DAVID A. BAKER, Magistrate 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 her claim for Supplemental Security Income (SSI) benefits under the Act.
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 applied for SSI benefits on April 4, 2011, alleging an onset of disability on January 31, 2009 (R. 228-36), subsequently amended to the application date, due to diabetes, numbness, hypertension, and vision problems. R. 115-17. Her application was denied initially and upon reconsideration. R. 163-74. Plaintiff requested a hearing, which was held on October 18, 2012, before Administrative Law Judge Pamela Houston (hereinafter referred to as "ALJ"). R. 107-30, 175. In a decision dated November 29, 2012, the ALJ found Plaintiff not disabled as defined under the Act through the date of her decision. R. 91-106. Plaintiff timely filed a Request for Review of the ALJ's decision, which the Appeals Council denied on April 25, 2014. R. 90. Plaintiff filed this action for judicial review on June 16, 2014. Doc. 1.
Plaintiff was born on February 10, 1968. R. 228. She graduated from high school and has the ability to read, speak and understand English. R. 287, 289. Plaintiff has past work experience as a cashier and cook, although the work was quite sporadic, with no earnings of more than $703 for any year from 1984 to 2012, except two (for $1,018 and $1,670), and the majority with annual earnings from $0 to $400. R. 239, 279.
Plaintiff's medical history is set forth in detail in the ALJ's decision. By way of summary, Plaintiff complained of type 2 diabetes, obesity, neuropathy, vision problems, and hypertension. R. 115-17, 147, 149, 158, 256-57, 288. After reviewing Plaintiff's medical records and Plaintiff's testimony, the ALJ found that Plaintiff suffered from diabetes mellitus with pain secondary to peripheral neuropathy and obesity, which were "severe" medically determinable impairments, but were not impairments severe enough to meet or medically equal one of the impairments listed in Appendix 1, Subpart P, Regulations No. 4. R. 96-97. The ALJ determined that Plaintiff retained the residual functional capacity (RFC) to perform sedentary work with tasks that are simple 1-5 steps that can be learned through a simple on the job demonstration or with 30 days of training. R. 97. Based upon Plaintiff's RFC, the ALJ determined that she could not perform past relevant work as a cook, cashier, and dishwasher. R. 100. 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 security monitor, final assembler, and telephone solicitor. R.100-01. Accordingly, the ALJ determined that Plaintiff was not under a disability, as defined in the Act, at any time through the date of the decision. R. 101.
Plaintiff argues what is essentially a single point of error — that the ALJ erred in not finding the vision problems in her right eye to be a severe impairment, and in evaluating her credibility regarding the vision issues. 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, she 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 her physical or mental ability to do basic work activities, then she 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, she is disabled. 20 C.F.R. § 404.1520(d). Fourth, if a claimant's impairments do not prevent her from doing past relevant work, she is not disabled. 20 C.F.R. § 404.1520(e). Fifth, if a claimant's impairments (considering her residual functional capacity, age, education, and past work) prevent her from doing other work that exists in the national economy, then she is disabled. 20 C.F.R. § 404.1520(f).
Plaintiff argues her vision impairment is severe as it would significantly impact her ability to work. She further argues that the ALJ erred in evaluating her credibility regarding her vision problems. At Step 2 of the five-step evaluation process, the ALJ is called upon to determine whether a claimant's impairments are severe. By definition, this inquiry is a "threshold" inquiry. It allows only claims based on the most trivial impairments to be rejected. In this Circuit, an impairment is not severe only if the abnormality is so slight and its effect so minimal that it would clearly not be expected to interfere with the individual's ability to work, irrespective of age, education, or work experience. A claimant need show only that her impairment is not so slight and its effect not so minimal. McDaniel v. Bowen, 800 F.2d 1026, 1031 (11th Cir. 1986).
Plaintiff argues that the ALJ erred by finding her vision problems were not a severe impairment. The ALJ found:
R. 96.
Plaintiff argues her vision impairment is severe as it would significantly impact her ability to work. Plaintiff argues that the ALJ erred because she ignored the fact that on August 7, 2012, her unaided vision in her right eye was 20/400 and her best corrected vision was 20/200. R. 472-73. She also argues that the ALJ erred in finding her vision impairment would not meet the durational requirement of lasting or expecting to last for a continuous period of at least 12 months. Doc. 16 at 10 (citing 20 C.F.R. § 416.909). Plaintiff testified at the hearing that her right eye cataract surgery had been cancelled because she could not afford it, and the county did not have funds to pay for it. R. 96, 116. Plaintiff argues that she "was unable to get the necessary surgery to correct her vision due to lack of finances. Her vision was not going to self-correct and it would be expected to last for a continuous period of at least 12 months." Id. Plaintiff's additional arguments regarding the ALJ's incorrect RFC and the hypothetical are built on this argument. Id. at 11-12.
However, as the Commissioner points out, the medical records from Bird Eye Institute note that on October 31, 2012 — less than two weeks after Plaintiff's hearing and one month before the ALJ reached her decision — Plaintiff had an intraocular lens implant
A cataract—a clouding of the lens of the eye—blocks the normal passage of light through the eye. Surgery for cataracts involves removing the natural lens of the eye that contains the cataract and either replacing it with an artificial lens called an intraocular lens implant (IOL) or compensating for its absence with eyeglasses or contact lenses. Because Plaintiff had the cataract surgery, she no longer has the level of vision issues that she argues she maintains causing a "severe" impairment. In fact, Plaintiff's unaided vision in each eye is 20/40 and in both eyes is 20/30. R. 85-86. Dr. Franco noted on March 21, 2013 that Plaintiff was experiencing blurry vision but she had not filled the glasses prescription Dr. Franco provided-although she had been diagnosed with myopia, astigmatism, and presbyopia, which would make reading nearly impossible without glasses-because Plaintiff had lost it. R. 87; R. 479 (treatment plan: "standard IOL's for distance vision and Rx [prescription] for spectacles"). Plaintiff certainly should have notified the SSA or the ALJ directly once she had had the cataract surgery in her right eye, and she certainly should have informed her counsel of that fact before this appeal was filed on her behalf and judicial resources were expended.
Given the foregoing, the Court need not spend much time reviewing the ALJ's determination that Plaintiff's statements were not fully credible. The argument by Plaintiff's counsel is again based on the mistaken argument that Plaintiff has not had cataract surgery on her right eye, even though she clearly has.
Plaintiff also argues that the ALJ improperly discredited her testimony as to pain. Pain is a non-exertional impairment. Foote v. Chater, 67 F.3d 1553, 1559 (11th Cir. 1995). The ALJ must consider all of a claimant's statements about her symptoms, 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, 67 F.3d at 1560, quoting Holt v. Sullivan, 921 F.2d 1221, 1223 (11th Cir. 1991). Pain alone can be disabling, even when its existence is unsupported by objective evidence, Marbury v. Sullivan, 957 F.2d 837, 839 (11th Cir. 1992), although an individual's statement as to pain is not, by itself, conclusive of disability. 42 U.S.C. § 423(d)(5)(A).
The ALJ properly cited the applicable regulations and Social Security Ruling 96-7p concerning the assessment of pain. R. 97. 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"). Where 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 ALJ articulated a reasonable basis for her determination in finding:
R. 98-99.
In this case, the ALJ offered specific reasons for discrediting Plaintiff's subjective complaints including her lack of compliance with prescribed treatment and medications. The ALJ's reasons included inconsistencies between her reports and the examination findings, as well as contemporary cocaine use, and a very poor earnings record. These are factors the ALJ is directed to consider. 20 C.F.R. §§ 404.1529; 416.929. Moreover, the ALJ's reasons are supported by substantial evidence.
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