GUSTAVE DIAMOND, District Judge.
AND NOW, this 6
As the factfinder, an Administrative Law Judge ("ALJ") has an obligation to weigh all of the facts and evidence of record and may reject or discount any evidence if the ALl explains the reasons for doing so.
Plaintiff protectively filed his pending application for disability insurance benefits April 25, 2012, alleging a disability onset date of December 6, 2010,
Plaintiff was 57 years old at the time of the ALJ's decision and is classified as a person of advanced age under the regulations. 20 C.F.R. § 404.1563(c). He has at least a high school education and has past relevant work experience as a mail room clerk, cleaner, banquet set-up person and construction worker, but he has not engaged in any substantial gainful activity since his alleged onset date.
After reviewing plaintiffs medical records and hearing testimony from plaintiff and a vocational expert, the ALJ concluded that plaintiff is not disabled within the meaning of the Act. The ALJ found that although plaintiff has the severe impairments of status post-burn injury, status post-bilateral carpal tunnel surgeries and bilateral shoulder strain, none of those impairments, alone or in combination, meet or equal the criteria of any of the impairments listed at Appendix 1 of 20 C.F.R., Part 404, Subpart P.
The ALJ also found that plaintiff retains the residual functional capacity ("RFC") to engage in work at the light exertional level but with numerous restrictions necessary to accommodate the limitations arising from his impairments.
The Act defines "disability" as the inability to engage in substantial gainful activity by reason of a physical or mental impairment which can be expected to last for a continuous period of at least twelve months. 42 U.S.C. §423(d)(1)(A). The impairment or impairments must be so severe that the claimant "is not only unable to do his previous work but cannot, considering his age, education and work experience, engage in any other kind of substantial gainful work which exists in the national economy. . . ." 42 U.S.C. §423(d)(2)(A).
The Commissioner has promulgated regulations incorporating a five-step sequential evaluation process for determining whether a claimant is under a disability.
Here, plaintiff raises three challenges to the ALJ's findings: (1) the ALJ improperly analyzed and weighed the medical evidence; (2) the ALl improperly evaluated plaintiffs credibility; and, (3) the ALJ failed to incorporate additional limitations into the residual functional capacity finding. Upon review, the court is satisfied that the ALJ correctly evaluated both the medical evidence and plaintiffs credibility and that all of his findings, including the residual functional capacity finding, are supported by substantial evidence.
Plaintiff's first argument is that the ALJ improperly analyzed the medical evidence. Specifically, he argues that the ALJ erroneously discounted the opinion evidence from his treating physician, Dr. Elie Francis, who opined in May and in August of 2011 that plaintiff is unable to work because of uncontrolled pain, (R. 247-50), and who, in a January 2014 assessment, indicated that plaintiff can only stand and/or walk 1 hour and sit 2 hours in an 8-hour workday, and that he only occasionally can lift 0 to 5 pounds. (R.414). Plaintiff further contends that the ALJ erroneously gave more weight to the opinion of the state agency physician, Dr. Paul Fox, than to the opinions of Dr. Francis. Plaintiffs arguments are without merit.
The rules by which the ALl is to evaluate the medical evidence are well-established under the Social Security Regulations and the law of this circuit. Opinions of treating physicians are entitled to substantial, and at times even controlling, weight. 20 C.F.R. §404.1527(c)(2);
Importantly, the opinion of any physician, including a treating physician, as to the claimant's residual functional capacity, or on the ultimate determination of disability, never is entitled to special significance. 20 C.F.R. §404.1527(d); SSR 96-5p. "The law is clear . . . that the opinion of a treating physician does not bind the ALJ on the issue of functional capacity."
Here, the ALJ adhered to the foregoing standards in evaluating the medical evidence. The ALJ's decision specifically addressed the opinion evidence from Dr. Francis and adequately explained why the ALJ was according her opinions "little weight." (R.20). The ALJ noted that the opinion that plaintiff is disabled due to pain was conclusory, that Dr. Francis failed to provide any explanation as to the medical basis for it, and that it was inconsistent with her treatment records and the other medical opinions of record. (
The court finds no error in the ALJ's rejection of Dr. Francis's unsupported opinions. Initially, as already noted, it is for the ALJ alone to make the ultimate determination of disability, and the opinion of a treating physician that a claimant is disabled is not entitled to any special significance.
Moreover, as the ALJ pointed out, the objective medical evidence, including Dr. Francis's own treatment records, does not support her opinion that plaintiff is unable to work at all, nor her assessment that plaintiff is extremely limited in his ability to stand, walk, sit and lift. In fact, the treatment records from Dr. Malcolm Berger, plaintiff's neurologist, and Dr. Corey A. Pacek, who performed plaintiff's successful carpal tunnel surgery, contradict Dr. Francis's dire assessment. Dr. Berger performed a number of objective tests in May of 2012 and in November of 2012, all of which revealed that plaintiff's shoulder shrug was strong and symmetric, and that his gait, muscle strength, tone and mass all were normal, as were his fine motor movements, reflexes and reactions to sensory stimulation in all four extremities. (R. 232). Significantly, contrary to Dr. Francis's assessment that plaintiff could only lift 5 pounds, Dr. Berger recommended that plaintiff avoid lifting more than 25 pounds. (R. 304). The ALJ gave great weight to Dr. Berger's assessment in crafting plaintiff's residual functional capacity as it was well-supported by the objective evidence. (R. 20). For the same reason, he gave great weight to Dr. Pacek's opinion that plaintiff could return to full work duty after his successful carpal tunnel release surgeries. (
Contrary to plaintiff's contention, the court also finds no error in the ALJ's decision to give more credence to the assessment of Dr. Fox, the state agency physician, than to that of Dr. Francis. Dr. Fox indicated that plaintiff can lift and carry up to 20 pounds occasionally and 10 pounds frequently, and that plaintiff can stand or walk up to 6 hours and sit 6 hours in an 8-hour workday. (R. 19-20). The ALl gave Dr. Fox's opinion "great weight" because "it was consistent with [plaintiffs] treatment records and the objective diagnostic evidence." (R. 20).
It is well-settled that "[a]lthough treating and examining physician opinions often deserve more weight than the opinions of doctors who review records . . . [s]tate agent opinions merit significant consideration as well."
It is axiomatic in social security cases that the ALl must give some indication of the evidence that he rejects and the reasons for discounting that evidence.
Plaintiff's second argument is that the ALl improperly evaluated plaintiffs subjective statements as to the severity of his pain and the limitations arising therefrom. However, the court is satisfied that the ALl adhered to the appropriate standards in evaluating plaintiff's statements regarding his pain and limitations and more than adequately explained the reasons underlying his credibility determination.
As required under the regulations, the ALJ in this case properly considered plaintiff's subjective statements as to the intensity, persistence and limiting effects of his symptoms in light of the objective medical evidence, as well as all of the other factors relevant to plaintiff's symptoms as set forth in 20 C.F.R. §404.1529(c). See also SSR 96-7p. The ALJ thoroughly explained in the decision why plaintiff's statements concerning "the intensity, persistence and limiting effects of [his] symptoms are not entirely credible." (R. 17-21). Specifically, the ALJ reviewed the objective medical evidence and determined that while the medical records support plaintiffs complaints of
The ALJ further determined that plaintiff's reported activities of daily living likewise were inconsistent with his complaints of disabling pain. The ALJ noted that plaintiff testified that he is able to drive a car, assist with some household chores, likes to build small models, uses the computer and reads the news. He also testified that he vacationed in Montana and that he likes to go fishing and camping at his cabin.
While it is true, as plaintiff now asserts, that sporadic and transitory activities of daily living cannot be used to show an ability to engage in substantial gainful activity, see
It also is important to emphasize that the ALl did not reject plaintiff's testimony entirely. Rather, to the extent plaintiffs statements as to the limitations arising from his impairments are supported by the medical and other relevant evidence, the ALJ's residual functional capacity finding accommodated those limitations. Only to the extent that plaintiff's allegations are not so supported did the ALJ find them to be not credible.
The record demonstrates that the ALJ adhered to the appropriate standards in evaluating plaintiffs credibility and it is not this court's function to re-weigh the evidence and arrive at its own credibility determination. See
Plaintiff's final argument is that the ALJ's residual functional capacity finding
However, as already discussed, the more restrictive limitations advanced by Dr. Francis simply were not supported by the objective medical evidence. The court is satisfied that the ALJ's residual functional capacity finding in this case is supported by substantial evidence as outlined in the decision, and that the ALJ's hypothetical to the vocational expert incorporating that residual functional capacity finding adequately accounted for all of plaintiff's limitations that were supported by the objective evidence.
After carefully and methodically considering all of the medical evidence of record and plaintiff's testimony, the ALJ determined that plaintiff is not disabled within the meaning of the Act. The ALJ's findings and conclusions are supported by substantial evidence and are not otherwise erroneous. Accordingly, the decision of the Commissioner must be affirmed.