MAX O. COGBURN, JR., District Judge.
Plaintiff filed an application for a period of disability and disability insurance benefits, alleging disability beginning September 10, 2010. (Tr. 11, 163-64). Plaintiff's application was denied initially and upon reconsideration. (Tr. 11, 92-100, 102-109). On August 19, 2016, Administrative Law Judge Benjamin R. McMillion ("the ALJ") held a hearing at which plaintiff, her non-attorney representative, and an impartial vocational expert ("VE") appeared. (Tr. 11, 29-57). On October 24, 2016, the ALJ decided that plaintiff was not disabled within the meaning of the Act since December 31, 2015, her date last insured. (Tr. 11-23). After the Appeals Council denied plaintiff's request for review (Tr. 1-5), plaintiff proceeded to file the instant action, seeking judicial review of the Commissioner's decision pursuant to 42 U.S.C. § 405(g).
The court adopts and incorporates the ALJ's factual findings herein as if fully set forth. Such findings are referenced in the substantive discussion which follows.
The only issues on review are whether the Commissioner applied the correct legal standards and whether the Commissioner's decision is supported by substantial evidence.
Even if the undersigned were to find that a preponderance of the evidence weighed against the Commissioner's decision, the Commissioner's decision would have to be affirmed if supported by substantial evidence.
The court has read the transcript of plaintiff's administrative hearing, closely read the decision of the ALJ, and reviewed the relevant exhibits contained in the extensive administrative record. The issue is not whether the court might have reached a different conclusion had it been presented with the same testimony and evidentiary materials, but whether the decision of the administrative law judge is supported by substantial evidence. Here, the court finds that the ALJ's decision was not supported by substantial evidence, and it will thus be reversed and remanded.
A five-step process, known as "sequential" review, is used by the Commissioner in determining whether a Social Security claimant is disabled. The Commissioner evaluates a disability claim under Title XVI pursuant to the following five-step analysis:
20 C.F.R. § 416.920(a)-(f). The burden of proof and production during the first four steps of the inquiry rests on the claimant.
At step one of the sequential evaluation, the ALJ found that plaintiff has not engaged in substantial gainful activity ("SGA") from her alleged onset date of September 10, 2010 through her date last insured of December 31, 2015. (Tr. 13). At step two, the ALJ found that plaintiff has the following severe impairments: bipolar disorder; manic depression; anxiety; rheumatoid arthritis; and osteoarthritis.
Then, before step four, the ALJ found that plaintiff had the RFC to perform light work, except she must avoid concentrated exposure to extreme cold and wetness, have no more than occasional direct contact with customers, and was limited to simple, routine tasks. (Tr. 16-21).
At step four, the ALJ found that plaintiff is unable to perform any past relevant work due to his RFC. (Tr. 21). At step five, the ALJ found that jobs exist in significant numbers in the national economy that plaintiff can perform, including small parts assembler, hand packager, and shipping and receiving weigher. (Tr. 22-23). As a result, the ALJ concluded that plaintiff is not disabled within the meaning of the Act. (Tr. 23).
The court has closely read plaintiff's memorandum (#14) in support of her motion (#13). Plaintiff argues that the ALJ erred by relying on VE testimony without addressing post-hearing objections, failing to properly analyze medical opinion evidence in accordance with regulations and precedent, and failed to properly account for plaintiff's need for an assistive device in his RFC finding. The court will consider each allegation in turn.
First, the court will consider whether the ALJ properly dealt with plaintiff's post-hearing objections. Plaintiff contends that the ALJ's failure to rule on post-hearing objections constitutes reversible error, as doing so violates guidelines found in the Hearings, Appeals, and Litigation Law Manual ("HALLEX") and prejudices plaintiff through reliance on outdated materials.
However, the court cannot agree. Broadly speaking, the Supreme Court has held that agency interpretations contained in "policy statements, agency manuals, and enforcement guidelines . . . lack the force of law."
Yet even if HALLEX was binding, it is unclear how the ALJ failed to follow them. At the time of the administrative hearing, HALLEX I-2-6-74(B) reads in relevant part as follows:
The court has also considered plaintiff's arguments concerning the reliability of the Dictionary of Occupational Titles ("DOT"). Plaintiff argues that the DOT has been replaced by O*Net, a database offered by the Department of Labor that provides statistics on various job elements. However, the DOT remains a source of reliable job information for determining disability claims and is suitable for administrative notice. 20 C.F.R. § 404.1566(d); 20 C.F.R. Part 404 Subpart P, App. 2, § 200.00(b); Social Security Ruling (SSR) 00-4p, 2000 WL 1898704, at *2 (Dec. 4, 2000) (in making disability determinations, the DOT is the primary source, as well as its companion publication, the SCO). Further, the statistics on O*Net have not been confirmed to be reliable, much less to be a source of information that the ALJ was required to take notice of. Until or unless O*Net is confirmed as an eminently reliable source that an ALJ must take judicial notice of, its statistics mean little to this matter's disposition. And at any rate, the court cannot find an apparent conflict with the DOT that the ALJ failed to inquire about, and thus finds that the ALJ did not commit reversible error on this basis.
Next, the court will consider plaintiff's arguments concerning the ALJ's analysis of the medical opinion evidence of record. Plaintiff argues that the ALJ failed to assign proper weight to the opinion of Dr. Shukla, plaintiff's treating psychiatrist, and the opinion of Dr. Slutzky, the Agency's consultative psychological examiner.
Plaintiff's argument is essentially that the ALJ should have given greater weight to the opinions of Drs. Shukla and Slutzky than he did, and cites to various examples in the record as to why. However, the court's job is not to re-weigh evidence based on its view of the record, but rather to determine whether the ALJ justified his opinion with substantial evidence. Here, the court finds that the ALJ has done so. The ALJ properly and clearly explained why he gave little weight to the opinion of Dr. Shukla, specifically noting that Dr. Shukla's proscribed limitations are not supported by objective findings documented throughout treatment notes, that those notes typically documented fairly normal mental status on examination as well as improvements in plaintiff's mood and symptoms thanks to treatment and counseling, that the limitations proposed by Dr. Shukla conflict with Dr. Lefler's primary care records, and that the limitations conflict with plaintiff's performance on psychological examination and her reported activities of daily living. (Tr. 20). Such analysis demonstrates substantial evidence in support of the ALJ's opinion, and is sound under both regulations and Fourth Circuit precedent.
Similarly, the court finds no issue with the ALJ's analysis of Dr. Slutzky's opinion. The ALJ took note of Dr. Slutzky's opinion, and gave it some weight. (Tr. 20). However, the ALJ once again explained why he chose not to give it controlling or great weight, noting that his examination lacked objective findings and that plaintiff did not always report negative symptoms upon receiving treatment, but instead reported fairly well-controlled mood and behavior. (Tr. 20-21). Once again, the ALJ has offered an explanation that is supported by substantial evidence and consistent with regulations and precedent.
Finally, the court considers plaintiff's allegation that the ALJ erred by failing to properly account for plaintiff's need for an assistive device. Plaintiff argues that the record establishes plaintiff's medical need for a cane and that the ALJ's opinion completely ignores this need, constituting reversible error. Social Security Rulings 96-9p, 1996 WL 374185 (S.S.A.) states that "[t]o find a hand-held medical assistive device is medically required, there must be medical documentation establishing the need for a hand-held assistive device to aid in walking or standing, and describing the circumstances for which it is needed." If such a device is needed, use may impact a claimant's functional capacity "by virtue of the fact that one or both upper extremities are not available for such activities as lifting, carrying, pushing, and pulling." 20 C.F. R. Part 404, Subpt. P, App. 1, § 1.00J4. Thus, an ALJ is required to consider the impact of "medically required" hand-held assistive devices, and such devices are medically required if "medical documentation establish[es] the need for a hand-held assistive device to aid in walking or standing, and describing the circumstances for which it is needed."
Here, the court agrees with plaintiff. While defendant contends that the record does not reflect a need for a hand-held assistive device at all, and therefore the ALJ was not required to consider one as necessary, the court finds otherwise. Dr. Slutzky noted that plaintiff uses her cane on exceptionally bad days. Tr. 394. More importantly, Dr. Roger Lefler, one of plaintiff's treating physicians, opined in July 2016 that plaintiff requires the use of a cane to ambulate effectively, particularly if she must walk more than twenty feet, and that she will need the cane at least sometimes during a workday. Tr. 547-48. While it is true that the ALJ gave Dr. Lefler's opinion minimal weight overall, the ALJ did not address plaintiff's need for a cane in his overall opinion or in his analysis of Dr. Lefler's opinion specifically. While the ALJ may reach a similar conclusion after analyzing plaintiff's need for a cane, a lack of analysis cannot be reviewed by this court or said to be justified by substantial evidence. As such, the court will reverse on this basis and remand this matter for further proceedings by the ALJ.
The undersigned has carefully reviewed the decision of the ALJ, the transcript of proceedings, plaintiff's complaint, the cross Motions for Summary Judgment, and accompanying memoranda. Review of the entire record reveals that the decision of the ALJ was not supported by substantial evidence.