CAROL B. WHITEHURST, Magistrate Judge.
Before the Court is an appeal of the Commissioner's finding of non-disability. Considering the administrative record, the briefs of the parties, and the applicable law, it is recommended that the Commissioner's decision be affirmed.
The claimant, Sharon Elaine Fitton, fully exhausted her administrative remedies prior to filing this action in federal court. The claimant filed an application for disability insurance benefits ("DIB") and an application for supplemental security income benefits ("SSI"), alleging disability beginning May 27, 2011.
The claimant was born on July 2, 1964.
On September 6, 2011, the claimant was first seen at East Georgia Regional Medical Center with complaints of left ear pain and a cough. Her history included hypertension, rheumatoid arthritis, migraines and asthma. It was noted that she denied threats or abuse and that she was a smoker.
On July 14, 2012, Dr. Lee McGill, performed a disability determination examination on the claimant. Upon examining the complainant's spine and extremities, Dr. McGill found full range of motion of her knees with limited range of motion on abduction and forward elevation of the right shoulder. Dr. McGill opined the claimant would have difficulty lifting heavy items as well as pushing and pulling with her right arm. The claimant's eye chart examination was 20/200 in both eyes with no evident abnormality. Dr. McGill indicated the claimant would be referred for an ophthalmology consultation.
The September 10, 2012 records of the claimant's ophthalmology examination with Dr. Smalley at Vidalia Eye Associates, provided that the claimant stated she had been gradually experiencing loss of vision and "intermittent migraine headaches" related to spousal physical abuse dating back to May 2011 in which she was struck in the head with a bat several times.
The claimant was seen by Dr. Moogerfeld on December 20, 2012 for a disability physical. She stated that she had rheumatoid arthritis, was "legally blind in the left eye," as she had "good results" with Imitrex for her migraine headaches, and had attempted to quit smoking two times.
On January 16, 2013, the radiology report of East Georgia Regional Medical Center indicted that x-rays of the claimant's knees, left hip and left shoulder were normal.
The claimant established as a new patient with Dr. Okungbowa on November 5, 2013 at which time she indicated that she was a current smoker, smoking 11-20 cigarettes per day, and that her medical history included asthma, hypertension, shoulder surgery and a broken pelvis.
On February 18, 2014, the complainant presented to Dr. Okungbowa for a note advising of her medical condition as she was required to perform community service for committing an aggravated assault. At that time, none of Dr. Okungbowa's office notes provided any indication that the claimant had abnormalities in her extremities or her gait. Rather, his notes on that date stated that she had "normal range of motion all joints, no trigger points on joints."
At the May 15, 2014 hearing, the claimant testified that she could see but could not read out of her left eye.
In her brief opposing the Commissioner's ruling, the claimant argues, "[t]he evidence as [a] whole both medical and non-medical is sufficient to support [her] claim of disability."
Judicial review of the Commissioner's denial of disability benefits is limited to determining whether substantial evidence supports the decision and whether the proper legal standards were used in evaluating the evidence.
If the Commissioner's findings are supported by substantial evidence, then they are conclusive and must be affirmed.
The Disability Insurance Benefit ("DIB") program provides income to individuals who are forced into involuntary, premature retirement, provided they are both insured and disabled, regardless of indigence.
The term "disabled" or "disability" means the inability to "engage in 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 months."
The Commissioner uses a sequential five-step inquiry to determine whether a claimant is disabled. This process required the ALJ to determine whether the claimant (1) is currently working; (2) has a severe impairment; (3) has an impairment listed in or medically equivalent to those in 20 C.F.R. Part 404, Subpart P, Appendix 1; (4) is able to do the kind of work he did in the past; and (5) can perform any other work at step five.
Before going from step three to step four, the Commissioner assesses the claimant's residual functional capacity
The claimant bears the burden of proof on the first four steps.
If the Commissioner's findings are supported by substantial evidence, then they are conclusive and must be affirmed.
In this case, the ALJ determined at step one, that the claimant has not engaged in substantial gainful activity since May 2, 2011.
At step two, the ALJ found that the claimant has the following severe impairments: rheumatoid arthritis, degenerative joint disease of the left shoulder, asthma, diminished vision in the left eye, and obesity.
At step three, the ALJ found that the claimant has no impairment or combination of impairments that meets or medically equals the severity of a listed impairment.
The ALJ found that the claimant has the residual functional capacity to perform work at the light level except that she it limited to occasional crouching, kneeling, crawling and stooping; can have no exposure to heavy fumes or dust; is limited to occasional work at heights; can not engage in overhead lifting with the left shoulder; and can not engage in tasks requiring fine visual acuity or depth perception.
At step four, the ALJ found that the claimant is not capable of performing any of her past relevant work.
At step five, the ALJ found that the claimant was not disabled from May27, 2011 through August 12, 2014 (the date of the decision) because there are jobs in the national economy that she can perform.
Ms. Fitton generally claims that the ALJ erred in concluding that she is not disabled and was not entitled to a period of disability. More specifically, Ms. Fitton claims that the ALJ failed to properly consider the evidence in making his decision.
As to the claimant's assertion that the Agency found she was disabled but could not determine when her disability began. It appears to this Court that Ms. Fitton was referring to the Appeal Council's letter declining to review the ALJ's August 12, 2014 decision based on her evidence submitted after the relevant period ended. While the Appeals Council in no way stated or implied that the claimant was found to be disabled, the claimant appears to be referring to a "Disabled Person's Parking Affidavit" attached to her brief, in which she was apparently issued a disabled parking permit.
An assignment of error such as that asserted by the claimant, that the ALJ erred in reaching the ultimate conclusion that the claimant is not disabled and erred in not ordering a period of disability, is too general to be considered by the Court. The Court's scheduling order requires a claimant to set forth the specific errors committed at the administrative level and states that a general allegations that the ALJ's findings are unsupported by substantial evidence is insufficient to invoke the appellate function of the Court. The claimant's briefing fails to satisfy these minimal requirements. As the claimant is pro se the Court will first determine whether the ALJ properly advised the claimant of her right to retain counsel and then review the findings the ALJ made against the claimant, that is, the evidence used in making the determination and the finding that the claimant was not credible.
A Social Security claimant such as Ms. Fitton has a statutory right to be represented by counsel or another qualified person at a hearing.
In this case, Ms. Fitton appeared at the hearing before the ALJ without her attorney. When asked about her attorney situation by the ALJ, she stated that her attorney informed her the day before that she would not be attending the hearing with the claimant. The ALJ then provided Ms. Fitton with the waiver of representation form and went over the form with her. He stated:
Ms. Fitton stated that she wished to go forward.
To ensure valid waiver of the right to counsel, the ALJ must explain to the pro se claimant the manner in which an attorney can aid in proceedings, possibility of free counsel or contingency arrangement, limitation on attorney fees to 25 percent of past due benefits, and required court approval of fees.
In assessing the claimant's Residual Functional Capacity ("RFC"), the ALJ properly reviewed the medical and non-medical evidence.
In determining that the claimant was not disabled but could perform some light work activity, the ALJ thoroughly reviewed the claimant's medical records as well as her non-medical records. He found it significant that the state agency medical experts "universally opined the claimant could perform less than light work" and was not disabled.
The ALJ concluded that the claimant has medically determinable impairments that could reasonably be expected to cause her alleged symptoms, but opined that her statements regarding the severity, persistence and limiting effects of her symptoms were not credible:
(1) statements regarding her activities of daily living
The ALJ found that the claimant was inconsistent in her statements regarding her activities of daily living. He observed that on June 1, 2012, the claimant stated that she sometimes goes shopping alone and with her daughter, while on July 14, 2012, she told a consultative examiner that she did not shop at all.
(2) allegations that she has significant left knee dysfunction
The claimant alleged at the hearing that she had such significant left knee dysfunction that her treating physician recommended a knee replacement. Her imaging studies, however, showed no pathologies of the left knee an in early 2014 she denied any joint pain. Before March of 2014, the claimant displayed no pain on range of motion in the left knee. Thus, the ALJ found her credibility as her own medical historian significantly lessened.
(3) allegations as to her visual limitations
Despite the claimant's own allegations of visual limitations, the ALJ found that her statements to physicians and validity problems with her presentation reduced her credibility considerably. He noted, in April of 2012 her visual acuity in the right eye was 20/20, and in the left eye was 20/25. In July of 2014, she demonstrate no visual limitations in a consultation exam and on the follow-up ophthalmology examination she demonstrate too many false positives and negatives for the findings to be valid. In a third consultation examination, the claimant stated she was unable to read any of the visual acuity chart. Finally, in a fourth consultation examination in February of 2013, her visual acuity was 20/200 in both eyes. Later, over several years of treatment with her treating physician she denied any visual problems. The ALJ found that these inconsistencies undermined her credibility considerably.
(4) allegations as to her asthma
The fact that the claimant smokes 11 - 20 cigarettes per day, has no respiratory abnormalities on examination and has never been hospitalized for an asthma exacerbation undermines any abnormal pulmonary function tests.
(5) allegations as to her rheumatoid arthritis
The ALJ found that the claimant has rheumatoid arthritis but is negative for the rheumatoid factor, requires no specialized treatment and demonstrates no deformities of any joint. Her strength/grip test results are inconsistent and are also inconsistent with the objective evidence with regard to her activities. He further found that the claimant does have degenerative joint disease of the left shoulder. While her limited range of motion indicates she should not perform overhead lifting, the minimal abnormal findings on the objective imaging studies along with her frequent asymptomatic presentation upon examination indicates she has no greater limitations.
This Court finds that the ALJ's evaluation of Ms. Fitton's credibility was conducted in accordance with the required legal standards and is supported by substantial evidence in the record, as provided in the disability applications, the medical records and the hearing transcript.
Therefore, the ALJ's analysis of the claimant's credibility is supported by substantial evidence in the record. When an ALJ's credibility determination is supported by substantial evidence, it is entitled to judicial deference.
The undersigned finds that the ALJ applied appropriate legal standards in ruling on this case, and the ALJ's findings are based on substantial evidence in the record. Accordingly,