MICHAEL A. TELESCA, District Judge.
Plaintiff Carol M. Schunk, a/k/a Carol M. Dearborn ("Plaintiff"), who is represented by counsel, brings this action pursuant to the Social Security Act ("the Act"), seeking review of the final decision of the Commissioner of Social Security ("the Commissioner") denying her application for Disability Insurance Benefits ("DIB"). This Court has jurisdiction over the matter pursuant to 42 U.S.C. §§ 405(g), 1383(c). Presently before the Court are the parties' motions for judgment on the pleadings pursuant to Rule 12(c) of the Federal Rules of Civil Procedure. Dkt. ##25, 27.
On June 18, 2008, Plaintiff filed a DIB application alleging disability beginning August 29, 2007, due to back injury, high blood pressure, anxiety, depression, and fibromyalgia. T. 143-46, 178. Plaintiff's initial application was denied, and she subsequently requested a hearing before an Administrative Law Judge ("ALJ"). T. 56-59, 62-63. A video hearing was held before ALJ David S. Pang on September 27, 2010, during which Plaintiff testified and was represented by counsel. The ALJ also heard testimony from a Vocational Expert ("VE"). T. 37-54. Afterward, the ALJ issued a written decision on October 15, 2010, finding that Plaintiff was disabled as of October 5, 2010, but not prior thereto. T. 19-39.
In applying the familiar five-step sequential analysis, as contained in the administrative regulations promulgated by the SSA,
The ALJ's determination became the final decision of the Commissioner when the Appeals Council denied Plaintiff's request for review on June 23, 2011. T. 1-6. This action followed. Dkt.#1.
The Commissioner moves for judgment on the pleadings on the grounds that the ALJ's RFC was supported by substantial evidence; the ALJ properly assessed Plaintiff's credibility; and that substantial evidence supports the ALJ's finding that Plaintiff was not disabled prior to October 5, 2010. Comm'r Mem. (Dkt. #25-1) 17-26. Plaintiff cross-moves for judgment on the pleadings on the grounds that the ALJ erred at various of the sequential analysis. Gaughan Decl. (Dkt. #27) 1-6.
For the following reasons, the Commissioner's motion is granted, and the Plaintiff's cross-motion is denied.
42 U.S.C. § 405(g) grants jurisdiction to district courts to hear claims based on the denial of Social Security benefits. Section 405(g) provides that the District Court "shall have the power to enter, upon the pleadings and transcript of the record, a judgment affirming, modifying, or reversing the decision of the Commissioner of Social Security, with or without remanding the cause for a rehearing." 42 U.S.C. § 405(g) (2007). The section directs that when considering such a claim, the Court must accept the findings of fact made by the Commissioner, provided that such findings are supported by substantial evidence in the record. Substantial evidence is defined as "`more than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.'"
When determining whether the Commissioner's findings are supported by substantial evidence, the Court's task is "to examine the entire record, including contradictory evidence and evidence from which conflicting inferences can be drawn."
Under Rule 12(c), judgment on the pleadings may be granted where the material facts are undisputed and where judgment on the merits is possible merely by considering the contents of the pleadings.
An MRI of Plaintiff's lumbar spine taken on September 6, 2007 showed moderate L2-3 and L3-4 disc bulging, mild L4-5 disc bulging, broad-based left foraminal to left posterolateral disc herniation superimposed on disc bulging at L2-3 and mild-tomoderate left L2-3 neural foramen narrowing. T. 287.
At the time of her DIB application, Plaintiff took 8 medications, including hydrocodone, Lyrica, Fentanyl patches, Xanax, a beta-blocker, and a diuretic. T. 182, 310.
Beginning September 5, 2007, and various times thereafter, Plaintiff's primary care physician Pricilla Dale opined that Plaintiff was disabled and unable to work. T. 238, 362, 366, 368, 444, 447, 451.
On September 18, 2007, Plaintiff was examined by neurosurgeon Loubert Suddaby, who noted Plaintiff's consumption of narcotic analgesics for pain had increased and that Plaintiff was seeking other treatment options. T. 242. Dr. Suddaby's examination of Plaintiff revealed that she was well-nourished, well-developed, and in no acute distress; was alert, oriented, and exhibited normal mentation. She had moderate to marked restriction in her lumbar spine range of motion and tenderness of the lumbar paraspinal muscles; no tenderness of the sacroiliac joints or hip bursae; and tenderness present in the sciatic notches bilaterally. Straight leg raising was 80 degrees bilaterally; reflexes were symmetrical; plantars were downgoing; muscle bulk, tone, and power were normal as was a sensory examination. Gait and station were normal. T. 242. Dr. Suddaby noted the previous MRI results and recommended a lumbar spine CT scan, return to physical therapy, and an epidural nerve block. He stated that he was concerned about Plaintiff's narcotic consumption, and advised against narcotic use for chronic pain in light of her existing addiction to nicotine. T. 243. Dr. Suddaby opined that Plaintiff had a "problem with bulging of the discs at multiple levels with associated spinal stenosis," and stated that she would remain on temporary, total disability. T. 243.
Shortly thereafter, Dr. Dale again examined Plaintiff, noting that she had shuffling gait and moved stiffly. T. 241. She planned to keep Plaintiff off work until further notice.
Plaintiff saw Dr. Melvin Brothman, an orthopedic surgeon, on October 29, 2007 for complaints of lower back pain that radiated to her legs. T. 244-47. She reported that her pain was aggravated by bending, lifting, walking, standing, and sitting. After examination and reviewing the diagnostic imaging tests results, Dr. Brothman diagnosed Plaintiff with spinal stenosis with bilateral radiculopathy, degenerative disc disease multiple levels. He noted that Plaintiff's primary care physician, Dr. Dale, had diagnosed her with fibromyalgia. T. 244. Her prognosis was fair. Dr. Brothman opined that her treatment to date treatment was reasonable and necessary, and she was able to return to work, but was to avoid excessive bending or lifting over 15 to 20 pounds. He recommended further treatment, noting that a CT scan and epidural blocks would be reasonable. T. 246.
Plaintiff next saw Dr. Dale on December 14, 2007, for follow up of fibromyalgia, anxiety, depression, and elevated blood pressure. T. 255, 257. A physical examination was unremarkable. T. 255. Dr. Dale diagnosed Plaintiff with severe anxiety depressive disorder aggravated by a Workmen's Comp injury, and added that Plaintiff had active fibromyalgia, some osteoarthritis in her spine, and degenerative disc disease. T. 255. One month later, Plaintiff showed difficulty rising from a chair and reported "some good days and some bad days." T. 254. Dr. Dale assessed exacerbation of spinal pain, probably due to a herniated disc, and refilled Plaintiff's prescription medications.
Plaintiff saw Dr. Suddaby again for ongoing back pain on January 29, 2008. Upon examination, Plaintiff had a moderate restriction in her lumbar spine range of motion and tenderness of the lumbar paraspinal muscles. An epidural nerve block, therapy, a discogram, and a pain management physician were recommended. T. 292. Dr. Suddaby opined that Plaintiff was temporarily, totally disabled.
Plaintiff returned to Dr. Dale one month later, stating that the epidural helped for a week and a half, and that her back felt better. Her examination was unremarkable. Plaintiff was advised to see Dr. Suddaby regarding another epidural. T. 253.
A physical examination by Dr. Suddaby on March 18, 2008, was essentially unchanged. T. 291. A repeat epidural was recommended, and Plaintiff's disability status on that date was "temporary total."
Plaintiff continued to see her primary care physician Dr. Dale between June 26, 2008 and October 21, 2009, during which time her condition remained unchanged. T. 238, 353, 437, 438, 440, 442, 444, 446, 448. Plaintiff continued to complain of being unable to sit, stand, or walk for any length of time. She moved stiffly upon evaluation, although many of her examination results were normal, and she exhibited no acute distress.
Dr. Dale noted that as of January, 2009, Plaintiff's pain was controlled with medications and injections. However, Dr. Dale noted concerns about Plaintiff "over-taking" her medication. T. 238, 353. Due to Plaintiff's need to change positions, Dr. Dale opined that Plaintiff could not perform sedentary work, and had disabling back pain. T. 438. Though her back condition was stable, it was not improving. T. 440. Vocational rehabilitation was recommended. T. 442. By July 30, 2009, Plaintiff's functional limitations remained the same, and Dr. Dale opined that she was unable to work in any setting. T. 444.
Plaintiff was born in 1960 and had an 11th grade education. T. 47, 147. She lived at home with her husband. T. 186. Her last job was at Tops Markets, where she worked as a meat clerk for 20 years. That position required her to carry up to 80 pounds at a time. T. 42-43. When she stopped working on August 29, 2007, due to back and body pain, she was unable to sit or stand for more than 30 minutes. T. 43, 178. Plaintiff testified that Tops did not have any light duty work available for her when she stopped working. T 43. Beginning in August, 2007, she received Worker's Compensation. T. 48.
Plaintiff told the ALJ that she was unable to perform housecleaning or grocery shopping, and that she would perform light housekeeping and lay on a heating pad most of the day. T. 44, 48. She took 8 or 9 medications, all of which made her drowsy. T. 44-46. Her husband drove her to the hearing. T. 46. Though Dr. Suddaby recommended surgery, Plaintiff felt she was too young and declined. T. 47. Unless she took her medication, she was unable to get out of bed. T. 48.
The ALJ also heard testimony from VE Alina Kurtanich, to whom he posed a hypothetical regarding an individual of Plaintiff's age, work experience, and education, who could perform light work with the following limitations: (1) a sit/stand option at the workstation; (2) never climbing ladders, ropes, or scaffolds; (3) occasionally climbing ramps or stairs; (4) occasionally stooping, kneeling, crouching, or crawling; and (5) avoiding concentrated exposure to unprotected heights and heavy moving machinery. T. T. 49-50. The VE responded that such an individual could not perform Plaintiff's past work, but could perform work as a ticket taker or garment sorter. T. 50.
The ALJ posed a second hypothetical that involved the same facts with the exertional level reduced to sedentary. T. 50. In response, the VE stated that the jobs of surveillance system monitor, ticket checker, and document preparer existed in significant numbers in the national economy. T. 50.
Finally, the VE testified that if the hypothetical individual would be off-task for 20 percent of the workday due to medication side effects, there would be no jobs available to that individual. T. 51.
Plaintiff contends that the ALJ was incorrect in disputing her alleged daignosis of fibromylagia and not finding it to be a severe impairment. Gaughan Decl. 5.
For an impairment to be considered severe, it must more than minimally limit the claimant's functional abilities, and it must be more than a slight abnormality. 20 C.F.R. § 416.9249(c). It must also be "medically determinable," established through medically acceptable clinical or laboratory diagnostic techniques demonstrating the existence of a medical impairment.
Here, the ALJ found that Plaintiff had the following severe impairments: degenerative disc disease, hypertension, adjustment disorder, and pain disorder. T. 26. In so finding, he noted that there were no medical signs or laboratory findings to support a conclusion that Dr. Dale's diagnosis was a medically determinable impairment under the regulations.
The Court is cognizant that rejecting a fibromyalgia-claimant's allegation of disability based in part on a perceived lack of objective evidence has been held to be reversible error.
The ALJ in this case specifically applied SSR 99-2p in reaching his finding. The Court further notes that the absence of the evidence mentioned above is especially significant here, where the Plaintiff has substantial and thorough medical records from a longstanding treating physician. To the contrary, the only evidence in support of Plaintiff's allegation appears to be Dr. Dale's passing references to an undated diagnosis of fibromyalgia in her various treatment notes. T. 255, 260-62.
For these reasons the ALJ's finding at step two of the sequential analysis was supported by substantial evidence.
Plaintiff next contends that the ALJ failed to address the opinions of her treating physicians that she was totally disabled. Gaughan Decl. 3-4.
Under the Commissioner's regulations, a treating physician's opinion is entitled to controlling weight, provided that it is well-supported in the record:
20 C.F.R. § 416.927(d)(2); 20 C.F.R. § 404.1527(d)(2). However, "[w]hen other substantial evidence in the record conflicts with the treating physician's opinion . . . that opinion will not be deemed controlling. And the less consistent that opinion is with the record as a whole, the less weight it will be given."
The Court adds that the Commissioner need not grant controlling weight to a treating physician's opinion to the ultimate issue of disability, as this decision lies exclusively with the Commissioner.
On the outset, Plaintiff's contention that the ALJ "fail[ed] to address the reiteration of the finding of disability" by Plaintiff's treating sources is belied by the decision. Gaughan Decl. 3. ALJ Pang discussed the opinions from Plaintiff's primary sources, Dr. Dale and Dr. Suddaby, and specifically acknowledged that each has "consistently" and "repeatedly" opined that Plaintiff was completely or totally disabled. T. 30. He went on to state, however, that those opinions were conclusory because they were not a function-by-function assessment of Plaintiff's abilities or limitations, which would be required for a determination of disability under the Act.
More importantly, the determination of whether an individual is disabled is unequivocally a matter reserved for the Commissioner.
Moreover, the opinions of Drs. Dale and Suddaby on the issue of disability were rendered in the context of Worker's Compensation, which invokes a different standard of disability than the standard under the Act for social security purposes.
Here, the ALJ applied the appropriate legal standards when he considered the full record and properly evaluated Plaintiff's treating source opinions. His determination was therefore based upon substantial evidence.
Plaintiff also challenges the ALJ's credibility determination in her motion for judgment on the pleadings. Gaughan Decl. 6.
To establish disability, there must be more than subjective complaints. There must be an underlying physical or mental impairment, demonstrable by medically acceptable clinical and laboratory diagnostic techniques that could reasonably be expected to produce the symptoms alleged. 20 C.F.R. § 416.929(b);
"If the ALJ decides to reject subjective testimony concerning pain and other symptoms, he must do so explicitly and with sufficient specificity to enable the Court to decide whether there are legitimate reasons for the ALJ's disbelief and whether his determination is supported by substantial evidence."
Here, the ALJ found that Plaintiff's statements concerning the intensity, persistence, and limiting effects of her symptoms were not entirely credible to the extent they were inconsistent with the residual functional capacity assessment. T. 28.
In addition to the objective medical and clinical findings, which did not support the extent of Plaintiff's subjective complaints, the ALJ considered also Plaintiff's history of prescription medication usage, her preference to receive conservative treatment (as opposed to recommended surgical intervention), and her failure to undergo physical therapy and to schedule her approved discogram to further determine an appropriate course of treatment. T. 29. He also viewed her strong work history and limited daily activities as supporting her allegation that she was no longer able to work.
The Court therefore finds that the ALJ's credibility determination was proper as a matter of law and supported by substantial evidence in the record.
Plaintiff challenges the ALJ's determination at step five on the basis that the VE testified that jobs existed in the national economy, but "fail[ed] to state the number of jobs available in the Western New York economy." Gaughan Decl. 2-3.
The controlling statutes and federal regulations suggest that the proper focus generally must be on jobs in the national, not regional, economy. In 42 U.S.C. § 423(d)(2)(A), for example, Congress prescribed that "[a]n individual shall be determined to be under a disability only if . . . [he cannot] engage in any other kind of substantial gainful work which exists in the
Likewise, district courts in this Circuit have held that a purported failure in this regard does not warrant remand.
Finally, the Court notes that no evidence has been proffered at any stage of the proceedings to rebut the ALJ's conclusion that the jobs stated by the VE existed in significant numbers in the national economy. The step five determination, therefore, was not legally erroneous or unsupported by substantial evidence.
For the foregoing reasons, the Comissioner's motion for judgment on the pleadings (Dkt.#25) is granted, and Plaintiff's cross-motion for judgment on the pleadings (Dkt.#27) is denied. The ALJ's finding that Plaintiff was not disabled prior to October 5, 2010 within the meaning of the Act is supported by substantial evidence in the record, and accordingly, the Complaint is dismissed in its entirety with prejudice.
ALL OF THE ABOVE IS SO ORDERED.