DAVID A. BAKER, District Judge.
The Plaintiff brings this action pursuant to the Social Security Act (the Act), as amended, Title 42 United States Code Section 405(g), to obtain judicial review of a final decision of the Commissioner of the Social Security Administration (the Commissioner) denying his claim for Supplemental Security Income (SSI) benefits
The record has been reviewed, including a transcript of the proceedings before the Administrative Law Judge (ALJ), the exhibits filed and the administrative record, and the pleadings and memoranda submitted by the parties in this case. Oral argument has not been requested.
For the reasons that follow, the decision of the Commissioner is
Plaintiff filed for SSI benefits on July 28, 2008, alleging an onset of disability on January 1, 1997, due to anxiety-related disorder, depression, bipolar disorder, polysubstance dependence, memory problems, urination problems, and sleepiness. R. 36, 48, 67, 126, 157. His application was denied initially and upon reconsideration. R. 70-72, 80-82. Plaintiff requested a hearing, which was held on June 10, 2010, before Administrative Law Judge Robert Droker (hereinafter referred to as "ALJ"). R. 33-64. In a decision dated July 30, 2010, the ALJ found Plaintiff not disabled as defined under the Act through the date of his decision. R. 19-27. Plaintiff timely filed a Request for Review of the ALJ's decision, which the Appeals Council denied on January 26, 2012. R. 8-10, 14. After Plaintiff was granted two extensions, he filed this action for judicial review on August 30, 2012. Doc. 1; R. 1-6.
Plaintiff was born on December 10, 1955 and was 54 years old at the time of the hearing. R. 16, 154. Plaintiff has an 11th grade education and no past relevant work. R. 25, 37, 49-50, 158-59.
Plaintiff's medical history is set forth in detail in the ALJ's decision and Plaintiff accepts the statements of the testimony and of the documentary evidence as set forth in the ALJ's decision except on those points he specifically disputes. Doc. 23 at 3. By way of summary, Plaintiff complained of urination problems, sleepiness problems, and mental health issues. R. 47-48. After reviewing Plaintiff's medical records and Plaintiff's testimony, the ALJ found that Plaintiff suffered from bladder prostatitis, a history of drug and alcohol abuse, schizoaffective disorder, and antisocial personality disorder, which were "severe" medically determinable impairments, but were not impairment severe enough to meet or medically equal one of the impairments listed in Appendix 1, Subpart P, Regulations No. 4. R. 21-22. The ALJ determined that Plaintiff retained the residual functional capacity (RFC) to perform light to medium work, with no climbing of ladders, no exposure to unprotected heights, work in a low stress environment and involving only simple tasks. R. 22. In making this determination, the ALJ found there was only minimal evidence documenting Plaintiff's bladder prostatitis (R. 23); yet, the ALJ gave Plaintiff "every benefit of the doubt" and limited Plaintiff to no more than light to medium work with no lifting greater than 40 pounds due to this problem. R. 23. The ALJ determined that Plaintiff had no past relevant work. R. 25, 49-50, 158-59. Considering Plaintiff's vocational profile and RFC, the ALJ applied the Medical-Vocational Guidelines (the grids), 20 C.F.R. Pt. 404, Subpt. P, App. 2, and, based on the testimony of the vocational expert ("VE"), the ALJ concluded that Plaintiff could perform work existing in significant numbers in the national economy as a dishwasher and in housekeeping. R. 22-27. Accordingly, the ALJ determined that Plaintiff was not under a disability, as defined in the Act, since July 25, 2008, the date the application was filed. R. 27.
Plaintiff now asserts a single point of error, that the ALJ erred by mischaracterizing the medical evidence of record and/or overlooking material evidence and, therefore, his evaluation of the Plaintiff's subjective complaints was in error. For the reasons that follow, the decision of the Commissioner is
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 (11
"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.]" Id. (internal quotation and citation omitted). Dyer v. Barnhart, 395 F.3d 1206, 1210 (11
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. 20 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 his 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).
Plaintiff asserts that the ALJ erred in evaluating his subjective complaints regarding frequent urination at night and sleepiness. He contends that the medical records support his complaints and the ALJ erred in not fully crediting them. The Commissioner argues that the ALJ discussed at considerable length the effects of Plaintiff's bladder prostatitis and clearly articulated his reasons for discrediting Plaintiff's testimony.
The ALJ is required to consider all of a claimant's statements about his subjective complaints, including pain, and determine the extent to which the symptoms can reasonably be accepted as consistent with the objective medical evidence. 20 C.F.R. § 404.1528. In determining whether the medical signs and laboratory findings show medical impairments which reasonably could be expected to produce the pain alleged, the ALJ must apply the Eleventh Circuit's three-part? pain standard":
Foote v. Chater, 67 F.3d 1553, 1560 (11th Cir. 1995) (quoting Holt v. Sullivan, 921 F.2d 1221, 1223 (11th Cir. 1991)).
Plaintiff testified at the hearing that at nighttime he only sleeps about and 1½ to 2 hours and he gets up every 30 or 45 minutes to urinate; he takes naps for about 1½ hours usually three times a day and has to drink a lot of water. R. 40-41. He also testified that he takes Risperdal and the side effects are sleepiness and erratic urination, "but also the prostate has that." R. 41.
Plaintiff cites to the medical records from the correctional institute where he was incarcerated, which noted on July 10, 2009, he complained of "having problems emptying his bladder" (R. 528), and on February 8, 2010, he complained of difficulty urinating and that his frequent urinating symptoms were worse at night, and it was an ongoing problem. R. 525-26. A week later, on February 15, 2010, Plaintiff again complained of difficulty urinating and he was referred for a urology consult. R. 525. When the time came for the urology appointment, however, Plaintiff refused a day trip to the "RMC" for the urology appointment on April 29, 2010. R. 520.
Plaintiff argues that the ALJ erred in discounting Plaintiff's complaints of frequent urination in stating that his "urinating problems were related to problems emptying his bladder and not due to frequent urination." R. 23. Plaintiff argues that the medical records from the Department of Corrections clearly show that the Plaintiff complained of urinary frequency, worse at night, and this problem was ongoing.
Although the ALJ did not refer to the Eleventh Circuit's standard for pain and subjective complaints, he clearly was aware of the governing standards for evaluating subjective complaints because he cited the applicable regulations and Social Security Rulings ("SSR") 96-4p and 96-7p. R. 22. See Wilson v. Barnhart, 284 F.3d 1219, 1225-26 (11th Cir. 2002)(per curiam)(ALJ properly applied the Eleventh Circuit pain standard even though he did not "cite or refer to the language of the three-part test" as "his findings and discussion indicate that the standard was applied"). The ALJ complied with those standards in that he determined that Plaintiff had an objective medical condition that could give rise to the alleged symptoms, because otherwise the ALJ would not be required to assess the credibility of the alleged complaints.
Having concluded that he had to make a credibility determination of Plaintiff's subjective complaints, the ALJ plainly recognized that he had to articulate a reasonable basis for his determination. In that respect, in the context of discussing Plaintiff's RFC, the ALJ stated:
R. 23, 25-26.
When an ALJ decides not to credit a claimant's testimony about pain, the ALJ must articulate specific and adequate reasons for doing so, or the record must be obvious as to the credibility finding. Jones v. Dep't of Health and Human Servs., 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 1561-62; Cannon v. Bowen, 858 F.2d 1541, 1545 (11th Cir. 1988).
The Commissioner argues the ALJ's decision was based on substantial evidence and properly assessed the work-related limitations caused by Plaintiff's bladder prostatitis. The Commissioner contends that the ALJ gave Plaintiff the benefit of the doubt by restricting the amount he could lift and, in assessing the available jobs, the ALJ took into account Plaintiff's need for frequent bathroom breaks. Plaintiff testified that he had problems lifting objects because of his bladder prostatitis (R. 45-48), and the ALJ limited the weight he could lift to 40 pounds. The ALJ relied on the VE's testimony that there would still be a significant number of jobs in the national economy Plaintiff could perform even when factoring out employers who would not tolerate bathroom breaks every 45 minutes, and the VE even noted that one of the advantages of housekeeping was the opportunity it afforded for more frequent bathroom breaks. R. 26, 52-53, 58-60.
In this case, the ALJ offered specific reasons for discrediting Plaintiff's subjective complaints, specifically noting findings in the medical records. The ALJ noted that, in July 2009, Plaintiff was prescribed Hytrin to treat his prostatitis and that treatment notes through September 2009 showed no further complaints. See R. 23 (citing R. 485-86, 507-08). Although Plaintiff had the severe impairment of bladder prostatitis, the ALJ determined that the record did not provide objective evidence that confirmed the presence of any significant and persistent adverse side effects of his medications. See R. 25. Accordingly, the ALJ's reasons are supported by substantial evidence
The record in this case shows that Plaintiff does not enjoy full health and that his lifestyle and activities are affected by his ailments to some degree. The ALJ appropriately considered these circumstances and analyzed them in relation to the exacting disability standard under the Social Security Act. For the reasons set forth above, the ALJ's decision is consistent with the requirements of law and is supported by substantial evidence. Accordingly, the Court