SHARON LOVELACE BLACKBURN, District Judge.
William Waddell Jones ("plaintiff") brings this action pursuant to 42 U.S.C. § 405(g), seeking review of the final decision of the Commissioner of Social Security denying his application for a period of disability and disability insurance benefits ["DIB"]. Upon review of the record, the submissions of the parties, and the relevant law, the court is of the opinion that the Commissioner's decision is due to be affirmed.
Plaintiff initially filed an application for a period of disability and DIB on August 25, 2010, alleging a disability onset date of June 9, 2009. (R. 146-48.) This application was denied on December 13, 2010 by the Social Security Administration ["SSA"] (R. 68.)
On September 28, 2012, plaintiff requested the Appeals Council to review the ALJ's decision. (R. 7.) After considering his request for review, the Appeals Council "found no reason under [its] rules to review the Administrative Law Judge's decision," and on May 24, 2013 denied plaintiff's request for review. (R. 1.) Therefore, the ALJ's decision is the final decision of the Commissioner of Social Security. (Id.) Following denial of review by the Appeals Council, plaintiff filed an appeal in this court on June 13, 2013. (Doc. 1.)
In reviewing claims brought under the Social Security Act, this court "is limited to an inquiry into whether there is substantial evidence to support the findings of the Commissioner, and whether the correct legal standards were applied." Wilson v. Barnhart, 284 F.3d 1219, 1221 (11th Cir. 2002); see also Lamb v. Bowen, 847 F.2d 698, 701 (11th Cir. 1988). The court gives deference to factual findings and reviews questions of law de novo. Cornelius v. Sullivan, 936 F.2d 1143, 1145 (11th Cir. 1991). The court "may not decide the facts anew, reweigh the evidence, or substitute [its] judgment for that of the [Commissioner]; rather the court must scrutinize the record as a whole to determine if the decision reached is reasonable and supported by substantial evidence." Martin v. Sullivan, 894 F.2d 1520, 1529 (11th Cir. 1990) (quoting Bloodsworth v. Heckler, 703 F.2d 1233, 1239 (11th Cir. 1983)) (internal quotations and other citation omitted). "The Commissioner's factual findings are conclusive if supported by substantial evidence." Wilson, 284 F.3d at 1221 (citing Martin, 894 F.2d at 1529; Allen v. Bowen, 816 F.2d 600, 602 (11th Cir. 1987)). "Substantial evidence is more than a scintilla and is such relevant evidence as a reasonable person would accept as adequate to support a conclusion." Winschel v. Comm'r of Soc. Sec., 631 F.3d 1176, 1178 (11th Cir. 2011) (internal quotations and citations omitted).
Conclusions of law made by the Commissioner are reviewed de novo. Cornelius, 936 F.2d at 1145. "[N]o . . . presumption of validity attaches to the [Commissioner's] conclusions of law." Wiggins v. Schweiker, 679 F.2d 1387, 1389 (11th Cir. 1982).
The regulations require the Commissioner to follow a five-step sequential evaluation to determine whether a claimant is eligible for a period of disability and DIB.
First, the Commissioner must determine whether the claimant is engaged in "substantial gainful activity." Bowen v. Yuckert, 482 U.S. 137, 137 (1987).
The ALJ found that plaintiff had not engaged in substantial gainful activity since February 22, 2011, the alleged onset date. (R. 19.)
If the claimant is not engaged in substantial gainful activity, the Commissioner must next determine whether the claimant suffers from a severe impairment or combination of impairments that significantly limits his physical or mental ability to do basic work activities. 20 C.F.R. § 404.1520(a)(4)(ii), (c). A claimant must provide "medical evidence consisting of signs, symptoms, and laboratory findings, not only by [the claimant's] statement of symptoms." 20 C.F.R. § 404.1508. A physical or mental impairment "results from anatomical, physiological, or psychological abnormalities which can be shown by medically acceptable clinical and laboratory diagnostic techniques." Id. It is the claimant's responsibility to "provide medical evidence showing . . . impairment(s) and how severe it is during the time [the claimant says he is] disabled." 20 C.F.R. § 404.1512(c).
An impairment is "severe" if it "significantly limits [a] claimant's physical or mental ability to do basic work activities."
The ALJ found that plaintiff had the following medically determinable impairments: left finger deformity status post stabbing, hypertension, and hepatitis C. (R. 19.) At step two, the ALJ concluded that plaintiff's medically determinable impairments or combination of impairments did not significantly limit his ability to perform basic work related activities for twelve consecutive months, and therefore, he did not have a severe impairment or combination of impairments. (R. 20.) Based on this finding, the ALJ determined that plaintiff was not disabled, (R. 23), and therefore, did not proceed to step three.
Plaintiff contends that, of the three medically determinable impairments the ALJ identified, the ALJ erred in finding that two impairments were non-severe: left-hand deformity and hepatitis C. (Doc. 8 at 7.) The ALJ appropriately classified the third medically determinable impairment, hypertension, as non-severe, and plaintiff does not contest this finding.
SSR 96-7p explains the two step process set out in 20 C.F.R. § 404.1529 and § 416.929
If the ALJ finds that the plaintiff's case survives the first step, then
SSR 96-7p.
Despite finding medically determinable impairments, the ALJ concluded that "the claimant's statements concerning the intensity, persistence and limiting effects of these symptoms are not credible to the extent they are inconsistent with finding that the claimant has no severe impairment or combination of impairments." (R. 21.) While it is true that the ALJ must consider plaintiff's subjective testimony in determining the severity of his impairments, the ALJ is also required to consider the objective medical evidence. "In evaluating the intensity and persistence of your symptoms, including pain, we will consider all of the available evidence . . . ." 20 C.F.R. § 404.1529(a). The ALJ found that, in considering all available evidence, the record "suggest[s] greater sustained capacity than described by the claimant." (R. 23).
The ALJ puts forward three bases for discrediting plaintiff's testimony regarding his medically determinable impairments: his own testimony in the hearing, a physician's report, and medical records. (R. 21-23.) Regarding the left-hand deformity, the ALJ found that plaintiff's testimony regarding his work and activities of daily living was inconsistent with plaintiff's testimony. (R. 23.) Plaintiff testified that he has difficulty lifting, grasping, and holding objects with his left hand. (R. 38.) Plaintiff also testified that, while working, he could carry objects but could not lift or grasp them, (R. 44-46), and that the pain worsened around 2008, (R. 50).
The ALJ noted that plaintiff continued to work for five years after his injury in a heavy exertion job, assisting with pipe fitting and the installation of hot water heaters, among other tasks, (R.22, 34, 46), until June 9, 2009, when plaintiff "was laid off" for reasons other than disability, (R. 150).
The ALJ heavily relied on medical reports from February 2011 to April 2012, reflecting that plaintiff never complained of pain or difficulty using his left hand during any of seven visits to the health service provider, Quality of Life. (R. 230-58.) Additionally, of the reports that document a physical exam, all state that plaintiff had a normal range of motion in all four extremities. (R. 232, 239, 245, 248, 253, 257.) The ALJ also relied upon the report of Dr. Ammar Aldaher, plaintiff's consulting physician. As plaintiff states in his brief, Dr. Aldaher does report that plaintiff had "left hand pain with decreased range of motion index and little finger DIP and PIP joint to flexion." (Doc. 8 at 10; R. 228.) However, Dr. Aldaher then opines that plaintiff "is able to do work related activities such as . . . lifting, carrying and handling objects." (R. 228.)
Regarding plaintiff's hepatitis C, the ALJ found that plaintiff gave inconsistent testimony. (R. 22.) Plaintiff testified that heptatitis C gave him headaches and made him tired, requiring him to sit down. (R. 44.) He also testified that has to lie down once a day for thirty minutes, (R. 39), and that his symptoms have been present for "about eight or nine months," (R. 44). In a Function Report, plaintiff states that he can walk only half a block before needing to rest. (R. 168.) The ALJ did not find plaintiff's complaints credible given plaintiff's testimony that he could walk five miles. (R. 22, 39-40.)
The ALJ also considered plaintiff's medical reports from Quality of Life, the only health care provider from whom plaintiff sought treatment for hepatitis C. (R. 38.) Quality of Life diagnosed plaintiff with hepatitis C in June 2011. (R. 240-41.) Despite plaintiff's testimony about pain and fatigue, plaintiff never reported headaches or tiredness to Quality of Life during any of his visits, and the medical reports do not reflect that plaintiff had any symptoms of hepatitis C. (R. 22, 230, 235, 238, 243, 247, 252, 255.)
Substantial evidence supports the ALJ's findings that plaintiff's medically determinable impairments are not severe.
Plaintiff contends the ALJ erred in finding that plaintiff's probable borderline mental retardation or possible mild mental retardation is not a severe impairment. (Doc. 8 at 12.) To begin, the ALJ is incorrect that "no evidence [exists] that would suggest [plaintiff] has borderline intellectual functioning or any form of mental retardation." (R. 20.) The reports of examining psychologist, Dr. Robert Kline, and the state agency non-examining consultant, Dr. Amy Cooper, which state that plaintiff may have probable borderline or possible mild mental retardation, provide at least some evidence that plaintiff suffers from diminished intellectual functioning. (R. 206, 219.) However, to the extent plaintiff may have a mental impairment, the ALJ did not err in finding no severe impairment because substantial evidence exists that plaintiff has the ability to perform basic work activities. "The severity requirement cannot be satisfied when medical evidence shows that the person has the ability to perform basic work activities, as required in most jobs." SSR 85-28. Basic work activities include: "physical functions such as walking, standing, sitting, lifting, pushing, pulling, reaching, carrying, or handling; [c]apacities for seeing, hearing, and speaking; [u]nderstanding, carrying out and remembering simple instructions; [u]se of judgment; [r]esponding appropriately to supervision, co-workers and usual work situations; and [d]ealing with changes in a routine work setting." 20 C.F.R. § 404.1521(b)(1)-(6).
Even though Dr. Kline opined that plaintiff had a "marked restriction of activities," he also reported that plaintiff's "ability to understand, to carry out and remember instructions, and to respond appropriately to supervision, coworkers, and work pressures in a work setting would probably be adequate if he were physically capable of performing the duties." (R. 206.) Dr. Cooper stated in a report that further testing to determine plaintiff's level of intellectual functioning was not necessary given his extended periods of past work. (R. 219.) These reports undermine plaintiff's claim that he has a severe mental impairment. Additionally, no medical evidence exists suggesting plaintiff's intellectual functioning has worsened since plaintiff was able to perform semiskilled work for several years until 2009. (R. 20.) Plaintiff also regularly drives and testified that he does not have problems getting along with coworkers, which suggest his level of intellectual functioning would not impair his ability to carry out basic work activities. (R. 41, 48).
The ALJ did not err in finding no severe mental impairment.
For the reasons set forth above, the decision of the Commissioner is due to be affirmed. An order affirming the Commissioner's decision will be entered contemporaneously with this Memorandum Opinion.
20 C.F.R. § 404.1520(a)(4).
20 C.F.R. § 404.1572.
20 C.F.R. § 404.1521(b)(1)-(6).