PHILIP P. SIMON, District Judge.
Stanley Plump, Jr. appeals the denial of his application for disability insurance benefits by the Commissioner of the Social Security Administration. Plump was 38 years old on the alleged onset date of his disability, December 1, 2012. The administrative law judge found that he had severe impairments of rheumatic heart disease, status-post mitral valve replacement, and anxiety. [AR at 24.]
Plump asks me to reverse the ALJ's decision and remand for further proceedings by the Social Security Administration. My review of the ALJ's decision is deferential. I must affirm it if it is supported by substantial evidence, meaning "`such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.'" McKinzey v. Astrue, 641 F.3d 884, 889 (7
It's worth noting that "an ALJ is not required to provide a complete and written evaluation of every piece of testimony and evidence, but `must build a logical bridge from the evidence to his conclusion.'" Minnick v. Colvin, 775 F.3d 929, 935 (7th Cir. 2015), quoting Schmidt v. Barnhart, 395 F.3d 737, 744 (7
Plump challenges the ALJ's handling of his obesity. I find no error. The ALJ does not ignore Plump's weight, noting that he is 5'9" tall and weighs 209 pounds, with a body mass index of 30.86 that puts him in the Level 1 obesity category. [AR at 27.] I note that this is only barely within the lowest (BMIs of 30.0 - 34.9) of three levels of obesity under the applicable guidelines. SSR 02-1p, citing Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults (NIH Publication No. 98-4083, September 1998).
The issue regarding Plump's obesity seems to have come out of nowhere. His application for benefits did not claim disability based on obesity, and the issue was not referenced in his hearing before the ALJ. What's more, Plump cites no evidence — medical or otherwise — that his weight impacted his functioning or was a disabling impairment. On this record, I see no basis for requiring the ALJ's decision to do more than it did, namely acknowledge that Plump met the guidelines for a very low level of obesity, and indicate that the ALJ "fully considered" the cumulative effects of Plump's obesity but found it to have no more limiting effect on his ability to work than contemplated by the sedentary RFC. [AR at 27.] Where the ALJ considered the impact of marginal obesity — even despite the fact that the claimant "did not specifically claim obesity as an impairment (either in his disability application or at his hearing)," — and where the claimant does not "specify how his obesity further impaired his ability to work," I readily find that any remand for more explicit and detailed consideration of obesity is unnecessary and would not affect the outcome of the case. Skarbek v. Barnhart, 390 F.3d 500, 504 (7
Next Plump seeks a remand based on the ALJ's handling of his mental functioning. Like the issue of obesity, Plump's application for benefits made no claim of mental impairments. Psychological issues were first raised at the hearing, at which Plump's counsel reported that Plump had been receiving counseling. But counsel expressly stated that "We don't believe, and we're not arguing, Judge, that depression would be sufficient for him to be found disabled," and "I don't think it affects his thinking, to the point that that would interfere with his ability to function." [AR at 55.]
Because the record of medical sources is devoid of any reference to anxiety or other mental health problems, the ALJ apparently based his determination that Plump has a severe impairment of anxiety on Plump's hearing testimony (which was scant on the subject) and the opinions of a counselor, Susan Geist, whom Plump and his wife had been seeing through his church. Contrary to Plump's argument, the ALJ did not reject Geist's opinion. The parties agree that Geist is not a "medically acceptable source" under 20 C.F.R. §404.1513(a) and §416.913(a), but the ALJ nonetheless afforded her opinions "some weight," based on her provision of counseling services to Plump for some months leading up to the hearing. [AR at 30.]
Plump's other arguments concerning anxiety — that the ALJ erred in his analysis of its equivalence to a listed impairment and in devising accommodations in the RFC — are non-starters. First of all, the claimant has the burden of showing medical equivalence. "[T]he burden of proof at step 3 rests with the claimant, and the ALJ has no duty to analyze equivalance when the claimant . . . presents no substantial evidence of it." Eskew v. Astrue, 462 Fed.Appx. 613, 616 (7
Plump contends that the ALJ was required to consult a medical expert designated by the Commissioner on the issue of equivalence. But it's a "finding of medical equivalence" (not a rejection of medical equivalence) that "requires an expert's opinion on the issue." Minnick v. Colvin, 775 F.3d 929, 935 (7
Plump contends that the RFC limiting him to simple routine repetitive tasks involving only occasional interaction with the public and co-workers is "insufficient." [DE 24 at 31.] What evidence does Plump direct me to that this does not capture all of his limitations? He points only to Geist's opinion (which, by the way, was not part of the record until after the hearing and so was not available to the ALJ when he formed the hypotheticals for the vocational expert). Even crediting the entirety of Geist's assessment, she speaks repeatedly and primarily of Plump having difficulty coping with work-related stress. [AR at 1174-75.] These comments do not address the disability buzzwords of "concentration, persistence, or pace" to which Plump's arguments refer. On those subjects, Geist opines that Plump is able to "understand, remember, and carry out complex, not complex, or simple job instructions" (apparently all three). [AR at 1174.] She merely expresses the view that Plump's mental and emotional symptoms could reasonably be expected to "slow[] him down" in completing tasks in a timely manner. [AR at 1175.]
The ALJ did find, in his Step 3 analysis, that Plump had "moderate difficulties" with regard to concentration, persistence, or pace. [AR at 26.] But in the next paragraph, he also found that Plump "has no impairment of recent or remote memory with normal attention span and ability to concentrate." [Id.] The ALJ also notes that at the hearing, Plump "was able to understand, focus, concentrate, comprehend, respond, communicate, pay attention, and remember adequately without medication." [Id.] Plump does not now identify any evidence supporting a greater degree of mental limitation than to "simple routine repetitive tasks."
As for interactions with others, Geist notes that Plump is himself a supervisor and experiences stress in that role when "co-workers come to him with work-related problems." [AR at 1174.] Based on this opinion, the ALJ quite reasonably (even generously) included in the RFC a limitation on interaction with the public and coworkers. Plump's complaint that the ALJ included no restriction on his ability to work with supervisors is not based on any evidence that Plump arguably requires such a limitation, and is rejected out of hand.
Next in Plump's litany of alleged errors by the ALJ is his reliance on a State Agency medical consultant whose December 9, 2013 opinion Plump characterizes as outdated and incomplete. [DE 24 at 34; AR at 90.] The ALJ's hearing was in November 2015 and his decision in December 2015. There was another State Agency consultant opinion in February 2014. [AR at 107.] All three found that Plump retained the RFC to perform sedentary work. [AR at 27, 89, 106.] But the ALJ also considered the entire medical record, including what occurred after the later of the two State Agency reports, so his ultimate opinion took into account all that Plump now complains was missed. [AR at 28-30.]
Plump does not allege that any new or worsening condition occurring in the interim rendered him disabled. He does not identify medical evidence in the record that contradicts the State Agency physicians' conclusions, or "specifically point to any evidence in subsequent records that would indicate greater functional limitations than the ALJ found." [DE 31 at 14.] To the contrary, as noted by the Commissioner, the medical record reflected stability in Plump's heart condition, the principal basis for his disability application. [DE 31 at 13.] Plump shows no reversible error in the ALJ's analysis of the State Agency physician opinions.
Plump next challenges the ALJ's assessment of his credibility. Because the ALJ is "in the best position to determine a witness's truthfulness and forthrightness," reviewing courts "will not overturn an ALJ's credibility determination unless it is `patently wrong.'" Skarbek v. Barnhart, 390 F.3d 500, 504, 505 (7
In weighing Plump's testimony concerning his mental health, the ALJ found that Plump's statements were "less credible because the level and/or frequency of treatment are inconsistent with the level of complaints," noting that Plump had received counseling only for the past 8 months as of his hearing, had never sought treatment from a specialist and never taken any medication for anxiety. [AR at 30.] The credibility assessment also took into account Plump's reported daily activities and that he continued to perform part time work at the medium exertion level, albeit with some accommodations. [Id.] The ALJ also found that Plump's "description of the severity of pain and other limitations has been so extreme as to appear implausible," noting examples not supported by the medical evidence. [Id. at 30-31.] Finally, the ALJ observed that review of the medical records discloses no restrictions placed on Plump by his treating doctors. [AR at 31.] This analysis shows that the ALJ's assessment was based on a broad examination of all the evidence of record. The credibility determinations were reasoned and supported, and were not patently wrong. Plump's challenge does not compel a remand for further consideration of his credibility.
Plump's last argument is that the Appeals Council rejected evidence submitted with his request for review at the administrative level. [DE 24 at 40.] The evidence in question is medical records of treatment in 2016 at the Elkhart Clinic and at St. Joseph Regional Medical Center, which have been provided to the court in a supplemental certification by the Commissioner. [DE 30.] The Appeals Council in fact reviewed the records, and noted that they pertained to a period of time after the ALJ's December 28, 2015 decision. [AR at 2.] "Under 20 C.F.R. §404.970(b), additional evidence submitted to the Appeals Counsel will be evaluated only if it is `new and material' and `relates to the period on or before the date of the [ALJ] hearing decision.'" Stepp v. Colvin, 795 F.3d 711, 721 (7
My role is not to determine from scratch whether or not Plump is disabled and entitled to benefits. Instead, my review of the ALJ's findings is deferential, to determine whether the ALJ applied the correct legal standards and whether the decision is supported by substantial evidence. Shideler v. Astrue, 688 F.3d at 310; Castile v. Astrue, 617 F.3d 923, 926 (7th Cir. 2010); Overman v. Astrue, 546 F.3d 456, 462 (7th Cir. 2008). After that, I "must affirm the ALJ's decision even if reasonable minds could differ about the ultimate disability finding." Brown v. Colvin, 845 F.3d 247, 251 (7
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The final decision of the Commissioner of Social Security denying plaintiff Stanley Plump, Jr.'s application for Social Security Disability benefits is AFFIRMED.
The Clerk shall enter judgment in favor of defendant and against plaintiff.