JOANNA SEYBERT, District Judge.
Plaintiff Lorraine Parrinello brings this action pursuant to Section 205(g) of the Social Security Act (42 U.S.C. § 405(g)), challenging the Commissioner of Social Security's denial of her application for disability insurance benefits. Presently pending before the Court are Plaintiff's motion for judgment on the pleadings, (Pl.'s Mot., Docket Entry 12), and the Commissioner's cross-motion for judgment on the pleadings, (Def.'s Mot., Docket Entry 14). For the following reasons, the Commissioner's cross-motion is GRANTED and Plaintiff's motion is DENIED.
Plaintiff applied for disability insurance benefits on May 29, 2009, alleging disability from January 1, 2005.
On November 18, 2011, the ALJ issued his decision finding that Plaintiff was not disabled. (R. at 43-50.) Plaintiff sought a review of the ALJ's decision by the Appeals Council, (R. at 205-209), and submitted additional evidence in support of her request (R. at 285-95). On June 26, 2013, the Appeals Council denied her request. (R. at 1-6.) Plaintiff then asked this Court to review the ALJ's November 2011 decision.
Upon review, the Court remanded the matter to the ALJ for further proceedings, (R. at 821-851), "[b]ecause the ALJ did not clearly and fully identify his reasons for giving [Plaintiff's treating physician] Dr. Monetti's opinion little weight" (R. at 847). The Court explained that "the ALJ merely concluded . . . that Dr. Monetti's opinion was `not consistent with the substantial evidence of record,' without discussing what specific evidence he was referring to and without addressing any of the factors for determining how much weight to afford a treating physician's opinion." (R. at 849, citing R. at 49.) The Court directed that "[o]n remand, the ALJ should explain [his finding that] Dr. Monetti's opinions . . . deserved `little weight' and were inconsistent with the record." (R. at 849, citing
Upon remand, Plaintiff again appeared with counsel and testified at an administrative hearing before a different ALJ.
In reviewing the ruling of an ALJ, the Court does not determine
Here, the ALJ applied the familiar five-step process (
Plaintiff now advances two arguments: (1) that the ALJ did not properly weigh the medical opinion evidence, specifically by not giving enough weight to the opinions of two treating physicians and not explaining her reliance on other opinions; and (2) that the ALJ improperly found her testimony to be inconsistent with the medical evidence. (Pl.'s Br., Docket Entry 13, at 19, 28.) The Commissioner responds that the ALJ (1) properly weighed the opinions and detailed her rationale for assigning less weight to the treating physicians' opinions; and (2) properly evaluated Plaintiff's subjective complaints and credibility. (Def.'s Br., Docket Entry 15, at 21, 28.) The Court will focus on these arguments.
The "treating physician rule" provides that the medical opinions and reports of a claimant's treating physicians are to be given "special evidentiary weight."
20 C.F.R. § 404.1527(c)(2) (emphasis supplied).
When an ALJ does not afford controlling weight to the opinion of a treating physician, she must consider several factors: "(1) the length of the treatment relationship and frequency of the examination; (2) the nature and extent of the treatment relationship; (3) the extent to which the opinion is supported by medical and laboratory findings; (4) the physician's consistency with the record as a whole; and (5) whether the physician is a specialist."
Here, Plaintiff produced medical opinion evidence from two treating physicians: Dr. Henry J. Monetti, a family practitioner, and Dr. Peter Rumore, a rheumatologist.
The ALJ explained that she gave "less weight" to Dr. Monetti's 2010 and 2011 opinions as to Plaintiff's physical capabilities and limitations because they were "inconsistent with [Plaintiff's] conservative course of treatment, [Plaintiff's] reported activities of daily living, as discussed in detail above [in the ALJ's decision], and physical examinations documenting a normal gait and station, 5/5 motor power in all extremities, normal sensation, and negative straight leg raising." (R. at 774.) She further noted that Dr. Monetti "did not indicate whether these limitations applied during the period at issue" and that he was "not a specialist." (R. at 774). Moreover, the ALJ noted, the 2011 opinion was rendered two years after the relevant period. The ALJ also assigned less weight to Dr. Monetti's 2016 opinion regarding Plaintiff's physical capabilities and limitations because, again, it was inconsistent with other record evidence, and further, because it was rendered six years after the relevant period. (R. at 774-75.)
The ALJ thus specifically referenced the third, fourth, and fifth factors (extent to which the opinion is supported by medical and laboratory findings, physician's consistency with the record as a whole, and whether the physician is a specialist) with respect to Dr. Monetti's opinions and included an additional factor (that some of the opinions were rendered well after the relevant period) in her explanation. Moreover, the ALJ's decision recounted, in detail, the factors that she weighed Dr. Monetti's opinions against.
Specifically, the ALJ found Plaintiff's course of treatment was "only routine, conservative care for her impairments consisting primarily of medication management" with mostly overthe-counter medication such as Tylenol, aspirin, and Pepto-Bismol. (R. at 772-73.) She had no surgery during the relevant period and had been hospitalized only once in 2004 for abdominal pain. (R. at 773.) She had a colon resection and stent placement, but these occurred after the date last insured. (R. at 773.)
Her typical daily activities "consisted of straightening up the house, getting dressed, going to the supermarket, and walking 2 or 3 blocks for exercise." (R. at 769). She sometimes put laundry into the washing machine and she visited family often. (R. at 769.) In 2009, she had reported "work[ing out] with weights and . . . cardio training two to three times per week" and in 2005 had stated she was "mildly fatigued but in general had been well and very active working out in the gym 3 days a week." (R. at 770.) She could "dress and shower herself as well as cook, clean, load the dishwasher, make beds, and shop independently." (R. at 772.)
The ALJ also referenced several physical examinations. For example, "[a] 2007 [computerized tomography (CT)] scan of the neck, abdomen and pelvis indicated only mild degenerative changes of the cervical and lumbar spine." (R. at 770.) Two other CT scans showed "scattered diverticula" and "no evidence of acute diverticulitis," and an examining gastroenterologist noted that Plaintiff's "gastrointestinal study was essentially unremarkable." (R. at 770.) A 2005 report from a rheumatologist showed "5/5 muscle strength, normal exam of the abdomen, tenderness of the wrist without swelling, decreased cervical range of motion, negative straight leg raising, and grossly intact neurological exam." (R. at 770.) A consultive internist examined her in 2009 and opined that she had "no limitations in sitting and is merely mildly limited in her ability to stand, walk, reach, push, pull, lift, climb, and bend." (R. at 771.)
The Court thus concludes that the ALJ adequately explained factors she considered in assigning less weight to Dr. Monetti's opinions and gave "good reasons" for doing so.
The ALJ also gave less weight to Dr. Rumore's opinion on Plaintiff's physical capabilities and limitations because it was not consistent with Plaintiff's course of treatment, reported daily activities, and physical examinations. (R. at 775.) The ALJ further determined Dr. Rumore's opinion that Plaintiff was "unable to do full time work in a competitive environment in any capacity" was "vague and d[id] not provide specific vocational limitations." (R. at 775.)
For the reasons already stated with respect to Dr. Monetti, along with the ALJ's conclusion that Dr. Rumore's opinion on Plaintiff's work capacity was vague and conclusory, the Court finds that the ALJ gave good reasons for assigning less weight to Dr. Rumore's opinion.
As this Court noted in its prior remand order, "`the ALJ has discretion to evaluate the credibility of a claimant and to arrive at an independent judgment, in light of medical findings and other evidence.'"
The ALJ found that Plaintiff's "medically determinable impairments could reasonably be expected to cause the alleged symptoms; however, [her] statements concerning the intensity, persistence and limiting effects of these symptoms are not entirely consistent with the medical evidence and other evidence in the record." (R. at 769.) The ALJ determined that the record did "not support [Plaintiff's] allegations of complete disability." (R. at 769.)
Plaintiff argues that the ALJ used "boilerplate language" and "failed to give sufficient reasons for discounting [her] statements regarding her symptoms and limitations." (Pl.'s Br. at 28.) She further contends that the ALJ "mischaracterized the record by concluding that [she] gave testimony consistent with the requirements of sedentary work." (Pl.'s Br. at 28.) As the Commissioner contends, the ALJ actually found that Plaintiff's self-reported "ability to sit for 30 minutes, stand for 30 minutes, and walk a couple of blocks at a time does not tend to preclude sedentary work." (R. at 772.)
The ALJ again looked to Plaintiff's conservative course of treatment, daily activities, and physical examinations, as discussed above, in determining that her description of her symptoms and limitations was not consistent with other record evidence. These are sufficient reasons to question Plaintiff's credibility. "Thus, the ALJ's credibility determination is entitled to `great deference' as it was not `patently unreasonable.'"
For the foregoing reasons, the Commissioner's crossmotion (Docket Entry 14) is GRANTED and Plaintiff's motion (Docket Entry 12) DENIED. The Clerk of the Court is directed to enter judgment accordingly and mark this case CLOSED.
SO ORDERED.