P. KEVIN CASTEL, District Judge.
On May 12, 2017, Michael Mayo, through his attorney, filed this action seeking review of the final decision of the Commissioner of Social Security denying Mayo disability insurance benefits. (Doc 1). This Court referred the action to Magistrate Judge Kevin Nathaniel Fox to hear and report. (Doc 5). Both parties have moved for judgment on the pleadings. (Docs 11, 17).
On January 30, 2019, Magistrate Judge Fox issued a Report and Recommendation (the "R&R") recommending that the Commissioner's motion for judgment on the pleadings be granted, and Mayo's motion be denied. (Doc 20).
In reviewing an R&R, a district court "may accept, reject, or modify, in whole or in part, the findings or recommendations made by the magistrate judge." 28 U.S.C. § 636(b)(1). In the event that a party files objections to the magistrate judge's recommendations, district courts conduct a
When reviewing a Social Security claim, a district court does not determine
Substantial evidence is "more than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion."
Mayo seeks disability insurance benefits as a result of alleged impairments including a history of cerebro-vascular accidents ("CVA"), degenerative joint disease of the hips, status-post total right hip replacement, obesity, asthma and diabetes mellitus. (Record at 12-13; Doc 9). Under the Social Security Act, an individual is considered disabled and may be entitled to benefits if they have 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 12 months." 42 U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A).
Mayo objects to the R&R's conclusions with respect to two determinations made by the ALJ. Mayo asserts that (1) substantial evidence does not support the ALJ's conclusion that Mayo has the residual functioning capacity to perform light work; and (2) the ALJ did not properly weigh treating physicians' opinions. (Doc 21 at 3-5.) The R&R rejected each of these arguments. (R&R at 14-16; Doc 20). In reviewing Mayo's objections to the R&R, this Court considers each issue
Plaintiff objects to the ALJ's ultimate determination that plaintiff has the residual functional capacity to perform light work as defined in 20 C.F.R. 404.1567(b). "Light work involves lifting no more than 20 pounds at a time with frequent lifting or carrying of objects weighing up to 10 pounds. Even though the weight lifted may be very little, a job is in this category when it requires a good deal of walking or standing, or when it involves sitting most of the time with some pushing and pulling of arm or leg controls." 20 C.F.R. § 404.1567(b). The ability to perform light work has been characterized as the ability to stand or walk, off and on, for six hours in an eight-hour workday.
The ALJ determined that Mayo has the residual functional capacity to perform light work with several limitations. (Record at 14; Doc 9). The ALJ's determination was supported by substantial evidence. The ALJ based the determination on consideration of (1) Mayo's conservative course of treatment following his hip replacement and CVA as proscribed by Dr. Don Young Oh and Dr. Cy Blanco; (2) treatment notes by Dr. Douglas Greenfield and Dr. Joseph C. Elfenbein that indicated he had swift recoveries and was regaining mobility and limited range of motion; (3) his self-reported ability to perform day to day tasks like carrying out the garbage, grocery shopping, using public transportation, and driving; and (4) diagnostic imaging and clinical findings that indicated at most mild impairments for his degenerative joint disease of the knees and neck, shoulder, and back pain. (
Plaintiff points to several additional pieces of evidence that he suggests are inconsistent with the ALJ's findings. He claims that the record demonstrates at various points between March 2013 and July 2016 he had limited range of motion, had a limp, used a cane, or had reduced strength in his arms or legs. (Doc 21 at 3). He cites the testimony of Dr. Greenfield, who wrote in a medical opinion that Mayo had a wide-based and mild antalgic gait and was mildly limited in his ability to stand and walk. (Doc 21 at 4-5;
The ALJ considered these pieces of evidence but did not find them to negate the substantial evidence that Mayo was recovering from each of his surgeries well using a limited course of treatment and was, after July 2014, able to walk, at times without a cane, drive, transition from a sitting to standing posture without assistance, and record full strength and sensation in his arms and legs. (Record at 17-18). Mayo also cites to Dr. Blanco's examination of July 2016 in which Dr. Blanco noted that plaintiff had limited range of motion and diagnosed him with osteoarthritis of his left hip. (Doc 21 at 3;
Plaintiff objects that the ALJ failed to properly evaluate the medical record by giving inadequate weight to Drs. Oh and Elfenbein's medical opinions.
A treating physician's opinion is entitled to "controlling weight" if it is "wellsupported by medically acceptable clinical and laboratory diagnostic techniques and is not inconsistent with other substantial evidence in [the] case record." 20 C.F.R. § 404.1527(c)(2). An ALJ must explicitly consider various "factors" to determine how much weight to give the opinion of a treating physician,
Dr. Elfenbein examined plaintiff once in August 2014 pursuant to Mayo's workers's compensation claim. (Record at 354-58; Doc 9). The ALJ considered Dr. Elfenbein's medical opinion and gave it "significant weight" "since it was supported by his direct examination of the claimant and offers a functional analysis of his retained abilities." Record at 18. But the ALJ limited the weight of Dr. Elfenbein's opinion "since it was developed under the particular standards of New York's workers's compensation law and regulations, which are distinct from the Social Security Act and regulations."
Dr. Elfenbein's findings that Mayo cites to-that Mayo limped, used a cane, could not maintain prolonged walking, and had limited external hip rotation-were considered by the ALJ. (Record at 16-17). There is no evidence that they were not given significant weight. Rather, the ALJ determined that even accounting for these limitations, the record as a whole demonstrated that any reported limitations were not as severe as alleged based on Mayo's conservative treatment, subsequent recovery, and reported activities.
Dr. Oh examined plaintiff several times between June 2013 and August 2015. (Record at 18). The ALJ considered Dr. Oh's opinions but gave them "little weight" "since they were developed under the particular standards of New York's workers's compensation law and regulations, which are distinct from the Social Security Act and regulations," they made findings "reserved to the Commission," and they "did not opin[e] as to [Mayo's] function-by-function abilities, which limited the[ir] possible probative value."
Dr. Oh's other records, noting Mayo's right-sided weakness, soreness in his hip, and minimal Trendelenburg gait, were considered on review of the whole record, along with Dr. Oh's records on Mayo's recovery progress and use of Tylenol and physical therapy to treat his condition. (Record at 15-16). None of these reports conflict with the ALJ's determination that Mayo can perform light work subject to limitations. To the extent that any of Dr. Oh's observations would support a disability determination, they are not consistent with other substantial evidence in the record such as the opinions of other medical experts and are therefore properly not afforded controlling weight.
This Court adopts the recommendations of the R&R in their entirety. The defendant's motion for judgment on the pleadings is GRANTED. (Doc 17). Mayo's motion is DENIED. (Doc 11). The Clerk is directed to enter judgment for defendant and to close this case.
This Court certifies pursuant to 28 U.S.C. § 1915(a)(3) that any appeal from this order would not be taken in good faith and
SO ORDERED.