DAVID SAM, District Judge.
Plaintiff brought this action to appeal the administrative decision of the Defendant, the Commissioner of the Social Security Administration, which denied Plaintiff's application for disability benefits under Title II of the Social Security Act. The Court affirms the Administrative Law Judge's decision for the following reasons.
The Court reviews the Commissioner's decision to determine whether substantial evidence in the record as a whole supports the factual findings and whether the correct legal standards were applied.
The only issue addressed in this appeal is whether the Administrative Law Judge (ALJ) provided a speculative, legally insufficient basis for rejecting the opinion of Plaintiff's treating physician, Dr. Wade Oakden.
Ms. Maycock raises only one challenge to the ALJ's decision denying her application for disability insurance benefits (DIB). Plaintiff asserts that the ALJ "provided a speculative, legally insufficient basis for rejecting the opinion of Plaintiff's treating physician, Dr. Wade Oakden."
The language used by the ALJ which is of concern to the Plaintiff is the following:
Plaintiff notes that almost identical language is cropping up in case law across the country, and the courts are regularly finding that such speculative reasoning is insufficient to support a rejection of a treating physician's opinion.
The ALJ in this case first summarized three letters that Dr. Oakden wrote on behalf of Ms. Maycock, stating that she was unable to work. Then the ALJ noted that a treating physician's statement that a claimant is unable to work is not a medical opinion, but instead goes to the ultimate issue of disability and is not binding on the Commissioner. "Medical opinions are statements from physicians and psychologists or other acceptable medical sources that reflect judgments about the nature and severity of [a claimant's] impairment(s), including [her] symptoms, diagnosis and prognosis, what [she] can still do despite impairment(s), and [her] physical or mental restrictions."
The ALJ stated two additional valid reasons for discrediting Dr. Oakden's opinions. First, Dr. Oakden "apparently relied quite heavily on the subjective report of symptoms and limitations provided by the claimant," (Tr. 17). This was a valid reason to discredit Dr. Oakden's opinions because the ALJ found that Ms. Maycock's statements about her complaints were not entirely believable. He said that, "there existed good reasons for questioning the reliability of the claimant's subjective complaints." (Tr. 17). 20 C.F.R. 152(c)(3) says, "The more a medical source presents relevant evidence to support an opinion, particularly medical signs and laboratory findings, the more weight we will give that opinion." In this case, according to the ALJ, "The weight of the evidence did not support the claims of the claimant's disabling limitations to the degree alleged." (Tr. 16, see also Tr. 15). "The consensus was that the claimant's medications and overall treatment controlled her symptoms, and her protestations to the contrary, not objectively demonstrated, appeared to be exaggerations." (Tr. 16).
In June 2013, for example, Dr. Oakden's notes about his visit with Ms. Maycock say that the patient "states that she thinks she has pancreatitis. however (sic) all of her labs have been normal?" He then proceeds to diagnose her with pancreatitis. (Tr. 480). In September 2012, Ms. Maycock reported to Dr. Oakden that she could not work, and yet her examination showed good muscle tone, full range of motion and no tenderness. Two weeks later, on October 5, she again visited Dr. Oakden to have him sign disability papers. He wrote in his notes, "i (sic) have filled out disability paperwork as brook (sic) states she cannot work anymore because of her back pain." (Tr. 357) His notes show that his contemporaneous examination of her was normal.
The ALJ's second valid reason for discrediting Dr. Oakden's opinions was that "progress notes or a longitudinal record did not support Dr. Oakden's statements." (Tr. 17). 20 C.F.R. § 404.1527(c)(4) states that in weighing medical opinions, "the more consistent an opinion is with the record as a whole, the more weight we will give to that opinion." The Tenth Circuit in Castellano v. Secretary of Health and Human Service
A September 2012 CT scan of Plaintiff's abdomen showed normal organs, including her pancreas, with two non-obstructing kidney stones (Tr. 386). X-rays taken of Ms. Maycock's back in July and December 2012 showed normal alignment, normal disc height, and normal signal (Tr. 392, 394, 672-73). An MRI showed a disc bulge at L5-S1 and mild foraminal narrowing at L4-5; however, neither encroached on her nerve roots (Tr. 396). A December 2012 abdominal CT showed a normal pancreas (Tr. 640). A June 2013 CT of Plaintiff's abdomen showed a normal pancreas and normal organs (Tr. 526, 649). There is substantial evidence in the record as a whole that supports the ALJ's factual finding that Dr. Oakden's opinion was based on Ms. Maycock's subjective complaints and was not consistent with the record evidence (Tr. 5).
While the language used by the ALJ suggesting that Dr. Oakden sympathized with and wanted to assist Ms. Maycock might, on its own, be speculative and insufficient to support a rejection of Dr. Oakden's opinion, the ALJ presented other legally valid reasons for discrediting Dr. Oakden's opinion. The ALJ found the opinion was based on Ms. Maycock's subjective complaints and was not consistent with the record evidence. As a result, Ms. Maycock has failed to show reversible error, and the agency's decision must be affirmed.
For the above reasons, the court affirms the Commissioner's decision denying Ms. Maycock's claims for disability benefits.