DAVID A. BAKER, Magistrate Judge.
This cause came on for consideration without oral argument on review of the Commissioner's decision to deny Plaintiff's applications for disability benefits. For the reasons set forth herein, the decision of the Commissioner is
Plaintiff filed applications for Disability Insurance Benefits and Supplemental Security Income, alleging disability beginning February 8, 2009 (R. 131-139). His claims were denied initially and upon reconsideration. Plaintiff requested and received a hearing before an Administrative Law Judge ("the ALJ") and on September 23, 2011, the ALJ issued a decision finding Plaintiff to be not disabled (R. 10-18). The Appeals Council denied Plaintiff's request for review (R. 1-6), making the September decision the final decision of the Commissioner. This Complaint timely followed (Doc. 1). The parties consented to the jurisdiction of the magistrate judge and the matter is now ripe for review under 42 U.S.C. §§ 405(g), 1383(c)(3).
Plaintiff alleges disability due to a slipped disc, "deteriorating bones," asthma, and depression (R. 33-36, 162).
Plaintiff was 48 years old at the time of the administrative decision with a tenth grade education and work experience as a truck driver (R. 30, 48, 131, 137).
Plaintiff's pertinent medical history is set forth in detail in the ALJ's decision and, in the interests of privacy and brevity, is set forth in this opinion only as necessary to address Plaintiff's objections. In addition to the medical records of the treating providers, the record includes Plaintiff's testimony and that of a Vocational Expert, written forms and reports completed by Plaintiff, and opinions from examining and non-examining consultants. By way of summary, the ALJ determined that Plaintiff had the severe impairments of asthma, obesity, depression, personality disorder, degenerative disc disease, knee pain, chronic obstructive pulmonary disease, and history of alcohol dependence (R. 12), and the record supports this uncontested finding. The ALJ determined that Plaintiff did not have an impairment or combination of impairments that meets or medically equals one of the listed impairments in 20 CFR Part 404, Subpart P, Appx. 1 (R. 13-14), and found that Plaintiff had the residual functional capacity ("RFC") to perform:
(R. 14).
The ALJ determined that Plaintiff could not return to his past relevant work, but relying on the testimony of a Vocational Expert ("the VE") and the Medical-Vocational Guidelines ("the grids"), 20 C.F.R. Part 404, Subpt. P, App. 2, Rule 201.19, the ALJ determined that Plaintiff could perform other jobs existing in significant numbers in the economy and was, therefore, not disabled (R. 17-18).
The scope of this Court's review is limited to determining whether the ALJ applied the correct legal standards, McRoberts v. Bowen, 841 F.2d 1077, 1080 (11th Cir. 1988), and whether the findings are supported by substantial evidence, Richardson v. Perales, 402 U.S. 389, 390 (1971). The Commissioner's findings of fact are conclusive if supported by substantial evidence. 42 U.S.C. § 405(g). Substantial evidence is more than a scintilla — i.e., the evidence must do more than merely create a suspicion of the existence of a fact, and must include such relevant evidence as a reasonable person would accept as adequate to support the conclusion. Foote v. Chater, 67 F.3d 1553, 1560 (11th Cir. 1995), citing Walden v. Schweiker, 672 F.2d 835, 838 (11th Cir. 1982) and Richardson v. Perales, 402 U.S. 389, 401 (1971).
"If the Commissioner's decision is supported by substantial evidence, this Court must affirm, even if the proof preponderates against it." Phillips v. Barnhart, 357 F.3d 1232, 1240 n. 8 (11th Cir. 2004). "We may not decide facts anew, reweigh the evidence, or substitute our judgment for that of the [Commissioner.]" 357 F.3d at 1240 n. 8 (internal quotation and citation omitted); Dyer v. Barnhart, 395 F.3d 1206, 1210 (11th Cir. 2005). The district court must view the evidence as a whole, taking into account evidence favorable as well as unfavorable to the decision. Foote, 67 F.3d at 1560; accord, Lowery v. Sullivan, 979 F.2d 835, 837 (11th Cir. 1992) (court must scrutinize the entire record to determine reasonableness of factual findings).
Plaintiff raises three issues on review, challenging: 1) the formulation of the RFC, 2) the composition of the hypothetical question presented to the VE, and 3) the credibility finding. The Court addresses these issues in the context of the sequential evaluation applied by the ALJ.
The ALJ must follow five steps in evaluating a claim of disability. See 20 C.F.R. §§ 404.1520, 416.920. First, if a claimant is working at a substantial gainful activity, he is not disabled. 29 C.F.R. § 404.1520(b). Second, if a claimant does not have any impairment or combination of impairments which significantly limit his physical or mental ability to do basic work activities, then he does not have a severe impairment and is not disabled. 20 C.F.R. § 404.1520(c). Third, if a claimant's impairments meet or equal an impairment listed in 20 C.F.R. Part 404, Subpart P, Appendix 1, he is disabled. 20 C.F.R. § 404.1520(d). Fourth, if a claimant's impairments do not prevent him from doing past relevant work, he is not disabled. 20 C.F.R. § 404.1520(e). Fifth, if a claimant's impairments (considering residual functional capacity, age, education, and past work) prevent him from doing other work that exists in the national economy, then he is disabled. 20 C.F.R. § 404.1520(f). The plaintiff bears the burden of persuasion through step 4, while at step 5 the burden shifts to the Commissioner. Bowen v. Yuckert, 482 U.S. 137, 146 n.5 (1987).
Plaintiff contends that the RFC formulation is flawed in that certain evidence was "ignored," and noting "the main issue with the determination of the residual functional capacity in this case is the ALJ's treatment of the examining, consultative physician's, Dr. Alex Perdomo, opinion." (Brief, p. 11). Plaintiff contends that the ALJ made a factual error in interpreting the findings of Dr. Perdomo and also failed to indicate the weight he assigned to the opinion.
The Eleventh Circuit has held that whenever a physician offers a statement reflecting judgments about the nature and severity of a claimant's impairments, including symptoms, diagnosis, and prognosis, what the claimant can still do despite his or her impairments, and the claimant's physical and mental restrictions, the statement is an opinion requiring the ALJ to state with particularity the weight given to it and the reasons therefor. Winschel v. Commissioner of Social Security, 631 F.3d 1176, 1178-79 (11th Cir. 2011) (citing 20 CRF §§ 404.1527(a)(2), 416.927(a)(2); Sharfarz v. Bowen, 825 F.2d 278, 279 (11th Cir. 1987).)
Applied here, the record shows that Plaintiff presented to Dr. Alex Perdomo on June 17, 2009, for a consultative examination (R. 386-87). As summarized by the ALJ:
(R. 16).
Plaintiff argues that the ALJ erred in his summary of Dr. Perdomo's opinion in that Dr. Perdomo did not conclude that Plaintiff could stand and walk 3-4 hours, but stated that Plaintiff "can stand, walk, and sit for 3 to 4 hours in an eight-hour workday with normal breaks, although he should be allowed to use a cane for ambulation if required to walk long distances over 100 feet" (R. 387). Plaintiff argues that this finding is "clearly different" in that "Dr. Perdomo clearly indicated that Mr. Ryals could only stand, walk and sit for three to four hours out of an eight hour workday" and this "should be read by meaning that Mr. Ryals could only do all three of these activities for a total of three to four hours out of an eight-hour workday." (Brief, pp. 11-12).
Dr. Perdomo stated that Plaintiff could "stand, walk,
Plaintiff next contends that the ALJ erred in "making no mention" of other evidence which Plaintiff claims supports his allegations of left leg weakness and dependency on a cane. The ALJ set forth Plaintiff's testimony in detail, including his allegations of left leg pain and weakness and use of a cane (R. 15) and discussed the medical records Plaintiff cites in his brief. Contrary to Plaintiff's assertions, the ALJ specifically noted the MRI showing congenital spinal stenosis and a possible cyst (R. 15); the records from Central Florida Health which "reveal treatment for general medical conditions as well as back pain and reported left leg weakness" (R. 15); and the evaluations "by specialists for his complaints of back pain and left leg weakness" (R. 15); including the finding by the orthopedic surgeon that there was "no evidence of a disc herniation causing any stenosis, that would explain his left leg pain" (R. 15, 514). The ALJ concluded that "[c]linical finding[s] showed no motor or sensory deficits to explain the claimant's reportedly ongoing back and leg pain or use of a cane." (R. 15, citing R. 489-492, treatment notes of orthopedic surgeon Dr. Broom). While an ALJ need not list every piece of evidence as long as the determination reflects that the entire record was adequately considered, here, the evidence relied upon by Plaintiff was explicitly noted and adequately considered by the ALJ. As the resulting RFC determination is based on substantial evidence, there is no error shown.
Plaintiff next contends that the hypothetical presented to the Vocational Expert is flawed in that it did not include the interpretation of Dr. Perdomo's opinion favored by Plaintiff. "In order for a vocational expert's testimony to constitute substantial evidence, the ALJ must pose a hypothetical question which comprises all of the claimant's impairments." Wilson v. Barnhart, 284 F.3d 1219, 1227 (11th Cir. 2002). An ALJ, however, is "not required to include findings in the hypothetical that the ALJ [has] properly rejected as unsupported." Crawford v. Commissioner of Social Security, 363 F.3d 1155, 1161 (11th Cir. 2004). Here, as shown above, the ALJ did not credit the interpretation of the three to four hour limitation urged by Plaintiff, and that conclusion is supported by adequate evidence. As such, it was not required to be included in the hypothetical.
Plaintiff's last objection goes to the ALJ's evaluation of his credibility. When a claimant attempts to establish disability through subjective symptoms, the Eleventh Circuit follows a three-part test that requires: "(1) evidence of an underlying medical condition and either (2) objective medical evidence that confirms the severity of the alleged [symptom] arising from that condition or (3) that the objectively determined medical condition is of such a severity that it can be reasonably expected to give rise to the alleged [symptom]." Holt v. Sullivan, 921 F.2d 1221, 1223 (11th Cir. 1991). If the objective medical evidence does not confirm the severity of the claimant's alleged symptoms but the claimant establishes that she has an impairment that could reasonably be expected to produce her alleged symptoms, the ALJ must evaluate the intensity and persistence of the claimant's alleged symptoms and their effect on the claimant's ability to work. See 20 C.F.R. §§ 404.1529(c), (d), 416.929(c), (d); Mack v. Commissioner of Social Security, 420 Fed.Appx. 881, 883 (11th Cir. 2011). After considering a claimant's subjective complaints, the ALJ may reject them as not credible. Where an ALJ decides not to credit a claimant's testimony about pain or limitations, the ALJ must articulate specific and adequate reasons for doing so, or the record must be obvious as to the credibility finding. Jones v. Department of Health and Human Services, 941 F.2d 1529, 1532 (11th Cir. 1991) (articulated reasons must be based on substantial evidence). A reviewing court will not disturb a clearly articulated credibility finding with substantial supporting evidence in the record. Foote, 67 F.3d at 1562.
Plaintiff argues that his testimony regarding his impairments is credible as "it is apparent that [he] suffered from chronic, significant limitations resulting from his medical conditions" and his claims are "substantiated by his many doctors' visits, use of medications and diagnostic tests such as an MRI" (Brief, p. 17). As the Eleventh Circuit has noted, however: "The question is not . . . whether ALJ could have reasonably credited [claimant's] testimony, but whether the ALJ was clearly wrong to discredit it." Werner v. Commissioner of Soc. Sec., 421 Fed. Appx. 935, 939 (11th Cir. 2011). Here, the ALJ summarized the medical evidence, noting: normal sensory, motor, reflex, and mental status exams (R. 16); the absence of neurological deficits (R. 16); normal X-ray of the knee; normal brain MRI; two MRI's which "did not reveal any nerve root compression" (R. 15); the specialist's notation of an absence of evidence of a disc herniation (R. 15); as well as treatment notes relating to a 2009 hospitalization for purported depression which found Plaintiff to be "malingering," and displaying drug seeking behavior (R. 13). The ALJ then explained:
(R. 16).
The Court finds the ALJ evaluation of Plaintiff's credibility to be adequately articulated and amply supported by the cited record evidence.
The administrative decision was made in accordance with proper legal standards and is supported by substantial evidence. Therefore, the administrative decision is