MARK A. KEARNEY, District Judge.
Administrative Law Judge Anne W. Chain denied Jason R. Daddario's application for Social Security disability insurance benefits.
Mr. Daddario filed three objections to Judge Rueter's Report challenging ALJ Chain for improperly: (1) rejecting treating orthopedic surgeon Steven J. Valentino, D.O.'s opinion; (2) rejecting treating physiatrist John J. Kraus, M.D.'s opinion; and (3) omitting credibly established limitations in her hypothetical to the Vocational Expert.
We review ALJ Chain's findings of fact under the deferential "substantial evidence" standard.
Mr. Daddario objects to the weight given by ALJ Chain to the July 18, 2012 opinion of treating orthopedic surgeon Dr. Valentino. ALJ Chain assigned "little weight" to Dr. Valentino's opinion explaining it (1) pre-dated the amended onset date of September 1, 2012; (2) did not provide function by function limitations; (3) is based on subjective complaints; and (4) is inconsistent with findings of normal gait and full strength.
Mr. Daddario objects to Judge Rueter's Report as failing to address his argument ALJ Chain erred when she rejected Dr. Valentino's July 18, 2012 opinion as pre-dating the September 1, 2012 onset date while at the same time relying on reports from other physicians also pre-dating the onset date. Judge Rueter acknowledged this argument. After reviewing all of Mr. Daddario's arguments and the applicable law, he concluded ALJ Chain provided adequate justification for assigning limited weight to Dr. Valentino's opinion for the other three reasons.
Mr. Daddario objects to Judge Rueter's finding ALJ Chain did not err when she found Dr. Valentino failed to provide function by function limitations. Dr. Valentino opined Mr. Daddario's "[s]ymptoms are worse with activity and prolonged posture and decreased with rest and recumbency."
We agree with Judge Rueter's conclusion Dr. Valentino's opinion does not support Mr. Daddario's interpretation.
Mr. Daddario objects to Judge Rueter's finding Dr. Valentino's July 2012 conclusion Mr. Daddario "is disabled from gainful employment" is not binding on ALJ Chain. Judge Rueter correctly applied the relevant regulations and case law providing medical opinions as to a claimant's disability are not binding on the ALJ and disability determinations are reserved for the Commissioner.
We disagree. Medical opinions, as defined by regulation, are "statements from acceptable medical sources that reflect judgments about the nature and severity of your impairment(s), including your symptoms, diagnosis and prognosis, what you can still do despite impairment(s), and your physical or mental restrictions."
Mr. Daddario objects to Judge Rueter's finding the ALJ did not err when she found Dr. Valentino's opinion is based on subjective complaints of pain. Dr. Valentino's July 2012 treatment notes state Mr. Daddario "unfortunately continues to be in severe pain. He is disabled from gainful employment from chronic pain; every second of his life
Mr. Daddario argues ALJ Chain's interpretation of Dr. Valentino's opinion ignores the objective evidence in the record of an earlier, failed lumbar surgery, contending Dr. Valentino, as a specialist, "understood" Mr. Daddario's pain to be continuing and his opinion should be given more weight under 20 C.F.R. § 404.1527(c)(5). Subsection 404.1527(c)(5) provides opinions of specialists are "generally give[n] more weight . . . about medical issues related to his or her area of specialty than to the medical opinion of a source who is not a specialist." But this recognition does not vitiate the law of this Circuit regarding a claimant's subjective statements in a medical report. Judge Rueter additionally noted ALJ Chain properly discounted Dr. Valentino's July 2012 opinion in part because the opinion is inconsistent with a finding — in the same treatment notes — of normal gait and full strength.
Mr. Daddario further objects to Judge Rueter's rejection of his argument Dr. Valentino's opinion is supported by reports of another treating physician, Sagi M. Kuznits, M.D. Dr. Kuznits, a neurosurgeon, performed Dr. Daddario's laminectomy in 2010 and examined him again in August 2012 and March 2013.
Mr. Daddario contends this evidence supports Dr. Valentino's opinion and cuts against ALJ Chain's finding Mr. Daddario stable in the period immediately following the date last insured, December 31, 2012.
We disagree. The record of Dr. Kuznits's evaluation in August 2012 shows full strength in his lower extremities and an MRI showing "fusion with intact instrumentation and no evidence of abnormal motion" and "[t]he remaining discs are within normal limits without evidence of new pathology," contrasted with Mr. Daddario's subjective complaints, for example "[h]e tells me that at this point in time he is unable to sit or stand for more than an hour at a time." Applying a de novo review, we find no error in Judge Rueter's conclusion ALJ Chain provided adequate justification for assigning limited weight to Dr. Valentino's opinion.
Making the same argument considered by Judge Rueter, Mr. Daddario contends ALJ Chain erroneously assigned little weight to the opinion of his treating physiatrist, Dr. Kraus, in part because she found Dr. Kraus's opinion appeared to be largely based on subjective complaints. Applying a de novo review, we find Judge Rueter properly concluded ALJ Chain provided adequate justification for assigning limited weight to Dr. Kraus's opinion.
Mr. Daddario now objects to Judge Rueter's reliance on case law cited for the proposition "[a]n ALJ may accept some portions of a medical source's opinion while rejecting other opinions from the same source."
ALJ Chain did not ignore Dr. Kraus's clinical findings. She recognized Dr. Kraus's conclusion he does not see how Mr. Daddario can return to an employed position in view of his medication and limitations in sitting and standing tolerance.
Mr. Daddario argues the ALJ erred when she framed a hypothetical to the vocational expert with an assumption he could perform a range of sedentary work, ignoring the credibly established limitations assessed by Dr. Valentino and Dr. Kraus.
We find substantial evidence supports ALJ Chain's findings. We additionally find Judge Rueter correctly assessed the hypotheticals posed to the vocational expert. ALJ Chain asked the vocational expert to consider a hypothetical limited in lifting and carrying up to twenty pounds occasionally, ten pounds frequently, standing and walking up to four hours a day, sitting up to six hours a day with no more than occasional climbing, balancing, stopping, kneeling, crouching, and crawling, and no climbing of ladders, ropes, or scaffolds, and no frequent exposure to humidity and pulmonary irritants.
We agree with Judge Rueter's finding the hypothetical questions posed to the vocational expert accurately reflect Mr. Daddario's impairments supported in the record.
In the accompanying Order, we adopt Judge Rueter's Report and dismiss Mr. Daddario's appeal.