ERIN L. WIEDEMANN, Magistrate Judge.
Plaintiff, Rhonda Sue Hendon, 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 her 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 her current application for SSI on April 23, 2013, alleging an inability to work since May 12, 2012, due to the following conditions: removal of a portion of her colon, back pain, and depression. (Doc. 9, pp. 95, 111). An administrative hearing was held on June 27, 2014, at which Plaintiff appeared with counsel and testified. (Doc. 9, pp. 37-69).
In a written opinion dated November 14, 2014, the ALJ found that the Plaintiff had severe impairments of partial colon removal, degenerative disc disease, pain disorder, adjustment disorder with depressed mood and amphetamine abuse in remission. (Doc. 9, p. 17). After reviewing the evidence in its entirety, the ALJ determined that the Plaintiff's impairments did not meet or equal the level of severity of any listed impairments described in Appendix 1 of the Regulations (20 CFR, Subpart P, Appendix 1). (Doc. 9, pp. 17-19). The ALJ found Plaintiff retained the residual functional capacity (RFC) to:
(Doc. 9, p. 19). With the help of a vocational expert (VE), the ALJ determined that during the relevant time period, Plaintiff was capable of performing her past relevant work as a waitress. (Doc. 9, p. 27).
Subsequently, on December 4, 2014, Plaintiff requested a review of the hearing decision by the Appeals Council. (Doc. 9, p. 11). The Appeals Council denied her request on February 3, 2016. (Doc. 9, pp. 5-9). Plaintiff then filed this action on March 25, 2016. (Doc. 1). This case is before the undersigned pursuant to the consent of the parties. (Doc. 6). Both parties have submitted briefs, and the case is now ready for decision. (Docs. 10, 11).
The Court has reviewed the transcript in its entirety. 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 her disability by establishing a physical or mental disability that has lasted at least one year and that prevents her from engaging in any substantial gainful activity.
The Commissioner's regulations require her to apply a five-step sequential evaluation process to each claim for disability benefits: (1) whether the claimant has engaged in substantial gainful activity since filing her claim; (2) whether the claimant has a severe physical and/or mental impairment or combination of impairments; (3) whether the impairment(s) meet or equal an impairment in the listings; (4) whether the impairment(s) prevent the claimant from doing past relevant work; and, (5) whether the claimant is able to perform other work in the national economy given her age, education, and experience.
Plaintiff argues on appeal that the ALJ erred in making his RFC determination in that he failed to consider Dr. Samuel Hester's July 5, 2013, examination and failed to incorporate both Dr. Hester's and Dr. Stephen Harris' findings into the RFC determination. (Doc. 10, pp. 9-11).
The ALJ was required to consider all the evidence relating to Plaintiff's subjective complaints including evidence presented by third parties that relates to: (1) Plaintiff's daily activities; (2) the duration, frequency, and intensity of her pain; (3) precipitating and aggravating factors; (4) dosage, effectiveness, and side effects of her medication; and (5) functional restrictions.
After reviewing the administrative record, it is clear that the ALJ properly considered and evaluated Plaintiff's subjective complaints, including the
With respect to Plaintiff's alleged physical impairments, Plaintiff's medical records showed that during the relevant time period, Plaintiff was treated by Dr. Michael Hodges at North Central Arkansas Medical Associates on June 18, 2013, for fluid in her right elbow, for which she was given an Ace wrap. (Doc. 9, p. 389). On June 25, 2013, Plaintiff underwent an x-ray of her lumbar spine, which showed some degenerative change, but no fracture or dislocation. (Doc. 9, p. 356). On September 18, 2013, Plaintiff saw Dr. Hodges for low back pain, urinary incontinence, and left-sided paresthesia. Dr. Hodges also noted loss of bowel control (from a previous surgery), shortness of breath, loss of sleep, and migraine headaches. Plaintiff's physical exam was normal, except for the presence of paraspinal muscle tenderness. Dr. Hodges prescribed pain medication. (Doc. 9, pp. 392-394). On October 10, 2013, Plaintiff underwent a MRI, which yielded the following: prominent degenerative facet change on left at L5-S1 with posterior synovial cyst; diffuse mild to moderate degenerative disc changes; and no significant spinal or foraminal stenosis or acute process. (Doc. 9, p. 396). Her last medical record of a visit to a physician's office was on May 9, 2014, seven months after her MRI, at the Mountain Home Christian Clinic, where she presented with complaints of low back pain, neck pain, depression, and numbness in her hands. Clinic notes indicated she was not currently taking any medication, but also revealed that she was prescribed Celexa, Flexeril, and Tramadol on that day. (Doc. 9, p. 510).
Based on Plaintiff's medical records, Plaintiff was not consistent in seeking medical attention and would go months without seeing a physician.
With respect to Plaintiff's alleged mental impairments, the record fails to establish that Plaintiff sought on-going and consistent treatment from a mental health provider.
To the extent that Plaintiff asserts that she was unable to seek treatment for her physical or mental conditions due to a lack of finances, the record is void of any indication that Plaintiff had been denied treatment due to the lack of funds.
While it is clear that Plaintiff suffers with some degree of limitation, she has not established that she was unable to engage in any gainful activity during the relevant time period. Accordingly, the Court concludes that substantial evidence supports the ALJ's conclusion that Plaintiff's subjective complaints were not totally credible.
RFC is the most a person can do despite that person's limitations.
In deciding whether a claimant is disabled, the ALJ considers medical opinions along with "the rest of the relevant evidence" in the record. 20 C.F.R. § 416.927(b). "It is the ALJ's function to resolve conflicts among the opinions of various treating and examining physicians. The ALJ may reject the conclusions of any medical expert, whether hired by the claimant or the government, if they are inconsistent with the record as a whole."
The SSA regulations set forth how the ALJ weighs medical opinions. The regulations provide that "unless [the ALJ] give[s] a treating source's opinion controlling weight . . . [the ALJ] consider[s] all of the following factors in deciding the weight [to] give to any medical opinion": (1) examining relationship; (2) treating relationship; (3) supportability of the opinion; (4) consistency; (5) specialization; and, (6) "any factors [the applicant] or others bring[s] to [the ALJ's] attention." 20 C.F.R. § 416.927(c). The regulations provide that if the ALJ finds "that a treating source's opinion on the issue(s) of the nature and severity of [the applicant's] impairment(s) is well-supported by medically acceptable clinical and laboratory diagnostic techniques and is not inconsistent with the other substantial evidence in [the applicant's] record, [the ALJ] will give it controlling weight."
In finding Plaintiff able to perform light work, the ALJ considered Plaintiff's subjective complaints and the medical records of her treating, examining and non-examining physicians. Specifically, the ALJ addressed the relevant medical records, and the medical opinions of treating, examining and non-examining medical professionals, and set forth the reasons for the weight given to the opinions.
In her argument, Plaintiff alleges that the ALJ failed to mention the consultative examination of Dr. Samuel Hester, and failed to incorporate Dr. Hester's findings as well as Dr. Harris' findings into the RFC determination. (Doc. 10, pp. 9-13). The Court points out that Drs. Hester and Harris are neither treating sources nor non-examining sources, but are consultative examiners, meaning that they have examined the Plaintiff on at least one occasion. The weight to be given to their opinions is determined by the factors listed under 20 C.F.R. § 416.927(c). The ALJ is not required to give reasons for the weight given to the opinions of Drs. Hester and Harris because they are not a treating sources.
In this matter, the ALJ reviewed all of the evidence and specifically mentioned numerous consultative examiners' opinions, providing the weight given to each of those opinions. (Doc. 9, pp. 22-27). While it would have been preferable for the ALJ to have specifically mentioned the findings from Dr. Hester's consultative examination, an ALJ's arguable deficiency in opinion-writing technique does not require the Court to set aside a finding that is supported by substantial evidence.
The RFC determination in the present case is, in fact, supported by other medical evidence in the record. It is the Court's function to uphold the Commissioner's decision unless it is not supported by substantial evidence on the record as a whole.
Plaintiff has the initial burden of proving that she suffers from a medically determinable impairment which precludes the performance of past work.
According to the Commissioner's interpretation of past relevant work, a claimant will not be found to be disabled if she retains the RFC to perform:
20 C.F.R. §§ 416.920(e); S.S.R. 82-61 (1982);
Here, the ALJ specifically found that Plaintiff could return to her past relevant work as a waitress. (Doc. 9, pp. 27-28). In doing so, the ALJ relied upon the opinion of a vocational expert, who opined that Plaintiff's past relevant work as a waitress was considered light work in the Dictionary of Occupational Titles.
Accordingly, having carefully reviewed the record, the undersigned finds substantial evidence supporting the ALJ's decision denying the Plaintiff benefits, and thus the decision should be affirmed. The undersigned further finds that the Plaintiff's Complaint should be dismissed with prejudice.