THOMAS M. ROSE, District Judge.
Patricia Yates ("Yates") brought this action pursuant to 42 U.S.C. § 405(g) for judicial review of the decision of the Defendant Commissioner of Social Security (the "Commissioner") that she is not disabled and, therefore, not entitled to Social Security disability benefits. On January 23, 2013, United States Magistrate Judge Michael J. Newman entered a Report and Recommendations (doc. #15) recommending
Yates sought financial assistance from the Social Security Administration by applying for Supplemental Security Income ("SSI") and disability insurance benefits ("SSD") in December of 2008. Yates claims that she has been disabled since December 23, 2008, due to rheumatoid arthritis, chronic back pain, Hepatitis C and post-menopausal stress syndrome.
The Commissioner denied Yates' application initially and on reconsideration. Administrative Law Judge ("ALJ") Ameila Lombardo ("Lombardo") held a hearing following which she determined that Yates is not disabled. The Appeals Council denied Yates' request for review and ALJ Lombardo's decision became the Commissioner's final decision. Yates then appealed to this Court pursuant to 42 U.S.C. § 405(g).
As required by 28 U.S.C. § 636(b) and Federal Rules of Civil Procedure Rule 72(b), the District Judge has made a de novo review of the record in this case. Based upon the reasoning and citations of authority set forth in the Magistrate Judge's Report and Recommendations (doc. #15) and in Yates' Objections (doc. #16), as well as upon a thorough de novo review of this Court's file and a thorough review of the applicable law, this Court adopts the aforesaid Report and Recommendations in its entirety and, in so doing affirms the Commissioner's decision that Yates is not disabled in accordance with Social Security regulations.
This Court's function is to determine whether the record as a whole contains substantial evidence to support the Administrative Law Judge's ("ALJ's") decision. Bowen v. Commissioner of Social Security, 478 F.3d 742, 745-46 (6th Cir. 2007). This Court must also determine whether the ALJ applied the correct legal criteria. Id.
Regarding the substantial evidence requirement, the ALJ's findings must be affirmed if they are supported by "such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Richardson v. Perales, 402 U.S. 389, 401, 91 S.Ct. 1420, 28 L.Ed.2d 842 (1971) (citing Consolidated Edison Company v. NLRB, 305 U.S. 197, 229, 59 S.Ct. 206, 83 L.Ed. 126 (1938)); Landsaw v. Secretary of Health and Human Services, 803 F.2d 211, 213 (6th Cir.1986). Substantial evidence means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion. Richardson, supra, at 401, 91 S.Ct. 1420; Ellis v. Schweicker, 739 F.2d 245, 248 (6th Cir.1984). Substantial evidence is more than a mere scintilla, but only so much as would be required to prevent a directed verdict (now judgment as a matter of law) against the ALJ/Commissioner if this case were being tried to a jury. Foster v. Bowen, 853 F.2d 483, 486 (6th Cir.1988); NLRB v. Columbian Enameling and Stamping Company, 306 U.S. 292, 300, 59 S.Ct. 501, 83 L.Ed. 660 (1939).
The second judicial inquiry — reviewing the ALJ's legal criteria — may result in reversal even if the record contains substantial evidence supporting the ALJ's factual findings. See Bowen, 478 F.3d at 746. A reversal based on the ALJ's legal criteria may occur, for example, when the ALJ has failed to follow the Commissioner's "own regulations and where that error prejudices a claimant on the merits or deprives the claimant of a substantial right." Bowen, 478 F.3d at 746(citing in part Wilson v. Commissioner of Social Security, 378 F.3d 541, 546-47 (6th Cir. 2004)).
MICHAEL J. NEWMAN, United States Magistrate Judge.
This is a Social Security disability benefits appeal brought pursuant to 42 U.S.C. § 405(g) and § 1383(c). At issue is whether the Administrative Law Judge ("ALJ") erred in finding Plaintiff Patricia Yates ("Plaintiff") not "disabled" and therefore unentitled to Disability Insurance Benefits ("DIB") and/or Supplemental Security Income ("SSI").
This case is before the Court upon Plaintiffs Statement of Errors (doc. 8), the Commissioner's Memorandum in Opposition (doc. 13), Plaintiffs Reply (doc. 14), the administrative record (doc. 6), and the record as a whole.
Plaintiff filed applications for DIB and SSI in December 2008, asserting that she has been under a "disability" since December 23, 2008-her alleged disability onset date. See PageID 169-75. Plaintiff claims she is disabled due to rheumatoid arthritis, chronic back pain, Hepatitis C and post-menopausal stress syndrome. PageID 199.
Following initial administrative denial of her applications, Plaintiff received a hearing before ALJ Amelia Lombardo on April 19, 2011. PageID 84-106. Thereafter, ALJ Lombardo issued a written decision, concluding that Plaintiff was not "disabled." PageID 64-78.
Specifically, the ALJ's "Findings," which represent the rationale of her decision, were as follows:
PageID 67-77 (footnote added).
Thereafter, the Appeals Council denied Plaintiffs request for review, making the ALJ's non-disability finding the final administrative decision of the Commissioner. PageID 51-55. See Casey v. Sec'y of Health & Human Servs., 987 F.2d 1230, 1233 (6th Cir.1993). Plaintiff then filed this timely appeal on January 3, 2012. Doc. 2.
Plaintiff was 51 years old on her alleged disability onset date, and thus considered a "person closely approaching advanced age." See 20 C.F.R. § 404.1563(d); see also PageID 195. Plaintiff testified that she is 5'7" tall and weighs 198 pounds. PageID 87. She is married and lives with her husband. Id. She has past relevant work as a truck driver. See PageID 200.
Plaintiff estimated that she can walk less than one block; stand for 10-15 minutes; and sit for 15-20 minutes. PageID 89. She believes she can lift a gallon of milk, but only using her left hand. PageID 89, 98. She suffers from knee and other pain, and takes Vicodin. PageID 88, 90, 97.
Plaintiff sees a mental health therapist twice a month at South Community, Inc. PageID 90. She has anxiety and difficulty with sleeping. Id. To that end, she was prescribed Prozac, Ativan, and a sleep aid. Id.
Plaintiff shares household chores with her husband. PageID 92. She cooks, washes dishes, does laundry, mops, and vacuums. PageID 92-93. She spends a typical day preparing meals, performing household chores, and watching television. PageID 94. Plaintiff testified that she can drive a car, and grocery shops on a weekly basis. PageID 93, 95, 98.
Plaintiff also testified that she has two adult children, and an 8-year-old grandson. PageID 91. Id. On occasion, she takes care of her grandson for up to five hours at a time. PageID 91, 97.
Charlotta Ewers, a vocational expert ("VE"), testified at the hearing. PageID 100-04. The VE testified that, even with restrictions to occasional overhead reaching with the right upper extremity and occasional stooping, crouching, kneeling, and crawling, Plaintiff could perform her
The Court's inquiry on a Social Security appeal is to determine (1) whether the ALJ's non-disability finding is supported by substantial evidence, and (2) whether the ALJ employed the correct legal criteria. 42 U.S.C. § 405(g); Bowen v. Comm'r of Soc. Sec., 478 F.3d 742, 745-46 (6th Cir.2007). In performing this review, the Court must consider the record as a whole. Hephner v. Mathews, 574 F.2d 359, 362 (6th Cir.1978).
Substantial evidence is "such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Richardson v. Perales, 402 U.S. 389, 401, 91 S.Ct. 1420, 28 L.Ed.2d 842 (1971). When substantial evidence supports the ALJ's denial of benefits, that finding must be affirmed, even if substantial evidence also exists in the record upon which the ALJ could have found plaintiff disabled. Buxton v. Halter, 246 F.3d 762, 772 (6th Cir.2001). Thus, the ALJ has a "`zone of choice' within which he can act without the fear of court interference." Id. at 773.
The second judicial inquiry — reviewing the correctness of the ALJ's legal analysis — may result in reversal even if the ALJ's decision is supported by substantial evidence in the record. Rabbers v. Comm'r of Soc. Sec., 582 F.3d 647, 651 (6th Cir.2009). Thus, "a decision of the Commissioner will not be upheld where the SSA fails to follow its own regulations and where that error prejudices a claimant on the merits or deprives the claimant of a substantial right." Bowen, 478 F.3d at 746.
To qualify for disability benefits, a claimant must suffer from a medically determinable physical or mental impairment that can be expected to result in death or that has lasted or can be expected to last for a continuous period of not less than 12 months. 42 U.S.C. §§ 423(d)(1)(A)(DIB), 1382c(a)(3)(A)(SSI).
Administrative regulations require a five-step sequential evaluation for disability determinations. 20 C.F.R. § 404.1520(a) (4). Although a dispositive finding at any step ends the ALJ's review, see Colvin v. Barnhart, 475 F.3d 727, 730 (6th Cir.2007), the complete sequential review poses five questions:
20 C.F.R. § 404.1520(a)(4); Miller v. Comm'r of Soc. Sec., 181 F.Supp.2d 816, 818 (S.D.Ohio 2001). A claimant bears the ultimate burden of establishing that he or she is "disabled" under the Social Security Act's definition. Key v. Callahan, 109 F.3d 270, 274 (6th Cir.1997).
As a preliminary note, Plaintiff's pertinent medical records have been adequately summarized in her Statement of Errors and the administrative decision, see doc. 8 at PageID 559-63; PageID 67-76, and the Court will not repeat them here. Where applicable, the Court will identify the medical evidence relevant to its decision.
Plaintiff argues that the decision of the ALJ denying benefits should be reversed on eight different grounds:
Doc. 8 at PageID 564-74.
For the reasons that follow, the Court finds none of Plaintiffs allegations of error to be meritorious.
In her first, second, and fourth assignments of error, Plaintiff challenges the ALJ's decision to accord little weight to the opinion of treating physician Erin McConnell, M.D., regarding the extent of Plaintiff's functional limitations, and instead favor the opinions of the consultative examining physician Damian Danopulos, M.D., and state agency record-reviewing physicians Leslie Green, M.D. and Lynne Torello, M.D. In her third assignment of error, Plaintiff challenges the ALJ's consideration of her daily activities. Because these assignments of error relate to the ALJ's weighing the medical source opinions with the other evidence of record, the Court will consider the arguments simultaneously.
The opinions of treating physicians are typically entitled to controlling weight. Cruse v. Comm'r of Soc. Sec., 502 F.3d 532, 540 (6th Cir.2007). To that end, under the "treating physician rule," the ALJ is required to "generally give greater deference to the opinions of treating physicians than to the opinions of non-treating physicians because: `these sources are likely to be the medical professionals most able to provide a detailed, longitudinal picture of [the claimant's] medical impairment(s) and may bring a unique perspective to the medical evidence that cannot be
Nevertheless, a treating physician's statement — that a claimant is disabled — is not determinative of the ultimate issue of disability. Landsaw v. Sec'y of Health & Human Servs., 803 F.2d 211, 213 (6th Cir.1986). A treating physician's opinion is to be given controlling weight only if it is well-supported by medically acceptable clinical and laboratory techniques, and is not inconsistent with the other evidence of record. Id.; Walters v. Comm'r of Soc. Sec., 127 F.3d 525, 530 (6th Cir.1997). Accordingly, an ALJ may properly reject a treating physician's opinion that does not meet these standards. See 20 C.F.R. § 404.1527(d)(2).
Here, Dr. McConnell was Plaintiff's treating primary care physician during part of her alleged disability period. PageID 338-43, 463-94, 525-30. Plaintiffs assignments of error stem from an "Arthritis Residual Functional Capacity Questionnaire" which Dr. McConnell completed on September 13, 2010. PageID 459-62. Dr. McConnell opined, inter alia, that Plaintiff could only perform a job which would: permit shifting from sitting, standing, or walking at will; permit unscheduled breaks; require lifting of less than 10 pounds; and require hand/finger manipulation for no more than 5% of a workday. Id.
In assigning "little weight" to Dr. McConnell's assessment of Plaintiffs functional limitations, ALJ Lombardo determined that "[t]he conclusions presented by Dr. McConnell relative to the claimant's functional limitations are neither well supported by medically acceptable clinical and laboratory diagnostic techniques nor consistent with other substantial evidence in the case record." PageID 69, 75. Specifically, the ALJ noted that "[t]he functional assessment of the claimant's functional capabilities provided by Dr. McConnell has no credible basis." PageID 69.
Although Plaintiff has asserted several assignments of error challenging the ALJ's finding, Plaintiff has given only cursory attention to the requirement that a treating physician's opinion must be "well-supported by medically acceptable clinical and laboratory diagnostic techniques" and must not be "inconsistent with the other substantial evidence" in the record before it is entitled to controlling weight. Walters, 127 F.3d at 530 (quoting 20 C.F.R. § 404.1527(d)(2)). In fact, substantial evidence of record supports the ALJ's finding regarding Plaintiff's RFC.
In the assessment at issue, Dr. McConnell reported Plaintiff's subjective pain complaints, as well as Plaintiff's own estimates of her functional limitations (as indicated by the "per pt" abbreviation), but did not identify any supporting objective findings. See PageID 459-60. Moreover, although Dr. McConnell frequently recorded Plaintiff's subjective complaints of pain, her treatment notes do not consistently record objective abnormalities which might give rise to such pain. For instance, her treatment notes from June, August, and October 2010 — the months immediately before and after the assessment at issue was completed — indicated no musculoskeletal abnormalities. PageID 464, 470, 476. Similarly, in September 2010, the same month in which she completed the assessment, Dr. McConnell noted the absence of edema, cyanosis or clubbing in the extremities during her clinical examination of Plaintiff. PageID 468.
In addition, the ALJ reasonably considered the contrary medical evidence of record, including: (1) the opinions of Drs. Green and Torello — who both opined that
The ALJ also reasonably considered Plaintiff's daily activities which, as the ALJ correctly found, were "inconsistent with the symptoms and limitations" Plaintiff alleges. PageID 76; see also 20 C.F.R. § 404.1529(c)(3)(i) (authorizing an ALJ to consider activities when evaluating pain and functional limitations); Warner v. Comm'r of Soc. Sec., 375 F.3d 387, 392 (6th Cir.2004) (permitting an ALJ to consider daily activities such as housework and social activities in evaluating complaints of disabling pain). For example, the ALJ noted that Plaintiff "went on vacation in 2010 after the alleged [disability] onset date"; went camping with her husband; belongs to the YMCA; and "enjoys shopping, walking, and visits with her grandchild." See PageID 76, 428, 434, 539. Plaintiff is the caretaker for her husband who receives disability, and is independent in her activities of daily living. PageID 92-94. Consultative examiner Jerry Flexman, Ph.D. reported Plaintiffs activities of daily living, which include: preparing food throughout the day; doing dishes and laundry; cleaning, sweeping, and general straightening up around the house; taking out the trash; going to the store two to three times a month; eating out; going to the library; visiting with her children, in-laws, and grandchildren; babysitting her grandchildren; and engaging in activities such as using the computer, going to thrift stores, and going to the King's Island amusement park. PageID 295. The ALJ's finding — that these activities are inconsistent with the level of limitation Plaintiff alleges — is well-supported by substantial evidence.
Plaintiff's argument — that the ALJ improperly "substitutes her own lay analysis for competent medical expert opinion," see doc. 8 at PageID 564 — is unavailing. The record demonstrates that the ALJ did not do so; instead, the ALJ reasonably adopted the findings by physicians of record other than Plaintiff's treating physician, Dr. McConnell. The Sixth Circuit has opined that "[s]tate agency medical consultants are considered experts and their opinions may be entitled to greater weight if their opinions are supported by the evidence." Hoskins v. Comm'r of Soc. Sec., 106 Fed.Appx. 412, 415 (6th Cir.2004). The shared opinion of Drs. Green and Torello — that Plaintiff is capable of performing medium work — is supported by the objective medical evidence of record, and serves as substantial evidence in this case.
To the extent Plaintiff argues that the ALJ erred because evidence exists in the record which supports a finding of disability, the Court finds such an argument equally unavailing. See Buxton, 246 F.3d at 772. It is the Commissioner's function to resolve conflicts in the medical evidence, see Hardaway v. Sec'y of Health & Human Servs., 823 F.2d 922, 928 (6th Cir.1987), and that is exactly what the ALJ reasonably did here. The ALJ acted well within the permissible "zone of choice" in her decision to accord less than controlling weight to Dr. McConnell's RFC assessment. Felisky v. Bowen, 35 F.3d 1027, 1035 (6th Cir.1994).
Plaintiff also argues that the ALJ erred by not including a mental health, spine,
A "severe impairment" is defined as an impairment or combination of impairments "which significantly limits your physical or mental ability to do basic work activities." 20 C.F.R. §§ 404.1520(c), 416.920(c). Upon determining that a claimant has at least one severe impairment, the ALJ must continue with the remaining steps in the disability evaluation. See Maziarz v. Sec'y of Health & Human Servs., 837 F.2d 240, 244 (6th Cir.1987). Accordingly, once the ALJ determines that a claimant suffers from a severe impairment, the fact that the ALJ failed to classify other alleged impairments as "severe" at Step Two does not constitute reversible error. Id.
Accordingly, the "severe impairment" determination at Step Two has been characterized by the Sixth Circuit as a "de minimis hurdle." See Higgs v. Bowen, 880 F.2d 860, 862 (6th Cir. 1988) (holding "an impairment can be considered not severe only if it is a slight abnormality that minimally affects work ability regardless of age, education, and experience"); see also 20 C.F.R. § 404.1521(a). Although "in the vast majority of cases a disability claim may not be dismissed without consideration of the claimant's individual vocational situation ... the severity requirement may still be employed as an administrative convenience to screen out claims that are `totally groundless' solely from a medical standpoint." Higgs, 880 F.2d at 862-63.
Here, the ALJ found at Step Two that Plaintiff had a number of severe impairments including a right knee meniscal tear with cartilage loss; mild to moderate lumbar and cervical osteoarthritis; and right shoulder tear with mild tendinopathy and mild bursitis. PageID 67. Thereafter, the ALJ conducted a thorough and detailed analysis of the pertinent evidence of record. PageID 67-76.
The ALJ's findings in this regard are supported by substantial evidence. The ALJ considered Plaintiff's physical impairments other than those she found to be "severe" — including thoracic spine degeneration, carpal tunnel syndrome, obesity, and Hepatitis C — but found none to significantly limit Plaintiff's ability to perform basic work activities. See PageID 73. The ALJ appropriately looked to substantial evidence of record, including objective clinical results and multiple medical source opinions, in finding that the aforementioned impairments are not "severe" under the regulations. Id.
Regarding Plaintiff's alleged mental impairments, the ALJ devoted two pages of her decision to reviewing Plaintiffs mental health issues and treatment. See PageID 71-72, 76. Given the substantial evidence of record demonstrating only mild symptomology, the ALJ committed no error in reasonably determining that Plaintiff's mental health issues would not significantly limit her ability to do basic work activities. Id.
In weighing Dr. McConnell's opinion, the ALJ found:
PageID 70. Based upon this statement, Plaintiff contends that "ALJ Lombardo is biased against treating source opinions in so much as her personal beliefs about the `realities' of doctor patient relationships negatively frame her consideration treating source opinion evidence." Doc. 8 at PageID 572.
Although the ALJ's statement is perhaps questionable in nature — and the Court makes no finding as to the accuracy of the statement in this particular case — the language in question appears to be a boilerplate paragraph occasionally utilized by ALJs in this Circuit. See, e.g., King v. Astrue, No. 2:12-cv-165, 2012 WL 4361445, at *9, 2012 U.S. Dist. LEXIS 136960, at *24 (S.D.Ohio Sept. 25, 2012); Rodgers v. Comm'r of Soc. Sec., No. 1:10-CV-434, 2011 WL 4064252, at *10, 2011 U.S. Dist. LEXIS 103266, at *29 (W.D.Mich. Aug. 16, 2011); Maggart v. Astrue, No. 2:08-cv-5, 2009 U.S. Dist. LEXIS 127665, at *17 (M.D.Tenn. Feb. 11, 2009); May v. Astrue, No. 4:08-CV-77, 2009 WL 6093302, at *7, 2009 U.S. Dist. LEXIS 123358, at *23-24 (E.D.Tenn. Dec. 30, 2009).
In Blakley v. Comm'r of Soc. Sec., 581 F.3d 399 (6th Cir.2009), the Sixth Circuit encountered an ALJ's decision which utilized the exact same paragraph as stated above. The Blakley court did not hold that it is improper for an ALJ to examine a treating physician's motives, but instead faulted the ALJ in that case for rejecting a physician's opinion solely on the ground that the doctor's motives were suspect. Id. at 408.
In the present case, the ALJ reasonably supported her decision — to accord little weight to Dr. McConnell's RFC assessment — for the myriad of reasons discussed supra. Thus, the present circumstance is distinguishable from that presented in Blakley. For the reasons already addressed, substantial evidence thus supports the weight accorded to Dr. McConnell's RFC assessment by the ALJ.
Plaintiff last argues that the ALJ's non-disability finding is, as a general matter, unsupported by substantial evidence. Again, the Court disagrees for two reasons. First, the record strongly suggests that Plaintiff can perform a wide range of activities and is not disabled. See supra. This conclusion is supported by the medical evidence, discussed above, which shows that Plaintiff's impairments, whether viewed singly or in combination, do not demonstrate disability. Id. Second, it is not the Court's role to sift through the facts and make a de novo determination of whether a claimant is disabled. The ALJ, not the Court, is the finder of fact. Siterlet v. Sec'y of Health & Human Servs., 823 F.2d 918, 920 (6th Cir.1987). The ALJ reasonably undertook that role here. Id. So long as the Commissioner's decision is supported by substantial evidence, it must be affirmed. 42 U.S.C. § 405(g); Richardson, 402 U.S. at 401. Where, as here, there is substantial evidence supporting the ALJ's resolution of the disputed facts, the Court must affirm the ALJ even if the
For the foregoing reasons, the Court finds fault with all eight of Plaintiffs assignments of error. The ALJ's decision is found supported by substantial evidence, and should be affirmed.