ERIC F. MELGREN, District Judge.
Plaintiff Jennifer Chasser seeks review of a final decision by Defendant, the Commissioner of Social Security ("Commissioner"), denying her application for disability insurance benefits under Title II of the Social Security Act. Chasser alleges that the administrative law judge ("ALJ") erred by failing to support his residual functional capacity ("RFC") assessment with substantial evidence. Having reviewed the record, and as described below, the Court disagrees and affirms the Commissioner's decision.
Jennifer Chasser was born on January 6, 1969. On July 10, 2012, Chasser protectively applied for disability insurance benefits, alleging a disability beginning on June 21, 2012. The application was denied initially and upon reconsideration. Chasser then asked for a hearing before an ALJ. ALJ Michael D. Shilling conducted an administrative hearing on June 10, 2014. Chasser appeared and testified about her medical condition. An impartial vocational expert also appeared and testified about potential employment prospects for someone of Chasser's capabilities.
On August 29, 2014, the ALJ issued his written decision, finding that Chasser had not engaged in substantial gainful activity since the alleged onset date. The ALJ found that Chasser suffered from fibromyalgia, degenerative disc disease of the spine, osteopenia, tendonitis of the right hip, plantar fasciitis, depression, attention deficit disorder ("ADD"), and post-traumatic stress disorder ("PTSD"). The ALJ found that these impairments were severe. And yet, the ALJ determined that Chasser did not have an impairment, or combination of impairments, that met or medically equaled the severity of one of the listed impairments in 20 CFR Part 404, Subpart P, Appendix 1.
The ALJ then determined that Chasser has the RFC to perform sedentary work as defined in 20 C.F.R. § 404.1567(a). More specifically, the ALJ made the following findings: Chasser can lift 10 pounds occasionally and frequently. She can walk or stand 2 hours in an 8-hour workday and sit for 6 of those hours. She can occasionally climb stairs, but never ropes, ladders, or scaffolds. She can occasionally stoop, but can never crouch, kneel, or crawl. She can frequently handle, finger, or feel, but could only occasionally reach or handle an object overhead. She should avoid prolonged exposure to vibrating machinery, unprotected heights, and hazardous machinery. And finally, due to her chronic pain, side effects, and mental impairments, she is limited to jobs that do not demand attention to details or involve complicated tasks or instructions. In assessing Chasser's RFC, the ALJ determined that she did not require the use of a walker.
Given Chasser's RFC, the ALJ found that she was unable to perform any of her past relevant work. But considering Chasser's age, education, work experience, and RFC, the ALJ concluded that a significant number of jobs existed in the national economy that Chasser is capable of performing. Thus, the ALJ concluded that Chasser had not been under a disability from June 21, 2012, through the date of the decision.
Chasser requested a review of the hearing with the Appeals Council, which was denied on October 9, 2015. Accordingly, the ALJ's August 2014 decision became the final decision of the Commissioner. Chasser filed a complaint in the United States District Court for the District of Kansas. She seeks reversal of the ALJ's decision and remand for a new administrative hearing. She also seeks the award of her costs and reasonable attorney's fees. Because Chasser has exhausted all administrative remedies available, this Court has jurisdiction to review the decision.
Judicial review of the Commissioner's decision is guided by the Social Security Act which provides, in part, that the "findings of the Commissioner of Social Security as to any fact, if supported by substantial evidence, shall be conclusive."
An individual is under a disability only if she "can establish that she has a physical or mental impairment which prevents her from engaging in substantial gainful activity and is expected to result in death or to last for a continuous period of at least twelve months."
The Social Security Administration has established a five-step sequential evaluation process for determining whether an individual is disabled.
The first three steps of the sequential evaluation require the ALJ To assess: (1) whether the claimant has engaged in substantial gainful activity since the onset of the alleged disability; (2) whether the claimant has a severe, or combination of severe, impairments; and (3) whether the severity of those severe impairments meets or equals a designated list of impairments.
Upon assessing the claimant's RFC, the ALJ moves on to steps four and five, which require the ALJ to determine whether the claimant can either perform his past relevant work or whether he can generally perform other work that exists in the national economy, respectively.
Chasser argues that the ALJ's RFC determination was not supported by substantial evidence. The RFC assessment must be based on all relevant evidence in the case record.
Chasser raises a narrow issue in her appeal. She claims that the RFC assessment is incorrect because the ALJ rejected her claim that she required a walker to stand and walk. In his written decision, the ALJ stated that "the record reveals [Chasser] is able to ambulate without the assistance of her walker." The ALJ noted that in 2013, Chasser claimed she only used her walker occasionally, and at times appeared for treatment using only a cane or no assistive device at all. At the hearing, Chasser testified that she had been using a walker for about two years. She stated that she used a walker "pretty much all the time" but she did not use the walker in the home "because it's just short distances." She also testified that she used a cane, and not a walker, when she went to the convenience store. She stated that "if I'm going to walk more than about five minutes, then I definitely have to have my roller [walker]." Chasser claimed that she could only stand for about 10 minutes with the assistance of her walker. At the time of her testimony, she stated she was unable to stand at all without holding onto something. The ALJ found that Chasser's testimony was not entirely credible because parts were inconsistent with the rest of the record. Ultimately, the ALJ found that Chasser did not require a walker, and based her RFC on the objective evidence, cognitive testing, clinical signs and findings, and Chasser's activities of daily living.
Chasser asserts that the ALJ did not assign enough weight to the opinion of her treating physician, Dr. Nancy Nowlin. She argues that Dr. Nowlin's position was that a walker was medically necessary, and the ALJ improperly discounted that opinion. Generally, the ALJ should give more weight to opinions from treating sources over the opinions of other medical professionals.
But Chasser's argument rests on a flawed premise: that Dr. Nowlin felt a walker was medically necessary. In reality, Chasser fails to demonstrate that Dr. Nowlin believed a walker was medically necessary. The ALJ noted that in July 2012, Dr. Nowlin placed no restrictions on Chasser's activities. On July 8, 2014, Chasser's counsel sent Dr. Nowlin a letter asking if she believed a walker was medically necessary. In her response, Dr. Nowlin did not directly answer the question about the necessity of the walker; she simply responded that "[t]he walker was ordered on 9/21/2012 due to lower extremity pain and difficulty walking." Dr. Nowlin did not elaborate further.
Dr. Nowlin's brief response can hardly be characterized as an opinion that Chasser medically required a walker. Social Security Ruling 96-9p addresses the use of an assistive device in the context of an ALJ's determination that a claimant is capable of performing less than a full range of sedentary work.
Dr. Nowlin's letter did not state that the walker was medically necessary; she actually avoided that direct question and only stated passively that the walker "was ordered." She did not address whether it was for walking or standing or the circumstances in which it would be used. "SSR 96-9p requires more than generalized evidence of a condition that might require the use of a cane. It requires medical documentation establishing the need for a hand-held assistive device."
Chasser also argues that the ALJ ignored the medical evidence overall, which shows that Chasser required a walker. But almost all of the medical evidence that Chasser identifies are nothing more than non-opinion observations tucked into doctors' notes. The most common example was a simple note that Chasser "has [a] wheeled seated walker" with no more elaboration.
None of this evidence comes in the form of opinions or statements that Chasser needs a walker; she relies exclusively on mere observations that she regularly used a walker when she showed up to appointments. Once again, use of a walker is not evidence of its medical necessity.
The ALJ's decision is supported by substantial evidence. There was no medical evidence that a walker was medically necessary for Chasser, and thus, the ALJ did not err by failing to consider her use of a walker in his RFC assessment.