STEPHANIE K. BOWMAN, Magistrate Judge.
Plaintiff Todd Dunn filed this Social Security appeal in order to challenge the Defendant's determination that he was not disabled between November 1, 2009 and December 5, 2011. See 42 U.S.C. §405(g). Proceeding through counsel, Plaintiff presents four claims of error for this Court's review. As explained below, I conclude that the ALJ's finding of non-disability should be AFFIRMED.
On March 24, 2010, Plaintiff filed applications for Disability Insurance Benefits ("DIB") and for Supplemental Security Income ("SSI"). Plaintiff was insured for purposes of DIB only through September 30, 2011, and therefore must establish the onset of disability prior to that date to qualify for DIB benefits. (Tr. 131). In his applications, Plaintiff alleges a disability onset date of November 1, 2009 due to "multiple broken bones, pins in feet, unable to read [and] write." (Tr. 341).
After Plaintiff's applications were denied initially and upon reconsideration, Plaintiff requested a video hearing before an Administrative Law Judge ("ALJ"). On February 7, 2012, a hearing was held before ALJ John S. Pope. (Tr. 35-87). Plaintiff appeared in Portsmouth, Ohio along with counsel and an impartial vocational expert ("VE") to testify by videoconference before ALJ Pope, who presided from Chicago, Illinois. A month after his hearing but before the ALJ's decision, Plaintiff underwent knee surgery. On April 26, 2012, ALJ Pope issued a decision, concluding that Plaintiff was not disabled. (Tr. 131-146).
The Appeals Council vacated ALJ Pope's decision and remanded on May 8, 2013, based upon evidence "that the claimant was receiving treatment for a meniscal tear and that the claimant underwent an arthroscopic procedure on his left knee on March 14, 2012." The Appeals Council found that surgery to be "material" and remanded for "further evaluation . . . to determine the ongoing severity and effects of the knee impairment." (Tr. 153).
Plaintiff submitted additional medical evidence, (Tr. 857-1476), which was considered on remand by newly assigned ALJ Peter J. Boylan. On September 27, 2013, a new video hearing was conducted by ALJ Boylan, who presided from Cincinnati, Ohio. (Tr. 88-123). Plaintiff again appeared with counsel from Portsmouth, Ohio, and both Plaintiff and a vocational expert testified. (Tr. 92-120). On October 23, 2013, ALJ Boylan issued a partially favorable decision, finding that Plaintiff had become disabled on December 5, 2011, entitling him to SSI benefits, but was not disabled prior to that date. (Tr. 18, 22-24, 26). The Appeals Council denied Plaintiff's request for further review; therefore, ALJ Boylan's decision remains as the final decision of the Commissioner. In this judicial appeal, Plaintiff urges reversal of the ALJ's determination that Plaintiff was not disabled for an additional two-year period between November 1, 2009, and December 2011, which would entitle him to DIB as well as SSI benefits.
On November 1, 2009, Plaintiff was still defined as a younger individual (age 18-49), and he remained a younger individual through the period now at issue. However, Plaintiff turned 50 on April 7, 2012, and therefore changed age groups to the "closely approaching advanced age" group at the time of ALJ Boylan's decision. Plaintiff has a limited education, having dropped out of school in the ninth grade, and his sole relevant past work was as a "repo man" or tow truck operator. (Tr. 93-94). There is no dispute that Plaintiff can no longer perform his prior work.
For the two-year period at issue in this appeal, the ALJ determined that Plaintiff had the following severe impairments: "fibromyalgia; bilateral carpal tunnel syndrome; obesity; adjustment disorder with depression; and borderline intellectual functioning." (Tr. 18). Those impairments continued throughout the claimed period of disability. However, beginning on December 5, 2011, the ALJ found that Plaintiff had developed multiple additional impairments, all of which were severe, which led to the disability determination. Specifically, the ALJ found that Plaintiff had developed the following additional physical impairments: "status post surgical repair of a left knee meniscal tear; status post surgical repair of a left rotator cuff tear; degenerative disc disease of the lumbar and cervical spine; a fractured sesmoid and osteochondral defect of the left foot; polycythemia secondary to hypoxia from obstructive sleep apnea; and asthma." (Tr. 18).
As ALJ Pope had in his earlier decision, ALJ Boylan determined that Plaintiff did not meet or equal any listing in 20 C.F.R. Part 404, Subpart P, Appendix 1, such that Plaintiff was entitled to a presumption of disability. (Tr. 18). From November 1, 2009 until December 5, 2011, ALJ Boylan determined that Plaintiff retained residual functional capacity ("RFC") to perform light work with the following restrictions:
(Tr. 18). Based on the testimony of the vocational expert, ALJ Boylan determined that although Plaintiff could not return to his past work, he still could perform jobs that exist in significant numbers in the national economy, including the representative occupations of hand packer, inspector, and folder/stacker. (Tr. 25).
As of December 5, 2011, however, the ALJ determined that Plaintiff's RFC had been further reduced from light work to a restricted range of sedentary work as follows:
(Tr. 22-23). Due to the reduction in Plaintiff's RFC, there were no longer any jobs that Plaintiff could perform. (Tr. 26). In addition, the reduction to sedentary work combined with Plaintiff's limited education and age category entitled Plaintiff to the benefit of Grid Rule 201.10, directing a finding of "disabled." (Id.)
In his Statement of Errors, Plaintiff argues that the ALJs erred by: (1) unreasonably evaluating Plaintiff's moderate limitations as to concentration, persistence, or pace; (2) failing to give controlling weight to the opinions of Dr. Arrick; (3) improperly assessing Plaintiff's credibility; and (4) improperly determining that his disability did not begin until December 5, 2011.
To be eligible for benefits, a claimant must be under a "disability." See 42 U.S.C. §1382c(a). Narrowed to its statutory meaning, a "disability" includes only physical or mental impairments that are both "medically determinable" and severe enough to prevent the applicant from (1) performing his or her past job and (2) engaging in "substantial gainful activity" that is available in the regional or national economies. See Bowen v. City of New York, 476 U.S. 467, 469-70 (1986).
When a court is asked to review the Commissioner's denial of benefits, the court's first inquiry is to determine whether the ALJ's non-disability finding is supported by substantial evidence. 42 U.S.C. § 405(g). Substantial evidence is "such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Richardson v. Perales, 402 U.S. 389, 401 (1971) (additional citation and internal quotation omitted). In conducting this review, the court should consider the record as a whole. Hephner v. Mathews, 574 F.2d 359, 362 (6th Cir. 1978). If substantial evidence supports the ALJ's denial of benefits, then that finding must be affirmed, even if substantial evidence also exists in the record to support a finding of disability. Felisky v. Bowen, 35 F.3d 1027, 1035 (6th Cir. 1994). As the Sixth Circuit has explained:
Id. (citations omitted).
In considering an application for supplemental security income or for disability benefits, the Social Security Agency is guided by the following sequential benefits analysis: at Step 1, the Commissioner asks if the claimant is still performing substantial gainful activity; at Step 2, the Commissioner determines if one or more of the claimant's impairments are "severe;" at Step 3, the Commissioner analyzes whether the claimant's impairments, singly or in combination, meet or equal a Listing in the Listing of Impairments; at Step 4, the Commissioner determines whether or not the claimant can still perform his or her past relevant work; and finally, at Step 5, if it is established that claimant can no longer perform his or her past relevant work, the burden of proof shifts to the agency to determine whether a significant number of other jobs which the claimant can perform exist in the national economy. See Combs v. Commissioner of Soc. Sec., 459 F.3d 640, 643 (6th Cir. 2006); 20 C.F.R. §§404.1520, 416.920.
A plaintiff bears the ultimate burden to prove by sufficient evidence that he is entitled to disability benefits. 20 C.F.R. § 404.1512(a). A claimant seeking benefits must present sufficient evidence to show that, during the relevant time period, he suffered an impairment, or combination of impairments, expected to last at least twelve months, that left him unable to perform any job. 42 U.S.C. § 423(d)(1)(A).
Plaintiff first argues that ALJ Boylan erred in adopting the mental RFC previously determined by ALJ Pope, and by failing to include additional limitations concerning concentration, persistence or pace, or "allowance for withstanding the stress and pressure associated with day-to-day work activity." (Doc. 16 at 6). ALJ Boylan noted that Plaintiff has never sought or received any mental health treatment, (Tr. 19), and that mental status exams since December 2011 "have shown the claimant has normal mood, affect, memory, concentration, fund of knowledge, judgment, insight, communication ability, voice quality, and articulation of speech." (Tr. 22, n. 6). The ALJ further explained the rationale for adopting the prior mental RFC as follows:
(Tr. 22).
Both ALJ Pope and, by extension, ALJ Boylan, relied upon and gave great weight to the psychiatric consultative examiner, Albert Virgil, Ph.D., and to state agency psychiatric consultants Roseann Umana, Ph.D., and Mel Zwissler, Ph.D. (Tr. 464-68, 481-98, 539). Dr. Virgil opined that Plaintiff was able to understand, remember, and follow simple and some multi-step repetitive tasks, that he had moderate limitations in his ability to withstand the stress and pressure of work, and moderate limitations in his ability to maintain attention, concentration, persistence, and pace. (Tr. 467-468). Dr. Umana found that Plaintiff had moderate limitations in both the areas of social functioning and in maintaining concentration, persistence or pace. (Tr. 491, 495-497). She opined that Plaintiff could perform simple repetitive and entry level tasks so long as the environment did not require high production quotas. (Tr. 497). Dr. Zwissler agreed. (Tr. 539).
It is Plaintiff's burden to show that he needed more restrictive mental limitations. See 20 C.F.R. § 404.1512; Jones v. Com'r of Soc. Sec., 336 F.3d 469, 474 (6th Cir. 2003). To satisfy that burden, Plaintiff relies chiefly on Ealy v. Com' of Soc. Sec., 594 F.3d 504, 517 (6th Cir. 2010), a case in which the Sixth Circuit reversed on grounds that an ALJ failed to properly accommodate moderate limitations in concentration, persistence, or pace.
In Ealy, the ALJ used a "streamlined" hypothetical that omitted without discussion a consulting physician's very specific hourly restrictions on pace. However, numerous post-Ealy decisions have affirmed in cases in which the ALJ has addressed a moderate impairment in concentration, persistence, and pace by including a limitation to "simple repetitive tasks," clearly rejecting any bright line rule that such limitations are always inadequate. See, e.g., Hicks v. Com'r, Civil Case No. 1:13-cv-425-SJD, 2014 WL 4748356 at *6 (R&R adopted Sept. 23, 2014); Suesz v. Com'r, 2014 WL 4162555 at *6 (R&R adopted Aug. 20, 2014). Clayton v. Astrue, 2013 WL 427407 at *7 (S.D. Ohio Feb. 1, 2013) (collecting cases).
In contrast to Ealy, in this case the ALJ did more than limit Plaintiff to "simple, routine, repetitive tasks." (Tr. 18). The ALJ specifically included pace limitations by stating that Plaintiff could not work "at a production rate pace, such as [at work] generally associated with assembly line work." (Id.) Thus, the ALJ limited Plaintiff to "goal-oriented work" that required only "simple, work-related decisions" and only "occasional interact[ion] with supervisors, coworkers, and the public, with all such action on a superficial basis." Last, to accommodate moderate limitations in Plaintiff's ability to withstand work stress, the ALJ limited Plaintiff to only "occasional changes in a routine work setting." (Tr. 18). Plaintiff fails to offer any explanation as to why the mental limitations included by the ALJ were insufficient to accommodate his moderate limitations in concentration, persistence and pace. Accord Smith-Johnson v. Com'r of Soc. Sec., 579 Fed. Appx. 426, 437 (6th Cir. 2014).
In his reply memorandum, Plaintiff refers to the opinion of Joseph Carver, Ph.D., a psychological consultant who evaluated Plaintiff on July 22, 2010 for the Scioto County Department of Job and Family Services. Dr. Carver diagnosed Plaintiff with major depression and anxiety, and opined that Plaintiff met or equaled Listings 12.04 or 12.06 based upon the severity of his mood disorder. (Doc. 22 at 4-5, citing Tr. 516-517). To the extent that Plaintiff is attempting to present a new Step 3 claim of error in his reply memorandum (that Plaintiff met a listing), or alternatively, a new claim that the ALJ improperly evaluated this opinion evidence,
Plaintiff claims that ALJ Boylan committed a second reversible error when he failed to give controlling weight to the opinions of Ronald Arrick, M.D., Plaintiff's primary care physician. Records reflect that Plaintiff made an appointment with Dr. Arrick on July 28, 2010, but Dr. Arrick noted that it had been more than two years since Plaintiff's last visit. (Tr. 138). On the basis of Plaintiff's complaints of generalized musculoskeletal pain with some tingling in the hands, Dr. Arrick referred Plaintiff to Dr. Welsh; he also referred Plaintiff to an ENT. Aside from the referrals to specialists, "[n]o physical examination was noted during this visit." (Tr. 138).
At a follow-up visit in August 2010, Dr. Arrick reviewed Plaintiff's lab, EMG study, and consultation reports, but again there is no record of any physical examination. (Id.) At a follow-up visit on September 26, 2011, Dr. Arrick recorded brief examination notes. (Tr. 140). Correspondence dated October 28, 2011 by Dr. Arrick states that Plaintiff has a history of "longstanding fibromyalgia," which was then being treated with medication prescribed by Dr. Welsh with "excellent results." (Tr. 141, citing Tr. 778). Plaintiff also reported a "dramatically positive response" after starting hormone therapy for low testosterone levels. Dr. Arrick concluded that Plaintiff's chronic fatigue and pain were both "much improved." (Id). Despite that glowing clinical report, on January 24, 2012, Dr. Arrick submitted an RFC form that opined that Plaintiff had such severe functional limitations that he was precluded from all work.
Specifically, Dr. Arrick opined that Plaintiff could only lift/carry up to ten pounds, could sit for no more than four hours in an eight-hour day, could stand for no more than 15 minutes at a time and one hour total in a workday, and walk for only 10 minutes at a time, or up to 30 minutes in an eight-hour day. (Tr. 832-841). Dr. Arrick stated Plaintiff requires a cane to ambulate, can never push/pull bilaterally, and can only occasionally reach, handle, finger, and feel bilaterally. Dr. Arrick opined that Plaintiff was limited to only occasional use of foot controls with his right foot, and never with his left foot, only occasional climbing of ramps and stairs and no climbing of ladders, ropes or scaffolds, He further stated that Plaintiff cannot balance, stoop, kneel, crouch, or crawl, can never climb unprotected heights, move mechanical parts, be exposed to extreme cold or vibrations, and can have only occasional exposure to motor vehicles, humidity, wetness, pulmonary irritants, and extreme heat. (Tr. 141, citing Tr. 832-841).
The relevant regulation regarding treating physicians provides: "If we find that a treating source's opinion on the issue(s) of the nature and severity of your impairment(s) is well-supported by medically acceptable clinical and laboratory diagnostic techniques and is not inconsistent with the other substantial evidence in your case record, we will give it controlling weight." 20 C.F.R. §404.1527(c)(2); see also Warner v. Com'r of Soc. Sec., 375 F.3d 387, 390 (6th Cir. 2004); SSR 96-2p. The Commissioner is required to provide "good reasons" if the Commissioner does not give controlling weight to the opinion of a treating physician. Id.
ALJ Pope completely rejected Dr. Arrick's January 2012 opinions, finding them entitled to "no weight" for the following reasons:
(Tr. 141). Considering that Plaintiff alleges his disability began in November 2009, the fact that he had no appointments with Dr. Arrick between that date and July 2010, and the further evidence that Dr. Arrick appears to have conducted no physical examinations (other than in September 2011, which as discussed below did not support his opinions), the record contains ample evidence to support ALJ Pope's decision to reject Dr. Arrick's opinions as completely unsupported.
ALJ Pope pointed out that Dr. Arrick could not have relied on a February 2012 note from Dr. Welsh that referenced an antalgic gait, because that note was dated "two weeks after Dr. Arrick submitted his forms." (Tr. 142).
On remand from the Appeals Council, ALJ Boylan reviewed relevant new medical evidence, which included a new RFC opinion offered by Dr. Arrick.
(Tr. 22, citing Tr. 1475, emphasis added). Thus, ALJ Boylan's analysis corrects the minor misstatement of ALJ Pope (that no exams were conducted) by specifically referencing Dr. Arrick's own examination findings.
The only record of any physical examination ever conducted by Dr. Arrick is dated September 2011. Treatment notes from that date state: "Examination benign and documented." (Tr. 780). The same notes indicate Dr. Arrick's intention to prescribe Lortab for chronic pain since Plaintiff "has taken these in the past . . . with good results." (Tr. 780). In clinical notes dated October 2011, Dr. Arrick states that Plaintiff's fatigue and pain symptoms are "much improved." (Tr. 778). Thus, the ALJ reasonably rejected Dr. Arrick's RFC opinions involving extreme physical limitations, including an inability to stand for more than 15 minutes at a time, as not well supported and as inconsistent with substantial evidence in the record as a whole including Dr. Arrick's own clinical records. Accord Price v. Com'r of Soc. Sec., 342 Fed. Appx. 172, 176 (6th Cir. 2009) (affirming rejection of treating physician who failed to identify objective medical findings to support his opinion); Durio v. Com'r of Soc. Sec., 82 F.3d 417 at *2 (6th Cir. 1996) (treating source report not entitled to deference where it "appears to be a characterization of the plaintiff's complaints, rather than the results of any independent medical evaluation").
Plaintiff argues that Dr. Arrick's diagnosis of fibromyalgia ("FM") in and of itself supports the extreme limitations that Dr. Arrick endorsed. Plaintiff complains that ALJ Boylan was overly focused on "objective" evidence, because FM often is characterized by a distinct lack of significant
The undersigned is not persuaded that either ALJ committed reversible error in this case. Dr. Arrick's records reflect no appointments for more than two years prior to July 28, 2010, a date long after Plaintiff's alleged disability onset date of November 1, 2009. During the two year period at issue in this appeal, Dr. Arrick conducted only one examination, in September 2011. Plaintiff claims to be disabled by pain from his fibromyalgia and other ailments. However, Dr. Arrick's records are strikingly devoid of even
Plaintiff relies upon Swaim v. Com'r of Soc. Sec., 297 F.Supp.2d 986, 990-993 (N.D. Ohio 2003) and Rogers v. Com'r of Soc. Sec., 486 F.3d 234, 245 (6th Cir. 2007), cases in which courts found it error for an ALJ to fail to give controlling weight to the opinion of a claimant's treating physician concerning pain limitations caused by fibromyalgia. However, Swaim stands only for the proposition that the analysis of the severity of a fibromyalgia sufferer's pain is "difficult," and "places a premium . . . on the assessment of the claimant's credibility." Id. at 990. Neither Swaim nor Rogers suggest that ALJs must forego that analysis and accept the plaintiff's allegations of a disabling level of pain without critical review. To the contrary, Swaim states that "[a]lthough the treating physician's assessment can provide substantial input into this credibility determination, ultimately, the ALJ must decide . . . if the claimant's pain is so severe as to impose limitations rendering [him] disabled." Id.
A review of fibromyalgia cases within the Sixth Circuit reflects growing understanding of FM over time by both the Social Security Administration and the courts. In many earlier cases, remand was required due to a failure by the presiding ALJ to recognize the validity of the diagnosis, or that FM could produce disabling limitations despite the lack of significant objective abnormalities. In addition to the development of case law, on July 25, 2012, the Social Security Administration published SSR 12-2p in order to provide additional guidance in the evaluation of FM. Id., 2012 WL 3104869. As SSR 12-2p states, "FM is a common syndrome." Id. In fact, most people with fibromyalgia suffer less than disabling limitations. See Vance v. Com'r of Soc. Sec., 260 Fed. Appx. 801, 806 (6th Cir. 2008).
Contrary to Plaintiff's position, objective evidence is not irrelevant when a claimant claims disability as a result of FM. SSR 12-2p states that "we must ensure there is sufficient
Once FM has been diagnosed, SSR 12-2p reiterates that "[a]s in all claims for disability benefits, we need
None of the cases cited by Plaintiff support remand on the record presented. In Swaim, unlike in this case, the treating physician was a specialist in the diagnosis and treatment of fibromyalgia. Unlike here, where Dr. Arrick's notes reflect only one exam (with no findings to support FM or any limitations) and dramatic improvement with treatment, the Swaim specialist documented 18 of 18 trigger points and "continuously" treated the plaintiff for FM with physical therapy, medication, and B-12 injections. Reversal in Swaim was required in part because the ALJ rejected the provider's opinion without any discussion of his clinical documentation of trigger points.
Similarly, Rogers involved a physician who treated the plaintiff for her fibromyalgia and rheumatoid arthritis every six weeks over a long period of time, with documentation of multiple prescriptions, and recorded observations of swelling, tenderness to palpitation, decreased range of motion on clinical exam, and abnormal lab results. Plaintiff was referred to a specialist for additional treatment of her FM, who documented "classic fibromyalgia distribution" of trigger points, as well as severe pain and swelling. Several other examining physicians also noted the plaintiff's severe pain, including apparent stiffness, notwithstanding other normal findings. In Rogers, as in Swaim and other early cases involving FM, the ALJ's decision seemed to reflect "hesitancy in identifying this accepted medical condition as a severe impairment, and this hesitancy, in turn, influenced the ALJ's weighing of the treating physician evidence." Id. at 243. The ALJ in Rogers failed to discuss the tender points standard, and did not recognize consistent documentation (more than 500 pages) of "continuous and frequent" treatment by two treating physicians of "ongoing complaints of intense pain and stiffness throughout Rogers' body as well as fatigue." Id. at 244; see also Lawson v. Astrue, 695 F.Supp.2d 729 (S.D. Ohio 2010) (noting that multiple treating physicians with lengthy treatment relationships universally agreed that plaintiff was severely restricted by her fibromyalgia, in opinions well-supported by extensive treatment notes, observations during multiple exams documenting severe pain, trigger points, fatigue, muscle weakness and lab tests reflected elevated ANA and rheumatoid factor consistent with fibromyalgia).
In short, the cases on which Plaintiff relies are easily distinguishable. Substantial evidence in the record
Plaintiff next argues that the ALJ committed reversible error in negatively assessing Plaintiff's credibility prior to December 5, 2011.
ALJ Pope explained his assessment of Plaintiff as "not credible" as follows:
(Tr. 144). ALJ Pope's reference to inconsistencies between Plaintiff's allegations of disabling symptoms, and medical records reflecting effective treatment, is supported by substantial evidence. (See e.g., Tr. 139 citing Tr. 697; Tr. 140 citing Tr. 703 and Tr. 738, reporting knee "better").
ALJ Boylan agreed with ALJ Pope's negative assessment of Plaintiff's credibility prior to December 5, 2011, but found Plaintiff's complaints to be "generally credible" after that date based upon medical evidence of new severe impairments that occurred after December 2011, which provided new support for Plaintiff's complaints. Like ALJ Pope, ALJ Boylan referenced Plaintiff's lackluster work history. (Tr. 20). Plaintiff criticizes the ALJ's references to his work history, on grounds that Plaintiff was self-employed. He asserts that being self-employed was "more an indication of his tax return status and his intellectual/business limitations" than his ability to work. (Doc. 22 at 10). However, it was both permissible and reasonable for both ALJs to consider Plaintiff's work history, including his unwillingness to look for any other work, as weighing against the credibility of his allegations that he could perform no work at all. Likewise, it was entirely reasonable to consider that most of Plaintiff's impairments (including
Both ALJs also briefly referenced Plaintiff's daily activities. Plaintiff lives in a 2story house with his wife and 16 year old son; his wife apparently works full-time during the day. Plaintiff makes simple meals, watches TV, drives three to four times per week, goes out to eat two to three times per week, and is able to independently attend to all personal care. (Tr. 20, 134). He visits with his brother and his mother every couple of months.
The remainder of Plaintiff's credibility arguments generally assert that Plaintiff's testimony concerning his allegedly disabling limitations was "consistent with" the record. However, more than one reasonable inference can be drawn from the record. Because both ALJs made reasoned and reasonable adverse credibility decisions supported by substantial evidence, despite Plaintiff's insistence that substantial evidence exists to support a more favorable determination, the credibility assessment should be affirmed.
Plaintiff's final claim is that ALJ Boylan erred in determining that Plaintiff became disabled on or about December 5, 2011, rather than on an earlier date. As stated, the Appeals Council remanded in order for the ALJ to review new and material evidence relating to Plaintiff's March 2012 knee surgery. ALJ Boylan explained his selection of the disability onset date of December 5, 2011 based upon a wealth of other new evidence pertaining to musculoskeletal and breathing impairments that first presented themselves after December 2011:
(Tr. 23-24). ALJ Boylan gave "some weight" to the opinions of examining consultant Dr. Phillip Swedberg, whose report was dated June 20, 2013. (Tr. 24).
In explaining his selection of the disability onset date of December 5, 2011, ALJ Boylan noted that the meniscus tear was not documented until March 5, 2012, when Duane Marchyn, M.D., performed an examination that showed left medial tenderness and a positive McMurray's test. (Tr. 878-880). Dr. Marchyn promptly scheduled surgery on March 14, 2012. The ALJ reasonably concluded that Plaintiff's meniscal tear began, at most, three months earlier, on December 5, 2011. During Dr. Welsh's examinations on two dates in 2011 and on January 2012, Plaintiff's knee was found to be stable in all places, with no meniscal signs, and no evidence of tenderness. (Tr. 21, n. 4, citing Tr. 732, 738, 847). A December 2010 MRI also confirmed the lack of any meniscal tear, despite mild chondromalacia in the patella and mild soft tissue edema. (Tr. 21, n. 4, citing Tr. 729). In February 2012, Dr. Welsh first noted some mild knee effusion and a slightly diminished range of motion in the knee, plus an antalgic gait favoring the left side. (Id., citing Tr. 847).
In support of an earlier date, Plaintiff relies primarily upon the May 28, 2010 Basic Medical form completed by consulting examiner David Provaznik, D.O., for the Ohio Department of Job & Family Services, in which Dr. Provaznik noted "possible reflex sympathetic dystrophy" ("RSD") syndrome based upon Plaintiff's reported history of his [left] foot being crushed at age 10. (Tr. 471-472). Citing "limited ROM L/S," Dr. Provaznik opined that Plaintiff could stand/walk for only four hours, although his ability to sit was unlimited. Dr. Provaznik's stated exertional restrictions would have limited Plaintiff to less than a full range of light work, due to additional postural and other nonexertional limitations. (Tr. 473). However, Dr. Provaznik's limitations were not necessarily work-preclusive, and the ALJ appropriately gave many of his opinions "little weight" in some respects, as "not supported by any objective or clinical findings," with "some weight" given to the opinions that were supported with "objective findings from the consultative examination." (Tr. 142).
Still, relying upon Dr. Provaznik's reference to "possible" RSD, Plaintiff asserts that the symptoms of RSD are "very much like fibromyalgia." Plaintiff also emphasizes an August 2, 2010 report from Dr. Welsh, which refers to "chronic progressive pain" that Plaintiff rated as "5/10" before significant treatment. (Tr. 522-523). Plaintiff reported difficulty sitting or standing more than 15 minutes and difficulty walking, with pain primarily in his right thigh and left foot. (Id.) Dr. Welsh suggested "he
Plaintiff relies on other selected records to support a general argument that his fibromyalgia and carpal tunnel syndrome support an earlier disability onset date. (See, e.g., Tr. 521, "tight tender nodules throughout the spine and extremities"; Tr. 531-532, PT records dated 9/22/10 reflecting "diagnoses"
Last, and somewhat oddly, Plaintiff cites Dr. Swedberg's June 20, 2013 examination and opinions to support his claim of disability prior to December 5, 2011. Plaintiff unpersuasively argues that because Dr. Swedberg did not specify the time frame to which his opinions pertain, this Court should simply assume that the opinions relate back to a period years earlier (November 1, 2009 through December 5, 2011). However, the report is clearly based upon Dr. Swedberg's assessment in June 2013; it states that Plaintiff was referred for an orthopedic examination and focuses on Plaintiff's knee impairment, assessing the extent of impairment that remained following his 2012 surgical repair. Plaintiff baldy asserts that Dr. Swedberg's opinions were "not inconsistent with" the earlier (wholly unsupported) opinions of Dr. Arrick. Plaintiff offers no legal basis for his "relation back" argument, presumably because none exists.
The undersigned finds no reversible error in ALJ Boylan's choice of a disability onset date of December 5, 2011. Both ALJs considered all of the evidence on which Plaintiff relies, including symptoms that may or may not have been related to his eventual diagnosis of fibromyalgia. However, both ALJs also reasonably determined that Plaintiff was not disabled from that condition or from any other severe impairment prior to December 2011. ALJ Boylan's determination that Plaintiff did not become disabled until he experienced new and additional severe musculoskeletal and breathing impairments after December 2011 is supported by substantial evidence. In addition to the knee impairment, which was evidenced by a dramatic increase in symptoms beginning mid-2012, Plaintiff suffered a rotator cuff tear (May 2012), newly documented degenerative disc disease in 2013 that was not apparent on earlier studies, and a newly documented foot fracture (March 2013), also not present on prior radiological studies. Beginning in September 2012 Plaintiff began to experience breathing problems and was diagnosed with asthma — yet another new severe impairment that was not present before December 2011.
In his reply memorandum, Plaintiff expands upon an argument that because Plaintiff turned 50 on April 7, 2012 — an age is highly significant for purposes of Grid Rule 201.11 — the ALJ should have assumed disability more than six months earlier, at some point in time prior to Plaintiff's date last insured ("DLI") of September 30, 2011. Plaintiff relies on an example listed under the referenced Grid Rule that suggests that when a claimant's age falls within two months of age 50 and the rule would otherwise apply, the case should be considered "borderline." The example does not
For the reasons explained herein,