FRANK D. WHITNEY, Chief District Judge.
Having reviewed and considered the written arguments, administrative record, and applicable authority, and for the reasons set forth below, Plaintiff's Motion for Summary Judgment is DENIED. Defendant's Motion for Summary Judgment is GRANTED and, accordingly, the Administrative Law Judge's ("ALJ") decision is AFFIRMED.
Plaintiff suffered a workplace injury in March of 2006 resulting in a tear to her left rotator cuff. (Doc. No. 9-13). Dr. Mark Cardell performed surgery to repair Plaintiff's left rotator cuff in May of 2006. (Doc. No. 12). Following the surgery, Plaintiff returned to work but complained of pain in her left shoulder and neck to her primary care physician, Dr. Robert Dorn, in September of 2006. An MRI of Plaintiff's left shoulder in November of 2006 revealed a possible tear of the posterior edge of her supraspinatus tendon and apparent tear in her supraspinatus muscle. (Doc. No. 9-13). Dr. Glenn Perry, Plaintiff's treating orthopedist from 2006 through 2009, performed a second surgery to repair Plaintiff's left rotator cuff on February 21, 2007. Following this surgery, Dr. Perry cleared Plaintiff to return to work without restrictions. Plaintiff complained to Dr. Dorn of pain in her right shoulder in June of 2007 and to Dr. Perry on July 25, 2007. Additionally, an MRI of Plaintiff's cervical spine in July of 2007 revealed a mild disc bulge with spondylosis. During an examination of Plaintiff's right shoulder in October of 2007, Dr. Perry noted tenderness in her right bicep and recommended arthroscopic decompression surgery, which he performed on December 31, 2007.
Simultaneously, Plaintiff began treatment at a pain management clinic for myofascial pain in both of her shoulders for which she was given a series of trigger point injections and cervical branch blocks leading to significant improvements. An MRI in December of 2007 revealed a full thickness rotator cuff tear. Dr. Perry performed a repeat rotator cuff repair on Plaintiff's left shoulder on May 6, 2008. On July 28, 2008, Plaintiff reported to Dr. Perry that the pain in her left shoulder had improved, but she reported pain during supraspinatus testing. Following an MRI, Dr. Perry diagnosed Plaintiff with a recurrent rotator cuff tear in her left shoulder for which he recommended additional surgery. Dr. Perry performed the surgery on November 10, 2008.
At a follow up appointment with Dr. Perry on February 25, 2009, Plaintiff showed good range of motion and strength in her left shoulder but reported some pain in her cervical spine. An MRI of Plaintiff's cervical spine was negative for any abnormalities. Dr. Perry ordered an electromyogram and nerve conductivity study ("EMG/NCS") due to Plaintiff's continued complaints of neck pain, and reported on June 8, 2009. Dr. Perry reported that the EMG/NCS revealed no abnormalities. Additionally, following a functional capacity assessment, Dr. Perry reported that Plaintiff was capable of working with medium levels of exertion on May 21, 2009. Dr. Perry then later recorded in his notes of an appointment with Plaintiff on June 24, 2009 that she should not lift over ten pounds or perform any overhead reaching. On August 17, 2009, Dr. Dorn briefly noted on a prescription pad that Plaintiff "was not to work because of shoulder pain." (Doc. No. 9-13).
Plaintiff filed a Title II application for a period of disability and disability insurance benefits on December 19, 2007, alleging a disability onset date of July 19, 2007. (Doc. No. 9-13). The claim was initially denied on February 20, 2008, and again upon reconsideration on July 22, 2008. Subsequently, on August 8, 2008, Plaintiff filed a written request for an administrative hearing and Administrative Law Judge H. Allen Wagner held a hearing on April 8, 2010. On July 30, 2010, the ALJ issued a decision finding that Plaintiff was not disabled, and the Appeals Council denied Plaintiff's request for review on July 23, 2012. (Doc. No. 12). Thus, the ALJ's decision of July 2010 became the final decision of the Commissioner.
Plaintiff timely filed this action on September 21, 2012, and the parties' motions are now ripe for review pursuant to 42 U.S.C. § 405(g).
The Social Security Act, 42 U.S.C. § 405(g), limits this Court's review of a final decision of the Commissioner to whether substantial evidence supports the Commissioner's decision and whether the Commissioner applied the correct legal standards.
As the Social Security Act provides, "[t]he findings of the [Commissioner] as to any fact, if supported by substantial evidence, shall be conclusive." 42 U.S.C. § 405(g). In
The Fourth Circuit has long emphasized that it is not for a reviewing court to weigh the evidence again, nor to substitute its judgment for that of the Commissioner, assuming the Commissioner's final decision is supported by substantial evidence.
The question before the ALJ was whether Plaintiff was "disabled," as defined for Social Security purposes, between July 19, 2007, and the date of his decision.
On July 30, 2010, the ALJ found that Plaintiff was not "disabled" at any time between July 19, 2007, and the date of his decision. (Doc. No. 9-13). The Social Security Administration has established a five-step sequential evaluation process for determining if a person is disabled. C.F.R. § 404.1520(a). The five steps are:
(20 C.F.R. §§ 404.1520(a)(4)(i-v)). In this case, the ALJ determined that Plaintiff was not disabled under the fifth step of the above evaluation process. (Doc. No. 9-13). Particularly, the ALJ concluded that "considering the claimant's age, education, work experience, and residual functional capacity, the claimant is capable of making a successful adjustment to other work that exists in significant numbers in the national economy." (Doc. No. 9-13).
On appeal, Plaintiff makes the following assignments of error: (1) that the ALJ failed to develop the record by failing to accord proper weight to the opinion of Plaintiff's treating primary care physician, Dr. Dorn; and (2) that the ALJ failed to resolve conflicts between the vocational expert's ("VE's") testimony and the Dictionary of Occupational Titles ("DOT"). (Doc. No. 13).
Plaintiff first argues that there is not substantial evidence to support the ALJ's decision to afford little to no weight to Dr. Dorn's opinion. The Fourth Circuit has held that a treating physician's opinion need not be afforded controlling weight.
Here, the ALJ rejected Dr. Dorn's opinion that Plaintiff was unable to work primarily due to constant pain. A summary statement from a physician that a claimant is "disabled" is not a medical opinion, but rather, it is an opinion on an issue reserved to the ALJ. 20 C.F.R. §§ 404.1527(d), 416.927(d). Further, such opinions are not entitled to special significance. 20 C.F.R. §§ 404.1527(d)(3), 416.927(d)(3). Therefore, the opinion by Dr. Dorn that Plaintiff was "disabled" was rejected by the ALJ under the proper standard because whether Plaintiff is disabled is an issue reserved to the ALJ.
Moreover, upon review of the record, the Court finds that the ALJ's decision to afford little to no weight to the opinion of Dr. Dorn is supported by substantial evidence that his opinion is inconsistent with the other substantial evidence contained in the record. This includes the opinions of (1) Dr. Perry, Plaintiff's treating orthopedist, (2) Dr. Joseph Estwanik, an evaluating orthopedist, and (3) three state agency medical consultants, all of whom determined that Plaintiff was capable of light work. Additionally, neither Dr. Perry nor Dr. Estwanik reported any objective findings to support Plaintiff's complaints of pain. Thus, because of inconsistencies with the other medical opinions and a lack of objective findings to support Dr. Dorn's opinion, the ALJ did not err in affording little to no weight to his opinion.
Plaintiff additionally argues that the ALJ's statements during the following exchange between the ALJ and Plaintiff's counsel ("GCP") during the hearing were improper and reversible error:
(Doc. No. 12).
Contrary to Plaintiff's assertion, the ALJ's statements are not that he is rejecting Dr. Dorn's opinion solely because he is a primary care physician, but rather that he is rejecting them in this case because (1) Plaintiff's complaints are orthopedic in nature and that in this case he places far greater weight on the opinion of her treating orthopedist and (2) his reasoning for doing so based in part on his experience that orthopedic matters are outside of the expertise of primary care physicians and that their opinions are based on subjective evidence. This is demonstrated by the ALJ's preceding statements "that orthopedic problems or neurological problems are out of their [primary care doctor's] area of expertise" and "he [Dr. Dorn] doesn't really indicate why, he's limited her as much as he has." (Doc. No. 16). Additionally, Plaintiff cites no case law to support her argument that these statements were improper and reversible error. Thus, the Court finds that the ALJ did not err in making these statements, and that the ALJ did not err in attributing little to no weight to Dr. Dorn's opinion.
Plaintiff also argues that the ALJ failed to reconcile conflicts between the VE's testimony and the DOT. At the hearing on July 30, 2010, the VE testified that someone with Plaintiff's vocational profile and the limitations included in the RFC could perform the following jobs: information clerk (DOT 237.367-018) with 1,626 jobs in North Carolina, photo counter clerk (DOT 249.36-010) with 1,475 jobs in North Carolina, and furniture rental clerk (DOT 295.357-018) with 1,531 jobs in North Carolina. Plaintiff argues that the ALJ's decision is flawed because it did not resolve conflicts between the VE's testimony that someone limited to performing only "unskilled routine repetitive type jobs," (Doc. No. 9-13) could perform jobs requiring the DOT's General Educational Development reasoning level of three or four and the actual parameters of the DOT.
As correctly identified by Plaintiff, the job of information clerk requires a reasoning level of four, the job of furniture retail clerk requires a reasoning level of three, and the job of photo counter clerk requires a reasoning level of two. Thus, pursuant to the VE's testimony discussed previously, even removing the positions of information clerk and furniture rental clerk from the equation, Plaintiff could perform the job of photo counter clerk — constituting 1,475 jobs in North Carolina. Plaintiff thus still could perform a significant number of jobs in the region, despite any possible error by the ALJ of initially including the positions of information clerk and furniture retail clerk in his determination.
For the foregoing reasons, Plaintiff's Motion for Summary Judgment, (Doc. No. 11) is DENIED, Defendant's Motion for Summary Judgment, (Doc. No. 15) is GRANTED, and the ALJ's decision is AFFIRMED. The Clerk's Office is directed to CLOSE THE CASE.
IT IS SO ORDERED.