fact that in 2000, Dr. Knox gave Plaintiff the okay to return to work on a full duty basis. (Tr. 19, 271). The ALJ also addressed the fact that in 2006, Dr. Mohammed Quadeer conducted a consultative examination and found that the cervical spine was non-tender with limited range of motion associated with pain and muscle spasms, that strength in the upper and lower limbs was 5/5 and there was no atrophy of the muscles of the upper and lower limbs observed by the doctor. (Tr. 19, 352). Although Dr. Quadeer observed some sensory changes present in the left upper limb, with decreased sensation present in the C5-C6, C7 and T1 distribution, and diminished sensation in the right upper limb in the palm of the hand and in the C5-7 distribution, Plaintiff's finger-to-nose and heel-to-shin rests were normal. (Tr. 19). Plaintiff's gait was safe and stable. (Tr. 19, 352). Dr. Quadeer also found Plaintiff's grip strength to be 5/5 bilaterally strong and firm and he was able to do both gross and fine manipulations with his hands, and fingertip to thumb opposition was adequate. (Tr. 19). This was also found to be the case on June 10, 2010, when Dr. Quadeer performed another consultative examination. (Tr. 20-21, 362).
The ALJ discussed the fact that Plaintiff's daily activities were described as fairly limited. (Tr. 21). However, he found that Plaintiff's limited daily activities could not be objectively verified with any reasonable degree of certainty, and that even if they were so limited, it was difficult to attribute that degree of limitation to Plaintiff's medical condition, as opposed to other reasons, in view of the relatively weak medical evidence and other factors discussed in his decision. (Tr. 21). The ALJ found that overall, Plaintiff's reported limited daily activities were outweighed by other factors discussed in the decision. (Tr. 21). He also noted that none of the physical examinations revealed muscle atrophy that would be shown if Plaintiff was really unable to use his left arm and was required to use his right arm to support his left arm. (Tr. 21). Finally, the ALJ found that Plaintiff had not generally received the type of medical treatment one would expect for a totally disabled individual, as the only follow-up treatment Plaintiff presented was in the form of a consultative examination by Dr. Clemens that Plaintiff's attorney scheduled for evidence in this case. (Tr. 21).
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Based upon the foregoing, the Court finds there is substantial evidence to support the ALJ's credibility findings.
Plaintiff argues that the record supports a more limited capability than that determined by the ALJ's RFC. RFC is the most a person can do despite that person's limitations. 20 C.F.R. § 404.1545(a)(1). It is assessed using all relevant evidence in the record.
In this case, the ALJ discussed all of the relevant medical records, including those that pre-date the application date. The ALJ addressed the examination report prepared by Dr. R. Dale Clemens, who saw Plaintiff on October 9, 2008. (Tr. 19-20). He gave very little weight to Dr. Clemens' opinion, based upon the fact that he saw Plaintiff only one time and that the limitations Dr. Clemens gave Plaintiff were not supported by the medical evidence of his own examination notes. (Tr. 20).
The ALJ gave some weight to the opinions of the physicians of the state agency, and gave Plaintiff the benefit of doubt that he should have some restrictions to avoid work above shoulder level. (Tr. 21). The ALJ further noted that no functional restrictions had been placed on Plaintiff's activities by his treating physicians that would preclude light work activity set forth in the ALJ's RFC determination. (Tr. 22).
Based upon the foregoing, the Court finds there is substantial evidence to support the ALJ's RFC determination and the weight he gave to the various opinions of the physicians.
Plaintiff argues that the ALJ failed to fully and fairly develop the record regarding Plaintiff's mental impairment. The ALJ has a duty to fully and fairly develop the record.
In this case, the ALJ addressed the Dr. Sally Varghese's Psychiatric Review Technique Report, dated July 19, 2010, wherein Dr. Varghese noted that treatment for a mental impairment had not been recommended or received. (Tr. 380). She reported that a careful review of all the evidence indicated there were no work-related functional limitations resulting from a possible mental impairment, and that there was no discrete mental impairment. (Tr. 380). She concluded that further development of the possible mental impairment was curtailed, and this was affirmed by Carolyn Goodrich, Ph.D., in a Psychiatric Technique Report dated September 18, 2010. (Tr. 390).
The ALJ also discussed the fact that although Dr. Clemens noted that Plaintiff exhibited no unusual anxiety or evidence of depression (Tr. 20), he then found Plaintiff had marked limitations in certain areas related to Plaintiff's alleged mental impairment. Based upon the fact that Plaintiff's mental functional ability is outside the area of expertise of Dr. Clemens, and the fact that Dr. Clemens' findings were internally inconsistent, the ALJ gave Dr. Clemens' opinion regarding Plaintiff's mental impairment very little weight. (Tr. 20).
The Court finds, based upon the foregoing, that the existing medical sources contained sufficient evidence for the ALJ to make a determination regarding Plaintiff's mental impairment and that the ALJ did not fail to fully develop the record.
Plaintiff argues that the RFC finding lacked many necessary limitations and that the ALJ never ascertained the specific "physical and mental demands" of his past work as an electrical assembler.
The ALJ presented the following hypothetical question to the VE:
(Tr. 57).
Although the position of electrical assembler requires frequent reaching, the VE rebutted this possible conflict by explaining that he visited and did not believe the position required overhead shoulder work.
The Court finds that the hypothetical the ALJ posed to the VE fully set forth the impairments which the ALJ accepted as true and which were supported by the record as a whole.
Accordingly, having carefully reviewed the record, the Court finds substantial evidence supporting the ALJ's decision denying the Plaintiff benefits, and thus the decision is hereby affirmed. The Plaintiff's Complaint should be, and is hereby, dismissed with prejudice.