SUZANNE H. SEGAL, Magistrate Judge.
Wayne M. Matthewson ("Plaintiff") brings this action seeking to overturn the decision of the Commissioner of the Social Security Administration (hereinafter the "Commissioner" or the "Agency") denying his application for Social Security Disability Insurance benefits ("DIB") and Supplemental Security Income benefits ("SSI").
Plaintiff applied for Disability Insurance Benefits on December 1, 2009 (Administrative Record ("AR") 95, 120-23, 134) and Supplemental Social Security Income on December 8, 2009. (AR 96, 124-27). Plaintiff alleged a disability onset date of January 1, 2008. (AR 120, 124). The Agency denied Plaintiff's applications initially and upon reconsideration. (AR 95-98). A hearing before Administrative Law Judge Charles E. Stevenson (the "ALJ") was held on February 2, 2011. (AR 72-94). The ALJ issued his decision on March 11, 2011 finding that Plaintiff was not entitled to disability benefits. (AR 23-32).
On August 23, 2011 and October 6, 2011, Plaintiff submitted new evidence to the Appeals Council for consideration (AR 530-625), including a Mental Work Restriction Questionnaire dated July 18, 2011 ("Questionnaire") (AR 576-77) and an Evaluation Form for Mental Disorders dated August 15, 2011 ("Evaluation") (AR 578-82), both completed by psychiatrist Dr. Maged Estafan. The Appeals Council declined review on May 11, 2011. (AR 1-6). Plaintiff filed the instant action on July 10, 2012.
Plaintiff is a former construction worker with a high school education. (AR 76). He was forty-years old at the time of his hearing before the ALJ. (AR 75). He has lived with his mother his entire life. (AR 86-87). Plaintiff alleges that he suffers from being Human Immunodeficiency Virus (HIV) positive, as well as a seizure disorder, bipolar disorder, depression, and obsessive-compulsive disorder with a disability onset date of January 1, 2008. (AR 169-71). Plaintiff claims that his impairments preclude him from working and persist despite taking medications. (AR 171, 184, 238-39). Evidence in the record demonstrates that Plaintiff abuses or has abused both methamphetamine and alcohol. (AR 230).
A variety of medical professionals have examined Plaintiff between his alleged disability onset date and when he filed for benefits. The Court summarizes Plaintiff's medical history below.
Plaintiff's own treating physician, Dr. Ryan Zane, as recently as December 20, 2009, found that Plaintiff is capable of "light" work. (AR 366). Dr. Zane indicated Plaintiff could stand and walk for two to four hours in a work day and that Plaintiff's ability to sit was unlimited. (
Dr. Adly Azab,
After the ALJ's adverse ruling, Dr. Maged Estafan completed a "Mental Work Restriction Questionnaire" and found Plaintiff moderately limited in several mental work activities, such as "understand[ing] and remember[ing] short and simple instructions," "mak[ing] simple work-related decisions," and "work[ing] in coordination with or in close proximity to other people without being distracted by them." (AR 576-77). Dr. Estafan also noted Plaintiff's continued battle with addiction to methamphetamine. (AR 569).
Non-examining state agency doctors Dr. Albert Lizarraras
A medical expert testified at the hearing. (AR 84-85). Dr. Arnold Ostrow, Pulmonologist and Internist, testified that the medical record indicates Plaintiff was properly diagnosed in regard to the alleged mental impairments. (
Terri Lynn Matthewson, Plaintiff's mother, testified that Plaintiff sometimes does household chores, such as taking out the trash and picking up his room. (AR 88).
Plaintiff testified that he washes dishes and vacuums. (AR 83). He testified that if he were asked to do a job of a simple, repetitive task without reading or writing and without having to work with the public, he does not see "why not" he could not do such job. (AR 83).
To qualify for disability benefits, a claimant must demonstrate a medically determinable physical or mental impairment that prevents him from engaging in substantial gainful activity and that is expected to result in death or to last for a continuous period of at least twelve months.
To decide if a claimant is entitled to benefits, an ALJ conducts a five-step inquiry. 20 C.F.R. § 416.920. The steps are:
The claimant has the burden of proof at steps one through four, and the Commissioner has the burden of proof at step five.
Where there is evidence of a mental impairment that allegedly prevents the claimant from working, the Agency has supplemented the five-step sequential evaluation process with additional regulations.
On February 2, 2011, Plaintiff testified at a hearing held before ALJ Charles E. Stevenson. (AR 74-83). Plaintiff's mother testified as a lay witness. (AR 86-90). An impartial vocational expert and medical expert also testified. (AR 90-93).
The ALJ employed the five-step sequential evaluation process and concluded that Plaintiff retained the RFC to perform a wide range of "light" work. (AR 25-32). At step one, the ALJ found that Plaintiff had not engaged in substantial gainful activity since his alleged disability onset date of January 1, 2008. (AR 25). At step two, the ALJ found that Plaintiff had severe impairments of being HIV positive, as well as a seizure disorder, bipolar disorder, depression, and obsessive-compulsive disorder. (
At the fourth step, the ALJ found that Plaintiff only has mild restriction in activities of daily living, as the record indicates he can attend to his own needs. (AR 26). The ALJ found also that Plaintiff experiences mild to moderate difficulties in social functioning; mild difficulties regarding concentration, persistence, or pace; and no episodes of decompensation of extended duration. (
The ALJ found Plaintiff retains the RFC to perform a wide range of "light" work, as defined in 20 C.F.R. § 404.1567(b) and 416.967(b), inclusive of: the ability to lift and carry no more than ten pounds frequently, and twenty pounds occasionally; the ability to sit for six of eight hours, cumulatively, in a workday; the ability to stand and walk for two of eight hours, cumulatively, in a workday; the occasional ability to bend, stoop, crouch, and crawl; no ability to climb ladders; and no ability to work at unprotected heights or around hazardous equipment. (AR 26-27).
The ALJ accorded great weight to the state agency physicians' opinions because they are largely consistent with the medical expert's opinions and the opinions of Plaintiff's own treating physician. (AR 27-30). The ALJ fully credited Dr. Azab's findings that Plaintiff's mental impairments are sufficiently treated with the non-invasive treating modalities of medication optimization and infrequent follow-up appointments. (AR 30).
The ALJ also considered Plaintiff's mother's testimony and Third Party Function Report detailing Plaintiff's abilities to perform a variety of tasks such as chores, cleaning, and more. (AR 27-28). The ALJ notes that Plaintiff's mother indicated Plaintiff searches for work but to date has not found a job. (AR 28). The ALJ then noted that an inability to find a job does not equate to a finding of disability. (
At step four of the analysis, the ALJ considered Plaintiff's past job as a construction worker, which is "very heavy work" according to the vocational expert who testified at the hearing. (AR 30-31, 91). The ALJ determined Plaintiff is unable to perform his past relevant work. (AR 30-31).
At step five, the ALJ considered whether Plaintiff could perform any other work. (AR 31). Considering Plaintiff's age, education, work experience and RFC, the ALJ found that there are jobs that exist in significant numbers in the national and local economy that Plaintiff can perform. 20 C.F.R. §§ 404.1569, 416.969. (AR 31). Plaintiff was thirty-seven years old at the onset of the alleged disability, which makes him a "younger individual age 18-49." 20 C.F.R. §§ 404.1563, 416.963. (AR 31). Plaintiff has a high school education and can communicate in English. 20 C.F.R. §§ 404.1564, 416.964. Transferability of job skills is not an issue in this case, because Plaintiff's past relevant work as a construction worker is characterized as "unskilled." 20 C.F.R. §§ 404.1568, 416.968. (AR 91). Considering all of the above, jobs exist in significant numbers at this level of "light" work, even after taking into account Plaintiff's additional limitations. (AR 31, 91). Plaintiff's RFC also allows him to work at all exertional levels below his own, which includes the "sedentary" world of work. (
Under 42 U.S.C. § 405(g), a district court may review the Commissioner's decision to deny benefits. The court may set aside the Commissioner's decision when the ALJ's findings are based on legal error or are not supported by substantial evidence in the record as a whole.
The ALJ's decision denying benefits will be disturbed only if that decision is not supported by substantial evidence or it is based upon legal error.
Plaintiff contends that the ALJ committed error for two reasons. First, Plaintiff alleges that the ALJ improperly rejected the treating physicians' opinions. (Mem. in Supp. of Pl.'s Comp. at 3-9). Second, Plaintiff alleges that "where the ALJ finds the presence of severe mental impairments and the medical evidence demonstrates the presence of severe mental impairments, the ALJ errs in failing to find [severe] mental limitations as a result of the severe mental impairments." (
Plaintiff contends that the ALJ did not give sufficient weight to the treating opinions. (Mem. In Supp. Of Pl.'s Comp. at 3-9). However, the treating physicians' opinions support Plaintiff's RFC and the ALJ properly considered them.
Dr. Ryan Zane, Plaintiff's treating doctor, found Plaintiff to be capable of two to four hours of standing and walking in a work day and for Plaintiff's ability to sit to be unlimited. (AR 366). Dr. Zane's findings alone would support a finding of an RFC to perform "light" work. (
Furthermore, the ALJ points out that no physician has opined Plaintiff is disabled. (AR 30). For example, Dr. Azab, a treating psychiatrist, indicated that Plaintiff's sleep and symptomology are "good." (AR 30, 241). Such findings support the ALJ's decision and undermine Plaintiff's argument that the ALJ did not adequately give weight to treating opinions.
Plaintiff further argues that the vocational expert's testimony was that Plaintiff's limitations would "preclude all work activity." (Mem. In Supp. Of Pl.'s Comp. at 5). However, the testimony that Plaintiff cites was in response to a more restrictive hypothetical combining Plaintiff's RFC with Plaintiff's fatigue as subjectively alleged. (AR 93). In response to the hypothetical finding the Plaintiff to be able to perform light work, the VE found numerous positions locally and nationally. (AR 92). The testimony supports the ALJ's decision.
In arguing that the ALJ did not adequately take the treating physicians' opinions into account, Plaintiff frequently cites medical records by Dr. Maged Estafan. (Mem. In Supp. Of Pl.'s Comp. at 3, 5-6). However, Dr. Estafan's opinions merit little consideration because they are against the weight of the record.
Dr. Estafan's opinions merit less weight because medical reports solicited and produced after an adverse ALJ decision are "less persuasive" than those presented to the ALJ for consideration.
Even if Dr. Estafan's treating records had been available at the time of the ALJ's decision, they would not be accorded significant weight because of the extremely limited duration of the treating relationship between Dr. Estafan and Plaintiff. A doctor's medical opinions about a patient are considered less reliable where the doctor has had limited interactions with the patient.
Dr. Estafan's opinions merit less weight also because of the lack of evidence supporting them. Notably, the doctor's own treatment notes do not support his conclusion. Finding that a treating physician's opinions "[do] not mesh" with his or her objective data or history provides legitimate reason for rejecting such opinions.
Dr. Estafan's treating notes not only fail in serving as adequate evidence for the doctor's conclusions but actually support the ALJ's finding that Plaintiff's problems are self-perpetuating rather than linked to a mental impairment. Dr. Estafan noted Plaintiff had "no zest to look for a job" and that Plaintiff battled with his addiction to methamphetamine. (AR 568-69). These notes support the ALJ's finding that Plaintiff was simply unable to find work as opposed to disabled, and that Plaintiff's addiction to methamphetamine was likely the reason Plaintiff was unable to show up for jobs in the past. (AR 28).
Plaintiff contends that the ALJ committed reversible error by finding a severe mental impairment at step two but not finding more severe mental limitations as part of the RFC. (Mem. In Supp. Of Pl.'s Comp. at 9-13). However, in
Furthermore, the ALJ did perform the mental limitation analysis and indicates in his decision that the RFC determination reflects the degree of limitation supported by the evidence. (AR 26). The ALJ found that Plaintiff only has "mild restriction" in activities of daily living, experiences "mild to moderate" difficulties in social functions, and only "mild difficulties" in concentration, persistence, and pace. (
Consistent with the foregoing, and pursuant to sentence four of 42 U.S.C. § 405(g),