BARBARA D. HOLMES, Magistrate Judge.
Pending before the Court is a Motion for Judgment on the Administrative Record ("Motion") (Docket Entry No. 14) filed by Plaintiff Denise Fleming ("Fleming"), which includes an accompanying Memorandum in Support (Docket Entry No. 14-1). Defendant Commissioner of Social Security ("Commissioner") has filed a Response in Opposition to Fleming's Motion (Docket Entry No. 21), to which Fleming has filed a Reply (Docket Entry No. 24). This action is before the undersigned for all further proceedings pursuant to the consent of the parties and referral of the District Judge in accordance with 28 U.S.C. § 636(c) (Docket Entry No. 28).
Upon consideration of the parties' filings and the transcript of the administrative record (Docket Entry No. 10),
On May 28, 2008, Fleming filed an application for Disability Insurance Benefits ("DIB") under Title II of the Social Security Act, alleging a disability onset of February 21, 2007. (AR 67-68). Fleming's claim was denied at the initial and reconsideration stages of state agency review. (AR 67-68). Fleming subsequently requested de novo review of her case by an Administrative Law Judge ("ALJ"). The ALJ heard the case on September 30, 2011, at which time Fleming, who was represented by an attorney, gave testimony. (AR 37-38). Testimony was also received from an impartial vocational expert. (AR 37-38). On November 30, 2011, the ALJ issued a written decision finding Fleming not disabled. (AR 12). That decision contains the following enumerated findings:
(AR 17-28).
On February 2, 2013, the Appeals Council denied Fleming's request for review of the ALJ's decision (AR 1-3), thereby rendering that decision the final decision of the Commissioner. This civil action was thereafter timely filed, and the Court has jurisdiction. 42 U.S.C. § 405(g).
The parties and the ALJ have thoroughly summarized and discussed the medical and testimonial evidence of the administrative record. Accordingly, the Court will discuss those matters only to the extent necessary to analyze the parties' arguments.
This Court reviews the final decision of the Commissioner to determine whether substantial evidence supports the Commissioner's findings and whether the correct legal standards were applied.
Accordingly, this Court may not "try the case de novo, resolve conflicts in evidence, or decide questions of credibility."
The claimant bears the ultimate burden of establishing entitlement to benefits by proving her "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). The claimant's "physical or mental impairment" must "result[] from anatomical, physiological, or psychological abnormalities which are demonstrable by medically acceptable clinical and laboratory diagnostic techniques."
Parks v. Soc. Sec. Admin., 413 F. App'x 856, 862 (6th Cir. 2011) (citing Cruse v. Comm'r of Soc. Sec., 502 F.3d 532, 539 (6th Cir. 2007)); 20 C.F.R. § 404.1520. The claimant bears the burden through step four of proving the existence and severity of the limitations her impairments cause and the fact that she cannot perform past relevant work; however, at step five, "the burden shifts to the Commissioner to `identify a significant number of jobs in the economy that accommodate the claimant's residual functioning capacity[.]" Kepke v. Comm'r of Soc. Sec., 636 F. App'x 625, 628 (6th Cir. 2016) (quoting Warner v. Comm'r of Soc. Sec., 375 F.3d 387, 390 (6th Cir. 2004)).
The Commissioner can carry its burden at the fifth step of the evaluation process by relying on the Medical-Vocational Guidelines, otherwise known as "the grids," but only if a nonexertional impairment does not significantly limit the claimant, and then only when the claimant's characteristics precisely match the characteristics of the applicable grid rule. See Anderson v. Comm'r of Soc. Sec., 406 F. App'x 32, 35 (6th Cir. 2010); Wright v. Massanari, 321 F.3d 611, 615-16 (6th Cir. 2003). Otherwise, the grids only function as a guide to the disability determination. Wright, 321 F.3d at 615-16; see also Moon v. Sullivan, 923 F.2d 1175, 1181 (6th Cir. 1990). Where the grids do not direct a conclusion as to the claimant's disability, the Commissioner must rebut the claimant's prima facie case by coming forward with proof of the claimant's individual vocational qualifications to perform specific jobs, typically through vocational expert testimony. Anderson, 406 F. App'x at 35; see also Wright, 321 F.3d at 616 (quoting SSR 83-12, 1983 WL 31253, *4 (Jan. 1, 1983)).
When determining a claimant's residual functional capacity ("RFC") at steps four and five, the Commissioner must consider the combined effect of all the claimant's impairments, mental and physical, exertional and nonexertional, severe and nonsevere. See 42 U.S.C. §§ 423(d)(2)(B), (5)(B); Glenn v. Comm'r of Soc. Sec., 763 F.3d 494, 499 (6th Cir. 2014) (citing 20 C.F.R. § 404.1545(e)).
The administrative regulations implementing the Social Security Act impose standards on the weighing of medical source evidence. Cole v. Astrue, 661 F.3d 931, 937 (6th Cir. 2011). The significant deference accorded to the Commissioner's decision is conditioned on the ALJ's adherence to these governing standards. In Gentry v. Comm'r of Soc. Sec., the Sixth Circuit re-stated the responsibilities of the ALJ in assessing medical evidence in the record in light of the treating source rule:
741 F.3d 708, 723 (6th Cir. 2014).
The Sixth Circuit has also made clear that an ALJ may not determine the RFC by failing to address portions of the relevant medical record, or by selectively parsing that record—i.e., "cherry-picking" it—to avoid analyzing all the relevant evidence. Id. at 724 (citing Minor v. Comm'r of Soc. Sec., 513 F. App'x 417, 435 (6th Cir. 2013) (reversing where the ALJ "cherry-picked select portions of the record" rather than doing a proper analysis); Germany-Johnson v. Comm'r of Soc. Sec., 313 F. App'x 771, 777 (6th Cir. 2008) (finding error where the ALJ was "selective in parsing the various medical reports."). This is particularly so when the evidence ignored is from a treating physician. Ignoring medical evidence from a treating source in fashioning the RFC, without a proper analysis of why such action is taken, cannot be harmless error because it "undermines [the ALJ's] decision" to overlook evidence that could have potentially supported a more restrictive RFC or even a finding of disability. Gentry, 741 F.3d at 729 (citations omitted); Grubbs v. Comm'r of Soc. Sec., No. 12-14621, 2014 WL 1304716, at *2 (E.D. Mich. Mar. 31, 2014) ("The absence of a review of treatment records from a treating source and the lack of analysis of such made it impossible for the ALJ to properly assess whether the Plaintiff was disabled and/or whether Plaintiff had the residual functional capacity to perform any work.").
Fleming contends that the ALJ failed to give appropriate consideration to all of her impairments. (DE 14-1 at 9). Fleming specifically claims that, while the ALJ considered her fibromyalgia, degenerative disc disease, and depression, he failed to give appropriate consideration to her other impairments, including diabetes mellitus, plantar fasciitis, tarsal tunnel syndrome, pulmonary embolism, obstructive sleep apnea, diabetic peripheral neuropathy, pernicious anemia, and thrombocytopenia. (Id.). However, the ALJ specifically explained his determination that none of these additional impairments was severe. For example, the ALJ noted that "the record shows an 80% improvement in her plantar fasciitis when cortisone injections; orthopedic inserts and ibuprofen were implemented, manageable diabetes, cholesterol, and hypertension when with prescriptive medications and compliance; the relief of the blood clot causing her embolism; and routine and mild treatment" for the remaining alleged impairments. (AR 17-18). Plaintiff's brief simply cites office notes that include diagnoses, none of which demonstrate that such conditions represent severe impairments. See Higgs v. Bowen, 880 F.2d 860, 863 (6th Cir. 1988) (diagnosis of a condition "says nothing about the severity of the condition"). Accordingly, the Court finds that the ALJ gave appropriate consideration to all of Fleming's alleged impairments.
Fleming claims that the ALJ erred by not giving controlling weight, as required under Social Security Ruling ("SSR") 96-2p, to the October 15, 2009 medical source statement ("MSS") completed by Dr. Bryan C. Lewis of the Murfreesboro Medical Clinic. (DE 14-1 at 10).
Fleming also claims that the ALJ erred by not giving controlling weight, pursuant to SSR 06-03p,
Fleming claims that the ALJ's failure to "properly consider" her "impairments related to her feet; swelling; and the use of Coumadin . . . negate" the RFC. (DE 14-1 at 11). Fleming claims that the ALJ failed to make a "global consideration of the evidence," which she claims "support[s] an RFC finding of less than sedentary." (Id. at 12). However, most of the medical records cited by Fleming do not reflect the use of Coumadin or foot-related impairments, and the ones that do mention only that she is taking Coumadin, not that she suffers from any disabling impairments that would affect her RFC determination.
Regardless, the ALJ addressed Fleming's related foot swelling problems in both the hearing and opinion. During the hearing, Fleming explained that she could only stand and sit for about an hour due to fibromyalgia. (AR 50) ("standing with the fibromyalgia, the swelling that I have with my ankles and feet, so I'm not able to stand for very long."). In the opinion, the ALJ found that, despite Fleming's claim that fibromyalgia is the source of chronic pain all over her body, including her feet, "the record does not completely corroborate claimant's allegations of the severity and persistence." (AR 22). The ALJ discussed numerous medical records from multiple treating providers that contradict Fleming's claims as to the severity of her condition, including notes from Dr. Asim Razzaq, her treating rheumatologist. (AR 22). The ALJ also noted that even the opinion of Dr. Janet Pelmore, whose examination rendered the most specific findings with respect to fibromyalgia, did not identify any limitations in her assessment that were more restrictive than those included in the RFC. (AR 22-23). Contrary to Fleming's argument that the ALJ failed "to properly consider" her impairments related to her feet, swelling, and the use of Coumadin, the Court finds substantial evidence of record that these circumstances were properly considered by the ALJ, and this assertion of error is therefore rejected.
Fleming next claims that "the ALJ merely stated that he used the criteria outlined in SSR 96-7p in reaching his decision, rather than specifically stating the weight he gave" to Fleming's statements and the reasons for that weight. (DE 14-1 at 13). However, Fleming fails to cite any portion of the ALJ's report or administrative record to support her claim that the medical evidence "shows that the Plaintiff is disabled." (Id. at 14). Where a party fails to cite to the administrative record in support of her argument, it is not the task of the Court to scour the record on that party's behalf. See Markel v. Comm'r of Soc. Sec., No. 13-11196, 2013 WL 5854467, at *3 (E.D. Mich. Oct. 30, 2013) (citing McPherson v. Kelsey, 125 F.3d 989, 995-96 (6th Cir. 1997) (("[I]ssues adverted to in a perfunctory manner, unaccompanied by some effort at developed argumentation, are deemed waived. It is not sufficient for a party to mention a possible argument in a most skeletal way, leaving the court to . . . put flesh on its bones.") In the absence of any argument from Fleming explaining how the ALJ failed to comply with SSR 96-7p, the Court finds that the ALJ's credibility determination is supported by substantial evidence.
Alice Garland, M.S., conducted a consultative examination of Fleming on September 5, 2008 and concluded that her ability to persist and concentrate was moderately limited, but "could quickly exacerbate to markedly under stress and extra stimulation." (AR 421). The ALJ gave "little weight" to Garland's opinion because it was based on a single evaluation, Garland did not have any treatment history to know how Fleming reacts to or tolerates stress, and her opinion was "inconsistent with the evidence as a whole." (AR 26). Fleming claims that the ALJ's rejection of Garland's opinion was insufficient because the vocational examiner testified that— with a restriction on stressful and stimulating activities—there would be no jobs that Fleming could perform. (DE 14-1 at 15).
Fleming argues that the ALJ's reference to Garland's opinion being based on a single examination was an "insufficient reason to discount" her opinion. (Id. at 15), yet fails to cite any regulation or opinion to support her suggestion that the ALJ was required to provide "good reasons" for discounting the opinion. 20 C.F.R. § 404.1527(c) states that the ALJ must prove good reasons "for the weight [he] give[s] your treating physician" (emphasis added). There is no requirement that the ALJ apply this standard to consultative examiners.
Additionally, Fleming incorrectly suggests that the single examination was the sole reason for the limited weight given to Garland's opinion. As noted above, the ALJ appropriately noted that Garland lacked Fleming's treatment history when she rendered her opinion, and that her opinion was inconsistent with the record as a whole. See Spencer v. Comm'r of Soc. Sec., 2013 WL 5507332, at *5-6 (N.D. Ohio Oct. 2, 2013) (holding that because the consultative examining physician's was not supported by objective medical findings and was contradicted by the evidence of record, the ALJ correctly concluded that the opinion should not be afforded considerable weight).
The ALJ instead gave significant weight to the February 10, 2010 consultative examination of Dr. Thelma Foley (AR 801-03), who determined that Fleming's mental limitations were relatively mild in nature. (AR 25). The ALJ specifically referenced Dr. Foley's finding that Fleming's concentration and persistence were "adequate," and that she exhibited no signs of stress exacerbation issues. (AR 25). The ALJ also discussed his reasons for according greater weight to Dr. Foley's opinion:
(AR 25). Fleming fails to acknowledge this analysis in her brief, nor does she reference any evidence to support Garland's opinion. The Court therefore finds no error in the ALJ's determination.
Fleming claims that the ALJ failed to ask the vocational expert if his testimony was consistent with the Dictionary of Occupational Titles ("DOT"), as required by SSR 00-4p. (DE 14-1 at 15). Fleming appears to have overlooked the ALJ's specific request during the hearing that the vocational expert indicate whether his testimony was consistent with DOT. (AR 57). Indeed, the ALJ directly asked the vocational expert the following: "Do you understand that if your testimony varies from [the DOT] you are required to tell us and explain your answer?" (AR 57). Notably, Fleming does not include this argument in her reply brief, which suggests that she has realized her folly. This assertion of error is thus rejected.
Fleming finally claims that the ALJ failed to consider letters from her friend and hairdresser, Annie Blackman, and her sons, Kenny and Chris Fleming, which describe her condition as severe in nature. (DE 14-1 at 16; AR 449-51). Fleming again appears to have ignored portions of the ALJ's opinion, as the ALJ devoted an entire paragraph explaining the weight he gave to these opinions:
(AR 26). Fleming's argument is therefore meritless.
For all of these reasons, Plaintiff's motion for judgment on the administrative record (DE 14) is DENIED. An appropriate Order will accompany this memorandum.