KENDALL J. NEWMAN, Magistrate Judge.
Plaintiff Angela Pirtle seeks judicial review of a final decision by the Commissioner of Social Security ("Commissioner") denying plaintiff's application for Supplemental Security Income ("SSI") under Title XVI of the Social Security Act ("Act").
After carefully considering the record and the parties' briefing, the court GRANTS IN PART plaintiff's motion for summary judgment, DENIES the Commissioner's cross-motion for summary judgment, and REMANDS the action for further proceedings consistent with this order pursuant to sentence four of 42 U.S.C. § 405(g).
Plaintiff was born in 1963; has a limited education; can communicate in English; and has no past relevant work. (Administrative Transcript ("AT") 22.)
Plaintiff raises the following issues: (1) whether the ALJ improperly weighed the medical opinion evidence; and (2) whether the ALJ erroneously discounted plaintiff's credibility.
The court reviews the Commissioner's decision to determine whether (1) it is based on proper legal standards pursuant to 42 U.S.C. § 405(g), and (2) substantial evidence in the record as a whole supports it.
The ALJ evaluated plaintiff's entitlement to SSI pursuant to the Commissioner's standard five-step analytical framework.
Before proceeding to step four, the ALJ assessed plaintiff's residual functional capacity ("RFC") as follows:
(AT 17-18.) At step four, the ALJ determined that plaintiff had no past relevant work. (AT 22.) However, at step five, the ALJ found that, considering plaintiff's age, education, work experience, and RFC, and based on the VE's testimony, there were jobs that exist in significant numbers in the national economy that plaintiff could perform. (
The weight given to medical opinions depends in part on whether they are proffered by treating, examining, or non-examining professionals.
To evaluate whether an ALJ properly rejected a medical opinion, in addition to considering its source, the court considers whether (1) contradictory opinions are in the record; and (2) clinical findings support the opinions. An ALJ may reject an uncontradicted opinion of a treating or examining medical professional only for "clear and convincing" reasons.
In this case, the ALJ reasonably discounted the opinion of plaintiff's treating physician, Dr. Donald Powell, who indicated inter alia that plaintiff had little to no ability to reach, grasp, and manipulate objects; was incapable of even low stress work; and would be absent from work more than four days per month. (AT 483-87.) As the ALJ observed, Dr. Powell only treated plaintiff three times, the last time being in August 2013, before he provided his opinion in February 2014. (AT 22.) Moreover, Dr. Powell's severe opinion was inconsistent with plaintiff's conservative treatment with only oral medication and plaintiff's activities, which included making coffee, washing and combing her hair, and going grocery shopping, suggesting that plaintiff was not as severely limited in her fine and gross manipulation as Dr. Powell opined. (
The ALJ also partially discounted the opinion of the consultative examiner, Dr. Bao Nguyen. (AT 21, 476-80.) Dr. Nguyen personally examined plaintiff; diagnosed plaintiff with rheumatoid arthritis, systemic lupus erythematosus, and high blood pressure; and opined inter alia that plaintiff could lift and carry 15 pounds occasionally and 10 pounds regularly; could stand and walk for six hours out of an eight-hour workday; had no sitting limitations; and could occasionally do simple grasping and fine manipulation. (AT 479.)
The ALJ found Dr. Nguyen's fingering and manipulative limitations to be overly restrictive, because plaintiff's "good activities of daily living, such as making coffee, grocery shopping, and combing her hair, do not support the severity of [her] restrictions." (AT 21.) However, although plaintiff acknowledged performing those activities, she also testified that she had difficulty doing so, receiving assistance from another individual during shopping trips and using a cart at the grocery store to move around. (AT 36-37, 43-44.) Although plaintiff's activities were inconsistent with Dr. Powell's severe opinion that plaintiff had essentially little to no ability to reach, grasp, and manipulate, her level of activities is not obviously inconsistent with the occasional simple grasping and fine manipulation limitations assessed by Dr. Nguyen. Additionally, the ALJ entirely failed to explain why he rejected Dr. Nguyen's assessed lifting limitations. Moreover, the court on this record cannot find that the ALJ's errors were harmless, because the ALJ did not solicit vocational expert testimony that adequately accounted for Dr. Nguyen's proposed limitation
Accordingly, the court remands the action for further consideration of Dr. Nguyen's opinion. The ALJ may also choose to further develop the record, such as by obtaining additional medical opinions or supplemental vocational expert testimony, if appropriate. Importantly, the court does not instruct the ALJ to credit any particular medical opinion. Indeed, the court expresses no opinion regarding how the evidence should ultimately be weighed, and any ambiguities or inconsistencies resolved, on remand, provided that the ALJ's decision is based on proper legal standards and supported by substantial evidence in the record as a whole.
In light of the court's conclusion that the case should be remanded for further consideration of the medical evidence, the court declines to reach the issue of plaintiff's credibility. The ALJ will have an opportunity on remand to reconsider her assessment of plaintiff's credibility, if appropriate.
For the foregoing reasons, IT IS HEREBY ORDERED that:
1. Plaintiff's motion for summary judgment (ECF No. 16) is GRANTED IN PART.
2. The Commissioner's cross-motion for summary judgment (ECF No. 17) is DENIED.
3. The final decision of the Commissioner is REVERSED, and the action is REMANDED for further administrative proceedings consistent with this order pursuant to sentence four of 42 U.S.C. § 405(g).
4. The Clerk of Court shall close this case.
The claimant bears the burden of proof in the first four steps of the sequential evaluation process.