Filed: Jun. 13, 2006
Latest Update: Feb. 21, 2020
Summary: F I L E D United States Court of Appeals Tenth Circuit UNITED STATES CO URT O F APPEALS June 13, 2006 FO R TH E TENTH CIRCUIT Elisabeth A. Shumaker Clerk of Court LEROY S. LOPEZ, Plaintiff-Appellant, v. No. 05-1341 (D.C. No. 04-CV-1885-EW N) JO A NN E B. BA RN HA RT, (D . Colo.) Commissioner of Social Security, Defendant-Appellee. OR D ER AND JUDGM ENT * Before H E N RY, BR ISC OE, and M U RPH Y, Circuit Judges. Plaintiff Leroy S. Lopez appeals from the district court’s order affirming the Socia
Summary: F I L E D United States Court of Appeals Tenth Circuit UNITED STATES CO URT O F APPEALS June 13, 2006 FO R TH E TENTH CIRCUIT Elisabeth A. Shumaker Clerk of Court LEROY S. LOPEZ, Plaintiff-Appellant, v. No. 05-1341 (D.C. No. 04-CV-1885-EW N) JO A NN E B. BA RN HA RT, (D . Colo.) Commissioner of Social Security, Defendant-Appellee. OR D ER AND JUDGM ENT * Before H E N RY, BR ISC OE, and M U RPH Y, Circuit Judges. Plaintiff Leroy S. Lopez appeals from the district court’s order affirming the Social..
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F I L E D
United States Court of Appeals
Tenth Circuit
UNITED STATES CO URT O F APPEALS
June 13, 2006
FO R TH E TENTH CIRCUIT Elisabeth A. Shumaker
Clerk of Court
LEROY S. LOPEZ,
Plaintiff-Appellant,
v. No. 05-1341
(D.C. No. 04-CV-1885-EW N)
JO A NN E B. BA RN HA RT, (D . Colo.)
Commissioner of Social Security,
Defendant-Appellee.
OR D ER AND JUDGM ENT *
Before H E N RY, BR ISC OE, and M U RPH Y, Circuit Judges.
Plaintiff Leroy S. Lopez appeals from the district court’s order affirming
the Social Security Commissioner’s denial of his application for disability and
supplemental security income benefits. Exercising our jurisdiction under
28 U.S.C. § 1291, we affirm.
*
After examining the briefs and appellate record, this panel has determined
unanimously to grant the parties’ request for a decision on the briefs without oral
argument. See Fed. R. App. P. 34(f); 10th Cir. R. 34.1(G). The case is therefore
ordered submitted without oral argument. This order and judgment is not binding
precedent, except under the doctrines of law of the case, res judicata, and
collateral estoppel. The court generally disfavors the citation of orders and
judgments; nevertheless, an order and judgment may be cited under the terms and
conditions of 10th Cir. R. 36.3.
Background
Plaintiff applied for disability benefits on M arch 11, 2002, claiming
disability as of November 28, 2001, due to gouty arthritis and back pain. After
his claim was denied, Plaintiff requested a hearing before an Administrative Law
Judge (ALJ), which took place on April 29, 2004. The ALJ issued a decision on
M ay 24, 2004. He concluded that Plaintiff was not disabled at step four of the
sequential evaluation process, see 20 C.F.R. § 404.1520, because he found that
despite Plaintiff’s severe impairments, Plaintiff retained the residual functional
capacity (RFC) to perform a full range of sedentary work, including his past
relevant work as a telemarketer. In making his decision, the ALJ rejected
Plaintiff’s treating physician’s opinion regarding Plaintiff’s physical limitations.
The ALJ also found Plaintiff’s own description of his limitations inconsistent
with other evidence in the record and therefore not credible.
Plaintiff’s appeal challenges the ALJ’s RFC determination. Specifically, he
argues that the ALJ did not have a valid reason for rejecting his treating
physician’s opinion or his own testimony concerning his physical limitations.
Instead of relying on the medical evidence, he claims that the ALJ erroneously
substituted his own opinion for that of Plaintiff’s doctors and made an RFC
determination without any record support.
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Standard of Review
“The standard of review in a Social Security appeal is whether the
Commissioner’s final decision is supported by substantial evidence, and whether
she applied the correct legal standards.” Grogan v. Barnhart,
399 F.3d 1257,
1261 (10th Cir. 2005). “Substantial evidence . . . is such relevant evidence as a
reasonable mind might accept as adequate to support a conclusion.”
Id. Our
review entails a meticulous examination of the record to ensure that the
substantiality test has been met, but “we may neither reweigh the evidence nor
substitute our judgment for that of the agency.” White v. Barnhart,
287 F.3d 903,
905 (10th Cir. 2001) (quotation omitted).
Treating Physician’s Opinion
Dr. Donald Primer was Plaintiff’s treating physician. The ALJ found,
based partly on Dr. Primer’s treatment notes, that “[the] medical evidence
establish[ed] a history of gouty arthritis and disorders of the cervical and lumbar
spine.” Admin. R. at 16. He further found these impairments to be severe. Thus,
it appears that Dr. Primer’s medical opinion was not wholly rejected. Rather, the
ALJ accepted his medical diagnoses, at least in part, but rejected his opinion
concerning the physical limitations that Plaintiff’s impairments imposed.
W e have held that “[t]he ALJ must give controlling weight to the treating
physician’s opinion, provided that opinion is well-supported [ ] and is not
inconsistent with other substantial evidence.”
White, 287 F.3d at 907 (quotation
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and alteration omitted). The type of opinion typically accorded controlling
weight concerns the “nature and severity of the claimant’s impairments including
the claimant’s symptoms, diagnosis and prognosis, and any physical or mental
restrictions.” See Castellano v. Sec’y of Health & H um an Servs.,
26 F.3d 1027,
1029 (10th Cir. 1994). Sometimes, as happened in this case, the treating
physician also offers an opinion that the claimant is totally disabled, but we have
held that such an opinion “is not dispositive because final responsibility for
determining the ultimate issue of disability is reserved to the [Commissioner].”
Id. W ith this legal framew ork in mind, we turn to Dr. Primer’s opinion
concerning Plaintiff’s physical limitations.
Dr. Primer first treated Plaintiff on April 19, 2002. His treatment notes
reveal that he observed lumps on Plaintiff’s elbows caused by gout, but that
Plaintiff was otherwise in no acute distress. That same day, Dr. Primer completed
an Initial Examination Report for the Colorado Department of Human Services.
He indicated that Plaintiff had a history of polyarthritis, pain, redness, and
sw elling in the joints, but that his prognosis was “good.” Admin. R. at 134. H e
opined that Plaintiff should be restricted to sedentary work (involving lifting no
more than 10 pounds and sitting with occasional walking and standing) and that
Plaintiff would be employable with certain medication and adequate treatment of
his gout. Curiously, however, Dr. Primer checked a box indicating that Plaintiff
would be totally unable to work for a period of 6-8 months. As the ALJ noted,
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there is no explanation for Dr. Primer’s inconsistent opinions that Plaintiff
(1) could engage in sedentary work with adequate treatment but (2) could not
work at all for a period of 6-8 months.
Plaintiff was examined by a radiologist on or about July 17, 2002. The
x-rays revealed “[m]oderate degenerative disc change from C3 through C6” and
“[m]oderately severe degenerative disc narrowing at L2-3.”
Id. at 150.
On July 18, 2002, Dr. Primer filled out a questionnaire at the request of Plaintiff’s
attorney, stating that Plaintiff could lift only 10 pounds on an occasional basis
due to “severe degenerative disc disease of lumbar spine.”
Id. at 151. He also
opined that Plaintiff could not engage in any repetitive activity with his upper
extremities and could only sit and stand for 10-15 minutes before needing to
change positions. There is nothing in the record to indicate that Dr. Primer
examined Plaintiff at the time he provided this opinion. Rather, the opinion
appears to be based solely on the July 17 radiological report.
According to the record, Dr. Primer last saw Plaintiff on October 30, 2002.
His treatment notes state, “[e]xamination of [Plaintiff’s] cervical and lumbar
spine are unchanged with considerable tenderness and some limitation in range of
motion. His deep tendon reflexes, strength and sensation are normal.”
Id. at 166.
He also completed another medical form for the Colorado Department of Human
Services, describing Plaintiff’s prognosis as “chronic” and stating that in addition
to gout, Plaintiff had been diagnosed with “DDD of spine - found on xray.”
Id. at
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155-56. Like before, he indicated that Plaintiff could perform sedentary work,
but also checked a box indicating that Plaintiff was disabled and unable to work
at any job for a period of 12 months or more.
On appeal, Plaintiff challenges primarily the ALJ’s disregard of
Dr. Primer’s opinion expressed in the July 18, 2002, questionnaire that Plaintiff
can only sit and stand for 10-15 minutes at a time. Plaintiff argues that the ALJ
had no basis to reject this opinion because there was no contrary medical
evidence. Plaintiff relies heavily on M cGoffin v. Barnhart,
288 F.3d 1248
(10th Cir. 2002), to support his argument. In that case, we stated that an ALJ
“may reject a treating physician’s opinion outright only on the basis of
contradictory medical evidence and not due to his or her own credibility
judgments, speculation or lay opinion.”
Id. at 1252 (quotation omitted).
Plaintiff’s argument is flaw ed in several respects. First, it fails to
acknowledge that Dr. Primer’s opinion concerning Plaintiff’s physical limitations
conflicts with his ow n finding that Plaintiff, properly treated, could perform
sedentary work. In April and October of 2002, Dr. Primer noted on the Colorado
Department of Human Services examination form that Plaintiff could engage in
sedentary work. “Sedentary” is defined on the form as the ability to lift no more
that 10 pounds and sit with occasional walking and standing. Plaintiff fails to
reconcile Dr. Primer’s opinion that he cannot sit and stand for more than 10-15
minutes with his concurrent opinion that Plaintiff can engage in sedentary work.
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Second, the ALJ properly evaluated Dr. Primer’s opinion in the context of
the record as a whole. See 20 C.F.R. § 404.1527(b) (stating that medical opinions
must be considered with all the relevant evidence);
White, 287 F.3d at 907
(explaining that a treating physician’s opinion should be consistent with other
substantial evidence). In particular, the ALJ noted that although Plaintiff had not
performed substantial gainful activity, he had engaged in fairly significant work
during the time period of his alleged disability. Some of this w ork apparently
involved “a lot of lifting and working in the back.” Admin. R. at 164. The ALJ
also found that despite Plaintiff’s gout and back pain, he was able to do his
laundry, fish on w arm days, shop for groceries, pay his bills, and go downtown
two to three times a week. The ALJ also pointed to medical evidence in the
record from Dr. M ichael Evans, who examined Plaintiff in January 2002. At that
time, Plaintiff’s neck was “nontender, with full range of motion.”
Id. at 105.
Plaintiff was experiencing swelling in his elbow and hands caused by gout, but he
had good range of motion and was neurologically intact. Dr. Evans found no
sensory deficits and noted that Plaintiff had a normal gait.
Additionally, the ALJ expressed doubt as to Dr. Primer’s credibility in light
of his inconsistent opinions and his apparent willingness to report that Plaintiff
was completely disabled during a time period when Plaintiff was in fact working,
albeit part-time.
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In light of the foregoing, we cannot hold that the ALJ’s disregard of
Dr. Primer’s opinion was in error. In addition to the substantial contradictory
evidence, other factors counseled against the ALJ according Dr. Primer’s opinion
controlling weight. The record reveals that Plaintiff only saw Dr. Primer between
April and October of 2002, and during that brief period, Dr. Primer examined
Plaintiff at most four times. The brief, infrequent nature of the treatment
relationship lends support to the ALJ’s decision. See
White, 287 F.3d at 907.
Finally, M cGoffin is inapposite. In that case, we held that it was error for
the ALJ to disregard the treating physician’s opinion based on “unfounded doubt”
that the physician agreed with a statement bearing his
signature. 288 F.3d at
1252. M oreover, the opinion at issue was amply supported by the record, unlike
Dr. Primer’s opinion here, which is at odds with much of the record evidence.
W e conclude that the ALJ adequately considered the correct legal factors in
disregarding Dr. Primer’s opinion and that the ALJ’s decision was factually
supported by the record.
Adverse Credibility Determination
Plaintiff next contends that the ALJ had no valid reason for disregarding
his own testimony concerning his physical limitations. Here, the ALJ found the
following:
[C]laimant’s allegation that his impairments, either singly or in
combination, produce symptoms and limitations of sufficient severity
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to prevent all sustained work activity is inconsistent with the medical
and other evidence of record and is not considered to be credible.
Admin. R. at 17. “W e have emphasized that credibility determinations are
peculiarly the province of the finder of fact, and should not be upset if supported
by substantial evidence.”
White, 287 F.3d at 909 (quotations omitted). As we
explained in White, the ALJ’s credibility determinations are entitled to particular
deference because, unlike appellate courts, they have the ability to meet the
claimants and assess their physical abilities “in a direct and unmediated fashion.”
Id. at 910.
Here, the ALJ concluded that Plaintiff’s testimony concerning his physical
limitations w as internally inconsistent and that his claim of complete disability
was contradicted by other evidence in the record. Specifically, the ALJ noted that
Plaintiff experienced normal reflexes, strength, and sensation, and required no
on-going treatment besides prescription pain medication. The ALJ also pointed to
Plaintiff’s daily activities, finding them to be inconsistent with disabling pain,
and to Plaintiff’s regular part-time work during the time period of his alleged
disability. W e conclude that the ALJ employed the correct legal standard in
disregarding Plaintiff’s testimony concerning his physical limitations.
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In sum, based on our careful review of the record, we hold that the A LJ’s
RFC determination is supported by substantial evidence. Therefore, the judgment
of the district court is A FFIR ME D.
In addition, because we hold that Plaintiff has failed to raise any reasoned,
non-frivolous arguments on the law and facts in support of his appeal, his request
to proceed in forma pauperis is DENIED.
Entered for the Court
M ary Beck Briscoe
Circuit Judge
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