MALACHY E. MANNION, District Judge.
Pending before the court is the report and recommendation of Judge Schwab, (Doc.
When objections are timely filed to the report and recommendation of a magistrate judge, the district court must review de novo those portions of the report to which objections are made.
For those sections of the report and recommendation to which no objection is made, the court should, as a matter of good practice, "satisfy itself that there is no clear error on the face of the record in order to accept the recommendation."
As set forth more fully in Judge Schwab's report, plaintiff Douglas Glenn Orem applied for DIB and SSI alleging he was disabled as of December 5, 2011 due to sciatica, low back pain, back injury and lumbar radiculopathy. A hearing was held before an administrative law judge ("ALJ") on June 18, 2013. On July 8, 2013, the ALJ determined that plaintiff was not disabled within the meaning of the Act and denied plaintiff's claims. The ALJ found that while plaintiff's impairments of lumbar stenosis and radiculopathy were severe, they did not meet or medically equal a listed impairment. The ALJ found that plaintiff maintains the residual functional capacity ("RFC") to perform light work with limitations, to wit: "[plaintiff] must be allowed to alternate between sitting and standing every 30 minutes; [he] can only occasionally kneel and stoop; and [he] is limited to occupations having GED requirements of no greater than 3, involving no more than occasional decision making or occasional work setting changes." (Tr. 107-08). The ALJ also found that plaintiff could not engage in his past relevant work, but based on the testimony of a vocational expert ("VE"), the ALJ found that plaintiff could perform work as a small products assembler, a conveyor line baker worker, and an electrical accessories assembler.(Tr. 111-12).
Judge Schwab recommends that the ALJ's decision to deny plaintiff's applications for DIB and SSI be remanded for further proceedings since the ALJ improperly rejected the opinion of plaintiff's treating doctor, Charles Kovalchick, M.D. Dr. Kovalchick opined that plaintiff's potential absences from work based on his disabling limitations precluded him from all gainful employment. Specifically, the VE testified that one or more absences per month would not be tolerated by any employer and Dr. Kovalchick opined in an Impairment Questionnaire that plaintiff would likely be absent from work between two and three times per month. Plaintiff also testified that he left his job "by mutual agreement" because he was missing time from work and could not perform his duties. (Tr. 128). The ALJ rejected Dr. Kovalchick's opinion regarding plaintiff's absenteeism and stated that "[t]he claimant's failure to re-enter physical therapy and his history of no more than the most basic, routine, and conservative treatment does not support this restriction." (Tr. 110).
Judge Schwab found that the ALJ improperly rejected Dr. Kovalchick's opinion regarding plaintiff's anticipated absenteeism from work despite the fact that the only medical source opinion discussed by the ALJ was Dr. Kovalchick's. Judge Schwab states, (Doc.
The Commissioner contends that Judge Schwab impermissibly re-weighed the evidence in finding that Dr. Kovalchick's opinion regarding work attendance had to be afforded controlling weight and erred by finding that his opinion was binding on the Agency since "the ALJ was not authorized to discount it based on the medical record without `opinion' evidence from another physician that matched the ALJ's view of Plaintiff's capabilities." The Commissioner states that the ALJ did not require a medical opinion from another source to reject Dr. Kovalchick's attendance limitation opinion and that it is for the ALJ to make the determination about the plaintiff's RFC. The Commissioner also states that the ALJ was not required to seek a separate expert medical opinion when deciding plaintiff's RFC. Finally, the Commissioner states that the ALJ properly discounted Dr. Kovalchick's attendance limitation opinion based on her finding that it was inconsistent with the other evidence in the record.
Dr. Kovalchick's opinion was indeed consistent with plaintiff's testimony that he stopped working due to excessive absenteeism. Dr. Kovalchick's opinion was also supported by his treatment notes. Dr. Kovalchick stated in an October 12, 2014 letter that plaintiff was regularly treated at Hillside Pain Management for his lower back pain and that he was prescribed pain medications and muscle relaxers. Dr. Kovalchick also stated that plaintiff "continues to be significantly disabled with his lower back pain" and that his "pain symptoms include lower back pain, shooting pain down his left leg, and limited range of motion of his lower back." Dr. Kovalchick further stated that "[t]he pain doctors document that [plaintiff] has pain that effects his activities of daily living approximately 25-50% of the time" and that "[h]e as days where his pain is so bad that he cannot get out of bed." He also indicated that the days when plaintiff's pain is debilitating "occur in an unpredictable fashion." (Tr. 8). In his July 2013 treatment note, Dr. Kovalchick noted that plaintiff has "chronic lower back pain" and increased numbness and tingling down his left leg. (Tr. 84). Other medical records confirmed plaintiff's radicular symptoms and chronic low back pain. (Tr. 90, 93, 94).
Judge Schwab states that the ALJ impermissibly rejected Dr. Kovalchick's medical opinion with her lay reinterpretation of medical evidence. Recently, this court decided two similar cases and agreed with the reports recommending remand. See Rankins v. Colvin 2016 WL 4502524 (M.D.Pa. Aug. 29, 2016); Rowe v. Colvin, 2016 WL 3654470 (M.D.Pa. July 8, 2016). Conspicuously missing from the Commissioner's objections is any discussion of these two cases. Also, in
Additionally, the recent similar decision in
In the present case, the only medical opinion is from Dr. Kovalchick who essentially found that plaintiff could not work since he would miss too many days per month. As Judge Schwab indicates, the opinion of Dr. Kovalchick contradicted the findings of the ALJ regarding plaintiff's RFC. Judge Schwab finds that the ALJ improperly discounted the opinion of Dr. Kovalchick in assessing plaintiff's RFC. No doubt that Dr. Kovalchick's opinion as plaintiff's treating physician is generally entitled to significant weight. The Third Circuit has "long accepted" that the findings of a treating physician "must [be] give[n] greater weight . . . than . . . the findings of a physician who has examined the claimant only once or not at all."
In the instant case, the ALJ impermissibly rejected the opinion of Dr. Kovalchick since, as discussed, it was supported by objective medical findings in the record as well as Dr. Kovalchick's own treatment notes and plaintiff's testimony. Thus, the ALJ improperly rejected Dr. Kovalchick's opinion based on her lay interpretation of medical evidence and failed to consider this opinion in combination with other evidence in the record as a whole. "The ALJ must consider all relevant evidence when determining an individual's [RFC] in step four."
Accordingly, the report of Judge Schwab, (